HomeMy WebLinkAboutbocc.con.125.2012COUNTY CLERK' S
CONTRACT COVERSHEET
CONTRACT #: 1 ZS ` ��' � �
ORIGINATING DEPARTMENT: County Clerk and Recorder
PROCUREMENT OFFICER: Dwight Shellman, Elections Manager
Rev. 08-30-11 jls
PHONE #: -4292709
PROJECT NAME: Election "Voterinfo" Educaiton Outreach - 2012
CONTRACTOR: Aspen Marketing Partners, Inc. P.O. Box 65, Aspen CO 81612
DOLLAR AMOUNT: 25 783.00 LINE ITEM # 001-09-00000-82000
CONTRACT EXECUTION DATE: 5/1/2012 CONTRACT END DATE: 12/31/2012
AUTOMATIC RENEWAL: ❑ YES � NO TERM:
❑ BOCC AGENDA ITEM (Grants, IGA) � STAFF AUTHORIZED SIGNATURE
(Requires BOCC Signature) (Per Revised Procurement Code 7/2005)
❑ OVER $50,000 (Requires Section Leader & County Manager's Signature)
✓ CHECK PROCUREMENT TYPE:
❑ None � Informal ❑ Formal ❑ Sole Source ❑ Emergency ❑ Outside Agency/State Bid
❑ Compliance with C.R.S. 8-17-5-101, 102 as amended (Immigration Form) ❑ Exempt
❑ Contract Renewal
✓ CHECK CONTRACT TYPE:
� Services/Maintenance
❑ License/Use
❑ Lease
❑ Construction
❑ Goods, Equipment, Supplies
❑ Other (e.g. revenue)
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❑ Employment
❑ Intergovernmental Agreement (Resolution Required)
❑ Non-Profit
❑ Quasi-Public (e.g.-AVH)
❑ Grant Agreernents (Notify Finance & Resolution Required)
❑ Change Order/Contract Amendment �
(C/O: 10% or $25K whichever is the lesser must have County Manager signature)
All Contracts should be proofed and all e�ibits and notices must be attached for the following:
✓❑ No Pages Missing ✓� All Other Blanks Filled In
✓❑ If Page Left Intentionally Blank Note on Page ✓� All E�ibits Attached
✓❑ Page numbered consecutively ✓� All Legal Descriptions attached ('fapplicable)
✓❑ All Original Signatures Affixed ✓� Notice of Award/Notice to Proceed Attached ('rf applicable
✓❑ All Dates Filled In ✓[] Warranty (if applicable)
✓❑ Special Instructions for Finance Department: ,/ L��
✓❑ Authorized Procurement Officer's Name: ,�,.. k Vas �Lo��� ��
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BY CHECKING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF PERSON INDICATES THAT
THE ATTACHED DOCUMENT HAS BEEN PROOFED AND READY FOR SCANNING.
NOTE: CLERK'S OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE
ARCHNES RETAINAGE SCHEDULE. ALL ATTACHMENTS MUST BE WITH THIS CHECKLIST!
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CONTRACT FOR PROVISION OF SERVICES
ELECTION "VOTERINFO" EDUCATION OUTREACH - 2012
THIS CONTRACT is made and entered by and between the Pitkin County Board of County
Commissioners ("County") and Aspen Marketing Partners, Inc., P.O. Box 65, Aspen, CO 81612
(hereinafter "Contractor").
1. Term. The term of this contract is from May 21, 2012 to December 31, 2012.
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2. Contractor's Obli atg, ions. Contractor shall provide the following services / Scope of Work as
described below and timeline as defined in Attachment A& B:
I. Media Management Services
a. Development of inedia schedule
b. Negotiation with local media
c. Placement of all media •
d. Management of deadlines
e. Main contact for all media
f. Writing and production of radio spots
g. Management of the approval process
h. Billing review
i. Screening and hiring of any outside vendors
j. Evaluation of alternative strategies as necessary
k. All travel and meeting time
II. Design and Production Services
a. Copy editing
b. Management of the approval process
c. Screening and hiring of any outside vendors
d. Management of printing and production
e. Identity and branding development
£ Newspaper ad template — third page
g. Newspaper ad template — full page
h. Copy layout — 8 ads
i. Resizing for additional paper — 8 ads
j. Design and layout primary notice of election — 2 pages
k. Design and layout notice of general election — 4 pages
l. Design and layout TABOR Notice —12 pages
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m. Design Web ads — 2
n. Design xfinity.com ad — 1
o. All travel and meeting time
Rev. 8.31.11 jaa/js
3. Com�ensation and Ex�penses Invoicin� Pavment and Offset. The County shall compensate
Contractor for its services in accordance with the Project Budget and Schedule set out in Paragraph 2.
