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� JOHN DEERE Lease Settlement & Bill of Sale
FI NANC IAL Lease Schedule No. 030-0057622-035
Master Lease Agreement No. 0057622
Lessee: WELD COUNTY
(Name&Address) 1150 O ST,GREELEY,CO 8Q631-9596
Supplier: 4 RIVERS EGIUIPMENT, I.LC Dealer No: 17-7473
fi85 EAST ENTERPRISE DR., PUEBLO W EST,CO BYd07
DEERE CREDIT, ENC.
Lessor: gq00 NW 86`h ST, PO BdX 6600,JOHNS70N,IA 50i31-6600
Please review the following information carefully. This information reflects the credit to your dealership.
1. Sellin Price $273,600.00
2. Net Trade—In - $0.00
3. U -front Sales Tax * $0.40
4. Preventative Maintenance Financed + $0.00
5. Secure/PowerGard Financed + $0.00
6. Insurance Premium Financed + $0.00
7. Ori ination Fee Financed + $300.00
8. Official Fees Financed * $16.00
9. Amount Financed(Purchase Price) $273,916.00
10. Less: U -Front Sales Tax Remitted b John Deere Financial - $0.00
11. Less: {nsurance Premium submitted b John Deere Financial - $4.00
12. Less: Ori ination Fee for John Deere Financial - $30d.00
13. Less: Official Fees for John Deere Financiat - $16.00
14. Less: Dealer Reseroe AG Ont - $0.00
15. Less Dealer Subsid !Waiver Char e mandato pro ram charge - $0.00
16. Less: Dealer Bu Down o tional - $0.00
17. Add: Dealer Partici ation + $0.00
18. Credit to Dealer for Lease $273,60Q.00
SubJect to acceptance of the above referenced Schedu�e by Deere Credit,inc.("deere Credit"}, Dealer hereby sells,transfers and assigns to
Deere Credit all of Dealer's right,title and interest in and to the Schedule and the equipment described in the Schedule(the "EquipmenY')for
the Purchase Price sfiown on Line 9. Dealer represents and warrants that(1}the Equipment is free from all security interests, liens, and
encumbrances{except those held by Deere&Company or subsidiaries),and(2?the safe operation and proper servicing of the Equipment and
the importance of following the instructions in the Operator's Manual were exptained to Lessee.All risk oE loss to the Equipment shall remain
with Dealer until the Equipment is delivered to and accepted by Lessee under the terms of the Schedule. Dealer acknowledges and agrees
that (1) Deere CrediYs rights, as desc�ibed in the John Deere AgricuRural Uealer Leasing Agreement or the John Deere Construction &
Forestry Dealer Leasing Agreement or the John Deere Golt and Turf Equipment Distributor Agreement,to purchase the Equipment may be
assigned to John Deere Exehange, LLC o�such other parties as Deere Credit may identify from time to time, and (2} regardless oi whether
Deere Credit assigns these rights, Dealer acknowledges and agrees that the provisions of Section 1.4 of the John Deere Agricultural Dealer
Leasing Agreement or the John deere Construction & Forestry Dealer Leasing Agreement or the John Deere Golf and Turf Equipment
Distributor Agreement shall govern Deere CrediYs payment of the Purchase Price to Dealer.
By signing below 1 agree that the proceeds from this lease transaction
are accurate and reflect the a ro rlate credit to m dealershi .
4 RIVERS EQUIPMENT, LLC
� � 685 EAST E " IVE RS Carlos Koons
g Territory Manager
BY� ��\
�R�E e Q u i P M E N r 125 John Deere Dr.
Date: �� Fort Collin5,CO 80524
Cell: �970�301-0605
Office: 970 482-7154
Fax: 970 484-1156
� Olll/.1P.rL! ��� .So�,3-oZU(�O �2a� °�ag ckoons@4riversequipment.com
EG72 www•4RiversEquipment.com
GY� „� � .�OHN DEERE
Unlve�sal GovernmenW!MLA Operating Leaso Stetod Purohpso Optlon Nov 15 201J
DEERE CREDIT. lNC.
