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HomeMy WebLinkAboutC22-223 NWCCOG_BEECHAGREEMENT FOR SERVICES BETWEEN EAGLE COUNTY, COLORADO AND NORTHWEST COLORADO COUNCIL OF GOVERNMENTS THIS AGREEMENT (“Agreement”) is effective as of the __________________ by and between Northwest Colorado Council of Governments, a non-profit organization (hereinafter “Contractor”) and Eagle County, Colorado, a body corporate and politic (hereinafter “County”). RECITALS WHEREAS, Beneficial Electrification for Eagle County Homes (“BEECH”) is a program supported by Eagle County and provided by Contractor to provide energy improvements that combine traditional weatherization services with replacement of gas appliances with high- efficiency electric appliances, for the benefit of income-qualified households within Eagle County; and WHEREAS, benefits to qualifying residents from the BEECH program include significant energy cost savings, and health and safety improvements from eliminating gas lines and combustion of fuels inside of homes; and WHEREAS, County desires to enter into this Agreement with Contractor for the performance of the Services defined below in paragraph 1 hereof to the public, which will directly support and sustain a healthy, environmentally and economically vital and socially diverse community and fulfill an important public purpose; and WHEREAS, compensation paid by the County to Contractor enables Contractor to perform the Services for the public and County shall have no responsibility for the performance of the Services; 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 defined below in paragraph 1 hereof; and WHEREAS, this Agreement shall govern the relationship between Contractor and County in connection with the Services. AGREEMENT NOW, THEREFORE, in consideration of the foregoing and the following promises Contractor and County agree as follows: 1. Services or Work. Contractor agrees to diligently provide all services, labor, personnel and materials necessary to perform and complete the services or work described in Exhibit A (“Scope of 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, 2027 and in accordance with the schedule established in Exhibit A. If no completion date is specified in Exhibit A, then DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 6/7/2022 Contractor agrees to furnish the Services to the public in a timely and expeditious manner consistent with the applicable standard of care. Contractor further agrees to provide the Deliverables set forth on Exhibit A, within two weeks of the end of each quarter during the Term hereof. By signing below Contractor represents that it has the expertise and personnel necessary to properly and timely perform the Services. b. In the event of any conflict or inconsistency between the terms and conditions set forth in Exhibit A and the terms and conditions set forth in this Agreement, the terms and conditions set forth in this Agreement shall prevail. 2. County’s Representative. The Resiliency 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 December 31, 2027. 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 County for such additional services in accordance with County’s internal policies. Accordingly, no course of conduct or dealings between the parties, nor verbal change orders, express or implied acceptance of alterations or additions to the Services, and no claim that County has been unjustly enriched by any additional services, whether or not there is in fact any such unjust enrichment, shall be the basis of any increase in the compensation payable hereunder. In the event that written authorization and acknowledgment by County for such additional services is not timely executed and issued in strict accordance with this Agreement, Contractor’s rights with respect to such additional services shall be deemed waived and such failure shall result in non-payment for such additional services or work performed. 5. Compensation. The compensation for the performance of the Services under this Agreement shall not exceed $428,000 as an upfront payment (the “Upfront Payment”) for completion of the BEECH Units during the Term hereof, and $100,000 as “Supplemental Payments” to be used by Contractor to leverage other funding sources for completion of the full range of BEECH improvements for the BEECH Units that are not funded otherwise through Contractor’s other funding sources. Starting in January 2023, the amount of the Supplemental Payments may be increased through an amendment to this Agreement and will be considered and appropriated through the Eagle County annual budget process. a. The Upfront Payment of $428,000 will be made in a lump sum upon execution of this Agreement by both parties. The Upfront Payment will be in addition to any Supplemental Payments or any other annual funding appropriated by the County to the Contractor. b. If the Contractor does not complete all 125 BEECH Units prior to December 31, 2027, the Contractor shall reimburse the County on a prorated basis for the number of the BEECH Units that were not completed, at $3,424.00 per unit. If the Contractor has not completed the BEECH Units because sufficient funding is not available, the Contractor and County will work together to determine a substitute program that would impact low to moderate income households and/or reduce energy usage in buildings or