HomeMy WebLinkAboutbocc.con.029.2012 Rev. 08-30-11 jls
COUNTY CLERK'S
CONTRACT COVERSHEET
CONTRACT #: 29-2012
ORIGINATING DEPARTMENT: BGM
PROCUREMENT OFFICER: Jodi Smith PHONE#: -9205396
PROJECT NAME: Trash CONTRACTOR: Mountain Roll-Offs
DOLLAR AMOiJNT: $16,266.50 LINE ITEM# Various
CONTRACT EXECUTION DATE: 8/15/2012 CONTRACT END DATE: 8/31/2013
AUTOMATIC RENEWAL: �YES ❑NO TERM: 1 year
❑ 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 ❑ Employment
❑ License/Use ❑ Intergovernmental Agreement(Resolution Required)
❑ Lease ❑Non-Profit
❑ Construction ❑ Quasi-Public(e.g.-AVH)
❑ Goods,Equipment, Supplies ❑ Grant Agreements(Notify Finance&Resolution Required)
❑ Other(e.g. revenue) ❑ Change Order/Contract Amendment
(C/O: 10%or$25K whichever is the lesser must have Counry 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 ✓0 All E�ibits Attached
✓ � Page numbered consecutively ✓0 All Legal Descriptions attached ('f applicable)
✓ �All Original Signatures Affixed ✓Q Notice of Award/Notice to Proceed Attached (if applicable)
✓ � All Dates Filled In ✓0 Warranty(if applicable)
✓ ❑ Special Instructions for Finance Department:
✓ � Authorized Procurement Officer's Name: Jodi Smith
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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�T' I� IN
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FACILITIES MANAGEMENT
CONTRACT FOR PROVISION OF SERVICES
FACILITIES ANNUAL TRASH SEVERICE
THIS CONTRACT is made and entered by and between the Pitkin County Board of County
Commissioners ("County") and Mountain Roll-offs, Inc 1058 Countv Road 100 Carbondale
Colorado 81623 970-945-2792 (hereinafter"Contractor").
1. Term. The term of this contract is from Au�ust 15, 2012 to August 31, 2013. At the
expiration of the initial term, the contract may be extended for an additional term of four(4) one (1)
year options by the express written consent of both parties.
2. Contractor's Obli�ations. Contractor shall provide annual trash service for the Pitkin County
Facilities various buildings as described herein:
Pitkin County Trash/Recyciing Service
Recycte
Facilities Site Address Trash Service Service Cost/month Winter
6yd Reload
Compactor 7-96ga1 toter
Courthouse/Jail 530 E.Main Street 3�week lx/week $ 478.00 $ 478.00
4-96ga1 toter
3�c/week,
6-96ga1 toter plus
Library 120 North Mill Street 2x/week cardboard $ 240.00 $ 240.00
4yd container 3-96ga1 toter
Health&Human Srvs 405 Castle Creek Rd 3x/week lx/week $ 280.00 $ 280.00
6yd container 3-96ga1 toter
Public Works 76 Service Center Rd 3�week lx/week $ 357.50 $ 357.50
$1,355.50 $ 1,355.50
$16,266.50 Annually
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Pitkin County Facilities Management,485 Rio Grande Place,Unit 1oi,Aspen,CO 8i61i
97o-92O-5396,970-920-5285 Fax or email:jodis@co.pitkin.co.us
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3. Compensation and Expenses, Invoicing, 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 Sixteen Thousand Two Hundred Sixty Six Dollars and Fiftv
Cents ($16,266.50) for all services rendered. 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 for any reason.
4. Countv'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 Count '�s Obli at� ions. Pitkin County shall administer this contract through a County
Representative. Jodi Smith, Facilities Manager will manage the project as the County's
Representative. 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 Expiration 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 dainages
sustained by the County by virtue of any breach of the contract by the Contractor.
7. Independent Contractor Status.
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
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Pitkin County Facilities Management,485 Rio Grande Place,Unit ioi,Aspen,CO 8i61i
97o-92O-5396�970-920-5285 Fax or email:jodis@co.pitkin.co.us
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subinitted in the inanner 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 nabilit�. 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. Bindin� 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
1 l. 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 perfonned 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 becoma part of this contract.
