HomeMy WebLinkAboutC23-090 Specialized Offender ServicesDocuSign Envelope ID: 7FE75230-1B87-4523-B621-3163FEB6DA28
AGREEMENT FOR PROFESSIONAL SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
SPECIALIZED OFFENDER SERVICES
THIS AGREEMENT ("Agreement') is effective as of 3/20/2023 by and between Specialized
Offender Services (hereinafter "Consultant' or "Contractor") and Eagle County, Colorado, a body
corporate and politic (hereinafter "County").
RECITALS
WHEREAS, the County, through its Department of Human Services ("DHS") works to promote the
health, safety and welfare of County residents of all ages; and
WHEREAS, the County uses outside providers and professionals to enhance the ability of County to
promote such health, safety and welfare; and
WHEREAS, County desires to hire the Consultant to perform the Services defined below in paragraph 1;
and
WHEREAS, Consultant is authorized to do business in the State of Colorado and has the time, skill,
expertise, and experience necessary to provide the Services; and
WHEREAS, this Agreement shall govern the relationship between Consultant and County in connection
with the Services.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Consultant and
County agree as follows:
1. Services. Consultant agrees to diligently provide all services, labor, personnel and materials
necessary to perform and complete the services described in Exhibit A ("Services") 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. Consultant agrees to furnish the Services through May 31, 2024 and in accordance with
the schedule established in Exhibit A. If no completion date is specified in Exhibit A, then Consultant
agrees to furnish the Services in a timely and expeditious manner consistent with the applicable standard
of care. By signing below Consultant represents that it has the expertise and personnel necessary to
properly and timely perform the Services.
DocuSign Envelope ID: 7FE75230-lB87-4523-B621-3163FEB6DA28
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. Consultant agrees that it will not enter into any consulting or other arrangements with
third parties that will conflict in any manner with the Services.
2. County's Representative. The Human Services Department's designee shall be Consultant'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 315i
day of May, 2024.
4. Extension or Modification. This Agreement may not be amended or supplemented, nor may any
obligations hereunder be waived, except by agreement signed by both parties. No additional services or
work performed by Consultant shall be the basis for additional compensation unless and until Consultant
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, Consultant'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. County shall compensate Consultant for the performance of the Services in a sum
computed and payable as set forth in Exhibit A. The performance of the Services under this Agreement
shall not exceed $10,000 annually. 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 County.
a. Method of Compensation. Contractor shall be compensated for Services satisfactorily
performed in accordance with the statewide "Trails Users Fiscal Calendar" and by means of the Trails
provider payroll system. Consultant shall submit an invoice to the County by the fifth (5) day of the
month for Services performed in the preceding month. Upon receipt of the invoice, the County will input
the Consultant's invoice into the Trails system. Payment will be made by the State of Colorado through
the Trails provider payroll system. The parties acknowledge that funds for this Agreement are derived
from State of Colorado CORE funds and not appropriated by the County. Invoices shall include a
description of Services performed. If County is not satisfied with the completeness of a submitted
invoice, County may request Consultant to either revise the invoice or provide additional information. All
invoices shall include detail regarding the hours spent, tasks performed, who performed each task and
such other detail as County may request.
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Eagle County HHS Prof Sery Final 5/14
DocuSign Envelope ID: 7FE75230-lB87-4523-B621-3163FEB6DA28
All invoices must be emailed to the following address to ensure proper payment:
Eagle County Google Contracting Tool
https:Hsites. google.com/eaglecounty.us/coreinvoicesubmission/home
b. Billing Cut-off Date. Consultant shall not be reimbursed for billing received by the
County two (2) months or more after the date of Service.
C. Any out-of-pocket expenses to be incurred by Consultant and reimbursed by County shall
be identified on Exhibit A. Out-of-pocket expenses will be reimbursed without any additional mark-up
thereon and are included in the not to exceed contract amount set forth above. Out-of-pocket expenses
shall not include any payment of salaries, bonuses or other compensation to personnel of Consultant.
Consultant shall not be reimbursed for expenses that are not set forth on Exhibit A unless specifically
approved in writing by County.
d. If, prior to payment of compensation or reimbursement for Services but after submission
to County of a request therefore by Contractor, County reasonably determines that payment as requested
would be improper because the Services were not performed as prescribed by the provisions of this
Agreement, the County shall have no obligation to make such payment. If, at any time after or during the
term or after termination or expiration of this Agreement, County reasonably determines that any payment
theretofore paid 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, Consultant 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. All funds received by Contractor under this Agreement shall be or have been expended
solely for the purpose for which granted, and any funds not so expended, including funds lost or diverted
for other purposes, shall be returned to State of Colorado.