homes within Eagle County. If the parties cannot come to mutual agreement as to such a program, the Contractor shall reimburse the County upon demand for the BEECH Units that were not completed. DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 c. Supplemental Payments may be made to Contractor to supplement and leverage funding sources to be used for completion of the BEECH Units. Requests for Supplemental Payments must include a detailed accounting of the funds requested. Supplemental Payments will be paid within thirty (30) days of receipt of a proper and accurate invoice. d. If, at any time during the term or after termination or expiration of this Agreement, County reasonably determines that any payment made by County to Contractor was improper because the Services for which payment was made were not performed as set forth in this Agreement, then upon written notice of such determination and request for reimbursement from County, Contractor shall forthwith return such payment(s) to County. Upon termination or expiration of this Agreement, unexpended funds advanced by County, if any, shall forthwith be returned to County. e. County will not withhold any taxes from monies paid to the Contractor hereunder and Contractor agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement. e. Notwithstanding anything to the contrary contained in this Agreement, County shall have no obligations under this Agreement after, nor shall any payments be made to Contractor in respect of any period after December 31 of any year, without an appropriation therefor by County in accordance with a budget adopted by the Board of County Commissioners in compliance with Article 25, title 30 of the Colorado Revised Statutes, the Local Government Budget Law (C.R.S. 29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X, Sec. 20). 6. Subcontractors. Contractor acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. County understands that portions of the Services will be performed by subcontractors engaged by Contractor. Contractor has the right to select subcontractors and hereby assumes all responsibility for both Contractor and Subcontractor work performed in the provision of the Services hereunder. County shall have the right in its reasonable discretion to approve all personnel assigned to the subject Project during the performance of this Agreement and no personnel to whom County has an objection, in its reasonable discretion, shall be assigned to the Project. Contractor shall require each subcontractor, to the extent of the Services to be performed by the subcontractor, to be bound to Contractor by the terms of this Agreement, and to assume toward Contractor all the obligations and responsibilities which Contractor, by this Agreement, assumes toward County. County shall have the right (but not the obligation) to enforce the provisions of this Agreement against any subcontractor hired by Contractor and Contractor shall cooperate in such process. The Contractor shall be solely solely 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 insurance appropriate for the type of Services it provides to the public. Such insurance may include, but not be limited to, workers compensation insurance as required by law; automobile coverage; commercial general liability or professional liability coverage. 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. Contractor will provide an insurance certificate upon request. 8. Indemnification. The Contractor shall indemnify and hold harmless County, and any of its officers, DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 agents and employees against any losses, claims, damages or liabilities for which County may become subject to insofar as any such losses, claims, damages or liabilities arise out of, directly or indirectly, this Agreement, or are based upon any performance or nonperformance by Contractor or any of its subcontractors hereunder; and Contractor shall reimburse County for reasonable attorney fees and costs, legal and other expenses incurred by County in connection with investigating or defending any such loss, claim, damage, liability or action. This indemnification shall not apply to claims by third parties against the County to the extent that County is liable to such third party for such claims without regard to the involvement of the Contractor. This paragraph shall survive expiration or termination hereof. 9. Documents. Documents and materials prepared by Contractor during the term of this Agreement shall be provided to County upon request and County shall have the right at no additional cost, to copy, use, re- use, publish, display, the documents and materials and prepare derivative works. 