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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20174231.tiff
RESOLUTION RE: APPROVE AGREEMENT FOR PROFESSIONAL SERVICES TO REPLACE WASTE OIL AND ANTIFREEZE UNDERGROUND LINES AT MOTOR POOL SITE AND AUTHORIZE CHAIR TO SIGN - PALMETTO ENVIRONMENTAL GROUP, LLC WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Agreement for Professional Services to Replace Waste Oil and Antifreeze Underground Lines at Motor Pool Site between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Buildings and Grounds, and Palmetto Environmental Group, LLC, commencing upon full execution of signatures, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Agreement for Professional Services to Replace Waste Oil and Antifreeze Underground Lines at Motor Pool Site between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Buildings and Grounds, and Palmetto Environmental Group, LLC, be and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of December, A.D., 2017. BOARD OF COUNTY COMMISSIONERS WELD CSC NTY, COLQRADO ATTEST: ddr444) ',gi Weld County Clerk to the Board BY: Deputy CI APP •VED A9 Attorney A. Cozad, air Steve Moreno, Pro -Tern EXCUSED Sean P. Conway arbara Kirkmeyer Date of signature: Of -/a -/8k cc.:SGcTTISG) Cl/ (a(t 8' 2017-4231 BG0019 ., DEPARTMENT OF BUILDINGS AND GROUNDS PHONE: (970) 304-6531 FAX: (970) 304-6532 WEBSITE: www.co.weld.co.us 1105 H STREET P.O. BOX 758 GREELEY, COLORADO 80632 December 5, 2017 To: Board of County Commissioners From: Toby Taylor Subject: Motor Pool Site Characterization and Cleanup — 2017-1970 Weld County awarded a contract to Palmetto Environmental Group LLC to perform the Site Characterization Report and subsequent remediation activities based on the results of these findings. The scope of the cleanup work will require excavation of up to 300 cubic yards of impacted soils, replacement of the subsurface discharge lines and backfill activities while allowing the building to remain functional. The findings of the reports and proposed scope of work for remediation have been verified by the Colorado Division of Oil and Public Safety (CDLE), Division of Oil & Public Safety (OPS) office. OPS have identified and confirmed this action is necessary to properly cleanup the spilled petroleum products. The cost of $43,400 is for cleanup of the product resulting from the faulty tank & discharge lines to include replacement of lines. In addition, other areas of leaked petroleum products were discovered on the site. The cost to remove this material is $4,800. Therefore, the total cost of remediation is $48,200. The State OPS will oversee this project that is being billed at the Reasonable Cost Guidelines issued by CDLE, OPS. In addition, there is a Petroleum Storage Tank Fund available that (f approved) could offset (reimburse) these costs. Buildings & Grounds is recommending approval of this additional scope of work based on the original contract for SCR with subsequent remediation activities that were coordinated with CDLE OPS using their approved Reasonable Cost Guidelines for this type of remediation. If you have any questions, please contact me at extension 2023. Sincerely, Toby Taylor Director 2017-4231 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW/ WORK SESSION REQUEST RE: Motor Pool Petroleum Cleanup DEPARTMENT: Buildings & Grounds DATE: 12-5-2017 PERSON REQUESTING: Toby Taylor Brief description of the problem/issue: Weld County awarded a contract to Palmetto Environmental Group LLC to perform the Site Characterization Report and subsequent remediation activities based on the results of these findings. The scope of the cleanup work will require excavation of up to 300 cubic yards of impacted soils, replacement of the subsurface discharge lines and backfill activities while allowing the building to remain functional. The findings of the reports and proposed scope of work for remediation have been verified by the Colorado Division of Oil and Public Safety (CDLE), Division of Oil & Public Safety (OPS) office. OPS have identified and confirmed this action is necessary to properly cleanup the spilled petroleum products. The cost of $43,400 is for cleanup of the product resulting from the faulty tank & discharge lines to include replacement of lines. In addition, other areas of leaked petroleum products were discovered on the site. The cost to remove this material is $4,800. Therefore, the total cost of remediation is $48,200. The State OPS will oversee this project that is being billed at the Reasonable Cost Guidelines issued by CDLE, OPS. In addition, there is a Petroleum Storage Tank Fund available that (if approved) would offset (reimburse) these costs. Buildings & Grounds is recommending approval of this additional scope of work based on the original contract for SCR with subsequent remediation activities that were coordinated with CDLE OPS using their approved Reasonable Cost Guidelines for this type of remediation. What options exist for the Board? (Include consequences, impacts, costs, etc. of options) 1. Approve the coordinate remediation activity. 