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HomeMy WebLinkAboutC21-338 RAP + BluSkyDocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
AGREEMENT FOR PROCUREMENT
AND INSTALLATION SERVICES BETWEEN
EAGLE COUNTY HOUSING AND DEVELOPMENT AUTHORITY
AND BLUSKY RESTORATION CONTRACTORS, LLC
THIS AGREEMENT ("Agreement") is effective as of 10/15/2021 by and between B1uSky Restoration
Contractors, LLC, a Colorado limited liability company (hereinafter "Contractor") and the Riverview Apartments
Preservation, LP, a body corporate and politic (hereinafter "RAP").
RECITALS
WHEREAS, RAP desires to renovate and retrofit four (4) apartment units to comply with the Americans with
Disabilities Act (the "Project") at the Riverview Apartments located at 39169 US Hwy 6 & 24, Avon, CO 81620,
(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 equipment, materials and installation services as set forth below in paragraph 1
hereof; and
WHEREAS, this Agreement shall govern the relationship between Contractor and RAP in connection with the
procurement of equipment, materials, and services.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Contractor and RAP agree as
follows:
1. Services or Work. Contractor agrees to procure the materials, equipment and/or products ("Equipment")
necessary for the Project and agrees to diligently provide all services, labor, personnel, and materials necessary to
perform and complete the procurement and installation services 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 December 31, 2021 and in accordance with
the schedule established in Exhibit 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 Exhibit
A and the terms and conditions set forth in this Agreement, the terms and conditions set forth in this Agreement
shall prevail.
C. RAP shall have the right to inspect all Equipment. Inspection and acceptance shall not be
unreasonably delayed or refused. In the event RAP does not accept the Equipment for any reason in its sole
discretion, then Contractor shall upon RAP's request and at no charge to RAP:
take the Equipment back;
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
ii. exchange the Equipment; or
iii. repair the Equipment.
2. RAP's Representative. The Maintenance Supervisor, William Wright, the Housing 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 31 st day of December,
2021.
4. Extension or Modification. 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 RAP for such additional services in
accordance with RAP'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
RAP 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 RAP 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. RAP shall compensate Contractor for the Equipment and performance of the Services in a
sum computed and payable as set forth in Exhibit A. The Equipment and performance of the Services under this
Agreement shall not exceed $148,010 per the bid plus $15,000 in contingency funds only to be utilized if
approved in writing by William Wright totaling $163,010. 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
RAP.
a. Payment will be made for Equipment and 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 RAP may request.
b. If, at any time during the term or after termination or expiration of this Agreement, RAP
reasonably determines that any payment made by RAP to Contractor was improper because the Equipment or
Services for which payment was made were not provided or performed as set forth in this Agreement, then upon
written notice of such determination and request for reimbursement from RAP, Contractor shall forthwith return
such payment(s) to RAP. Upon termination or expiration of this Agreement, unexpended funds advanced by RAP, if
any, shall forthwith be returned to RAP.
RAP 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.
d. Notwithstanding anything to the contrary contained in this Agreement, RAP 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 RAP in accordance with a budget adopted by the
Board of RAP in compliance with the Local Government Budget Law (C.R.S. 29-1-101 et. seq.) and the TABOR
Amendment (Colorado Constitution, Article X, Sec. 20).
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
6. Subcontractors. Contractor acknowledges that RAP 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 RAP's prior written consent, which may be
withheld in RAP's sole discretion. RAP 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 RAP has an
objection, in its reasonable discretion, shall be assigned to the Project. Contractor shall require each subcontractor,
as approved by RAP 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 RAP. RAP 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.
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.
b. Other Requirements.
i. The automobile and commercial general liability coverage shall be endorsed to include
RAP, 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 RAP 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 RAP 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 RAP, its affiliated entities, successors or assigns, its elected officials, employees, agents, and volunteers.
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
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 RAP, and any of its officers, agents
and employees against any losses, claims, damages or liabilities for which RAP 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; and Contractor shall
reimburse RAP for reasonable attorney fees and costs, legal and other expenses incurred by RAP 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 RAP to the extent that RAP 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.
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 RAP and are to be
delivered to RAP before final payment is made to Contractor or upon earlier termination of this Agreement. Further,
Contractor shall execute any bill of sale or other documents required by RAP to transfer title of the Equipment to
RAP. Contractor shall provide copies of any instruction or operations or care manuals and shall further provide
copies of any manufacturers warranties associated with the Equipment.
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.
RAP:
Attention: Kim Williams
500 Broadway
Post Office Box 850
Eagle, CO 81631
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
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
CONTRACTOR:
B1uSky Restoration Contractors, LLC
Attn: Michael Clarke, Project Director
770 Lindbergh Drive, #507
Gypsum, Colorado 81637
Telephone:970-319-3 515
E-mail: michael.clarke@goblusky.com
11. Termination. RAP 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 RAP with all documents as defined in
paragraph 9 hereof, in such format as RAP shall direct and shall return all RAP owned materials and documents.
RAP 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, interpreted under, and 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 intended purpose and use of the Equipment, 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 asite 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 RAP written notice of all conflicts, errors, or
discrepancies.
e. Contractor shall be responsible for 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 RAP has
accepted or approved the Equipment and/or 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
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DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
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 hereby represents and warrants that the Equipment will be new and will perform the
Services in a good and workmanlike manner and guarantees all Work against defects in materials or workmanship
for a period of one (1) year from the date the Work is accepted by RAP, or such longer period as may be provided by
the law or as otherwise agreed to by the parties.
g. All guarantees and warranties of Equipment furnished to Contractor or any subcontractor by any
manufacturer or supplier are for the benefit of RAP. If any manufacturer or supplier of any Equipment furnishes a
guarantee or warranty for a period longer than one (1) year, then Contractor's guarantee or warranty shall extend for
a like period as to such Equipment.
h. Contractor warrants that title to all Work and Equipment shall pass to RAP either by incorporation
into the Property or upon receipt by Contractor of payment from RAP (whichever occurs first) free and clear of all
liens, claims, security interests or encumbrances. Contractor further warrants that Contractor (or any other person
performing Work) purchased all Equipment free and clear of all liens, claims, security interests or encumbrances.
Notwithstanding the foregoing, Contractor assumes all risk of loss with respect to the Equipment until the
Equipment is installed and RAP has inspected and approved the same.
Within a reasonable time after receipt of written notice, Contractor shall correct at its own
expense, without cost to RAP, and without interruption to RAP:
Any defects in materials or workmanship which existed prior to or during the period of
any guarantee or warranty provided in this Agreement; and
ii. Any damage to any other Work or property caused by such defects or the repairing of
such defects.
j. Guarantees and warranties shall not be construed to modify or limit any rights or actions RAP may
otherwise have against Contractor in law or in equity.
k. 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.
1. This Agreement constitutes an agreement for performance of the Services by Contractor as an
independent contractor and not as an employee of RAP. 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 RAP and Contractor except that of independent contractor. Contractor shall have no authority to bind RAP.
in. 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.
n. 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.
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
o. Contractor shall not assign any portion of this Agreement without the prior written consent of the
RAP. Any attempt to assign this Agreement without such consent shall be void.
P. 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.
q. 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.
r. The invalidity, illegality or unenforceability of any provision of this Agreement shall not affect the
validity or enforceability of any other provision hereof.
S. The signatories to this Agreement aver to their knowledge no employee of the RAP 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.
t. 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.
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:
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:
6
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
https://www.uscis.gov/e-veri
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 RAP 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.
C. 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, RAP 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 RAP as required by law.
g. RAP will notify the Colorado Secretary of State if Contractor violates this provision of this
Agreement and RAP terminates the Agreement for such breach.
IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth above.
Attest: DocuSigned by:
By: lln.a. tV Vit A&
Regina O rpkf, , F ner...
Riverview Apartments Preservation LP
By and through Riverview Apartments Preservation
LLC, its general partner
By and through Eagle County Housing and
Development Wt;at.: sole member
By:
Kathy MkPff i ty, Chair
CONTRACTOR:
cuSigned by:
By: 5�&4d '
5F44DD08247C491...