£ Contractor shall provide the County with progress reports upon County's request; or
Contractor shall furnish progress reports as more specifically set forth in the attached Exhibit A.
g. County will not withhold any taxes from monies paid to the Consultant hereunder and
Consultant 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.
h. 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 Consultant 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).
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Eagle County HHS Prof Sery Final 5/14
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6. Sub -consultants. Consultant acknowledges that County has entered into this Agreement in
reliance upon the particular reputation and expertise of Consultant. Consultant shall not enter into any
sub -consultant agreements for the performance of any of the Services or additional services without
County's prior written consent, which may be withheld in County's sole discretion. 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. Consultant shall require each sub -consultant, as approved by
County and to the extent of the Services to be performed by the sub -consultant, to be bound to Consultant
by the terms of this Agreement, and to assume toward Consultant all the obligations and responsibilities
which Consultant, by this Agreement, assumes toward County. County shall have the right (but not the
obligation) to enforce the provisions of this Agreement against any sub -consultant hired by Consultant
and Consultant shall cooperate in such process. The Contractor shall be responsible for the acts and
omissions of its agents, employees and sub -consultants or sub -contractors.
7. Insurance. Consultant agrees to provide and maintain at Consultant'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 $2,000,000 aggregate limits. This policy shall be
endorsed to include coverage for physical/sexual abuse and molestation.
iv. Professional liability insurance with prior acts coverage for all Services required
hereunder, in a form and with an insurer or insurers satisfactory to County, with limits of liability of not
less than $1,000,000 per claim and $2,000,000 in the aggregate. In the event the professional liability
insurance is on a claims -made basis, Consultant warrants that any retroactive date under the policy shall
precede the effective date of this Agreement. Continuous coverage will be maintained during any
applicable statute of limitations for the Services.
V. Third party fidelity/crime coverage including coverage for theft and mysterious
disappearance. The policy shall include coverage for all directors, officers, agents and employees of the
Consultant. The policy shall name Eagle County and Eagle County's clients as loss payee as their
interests may appear. The policy shall not contain a condition requiring an arrest or conviction. Policies
shall be endorsed to provide coverage for computer crime/fraud.
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b. Other Requirements.
i. The automobile and commercial general liability coverage and such other
coverage as indicated above shall be endorsed to include Eagle County, its associated or affiliated entities,
its successors and assigns, elected officials, employees, agents and volunteers as additional insureds.
ii. Consultant's certificates of insurance shall include sub -consultants as additional
insureds under its policies or Consultant shall furnish to County separate certificates and endorsements for
each sub -consultant. All coverage(s) for sub -consultants shall be subject to the same minimum
requirements identified above. Consultant and sub -consultants, if any, shall maintain the foregoing
coverage in effect until the Services are completed. In addition, all such policies shall be kept in force by
Consultant and its sub -consultants until the applicable statute of limitations for the Services has expired.
iii. Insurance shall be placed with insurers duly licensed or authorized to do business
in the State of Colorado and with an "A.M. Best" rating of not less than ANII.
iv. Consultant's insurance coverage shall be primary and non-contributory with
respect to all other available sources. Consultant's policy shall contain a waiver of subrogation against
Eagle County.
V. All policies must contain an endorsement affording an unqualified thirty (30)
days notice of cancellation to County in the event of cancellation of coverage.
vi. All insurers must be licensed or approved to do business within the State of
Colorado and all policies must be written on a per occurrence basis unless otherwise provided herein.
vii. Consultant's certificate of insurance evidencing all required coverage(s) is
attached hereto as Exhibit B. Upon request, Consultant shall provide a copy of the actual insurance
policy and/or required endorsements required under this Agreement within five (5) business days of a
written request from County, and hereby authorizes Consultant's broker, without further notice and
authorization by Consultant, to immediately comply with any written request of County for a complete
copy of the policy.
viii. Consultant shall advise County in the event the general aggregate or other
aggregate limits are reduced below the required per occurrence limit. Consultant, at its own expense, will
reinstate the aggregate limits to comply with the minimum limits and shall furnish County a new
certificate of insurance showing such coverage.
ix. If Consultant fails to secure and maintain the insurance required by this
Agreement and provide satisfactory evidence thereof to County, County shall be entitled to immediately
terminate this Agreement.
X. The insurance provisions of this Agreement shall survive expiration or
termination hereof.
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xi. 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.
xii. Consultant is not entitled to workers' compensation benefits except as
provided by the Consultant, nor to unemployment insurance benefits unless unemployment compensation
coverage is provided by Consultant or some other entity. The Consultant is obligated to pay all federal
and state income tax on any moneys paid pursuant to this Agreement.
8. Indemnification. The Consultant shall indemnify and hold harmless County, and any of its
officers, 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 Consultant or any
of its sub -consultants hereunder including claims for bodily injury or personal injury including death, or
loss or damage to tangible or intangible property; and Consultant 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 Consultant. This paragraph shall survive expiration or
termination hereof.