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Lease Settlement & Bill of Sa1e — Equipment List ���
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Year Make Model Equipment Description Serial Number Retail Value
2016 JD 772GP 772GP MOTOR GRADER 1DW772GPCGF674510 $273,600.UU
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RECEIVED
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DEERE CREDIT, INC.
Univeroa!Govornmental MLA Operatlng Leaee Stated Purehaso Optlon Nov 15 2013 App 12111026
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.JOHN DEERE j Master Lease Agreement �
FINANClAL Agreement No. 0057622
Lessee: WELD COUNTY �
1150 O ST,GREELEY,CO 80631-9596 i
DEERE CREDIT,INC.
Lessor: �qa0 NW 86�`"ST,PO BOX fi640,JOHNSTaN, IA 50131-6600
7his Master Lease Agresment("Master Agreement")is entered into between Deere Credit, Inc., as Lessor{"we","us"or"our"}, and the Lessee and
any Co-Lessee identitied below("you"or"your"). "Schedule"shall mean any Lease Schedule signed by you and us,which incorporates the terms of
this Master Agreement. "Lease"shall mean this Master Agreement and any Schedule.
TERMS AND CONDITIONS
1. Lease Term: Pavments. You agree to lease from us the properly("Equipment")described in each Schedule for the Lease Term. The Lease Term
will begin on the Lease Term Sta�t Date and end on the Lease Term End�Date. All attachments and accessories itemized on lhe Schedule and ail
replacements,pa►is and repairs to the Equipment shall form part of the Eqwpment. A Schedule is not accepted by us until we sign it,even if you ha�e
made a paqment to us. You agree lo remit to us the Lease Paymenis indicated in the Schedule and all other amounts when due and payable each
9illing Period,even if we do not send you a bill or an invoice.YOUR PAYMENT OBLIGATIONS ARE ABSOLUTE AND UNCONDITIONAL,AND ARE
N�T SUBJECT TO CANCELLATION,REDUC71ON OR SETOFF FOR ANY REASON WHAT5OEYER. For any payment whicfi is not received by its
due date,you agree to pay a late charge equal to 5%of the pasi due amount(not to exceed the maximum amount permitted by {aw}as reasonable
collection costs, plus interest from the due date until paid al a rale of 1.5% per month, but in no event more than the maximum lawful rate. Restrictive
endorsements on checks you send us will not change or reduce your obligations to us. Ii a payment is returned to us by the bank for any reason,you
agree to pay us a fee of$25.00,or the maximum amount permitted by law,whichever Is less. Lease Payments and other payments may be applied,ai
our discreGon,to any obligation you may have to us or any of our affiliates. �If the total of all payments made during the Lease Term(and any Renewal
7erm),exceeds the total of all amounts due under the Lease by less than$25.00,we may retain such excess.
2. Securiri Deposit. If the Schedule provides for a Securiiy Deposil, the Security Deposit will be held by us in a non-interest bearing account,
commingled with other funds. We may apply the Security Deposit to any amounts due under the Lease and,if we do so,you agree to promptly remit to
us ihe amount necessary to resiore the Security Deposit to the original amount. The 5ecurity Deposit will be returned io you within thirty days of
termination of a Schedule and finat inspection by us,provided you are not in defauli.
3. Taxes. Although you may be exempt from the payment of Certain �'axes, you agree to pay us when invoiced (a}all sales, use, rental, gross
receipts and all other taxes which may be imposed on the Equipment or,its use, and (b) all taxes and govemmental charges associated with the
ownership, use or possession of the Equipment including, but not limited to, personal property and ad valorem taxes ("Taxes"}. Taxes do not include
those measured by our net income. Ii applicable 1aw requires tax returns or reports to be filed by you, you agree to promptly file such tax reiurn and
reports and deliver copies to us. You agree to keep and make available to usiall tax returns and reports For Taxes paid by you.
