HomeMy WebLinkAboutSOB15-001 Rich Hufnagel Painting AGREEMENT FOR ON-CALL SERVICES
BETWEEN SENIORS ON BROADWAY,LP
AND
RICH HUFNAGEL PAINTING
THIS AGREEMENT("Agreement")is effective as of the CAI I day o' ii� i:. 2015 by and between Rich
Hufnagel Painting,a Colorado company(hereinafter"Contractor")and Fors on B. dway,LP,a Colorado
limited partnership(hereinafter"SOB").
RECITALS
WHEREAS,SOB desires to have vacated units touched up and painted during the turnover process to ensure the
highest quality rental for prospective residents(the"Project")at the Seniors on Broadway Apartment complex
located at 750 Broadway,Eagle,CO 81631(the"Property"or"Properties");and
WHEREAS,Contractor is authorized to do business in the State of Colorado and has the time,skill,expertise,and
experience necessary to provide the Services as defined below in paragraph 1 hereof and
WHEREAS,this Agreement shall govern the relationship between Contractor and SOB in connection with the
Services.
AGREEMENT
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NOW,THEREFORE,in consideration of the foregoing and the following promises Contractor and SOB agree as
follows:
1. Services or Work. Contractor agrees to diligently provide all services,labor,personnel and materials
necessary to perform and complete the on-call services or work at the rates set forth in Exhibit A and in accordance
with a formal proposal for each on-call service to be provided by Contractor and approved by SOB in writing
("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 in accordance with the schedule established in each
proposal approved by SOB in writing. If no completion date is specified,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.
2. SOB's Representative. The Housing Department's designee,Leona Perkins,Property Manager,shall be
Contractor's contact with respect to this Agreement and performance of the Services.
3. Term of the Agreement. This Agreement shall commence upon the date first written above,and subject to
the provisions of paragraph 11 hereof•;shall continue in full force and effect through the 31st day of December 2015.
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.
>I��� NO(
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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 SOB for such additional services in
accordance with SOB'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
SOB 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 SOB 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. SOB shall compensate Contractor for the performance of the Services in accordance with
the the schedule set forth in Exhibit A. Prior to commencement of Services at any Property or Properties,Contractor
shall first provide SOB with a written estimate which shall include an estimate of the labor,materials without any
markup Ond any additional costs necessary to perform the Services at a particular Property or Properties. Each
estima must be approved by SOB's Representative prior to commencement of the Services by Contractor and all
rates sh be in accordance with the fee schedule set forth in Exhibit A. Total compensation for all Services under .
this A ent shall not exceed$2,000,with a max of$35.00 per hour and no mark up on materials. Contractor
shall n 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 SOB.
a. Payment will be made for Services satisfactorily performed within thirty(30)days of receipt of a
proper and accurate invoice from Contractor. All invoices shall include detail regarding the hours spent,tasks
perforated,who performed each task and such other detail as SOB may request
b. If at any time during the term or after termination or expiration of this Agreement,SOB
reasonably determines that any payment made by SOB 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 SOB,Contractor shall forthwith return such payment(s)to SOB.
Upon t oration or expiration of this Agreement,unexpended funds advanced by SOB,if any,shall forthwith be
returneltto SOB.
c. SOB 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 SOB 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 SOB's prior written consent,which maybe
withheld in SOB's sole discretion. SOB 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 SOB has an
objection,in its reasonable discretion,shall be assigned to the Project. Contractor shall require each subcontractor,
as approved by SOB 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 SOB.SOB shall have the right(but not the obligation)to
enforce the provisions of this Agreement against any subcontractor hired by Contractor and Contractor shall
coopertate in such process.The Contractor shall be responsible for the acts and omissions of its agents,employees
and subcontractors.
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SNROB On-Call Services Final 5114
7. Insurance. Contractor agrees to provide and maintain at Contractor's sole cost and expense,the following
insurance coverage with limits of liability not less than those stated below:
a. Types of Insurance.
i. Workers'Compensation insurance as required bylaw.
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ii. Auto coverage with limits of liability not less than$1,000,000 each accident combined
bodily injury and property damage liability insurance,including coverage for owned,hired,and non-owned
vehicles.
iii. Commercial General Liability coverage to include premises and operations,
personal/advertising injury,products/completed operations,broad form property damage with limits of liability not
less than$1,000,000 per occurrence and$1,000,000 aggregate limits.
b. Other Requirements.
i. The automobile and commercial general liability coverage shall be endorsed to include
SOB,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 famish to SOB 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 SOB 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 SOB,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 moneys paid pursuant to this Agreement.