2. Deny proposed cleanup and re -bid this portion Recommendation: Recommend placing on agenda for approving the coordinated remediation activity. Approve Recommendation Sean P. Conway Julie A. Cozad, Chair Mike Freeman Barbara Kirkmeyer Steve Moreno, Pro -Tern Schedule Work Session Other/Comments: 7 4 -tots) /)7,udt ui' f f k 1��'G1 b 5114 o cc Cl-C-41 WELD COUNTY AGREEMENT FOR PROFESSIONAL SERVICES BETWEEN WELD COUNTY & PALMETTO ENVIRONMENTAL GROUP, LLC REPLACE WASTE OIL AND ANTIFREEZE UNDERGROUND LINES THIS AGREEMENT is made and entered into this D - day of ee , 2017, by and between the County of Weld, a body corporate and politic of the State of Colorado, by and through its Board of County Commissioners; whose address is 1150 "O" Street, Greeley, Colorado 80631 hereinafter referred to as "County," and PALMETTO ENVIRONMENTAL GROUP. LLC, who whose address is 4995 York St.. Denver, CO 80216 hereinafter referred to as "Contractor". WHEREAS, County desires to retain Contract Professional as an independent Contract Professional to perform services as more particularly set forth below; and WHEREAS, Contract Professional has the ability, qualifications, and time available to timely perform the services, and is willing to perform the services according to the terms of this Agreement. WHEREAS, Contract Professional is authorized to do business in the State of Colorado and has the time, skill, expertise, and experience necessary to provide the services as set forth below; NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: 1. Introduction. The terms of this Agreement are contained in the terms recited in this document and in Exhibit A, the Proposal from Contractor, which forms an integral part of this Agreement. Exhibit A is specifically incorporated herein by this reference. 2. Service or Work. Contractor agrees to procure the materials, equipment and/or products necessary for the Project and agrees to diligently provide all services, labor, personnel and materials necessary to perform and complete the Project described in Exhibit A. 3. Term. The term of this Agreement begins upon the date of the execution of this Agreement by County, and shall continue through and until Contractor's completion of the responsibilities described in Exhibits A. This contract may be extended annually upon written agreement of both parties. 4. Termination. County has the right to terminate this Agreement, with or without cause on thirty (30) days written notice. Furthermore, this Agreement may be terminated at any time without notice upon a material breach of the terms of the Agreement. 5. Extension or Modification. Any amendments or modifications to this agreement 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 County for such additional services. 6. Compensation/Contract Amount. Upon Contractor's successful completion of the Project, and County's acceptance of the same, County agrees to pay an amount no greater than $48,200.00, which is the amount set forth in Exhibit A. County 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. 7. Independent Contractor. Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. 8. Subcontractors. Contractor acknowledges that County 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 completion of O2,0/7- //42&./ this Project without County's prior written consent, which may be withheld in County's sole discretion. 9. Ownership. All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of County. 10. Confidentiality. Contractor agrees to keep confidential all of County's confidential information. Contractor agrees not to sell, assign, distribute, or disclose any such confidential information to any other person or entity without seeking written permission from the County. Contractor agrees to advise its employees, agents, and consultants, of the confidential and proprietary nature of this confidential information and of the restrictions imposed by this agreement. 11. Warranty Contractor warrants that the services performed under this Agreement will be performed in a manner consistent with the standards governing such services and the provisions of this Agreement. Contractor further represents and warrants that all services shall be performed by qualified personnel in a professional and workmanlike manner, consistent with industry standards, and that all services will conform to applicable specifications. 12. Acceptance of Services Not a Waiver. In no event shall any action by County hereunder constitute or be construed to be a waiver by County of any breach of this Agreement or default which may then exist on the part of Contractor. Acceptance by the County of, or payment for, the services completed under this Agreement shall not be construed as a waiver of any of the County's rights under this Agreement or under the law generally. 13. Insurance and Indemnification. Contractor shall procure at least the minimum amount of automobile liability insurance required by the State of Colorado for the use of any personal vehicle. Proof of said automobile liability insurance shall be provided to County prior to the performance of any services under this Agreement. Professional Liability (Errors and Omissions Liability) The policy shall cover professional misconduct or lack of ordinary skill for those positions defined in the Scope of Services of this contract. Contract Professional shall maintain limits for all claims covering wrongful acts, errors and/or omissions, including design errors, if applicable, for damage sustained by reason of or in the course of operations under this Contract resulting from professional services. In the event that the professional liability insurance required by this Contract is written on a claims -made basis, Contract Professional warrants that any retroactive date under the policy shall precede the effective date of this Contract; and that either continuous coverage will be maintained or an extended discovery period will be exercised for a period of two (2) years beginning at the time work under this Contract is completed. Minimum Limits: Per Loss Aggregate $ 1,000,000 $ 2,000,000 Contractors Pollution Liability Weld County requires this coverage whenever work at issue under this Contract involves potential pollution risk to the environment or losses caused by pollution conditions (including asbestos) that may arise from the operations of the