12. Indemni .
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 indeznnitee, from all
suits and claims, including 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
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Pitkin County Facilities Management,485 Rio Grande Place,Unit loi,Aspen,CO 8i61i
97o-92O-5396,970-92o-52g5 Fax or emaii:jodis@co.pitkin.co.us
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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 perfonned 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 froin or in
connection with the perfonnance 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 froin liabilities 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 and/or 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 ainounts, duration,
or types.
A. Coverage and Limits of Insurance. Contractor shall provide coverage with liinits 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.
b. This requirement shall not apply when a contractor or subcontractor
is exempt under Colorado Workers' Compensation Act., AND when such
contractor or subcontractor executes the appropriate sole proprietor waiver form.
Minimum Limits:
Coverage A(Workers' Compensation) Statutory
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Pitkin County Facilities Management,485 Rio Grande Place,Unit ioi,Aspen,CO 8i6ii
97o-92O-5396,970-920-5285 Fax or email:jodis@co.pitldn.co.us
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Contract# 29.2012 Rev. 8.31.11 jaa/js
Budget Liiie Item#Various 2/6/2012 lm
Coverage B(Employers Liability) $ 500,000
$ 500,000
$ 500,000
2. Commercial General Liability—ISO 1 CG 0001 form or equivalent.
(With County named additional insured)
Minimum Limits:
General Aggregate $ 2,000,000
Products/Completed Operations Aggregate $ 2,000,000
Each Occurrence Limit $ 1,000,000
Personal/Advertising Injury $ 1,000,000
Fire Damage(Any One Fire) $ 50,000
Medical Payments(Any One Person) $ 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
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 dainage 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):
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Pitkin County Facilities Management,485 Rio Grande Place,Unit 1oi,Aspen,CO 8i6ii
97o-92O-5396,970-920-5285 Fax or email:jodis@co.pitkin.co.us
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Contract# 29.2012 Rev. 8.31.11 jaa/js
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❑(1)Performance Bond $
❑ 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-payinent of premiuin,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
liinits of any insurance within seven(7)days of receipt of insurers' notification to that effect.
Simultaneously with the Certificates of Insurance, the Contractor shall 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 shall contain the following clauses:
a. The contractor's insurance shall be primaiy and non-contributory with
any insurance or self insurance purchased by the County.
b. The insurance coinpanies issuing the policy or policies hereunder shall
have no recourse against the County of Pitkin for payment of any premiums or for
assessments under any form of policy.
c. Any and all deductibles or self insured retentions in the above-described
insurance policies shall 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 therea$er.
4. The County reserves the right to request and receive a copy of any policy and
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Pitkin County Facilities Management,485 Rio Grande Place,Unit ioi,Aspen,CO 8i6ii
97o-92O-5396�970-920-5285 Fax or email:jodis@co.pitkin.co.us
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any policy endorsement at any time during the term of this contract.
14. Exemptions 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 froin such taxes under registration nuinbers 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 Colarado. 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. Attorney'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 party shall 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 einployees.
Further, nothing in this contract shall be construed or interpreted to require or provide for
indeinnification 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 or
employees.
19. Current Year 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.
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Pitldn County Facilities Management,485 Rio Grande Place,Unit 1oi,Aspen,CO 8i6ii
97o-92O-5396�970-92o-52g5 Fax or email:jodis@co.pitkin.co.us
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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 inail,postage prepaid, return receipt requested addressed as follows:
A. Pitkin Countv with copies to:
Jodi Smith, Facilities Manager Pitkin County Attorney's Office
485 Rio Grande PI#101 530 E. Main Street,#302
Aspen, Colorado 81611 Aspen, Colorado 81611
Fax (970) 920-5285 Fax: (970) 920-5198
B. To Contractor:
Mountain Roll-offs,Inc
1058 County Road 100
Carbondale, Colorado 81623
970-945-2792
Fax: (970) 963-4205
21. Public Contracts for Services and Public Contracts with Natural Persons. In confoimance
with the provisions of C.R.S. § 8-17.5-101 and 102, as ainended and C.R.S. § 24-76.5-101, as
amended
PUBLIC CONTRACTS FOR SERVICES. CRS §8-17.5-101. [NotApplicuble to ngreements
relating to tlze 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 or enter into a
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 Prograin or Departinent 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
tenninate the subcontract if a subcontractor does not stop employing or contracting with the illegal
alien within three days of receiving the notice, and (d) shall 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
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Pitkin County Facilities Management,485 Rio Grande Place,Unit ioi,Aspen,CO 8i6ii
97o-92O-5396�970-920-5285 Fax or email:jodis@co.pitkin.co.us
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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)years 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 fonn 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.