7
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
Print Name:
Title:
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
EXHIBIT A
SCOPE OF SERVICES, EQUIPMENT, SCHEDULE, FEES
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
DIVISION
PHASE
CODE
XACT CODE
CSI DESCRIPTION
QUANTITY
UNIT
Division 0
00.000
Pre -construction
Division 1
01.000
General Requirements/Mobilization
Project Management
Project Management -Travel and Perdiem
0.00
MO
On -Site Supervision
Temparory Facilities
Portable Toilets
2.00
MO
Construction Trailers
Conex
MO
Temporary Fencing & Barricades
LF
Temporary Enclosures/ Partitions
Interior Protection
1.00
LS
Safety and Quality Inspections
Mandatory 3rd Party Roof inspection
EA
3rd Party Safety Consultant
EA
Aspostos testing
1.00
LS
Equipment and Waste Disposal
Equipment
MO
Fuel
MO
Delivery
EA
Waste Management Dumpster.
3.00
EA
Warranty
Division 2
02.000
Demolition
Unit 29
29- D203 REMOVE AND SALVAGE DOOR AND DOOR FRAME
4.00
EA
29- D205 REMOVE WALL FOR DOOR INSTALL
3.00
EA
29- D207 REMOVE & REINSTALL KITCHEN CABINET
1.00
EA
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
29- D210 REMOVE AND REINSTALL KITCHEN SINK &FAUCET
1.00
EA
29- D215 REMOVE EXIST CONCRETE SILL
1.00
EA
29- D222 REMOVE & SALVAGE KITCHEN CABINET
2.00
EA
29- D229 REMOVE EXISTING CARPET FLOORING
385.00
SF
29- D230 REMOVE TILE FLOORING
44.00
SF
29-D221 REMOVE & REPLACE EXISTING STUCCO
2.00
EA
29- D226 REMOVE EXIST VANITY & SINK
1.00
EA
29- D228 PROTECT TILE FLOORING
70.00
SF
29-D221 DETACH AND RESET BASE
410.00
LF
Division 4
04.000
Masonry
Division 5
05.000
Metals
Division 6
06.000
Wood and Plastics
Division 7
07.000
Thermal and Moisture Protection
Division 8
08.000
Doors and Windows
Unit 29
29- A204 New Hollow Core Doors
2.00
EA
29- A205 36"x84" SWING DOOR W/FIXED FULL HEIGHT SIDELITE
1.00
EA
29- A207 ADA COMPLIANT EXT DOORTHRESHOLD
1.00
EA
29- Door Trim
40.00
LF
29- Door Hardware
3.00
EA
Division 9
09.000
Finishes
Carpentry / Drywall
Unit 29
29- A220 PATCH&REPAIR EXISTING GWB AT DOORS
1.00
EA
29- A220 General Carpentry / Drywall Patch
1.00
LS
Paint
Unit 29
Paint All Walls
3,523.60
SF
Paint Doors
11.00
EA
Misc. Painting Allowance
1.00
LS
Flooring
Unit 29
29- A240 EXISTING TILE CLEAN PATCH
60.00
SF
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
29- A241 Wood Laminate Flooring
355.00
SF
D216 EXISTING CONCRETE TO REMAIN, REPAIR AS REQUIRED
68.00
SF
10.000
Specialties
UIVIblull
11.000
Equipment
Appliances
Unit 29
Install Range and Refridgerator - Provided by Owner
2.00
EA
12.000
Furnishings
Cabinetry, Casework, Plumbing Fixtures
Unit 29
29- A227 NEW BATHROOM VANITY WITH INTERGAL SINK
1.00
EA
29- A229 PLASTIC LAMINATE WORK COUNTER
6.00
SF
29- A231 REINSTALL EXIST SS KITCHEN SINK
1.00
EA
13.000
Special Construction
14.000
Conveying Systems
15.000
Mechanical
Diviblun
16.000
Electrical
Unit 29
29- A218 NEW SWITCH TO BE INSTALLED AT 48" AFF
3.00
EA
29- D204 REMOVE & REINSTALL LIGHT FIXTURE
2.00
EA
29- D202 REMOVE OUTLET REINSTALL IN NEW LOCATION
3.00
EA
29- D204 REMOVE & REINSTALL LIGHT FIXTURE
2.00
EA
IUIAL
Hospitality 6.00
Cl — Capital improvement 4.00
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
SEE LIST COLUMN A
AL SALE PRICE
64
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
DIVISION
PHASE
CODE
XACT CODE
CSI DESCRIPTION
QUANTITY
UNIT
Division 0
00.000
Pre -construction
Division 1
01.000
General Requirements/Mobilization
Project Management
Project Management -Travel and Perdiem
0.00
MO
On -Site Supervision
Temparory Facilities
Portable Toilets
2.00
MO
Construction Trailers
Conex
MO
Temporary Fencing & Barricades
LF
Temporary Enclosures/ Partitions
Interior Protection
1.00
LS
Safety and Quality Inspections
Mandatory 3rd Party Roof inspection
EA
3rd Party Safety Consultant
EA
Aspostos testing
1.00
LS
Equipment and Waste Disposal
Equipment
MO
Fuel
MO
Delivery
EA
Waste Management Dumpster.
3.00
EA
Warranty
Division 2
02.000
Demolition
Unit C29
C29- D203 REMOVE AND SALVAGE DOOR AND DOOR FRAME
4.00
EA
C29- D205 REMOVE WALL FOR DOOR INSTALL
4.00
EA
C29- D207 REMOVE & REINSTALL KITCHEN CABINET
1.00
EA
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
C29- D210 KITCHEN SINK &FAUCET
1.00
EA
C29- D215 REMOVE EXIST CONCRETE SILL
1.00
EA
C29- D222 REMOVE & SALVAGE KITCHEN CABINET
2.00
EA
C29- D229 REMOVE EXISTING CARPET FLOORING
306.36
SF
C29- D228 PROTECT TILE FLOORING
70.00
SF
C29- D229 REMOVE EXISTING CARPET FLOORING
425.00
SF
C29- D230 REMOVE TILE FLOORING
45.00
SF
C29-D221 REMOVE & REPLACE EXISTING STUCCO
2.00
EA
C29-D221 DETACH AND RESET BASE
410.00
LF
Division 4
04.000
Masonry
Division 5
05.000
Metals
Division 6
06.000
Wood and Plastics
Division 7
07.000
Thermal and Moisture Protection
Division 8
08.000
Doors and Windows
Unit C29
C29- A204 New Hollow Core Doors
1.00
EA
C29- A205 36"x84" SWING DOOR W/FIXED FULL HEIGHT SIDELITE
1.00
EA
C29- A207 ADA COMPLIANT EXT DOORTHRESHOLD
1.00
EA
C29- A237 34"x80" INT. 6 PANEL HC DOOR
1.00
EA
C29- A238 NEW 32"x80" INT. 6 PANEL HC DOOR
1.00
EA
29- Door Trim
160.00
LF
29- Door Hardware
5.00
EA
Division 9
09.000
Finishes
Carpentry / Drywall
Unit C29
29- A220 PATCH&REPAIR EXISTING GWB AT DOORS
2.00
EA
29- A220 General Carpentry / Drywall Patch
1.00
LS
Paint
Unit C29
Paint All Walls
2,949.10
SF
Paint Doors
8.00
EA
Misc. Painting Allowance
1.00
LS
Flooring
Unit C29
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
29- A240 EXISTING TILE CLEAN PATCH
60.00
SF
29- A241 Wood Laminate Flooring
380.00
SF
D216 EXISTING CONCRETE TO REMAIN, REPAIR AS REQUIRED
68.00
SF
Adjustments
1.00
LS
vivis i ion
10.000
Specialties
11.000
Equipment
Appliances
Unit C29
Install Range and Refridgerator - Provided by Owner
2.00
EA
12.000
Furnishings
Cabinetry, Casework, Plumbing Fixtures
Unit C29
None
13.000
Special Construction
14.000
Conveying Systems
15.000
Mechanical
16.000
Electrical
Unit C29
C29- D204 REMOVE & REINSTALL LIGHT FIXTURE
1.00
EA
Hospitality 6.00
Cl — Capital improvement 4.00
SEE LIST COLUMN A 64
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
AL SALE PRICE
Envelone ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
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restoration I renovation I environmental I roofing
Proposal: Riverview Apartments I Unit Renovation Project I Friday, September 9t", 2021
Submitted to: cao
EAGLE COUNTY
Human Resources
Presented by: Michael Clarke, Project Director
Mobile: 970.319.3515 Corporate Office: 303.789.4258
Email: michael.clarke@_ oq blusky.com
GREAT
PL TO
WORK°
CERT gFIED
usn
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DocuSian Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
DEAR RIVERVIEW APARTMENTS PREERVATION, LP,
Thank you for allowing BluSky Restoration Contractors, LLC to compete for the unit renovation at the Riverview
Apartment community. We understand the importance for your team and owners in awarding projects of this size to
the best and most qualified contractor. BluSky Restoration, LLC's Gypsum, CO office is a cornerstone to the Eagle
County Community and is involved in community events ranging from trail building, volunteering every year at the
Salvation Army in Avon during the holidays, sponsoring community concerts in Vail and many more philanthropic
initiatives. Our local based team living across Eagle County, enjoy engaging in community events and pastimes. Our
highly trained team of experts are experienced in working in the Eagle County area and all faucets of completing a
successful project in Eagle County.
