Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutC21-341 ECHDA Pacific Sheet 210DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
AGREEMENT FOR SERVICES
BETWEEN EAGLE COUNTY HOUSING AND DEVELOPMENT AUTHORITY
AND
PACIFIC SHEET METAL, INC
THIS AGREEMENT ("Agreement") is effective as of 10/18/2021 by and between Pacific Sheet Metal,
Inc a Colorado corporation (hereinafter "Contractor") and Eagle County Housing and Development Authority, a
body corporate and politic (hereinafter "ECHDA").
RECITALS
WHEREAS, ECHDA desires the installation of a three -bar snow fence at asphalt shingle areas of approximately 70
feet, additional gutters and downspouts, deck scuppers and flashing extensions (the "Project") at the Two10
Apartments located at 210 Freestone Road, Eagle, Colorado (the "Property"); and
WHEREAS, Eagle County is the owner of the the Property and has contracted with ECHDA to serve as the property
manager of the Property; and
WHEREAS, Eagle County has authorized ECHDA to contract on its behalf for maintaining, repairing or servicing
the Property and any of the constituent parts of the Property subject to the approved operating budget for the
Property; and
WHEREAS, Contractor is authorized to do business in the State of Colorado and has the time, skill, expertise, and
experience necessary to provide the Services as defined below in paragraph 1 hereof; and
WHEREAS, this Agreement shall govern the relationship between Contractor and ECHDA in connection with the
services.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Contractor and ECHDA agree as
follows:
Services or Work. Contractor agrees to diligently provide all services, labor, personnel, and materials
necessary to perform and complete the services or work described in Exhibit A ("Services" or "Work") which is
attached hereto and incorporated herein by reference. The Services shall be performed in accordance with the
provisions and conditions of this Agreement.
a. Contractor agrees to furnish the Services no later than October 31, 2021. 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.
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
ECHDA's Representative. 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' day of October, 2021.
4. Extension or Modification. This Agreement may be extended for up to three additional one year terms
upon written agreement of the parties. Any amendments or modifications shall be in writing signed by both parties.
No additional services or work performed by Contractor shall be the basis for additional compensation unless and
until Contractor has obtained written authorization and acknowledgement by ECHDA for such additional services in
accordance with ECHDA'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
ECHDA 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 ECHDA 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. ECHDA shall compensate Contractor for the performance of the Services in a sum
computed as set forth in Exhibit A. The performance of the Services under this Agreement shall not exceed
$13,917.00 of which $8,282.002 is covered in Exhibit A for the three bar snow fence and $5,635 is covered in
Exhibit A.2 for additional downspouts, a deck scupper, gutters, and flashing extensions. 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 ECHDA.
a. Notwithstanding the provisions of Exhibit A, payment will be made for Services satisfactorily
performed within thirty (30) days of receipt of a proper and accurate invoice from Contractor. All invoices shall
include detail regarding the hours spent, tasks performed, who performed each task, and such other detail as
ECHDA may request.
b. If, at any time during the term or after termination or expiration of this Agreement, ECHDA
reasonably determines that any payment made by ECHDA to Contractor was improper because the Services for
which payment was made were not performed as set forth in this Agreement, then upon written notice of such
determination and request for reimbursement from ECHDA, Contractor shall forthwith return such payment(s) to
ECHDA. Upon termination or expiration of this Agreement, unexpended funds advanced by ECHDA, if any, shall
forthwith be returned to ECHDA.
ECHDA 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, ECHDA 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 ECHDA in accordance with a budget adopted by the
Board of ECHDA 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: E32B305D-7A8D-4E71-8B33-9DCA522F798A
6. Subcontractors. Contractor acknowledges that ECHDA 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 ECHDA's prior written consent, which may
be withheld in ECHDA's sole discretion. ECHDA 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
ECHDA has an objection, in its reasonable discretion, shall be assigned to the Project. Contractor shall require each
subcontractor, as approved by ECHDA 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 ECHDA. ECHDA 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
ECHDA, 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 ECHDA 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 ECHDA 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 ECHDA, its affiliated entities, successors or assigns, its elected officials, employees, agents, and
volunteers.
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
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 monies paid pursuant to this Agreement.
8. Indemnification. The Contractor shall indemnify and hold harmless ECHDA, and/or Eagle County and any
of their respective officers, agents and employees against any losses, claims, damages or liabilities for which
ECHDA and/or Eagle County may become subject to insofar as any such losses, claims, damages or liabilities arise
out of, directly or indirectly, this Agreement, or are based upon any performance or nonperformance by Contractor
or any of its subcontractors hereunder; and Contractor shall reimburse ECHDA and/or Eagle County for reasonable
attorney fees and costs, legal and other expenses incurred by ECHDA and/or Eagle County in connection with
investigating or defending any such loss, claim, damage, liability or action. This indemnification shall not apply to
claims by third parties against ECHDA and/or Eagle County to the extent that ECHDA and/or Eagle County is liable
to such third party for such claims without regard to the involvement of the Contractor. This paragraph shall survive
expiration or termination hereof.
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 ECHDA and are to be
delivered to ECHDA before final payment is made to Contractor or upon earlier termination of this Agreement.