It is expressly understood and agreed that in no event will the total compensation and reimbursement
to be paid hereunder exceed the sum of $25,783 as outline in Attachment C for all services
rendered. Design and Production pavment of $2 000 is due upon si�nin� of contract and Media and
Management pavment of $1 000 is due upon signing� of contract. By contract or amendment, the
County and Contractor may reallocate the budget among project tasks if the total budget amount
remains unchanged. Contractor shall invoice for the project monthly based on hours worked, with
payment expected within thirty (30) days of invoice, but any payment by the County may be offset by
any amount the Contractor owes the County far any reason.
4. County's Exclusive Ownership of Work Product. Drawings, specifications, guidelines and
other documents prepared by Contractor in connection with this contract shall be the property of the
County. However, Contractor shall have the right to utilize such documents in the course of its
marketing, professional presentations, and for other business purposes. Contractor assigns to County
the copyrights to all work prepared, developed, or created pursuant to this contract, including the
right to: 1) reproduce the work; 2) prepare derivative works; 3) distribute copies to the public; 4)
perform the works publicly; and 5) to display the work publicly. Contractor shall have right to use
materials produced in the course of this contract for marketing purposes and professional
presentations, articles, speeches and other business purposes.
5. Pitkin Coun�'s Obli��ations. Pitkin County sha11 administer this contract through a County
Representative. Dwight Shellman III, Elections Manager will manage the project as the County's
Representative. In the event that Dwight Shellman III is not available, Janice Vos Caudill, County
Clerk shall assume the County Representative's duties. The services provided and products
delivered by the Contractor under this contract will be subject to review by the County's
Representatives, or a designee, for compliance with Contractor's obligations prior to final payment.
6. Termination Prior to E�iration of Contract Term. The County has the right to terminate
this contract, with or without cause, by giving written notice to the Contractor of such termination
and specifying the effective date thereof. Such notice shall be given at least ten (10) days before the
effective date of such termination. In such event all finished or unfinished documents, data, studies
and reports prepared by the Contractor pursuant to this contract shall become the County's property.
Contractor shall be entitled to receive compensation in accordance with the contract for any
satisfactory work completed pursuant to the terms of this contract prior to the date of termination.
Notwithstanding the above, Contractor shall not be relieved of liability to the County for damages
sustained by the County by virtue of any breach of the contract by the Contractor.
7. Independent Contractor Status.
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A. The parties to this contract intend that the relationship between them contemplated by
the contract is that of independent contractor. Contractor, and any agent, employee, or servant of
Contractor shall not be deemed to be an employee, agent, or servant of Pitkin County.
B. Contractor is not required to offer his services exclusively to Pitkin County under this
contract. Contractor may choose to work for other individuals or entities during the term of this
contract, provided that the basic services and deliverable products required under this contract are
submitted in the manner and on the schedule defined under this contract.
C. Contractor warrants that all work produced will conform to all applicable industry
standard of care, skill and diligence in the performance of Contractor's obligations under this
contract.
D. Contractor shall not attempt to oversee or supervise the work or actions of any Pitkin
County employee, servant or agent in the course of completing work under this contract.
E. Contractor is not entitled to any Workers' Compensation benefits through Pitkin
County and is responsible for payment of any federal, state, FICA and other income taxes.
8 Assi ng abilitv. This contract is not assignable by either party. Any use of subcontractors by
the Contractor for performance of this contract must be accepted in writing by the County.