While BluSky is very competitive in the multi -family restoration space, we encourage you to consider value in addition
to price as your team decides on the best fit in choosing your contractor. You will be working with a complete team
of professionals that understand resident impact in occupied communities. Below are some of the reasons we feel we
are qualified to perform this project and bring increased value to your team.
• We are experts at working in occupied space, as this has been our primary focus for 15 years. Our
performance and reputation have allowed BluSky to grow into one of the largest restoration general
contractors nationwide.
• Our defined Communication Plan gives your team the information to understand progress,
challenges, etc., as we progress through the project. On site supervision and communication allows
you and the occupants to continue uninterrupted daily activities.
• We provide 3rd Party Safety Oversight to ensure our crews are following safety protocol and laws,
helping to prevent risk for our crews and your residents.
As you review our proposal documents, please feel free to reach out to me or our team with questions regarding the
above items or other. We appreciate your consideration and look forward to working with you.
Kind Regards,
Michael Clarke
Project Director
BluSky Restoration Contractors, LLC
DocuSian Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
PROJECT INCLUSIONS, EXCLUSIONS, AND SPECIFICATIONS
PROJECT SPECIFICATIONS:
Complete building access during normal business hours Monday — Saturday 7:00 AM — 5:30 PM
Onsite staff will provide parking pass or spaces as needed for BluSky Team and Subcontractors.
Onsite staff will provide notifications to residents as necessary when BluSky will be performing work.
The facility will allow access to electrical power and water as needed by the contractor.
PROJECT INCLUSIONS:
BluSky will provide all material, labor, tools, and equipment as required for the 4 units and Community
Center entrance re -model of the Riverview Apartments in Avon, Colorado.
n Pricing based on:
o REQUEST FOR PROPOSALS FOR UNIT RETROFIT AND RENOVATION TO ADA SPECIFICATIONS AT
RIVERVIEW APARTMENTS PRESERVATION, LP dated August 10,2021
o RIVERVIEW APARTMENTS ACCESSIBLITY CONVERSIONS A2, A4, B17, + C29 UNIT RENOVATIONS CD
SET - dated 03/09/2021
GENERAL CONDITIONS
Supervision
OSHA compliance
a 1 year installation warranty on all work done by BluSky
• Remodel of 4 apartment units per the referenced documents.
• Weekly onsite production meetings to review schedule for the coming week.
All materials to be installed according to manufacturer's specifications.
• All work to be done in a substantial workman like manner and to comply with all safety standards.
• All debris created on this project will be picked up and legally disposed of prior to completion.
PROJECT EXCLUSIONS:
All electrical work other that what is shown on drawings.
Exclude all furniture and artwork relocation.
• This proposal does not include repairs or remediation relating to structural members, mold, termite damage,
and common areas unless detailed in the scope of work.
• All permitting and engineering cost (to be passed through with 0&P).
• Excludes any code upgrades that may be required by the municipality.
BluSky Restoration is not responsible for making any site conditions or improvements ADA compliant unless
specifically related to plans or as directed by the customer to do so.
Any changes to material specifications may result in a written change order.
Excludes security of site during non -working hours.
Excludes any damages to asphalt, sidewalk or landscaping due to dumpsters or equipment use; all reasonable
measures will be taken to prevent damage.
Excludes any repairs beyond those specifically listed above.
DocuSian Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
PROJECT PRICING.
BluSky proposes to complete the scope of work outlined above:
Unit C29: $33,720 per unit x 3 units: $101,160
"Typical Unit": $33,720 per unit x 1 unit: $ 33,720
Contengency for unforeseen items $15,000
Option # 1 Unit C29 $9,069
Option # 2 "Typical Unit" $4,061
Total Price $163,010
Option #1 Unit C29:
Remove existing carpet and tile and replace with wood laminated flooring: $3,023 / unit (3)
Option #2 "Typical Unit":
Remove existing carpet and tile and replace with wood laminated flooring: $4,061/unit (1)
This price is good for 15 days from proposal date, after which BluSky reserves the right to reprice scope of work to current market conditions.
DocuSian Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
COMMUNICATION PLAN
Successful communication is the cornerstone for the success of any restoration or renovation project. At BluSky it is
our goal and duty to keep your team informed and updated on the progress/status of your project.
Our Project Management Team uses our web -based job management system, Restoration Manager, to produce
timely updates and communication, along with other project specific forms and reports. These are sent to all of your
requested stakeholders — Owners, Managers, Investors, etc.... This professional and consistent communication will
support all of the activities and billings for your project, providing vital information for insurance records and claims
personnel.
REPORT INFORMATION PROVIDED TO YOUR TEAM — DAILY AND WEEKLY
• Pre -construction Meeting — Meeting with all client stakeholders and BluSky project management personnel
on site prior to starting the project detailing all specifics, goals and impact points.
• Daily Progress Updates — Project Manager/Director — web generated email detailing work activities
performed that day. It also reports when the next project check-up is scheduled. Project specifics will dictate
the need of daily reporting.
• Daily Progress Summary — Project Manager — this report is completed on the job site by Project Super -
intendants or Project Managers, detailing work performed, and tasks completed. Project specifics will dictate
the need of Daily Progress Summaries.
Weekly Meeting —This is a weekly meeting/(conference call for phone attendees), usually at a consistent
standing time for all client stakeholders and project management personnel, on site.
n Weekly Update — Project Manager/Director — This report summarizes the work performed throughout the
week and states the goals for the upcoming week; it will usually report the physical weekly meeting
discussion, too. Other items the Weekly Update will report:
o Schedule status and upcoming schedule
o Goals and needs from client
o Issues or concerns
L I -
Project Close-out Meeting — Both teams meet to sign off on completion of a successful project.
BluSky understands the important part we play in providing your team and stakeholders the relevant information and
documentation you need to report to your owners, investors and insurance/claims parties. We are confident in the
professionals we hire and the processes we implement to give you the best project management and service in our
industry. Following are examples of these reports you will see on our projects.
DocuSian Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
SAFETY PLAN
As one of the nation's largest commercial Restoration General Contractors, BluSky understands that safety for our
employees, clients and trade partners is paramount. We will provide the best possible work conditions to all
employees, clients and partners. We have developed an OSHA accepted Safety Program and we have met the
fundamental requirements that OSHA enforces with their workplace inspections.
One of our Best Practices is performing Daily Morning Safety
Briefings with all of our Workers. Safety meetings are
documented and conducted with a new topic every day. All
Employees are required to sign in and out of each meeting
everyday
BluSky Produces Job Hazard Analysis sheets (below) to identify
any risks to our safety program. This publication is conducted
multiple times a week in order to keep our safety awareness up
to speed with the changes in the project dynamics. This outlines
identifying hazards, remediation techniques, routes to closes
urgent care and other processes to reduce safety risk.
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In addition to having established a complete safety plan since the inception of our company, BluSky has chosen to
proactively partner with a third -party safety consulting firm, SFI Compliance. They act as a neutral and certified
consultant in several capacities outlined below. The following safety sections detail both how we work with SFI
Compliance in a current and job -specific setting, and then we define the complete safety training manual for our
employees.