10. Notice. Any notice required by this Agreement shall be deemed properly delivered when (i) personally delivered, or (ii) when mailed in the United States mail, first class postage prepaid, or (iii) when delivered by FedEx or other comparable courier service, charges prepaid, to the parties at their respective addresses listed below, or (iv) when sent via facsimile so long as the sending party can provide facsimile machine or other confirmation showing the date, time and receiving facsimile number for the transmission, or (v) when transmitted via e-mail with confirmation of receipt. Either party may change its address for purposes of this paragraph by giving five (5) days prior written notice of such change to the other party. COUNTY: Eagle County, Colorado Attention: John Gitchell, Climate Action Manager 500 Broadway Post Office Box 850 Eagle, CO 81631 Telephone: 970-328-8766 E-Mail: John.Gitchell@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: Northwest Colorado Council of Governments Attention: Doug Jones, Energy Programs Director 249 Warren Ave. Silverthorne, CO 80498 Telephone: 970-468-0295 ext.111 E-Mail: DJones@NWCCOG.org DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 With a copy to: Sullivan Green Seavy, LLC Attorneys 2036 E 17th Ave, Denver, CO 80206 11. Termination. County 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 County with all documents as defined in paragraph 9 hereof, in such format as County shall direct and shall return all County owned materials and documents. County shall pay Contractor for Services satisfactorily performed to the date of termination. 12. Venue, Jurisdiction and Applicable Law. Any and all claims, disputes or controversies related to this Agreement, or breach thereof, shall be litigated in the District Court for Eagle County, Colorado, which shall be the sole and exclusive forum for such litigation. This Agreement shall be construed and interpreted under and shall be governed by the laws of the State of Colorado. 13. Execution by Counterparts; Electronic Signatures. This Agreement may be executed in two or more counterparts, each of which shall be deemed an original, but all of which shall constitute one and the same instrument. The parties approve the use of electronic signatures for execution of this Agreement. Only the following two forms of electronic signatures shall be permitted to bind the parties to this Agreement: (i) Electronic or facsimile delivery of a fully executed copy of the signature page; (ii) the image of the signature of an authorized signer inserted 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 shall be responsible for the completeness and accuracy of the Services and shall correct, at its sole expense, all significant errors and omissions in performance of the Services. The fact that the County has accepted or approved the Services shall not relieve Contractor of any of its responsibilities. Contractor shall perform the Services in a skillful, professional and competent manner and in accordance with the standard of care, skill and diligence applicable to contractors performing similar services. Contractor represents and warrants that it has the expertise and personnel necessary to 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. c. 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. DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 d. Nothing contained in this Agreement shall be deemed to create a relationship of employer- employee, master-servant, partnership, joint venture or any other relationship between County and Contractor except that of independent contractor. Contractor shall have no authority to bind County. e. 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. f. 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. g. Contractor shall not assign any portion of this Agreement without the prior written consent of the County. Any attempt to assign this Agreement without such consent shall be void. h. 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. i. Enforcement of this Agreement and all rights and obligations hereunder are reserved solely for the parties and not to any third party. This Agreement does not and shall not be deemed or construed to confer upon or grant to any third party any right to claim damages or to bring any suit, action or other proceeding in connection with the Agreement. The parties acknowledge that the Services could otherwise be performed by the County but County has instead determined to provide financial support through compensation as set forth in paragraph 5. Such compensation by County enables Contractor to perform the Services for the public and County shall have no responsibility therefor. Because Contractor is delivering the Services to the public and not Eagle County, the public shall have no rights under this Agreement and may not make any claim against County in connection with this Agreement. j. 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. k. The invalidity, illegality or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provision hereof. l. The signatories to this Agreement aver to their knowledge no employee of the County has any personal or beneficial interest whatsoever in the Services 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. m. 