10. Notice. Any notice required by this Agreement shall be deemed properly delivered when (i) personally
delivered, or (ii) when mailed in the United States mail, first class postage prepaid, or (iii) when delivered by FedEx
or other comparable courier service, charges prepaid, to the parties at their respective addresses listed below, or (iv)
when sent via facsimile so long as the sending party can provide facsimile machine or other confirmation showing
the date, time and receiving facsimile number for the transmission, or (v) when transmitted via e-mail with
confirmation of receipt. Either party may change its address for purposes of this paragraph by giving five (5) days
prior written notice of such change to the other party.
ECHDA:
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
CONTRACTOR:
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
Pacific Sheet Metal, Inc.
Attn: Lee Simms
80 Gemat Circle
Rifle, CO 81650
Telephone: 970-401-0923
Email: Isimms@teampsm.com
11. Termination. ECHDA may terminate this Agreement, in whole or in part, at any time and for any reason,
with or without cause, and without penalty therefore with seven (7) calendar days' prior written notice to the
Contractor. Upon termination of this Agreement, Contractor shall immediately provide ECHDA with all documents
as defined in paragraph 9 hereof, in such format as ECHDA shall direct and shall return all ECHDA owned
materials and documents. ECHDA 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 nature and extent of the Services to be provided
hereunder and the Property, and with all local conditions, federal, state and local laws, ordinances, rules, and
regulations that in any manner affect cost, progress, or performance of the Services.
b. Contractor will make, or cause to be made, examinations, investigations, and tests as it 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 ECHDA written notice of all conflicts, errors, or
discrepancies.
e. Contractor shall be responsible for the completeness and accuracy of the Services and shall
correct, at its sole expense, all significant errors and omissions in performance of the Services. The fact that the
ECHDA has accepted or approved the Services shall not relieve Contractor of any of its responsibilities. Contractor
shall perform the Services in a skillful, professional, and competent manner and in accordance with the standard of
care, skill, and diligence applicable to contractors performing similar services. Contractor represents and warrants
that it has the expertise and personnel necessary to properly perform the Services and shall comply with the highest
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
standards of customer service to the public. Contractor shall provide appropriate supervision to its employees to
ensure the Services are performed in accordance with this Agreement. This paragraph shall survive termination of
this Agreement.
f. Contractor agrees to work in an expeditious manner, within the sound exercise of its judgment and
professional standards, in the performance of this Agreement. Time is of the essence with respect to this Agreement.
g. This Agreement constitutes an agreement for performance of the Services by Contractor as an
independent contractor and not as an employee of ECHDA. 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 ECHDA and Contractor except that of independent contractor. Contractor shall have no authority to bind
ECHDA.
h. Contractor represents and warrants that at all times in the performance of the Services, Contractor
shall comply with any and all applicable laws, codes, rules and regulations.
i. This Agreement contains the entire agreement between the parties with respect to the subject
matter hereof and supersedes all other agreements or understanding between the parties with respect thereto.
Contractor shall not assign any portion of this Agreement without the prior written consent of
ECHDA. Any attempt to assign this Agreement without such consent shall be void.
k. This Agreement shall be binding upon and shall inure to the benefit of the parties hereto and their
respective permitted assigns and successors in interest. Enforcement of this Agreement and all rights and obligations
hereunder are reserved solely for the parties, and not to any third party.
1. 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.
in. The invalidity, illegality, or unenforceability of any provision of this Agreement shall not affect
the validity or enforceability of any other provision hereof.
n. The signatories to this Agreement aver to their knowledge no employee of ECHDA has any
personal or beneficial interest whatsoever in the Services or Property described in this Agreement. Contractor has no
beneficial interest, direct or indirect, that would conflict in any manner or degree with the performance of the
Services and Contractor shall not employ any person having such known interests.
o. 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
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
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:
https://www.uscis.ciov/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 ECHDA within three (3) days that Contractor has actual
knowledge that the subcontractor is employing or contracting with an undocumented individual; and
ii. Terminate the subcontract with the subcontractor if within three days of receiving the
notice required pursuant to subparagraph (i) of the paragraph (d) the subcontractor does not stop employing or
contracting with the undocumented individual; except that Contractor shall not terminate the contract with the
subcontractor if during such three (3) days the subcontractor provides information to establish that the subcontractor
has not knowingly employed or contracted with an undocumented individual.
e. Contractor shall comply with any reasonable request by the Department of Labor and Employment
made in the course of an investigation that the department is undertaking pursuant to its authority established in
C.R.S. 8-17.5-102(5).
f. If Contractor violates these prohibitions, ECHDA may terminate the Agreement for breach of
contract. If the Agreement is terminated specifically for breach of this provision of this Agreement, Contractor shall
be liable for actual and consequential damages to ECHDA as required by law.
g. ECHDA will notify the Colorado Secretary of State if Contractor violates this provision of this
Agreement and ECHDA terminates the Agreement for such breach.
[Rest ofpage intentionally left blank]
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth above.
EAGLE COUNTY HOUSING AND DEVELOPMENT
AUTHORITY
Doc Signed by:
By:
1 B4AB8DB24124C6...
Its:
CONTRACTOR:
FZ
Signed by:
By: Aaa&
77469DDKC5641A...