DocuSian Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
SFI COMPLIANCE DUTIES
Onsite Evaluations (Inspections)
� i
ACOMPLIANCE
SFI Compliance will provide on -site evaluations to our customers through work place inspections. These evaluations
are pre -planned; however, the client has the ability to adjust the frequency of the evaluations due to exposure or
needs. Most evaluations are performed with random or un-announced visits to help ensure that we see actual jobsite
working conditions and what is happening out in the field, similar to how OSHA would show up on the jobsite. SFI
looks for OSHA related issues where there would be a potential to receive OSHA fines, as well as any unsafe work
practices to assist in reducing injuries or illnesses. Documentation of any potentially dangerous activities is left on -site
allowing our customers the ability to correct the jobsite issues. Within 48 hours of the evaluation, copies of the on -site
documentation is sent to provided email addresses, allowing upper management, or office personnel the ability to see
what is occurring on the job, and make the necessary changes to policy and procedures.
Tool Box Talks
SFI Compliance provides the information needed to conduct companywide tool box talk meetings. OSHA requires that
companies have regular Safety Meetings to communicate safety, and address any potentially new job related
conditions or new issues. Our clients use the information provided to help bring up the issues that matter to them and
allowing clients to have the ability to select from a variety of topics. With the provided information the workers are
kept up to date with the changes that are made with OSHA as well as their current employer. SFI can conduct and
hold the meeting for our clients, or simply help by providing the information to our customers to allow them to
discuss the issues at their leisure.
Safety Meetings/Pre-Construction Meeting
SFI Compliance can hold safety meetings on the job -site or in an office setting to discuss site specific issues that will
arise on any given project. When holding these meetings, the client brings in the necessary contractors to allow them
to address any of their concerns pertaining to the scope of work, addressing what the scope of work will require in
order to allow the subcontractor to complete the task safely. This is achieved with Task Hazard Analysis or better
known as Job Hazard Analysis. Pre -construction meetings are essential to providing the best work practices that will
be used to provide the safe conditions that our clients are known to provide on all projects.
Safety Training
Training is a major part in any safety program. SFI Compliance provides a variety of safety training, from a true formal
setting, or where the classes may be held on the jobsite to address the particular workers and areas that are a
concern. SFI encourages our clients to be proactive about the training that they provide. A trained worker is typically a
worker who can avoid an unknown issue if it were to arise. OSHA will write citations for failure to provide training to
workers in most areas of construction; consequently, it is a top 10 cited issue with any topic that OSHA enforces. SFI
provides training at a top level, recognized by leaders in the safety training world. Our clients have the ability to
schedule a variety of topics to include: OSHA 10 and 30 Hour Courses (must have an authorized Outreach Trainer
Status-SFI is approved facility) CPR/First Aid Safety w/Defibrillator, Fall Protection, Scaffolds, Electrical, Hand and Tool
Safety, Crane Awareness, Excavations, Confined Spaces, Hazard Communication, OSHA Orientation, Evacuation Drills,
and many more.
DocuSian Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
Incident/Accident Investigation
SFI Compliance will provide Incident/Accident Investigation if needed for our clients. When a person gets hurt,
typically, there was a cause for the injury that may have been a preventable instance. Our clients are always
persuaded to follow up any incident with an investigation to stop a re -occurrence. As a third -party consultant, most
contractors/sub-contractors who had an occurrence are less reluctant to omit any of the pertinent information about
the incident, allowing our clients to get a better picture of what truly happened, and the ability to set new policy into
place to protect all workers. The incident/accident reports also give our clients required documentation for insurance
and other legal issues if it happens to go that direction.
OSHA Representation
SFI Compliance will provide OSHA related representation for any OSHA Inspection, OSHA Informal Conferences,
OSHA legal matters (professional witness), OSHA Follow Up, or simply OSHA questions. SFI Compliance has an
established reputation for being a leader in providing acceptable safety work programs for our customers and this has
been recognized by OSHA. With OSHA knowing that SFI is a reputable company, the inspection process for our
customers is a process where our clients have less confusion about what is happening, as well as comfort in knowing
that the inspection is going in an appropriate direction. If ever a citation is received, SFI will provide information about
the steps that can be taken to resolve the issue, such as payment options, or setting an informal conference, or even
contesting the citation if the issue has no legal precedent or standard.
Record Keeping
SFI Compliance maintains all copies of any work provided to any customer for at least 10 years. SFI will take and
maintain any and all Inspection, Accident, Training, and Specification Sheets as provided by either SFI or our clients.
All paper copies of any documents are maintained for 5 years. Documentation requested from previous to that time
period would be provided in a digital format (from scanned documentation). SFI provides a centralized location where
all safety documents can be researched quickly, and for our customers by maintaining the system here at SFI, making
information that can be acquired quickly when called upon.
Our goal is to ensure that work happens promptly, successfully, and most of all safely. Keeping workers and
employers happy, safe, and efficient is a primary concern to BluSky and SFI Compliance.
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
CASE STUDIES
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
�!
Pr
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restoration I renovation I environmental I roofing
SUCCESS STORY I renovation
BURLINGAME RANCH
LOCATION: Aspen, Colorado JOB SIZE: $1.7 Million
SERVICES: HOA Pre/Post-Litigation TIMEFRAME: 3.75 Years
PROJECT:
Cementitious siding deficiencies caused by an original build construction defect across this community
required pre and post litigation services for the HOA. It was found that 20 of their 85 townhomes
needed repair.
CHALLENGES:
❑ver the 33 months of litigation, the HOA changed Presidents twice. Pressure was continually brought to
bear on proper legal and cost documentation. Tight buildings, traffic and variable terrain negated ability
to use man lifts for 2nd and 3rd floor exteriors. 176" average annual snowfall plus common rains made
soil inconsistent and timeframes to construct very tight. Agitated homeowners just wanted the situation
fixed, without special assessment.
RESULTS:
Nu5ky forensic engineers and legal team worked tirelessly for almost three years to obtain outcomes needed
within the HOA's initial targeted budget. Preconstruction planning took just three months with a fast -track
production completion time of just nine, with all deadlines met and limited punch items. In spite of the
scaffolding required, noise and duration of the project — valuable rapport with the residents, their guests
and HOA members was continually heightened.
REFERENCES:
❑on Taylor — HOA Board
Kade Gromowski — Pie Engineering Consulting
SOON
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
K.
Pr
BIUSk
restoration I renovation I environmental I roofing
SUCCESS STORY I restoration
VAIL MANAGEMENT
LOCATION: Avon, Colorado JOB SIZE: $2.4 Million
SERVICES: Fire Reconstruction TIMEFRAME: 8 Months
PROJECT:
A fire caused smoke and structural damage to this 22-unit condominium requiring an extensive rebuild.
CHALLENGES:
The client dismissed a previous contractor after seven months due to inadequate performance before
contacting BluSky for help. Multiple owners and HOA board members were understandably wary of
engaging a new contractor due to their initial experience. Residents had to be displaced for a second
time when BluSky commenced work in order to address lingering smoke damage in all units. Owner
upgrades, custom layouts, a variety of finishes and unforeseen conditions in this decades ❑ld facility
amplified project complexity. As a seasonal resort destination, owners were anxious to have their units
ready before high season arrived with associated housing and rental shortages.
RESULTS:
BluSky established trust and sound relationships with each owner by exceeding expectations.
• Upon discovering additional damage while performing mitigation, BluSky addressed the changes
while keeping all work on schedule
• Rather than having to wait for work to conclude for the entire building, owners were able to move
back in over a two -month period as each section was completed
• Crews wowed clients with their care and extra touches including hanging shelves, door locks, etc.
leaving 22 homeowners, the HOA board and management company completely delighted
REFERENCES:
"Fantastic! Thanks s❑ much BluSky for all of your help! Please convey to the big bosses the only
mistake that was made from both a unit owner and an HOA board member's perspective was not
hiring BluSky the day after the fire." Brad Maxwell — HOA Board Member & Homeowner
y.•
888.882.5875 goBluSky.com
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
REQUEST FOR PR OPO S AL
PROPOSAL FOR11
THIS PROPOSAL FORM MITST BE SUBIIITTED WITH YOUR PROPO SAL
TO: Riverview Apartments Preservation, LP
500 Broadway
Post Office Box 850
Eagle. CO 81631
Re- Ri t erview Accessible Unit Retrofit and Renovation
The widersigoed, having examined the Instnictions to Proposers and any and all
dociunents related to the above referenced RFP:
(a) Agrees to comply with all conditions, regwements_ and instnictions of the
Request for Proposal as stated or ni nplied therein;
(b) Acknowledges the right of R,NP Mi its sole discretion to reject any or {all
proposals submitted, and that an award may be made to a respondent even
though not the loxvest cost;
(c) Acknowledges and agrees that the discretion of RAP in selection of the
successful respondent shall be final. not subj ect to review or attack: and
(d) Acknowledges that this proposal is inade with full knowledge of the foregoing
and full agreement thereto.