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. n. Contractor acknowledges that it is prohibited from using Eagle County funds to provide certain public benefits to undocumented individuals pursuant to C.R.S. 24.76.5-101 et. seq. DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 o. Contractor shall comply at all times and in all respects with all applicable federal, state and local laws, resolutions and codes; and specifically, with the requirements of the Civil Rights Act of 1964 and Section 504 of the Rehabilitation Act concerning discrimination on the basis of race, color, gender, sex, sexual orientation, age, religion, national origin or disability. p. Contractor shall maintain, for a minimum of three (3) years, adequate financial and programmatic records for reporting to County on the performance of its responsibilities hereunder. Contractor shall be subject to financial audit by county auditors or their designees. Contractor authorizes County to perform audits or to make inspections during normal business hours, upon 48 hours’ notice to Contractor for the purpose of evaluation its performance under this Agreement. Contractor shall cooperate fully with County. q. The parties hereto understand and agree that the County is relying on, and does not waive or intend to waive by any provision of this Agreement, the monetary limitations or rights, immunities and protections provided by the Colorado Governmental Immunity Act, as from time to time amended, or otherwise available to County, its affiliated entities, successors or assigns, its elected officials, employees, agents and volunteers. 15. Prohibitions on Government Contracts. As used in this Section 15, the term undocumented individual will refer to those individuals from foreign countries not legally within the United States as set forth in C.R.S. 8-17.5-101, et. seq. If Contractor has any employees or subcontractors, Contractor shall comply with C.R.S. 8-17.5-101, et. seq., and this Agreement. By execution of this Agreement, Contractor certifies that it does not knowingly employ or contract with an undocumented individual who will perform under this Agreement and that Contractor will participate in the E-verify Program or other Department of Labor and Employment program (“Department Program”) in order to confirm the eligibility of all employees who are newly hired for employment to perform Services under this Agreement. a. Contractor shall not: i. Knowingly employ or contract with an undocumented individual to perform Services under this Agreement; or ii. Enter into a subcontract that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an undocumented individual to perform work under the public contract for services. b. Contractor has confirmed the employment eligibility of all employees who are newly hired for employment to perform Services under this Agreement through participation in the E-Verify Program or Department Program, as administered by the United States Department of Homeland Security. Information on applying for the E-verify program can be found at: https://www.uscis.gov/e-verify c. Contractor shall not use either the E-verify program or other Department Program procedures to undertake pre-employment screening of job applicants while the public contract for services is being performed. DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 d. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an undocumented individual, Contractor shall be required to: i. Notify the subcontractor and County within three (3) days that Contractor has actual knowledge that the subcontractor is employing or contracting with an undocumented individual; and ii. Terminate the subcontract with the subcontractor if within three days of receiving the notice required pursuant to subparagraph (i) of the paragraph (d) the subcontractor does not stop employing or contracting with the undocumented individual; except that Contractor shall not terminate the contract with the subcontractor if during such three (3) days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an undocumented individual. e. Contractor shall comply with any reasonable request by the Department of Labor and Employment made in the course of an investigation that the department is undertaking pursuant to its authority established in C.R.S. 8-17.5-102(5). f. If Contractor violates these prohibitions, County may terminate the Agreement for breach of contract. If the Agreement is so terminated specifically for breach of this provision of this Agreement, Contractor shall be liable for actual and consequential damages to County as required by law. g. County will notify the Colorado Secretary of State if Contractor violates this provision of this Agreement and County terminates the Agreement for such breach. [REST OF PAGE INTENTIONALLY LEFT BLANK] DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth above. COUNTY OF EAGLE, STATE OF COLORADO, By and Through Its BOARD OF COUNTY COMMISSIONERS By: ______________________________ Jeanne McQueeney, Chair Attest: By: _________________________________ Regina O’Brien, Clerk to the Board CONTRACTOR: By:________________________________ Print Name: _________________________ Title: ______________________________ DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 Doug Jones Director, Energy Program EXHIBIT A SCOPE OF SERVICES, SCHEDULE, FEES DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 Exhibit A, Scope of Work Beneficial Electrification for Eagle County Homes (BEECH) Eagle County’s strategic goal for climate protection is to reduce community GHG emissions each year by 5% (or 75,000 tons) to meet the Climate Action Plan goal of 50% reduction by 2030. In 2022 and 2023, the county’s primary strategy for achieving the goal is through electrification of buildings and vehicles for the benefit of low and middle income residents. The Northwest Colorado Council of Governments (NWCCOG) Energy Program provides quality energy efficiency services in a safe and cost-effective manner for income qualified households in 13 counties including Eagle County. With funding mostly through the State