Print Name: Joey Haack
Title: VP
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
EXHIBIT A
SCOPE OF SERVICES, SCHEDULE, FEES
10
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
1.68
Pacific Sheet Metal Inc.
T4R400ING
Post Office Box 70
Carbondale, CO 81623
970.963.6563 Phone
970.963.6564 Fax
www.teampsm.com
Eagle County Housing &
Development Authority
PO BOX 850
500 Broadway
Eagle, CO 81631 970-471-9102
Attn: William Wright
william.wright(&,,eaglecounty.us
Manufacturing
Warehouse, Yard
80 Gemat Circle
Rifle, CO 81650
lsimmsgteampsm.corn
Roofing Division Manager
June 16, 2021
JOB NAME JOB ADDRESS
Two 10 at Castle Peak Apartments 210 Freestone Road, CO 81631
We appreciate the opportunity to submit this proposal for the above referenced project based on pricing plans
prepared by jvD dated June 10, 2019 and offer the following to define and clarify the scope of our proposal.
Three -Bar Snow Fence at Asphalt Shingle Areas Per Sketch Provided 06/10/2021: Approx. 70 LF
• Removal of two -bar snow fence.
• Installation of three -bar snow fence.
BASE BID: $8,282.00
Substrate Exclusion: Any damaged or deteriorated substrate will be replaced on a time and material basis.
SNOW REMOVAL PRICING: $90.00/11R/MAN
Roofing Exclusions:
Snow and ice removal, demolition of any kind, horizontal and vertical waterproofing, interior flashings, window and door
flashings, through wall flashings, all wood work other than that listed above, insulation other than that listed above, eave
and valley snow and ice melt systems other than listed above, gutters and downspouts other than listed above, saw cutting,
ice dams and damage caused by ice dams, liquidated damages, bonds, permits and fees, and all non -related metal sheet
goods.
Unless specifically noted above, there are no additional terms presumed to be included in this proposal.
Progress billing to Owner/Contractor according to an agreed schedule shall be paid periodically based on percentage
of work completed, within 30 days of submitting invoice. If retainage is required, it shall not exceed 10% of the total
contract. Final payment shall be made no later than 30 days after completion of Pacific Sheet Metal's work.
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices.
Any alterations or deviation from above specifications will become an extra charge over and above the estimate. All agreements
contingent upon strikes, accidents or delays beyond our control. Property owner to carry, fire, tornado and other necessary
insurance. Our workers are fully covered by Workmen's Compensation Insurance.
Note: Due to continual price increases this proposal will be withdrawn if it is not accepted within 10 business days. Color
selection is required upon proposal acceptance.
Acceptance of Proposal: The above prices, specifications and conditions are satisfactory and are hereby accepted.
You are authorized to do work as specified. Payment will be made as outlined above.
Authorized Signature
Page 1 of 1 Initial:
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
1488
ROOFING
Pacific Sheet Metal Inc.
Post Office Box 70
Carbondale, CO 81623
970.963.6563 Phone
970.963.6564 Fax
www.teampsm.com
Eagle County Housing & Development Authority
P.O. Box 850
500 Broadway
Eagle, CO 81631
Attn: Kristen Degenhardt
970-328-3457
kristin.degenhardt(i ,eaglecounty.us
william.wright(a),eaglecounty.us
Manufacturing
Warehouse, Yard
80 Gemat Circle
Rifle, CO 81650
dave(&,teampsm.com
Project Manager
October 4, 2021
JOB NAME 72 JOB ADDRESS
Two 10 at Castle Peak Apartments 210 Freestone Rd, CO 81631
We appreciate the opportunity to submit this proposal for the above referenced project based on our site visit
and offer the following to define and clarify the scope of our proposal.
Downspout Extension: to Include
• Extend existing downspout to drain between the planters.
• Install heat tape in new downspout.
• Power for and connection of heat tape by owner.
Collection Box at Deck Scupper: to Include
• Fabricate and install a 3' wide collection to move the water off the walkway.
Price: $729.00
Price: $255.00
Gutters at Decks 201 and 202: to Include
• Furnish and install approx. 36 LF of 5" K-Style gutter with approx. 38 LF of 2" X 3" downspout.
• Install heat tape in deck 202 gutter and downspout.
• Furnish and install flashing extension from the existing flashing to the new gutter.
Handrails to be removed and replaced by others.
Power for and connection of heat tape by owner.
Flashing Extension at Five Open Decks: to Include
• Fabricate and install a 5" flashing extension to push the water past the lower decks.
Price: $2,653.00
Price: $1,998.00
Permit fees will be billed at cost once determined by the Building Department.
Substrate Exclusion: Any damaged or deteriorated substrate will be replaced on a time & material basis.
SNOW REMOVAL PRICING: $90.00/HR/MAN
Roofing Exclusions:
Snow and ice removal, demolition of any kind, horizontal and vertical waterproofing, interior flashings, window and door
flashings, through wall flashings, all woodwork other than that listed above, insulation other than that listed above, eave
and valley snow and ice melt systems other than listed above, gutters and downspouts other than listed above, saw cutting,
ice dams and damage caused by ice dams, liquidated damages, bonds, permits and fees, and all non -related metal sheet
goods.