Contractor described in the Contractor's scope of services. This project requires such pollution coverage. Policy shall cover the Contractor's completed operations. Coverage shall apply to sudden and gradual pollution conditions resulting from the escape of release of smoke, vapors, fumes, acids, alkalis, toxic chemicals, liquids, or gases, natural gas, waste materials, or other irritants, contaminants, or pollutants (including asbestos). If the coverage is written on a claims -made basis, the Contractor warrants that any retroactive date applicable to coverage under the policy precedes the effective date of this Contract; and that continuous coverage will be maintained or an extended discovery period will be exercised for a period of three (3) years beginning from the time that work under this contract is completed. The policy shall be endorsed to include the following as Additional Insureds: "Weld 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". Minimum Limits: Per Loss $ 1,000,000 Aggregate $ 1,000,000 14. Indemnity. The Contractor shall defend, indemnify and hold harmless County, its officers, agents, and employees, from and against injury, loss damage, liability, suits, actions, or claims of any type or character 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. 15. Non -Assignment. Contractor may not assign or transfer this Agreement or any interest therein or claim thereunder, without the prior written approval of County. 16. Interruptions. Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 17. Compliance with Law. Contractor shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. 18. Non -Exclusive Agreement. This Agreement is nonexclusive and County may engage or use other Contractors or persons to perform services of the same or similar nature. 19. Entire Agreement/Modifications. This Agreement including the Exhibits attached hereto and incorporated herein, contains the entire agreement between the parties with respect to the subject matter contained in this Agreement. This instrument supersedes all prior negotiations, representations, and understandings or agreements with respect to the subject matter contained in this Agreement. This Agreement may be changed or supplemented only by a written instrument signed by both parties. 20. Fund Availability. Financial obligations of the County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. Execution of this Agreement by County does not create an obligation on the part of County to expend funds not otherwise appropriated in each succeeding year. 21. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement state that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. 22. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 23. Governmental Immunity. No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. 24. No Third Party Beneficiary. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 25. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado or its designee. 26. Choice of Law/Jurisdiction. Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 27. Public Employment Retirement Program. Contractor is responsible for notifying Weld County of any previous participation in the Colorado Public Employee Retirement Program. Contractor must notify Weld county of the most recent employment for a PERA contributing employer. 28. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-102(5Xc). Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E - Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and County within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. Contractor shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring an new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to County, a written notarized affirmation that it has examined the legal work status of such employee, and shall comply with all of the other requirements of the State of Colorado program. If Contractor fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-103 prior to the effective date of the contract. 29. Acknowledgment. County and Contractor acknowledge that each has read this Agreement, understands it and agrees to be bound by its terms. Both parties further agree that this Agreement, with the attached Exhibit A, is the complete and exclusive statement of agreement between the parties and supersedes all proposals or prior agreements, oral or written, and any other communications between the parties relating to the subject matter of this Agreement. IN WITNESS WHEREOF, the parties hereto have signed this Agreement this day of r(,•� , 2017 CONTRACTOR: Pei)mt g3 roN,raOcc'4,2 L By: Nam Title: Date l a) sj l 4 WELD COUNTY: JidgKITES . dea44/1) '"' Weld .0 ktot Bo BY: uty Cler o e Boar APPROVED AS TO FUNDING: GYM Controller APPROVED AS O FORM: lv. Co orney 440 -- BOARD OF COUNTY COMMISSIONE WELD COUNTY, COLORADO aJuh ozad, Chair DEC 18 APPROVED A TO SUBSTANCE: Official or Elect Department Head PALMETTO ENVIRONMENTAL GROUP LLC November 28, 2017 Mr. Toby Taylor Weld County Department of Buildings and Grounds 1105 H Street P.O. Box 758 Greeley, CO 80632 RE: Proposal to Replace Waste Oil and Antifreeze Underground Lines 1399 North 17th Ave., Greeley, Colorado Dear Mr. Taylor, Palmetto Environmental Group LLC, (Palmetto) is pleased to provide Weld County Department of Building and Grounds this Proposal to Replace the Waste Oil and Antifreeze Underground Lines at the above referenced site. Replacement Activities Palmetto has received approval from the Colorado Department of Labor and Employment (CDLE), Division of Oil and Public Safety (OPS) to remove the existing waste oil and antifreeze lines in order to access and mitigate impacted soils around and beneath these lines. The costs associated with the removal