9. Binding Arbitration. Any disputes arising out of this contract shall be subject to binding
arbitration. The parties agree that any disputes concerning the terms and conditions of this contract
shall be submitted and finally settled by arbitration. Arbitration shall be conducted pursuant to the
rules of the American Arbitration Association and shall be presided over by the Pitkin County
Hearing Officer appointed to arbitrate Pitkin County contract disputes. Costs of the arbitration shall
be awarded to the substantially prevailing party.
10. Severabilitv. In the event that any provision of this contract shall be held to be invalid or
unenforceable, the remaining provisions of this contract shall remain valid and binding upon the
parties hereto
11. Inte�ration and Modification.
A. This contract represents the entire and integrated contract between the County and the
Contractor and supersedes all prior negotiations, representations, or contract, either written or oral.
This contract may be amended only by written contract signed by both the County and the Contractor.
B. The County may, from time to time, request changes in the scope of services of the
Contractor to be performed hereunder. Such changes, including the increase or decrease in the
amount of the Contractor's compensation, which are mutually agreed upon between the County and
the Contractor, shall be in writing and upon execution shall become part of this contract.
12. Indemnitv.
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A. The Contractor agrees to indemnify, hold harmless and, not excluding the County's right
to participate, defend the County, its subsidiary, parent, associated and/or affiliated entities, successors,
or assigns, its elected officials, trustees, employees, agents, volunteers, and any jurisdiction or agency
issuing permits for any work included in the project„ hereinafter referred to as indemnitee, from all
suits and claims, inciuding attorney's fees and cost of litigation, actions, loss, damage, expense, cost or
claims of any character or any nature arising out of the work done in fulfillment of the terms of this
Contract or on account of any act, claim or amount arising or recovered under workers' compensation
law or arising out of the failure of the Contractor to conform to any statutes, ordinances, regulation, law
or court decree. It is agreed that the Contractor will be responsible for primary loss investigation,
defense and judgment costs where this contract of indemnity applies. In consideration of the award of
this contract, the Contractor agrees to waive all rights of subrogation against the County its subsidiary,
parent, associated and/or affiliated entities, successors, or assigns, its elected officials, trustees,
employees, agents, and volunteers for losses arising from the work performed by the Contractor for the
County.
B. The Contractor further shall investigate, process, respond to, adjust, provide defense for
and defend, pay or settle all claims, demands, or lawsuits related hereto at its sole expense and shall
bear all other costs and expenses related thereto, even if the claim, demand or lawsuit is groundless,
false or fraudulent.
13. Insurance. Contractor and subcontractors shall procure and maintain until all of their
obligations have been discharged, including any warranty periods under this Contract are satisfied,
insurance against claims for injury to persons or damage to property which may arise from or in
connection with the performance of the work hereunder by the Contractor, its agents, representatives,
employees or subcontractors.
The insurance requirements herein are minimum requirements for this Contract and in no way limit
the indemnity covenants contained in this Contract.
The County in no way warrants that the minimum limits contained herein are sufficient to protect the
Contractor from 1'zabilities that might arise out of the performance of the work under this Contract by
the Contractor, its agents, representatives, employees, or subcontractors. The Contractor shall assess
its own risks and if it deems appropriate and/or prudent, maintain higher limits andlor broader
coverages. The Contractor is not relieved of any liability or other obligations assumed or pursuant to
the Contract by reason of its failure to obtain or maintain insurance in sufficient amounts, duration,
or types.
A. Coverage and Limits of Insurance. Contractor shall provide coverage with limits of
liability not less than those stated below. An umbrella and/or excess liability policy may be used to
meet the minimum liability requirements provided that the coverage is written on a"following form"
basis.
1. Statutory Workers' Compensation: Colorado statutory minimums
a. Policy shall contain a waiver of subrogation against the County.
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b. This requirement shall not apply when a contractor or subcontractor
is exempt under Colorado Warkers' Compensation Act., AND when such
contractor or subcontractor executes the appropriate sole proprietor waiver form.
Minimum Limits:
Coverage A (Workers' Compensation)
Coverage B (Employers Liability)
Statutory
$ 500,000
$ SOQ,OOQ
$ 500,000
2. Commercial General Liability — ISO 1 CG 0001 form or equivalent.
' (YVith County named additional insured)
Minimum Limits:
General Aggregate $ 2,000,000
.