Price Acceleration Provision:
If there is an increase in the actual cost of the labor or materials charged to the Contractor is more than 5% subsequent to making
this Agreement, the price set forth in this Agreement shall be increased without the need for a written change order or amendment
to the contract to reflect the price increase and additional direct cost to the Contractor. Contractor will submit written
Page 1 of 2 Initial:
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
1,88
ROOFING
Pacific Sheet Metal Inc.
Post Office Box 70
Carbondale, CO 81623
970.963.6563 Phone
970.963.6564 Fax
www.teampsm.com
Manufacturing
Warehouse, Yard
80 Gemat Circle
Rifle, CO 81650
dave(&,teampsm.com
Project Manager
documentation of the increased charges to the Prime Contractor/Owner upon request. As an additional remedy, if the actual cost of
any line item increases more than 10% subsequent to the making of this Agreement, Contractor, at its sole discretion, may
terminate the contract for convenience.
Material Availability Provision:
Due to material shortages, customer may experience delays related to the inability to timely obtain material for this project. In the
event of such a delay, Contractor shall notify customer, and customer agrees es to provide contractor with an extension of time for
any delay attributable to the temporary inability to obtain materials.
Unless specifically noted above, there are no additional terms presumed to be included in this proposal.
Progress billing to Owner/Contractor according to an agreed schedule shall be paid periodically based on percentage
of work completed, within 30 days of submitting invoice. If retainage is required, it shall not exceed 10% of the total
contract. Final payment shall be made no later than 30 days after completion of Pacific Sheet Metal's work.
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices.
Any alterations or deviation from above specifications will become an extra charge over and above the estimate. All agreements
contingent upon strikes, accidents, or delays beyond our control. Property owner to carry, fire, tornado, and other necessary
insurance. Our workers are fully covered by Workmen's Compensation Insurance.
Note: Due to continual price increases this proposal will be withdrawn if it is not accepted within 10 business days. Color
selection is required upon proposal acceptance.
Acceptance of Proposal: The above prices, specifications and conditions are satisfactory and are hereby accepted.
You are authorized to do work as specified. Payment will be made as outlined above.
Authorized Signature
Page 2 of 2 Initial:
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
EXHIBIT B
INSURANCE CERTIFICATE
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
PACISHE-01
BRANDYH
ACORO CERTIFICATE OF LIABILITY INSURANCE
DATE (M
7/28/20212021
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
Mountain West Insurance - Glenwood
201 Centennial St 4th Floor
Glenwood Springs, CO 81601
CONTACT Brandy Held
PHONE FAX
(A/C, No, Ext): (970) 945-9111 (A/C, No):(970) 945-2350
AD RIESS: brandyh@mtnwst.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: The Cincinnati Specialty Underwriters Insurance Company
13037
INSURED
INSURER B : Cincinnati Insurance Company
10677
INSURER C : National Union Fire Insurance Company of Pittsburgh, Pa.
19445
Pacific Sheet Metal Inc.
INSURER D : Pinnacol Assurance
41190
PO Box 70
Carbondale, CO 81623
INSURER E : Westchester Surplus Lines Insurance Com an
10172
INSURER F: Intact Insurance
COVERAGES CERTIFICATE NUMBER: 1 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.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM DD
POLICY EXP
MM DD
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE X OCCUR
X
CS00078367
1/1/2021
1/1/2022
ETORENTED
PREMISES Ea occurrence
PREMISES
100,000
$
MED EXP (Any oneperson)
$ 2,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY X JERCOT LOC
PRODUCTS-COMP/OPAGG
$ 2,000,000
OTHER:
B
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
1,000,000
$
BODILY INJURY Perperson)
$
ANY AUTO
X
EPP0517046/EBA0517046
1/1/2021
1/1/2022
OWNED SCHEDULED
AUTOS ONLY X AUTOS
BODILY INJURY Per accident
$
X
Per OaccitleTnDAMAGE
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
C
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 5,000,000
X
AGGREGATE
$ 5,000,000
EXCESS LIAB
CLAIMS -MADE
BE087179771
1/1/2021
1/1/2022
DED X RETENTION $ 0
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
4053382
1/1/2021
1/1/2022
X STATUTE X ERH
E.L. EACH ACCIDENT
1,000,000
$
E.L. DISEASE - Fes, EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
1,000,000
E
Pollution
G46848895004
1/1/2021
1/1/2022
Each Poll Condition
1,000,000
F
Equipment Floater
7900241380003
1/1/2021
1/1/2022
Leased/Rented
100,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Eagle County Housing and Development Authority its associated or affiliated entities, its successors and assigns, elected officials, employees, agents and
volunteers are included as Additional Insured with respect to General Liability, including Ongoing and Completed Operations coverage, if required by written
contract.