By subiiiission of this proposal_ and signature below, the respondent acknowledges that
he or .she his the authority to sib this Proposal Form and bind the company married
below. The proposer further aclmowledges that RAP has the right to make any ingi* or
InVestigration it deems appropriate to substantiate or supplenient information contained in
the prop al and related documents, and authorizes release to RAP of any and all
infoaniation sought in such inquiry or investigation.
C'ouapany Name_ Blu ky Resotration Contractors, LLC
Title of Proposer_ Project Director
Signature of Proposer- v4L
DocuSian Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
REFRENCES:
VMana Aguilar- 303-371-2400 Bridge Properties
Mellissa Schultz- 801-716-5771 Bridge Properties
Jill Harrison — 303-357-3755 LMC
LEGAL ISSUES:
BluSky Restoration, LLC's Gypsum, CO office has not experienced any legal issues on projects currently or in the last 3
years.
MM■■
DocuSian Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
Thank you for this opportunity.
If you have questions of any kind please feel free to contact me at:
Mobile: 970.319.3515
Corporate Office: 303.789.4258
Email: michael.clarke@aobluskv.com
Kind Regards,
Michael Clarke
Project Director
BluSky Restoration Contractors, LLC
Pr 111114
BluSk
restoration I renovation I environmental I roofing
BluSky Corporate Headquarters, Denver Area 19767 East Easter Avenue, Centennial, CO 80112 1 P 303.789.4258 1 F 303.789.4759
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1 E57188
EXHIBIT B
INSURANCE CERTIFICATES
10
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
A� o CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
I 09/16/2021
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 Insurance Services west, Inc.
Denver Co office
CONTACT
NAME.
(/C.No. Ext): (303) 758-7688 ((A No ); (303) 758-9458
E-MAIL
ADDRESS:
1900 16th Street, suite 1000
Denver Co 80202 USA
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Zurich American Ins CO
16535
Blusky Restoration Contractors, LLC
9110 East Nichols Avenue Suite 180
INSURER B: Lloyd's syndicate No. 1458
AA1120102
INSURER C:
Centennial Co 80112 USA
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570089165453 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
B
X
COMMERCIAL GENERAL LIABILITY
ENVP 4 1
4 1 10410112022
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE X❑ OCCUR
DAMAGE TO RENTED
$100,000
PREMISES Ea occurrence
MED EXP (Any one person)
$ 5 , 000
PERSONAL& ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMITAPPLIES PER:
GENERAL AGGREGATE
$2 , 000, 000
POLICY � PRO F LOC
JECT
PRODUCTS - COMP/OP AGG
$2,000,000
OTHER:
A
AUTOMOBILE LIABILITY
BAP 3029532-01
04/01/2021
04/01/2022
COMBINED SINGLE LIMIT
Ea accident
$5,000,000
BODILY INJURY ( Per person)
A1NYAUTO
X
BODILY INJURY (Per accident)
X OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED AUTOS X NON -OWNED
PROPERTY DAMAGE
Per accident
ONLY AUTOS ONLY
B
X
UMBRELLA LIAB
OCCUR
ENVX000020021
04/01/2021
04/01/2022
EACH OCCURRENCE
$15,000,000
EXCESS LIAB
H
CLAIMS -MADE
AGGREGATE
$15,000,000
DED RETENTION
A
WORKERS COMPENSATION AND
wc302953101
04/01/2021
04/01/2022
X I PER STATUTE I OTH-
ER
EMPLOYERS' LIABILITY Y/ N
E.L. EACH ACCIDENT
$1,000,000
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) ❑
N /A
E.L. DISEASE -EA EMPLOYEE
$1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$1,000,000
B
Env CPL/Prof
ENVP000024821
04/01/2021
04/01/2022
Per Occurrence
$1,000,000
Pollution Liab
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Riverview Apartments Preservation, 39169 Hwy. 6&24, Avon, Co. 81620 is included as Additional Insured in accordance with the
policy provisions of the General Liability and Pollution Liability policies. General Liability and Umbrella Liability policies
evidenced herein are Primary to other insurance available to an Additional Insured, but only in accordance with the policy's
provisions. A waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the
General Liability, Automobile Liability and workers' Compensation policies. Umbrella Liability policy is excess follow form.
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.
Riverview Apartments Preservation
AUTHORIZED REPRESENTATIVE
39169 Hwy. 6 & 24
Avon Co 81620 USA
N
m
Lo
v
m
co
0
r
u7
on
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
AGENCY CUSTOMER ID: 570000079106
LOC #:
A ADDITIONAL REMARKS SCHEDULE
Page _ of _
AGENCY
Aon Risk Insurance Services West, Inc.
NAMEDINSURED
BluSky Restoration Contractors, LLC
POLICY NUMBER
see Certificate Number: 570089165453
CARRIER
See Certificate Number: 570089165453
NAIC CODE
EFFECTIVE DATE:
ADDITIONAL 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
INSURER
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
OTHER
B
Env Contr Prof
ENVP000024821
Prof Liab - Claims- Made
04/01/2021
04/01/2022
Each Claim
$1,000,000
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
Endorsement Title
Additional Insured — Owners, Lessees or Contractors — Completed Operations Amendatory
Endorsement
Named Insured
Endorsement Number
BluSky Restoration Contractors, LLC
022
Policy Form
Policy Number
Policy Period
Enviant Endorsement Number
GAPLESS
ENVP000024821
04/01/2021 to 04/01/2022
GAP 10 04 6/1/2016
Issued by
Effective Date of Endorsement
Certain Underwriters at Lloyd's, London
04/01/2021
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS
AMENDATORY ENDORSEMENT
Solely with respect to §I. COVERAGES, Section 1. COMMERCIAL GENERAL LIABILITY AND POLLUTION
LIABILITY the Policy is amended as follows:
SCHEDULE
Name of Additional Insured Person(s) or
Organization(s)
Location and Description of Completed
Operations
Where required by written contract
All locations
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
1. §III. WHO IS AN INSURED is amended to include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with respect to liability for bodily injury, property
damage or environmental damage caused, in whole or in part, by your work at the location
designated and described in the schedule of this endorsement performed for that additional
insured and that is included in the products -completed operations hazard.
2. Notwithstanding §VI. CONDITIONS, Paragraph I. Other Insurance, with respect to the insurance
afforded to the additional insureds added by this Endorsement, this Policy shall be primary to,
and non-contributory with, any other insurance available to that person or organization when
required by written contract.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
Endorsement Title
Additional Insured — Owners, Lessees or Contractors — On -Going Operations Amendatory
Endorsement
Named Insured
Endorsement Number
BluSky Restoration Contractors, LLC
017
Policy Form
Policy Number
Policy Period
Enviant Endorsement Number
GAPLESS
ENVP000024821
04/01/2021 to 04/01/2022
GAP 10 28 6/1/2016
Issued by
Effective Date of Endorsement
Certain Underwriters at Lloyd's, London
04/01/2021
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — ON -GOING OPERATIONS
AMENDATORY ENDORSEMENT
Solely with respect to §I. COVERAGES, Section 1. COMMERCIAL GENERAL LIABILITY AND POLLUTION
LIABILITY the Policy is amended as follows:
SCHEDULE
Name of Additional Insured Person(s) or Organization(s)
Where required by written insured contract
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
1. §III. WHO IS AN INSURED is amended to include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with respect to liability for bodily injury, property
damage or environmental damage caused, in whole or in part, by your work that is not included
in the products -completed operations hazard.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
Endorsement Title
Advice of Cancellation Amendatory Endorsement
Named Insured
Endorsement Number
BluSky Restoration Contractors, LLC
008
Policy Form
Policy Number
Policy Period
Enviant Endorsement Number
GAPLESS
ENVP000024821
04/01/2021 to 04/01/2022
GAP 10 07 6/1/2016
Issued by
Effective Date of Endorsement
Certain Underwriters at Lloyd's, London
04/01/2021
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADVICE OF CANCELLATION AMENDATORY ENDORSEMENT
It is hereby agreed that §VI. CONDITIONS is amended by the addition of the following:
In the event that we cancel this Policy for any reason other than non-payment of premium, and
1. the cancellation effective date is prior to this Policy's expiration date;
2. you are under an existing contractual obligation to notify a certificate holder when this Policy is
canceled (hereinafter, the "Certificate Holder(s)") and have provided to us, either directly or
through your broker of record, the email address of a contact at each such entity; and
3. we received this information after you received notice of cancellation of this Policy and prior to
this Policy's cancellation effective date, via an electronic spreadsheet that is acceptable to us,
we will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 30
days after you provide such information to us.