.
.
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Products/Compieted Operations Aggregate
Each Occurrence Limit
Personal/Advertising Injury
Fire Damage (Any One Fire)
Medical Payments (An}� One Person)
$ 2,000,000
$ 1,000,000
$ 1,000,000
$ 50,000
$ 5,000
Coverage to include:
Premises and Operations
Explosions, Collapse and Underground Hazards
Personal / Advertising Injury
Products / Completed Operations
Liability assumed under an Insured Contract (including defense costs assumed under
contract)
Independent Contractors
Designated Construction Projects(s) General Aggregate Limit, ISO CG 2503 (1997
Edition or equivalent)
Additional Insured—Owners, Lessees or Contractors Endorsement, ISO Form 2010
(2004 Edition or equivalent)
Additional Insured—Owners, Lessees or Contractors Endorsement, ISO CG 2037
(2004 Edition or equivalent)
The policy shall be endorsed to include the following additional insured language on
the Additional Insured Endorsements specified above: "County, its subsidiary, parent,
associated and/or affiliated entities, successors, or assigns, its elected officials,
trustees, employees, agents, and volunteers named as an additional insured with
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respect to liability and defense of suits arising out of the activities performed by, or on
behalf of the Contractor, including completed operations".
3. Auto Liability: Bodily injury and property damage for any owned, hired, and
non-owned vehicles used in the performance of this Contract.
Minimum Limits:
Bodily Injury/Property Damage (Each Accident) $ 1,000,000
4. Special Coverages (check as appropriate and insert amount):
❑(1) Performance Bo�d $
❑ Labor and Material $
❑ Payment Bond $
❑ (2) Professional Errors and Omissions•
❑(3) Aircraft Liability
❑(4) Owner's Protective
❑(5) Builder's Risk
❑(6) Boiler and Machinery
❑(7) Loss of Use Insurance
❑(8) Pollution Liability
❑(9) Crime, including Employee Dishonesty Coverage, or Fidelity Bond
B. Proof of Insurance:
1. Each insurance policy required by the insurance provisions of this Contract
shall provide the required coverage and shall not be suspended, voided or canceled except
after thirty (30) days prior written notice has been given to the County, except when
cancellation is for non-payment of premium, then ten (10) days prior notice may be given.
Such notice shall be sent directly to (County Representative's Name & Address). If the
insurance carrier will not provide the required notice, the Consultant/Contractor and or its
insurance broker shall notify the County of any cancellation, or reduction in coverage or
limits of any insurance within seven (7) days of receipt of insurers' notification to that effect.
Simultaneously with the Certificates of Insurance, the Contractor sha11 file with the
Procurement Officer a certified statement as to claims pending against the required coverages,
reserves established on account of such claims, defense costs expended and amounts remaining
on policy limits.
2. In addition, these Certificates of Insurance sha11 contain the foliowing clauses:
a. The contractor's insurance shall be primary and non-contributory with
any insurance or self insurance purchased by the County.
b. The insurance companies issuing the policy or policies hereunder shail
have no recourse against the County of Pitkin for payment of any premiums or for
assessments under any form of policy.
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c. Any and all deductibles or self insured retentions in the above-described
insurance policies sha11 be assumed by and be for the amount of, and at the sole expense
of the Contractor.
d. Location of operations shall be: "all operations and locations at which
work for the referenced Project is being done."
3. Certificates of Insurance for all renewal policies shall be delivered to the
County's Representative at least fifteen (15) days prior to a policy's expiration date except for
any policy expiring on the expiration date of this contract or thereafter.
4. The County reserves the right to request and receive a copy of any policy and
any policy endorsement at any time during the term of this contract.
14. Exemptio�s and Preferences. All purchases of construction or building or any other materials
for this contract shall not include Federal Excise Taxes or Colorado State or local sales or use taxes.
Pitkin County is exempt from such taxes under registration numbers 98-02624 and 84-78000-SK.