Eagle County Housing and Development Authority its associated or affiliated entities, its successors and assigns, elected officials, employees, agents and
volunteers are included as Additional Insured with respect to Auto Liability, if required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Eagle Count Housing and Development Authority
9 Y 9 p Y
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 850
Eagle, CO 81631
AUTHORIZED REPRESENTATIVE
�f
ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CinciPlus°
BUSINESS AUTO XC+°
(EXPANDED COVERAGE PLUS)
ENDORSEMENT, WITH POLLUTION LIABILITY
FOR COVERED AUTOS
This endorsement modifies insurance provided by the following:
BUSINESS AUTO COVERAGE FORM
With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
A. Blanket Waiver of Subrogation
SECTION IV - BUSINESS AUTO CONDI-
TIONS, A. Loss Conditions, 5. Transfer of
Rights of Recovery Against Others to Us is
amended by the addition of the following:
We waive any right of recovery we may have
against any person or organization because of
payments we make for "bodily injury" or
"property damage" arising out of the operation
of a covered "auto" when you have assumed
liability for such "bodily injury" or "property
damage" under an "insured contract", provid-
ed the "bodily injury" or "property damage" oc-
curs subsequent to the execution or the "in-
sured contract".
B. Noncontributory Insurance
SECTION IV - BUSINESS AUTO CONDI-
TIONS, B. General Conditions, 5. Other In-
surance c. is replaced by the following:
c. Regardless of the provisions of Par-
agraph a. above, this Coverage
Form's Liability Coverage is primary
and we will not seek contribution
from any other insurance for any lia-
bility assumed under an "insured
contract" that requires liability to be
assumed on a primary noncontributo-
ry basis.
This provision is limited to the scope of the
valid written contract.
This provision does not apply unless the valid
written contract has been:
1. Executed prior to the accident causing
"bodily injury" or "property damage'; and
2. Is still in force at the time of the "accident"
causing "bodily injury" or "property dam-
age".
D. Employee Hired Auto
1. Changes in Liability Coverage
The following is added to the Section II -
Liability Coverage, A. Coverage, 1.
Who is an Insured:
An "employee" of yours is an "insured"
while operating an "auto" hired or rented
under a contract or agreement in that
"employee's" name, with your permission,
while performing duties related to the
conduct of your business.
2. Changes in General Conditions
SECTION IV - BUSINESS AUTO CON-
DITIONS, B. General Conditions, 5.
Other Insurance is amended by replac-
ing Paragraph 5.b. with the following:
C. Additional Insured by Contract b. For Hired Auto Physical Damage
Coverage the following are deemed
SECTION II - LIABILITY COVERAGE, A. to be covered "autos" you own:
Coverage, I. Who is an Insured is amended
to include as an insured any person or organi- (1) Any covered "auto" you lease,
zation with which you have agreed in a valid hire, rent or borrow; and
written contract to provide insurance as is af- (2) Any covered "auto" hired or
forded by this policy. rented by your "employee under
a contract in that individual "em-
Includes copyrighted material of ISO
AA 292 01 16 Properties, Inc., with its permission. Page 1 of 5
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
ployee's" name, with your per-
mission, while performing duties
related to the conduct of your
business.
However, any "auto" that is leased,
hired, rented or borrowed with a driv-
er is not a covered "auto".
E. Audio, Visual and Data Electronic Equip-
ment
SECTION III - PHYSICAL DAMAGE COV-
ERAGE, C. Limit of Insurance is amended
by adding the following:
4. The most we will pay for all "loss" to
audio, visual or data electronic
equipment and any accessories used
with this equipment as a result of any
one "accident" is the lesser of:
a. The actual cash value of the
damaged or stolen property as
of the time of the "accident";
b. The cost of repairing or replac-
ing the damaged or stolen prop-
erty with other property of like
kind and quality; or
c. $2,500.
Provided the equipment, at the time
of the "loss" is:
a. Permanently installed in or upon
the covered "auto" in a housing,
opening or other location that is
not normally used by the "auto"
manufacturer for the installation
of such equipment;
b. Removable from a permanently
installed housing unit as de-
scribed in Paragraph 2.a. above;
or
c. An integral part of such equip-
ment.
F. Pollution Liability Broadened Coverage for
Covered Autos
1. Coverage
a. Section II - Liability Coverage is
changed as follows:
(1) Paragraph a. of the "Pollutant"
Exclusion (Section II - Liability
Coverage, B. Exclusions) ap-
plies only to liability assumed
under a contract or agreement.
(2) With respect to the coverage af-
forded by Paragraph a.(1)
above, Exclusion B.6. Care,
Custody, or Control does not
apply.
2. Limit of Insurance
a. The Per "Accident" Limit is $25,000.
The Per "Accident" Limit is the most
we will pay for the total of all damag-
es and "covered pollution cost or ex-
pense" resulting from any one "acci-
dent" covered by this endorsement.
Subject to the limit for Pollution Lia-
bility Broadened Coverage, the most
we will pay for all "bodily injury",
"property damage" and "covered pol-
lution cost or expense" combined,
resulting from any one "accident", is
the Limit of Insurance for Liability
Coverage shown in the Declarations.
b. The Aggregate Limit is $25,000. The
Aggregate Limit is the most we will
pay for the sum of all damages and
"covered pollution cost or expense"
involving insurance provided by this
endorsement. The Aggregate Limit
applies separately to each consecu-
tive annual period and to any remain-
ing period of less than 12 months,
starting with the beginning of the Pol-
icy Period shown in the Declarations,
unless the Policy Period is extended
after issuance for an additional peri-
od of less than 12 months. In that
case, the additional period will be
deemed part of the last preceding pe-
riod for purposes of determining the
Aggregate Limit.
