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LC17-007 RA Nelson
AGREEMENT BETWEEN LAKE CREEK VILLAGE LLC AND RA NELSON LLC FOR PROCUREMENT OF MATERIALS THIS AGREEMENT ("Agreement") is effective as of _07/18/2017 __ by and between RA Nelson LLC., a limited liability company (hereinafter "Contractor") and Lake Creek Village LLC, a Colorado limited liability company (hereinafter "LCV"). Contractor and LCV shall collectively be referred to herein as the "Parties." RECITALS WHEREAS, LCV is the owner of the 34 buildings known as Lake Creek Village Apartments, located at 4923 Lake Creek Village Drive, Edwards, CO 81632 (the "Property"); WHEREAS, LCV intends to complete a construction project for the renovation of the Property including the replacement of siding, insulation and windows (the "Project"); and WHEREAS, the Project will be funded by a loan issued by Wells Fargo and insured by the United States Department of Housing and Urban Development ("HUD")(the loan issued by Wells Fargo will hereinafter be referred to as the "HUD Insured Load'); and WHEREAS, Contractor has been selected to provide construction services for the Project, subject to closing of the HUD insured construction loan and full execution by the Parties of the HUD -92442M Construction Contract (the "Construction Contract") ; and WHEREAS, certain necessary materials for the Project will take approximately 6 weeks for delivery after ordered and to expedite the timing for the Project, the Parties wish to authorize Contractor to immediately order the necessary materials for renovation of 8 of the 34 buildings after issuance of a Firm Commitment by HUD, but before the Contract is fully executed at closing of the HUD Insured Loan; and WHEREAS, the Parties wish for the terms of this Agreement to expire and be incorporated into the Construction Contract at the time the Construction Contract is fully executed at closing of the HUD Insured Loan; 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 materials as set forth below in paragraph 1 hereof; and WHEREAS, this Agreement shall govern the relationship between Contractor and LCV in connection with the procurement of materials prior to execution of the Construction Contract. AGREEMENT NOW, THEREFORE, in consideration of the foregoing and the following promises Contractor and LCV agree as follows: Services or Work. Contractor agrees to procure the materials necessary for the Project described in Exhibit A, which is attached hereto and incorporated herein by reference ("Materials"). LC17-007 a. Contractor agrees to procure the Materials no later than September 8, 2017. The Parties acknowledge that LCV is a tax exempt entity and Contractor agrees to purchase the Materials using the LCV tax exemption number, where authorized by law. LCV shall provide Contractor with a copy the Colorado exemption certificate upon request. 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. LCV shall have the right, through its Representative or the Architect for the Project, to inspect all Materials. Inspection and acceptance shall not be unreasonably delayed or refused. In the event LCV does not accept the Materials due to non-compliance with the plans and specifications dated July 10, 2017, then Contractor shall upon LCV's request and at no charge to LCV: take the Materials back; ii, exchange the Materials; or iii, repair the Materials. 2. LCV's. Re esentative. LCV's Project Manager, Rick Ullom, shall be Contractor's contact with respect to this Agreement. 3. Term of the Agreement. This Agreement shall commence upon the date first written above, and subject to the provisions of paragraph 1 1 hereof, shall continue in full force and effect through the date the Construction Contract is fully executed by the Parties. This Agreement shall automatically terminate upon the full execution of the Construction Contract by the Parties. 4. Extension or Modification. Any amendments or modifications shall be in writing signed by both parties. No additional services or work performed by Contractor shall be the basis for additional compensation unless and until Contractor has obtained written authorization and acknowledgement by LCV for such additional services in accordance with LCV'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 LCV 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 LCV for such additional services isnot 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. LCV shall compensate Contractor for the Materials and associated fees in a sum computed as set forth in Exhibit A The cost of Materials and associated procurement fees under this Agreement shall not exceed $354,087.00. a. The Parties agree that Contractor shall bill LCV under the terms of the Construction Contract, but that if the Construction Contract is not fully executed by the Parties by September 8, 2017, that Contractor shall bill LCV for Materials accepted under the terms of this Agreement within thirty (30) days of receipt of a proper and accurate invoice from Contractor. b. If, at any time during the term or after termination or expiration of this Agreement, LCV reasonably determines that any payment made by LCV to Contractor was improper because the Materials for which 2 LCV Procurement and Installation Final 5/14 payment was made were not provided as set forth in this Agreement, then upon written notice of such determination and request for reimbursement from LCV, Contractor shall forthwith return such payment(s) to LCV. C. LCV 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 LCV 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 LCV's prior written consent, which may be withheld in LCV's sole discretion. LCV 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 LCV has an objection, in its reasonable discretion, shall be assigned to the Project. Contractor shall require each subcontractor, as approved by LCV 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 LCV. LCV shall have the right (but not the obligation) to enforce the provisions of this Agreement against any subcontractor hired by Contractor and Contractor shall cooperate in such process. The Contractor shall be responsible for the acts and omissions of its agents, employees and subcontractors. 