15. Records. The Contractor shall maintain comprehensive, complete and accurate books, records,
and documents concerning its performance relating to this contract for a period of three (3) years after
final payment under the contract and the County shall have the right within the three (3) year period to
inspect and audit these books, records and documents, upon demand, in a reasonable manner and at
reasonable times, for the purpose of determining, by accepted accounting and auditing standards,
compliance with all provisions of the contract and applicable law.
16. Contract Made in Colorado. The parties agree that this contract was made in accordance with
the laws of the State of Colorado and shall be so construed. Venue is agreed to be exclusively in the
courts of Pitkin County, Colorado.
17. Attorne�s Fees. In the event that legal action is necessary to enforce any of the provisions of
this contract beyond the arbitration described in Paragraph 9, the substantially prevailing parly sha11 be
entitled to its costs and reasonable attorney's fees.
18. Governmental Immunitv. Contractor agrees and understands that Pitkin County is relying on
and does not waive, by any provision of this contract, the monetary limitations or terms (presently
$150,000 per person and $600,000 per occurrence) or any other rights, immunities, and protections
provided by the Colorado Governmental Immunity Act, 24-10-101, et seq., C.R.S., as from time to
time amended, or otherwise available to Pitkin County or any of its officers, agents or employees.
Further, nothing in this contract shall be construed or interpreted to require or provide for
indemnification of the Contractor by the County for any injury to any person or any property damage
whatsoever which is caused by the negligence or other misconduct of the County or its agent ar
employees.
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19. Current Yeax Obli ations. The parties acknowledge and agree that any payments provided
for hereunder or requirements for future appropriations shall constitute only currently budgeted
expenditures of Pitkin County. Pitkin County's obligations under this contract are subject to Pitkin
County's annual right to budget and appropriate the sums necessary to provide the services set forth
herein. No provisions of the contract shall constitute a mandatory charge or requirement in any
ensuing fiscal year beyond the then current fiscal year of Pitkin County. No provision of the contract
shall be construed or interpreted as creating a multiple-fiscal year direct or indirect debt or other
financial obligation of Pitkin County within the meaning of any constitutional or statutory debt
limitation. This contract shall not directly or indirectly obligate Pitkin County to make any payments
beyond those appropriated for Pitkin County's then current fiscal year. No provisions of this
contract shall be construed to pledge or create a lien on any class or source of Pitkin County's
moneys, nor shall any provision of this contract restrict the future issuance of Pitkin County's bonds
or any obligations payable from any class or source of Pitkin County's money.
20. Notice. Any written notice required by this contract shall be deemed delivered through any of
the following: (1) hand delivery to the person at the address below; (2) delivery by facsimile with
confirmation of receipt to the fax number below; or (3) within three (3) days of being sent certified first
class mail, postage prepaid, return receipt requested addressed as follows:
A. To Pitkin County
Dwight Shellman TII
530 East Main Street
Aspen, Colorado 81611
Fax (970) 544-2026
B. To Contractor:
Sandy Ferlisi, Principal
Aspen Marketing Partners, Inc.
P.O. Box 65
Aspen, CO 81612
with copies to:
Piikin County Attorney's Office
530 E. Main Street, #302
Aspen, Colorado 81611
Fax: (970) 920-5198
21. Public Contracts for Services and Public Contracts with Natural Persons. In conformance
with the provisions of C.R.S. § 8-17.5-101 and 102, as amended and C.R.S. § 24-76.5-101, as
amended
PUBLIC CONTRACTS FOR SERVICES. CRS §8-17.5-101. [NotApplicable to agreements
relating to the offer, issuance, or sale of securities, investment advisory services or fund
management services, sponsored projects, intergovernmental agreements, or information
technology services or products and services] Contractor certifies, warrants, and agrees that it does
not knowingly employ or contract with an illegal alien who will perform work under this contract
and will confirm the employment eligibility of all employees who are newly hired for employment in
the United States to perform work under this contract, through participation in the E-Verify Program
or the Department program established pursuant to CRS §8-17.5-102(5)(c), Contractor shall not
knowingly employ or contract with an illegal alien to perform work under this contract ar enter into a
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contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not
knowingly employ or contract with an illegal alien to perform work under this contract. Contractor
(a) shall not use E-Verify Program or Department program procedures to undertake pre-employment
screening of job applicants while this contract is being performed, (b) shall notify the subcontractor
and the contracting State agency within three days if Contractor has actual knowledge that a
subcontractor is employing or contracting with an illegal alien for work under this contract, (c) shall
terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal
alien within three days of receiving the notice, and (d) shali comply with reasonable requests made in
the course of an investigation, undertaken pursuant to CRS §8-17.5-102(5), by the Colorado
Department of Labor and Employment. If Contractor participates in the Department program,
Contractor shall deliver to the contracting State agency, Institution of Higher Education or political
subdivision a written, notarized affirmation, affirming that Contractor has examined the legal work
status of such employee, and shall comply with all of the other requirements of the Department
program. If Contractor fails to comply with any requirement of this provision or CRS §8-17.5-101 et
seq., the contracting State agency, institution of higher education or political subdivision may
terminate this contract for breach and, if so terminated, Contractor shall be liable for damages.