3. Property Damage Liability Deductible
The "Property Damage" and "Covered
Pollution Cost or Expense" Liability Cov-
erage Deductible is $500. The damages
that would otherwise be payable under
Section II - Liability Coverage for "prop-
erty damage" and "covered pollution cost
or expense" caused by any one "acci-
dent" will be reduced by the "Property
Damage" and "Covered Pollution Cost or
Expense" Liability Coverage Deductible
prior to the application of the Limit of In-
surance provision.
4. Our Right to Reimbursement
To settle any claim or "suit" we will pay all
or any part of any deductible shown in
this endorsement. You must reimburse us
for the deductible or the part of any de-
ductible we paid.
Includes copyrighted material of ISO
AA 292 01 16 Properties, Inc., with its permission. Page 2 of 5
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
5. Definitions
Section V - Definitions, D. "covered pol-
lution cost or expense" is deleted in its
entirety and replaced by the following:
D. "Covered pollution cost or expense"
means any cost or expense arising
out of:
1. Any request, demand, order or
statutory or regulatory require-
ment that any "insured" or others
test for, monitor, clean up, re-
move, contain, treat, detoxify or
neutralize, or in any way re-
spond to, or assess the effects
of "pollutants"; or
2. Any claim or "suit" by or on be-
half of a governmental authority
for damages because of testing
for, monitoring, cleaning up, re-
moving, containing, treating, de-
toxifying or neutralizing, or in
any way responding to or as-
sessing the effects of "pollu-
tants".
"Covered pollution cost or expense" does
not include any cost or expense arising
out of the actual, alleged or threatened
discharge, dispersal, seepage, migration,
release, escape or emission of "pollu-
tants":
a. Before the "pollutants" or any proper-
ty in which the "pollutants" are con-
tained are moved from the covered
"auto" to the place where they are fi-
nally delivered, disposed of or aban-
doned by the "insured".
b. After the "pollutants" or any property
in which the "pollutants" are con-
tained are moved from the covered
"auto" to the place where they are fi-
nally delivered, disposed of or aban-
doned by the "insured".
caused directly by such upset,
overturn or damage.
G. Who is an Insured - Amended
Paragraphs a. and b. above do not
apply to "accidents" that occur away
from premises owned by or rented to
an "insured" with respect to "pollu-
tants" not in or upon a covered "au- H.
to", if:
(1) The "pollutants" or any property
in which the "pollutants" are con-
tained are upset, overturned or
damaged as a result of the
maintenance or use of a covered
"auto"; and
SECTION II - LIABILITY COVERAGE, A.
Coverage, 1. Who is an Insured is amended
by adding the following:
The following are "insureds":
1. Any subsidiary which is a legally incorpo-
rated entity of which you own a financial
interest of more than 50% of the voting
stock on the effective date of this cover-
age form.
However, the insurance afforded by this
provision does not apply to any subsidiary
that is an "insured" under any other au-
tomobile liability policy, or would be an
"insured" under such policy but for termi-
nation of such policy or the exhaustion of
such policy's limits of insurance.
2. Any organization that is newly acquired or
formed by you and over which you main-
tain majority ownership. The insurance
provided by this provision:
a. Is effective on the date of acquisition
or formation, and is afforded for 180
days after such date;
b. Does not apply to "bodily injury" or
"property damage" resulting from an
"accident" that occurred before you
acquired or formed the organization;
c. Does not apply to any newly acquired
or formed organization that is a joint
venture or partnership; and
d. Does not apply to an insured under
any other automobile liability policy,
or would be an insured under such a
policy but for the termination of such
policy or the exhaustion of such poli-
cy's limits of insurance.
3. Any of your "employees" while using a
covered "auto" in your business or your
personal affairs, provided you do not own,
hire or borrow that "auto".
Liability Coverage Extensions - Supple-
mentary Payments - Higher Limits
SECTION II - LIABILITY COVERAGE, A.
Coverage, 2. Coverage Extensions, a. Sup-
plementary Payments is amended by:
1. Replacing the $2,000 Limit of Insurance
for bail bonds with $4,000 in (2); and
(2) The discharge, dispersal, seep- 2• Replacing the $250 Limit of Insurance for
age, migration, release, escape reasonable expenses with $500 in (4).
or emission of the "pollutants" is
Includes copyrighted material of ISO
AA 292 01 16 Properties, Inc., with its permission. Page 3 of 5
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
I. Amended Fellow Employee Exclusion
SECTION II - LIABILITY COVERAGE, B. Ex-
clusions, S. Fellow Employee is modified as
follows:
Exclusion 5. Fellow Employee is deleted.
J. Hired Auto - Physical Damage
If hired "autos" are covered "autos" for Liability
Coverage, then Comprehensive and Collision
Physical Damage Coverages as provided un-
der SECTION III - PHYSICAL DAMAGE
COVERAGE of this Coverage Part are ex-
tended to "autos" you hire, subject to the fol-
lowing:
1. The most we will pay for "loss" to any
hired "auto" is $50,000 or the actual cash
value or cost to repair or replace, which-
ever is the least, minus a deductible.