8. Indemnification. The Contractor shall indemnify and hold harmless SOB,and any of its officers,agents
and employees against any losses,claims,damages or liabilities for which SOB may become subject to insofar as
any such losses,claims,damages or liabilities arise out oi;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 SOB for reasonable attorney fees and costs,legal and other expenses incurred by SOB 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 SOB to the extent that SOB 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
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SNROB on-CaU Services Final 5n4
9. I 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 SOB and are to be delivered
to SOB before final payment is made to Contractor or upon earlier termination of this Agreement.
10. Notice. Any notice required by this Agreement shall be deemed properly delivered when(i)personally
• deliver ,or(ii)when mailed in the United States mail,first class postage prepaid,or(iii)when delivered by FedEx
or other omparable courier service,charges prepaid,to the parties at their respective addresses listed below,or(iv)
when t 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 w4tten notice of such change to the other party.
SOB:
Attention:Jill Klosterman
500 Broadway
Post Once Box 850
Eagle,¢O 81631
Telephone:970-328-8773
Facsimile:970-328-8787
E-mail:jfilklosterman@eaglecountyus
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With a C,opy to:
Eagle County Attorney
500 Broadway
Post OEflce Box 850
Eagle,Co 81631
Telephone:970-328-8685 .
Facsimile: 970-328-8699
E-mail atty@eaglecounty.us
CONTACTOR
Rich fimagel Painting
Attn: 'ch Hufnagel '
PO Bo 4199
Eagle, 0 81631
Telephone:970-328-6872
11. Termination. SOB 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 SOB with all documents as defined in
paragraph 9 hereof in such format as SOB shall direct and shall return all SOB owned materials and documents.
SOB 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 DistrictCourt 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
goverited.by the laws of the State of Colorado.
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SNROB On-Call Services Final 5/14
.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 folly 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.24-713401 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 or Properties,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 he 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 SOB written notice of all conflicts,errors,or
discrepancies.
e. Contractor shall be responsible for the completeness and accuracy of the Services and shall
correct,at its sole expense,all significant errors and omissions in performance of the Services. The fact that the
SOB 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.
£ Contractor agrees to work in an expeditious manner,within the sound exercise of its judgment and
professional standards,in the performance of this Agreement. Time is of the essence with respect to this
Agreement.
g. This Agreement constitutes an agreement for performance of the Services by Contractor as an •
• independent contractor and not as an employee of SOB. 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 SOB and Contractor except that of independent contractor.Contractor shall have no authority to bind SOB.
h. Contractor represents and warrants that at all times in the performance of the Services,Contractor
shall comply with any and all applicable laws,codes,rules and regulations.
i. This Agreement contains the entire agreement between the parties with respect to the subject
matter hereof and supersedes all other agreements or understanding between the parties with respect thereto.
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SNROB On-Call Services Final 5/14
j. Contractor shall not assign any portion of this Agreement without the prior written consent of the
SOB. 4ny attempt to assign this Agreement without such consent shall be void.
k. This Agreement shall be binding upon and shall inure to the benefit of the parties hereto and their
respecti''e permitted assigns and successors in interest.Enforcement of this Agreement and all rights and obligations
hereunder are reserved solely for the parties,and not to any third party.
1. No failure or delay by either party in the exercise of any right hereunder shall constitute a waiver
thereof No waiver of any breach shall be deemed a waiver of any preceding or succeeding breach.
m. The invalidity,illegality or unenforceability of any provision of this Agreement shall not affect the
validity or enforceability of any other provision hereof
n. The signatories to this Agreement aver to their knowledge,no employee of SOB 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.
o. 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.RS.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
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 sertices knowingly employs or contracts with an undocumented individual,Contractor shall be required to:
i. Notify the subcontractor and SOB 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.
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SNROB On-Call Services Final 5/14
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c. If Contractor violates these prohibitions, SOB 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 SOB.
d. SOB may notify the Colorado Secretary of State if Contractor violates this provision of this
Agreement and SOB terminates the Agreement for such breach.
IN WITNESS WHEREOF,the parties have executed this Agreement the day and year first set forth above.
Seniors on Broadway LP
' By Seniors on Broadway LLC,its general partner
By Golden Eagle Elderly Housing Corporation,its sole
member
By:
i 1 Klos a ,Executive Director
CO IV0 •
By Ilk i '.111.‘‘.∎
Print Name: 1 d OfA A9EL
• Title: (S ) 112.,
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SNROB On-Call Services Final S/14
EXHIBIT A •
Fee Schedule
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SNROB On-Call Services Final S/14
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PROPOSAL Page# of page;
Proposal Submitted To: S Job Name Job#
SAN WOKS CA) !3 R.op DW�4� .