CONTRAC Mountain Roll-offs,Inc
By� ���
Date
1058 County Road 100
Carbondale, Colorado 81623
970-945-2792
PITKIN COUNTY, COLORADO:
By: �
Jodi Smith, Facilities Manager ate
BY 1�,�-
Phylis Mattice, Assistant County Manager Date
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Pitkin County Facilities Management,485 Rio Grande Place,Unit ioi,Aspen,CO 8i6i1
97o-92O-5396�970-920-5285 Fax or email:jodis@co.pitkin.co.us
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.���•� MTROL-1 OP ID:CS
��R°�� CERTIFICATE �F LIABILITY INSURANCE oAT08114l12 �
THIS CERTIFICATE IS 15SUED AS A MATTER OF INFORMA110N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGA7IVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIGES
BELOW. THIS CERTiFtCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(5� AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CER7IFICATE HOLDER.
IMPOR7ANT: 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 endorsemerrt. A statement on this certi�cate does not confer rights to the
certificate holder in lieu of such endorsemerrt s
PRO�UCER
970-945-9161 NAMEACT
GIAGroupIGlenwood Ins.Agency 97�_945-6027 PHONE FAx
P O Box 1270 A1C No exc: l�,N�1:
Glenwood Springs,CO81602-1270 AooA�ss:
Robert Asa Jones
INSURER(S)AFFOROING COVERAGE NAIC#
WSURERA:PII1fidCOl ASSUI'211Ce
INSURED Mountain Roll Offs Inc. �NSUReRe:United Fire&Casualty
P.O.Box 1474
Carbonale,CO 81623 INSURERC:
INSURER D:
INSURER E:
WSURER F:
COVERAGES CERTIFtCATE NUMBER: 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
INDICA7ED, NOTWffHSTANDING ANY REQUIREMENT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WffH RESPECT TO WHICH THIS
CERTIFICA7E 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.
��� TYPE OF INSURANCE �N POLICY NUMBER MMADNEYYY MMILD'D�Y
LIMfTS
GENERALLIABILITY � EACH OCCURRENCE $ 'I,OOO�OO
B x COMMERCIAL GENERAL LIABILITY 60405013 �7����'�2 07101J13 pREM SES Ea occurrence $ ��0,00
CLAIMS-MADE �OCCUR MED EXP(My one person) $ �r�0
PERSONAL&ADVINJURY $ 'I�OOO,OO
X Blanket AI GENERAL AGGREGATE $ 2�000�00
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG $ 2�000,00
X POLICY PE� LOC $
AUTOMOBILE LIABILIT' Ea eoatleDtSMGLE LIMIT $ '��OOO�OOO
B X ANYAUTO GO4OrJO�S 07l01I12 07J01M3 BODILYINJURY(Perperson) $
AUTOS�ED AUTOSULED BODILY INJURY(Per accident) $
HIREDAUTOS NON-OWNED PROPE TYDAMAGE $
AUTOS Per accident
$
�( UMBRELLA LIAB OCCUR EACH OCCURRENCE $ Z,OOO�OO
�( EXCESSLIAB CLAIMS�vIADE 60405013 O7l01112 07l0'1113 AGGREGATE $ 2i000�00
DED X RETENTION �OOOO �
WORKERS COMPENSATION WC STATU- X OTH-
AND EMPLOYERS'LIABILITY T R L I ER
p1 ANYPROPRIETORlPARTNER/EXECUTNE Y❑ N!A 133726 11I01111 11/01/12 E.L.EACHACCIDENT $ ��������0
OFFICERMIEMBER EXCLUDED? 'I,OOO OOO
(Mandatory in NH) � E.L.DISEASE-EA EMPLOYEE $ �
If yes,describe under �,�Q 00
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ r
g Property Section 60405013 O1/01l12 07I01l13
g Equipment Floate 60405013 07101/12 07/01l13
DESCRIPTION OF OPERATIONS!LOCATIONS!VEWCLES (Attach ACORD 101,Additional Remarks Schetlule,if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NO710E WILL BE DELNERED IN
JOdI S1111th, Facilities Manager ACCORDANGE WITH THE POLICY PRQVISIONS.
Pitkin County,Colorado
485 Rio Grande Place#101 AUTHORIZED REPRESENTATIVE
Aspen,CO 81611 ���
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are reglstered marks of ACQRD �
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