Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutC21-342 RAP + 360 CivilAGREEMENT FOR PROCUREMENT AND INSTALLATION SERVICES
BETWEEN RIVERVIEW APARTMENTS PRESERVATION, LP
AND
360 CIVIL, INC.
THIS AGREEMENT (“Agreement”) is effective as of the ________________by and between 360 Civil,
Inc., a Colorado corporation (hereinafter “Contractor”) and Riverview Apartments Preservation, LP, a
Colorado Limited Partnership (hereinafter “RAP”).
RECITALS
WHEREAS, RAP desires to hire contractor to mill, mix, patch, and flatten concrete areas throughout the
parking long (the “Project”) located at the Riverview Apartments complex 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”). Exhibit A 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, and in
accordance with the schedule established in Exhibit A. If no completion date is specified in Exhibit A,
then Contractor agrees to furnish the Services in a timely and expeditious manner consistent with the
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:
i. take the Equipment back;
ii. exchange the Equipment; or
iii. repair the Equipment.
2. RAP’s Representative. Maintenance Supervisor, William Wright, shall be Contractor’s contact
with respect to this Agreement and performance of the Services.
1
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78
10/18/2021
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 31st day
of October, 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 $12,825.00. 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.
c. 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.
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:
2
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78
a. Types of Insurance.
i. Workers’ Compensation insurance as required by law.
ii. Auto coverage with limits of liability not less than $1,000,000 each accident
combined bodily injury and property damage liability insurance, including coverage for owned, hired, and
non-owned vehicles.
iii. Commercial General Liability coverage to include premises and operations,
personal/advertising injury, products/completed operations, and 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 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.
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 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 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
3
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78
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
CONTRACTOR:
360 Civil, Inc.
Attn: Patrick Bourke
PO Box 2247
Gypsum, CO 81637
Telephone: 970-445-1041
Cellular: 970-471-8784
E-mail: Patrick@360civil.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
4
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78
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 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 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 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.
i. 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:
i. Any defects in materials or workmanship which existed prior to or during the
period of any guarantee or warranty provided in this Agreement; and
5
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78
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.
l. 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.
m. 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.
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 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 Contracts.
a. As used in this Section 15, the term undocumented individual will refer to those
individuals from foreign countries not legally in the United States as set forth in C.R.S. 8-17.5-101, et. seq.
If Contractor has any employees or subcontractors, Contractor shall not:
i. Knowingly employ or contract with an undocumented individual to perform
Services under this Agreement; or
6
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78
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
contract for services.
b. If Contractor obtains actual knowledge that a subcontractor performing work under the
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 (3) days of
receiving the notice required pursuant to subparagraph (i) of the paragraph 14(b) the subcontractor does
not stop employing or contracting with the undocumented individual; except that 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. 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.
d. RAP may 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.
Riverview Apartments Preservation LP
By and through Riverview Apartments Preservation
LLC, its general partner
By and through Eagle County Housing and
Development Authority, its sole member
By: _______________________
Kimberly Bell Williams, Executive Director
CONTRACTOR:
By:________________________________
Print Name:_________________________
Title: ______________________________
7
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78
President
Patrick Bourke
8
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78
EXHIBIT A
SCOPE OF SERVICES, EQUIPMENT, SCHEDULE, FEES
9
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78
9/9/2021 4:18:59PM
BID PROPOSAL
Gypsum, CO 81637
PO Box 2247
360 Civil, Inc.
Jeremy Sheaffer
970-471-1052
jeremy@360civil.com
Contact:
Phone:
Email:
Job Name:Quote To:Eagle County Riverview Concrete R&R
Bill Wright
Plan Date:
Phone:Arcitect/Entineer:970-376-6352
Revision Date:
AMOUNTITEMDESCRIPTIONQUANTITY UNIT UNIT PRICE
Mobilization LS1.00 10 1,400.00 1,400.00
Demo Concrete LS1.00 20 4,275.00 4,275.00
Replace Concrete Curb & Gutter, Sidewalk, Parking LS1.00 30 7,150.00 7,150.00
GRAND TOTAL 12,825.00
NOTES:
1.Permits, Permit fees, Survey and Staking by others.
2.No blasting or large rock removal over 1 cubic yard is included. This shall include shale or bedrock excavation. Blasting
on a T&M basis
3.It is assumed that all excavated material will be suitable for backfill. No screening, mixing or drying of material is
included.
4.No overexcavation and recompaction is included. Unsuitable soils will be handled on a T&M basis per Geotechnical
Engineer.
5.Soils testing is not included
6.All weather related costs are excluded. Frost Protection, Ground Heating, and Excavation of frost is excluded.
7.Warranty is void against settlement for any work done under winter conditions.
8.Dewatering is not included
9.Regrading and cleanup after other trades is not included.