Address Job Location
Date I -- 12. 1 Date of Plans
Phone# Fax# Architect
I
We reby submit specifications and estimates for
00 1-.363012 C' M - PER 14 0012.
IV rfrlPtl2i( , P oN n&15t`CEJALS
RICH HUFNAGEL PAINTING
OVER 30 YEARS EXPERIENCE
1.'" INTERIOR AND EXTERIOR
: )14 _
, r ` a PO BOX 4199
EAGLE,CO 81631
970-328-6872
We propose hereby to furnish material and labor—complete In accordance with the above specifications for the sum of:
$ 3 5.00 ?EQ. Lt O we . NO X14 2ECU P o N) 11141-E-12($L-S Dollars
with payments to be made as follows:
Any alteration or deviation from above epedlealom involving extra oasts Will be Respectfully I
executed only upon written order,and volt become an ears charge over and .
above the estimate.All agreements contingent upon strikes.accidents,or delays submitted
beyopd our control. Note—this proposal may be withdrawn by us If not accepted within days.
Acceptance of Proposal
The above prices,specifications and conditions are satisfactory and ere Signature
hereby accepted.You are authorized to do the work as specified.
Payments nil be made as outlined above. x'
Date of Acceptance Signature
l
FORM 3850
EXHIBIT B
INSURANCE CERTIFICATES
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SNROB On-Call Services Final 5/14
01-26-15;05:03PMf;From: To:3288898 ;9703284956 # 3/ 3
1 •
ACCCPRO VEHICLE OR EQUIPMENT CERTIFICATE OF INSURANCE I 01125/2015`' D°"""'"'
THIS CERTIFICATE 18 ISSUED AS A MATTER OF-INFORMATION ONLY MD CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TIE POLICIES
FDELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING iNSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
This four is used to report coverages provided timing*single spec tic vehicle or equipment Do not use this form is Deport Iiebillpt coverage
provided to multiple vehicle*under a single policy.the ACORD 25 for that purpose.
' PRODUCER CHARLOTTE • _
StateFarm COMERFORD INSURANCE AGENCY INC 970 328.4000 "...M AL e h 49,
446• EAGLE,BOO„4 831 Mfg R CHARLOTTE®WILLCOMERFORD.COM
eISURERb7 AFFORDING COVERAGE NAIL t
INSUMO palm SRA:State Fan Mutual Automobie Insurance Company 25178
HUFNAGEL,RiCHARD A A ELIZABETH A INSURER B 2
P O BOX 4199
INSURER c:
EAGLE,CO 81831 INIRM®t o:
DESCRIPTION OF VEHICLE OR EQUIPMENT _
YEAR RAKE/MANUFACTURER Mona eom-TYPE VFa1ICI.EIDENiIFICATIQNNUVISgR
2002 TOYOTA TACOMA .PiCKUP . STEWN72NX2Zi22705
DESCRIPTION
SERIAL NUMBER
COVERAGES CERTIFICATE NUMBED REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POUCY(1ES)OF INSURANCE UST'S)BELOW HASIHAVE BEEN ISSUED TO THE INSURED NAPAED ABOVE FOR THE POLICY
PERIOD(S)INDICATED,NOTWRHSTANDING ANY REOUIRENENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE[MED oR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POUCYp6S)DESCRIBED HEREIN MARE SUBJECT TO
AU.THE TERMS,EXCWSIONSANO COEDITORS OF SUCH POLICY(IES).
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N= S, POLICY MOTIVE POLICYENPIRMROR TYPE IOLCYNUNR ATMWDORYYY) DATERNAD VYY) LENTS
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VEFICLELIABUITY C SINGLE LIMIT s
BODI
A 6360101-E03-06 11/03/2014 0510312015 'Y INAARr(P.rp°nen) 8 100,000
somy sway marapddaQ s 300.00
PROPERTY DAMAGE $50.000
GENERAL uananY EACH OCCURENCE S
OCCURRENCE
CLAIMS MADE 6B�RALAtr'CREGAIE S
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LTA PAYEE TYPE OP INSURANCE POLICY DAT accrYyB PATipsupoA710N
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REMARKSUNCMOM MEMAL COInJYONSJ OTHE RCOVP,RAGSBIManACORD1m,ReaMlm*RamubascDWnb,If MewRUMIsinMNO)
ADDITIONAL INTEREST CANCELLATION
Select env of thefolloWIngT SHOULD ANY OF THE ABOVE DESCRIBED PouciEs BE CANCELLED
The Weldon!Interim de ae bolo,DU boon eddadm do polryga)Rod heroin By peat'momw(s>, BEFORE TNS EXPIRATION DATE THEREOF.NOTICE WILL BE
A1o�yprhe.zverd toeomwo.5 goad Wass le.albedNew/10U polq(Iu) DELIVERS;)IN ACCORDANCE WIRH THE POUCYPROVIE IOIES.