of Colorado’s Energy Office, NWCCOG’s Energy Program delivers the Weatherization Assistance Program (WAP), and Colorado’s Affordable Residential Energy Program (CARE). Beneficial Electrification for Eagle County Homes, or BEECH, is a collaboration between Eagle County and the NWCCOG Energy Program to reduce energy costs for residents, improve health and safety, and reduce community greenhouse gas emissions. BEECH combines building shell improvements (like air-sealing and insulation) with beneficial electrification services (replacing polluting gas appliances with high-efficiency electric appliances) for the benefit of low income households. NWCCOG Energy Program staff works with community partners and contractors to save energy and eliminate the combustion of fossil fuels inside of homes through this BEECH 5-step process: 1) Enroll & Qualify - A network of collaborative partners works to engage low income households throughout Eagle County in state funded energy programs. Eagle County, through its Resiliency Department, MIRA Bus, and other community resources will support outreach for these programs. NWCCOG’s Energy Program staff coordinates with Walking Mountains Science Center, Holy Cross Energy, Eagle County and MIRA Bus staff to provide education and enrollment events. NWCCOG staff receives and reviews applications, and approves qualifying households for funded energy improvements. 2) Conduct an Energy Audit - A Building Performance Institute (BPI) trained and certified Building Analyst conducts an energy audit for the home, and enters data into a U.S. Department of Energy modeling program that estimates energy savings and guides energy improvements. Health and safety problems including gas leaks, carbon monoxide poisoning, and other indoor air quality issues are identified during the audit . Staff provides education and an overview of the audit findings for the residents. 3) Improve the Building Shell - Guided by the energy audit report, Energy Program staff provides cost-effective energy improvements to the home through the WAP program, which may include air sealing, insulation, door and window replacements, storm windows, and energy efficient light bulbs and showerheads. 4) Replace Appliances - Propane or natural gas combustion appliances including water heater, furnace, kitchen range and oven are replaced with high-efficiency Energy Star certified all electric appliances. Gas lines are permanently capped outside of the home to eliminate any future risks for DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 household residents. 5) Funding the Energy Improvements - NWCCOG’s Energy Program staff draws from the Colorado Energy Office program funding, secures community rebates from CORE and Walking Mountains, and utility rebates through Holy Cross Energy and Xcel Energy. State funding was recently expanded to include infrastructure improvements for electrification (for example, electrical supply upgrades) and for health and safety improvements including ventilation systems for kitchens and bathrooms. Contractor is responsible for implementing and managing the BEECH program as described above, and for completion of the full range of BEECH improvements for no less than 125 homes located in Eagle County and occupied by income-qualified households as defined by the WAP (the “BEECH Units”). Contractor shall complete all BEECH Units by December 31, 2027. Deliverables : Within two weeks of the end of each quarter, Contractor will provide the following information to Eagle County’s Resiliency Department: ● Number of homes with applications approved for BEECH. ● Number of homes with BEECH work currently in process. ● Number of homes with BEECH work 100% completed. ● Estimated annual energy savings ($) provided for Eagle County residents from completed BEECH homes. ● Estimated Greenhouse Gas reduction (mT CO2e) resulting from BEECH homes completed during the quarter. ● Estimated Greenhouse Gas reduction (mT CO2e) resulting from BEECH homes completed, in total. DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 EXHIBIT B INSURANCE CERTIFICATE DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER LIMITS(MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) POLICY EFF POLICY NUMBERTYPE OF INSURANCELTR INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY CIRSA Denver, CO 80209 150,00001/01/23 Silverthorne, CO 80498 A Northwest Colorado Council of Governments USA CIRSA Fidelity/Emp Dishon $150K Becky Walter, Fiscal Assistant PO Box 2308 LIC #N/A 01/04/2022 PO Box 2308 Moniquef 1-303-757-5475 3665 Cherry Creek North Drive 64279335 64279335 Silverthorne, CO 80498 PR 01-2022 01/01/22 Proof of crime coverage, covering all employees, as needed for a grant application. Northwest Colorado Council of Governments DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 Pinnacol Assurance 7501 E. Lowry Blvd. Denver, CO 80230-7006 Northwest Colorado Council of Governments 249 Warren Avenue Silverthorne, CO 80498 05/11/2022 38535 04/01/2022 04/01/2023 1,000,000 1,000,000 1,000,000 CCIG 2255377 NWCCOG PO Box 2308 Silverthorne, CO 80498 tshirey@nwccog.org Unless otherwise stated in the policy provisions, coverage in Colorado only. DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150 CERTIFICATE HOLDER COPY NWCCOG PO Box 2308 Silverthorne, CO 80498 DocuSign Envelope ID: DA91929A-6C2C-4FAF-B686-435FB922C150