10.Construction fencing is not included unless specifically listed in the Bid Item Schedule.
11.All utilities are to be run within 5' of the foundation. We are not permitted to install inside the foundations.
12.Water source (for compaction, dust control, cleaning) to be provided by the General Contractor, onsite, at no added cost.
13.Street work and any associated costs are not included (roadcuts, permits, bonds, slurry fill, traffic control etc...) unless
specifically stated in the bid item schedule.
14.Shoring is not included. Excavation layback will be compliant with OSHA standards. If not possible shoring will be
required.
15.Landscape, Irrigation & Seeding is not included.
16.Topsoil re-placement is not included unless specifically stated in the bid item schedule.
17.Pumping of vaults is excluded.
18.Asbestos abatement or testing is not included.
19.If payments for work are not made when due, the contractor may stop work or terminate this contract and re-cover from the
customer payment for all work executed and loss sustained.
20.A late charge of 18% per annum on the outstanding balance may be imposed upon all past due payments. Customer agrees
to pay all costs of collection and a reasonable attorney's fee if the account becomes delinquent and is referred for collection.
21.Pricing is good for 30 days from the date of this proposal.
22.Permformance and Payment Bond is not included and can be added upon request at an additional cost.
23. Insurance is covered in Paragraph 7 of contract.Page 1 of 2
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78
24. Removed - Covered by Section 4 in Contract
25.Subcontractor and Materials will incur a 15% handling fee placed on invoices recieved for work done under T&M basis or
Allowance Items.
26.If 360 Civil is awarded the project we will require a signed stamped set of construction drawings.
AGREEMENT
All of the above work to be completed in a substantial and workmanlike manner for the sum of See Bid Item Schedule
The contract amount is payable to 360 Civil, Inc. monthly for work as it progresses with the entire balance payable upon
completion unless otherwise provided in this contract or the Project Plans and Specifications.
The customer may order additional work or changes in writing at any time, at an agreed price or at the contractor's regular rates
for the time and material work.
If the customer disposes of the real estate by sale or otherwise, the full amount remaining unpaid on this contract becomes due at
once and payable within forty-eight (48) hours after date of such disposal.
The contractor agrees to carry Workmen's Compensation and general liability insurance and to pay all taxes as they relate to this
agreement.
Respectfully submitted,
360 Civil, Inc.
By_____________________________
Jeremy Sheaffer, Vice President
ACCEPTANCE OF PROPOSAL
The prices, specifications, terms and conditions stated above and on the reverse side hereof are satisfactory and are hereby
accepted. By this acceptance, I understand that a binding contract has been created only when confirmed by 360 Paving LLC.
Customer may be required to provide satisfactory evidence of adequate financing before confirmation by contractor.
ACCEPTED this ______ day of ____________, 20____.
Owner Signature: _____________________________________ Printed Name: _________________________________
CONFIRMATION by CONTRACTOR
Contractor Signature: __________________________________________ Date: __________________
Page 2 of 2
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78
EXHIBIT B
INSURANCE CERTIFICATES
10
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
PRODUCER CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
E-MAIL
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person)$
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $
PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER:$
COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person)$
OWNED SCHEDULED
BODILY INJURY (Per accident)$AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY AUTOS ONLY (Per accident)
$
OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A
(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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).
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
$
$
$
$
$
The ACORD name and logo are registered marks of ACORD
9/28/2021
(720) 636-8405
21415
360 Civil, Inc
PO Box 2247
Gypsum, CO 81637
41190
34452
A 1,000,000
X 6X00542 3/1/2021 3/1/2022 500,000
10,000
1,000,000
2,000,000
2,000,000
1,000,000A
X 6X00542 3/1/2021 3/1/2022
2,000,000A
6X00542 3/1/2021 3/1/2022 2,000,000
0
B
4180753 3/1/2021 3/1/2022 1,000,000
N 1,000,000
1,000,000
C Pollution 7930035380004 3/1/2021 Per Occ/Agg 2,000,000
A Equipment Floater 6X00542 3/1/2021 3/1/2022 Leased/Rented 300,000
If required by written contract or agreement, Riverview Apartments Preservation,LP 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 and Auto Liability.
Riverview Apartments Preservation, LP
39169 hWY 6 & 24
Avon, CO 81620
360CIVI-01 BROOKEP
Mountain West Insurance - Glenwood
201 Centennial St 4th Floor
Glenwood Springs, CO 81601
Brooke Pauling
brookep@mtnwst.com
Employer's Mutual Casualty Company
Pinnacol Assurance
Homeland Insurance Company of New York
X
3/1/2022
X
X
X
X
X
X
X
DocuSign Envelope ID: A8AE4464-4DA2-4EEA-9A43-726A33EBAF78