7. Insurance. Contractor agrees to provide and maintain at Contractor's sole cost and expense, the following insurance coverage with limits of liability not less than those stated below: a. Types of Insurance. Workers' Compensation insurance as required by law. ii. Auto coverage with limits of liability not less than $1,000,000 each accident combined bodily injury and property damage liability insurance, including coverage for owned, hired, and non -owned vehicles. iii. Commercial General Liability coverage to include premises and operations, persona I/ad vert i s ing injury, prod uctslcompleted 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 LCV, its associated or affiliated entities, its successors and assigns, elected officials, employees, agents and volunteers as additional insureds. A certificate of insurance consistent with the foregoing requirements is attached hereto as Exhibit B. ii. Contractor's certificates of insurance shall include subcontractors, if any as additional insureds under its policies or Contractor shall furnish to LCV separate certificates and endorsements for each subcontractor. iii. The insurance provisions of this Agreement shall survive expiration or termination hereof. 3 LCV Procurement and Installation Final 5/14 iv. The parties hereto understand and agree that LCV 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 LCV, its affiliated entities, successors or assigns, its elected officials, employees, agents and volunteers. 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 LCV, and any of its officers, agents and employees against any losses, claims, damages or liabilities for which LCV 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 LCV for reasonable attorney fees and costs, legal and other expenses incurred by LCV 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 LCV to the extent that LCV is liable to such third party for such claims without regard to the involvement of the Contractor. This paragraph shall survive expiration or termination hereof. 9. Ownership of Documents. All documents (including electronic files) and materials obtained during, purchased or prepared in the performance of the Services shall remain the property of LCV and are to be delivered to LCV before final payment is made to Contractor or upon earlier termination of this Agreement. Further, Contractor shall execute any bill of sale or other documents required by LCV to transfer title of the Materials to LCV. Contractor shall provide copies of any instruction or operations or care manuals and shall further provide copies of any manufacturers warranties associated with the Materials. 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. LCV: Attention: Jill Klosterman 500 Broadway Post Office Box 850 Eagle, CO 81631 Telephone: 970-328-8773 Facsimile: 970-328-8787 E-mail: jill.klosterman@eaglecounty.us With a copy to: Eagle County Attorney 500 Broadway Post Office Box 850 Eagle, Co 81631 Telephone: 970-328-8685 4 LCV Procurement and Installation Final 5/14 Facsimile: 970-328-8699 E-mail: atty @eaglecounty.us CONTRACTOR: RA Nelson LLC: Attn: Travis Bossow 5 t Eagle Road #2 P.O. Drawer 5400 Avon, CO 81620 Telephone: 970-949-515 2 Facsimile: 970-949-4379 E-mail: travisb@ranelson.corn t t. Termination. This Agreement shall terminate automatically upon full execution of the Construction Contract by the Parties. Notwithstanding the foregoing, if the Construction Contract is not fully executed by the Parties on or before September 30, 2017, LCV 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, LCV shall pay Contractor for Materials accepted 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-tO1 to 1.21. 14. Other Contract Requirements and Contractor Representations. a. Contractor has familiarized itself with the intended purpose and use of the Materials, nature and extent of the Services to be provided hereunder and the Property, and with all local conditions, federal, state and local laws, ordinances, rules and regulations that in any manner affect cost, progress, or performance of the Services. b. Contractor will make, or cause to be made, examinations, investigations, and tests as 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 LCV written notice of all conflicts, errors, or discrepancies. 