4. Secur�Interes�• Missina Information. We are the owner of the Equipment and you have the right to use the Equipment under the terms of the
Lease. lf a Schedule is deemed ta be a secured transaction and not a lease;you{a)grant us and our af(iliates a security interest in the Equipment(and
al1 proceeds)to secure all of your obligations under the Lease and any other obligations,which you may have, to us or any of our affiliates, and (b)
authorize us to file financing statemenls naming you as debtor. You agreei to keep the Equipment free and clear of fiens and encumbrances, except
those in our favor,and promptly notify us if a lien or encumbrance is placed�or threatened against the Equipment. You irrevocably authorize us,at any
time,to(a)insert or correct information on the Lease,including your correct;legal name,serial numbers and Equipment descriptions;(b)submit notices
and proofs oE loss for any required insurance; and (c) endorse your name on remittances for insurance and Equipment sale or lease proceeds.
Notwilhstanding any other election you make, you agree that(i)we can access any information regarding the location, maintenance, operation and
condition of the Equipment; (2}you iRevocably authorize anyone in possession of that information to provide all of the that in(ormation to us upon our
requesl;(3)you will not disable or othen�vise interfere with any information g2thering or transmission device within or attached to the Equipment;and(4)
we may reactivate any such device.
5. Equipment Maintenance. Oaeration and Use. You agree to (a)iUSE THE EQUIPMENT ONLY FOit AGRfCUL7URAL, BUSINESS OR
COMMERCIAL PURPOSES AND NOT FOR PERSOIVAL, FAMILY OR HOUSEHQ�D PURPOSES; (b)not move the Equipment to anoth�county or
state without notifying us within 30 days; (c)operate and maintain the Equipment in accordance with all(1) laws, ordinances and regulations, (2)
manuals and other instructions issued by ihe manufacturer(s}and supplier(s),and(3)insurance policy terms and requirements;(d)pertorm{at your own
expense)alf mainienance and repairs necessary to keep the Equipment in as good a condition as when delivered lo you,reasonable wear excepted;(e)
not install any accessory or device on the Equipment which a(fects the value;useful life or the original4y intended function or use ot the Equipment in any
way,unless it can be removed without damaging the Equipment;(f)allow us iand our agent(s)to inspect tha Equipment and ali of your records related to
its use, maintenance and repair, at any reasonable time; (g} keep any metering device installed on the Equipment connected and in good working
condition at all times;(h)affix and maintain,in a prominent place on the Equipment,any labels,plates or other markings we may provide to you;and(i)
not permit the Equipment to be used by,or to be in the possession of,anyon�other than you or your employees.
fi. Insurance. You agree,at your cost,to(a)keep the Equipment insured against all risks of physical damage(or no less than its Termination Value
(as such term is defined in Section 7 below),naming us(and our successors�and assigns)as sole loss payee;and(b)maintain public liability insurance.
covering personal injury and property damage for not iess than$1,000,0a0 per occurrence, naming us(and our successors and assigns)as additional
insured. All insurance must be with companies and policies acceptable to us. Your obligation to insure the Equipment continues until you return the
Equipment to us and we accept it. Each insurance policy must provide ihat(a) our interest in the policy will not be invalidated by any act, omission,
breach or neglecl of anyone other than us; and (b) the insurer will give us �t least 30 days' prior written notice before any cancellation of, or material
change lo,the policy. j
Unless you provide us with evidence of the required insurance coverages,we may purchase insurance, at your expense,to protect our interests in
the Equipment. This insurance may noi (1) protect your interests; or {2)�pay any claim that you make or any claim that is made against you in
connection with the Equipment, You may later cancel any insurance purchased by us,but only after providing us with evidence that you have obtained
the insurance required by the Lease. The cost of the insurance may be more lhan the cost of in5urance you may be able to oblain on your own.