Proof of our emailing the Advice, using the information provided by you, will serve as proof that we have
fully satisfied our obligations under this Endorsement.
This Endorsement does not affect, in any way, coverage provided under this Policy or the cancellation of
this Policy or the effective date thereof, nor shall this Endorsement invest any rights in any entity not
insured under this Policy.
Triangle Mezzanine Fund, LLLP,
A North Carolina limited liability
limited partnership as Collateral
Agent, I.S.A.O.A., A.T.I.M.A.
3700 Glenwood Avenue, Suite 530
Raleigh, NC 27612
Attn: James J. Burke
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-AOBF-33DFF1E57188
Endorsement Title
Additional Insured Primary and Non -Contributory Amendatory Endorsement
Named Insured
Endorsement Number
BluSky Restoration Contractors, LLC
013
Policy Form
Policy Number
Policy Period
Enviant Endorsement Number
GAPLESS
ENVP000024821
04/01/2021 to 04/01/2022
GAP 10 05 6/1/2016
Issued by
Effective Date of Endorsement
Certain Underwriters at Lloyd's, London
04/01/2021
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY AMENDATORY ENDORSEMENT
Solely with respect to §I. COVERAGES, Section 1. COMMERCIAL GENERAL LIABILITY AND POLLUTION
LIABILITY, Coverage 1A - General Liability and Section 2. OTHER COVERAGES, Coverage 2A - Personal
and Advertising Injury the Policy is amended as follows:
SCHEDULE
Name of Additional Insured Person(s) or
Organization(s)
Where required by written insured contract
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
1. The person(s) or organization(s) shown in the Schedule above are insureds under §III. WHO IS AN
INSURED Paragraph F. of this Policy subject to all of the terms and condition of such paragraph.
2. Notwithstanding §VI. CONDITIONS, Paragraph I. Other Insurance, with respect to the insurance
afforded to the additional insureds added by this Endorsement, this Policy shall be primary to, and non-
contributory with, any other insurance available to that person or organization when required by written
contract.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
Endorsement Title
Blanket Waiver of Subrogation Condition Amendatory Endorsement
Named Insured
Endorsement Number
BluSky Restoration Contractors, LLC
012
Policy Form
Policy Number
Policy Period
Enviant Endorsement Number
GAPLESS
ENVP000024821
04/01/2021 to 04/01/2022
GAP 10 30 6/1/2016
Issued by
Effective Date of Endorsement
Certain Underwriters at Lloyd's, London
04/01/2021
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET WAIVER OF SUBROGATION CONDITION AMENDATORY ENDORSEMENT
It is hereby agreed that §VI. CONDITIONS Paragraph O. Subrogation is deleted in its entirety and replaced
with the following:
O. Subrogation
If the insured has rights to recover all or part of any payment we have made under this Policy, those rights
are transferred to us and the insured shall not do anything to impair such rights. At our request, the
insured will bring suit or transfer those rights to us and help us enforce them. Any amounts so recovered
by us shall be allocated first to the expenses incurred in such recovery prorated in accordance with each
interested party's share in the total recovery, then to the insured to the extent of any Deductible it actually
has paid and any payments it actually has made in excess of the applicable Limits of Liability, and last to
us to the extent of our payment under this Policy. However, if the insured has waived rights of recovery
against any person or organization in a written insured contract or agreement prior to a claim or loss, we
also waive such right of recovery we may have under this Policy against such person or organization.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
Coverage Extension Endorsement
ZURICH
Policy No.
Eff. Date of Pol.
Exp. Date of Pol.
Eff. Date of End.
Producer No.
Add'I. Prem
Return Prem.
AP 3029532-01
4/1/2021
4/1/2022
4/1/2021
30-380000
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Business Auto Coverage Form
Motor Carrier Coverage Form
A. Amended Who Is An Insured
1. The following is added to the Who Is An Insured Provision in Section II — Covered Autos Liability Coverage:
The following are also "insureds":
a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts
performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating
an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while
performing duties related to the conduct of your business.
b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow
to transport your clients or other persons in activities necessary to your business.
c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement.
d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract
or written agreement with you executed prior to any "accident", including those person(s) or organization(s)
directing your work pursuant to such written contract or written agreement with you, provided the "accident"
arises out of operations governed by such contract or agreement and only up to the limits required in the written
contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less.
2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other
Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form:
Coverage for any person(s) or organization(s), where required by written contract or written agreement with you
executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained
by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond
the terms and conditions of the Coverage Form.
B. Amendment — Supplementary Payments
Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II — Covered Autos Liability Coverage
are replaced by the following:
(2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an
"accident" we cover. We do not have to furnish these bonds.
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(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day
because of time off from work.
C. Fellow Employee Coverage
The Fellow Employee Exclusion contained in Section II — Covered Autos Liability Coverage does not apply.
D. Driver Safety Program Liability and Physical Damage Coverage
1. The following is added to the Racing Exclusion in Section II — Covered Autos Liability Coverage:
This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not
limited to, auto or truck rodeos and other auto or truck agility demonstrations.
2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the
Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage
of the Motor Carrier Coverage Form:
This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not
limited to, auto or truck rodeos and other auto or truck agility demonstrations.
E. Lease or Loan Gap Coverage
The following is added to the Coverage Provision of the Physical Damage Coverage Section:
Lease Or Loan Gap Coverage
In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered
"auto", less:
a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and
b. Any:
(1) Overdue lease or loan payments at the time of the "loss";
(2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage;
(3) Security deposits not returned by the lessor;
(4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the
loan or lease; and
(5) Carry-over balances from previous leases or loans.
F. Towing and Labor
Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following:
We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is
disabled. However, the labor must be performed at the place of disablement.
G. Extended Glass Coverage
The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section:
If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and
is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired
rather than replaced.
H. Hired Auto Physical Damage — Increased Loss of Use Expenses
The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the
following:
Loss Of Use Expenses
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DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for
loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We
will pay for loss of use expenses if caused by:
(1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered
"auto";
(2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for
any covered "auto"; or
(3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto".
However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000.
I. Personal Effects Coverage
The following is added to the Coverage Provision of the Physical Damage Coverage Section:
Personal Effects Coverage
a. We will pay up to $750 for "loss" to personal effects which are:
(1) Personal property owned by an "insured"; and
(2) In or on a covered "auto".
b. Subject to Paragraph a. above, the amount to be paid for "loss" to personal effects will be based on the lesser of:
(1) The reasonable cost to replace; or
(2) The actual cash value.
c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "auto".
No deductible applies to this coverage. However, we will not pay for "loss" to personal effects of any of the following:
(1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other
documents of value.
(2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious
or semi-precious stones.
(3) Paintings, statuary and other works of art.
(4) Contraband or property in the course of illegal transportation or trade.
(5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment.
Any coverage provided by this Provision is excess over any other insurance coverage available for the same "loss".
J. Tapes, Records and Discs Coverage
1. The Exclusion in Paragraph B.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage
Form and the Exclusion in Paragraph B.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier
Coverage Form does not apply.
2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical
Damage Coverage Section:
We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic
equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices:
(a) Are the property of an "insured"; and
(b) Are in a covered "auto" at the time of "loss".
The most we will pay for such "loss" to tapes, records, discs or other similar devices is $500. The Physical Damage
Coverage Deductible Provision does not apply to such "loss".
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INTERNAL USE ONLY Includes copyrighted material of Insurance Services Office, Inc., with its permission.