5 LCV Procurement and Installation Final 5/14 C. Contractor shall be responsible for completeness and accuracy of the Services and shall correct, at its sole expense, all significant errors and omissions in performance of the Services. The fact that the LCV has accepted or approved the Materials and/or Services shall not relieve Contractor of any of its responsibilities. Contractor shall perform the Services in a skillful, professional and competent manner and in accordance with the standard of care, skill and diligence applicable to contractors performing similar services. Contractor represents and warrants that it has the expertise and personnel necessary to properly perform the Services and shall comply with the highest standards of customer service to the public. Contractor shall provide appropriate supervision to its employees to ensure the Services are performed in accordance with this Agreement. This paragraph will survive termination of this Agreement. Contractor hereby represents and warrants that the Materials will be new and will perform the Services in a good and workmanlike manner and guarantees all Work against defects in materials or workmanship for a period of one (1 ) year from the date the Work is accepted by LCV, or such longer period as may be provided by the law or as otherwise agreed to by the parties. g. All guarantees and warranties of Materials furnished to Contractor or any subcontractor by any manufacturer or supplier are for the benefit of LCV. If any manufacturer or supplier of any Materials furnishes a guarantee or warrantee for a period longer than one (1) year, then Contractor's guarantee or warrantee shall extend for a like period as to such Materials. h. Contractor warrants that title to all Work and Materials shall pass to LCV either by incorporation into the Property or upon receipt by Contractor of payment from LCV (whichever occurs first) free and clear of all liens, claims, security interests or encumbrances. Contractor further warrants that Contractor (or any other person performing Work) purchased all Materials free and clear of all liens, claims, security interests or encumbrances. Notwithstanding the foregoing, Contractor assumes all risk of loss with respect to the Materials until the Materials is installed and LCV has inspected and approved the same. i. Within a reasonable time after receipt of written notice, Contractor shall correct at its own expense, without cost to LCV, and without interruption to LCV: Any defects in materials or workmanship which existed prior to or during the period of any guarantee or warranty provided in this Agreement; and ii. Any damage to any other Work or property caused by such defects or the repairing of such defects. j. Guarantees and warranties shall not be construed to modify or limit any rights or actions LCV may otherwise have against Contractor in law or in equity. k. Contractor agrees to work in an expeditious manner, within the sound exercise of its judgment and professional standards, in the performance of this Agreement. Time is of the essence with respect to this Agreement. 1. This Agreement constitutes an agreement for performance of the Services by Contractor as an independent contractor and not as an employee of LCV. 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 LCV and Contractor except that of independent contractor. Contractor shall have no authority to bind LCV. 6 LCV Procurement and Installation Final 5/14 M. Contractor represents and warrants that at all times in the performance of the Services, Contractor shall comply with any and all applicable laws, codes, rules and regulations. n. This Agreement contains the entire agreement between the parties with respect to the subject matter hereof and supersedes all other agreements or understanding between the parties with respect thereto. o. Contractor shall not assign any portion of this Agreement without the prior written consent of the LCV. Any attempt to assign this Agreement without such consent shall be void. p. This Agreement shall be binding upon and shall inure to the benefit of the parties hereto and their respective permitted assigns and successors in interest. Enforcement of this Agreement and all rights and obligations hereunder are reserved solely for the parties, and not to any third party. q. No failure or delay by either party in the exercise of any right hereunder shall constitute a waiver thereof. No waiver of any breach shall be deemed a waiver of any preceding or succeeding breach. r. The invalidity, illegality or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provision hereof. S. The signatories to this Agreement aver to their knowledge, no employee of LCV has any personal or beneficial interest whatsoever in the Services or Property described in this Agreement. The Contractor has no beneficial interest, direct or indirect, that would conflict in any manner or degree with the performance of the Services and Contractor shall not employ any person having such known interests. t. The Contractor, if a natural person eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that he or she (i) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (ii) to the extent applicable shall comply with C.RS. 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 CRS. 5-17.5401, et. seq. If Contractor has any employees or subcontractors, Contractor shall not: Knowingly employ or contract with an undocumented individual to perform Services under this Agreement; or ii. Enter into a subcontract that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an undocumented individual to perform work under the contract for services. b. If Contractor obtains actual knowledge that a subcontractor performing work under the contract for services knowingly employs or contracts with an undocumented individual, Contractor shall be required to: Notify the subcontractor and LCV within three (3) days that Contractor has actual knowledge that the subcontractor is employing or contracting with an undocumented individual; and 7 LCV Procurement and Installation Final 5/14 ii. Terminate the subcontract