Ikl.d haeln OYD.FOr tUOfl
yeast teuummarrINYea1= I Li. en I I MARCO DESORIri0NOPME ANIMAL INTEREST
NAME AND ADDRESS Ot°AODRIDe1ALINTEItEST 1ADDNIONALMUM LOSS PAYEE
SENIORS 014 BROADWAY,LP LENDERS LOSS PAYEE
750 BROADWAY Lam awe pbRaBPIt
PO BOX 850_
EAGLE CO CO 81631 � •c Wit_., rnre /� �'
,..'V_.
019972010 ACO-. •ORPO ION.All rights reserved.
ACORD 23(2010/05) The ACORD name and logo are registered marks of ACORD
1004381 142987.2 01-2B-2013
/�1
RICHHUF-01 PATTY
A Rte- CERTIFICATE OF LIABILITY INSURANCE DA1/27/20MI 015""'
THIS CERTIFICA IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DO NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE.COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS C T(FICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE R PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If a certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and con itions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer fights to the
certificate holder ill lieu of such endorsement(s).
PRODUCER gave Patty Jackson-Hood/Hood Ins Agency
Hood Insurance Agency ' 0. f;(970 )308.4303 l ai "
AiC,,Nor-
850 Chambers Ave Stb 5 (I
Eagle,CO 81631 ADDRESS:
INSURERS)AFFORDING COVERAGE • NAIC S
INBURERA:Security National Insurance Co
INSURED INSURERS:
Rich Huiagel Painting INSURER C:
PO Box 199 NSURERO:
Eagle,C 81631 RISURERE:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTI THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTW HSTANDNG ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY E ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS,
EXCLUSIONS AND NDmONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IB$R ADDL SUBR POLICYEFF ' POLICY EXP
LTR TYPE OF SURANCE H MI
BO WVD POLICY NUMBER (MDDIYYYY) IMMIODIYYWN
A X COMMERCIAL ERALLL BLITY EACH OCCURRENCE S 1,000,001)
I CLAIMS-MADE
OCCUR NA108307400 05/2112014 05/2112015 P g°( , ,T ga of $ 100,000
■
MED EXP(My one person) S 5,000
I PERSONAL& DV INJURY S
GEHLAGGREGATE 4dIT APPLIES PER GENERAL AGGREGATE S 2,000,000
POLICY❑ T ❑LOC PRODUCTS-COMPIOP AGO S
OTHER: ! $
AUTOMOBILE LIABILITY (COOLUMNED SINGLE LIMIT s
Ea accident)
ANY AUTO BODILY INJURY(Per poison) S
ALL OWNED SCHEDULED BODILY INJURY(Per amide:) S
AUTOS AUTOS
HIRED AUTOS _�O (Per accident) $
S
UMBRELLA WAS H OCCUR EACH OCCURRENCE S _
EXCESS LIAB CLAIMS-MADE AGGREGATE S
DEO I I REtENTION$ $
WORKERS COMP 1 ENSETIDN I TEAT ATE I 124"-
AND EMPLOYERS' LITY
ANY PROPRIETORIP NERIEXECLMVE YD N/A EL.EACH ACCIDENT $
OFFICER/MEMBER WED?
(fMyannd,atory In NH) EL DISEASE-EA EMPLOYEE S
�latdRIPTIONOFOF RATWNSbsbw
EL DISEASE-POLICY LILIlI S
DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101.Additional Remarks SdNdule,may be attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,Seniors on Broadway,LP ACCORDANCE WITH THE POLICY PROVISIONS.
WN L BE DELIVERED IN
750 Broadway
PO Bo*850
Eagle,CO 81631 AUTHORIZED REPRESENTATIVE
I
®1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID:RICHHEIF-01 PATTY
LOC 8:
ACORD. ADDITIONAL REMARKS SCHEDULE
Page 1 of 1
AGENCY NAMED mum
Hood Insurance Agency Rich Hufnagel Painting
PO Box 4188 •
POLICY NUMBER Eagle,CO 81631
SEE PAGE 1
CARRIER NAIL CODE
SEE PAGE 1 SEEP 1 EFFECTIVE DATE:SEE PAGE
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
Remarks:
Additional Insured
Seniors on Broadway,LP Is listed as additional insured as it pertains to the General Liability.
•
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ACORD 101(2008101) 2008 ACORD CORPORATION. All rights reserved.
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