9. Ownership of Documents. All documents prepared by Consultant in connection with the Services
shall become property of County. Consultant shall execute written assignments to County of all rights
(including common law, statutory, and other rights, including copyrights) to the same as County shall
from time to time request. For purposes of this paragraph, the term "documents" shall mean and include
all reports, plans, studies, tape or other electronic recordings, drawings, sketches, estimates, data sheets,
maps and work sheets produced, or prepared by or for Consultant (including any employee or
subcontractor in connection with the performance of the Services and additional services under 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 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: Kendra Kleinschmidt
551 Broadway
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Eagle County HHS Prof Sery Final 5/14
DocuSign Envelope ID: 7FE75230-lB87-4523-B621-3163FEB6DA28
Post Office Box 660
Eagle, CO 81631
Telephone: 970-328-8827
Facsimile: 855-848-8826
E-Mail: Kendra.Kleinschmidt@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
CONSULTANT:
Specialized Offender Services
2040 South Navajo St.
Denver, CO 80223
303-282-1067
sos@soservices.org
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 Consultant. Upon termination of this Agreement, Consultant 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 Consultant 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.
Eagle County HHS Prof Sery Final 5/14
DocuSign Envelope ID: 7FE75230-lB87-4523-B621-3163FEB6DA28
a. In rendering the Services hereunder, Contractor shall comply with the highest standards
of customer service to the public. Contractor shall provide appropriate supervision of its employees to
ensure the maintenance of these high standards of customer service and professionalism are maintained.
The performance of such obligation shall be determined at the sole discretion of County. In the event
County finds these standards of customer service are not being met by Contractor, County may terminate
this Agreement, in whole or in part, upon seven (7) days' notice to Contractor.
b. Consultant shall be responsible for the completeness and accuracy of the Services,
including all supporting data or other documents prepared or compiled in performance of the Services,
and shall correct, at its sole expense, all significant errors and omissions therein. The fact that the County
has accepted or approved the Services shall not relieve Consultant of any of its responsibilities.
Consultant shall perform the Services in a skillful, professional and competent manner and in accordance
with the standard of care, skill and diligence applicable to Consultants performing similar services. This
paragraph shall survive termination of this Agreement.
C. Consultant represents and warrants that it has the expertise and personnel necessary to
properly perform the Services and covenants that its professional personnel are duly licensed to perform
the Services within Colorado. Specifically, during the period of this Agreement, Consultant and its
professional personnel shall each be licensed as a professional counselor through the Colorado
Department of Regulatory Agencies ("DORA"), shall maintain such license in good standing and shall
adhere to all rules, standards, policies and laws applicable to such license, including, but not limited to,
any requirements for criminal background checks. Consultant shall immediately notify the County if any
state or local agency makes a substantiated finding of abuse, neglect or injurious environment against it or
any of its professional personnel during the period of this Agreement. In the event of a substantiated
finding as set forth herein, the County in its sole discretion may terminate this Agreement, in whole or in
part, upon seven (7) days' notice to Consultant.
d. Consultant 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.
e. This Agreement constitutes an agreement for performance of the Services by Consultant
as an independent contractor and not as an employee of County. 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 Consultant except that of independent contractor.
Consultant shall have no authority to bind County.
f. Consultant represents and warrants that at all times in the performance of the Services,
Consultant shall comply with any and all applicable federal and state laws, codes, rules and regulations.
g. Contractor shall comply with the Civil Rights Act of 1964 and Section 504,
Rehabilitation Act of 1973, concerning discrimination on the basis of race, color, sex, age, religion,
political beliefs, national origin or handicap.
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Eagle County HHS Prof Sery Final 5/14
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h. 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.
i. Consultant 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.
j. 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.
k. 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.
1. The invalidity, illegality or unenforceability of any provision of this Agreement shall not
affect the validity or enforceability of any other provision hereof.
in. Consultant shall maintain for a minimum of three years, adequate financial and other
records for reporting to County. Consultant shall be subject to financial audit by federal, state or county
auditors or their designees. Consultant authorizes such audits and inspections of records during normal
business hours, upon 48 hours' notice to Consultant. Consultant shall fully cooperate during such audit or
inspections.
n. The signatories to this Agreement aver to their knowledge, no employee of the County
has any personal or beneficial interest whatsoever in the Services or Property described in this
Agreement. The Consultant has no beneficial interest, direct or indirect, that would conflict in any manner
or degree with the performance of the Services and Consultant shall not employ any person having such
known interests.
[Remainder ofpage left intentionally blank]
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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 COUNTY MANAGER
DocuSigned by:
By: V %ra
W,21ebunty Manager
CONSULTANT:
DocuSigned by:
6FE22285283B4BB...