with the subcontractor if within three (3) days of receiving the notice required pursuant to subparagraph (i) of the paragraph t4(b) the subcontractor does not stop employing or contracting with the undocumented individual; except that Contractor shall not terminate the contract with the subcontractor if during such three (3) days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an undocumented individual. C. If Contractor violates these prohibitions, LCV 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 LCV. d. LCV may notify the Colorado Secretary of State if Contractor violates this provision of this Agreement and LCV terminates the Agreement for such breach. [Rest of page intentionally left Blank] 8 LCV Procurement and last allation Final 5114 IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth above. Attest: By: Regina O'Brien, Clerk Lake Creek Village LLC By and through Eagle County Housing and Development Authority, its sole member By: Jillian H. Ryan, Chair CONTRACTOR: RA NELSON LLC D�� Print Name: Mike Cuthbertson MM Vice President 9 LCV Procurement and Installation Final 5/14 SCOPE OF SERVICES, MATERIALS, SCHEDULE, FEES 10 LCV Procurement and last allation Final 5114 " Standard Estimate Report Page I l BUILDING MMU- rTAIN COMMUNITIES LCV Re -skin Procurement 612912017" 2:90 PM Item Description 009-0000 GENERAL REQUIREMENTS 041-3000 Admin. Requirements 3900 Project Manager 3200 Project Superintendent - Oscar Lozano 3200 Project Superintendent - Matt Johanningmeier Admin. Requirements GENERAL REQUIREMENTS 006-0000 WOODS 006-1000 Framing Materials 1100 Hardi Siding & Trim - Materials 1100 Ox SIS - Materials Framing Materials WOODS 008-0000 DOORS AND WINDOWS 008-5000 Windows 5100 Window & Patio Door Supply Windows DOORS AND WINDOWS Takeoff Qty Unit Cost Amount 172.00 HRS 69.34 1HRS 11,926 44.00 H RS 63.95 /HRS 2,814 44.00 HRS 71.00 /HRS 3,124 17,864 17,864 1.00 LS 118,306.00 ILS 118,306 1.00 LS 39.833.00 ILS 39,833 158,139 158,139 1.00 LS 154,505,00 ILS 154,505 154,505 154,505 PAO, BUILDING MOUNTAIN COMMUNITIES .lune 29, 2017 Lake Creek Village Apartments Exterior Renovation Procurement 101.*163:11;W4QI Direct Cost of Work SUBTOTAL General Liability Insurance SUBTOTAL 2.00% Builder's Overhead 4.00% Builder's Fee Performance & Payment Band Maintenance Bond Cast Estimate Summary NUMBER OF BLE COST PER BLDG ESTIMATED CONSTRUCTION COST Procurement of Hardi Siding / Trim, OX SIS & Windows / Doors for 8 buildings: Zone 3: 17A, 188,190, 20B Zone 4:136, 14C, 1513, 16B TOTAL $330,508 $330,508 $ 3,536 $334,044 $ 6,681 $ 13,362 $354,087 $354,087 EX-IIBIT B INSURANCE CERTIFICATES 11 LCV Procurement and last allation Final 5114 ,a CCW"® CERTIFICATE OF LIABILITY INSURANCE DATE {Ml�u DDrrvvvl CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 1 7/12/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cert--ificate does not confer rig hts to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Cottingham & Butler PHONE 563-587-5000563-587-5000FAX 563 583-7339 Trace Stegman ADDRESS: 800 Main St. Dubuque IA 52001 INSURER[$] AFFORMG COVERAGE MAIC 0 PR EMI ETO RENTED $30D 000 INSURER A: United Specialty Insurance Company 12537 INSURER a -Arch Insurance Company 11150 INSURED RANLLCI RA Nelson LLC IN$URERC:The Charter Oak Fire Insurance Company 25615 PHQ Property Services, LLC P.O. Box 5400 INSURER D: Avon CO 81620 INSURER E: INSURER F: COVFRAAFS f_FRTIFIrATF NIIMRFR- 1378899455 RFVISIr7N NIIMRFR- 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. INS R DDL-SUBR POLICY EFFY EXP LTR TYPE OFI,NSIIRANCE N D WVD POLICY NUMBER WDDI MMIDDIYY LMATs B X CWMERCIALGENERALLIABILITY ZAPKG660,4100 11/112D16 11/1/2017 EACH OCC URRENCE $1,000,00D CLAIMS -MADE FX OCCUR PR EMI ETO RENTED $30D 000 MED EXP (Anyone ) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GE NTAGGREGATE LIMIT APPLIES PER POLICY X JE x RLDC PRODUCTS - COMPIOP AGG $2,000,000 Employee Benefits $$2MW$1 MM OTHER. B AUTOMOBILELUIBILITY B X ANY AUTO ZACAT660,4100 ZAPKG66641 DD 11/1/2016 11/1/2016 11/1/2017 11/1/2017 COM BIN E❑ 8 ING LE LIMIT Ea accident $1,000,000 BODILY INJURY [Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS 00DILY INJURY [Per accident] $ AUTOS ONLY AUTOS ONLY HIRED NON-OWNEDPROPERTY DAMA E $ Per acddent LUBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCES$ UAB CLAIMS -MADE DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LULBILrrY ANY PROPRIETORIPARTNERIEXECUTIVE Y" ZAWCI6604100 11/1/2016 1111!2017 X I PTER A TE GER E.L. EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE$1,000,000 (Mandatary In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $1,000,DDD A Residental General Liability C Property aine BTO1638973 QT -66D 3F7D5457-COF-16 1111=16 1111=16 11/1/2017 11/1 /201 7 OcclAgg $1MMI$2MM Scheduled ipaD ODD DESCRIPTION OF OPERATIONS 1 LOCATIONIS I VEHICLES {ACORD 101, Additional Rema rks5chad ule, may beaIliac hed II more space Is required} Lake Creek Village Apartments, its associated or affiliated entities. its successors and assigns, elected officials, employees, agents, and volunteers are additional insured on the General Liability and Auto Liability policies subject to all terms and conditions of the policy forms. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Lake Creek Village Apartments THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 4923 Lake Creek Village Drive ACCORDANCE WITH THE POLICY PROVISIONS. Edwards CO 81631 AUTHORED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016,'03) The ACORD name and logo are registered marks of ACORD