PUBLIC CONTRACTS WITH NATURAL PERSONS. CRS �24-76.5-101. Contractor, if a natural
person eighteen (18) yeaxs of age or older, hereby swears and affirms under penalty of perjury that he
or she (a) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (b)
shall comply with the provisions of CRS §24-76.5-101 et seq., and (c) has produced one form of
identification required by CRS §24-76.5-103 prior to the effective date of this contract.
IN WITNESS WHEREOF, the parties have executed this contract as of the date first set out herein
above.
ASPEN MA E RTNERS, INC.:
Y�
andy Ferl
Title
Principal, Aspen Marketing Partners, Inc.
PITKIN COUNTY, CO
:
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K. Vos Caudill, County Clerk
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A�O2O CERTIFICATE OF LIABILITY INSURANCE 5�21�2012
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 CERTIFICQTE 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 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 NAMEACT PeteT M3Z't1I1
Peter Martin Insurance DBA Martin Insurance PHONE .(g70) 963-6161 F'4X (970)963-4331
ac No :
995 Cowen Drive Suite 202 E-MAIL eter@petermartininsurance.com
ADD E S•P
Carbondale CO 81623
INSURED
ASPEN MARKETING PARTNERS
PO BOX 65
ASPEN
CO 81612
10
COVERAGES CERTIFICATE NUMBER:CL1252102666 REVISION NUMBER:
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, 7HE 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.
lNSR TypE OF INSURANCE POLICY NUMBER MM/DD� MM%DDY� LIMITS
LTR
GENERAL LIA8ILITY EACH OCCURRENCE $_ 1� OOO � OOO
DA A R N 1����,00�
X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $
A CLAIMS-MADE �X OCCUR 4SBMPM4230 /17/2012 /17/2013 MED EXP (My one person) $ 10 , 000
PERSONAL 8 ADV INJURY $ 1� OOO � OOO
GENERAL AGGREGATE $ Z� OOO � OOO
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2� OOO � OOO
X POLICY PR� LOC $
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY Ea accident
BODILY INJURY (Per person) $
ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS Per accident
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
$
DED RETENTION $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y� N E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? � N � A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYE $
If yes, tlescribe under E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES �Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Policy contains Blanket Additional Insured endorsement. Certificate Holder listed is an additiona2
insured under this endorsement where required by contract.
{ 970) 920-5196 Janice . Vos@ci . aspen . Co . LtS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Pitkin County Colorado
Janice K. VO$ Caudill pUTHORIZEDREPRESENTATIVE
Plaza 2, 530 East Main Street
Aspen , CO 81611 __ ._.
Peter Martin/PJM --�
ACORD 25 (2010/05) �O 1988-2010 ACORD CORPORATION. All rights reserved.