2. The deductible will be equal to the largest
deductible applicable to any owned "auto"
for that coverage, or $1,000, whichever is
less.
3. Hired Auto - Physical Damage coverage
is excess over any other collectible insur-
ance.
4. Subject to the above limit, deductible, and
excess provisions we will provide cover-
age equal to the broadest coverage appli-
cable to any covered "auto" you own un-
der this policy.
Coverage includes loss of use of that hired au-
to, provided it results from an "accident" for
which you are legally liable and as a result of
which a monetary loss is sustained by the
leasing or rental concern. The most we will
pay for any one "accident" is $3,000.
If a limit for Hired Auto - Physical Damage is
shown in the Schedule, then that limit replac-
es, and is not added to, the $50,000 limit indi-
cated above.
K. Rental Reimbursement
SECTION III - PHYSICAL DAMAGE is
amended by adding the following:
We will pay for rental reimbursement ex-
penses incurred by you for the rental of
an "auto" because of a "loss" to a covered
"auto". Payment applies in addition to the
otherwise applicable amount of each cov-
erage you have on a covered "auto". No
deductible applies to this coverage.
2. We will pay only for those expenses in-
curred during the policy period beginning
24 hours after the "loss" and ending, re-
gardless of the policy's expiration, with
the lesser of the following number of
days:
The number of days reasonably re-
quired to repair the covered "auto". If
"loss" is caused by theft, this number
of days is added to the number of
days it takes to locate the covered
"auto" and return it to you; or
b. 30 days.
3. Our payment is limited to the lesser of the
following amounts:
a. Necessary and actual expenses in-
curred; or
b. $50 per day.
4. This coverage does not apply while there
are spare or reserve "autos" available to
you for your operations.
S. We will pay under this coverage only that
amount of your rental reimbursement ex-
penses which is not already provided for
under SECTION III - PHYSICAL DAM-
AGE COVERAGE, A. Coverage, 4.
Coverage Extensions.
L. Transportation Expense - Higher Limits
SECTION III - PHYSICAL DAMAGE COV-
ERAGE, A. Coverage, 4. Coverage Exten-
sions is amended by replacing $20 per day
with $50 per day, and $600 maximum with
$1,500 maximum in Extension a. Transpor-
tation Expenses.
M. Airbag Coverage
SECTION III - PHYSICAL DAMAGE COV-
ERAGE, B. Exclusions, 3.a. is amended by
adding the following:
However, the mechanical and electrical
breakdown portion of this exclusion does not
apply to the accidental discharge of an airbag.
This coverage for airbags is excess over any
other collectible insurance or warranty.
N. Loan or Lease Gap Coverage
SECTION III - PHYSICAL DAMAGE
COVERAGE, C. Limit of Insurance is
deleted in its entirety and replaced by the
following, but only for private passenger
type "autos" with an original loan or lease,
and only in the event of a "total loss" to
such a private passenger type "auto":
a. The most we will pay for "loss" in any
one "accident" is the greater of:
(1) The amount due under the terms
of the lease or loan to which
your covered private passenger
type "auto" is subject, but will not
include:
Includes copyrighted material of ISO
AA 292 01 16 Properties, Inc., with its permission. Page 4 of 5
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
(a) Overdue lease or loan pay-
ments;
(b) Financial penalties imposed
under the lease due to high
mileage, excessive use or
abnormal wear and tear;
(c) Security deposits not re-
funded by the lessor;
(d) Costs for extended warran-
ties, Credit Life Insurance,
Health, Accident or Disabil-
ity Insurance purchased
with the loan or lease; and
(e) Carry-over balances from
previous loans or leases, or
(2) Actual cash value of the stolen
or damaged property.
b. An adjustment for depreciation and
physical condition will be made in de-
termining actual cash value at the
time of "loss".
2. SECTION V - DEFINITIONS is amended
by adding the following, but only for the
purposes of this Loan or Lease Gap
Coverage:
"Total loss" means a "loss" in which the
cost of repairs plus the salvage value ex-
ceeds the actual cash value.
O. Glass Repair - Waiver of Deductible
SECTION III - PHYSICAL DAMAGE COV-
ERAGE, D. Deductible is amended by adding
the following:
No deductible applies to glass damage if the
glass is repaired in a manner acceptable to us
rather than replaced.
P. Duties in the Event of an Accident, Claim,
Suit or Loss - Amended
SECTION IV - BUSINESS AUTO CONDI-
TIONS, A. Loss Conditions, 2. Duties in the
Event of Accident, Claim, Suit or Loss, a. is
amended by adding the following:
This condition applies only when the "acci-
dent" or 'loss" is known to:
1. You, if you are an individual;
2. A partner, if you are a partnership;
3. An executive officer or insurance manag-
er, if you are a corporation; or
4. A member or manager, if you are a lim-
ited liability company.