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
K. Airbag Coverage
The Exclusion in Paragraph 13.3.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form
and the Exclusion in Paragraph 13.4.a. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage
Form does not apply to the accidental discharge of an airbag.
L. Two or More Deductibles
The following is added to the Deductible Provision of the Physical Damage Coverage Section:
If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you
by us, the following applies for each covered "auto" on a per vehicle basis:
1. If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or
2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the
amount of the smaller (or smallest) deductible.
M. Physical Damage — Comprehensive Coverage — Deductible
The following is added to the Deductible Provision of the Physical Damage Coverage Section:
Regardless of the number of covered "autos" damaged or stolen, the maximum deductible that will be applied to
Comprehensive Coverage for all "loss" from any one cause is $5,000 or the deductible shown in the Declarations,
whichever is greater.
N. Temporary Substitute Autos — Physical Damage
1. The following is added to Section I — Covered Autos:
Temporary Substitute Autos — Physical Damage
If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following
types of vehicles are also covered "autos" for Physical Damage Coverage:
Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered
"auto" you do own but is out of service because of its:
1. Breakdown;
2. Repair;
3. Servicing;
4. "Loss"; or
5. Destruction.
2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section:
Temporary Substitute Autos — Physical Damage
We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss" results from fraudulent acts or
omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other
party.
The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it
replaces.
O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss
Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following:
a. In the event of "accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice of
the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, "suit" or "loss"
is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability
company) or an executive officer or insurance manager (if you are a corporation). The failure of any agent, servant
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or employee of the "insured" to notify us of any "accident", claim, "suit" or "loss" shall not invalidate the insurance
afforded by this policy.
Include, as soon as practicable:
(1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice
of the claim or "suit" including, but not limited to, the date and details of such claim or "suit";
(2) The "insured's" name and address; and
(3) To the extent possible, the names and addresses of any injured persons and witnesses.
If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure
to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as
practicable after the fact of the delay becomes known to you.
P. Waiver of Transfer Of Rights Of Recovery Against Others To Us
The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition:
This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or
"loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only
applies to the person or organization designated in the contract.
Q. Employee Hired Autos — Physical Damage
Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other
Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced
by the following:
For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own:
(1) Any covered "auto" you lease, hire, rent or borrow; and
(2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or
elected or appointed official with your permission while being operated within the course and scope of that
"employee's" employment by you or that elected or appointed official's duties as respect their obligations to you.
However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto".
R. Unintentional Failure to Disclose Hazards
The following is added to the Concealment, Misrepresentation Or Fraud Condition:
However, we will not deny coverage under this Coverage Form if you unintentionally:
(1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or
(2) Make an error, omission, improper description of "autos" or other misstatement of information.
You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided
to us prior to the acceptance of this policy.
S. Hired Auto — World Wide Coverage
Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following:
(5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less,
T. Bodily Injury Redefined
The definition of "bodily injury" in the Definitions Section is replaced by the following:
"Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish,
resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease.
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DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
U. Expected Or Intended Injury
The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II — Covered Auto Liability
Coverage is replaced by the following:
Expected Or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not
apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property.
V. Physical Damage — Additional Temporary Transportation Expense Coverage
Paragraph A.4.a. of Section III — Physical Damage Coverage is replaced by the following:
4. Coverage Extensions
a. Transportation Expenses
We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you
because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered
"autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for
temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending,
regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss".
W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto
The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section:
In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or
"auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of
the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum
of $2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source
within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement.
To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of
propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas,
either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be
powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by
biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source.
X. Return of Stolen Automobile
The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section:
If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only
for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage.
All other terms, conditions, provisions and exclusions of this policy remain the same.
U-CA-424-F CW (04/14)
Page 6 of 6
INTERNAL USE ONLY Includes copyrighted material of Insurance Services Office, Inc., with its permission.
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
9
Blanket Notification to Others of Cancellation Z U RI C H
or Non -Renewal
Policy No.
Eff. Date of Pol.
Exp. Date of Pol.
Eff. Date of End.
Producer No.
Add'I. Prem
Return Prem.
BAP 3029532-01
4/1/2021
4/1/2022
4/1/2021
30-380000
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial Automobile Coverage Part
A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver
notification that such Coverage Part has been cancelled or non -renewed to each person or organization shown in a list
provided to us by the first Named Insured if you are required by written contract or written agreement to provide such
notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent
to the first Named Insured. Such list:
1. Must be provided to us prior to cancellation or non -renewal;
2. Must contain the names and addresses of only the persons or organizations requiring notification that such
Coverage Part has been cancelled or non -renewed; and
3. Must be in an electronic format that is acceptable to us.
B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records
as of the date the notice of cancellation or non -renewal is mailed or delivered to the first Named Insured. We will mail
or deliver such notification to each person or organization shown in the list:
1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or
2. At least 30 days prior to the effective date of:
a. Cancellation, if cancelled for any reason other than nonpayment of premium; or
b. Non -renewal, but not including conditional notice of renewal.
C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy
only. Our failure to provide such mailing or delivery will not:
1. Extend the Coverage Part cancellation or non -renewal date;
2. Negate the cancellation or non -renewal; or
3. Provide any additional insurance that would not have been provided in the absence of this endorsement.
D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to
us as described in Paragraphs A. and B. of this endorsement.
All other terms and conditions of this policy remain unchanged.
U-CA-832-A CW (01/13)
Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13
(Ed. 04-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Any person or organization for whom you are required by written contract or agreement to obtain this waiver of
rights from us.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 4/1/2021 Policy No. WC302953101 Endorsement No.
Insured gluSky Restoration Contractors, LLC
Insurance Company Zurich American Ins Cc Countersigned by
Premium $
WC124 (4-84) Page 1 of 1
WC 00 03 13 Copyright 1983 National Council on Compensation Insurance, Inc. Uniform Forms"
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43
BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT
This endorsement adds the following to Part Six of the policy.
PART SIX
CONDITIONS
Blanket Notification to Others of Cancellation or Nonrenewal
1. If we cancel or non -renew this policy by written notice to you, we will mail or deliver notification that such policy
has been cancelled or non -renewed to each person or organization shown in a list provided to us by you if you
are required by written contract or written agreement to provide such notification. However, such notification
will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list:
a. Must be provided to us prior to cancellation or non -renewal;
b. Must contain the names and addresses of only the persons or organizations requiring notification that such
policy has been cancelled or non -renewed; and
c. Must be in an electronic format that is acceptable to us.
2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of
the date the notice of cancellation or non -renewal is mailed or delivered to you. We will mail or deliver such
notification to each person or organization shown in the list:
a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of
premium; or
b. At least 30 days prior to the effective date of:
(1) Cancellation, if cancelled for any reason other than nonpayment of premium; or
(2) Non -renewal, but not including conditional notice of renewal.
3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only.
Our failure to provide such mailing or delivery will not:
a. Extend the policy cancellation or non -renewal date;
b. Negate the cancellation or non -renewal; or
c. Provide any additional insurance that would not have been provided in the absence of this endorsement.
4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list
provided to us as described in Paragraphs 1. and 2. above.
All other terms and conditions of this policy remain unchanged.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 4 / 1 / 2 0 2 1 Policy No.WC302953101 Endorsement No.
Insured B1uSky Restoration Contractors, LLC Premium $
Insurance Company Zurich American Ins Cc
WC 99 06 43 Page 1 of 1
(Ed. 01-13) Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission.
© 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved.
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
POLICY NUMBER: BAP 3029532-01
COMMERCIAL AUTO
CA20481013
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage
under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage
provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated
below.
Named Insured: B1uSky Restoration Contractors, LLC
Endorsement Effective Date: 4/1/2021
SCHEDULE
Name Of Person(s) Or Organization(s):
Any person or organization to whom or to which you are required to provide additional insured status or
additional insured status on primary, non-contributory basis, in a written contract or written agreement
executed prior to the loss, except where such contract or agreement is prohibited by law.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to the extent that person or organization qualifies
as an "insured" under the Who Is An Insured
provision contained in Paragraph A.1. of Section II —
Covered Autos Liability Coverage in the Business
Auto and Motor Carrier Coverage Forms and
Paragraph D.2. of Section I — Covered Autos
Coverages of the Auto Dealers Coverage Form.
CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1
Wolters Kluwer Financial Services I Uniform FormsTM
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
FORM MCS-90 Revised 01/05/2017 OMB No.: 2126-0008 Expiration: 01/31/2020
USDOTNumber: 2353671 Date Received: 2-15-2021
A Federal Agency may not conductor sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply
with a collection ofinformation subject to the requirements ofthe Paperwork Reduction Act unless that collection ofinformation displays a current
valid OMB Control Number. The OMB Control Number for this information collection is 2126-0008. Public reporting for this collection ofinformation
is estimated to be approximately 2 minutes per response, including the time for reviewing instructions, gathering the data needed, and completing and
reviewing the collection ofinformation. All responses to this collection ofinformation are mandatory. Send comments regarding this burden estimate or
any other aspect ofthis collection ofinformation, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal
Motor Carrier Safety Administration, MC-RRA, Washington, D.C. 20590.
United States Department of Transportation
Federal Motor Carrier Safety Administration
Endorsementfor Motor Carrier Policies of Insurance for Public Liability
under Sections 29 and 30 of the Motor CarrierAct of 1980
FORM MCS-90
Issuedto: BLUSKY RESTORATION CONTRACTORS, LLC of CO
(MotorCarriername)
Datedat SCHAUMBURG, IL on this
(Motor Carrierstate orprovince)
15TH day of FEBRUARY , 2021
Amending Policy Number: BAP3029532-01 Effective Date:04101/2021
Nameof Insurance Company: ZURICH AMERICAN INSURANCE COMPANY
Countersigned by: �►� "e
(authorized company representative)
The policy to which this endorsement is attached provides primary or excess insurance, as indicated for the limits shown (checkonly one):
© This insuranceisprimaryandthecompanyshallnotbeliableforamountsinexcessof$1,000,000 foreach accident.
❑ This insurance is excess and the companyshallnot beliableforamountsinexcess 0- for each accident in excess ofthe
underlying limit foreach
Whenever required bythe Federal Motor Carrier Safety Administration (FMCSA), the company agreesto furnish the FMCSA a duplicate of
said policy and all itsendorsements. The company also agrees, upon telephone request byan authorized representative of the FMCSA,
to verifythatthe policy is in force as of a particular date. Thetelephone numbertocall is:
Cancellation of this endorsement maybe effected bythe company orthe insured by giving (1) thirty-five (35) days notice inwritingto
the other party (said 35 days notice to commence from the date the notice is mailed, proof of mailing shall be sufficient proof of notice),
and (2)ifthe insured issubjecttothe FMCSA'sregistration requirements under49 U.S.C.13901, by providingthirty (30)daysnotice to
the FMCSA (said 30 days notice to commence from the date the notice is received bythe FMCSA at its office in Washington, DC).
(continued on next page)
FORM MCS-90 Page 1 of 3
INTERNAL USE ONLY
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
FORM MCS-90 Revised 01/05/2017
OMB No.: 2126-0008 Expiration: 01/31/2020
DEFINITIONS AS USED IN THIS ENDORSEMENT
Accident includes continuous or repeated exposure to conditionsor
which results in bodily injury, property damage, orenvironmental
damagewhich the insured neither expected norintended.
Motor Vehiclemeans a land vehicle, machine, truck, tractor, trailer,
or semitrailer propelled ordrawn bymechanical power and usedon
a highway fortransporting property, or any combination thereof.
Bodilylnjury means i nj u ryto the body, sickness, or disease to any
person, including death resulting fromanyofthese.
Property Damage means damage to or loss of use of tangible
property.
The insurance policy to which this endorsement is attached
provides automobile liability insurance and is amended to assure
compliance bythe insured, within the limits stated herein, as
motor carrier of property, with Sections 29 and 30 of the Motor
CarrierActof 1980and the rules and regulations of the Federal
Motor Carrier SafetyAdministration (FMCSA).
In consideration of the premium stated in the policyto which this
endorsement is attached, the insurer (the company) agreesto pay,
within the limits of liability described herein, anyfinal judgment
recovered against the insured for public liability resulting from
negligence in the operation, maintenance or use of motor
vehicles subjectto the financial responsibility requirements of
Sections
29 and 30 of the Motor Carrier Act of 1980 regardless of whether
or not each motorvehicle is specifically described in the policy
and whether or not such negligence occurs on any route or in
any territory authorized to beserved bythe insured orelsewhere.
Such insurance as isafforded, for public liability, does not apply
to injuryto ordeath of the insured's employees while engaged in
the course of their employment, or property transported bythe
insured, designated as cargo. It is understood and agreed that
no condition, provision, stipulation, orlimitation contained in
the policy, this endorsement, or any other endorsementthereon,
Environmental Restoration means restitution forthe loss, damage, or
destruction of natural resources arising out of the accidental
discharge, dispersal, release or escape into or upon the land,
atmosphere, watercourse, or body of water, of any commodity
transported by motor carrier. This shall include the costof removal
and the cost of necessary measures taken to minimize or mitigate
damage to human health, the natural environment, fish, shellfish,
and wildlife.
Public Liability means liability for bodily injury, property damage, and
environmental restoration.
or violation thereof, shall relieve the company from liability or
from the payment of any final judgment, within the limits of
liability herein described, irrespective of the financial condition,
insolvency or bankruptcy of the insured. However, all terms,
conditions, and limitations in the policy to which the
endorsement is attached shall remain in full force and effect as
binding between the insured and the company. The insured
agrees to reimburse
the company for any payment made by the company on account
of any accident, claim, or suit involving a breach of the terms of
the policy, and for any payment that the company would not
have been obligated to make under the provisions of the policy
except for the agreement contained in this endorsement.
It is further understood and agreed that, upon failure of the
company to pay any final judgment recovered against the
insured as provided herein, the judgment creditor may maintain
an action in any court of competent jurisdiction against the
company to compel such payment.
The limits of the company's liability for the amounts prescribed in
this endorsement apply separately to each accident and any
payment under the policy because of anyone accident shall not
operate to reduce the liability of the company for the payment of
final judgments resulting from any other accident.
(continued on next naciee)
FORM MCS-90 Page 2 of 3
INTERNAL USE ONLY
DocuSign Envelope ID: 8F68D8F4-33C9-47AC-A0BF-33DFF1 E57188
FORM MCS-90 Revised 01/05/2017
OMB No.: 2126-0008 Expiration: 01/31/2020
SCHEDULE OF LIMITS -PUBLIC LIABILITY
Type of carriage
Commodity transported
January 1,1985
(1) For -hire (in interstate orforeign commerce, with a
Property (nonhazardous)
$750,000
grossvehicle weight rating of 10,000 or more pounds).
(2) For -hire and Private (in interstate, foreign, or
Hazardous substances, as defined in49CFR171.81
$5,000,000
intrastate commerce, with a gross vehicle weight rating
transported in cargotanks, portabletanks, orhopper-
of 10,000 or more pounds).
type vehicles with capacities in excessof3,500water
gallons; orinbulkDivision 1.1,1.2,and 1.3materials,
Division 2.3, HazardZoneA,orDivision 6.1,Packing
Group I, Hazard Zone A material; in bulk Division 2.1 or
2.2; or highway route controlled quantitiesofa Class7
material, asdefined in49CFR173.403.
(3) For -hire and Private (in interstate orforeign
Oil listed in 49 CFR 172.101; hazardous waste,
$1,000,000
commerce, in any quantity; or in intrastate commerce,
hazardous materials, and hazardous substances
in bulk only; with a gross vehicle weight rating of
defined in49CFR171.8and listed in49CFR172.101,
10,000 or more pounds).
but not mentioned in (2)above or (4) below.
(4) For -hire and Private (In interstate orforeign
Any quantity of Division 1.1,1.2,or1.3material; any
$5,000,000
commerce, with agrossvehicleweight rating ofless
quantityof a Division 2.3, Hazard Zone A, or Division
than 10,000 pounds).
6.1, Packing Group I, Hazard Zone Amaterial; or
highway route controlled quantities of a Class 7
material as defined in49CFR173.403.
*Thescheduleoflimits shown does not providecoverage.Thelimits shown inthescheduleareforinformation purposesonly.
FORM MCS-90 Page 3 of 3
INTERNAL USE ONLY