7. Loss or Damaae. Until the Equipment is returned to us in satisfactory;Condition,you are responsible for all risk of loss,damage,thefl,destruction
or seizure of the Equipmertt(an"Event of Loss"). You musl promptly notify us of any Event of Loss. If the Equipment can be repaired o�gp�Ge¢,�yCµ,
agree to promptly repair ar replace the Equipment, at your cost,and the terms of the Lease wifl continue to apply. If the Equipment can t�j�$��I@�)
or replaced, you agree to pay us, within 10 days of the Event of Loss, its Termination Value as of the day beFore such Event of Loss occurred. llpon
receipt of ihe Termination Value,we will transfer to you(or the insurance company)all o!our right,titfe and interest in such item(s)ot Equ��pt�a�1c
an"Item")AS-IS,W HERE-IS,W ITHOUT ANY WARRANTY AS TO CONDITION QR VALUE. All insurance proceeds musl be paid direc� ua� d v
may apply any excess insurance proceeds to any other amounis you owe us or any of our affiliates.'Termination Value"for any Item shall be the nei
book va�ue calculated as the sum of (1) all Lease Payments and any other amounts then due and payable to us: plus (2) the preseni value of al1
remaining Lease Payments and other amounts, discounted at the Internal Rate of Return or, if a discount rate is set forth in Ih i �i r
such discount rate(the"Discount Rate");plus(3)the cost to repair and refurbish the Item so that it is in satisfactory condition in a�a����CtS�rt� � '
9; plus(4)the present value of the Purchase Option Price (or,if ihere is rio Purchase Option Price,the residual value that we assumed in calculating
Lease Payments),discounted at the Discount Rate. "Intemal Rate of Return"shall be calculated using standard finance techniques with the Equipment
Cost,Lease Payments,lease Term and Purchase Option Price(or residual value assumption)as the variables.
C�_unlversa� �Governmanral A DperaUng ase Stated Purchase Optlon J Nav 15 207� 3 A �� /] , ��^\ App 1211'l02fi ��j�_ 0(a g
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Agreement No. 0057622
ADDITIONAL TERMS AND CONDit10NS OF MASTER LEASE AGREEMENT
B. Ear[v PavofflPurchase. In the event you desire to purchase an item ot Equipment, are not in defau�t, and request a termination o(a Schedule
before the expiration of its Lease Term, you agree to pay us the Termination Value for each itam of Equipment. Upon receipt of the Termination Value,
we will transfer to you all af our right,title and interest in such item of Equipment.
9. Return of EQuloment. If a Schedufe is terminated tor any reason and you do not (a) return the Equipmenl to us, (b) exercise any Purchase
Option, or (c) exercise any Renewal Option, you agree to remit io us, until such time as the Equipment is returned to us in accordance with ihe
provisions of this Section, lease payments each month equal to the higher oi(i)the rnonlhly fair market rental value of the Equipment, as determined by
us in our sole discreGon, or(ii) the monihly Lease Payment set forth in the Scheduie(or the monthly lease payment equivalent if the lease Payments
are other than monthly (e.g., for annual Lease Paymenis, the monthly lease payment equivalent would be calculated by dividing Ihe annual Lease
Payment by 12)). All Equipment must be returned lo the nearest John Deere dealer that sells equipmen!substentially simila�to the Equipment,at your
expense and in satisfactory condition, along with all use, maintenance and repair records. Equipment is in satisfactory condition i(il is in as good a
condition as when the Equipment was delivered to you,reasonable wear excepted,and conforms to the standards of any Equipment Return Provisions
incorparated into the Lease.
10. Default. You will be in default if: (a}you fail to remit to us any Lease Payment or other payment when due;(b}you breach any other provision of
the Lease and fail to cure such breach within 1U days;(c)you remove any Equipment from the United States;(d)a petition is filed by or against you or
any guarantor under any bankruptcy or insolvency law;(e)a default occurs under any other agreement between you(or any of your aifiliates)and us(or
any of our affiliates}; (f)you or any guarantor is acquired by, merges wilh or consolidates into another entity,sells substantially all its assels,dissolves
or terminates its existence, or(if an individual)dies; or(g)you fail to maintain fhe insurance required by Section 6. Time is of the essence under the
Lease.