INStl25 ��n�nns� n+ Tho e(`(1RIl namo �nrl Innn ��c rnnic4u�or1 m��lrc nf Af`(1RI1
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MEMORANDUM
T0: Sandy Ferlisi, Principal
Aspen Marketing Partners, Inc. �) i
(f
FROM: Janice Vos Caudill, Pitkin County Clerk and Recorder'�-�
RE: Contract 125, contract for Provision of Services:
Election "Voterinfo" Education Outreach - 2012
DATE: May 3, 2012
Pitkin County Clerk and Recorder Election Department understands that in the course of
business in implementing Corltract #125 for Provision of Services for ELECTION "VOTERINFO"
EDUCATION OUTREACH - 2012 that Sandy Ferlisi, Principal owner of Aspen Marketing Partners,
Inc. will be required to work with various subcontractors in order to design and produce
services and manage media.
Contract #
Budget Line Item#
�
�
�� �.,,.
�. �. � �.� _ �� � ��
�
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Workers' Compensation Waiver
I, � �, as s proprif
name), repre ent that I have no rso
maintain workers' compensation pr
forth in the Workers' Compensation
Colorado Revised Statutes) for a
in the future. I shall also re ' e any
work to mainta�rr�rker ' comnensat
,�a no� ��er (r s �
int Name
Coraorations
or partner of
or
9/27/ll kj/Im
�ur�hE'�S
, but that I shall obtain and
tion suant to those insurance requirements as set
of Colorado (Articles 40 to 54 of Title 8 of the
all p ons as I may employ in perfortning any work
�bcontrac as I may contract with or obtain for any
protection �s employees.
Date
I, ���„� �� , in my capacity as � t' � S��+e s�,'�- (title
of (corporation name) represent that �r �-n ers
(corp ration name ha o person or persons in its employ and that each stockhold f
� (corporation name) owns at least 10% of �so�n /�l � r(GQ E� �
's (corporation name) stock, but that T r¢no s
(corporation name) shall obtain and maintain workers' compensation protection suant
to those insurance requirements as set forth in the Workers' Compensation Act of
Colorado (Articles 40 to 54 of Title 8 of the Colorado Revised Statutes) for any and all
persons as it may employ in perforrning any work in the future. � `
�Ak i�,�er5 (corporation name) shall also require any subcontr ctor it may contr
with or obtain for any work to maintain workers' compensation protection for its
employees.
n ractor ignature
� :c ,
Print Name
J`'� 1 S'
Date
�
A�CORO` CERTIFICATE 4F LfABILITY 1NSURANCE �o�zz�so�z �
TNIS CERTIFICA7E tS tSSUED AS A iIAR't"f'ER OF INFQRMATION ONLY AIdD GONFERS NO RIGHT3 UPQN THE CER7lF1CA7E HOLDER. THiS
CEFt7lFICATE �OES NO7 AFFIRMA'ftVELY OR NEGATlVELY AMEND, EXTENO OR Ai.TER' THE COYERAGE AFFORDEQ 8Y THE P(3UCIES
BELOW. TH1S CERTIFICATE OF tNSR1RANCE QOES NQT CON571TU7E A CONTRACT BETWEEM THE iSSUING lNSUftER(5}, AUTHORIZED
itEPRESENTATIVE QR PRODUCER, AND THE GERTIFlGATE HOIDER.
IMPOR7AN7: {f the certificate haider is a� ADDITIOh1A! 1NSURE4, the policy(►es) must be endorsed. If SUBROGATION iS 1AtAlYED, subject to
the terms and conditions of the policy, certain palicies may require an endo�semen[. A statement an this cert(Ncate does notaoMer rights to the
certificate holder in iieu of snch endarsement(s):
PRODUCER Pr,o�,e:� ��sos� s�2-s6ss Fax: �(soa� e�2-ssss ca�TACr� .John
(RG - AFFINiTY iNSURANCE PAtiTNERS, LL.0 P"t""� �3q3 872-6633 ``� (303j 872-6&55
794t SHAFFEI2 PRRKWAY, SUI'fE 340 E��
UTTLETON CO 80127 no�ness:
UNITED REPROGRAPHIC 3UPPLY lNC.
C/O UNIiED REPROGRAPHlG E4U{PMENT, L.LC
707& S. REVERE PARKWAY
ENGtEWQQD CO 50112-3�32
IkSUREft(S} AFFORDING COVERAGE
wsus�A : Hartford tnsurance Co.
�usu�RS ; Hartford Insurance Go.
MSt1RER C ::
INSt1RER D:.