Q. Unintentional Failure to Disclose Hazards
SECTION IV - BUSINESS AUTO CONDI-
TIONS, B. General Conditions, 2. Conceal-
ment, Misrepresentation or Fraud is
amended by adding the following:
However, if you unintentionally fail to disclose
any hazards existing on the effective date of
this Coverage Form, we will not deny cover-
age under this Coverage Form because of
such failure.
R. Mental Anguish Resulting from Bodily Inju-
ry
SECTION V - DEFINITIONS, C. "Bodily inju-
ry" is deleted in its entirety and replaced by
the following:
"Bodily injury" means bodily injury, sickness or
disease sustained by a person, including men-
tal anguish and death sustained by the same
person that results from such bodily injury,
sickness or disease. 'Bodily injury" does not
include mental anguish or death that does not
result from bodily injury, sickness or disease.
S. Coverage for Certain Operations in Con-
nection with Railroads
With respect to the use of a covered "auto" in
operations for or affecting a railroad:
1. Section V - Definitions, H. "Insured con-
tract", 1.c. is amended to read:
c. An easement or license agreement;
2. Section V - Definitions, H. "Insured con-
tract", 2.a. is deleted.
Includes copyrighted material of ISO
AA 292 01 16 Properties, Inc., with its permission. Page 5 of 5
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
COMMERCIAL GENERAL LIABILITY
CSGA 437 12 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - AUTOMATIC STATUS WHEN
REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU -
OPERATIONS AND COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. SECTION II - WHO IS AN INSURED is
amended to include as an additional insured
2. If coverage provided to the additional in -
any person or organization when you and such
sured is required by a contract or agree -
person or organization have agreed in writing
ment, the insurance afforded to such ad -
in a contract or agreement that such person or
ditional insured will not be broader than
organization be added as an additional insured
that which you are required by the con -
on your policy, but only with respect to "bodily
tract or agreement to provide for such ad -
injury", "property damage" or "personal and
ditional linsured.
advertising injury" caused, in whole or in part,
B. With respect to the insurance afforded to
by:
these additional insureds, the following addi-
1. Your acts or omissions in the perform-
tional exclusions apply:
ance of your ongoing operations for the
This insurance does not apply to:
additional insured;
1. "Bodily injury", "property damage" or "per-
2. The acts or omissions of those acting on
sonal and advertising injury�� arising out of
your behalf in the performance of your
the rendering of, or the failure to render,
ongoing operations for the additional in-
any professional architectural, engineer-
sured; or
ing or surveying services, including:
3. "Your work" performed for the additional
a. The preparing, approving, or failing to
insured and included in the "products-
prepare or approve, maps, shop
completed operations hazard".
drawings, opinions, reports, surveys,
If not specified otherwise in the written con-
field orders, change orders or draw -
tract or agreement, a person's or organiza-
ings and specifications; or
tion's status as an additional insured under this
b. Supervisory, inspection, architectural
endorsement ends one year after your opera-
or engineering activities.
tions for that additional insured are completed.
The written contract or agreement must be
2. "Bodily injury" or "property damage" aris-
currently in effect or become effective during
ing out of "your work" for which a consoli-
the term of this Coverage Part. The contract or
dated (wrap-up) insurance program has
agreement must be executed prior to the "bod-
been provided by the prime contrac-
ily injury", "property damage" or "personal and
for/project manager or owner of the con -
advertising injury' to which this endorsement
struction project in which you are involved.
pertains.
3. "Bodily injury", "property damage" or "per -
However:
sonal and advertising injury' to any em-
ploy�ee of you or to any obligation of the
1. The insurance afforded to such additional
additional insured to indemnity another
insured only applies to the extent permit-
because of damages arising out of such
ted by law; and
injury.
Includes copyrighted material of ISO
CSGA 437 12 13 Properties, Inc., with its permission. Page 1 of 2
DocuSign Envelope ID: E32B305D-7A8D-4E71-8B33-9DCA522F798A
4. "Bodily injury", "property damage" or "per-
sonal and advertising injury' for which the
Named Insured is afforded no coverage
under this policy of insurance.
C. With respect to the insurance afforded to
these additional insureds, SECTION III - LIM-
ITS OF INSURANCE is amended to include:
The limits applicable to the additional insured
are those specified in the written contract or
agreement or in the Declarations of this Cov-
erage Part, whichever is less. If no limits are
specified in the written contract or agreement,
the limits applicable to the additional insured
are those specified in the Declarations of this
Coverage Part. The limits of insurance are in-
clusive of and not in addition to the limits of in-
surance shown in the Declarations.
D. With respect to the insurance afforded to
these additional insureds, SECTION IV -
COMMERCIAL GENERAL LIABILITY CON-
DITIONS, 4. Other Insurance is amended to
include:
Any coverage provided herein will be excess
over any other valid and collectible insurance
available to the additional insured whether
primary, excess, contingent or on any other
basis unless you have agreed in a written con-
tract or written agreement executed prior to
any loss that this insurance will be primary.
This insurance will be noncontributory only if
you have so agreed in a written contract or
written agreement executed prior to any loss
and this coverage is determined to be primary.
Includes copyrighted material of ISO
CSGA 437 12 13 Properties, Inc., with its permission. Page 2 of 2