11. Remedies. If a default occurs, we may, to extent permitted by applicable law, do one or more of lhe following: (a) requrre you lo return the
Equipment in the manner outlined in Section 9,or take possession of the Equipment;(b)recover from you,AS LIQUIDATED DAMAGES FOR LOSS OF
BARGAIN AND NOT AS A PENALTY(i)if the Equipment is returned and lhe Lease is deemed to be a lease and not a secured transaclion in our sole
discretion, the sum of (1) all Lease Payments and any other amounts then due and payable So us; (2) the present value of all remaining Lease
Payments and other amounts, discounled at the Discount Rate; (3) the cost to repair and refurbish the item of Equipment so that it is in satisfactory
condition in accordance with Section 9 and (4) unamortized amount of our initial direct costs of originating and administering the applicable Schedule
(ii)ii the Equipment is returned to us and the Lease is deemed to be a secured transaction and noi a lease in our sole discretion,the difference between
(1)Ihe 7ermination Value as of the date of such default; and(2)ihe net proceeds we receive(rom any sale, lease or other disposition o(the Equipment
(after deducting all of our costs and expenses)or(iii) if the Equipment is not returned to us,the Termination Value as of the date of such default; (c)
declare any other agreemenis between you and us (or any of our affiliates) in default; (d) terminate any of your rights (but none of your obligations)
under any Lease and any other agreement between you and us(or any o!our atfiliates);(e)charge you for the expenses incurced in connectiort with the
enforcement of our remedies including, without Ilmitation, repossession, repair and colleclion costs, attorneys' fees and couR costs; (f) exercise any
other remedy available at law or in equity;and{g}take on your behalf(al your expense)any action required by the Lease which you fail to take. These
remedies are cumulative,are in addition to any other remedies provided by law, and may be exercised concurrently or separately. Any failure or delay
by us to exercise any right shatl not operate as a waiver of any other right or future right.
12. Assiqnment. You will not assign, pledge or otherwise Yransfer any oi your rights or interesis i�the Lease or any Equipment without our prior
written consent. Any assignment without our consent will be void. The Lease sha{I be binding upon any successor or permitted assignee. We may
assign the Lease or our interest in ihe Equipment at any time without notice to you and without your consent. We may provide information about you to
any prospeclive assignee or participant. You ag�ee not to asserl against our assignee any claims,offsets or defenses which you may have against us.
13. Indemnitv. You are responsible for all losses, damage,claims, injuries to or the death of an individual, and attorneys'tees and costs{"Claims"),
incurred or asserted by any person, in any manner related to the Equipment or the lease thereof,including its use,condition or possession. You agree
to defend and indemnify us, and hold us harmless, against all Claims, although we reserve the right to control the defense and to select or approve
defense counsel. You will promptly notify us of all Claims made. Your liability under this Seciion is not limited to the amounts oi insurance required
under the Lease.This indemnity continues beyond the termination af a Schedule,tor acts or omissions,which occurred during the Lease Term.