Print Name: Della Webb
Title: CFO
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EXHIBIT A
SCOPE OF SERVICES, SCHEDULE, FEES
Description of Services: Contractor will provide therapeutic services for children, youth and families who
are working with the Department of Human Services to support family preservation, prevent placement of
children and youth in out -of -home care, and assist in family reunification.
Additional Provisions:
1. Assessments and Planning. Contractor shall provide the County with an assessment and plan
within thirty (30) days of enrollment or participation in services by a family or child. This plan
shall include the treatment plan for the child's family, including specific goals, objectives and
target dates for accomplishment. Such plan shall be subject to review and approval by County.
Thereafter, at monthly intervals, Contractor shall submit reports that include progress and barriers
in achieving the goals and provisions of the treatment plan via e-mail. Reimbursement for
services relating to the plan is subject to the timely receipt of written assessment, plan, and
reports.
2. Eli ibg ility. County is responsible for determining the eligibility of each individual family for
services under this agreement. County shall advise Contractor in writing of the authorized
service plan within three (3) working days of receipt of the certification and service plan. There
shall be no payment for services provided without prior authorization for such services by the
County. Such authorization shall include the level of services to be provided, the nature and type
of services provided and the time frames in which these services are to be provided.
3. Mandatory Reporting. Contractor shall notify the state-wide hotline of all reports of suspected
child abuse or neglect involving Contractor, including, but not limited to, employees, volunteers
and clients. DHS contractors are considered to be mandatory reporters for suspected child abuse
and neglect and are to make those reports directly to the Hotline at 1-844-CO-4-KIDS (844-264-
5437).
4. Billing for Services. All invoices are to be submitted within 5 business days following the end of
the month in which services were rendered (see page 2-3 with more details about billing)
Payment and Fee Schedule: County will compensate Contractor for performance of services as follows:
1. Individual therapy - $100 per hour for In Office Services and $110 per hour for In Home/ Off
Site/Bilingual Services;
2. Sex Abuse Specific Therapy - $130 per hour
3. Group therapy services - $45 per hour
4. Case management services (report writing) - $35 per hour;
5. Attendance at Family Engagement Meetings - $50 per hour;
6. Therapeutic supervised visitation - $90 per hour for In Office Services and $100 per hour for In
Home/ Off Site/Bilingual Services;
7. Supervised visitation - $50 per hour for In Office Services and $60 per hour for hi Home/Off
Site/Bilingual Services;
8. Life Skills - $55 per hour for In Office Services and $65 per hour for In Home/Off Site/Bilingual
Services;
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Eagle County HHS Prof Sery Final 5/14
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9. Equine Assisted Therapy - $125 per Individual Sessions and $175 per Family Session.
The maximum contract amount is not to exceed $10,000 annually.
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EXHIBIT B
Insurance Certificate
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Eagle County HHS Prof Sery Final 5/14
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ACORO° CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
02/09/2023
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
CONTACT
NAME: Emma Johnson
Dodrill Insurance, Inc.
PO Box 27299
Lakewood, CO 80227
nlc°"Nv Ext: (303)986-1539 FAX,
No; (303)989-8755
ADDRESS: Cert@Dodrilllnsurance.com
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURERA: Ohio Security Insurance Co
24082
INSURED
INSURERB: Plnnacol Assurance
INSURERC:
Specialized Offender Services LLC
INSURERD:
2040 S Navajo St
Denver, CO 80223
INSURERE:
INSURER F :
COVERAGES CERTIFICATE NUMBER: 00015514-220077 REVISION NUMBER: 18
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
D IN
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
Y
BKS58741169
04/26/2022
04/26/2023
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE X OCCUR
DAMAGE To RENTED
PREMISES Ea occurrence
$ 300OOO
MED EXP (Any one person)
$ 15,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY PE� LOC
X
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
BKS58741169
04/26/2022
04/26/2023
EINED ac accdentsINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
X
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY LXAUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
4239475
09/13/2022
09/01/2023
X ATUTE ERH
ST
E.L. EACH ACCIDENT
$ 100,000
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
N / A
E.L. DISEASE - EA EMPLOYEE
$ 100,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 500,000
A
Business Pers Prop
BKS58741169
04/26/2022
04/26/2023
35,314
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate holder, El Paso County, it's officials, agents and employees acting in the scope of their employment are included as
addtional insured with respect to general liability. Waiver of subrogation applies.
CERTIFICATE HOLDER CANCELLATION
Eagle County
551 Broadway
P.O. Box 660
Eagle, CO 81631
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
REPRESENTATIVE
U 1988-ZU15 ACURD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by EMJ on 02/09/2023 at 08:52AM