of the concrete, saw cutting, product line removal, up to 300 cubic yards of impacted soil removal, backfill, compaction and four inches of concrete cover will be submitted for reimbursement from the Petroleum Storage Tank Fund. Due to operational compliance deficiencies, it is unknown at this time what percentage, if any, of these costs will be reimbursed by the Fund. However, all activities will be conducted and billed according to the Reasonable Cost Guidelines issued by the CDLE, OPS. Following removal and sampling activities, Palmetto is proposing to replace the waste oil and antifreeze lines from the shop drains to the main drain lines with three inch over two inch diameter double walled fiberglass piping. The lines from the shop drains will connect to the main drain lines that will be connected to the existing piping on the newly installed underground storage tanks (USTs). Palmetto will remove the transition sump and directly connect the lines to the USTs to minimize the risk of future leaks. Closed capped cleanouts will be installed on the waste oil lines and surface completed where the lead lines from the shop building connect to the main lines. Following replacement, the backfilled excavation will surface completed with 12 inches of rebar enforced concrete. All work will be properly permitted through the CDLE, OPS and inspected for compliance prior to paving activities. Our proposed costs for each phase of work described above are summarized below. Estimate of Costs • Field Labor, Travel & Mileage= $9,000 • Piping and Parts = $16,800 • Road Plates = $7,000 • Additional concrete (outside of OPS approved 4") = $10,600 The total cost to complete this phase of work is $43,400 (303) 825-8117 a fax (303) 534-5049 ° 4995 York Street a Denver, Colorado 80216 1399 North 17th Ave Proposal to Replace Waste Oil and Anitfreeze Underground Lines Additional Scope During our site walk, numerous stained areas were identified in the equipment parking areas. While we have equipment available on site, Palmetto can scrape these areas and remove the surficial impacts. All areas are believed to be shallow in natures and the impacts are believed to be less than 1 foot deep. Palmetto can offer a not to exceed price for the removal, trucking and disposal of up to 54 cubic yards of impacted materials of $4,800. Additional Provisions/Exclusions The above pricing and scope of work does not include fencing, impacted groundwater removal, tree removal, additional mobilizations, concrete curbing removal or replacement. By signing below, Palmetto is authorized to proceed with the purchase of materials and initiation of work activities. The below signature also assures Palmetto will be reimbursed for any and all costs denied for reimbursement from the Petroleum Storage Tank Fund due to operational compliance issues. Palmetto appreciates the opportunity to provide you with this Proposal. If you have any questions or require additional information, please contact me at (303)825-8117 ext. 107. Sincerely, Palmetto Environmental Group, LLC John D. Drafts, PG Senior Geologist Acceptance of this bid as a contract for work to be performed is agreed upon by signing below: �. „a ,a6,6 Mr. John Drafts Palmetto Environmental Group Ms. Julie Cozad, Weld County Govern Mr. fioby Taylor Weld County Department of Buildings and Grounds hair nt DEC 1 8 2017 ----"1 PALME-1 ACORO" CERTIFICATE OF LIABILITY INSURANCE �' OP ID: JK DADD/YYYY) 12/08/2017 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 303-674-8685 Association Ins. Marketing Inc P.O. Box 631610 Highlands Ranch, CO 80163 Jeffrey D. Kahns CONTACT Jeffrey D. Kahns N ME: PHONE 303-674-8685 FAX 303-674-8819 (NC, No, Ext): (NC, No): E-MAIL jkahns@aimcolorado.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Tokio Marine Specialty 18058 INSURED Palmetto Environmental Group J & K Properties, LLC 4995 York St Denver, CO 80216 INSURER B : Progressive Preferred INSURER C Pinnacol Assurance 41190 INSURER D INSURER E : INSURER F : CERTIFICATE 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 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR W VDIMMIDD/YYYYI POUCY NUMBER POUCY EFF POLICY EXP IMMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY X PPK1679343 PPK1679343 PPK1679343 07/01/2017 07/01/2017 07/01/2017 07/01/2018 07/01/2018 07/01/2018 EACH OCCURRENCE $ 1,000,000 PAMAGE TO RENTED PREMISES (Ea occurrence) 100,000 $ CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 X Env Liability PERSONAL&ADVINJURY $ 1,000,000 X Professional Liab GENERAL AGGREGATE $ 2,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES JEL.,T PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Prof Liab $ 1,000,000 B AUTOMOBILE X X LIABILITY ANY AUTO OWNED AUTOS ONLY ALT OS ONLY X SCHEDULED AUTOS W� AUOTOS ONLY 06605380-9 09/29/2017 09/29/2018 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per accidentDAMAGE $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I I RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4098290 02/01/2017 02/01/2018 "y PER STATUTE EOTH R E.L. EACH ACCIDENT 500,000 $ E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT 500,000 $ A ENVIRONMENTAL LIAB X PPK1679343 07/01/2017 07/01/2018 INCIDENT AGGREGATE 5,000,000 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) See Attached CERTIFICATE HOLDER CANCELLATION Weld County Department of Buildings and Grounds 1105 H Street P.O. Box 758, CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD: HOLDER CODE INSURED'S NAME Palmetto Environmental Group PALME-1 OP ID: JK PAGE 2 Date 12/08/2017 Per writeen agreement, Weld 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 insured, including completed operations.
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