14. ReQresentations and Warcanties. You represent and warrant to us,as af the date of this Masier Agreement and of each Schedule,and covenant
to us so long as the Lease is in effect, thal: (a) you are a State, or a political subdivision thereot, for purposes of Section 103 of Ihe Internal Revenue
Code of 1986, as amended(the"Code"); (b)any documents required to be delivered in connection with the Lease(collectively, the"Documents")have
been duly authorized by you in accordance with ail applicable laws, rules, ordinances, and regulations; (c) the Documenis are valid, legal, binding
agreemenis, enforceable in accordance with their terms and the person(s�signing the Documents have the authority to do so, are acting with the full
authorization of your governing body,and hold the offices indicated below their signatures;{d)ihe Equipment is essentia!to the immediate performance
ai a governmental or proprietary function by you within the scope of your authority and shall be used during the Lease Term only by you and only to
peAorm such function;(e}you intend to use the Equipment for the entire Lease Term and shall take all necessary action to include in your annual budget
any funds required to fulfill your obligations each fiscal period during the Lease Term;(f)you have complied fully with all applicable law governing open
meetings,public bidding and appropriations,required in connection with the Lease and the debt under applicable state law;(g)your obligations to remit
Lease Payments and other amounts due and to become due under the Lease constitute a current expense and not a debt under applicable state law;(h}
all financial information you have provided is true and a reasonable representation of your financial condition; (i)you shall not do or cause to tre done
any act which shall cause, or by omission of any act allow the interest portion of any Lease Payment to become includible in our gross income for
Federal income taxation purpases under the Code;(j)you shall maintain a complete and accurale account of a11 assignments of the Lease in the form
sufficient to comply with baok entry requirements of Section 149{a) of the Code and lhe regulations prescribed thereunder from time to time:and{k)
you shail comply with the in{ortnation repo�ling requirements of Section 149{e)of the Code. Such compliance shall include, but not be limited to, the
execution of 8038-G or 8038-GG Information Returns
15. Governina Law:Jurisdiction;Venue. EACH LEASE WILL BE G4VERNED BY,AND CON5TRUED IN ACCORDAHCE WITH THE LAWS Of
tOWA,WHERE THIS MASTER AGREEMENT IS ACCEPTEO AND ENTERED INTO,except for its conflict of laws provisions. You irrevocably submit
to the non-exclusive jurisdiction and venue of federal and state courts located in Des Moines,lowa and will not claim it is an inconvenient{orum for legal
action. YOU AND WE IRREVQCABLY WAIVE ANY RiGHT YOU AND WE AIkAY HAVE TO A JURY TRIAL.
16. Miscellaneous. WE HAVE NOT MADE, AND DO NOT MAKE, ANY REPRESENTA'TION UR WARRANTY, EXPRESS OR IMPLIE�, AS TO
THE EQUIPMENT'S MERCHANTABlLITY, FITNESS FOR A PARTICULAR PURPOSE, SUITABILITY, OR OTHERWISE. WE ARE NOT LIABLE
FOR CONSEQUENTIAL OR SPECIAL DAMAGES. You acknowledge that no supplier or dealer of the Equspmeni is an agent of ours,or authorized to
act for or bind us. You agree not to withhold any amount you owe us if you believe you have a claim against us, or any Equipment suppEier(s} or
manufacturer{s), but to pursue that claim independently. Any claim you have ageinst us must be made within two years afte�the event that caused it.
All notices must be in writing and wi[I be deemed given 5 days after mailing to the intended recipient at its address indicated above,unless changed by a
notice given in accordance with this Section. Each Lease supersedes and replaces all prior understandings and communications(p ry
concerning the subject matter thereof. Except as otherwise provided in Section 11(d), no part of any Lease can be amended, waiv�d���
except by a writing signed by both you and us. Any part of this Master Agreement may be signed in separate counterparts that, together,will constitute
Unlversal Governmontal M1.A OperoNng Lease Sletetl Purchaeo Optlon Nov�5 2013 App 12111026 ��� � O 20�U
n��R� r.RFniT. INC.
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one document. �If a court�finds any part of this Master Agreement to be invalid or unenforceable,ihe rernainder o(this Master Agreement will remaiFi in
effect. You permit us to monitor and record telephone conversations between you and us. �
Agreement No. d057622 ��'
ADQITIONAL TERMS AND CONDI71ONS 0F MASTER LEASE AGREEMENT
By providing any telephone number,including a mobile phone number,to us,any of our affiliates or any debt colleclors we retain,we,such affiliates and
such retained debt colfeclors can contact you using that number, including calls using an automatic dialing and announcing device and prerecorded
calls,and that such calls are not"unsolicited"under state or federal law. All of our righis under each Lease shail remain in efiect aiter the expiration of
the Lease Term or lermination of the Schedule.