NAIC N
) � �svR� F I I
COYERAGES CERTIFlCATE'NUMBER: 39320 REYlSION NUMBER:
THIS !S TO CERTIFY THATTHE POLICtES O� INSl1RANCE IISTED BELQW HAVE BEEN ISSUED Tq THE iNSURED NAMED ABOVE FOR 7HE POLICY PERi00
WDICATED. NO1WiTHSTANDtNG ANY REQUtREMENT, TEf2AA OFt COND1TtON OF ANY CONTRACT l?R OTHER DOCUMEN'f YV1TH RESPECT TO WHICH THIS
CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN, TNE lNSURANGE AFFORQEQ BY Ti�tE POliC1ES DESCRlBED HERElN IS SUHJECT T4 qLL THE TERARS,
EXCLUStONS AND CONDITIONS OF SUCH POLICIES. UAAiTS SHOWN MAY HAVE BEEN REDUCE� BY PAID CLAIMS.
iMSR ADDL .S119R .POLICY EFF POLICY EXP
TYPE OF INSURANCE POt►CY NUMBER LIMITS
A�t3ENERAL uneiim � �� �� 34S8AN07$OS �7'fl22N4 11122112�� EnctioCCURREtvCE. � 1,D,04„046
X COMMERCfAL GENERA� LIABtLiTY �`�T���� g 'I,g,00„OUO
� PREMISES Es ocara�ce �.
CLAIMS-MAdE �� OCCUR MED. EXP {Any one personj S '10„ OOO
�
PERSONAL & AOV lNJURY $ i �O,OO„QOO
GENERAI AC,t`,REGATE $ 2,0,00„000
GEN'LAGGREGATE�LIMITAPPl..I�SPER: PRODUCTS-COAiP'OAAGG .$ Z,O,OQ„OUO
Poucr �0�: �.oc � $
AUTOMOBILE LIA6ILITY� } i CAMHRdEDSINGLEIIMtT
. . ? lEa ecadsnt) S.
AtJY AUTO ( � BODILY IN.tURY (F�r persw�) $
� a�
AlL OWNED �pSULEO � �pILY iNJURY jPer asxident) S
H R OSAUTO5 i AUTOS �D `' � axiaemOnnanG� $
! i $
B UMBRELLA �u,s ioCCUR � 34S6AN07808 :'t9122li1 � 17122l92 EacypccusneNCE� � S. 1,000,000
exC�sS 'uns GunIMS•n,uwe � AGGREGarE $ 7,000,000
DED X RETENTION $ 1 O,OOD ' $
� MlORKERS COMPEHSATIPM ' TwORYUMITS�� ER ' S
AN6 EMPIOYERS' LIA8ILITY� � i(
�ANY PR6PRIE7QWPAR7NERIEXECUTIVE Y� N I E.L. EACh! ACCIDENT ;§
OFPICERIMEhtBER £KCIUDED? � NtA � EL.QfSEASE-EAEMPLQYEE � 3
(Msndriory in NM).
�{�d��� E.L.DISEASE-POUCY�LiMIT � $
OESCRiPFiON OF OPER4TIt7N5 beiow
� -
�£SCRIPTION 4F OPERATtONS 1 tOCA71�NS ) VEMfCLES (Attach ACORQ t01, Addi[fona� Remarks SchedWe, S more space Fs requ3redy
EPtI - C!_AtMS MADE 1 SEE SE��W 'SU,000
CER7lFIGATE HOLDER CAtVCELIATiQN
Sampie
��
AtYention: Tp whom it may cancertt
AGORQ 25 (2Q1Q105j
7he ACORfl name and logo are
SHOULD ANY OF 7HE ABQVE DESCRlBE� POL►CIES BE CANCELLEO BEFORE
7HE EXP[RATiQN DATE 'FNEREOF, NOTlGE W1Ll BE DELtVERED �Id
ACCORDANGE WITH TNE POLlCY PRpV131pNS.
tlTHORtZEO R'EPR FATNf
. . �----.�"".�,� .
Jahn Terriil
� 1986-2010 kGQRD CORPORATlON. A!1 righfs reserved.
marks of ACORD