17. Non-Aaprooriation of Funds. You intend to remit to us all Lease Payments and other payments for the tull Lease Term if funds are legally
available. In the event you are not granted an appropriation o(funds at any time during the Lease Term for the Equipment or for equipment which is
functionally similar to the Equipment and operating funds are not otherwise available to you to remit Lease Payments and other payments due and to
become due under the Lease, and there is no other le9al procedure or available funds by or with which payment can be made to us, and ihe non-
appropriation did noi result from an act or omission by you, you shall have the right to retum ihe Equipment in accordance with Section 9 of this Master
Agreement and terminate the Lease on the last day of the fiscal period for which appropriations were received without penalty or expense to you,except
as to the portion of the Lease Payments for which funds shall have been appropriated and budgeted. At least t�irty(30)days prior to the end o(your
fiscal period,your chief executive officer(or legal counsel)shall certify in writing thai(a)funds have not been appropriated for the fiscal period, (b)such
non-appropriatian did not result from any act or failure to aci by you, and(c)you have exhausted all funds legally available to pay Lease Payments. I(
you terminate the Lease because ot a non-appropriation of funds,you may not,to the extent permitted by applicable law,purchase,lease,or rent,during
the subsequent fiscal period, equipment performtng the same functions as,or functions taking the place of, those pe�Formed by the Equipment. This
Seclion 17 shall not permit you to terminate the Lease in�order to acquire any other equipment or to allocate funds directly or indirectly to perform
essentiaBy the application for which the Equipment is intended.
If you terrninate ihe Lease because of a non-appropriation of funds,the provisions of Section 8 shall not appty.
THE TERMS OF THIS MASTER AGREENEENT SHOULD BE READ CAREFULLY BEFORE SIGNING BECAUSE ONLY THESE W RITTEN 7ERMS
ARE ENF0RCEABLE NQ OTHER TERMS OR ORAL PROMISES MAY B�LEGALLY ENFORCED. BY SIGNING THIS MASTER AGREEMENT,
YOU AGREE 7O THE 7ERMS ON BqTH PAGES 1 AND 2. THIS MASTER AGREEMENT IS THE COMPLETE AND EXCLUSIVE STATEMENT
OF THE AGREEMENT BETWEEN YOU AND US,EXCEPT AS WE MAY LATER AGREE IN WRITING TO MODIFY IT.
WELD COUNTY DEERE CREDI7,INC.
1150 O ST •� 640Q NW 66'"ST,PO BpX 6600
GREELEY,Ca 80631-9596 JOHNSTON 50131-66
gY: � OU ��-���.r� �y� s
CHAIR BOARD,WELD COUNTY
COMMISSIONERS
Date MAR 14 20�8 Date: ����[ '! �
RECEIVED
�AR 4206�
Univeno!Governmentat MLA Oporeling Lcaso Slated Purchase Optlon Nov ti 2013 App 12111026
DEERE CREDIT, INC
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� JOHN DEERE Lease Schedule �
FINANCIAL Lease Schedule No. 030-0057822-035
Master Lease Agreement No. 0057622
Lessee: WEID COUNTY
{t�►ame b nddross) 1150 O ST,,GREELEY,CO 80631-9596
DEERE CREDIT, INC.
Lessor: gq00 MW 86�'ST,PO 8OX 6600,JOHNSTON,IA 50131-6600
.
Lease Term Start Date Lease Term End Date �� Lease Payment 'SafeslUse Tax Total Lease Purchase
Payments Pa ment O lion Price
03/21/2016 03/21/2018 24 $1,575.00 �O.QO 51,57�.00 $260,037.55
'If part of the regutar scheduled lease payment
.
Renewal Term Renewaf Term Renewal�ease Payment Total Renewal Purehase
Start Date E�d Date #Of Payments Amount SaleslUse Tax Lease Pa ment O tion Price
. �
Due Date 1"Payment Due piscount Rate Advance Lease Payment" E1.575.00
Date
21 03/21/2016 Intemat Rale of Relum minus 2 per�cent(2%) Origination Fee $0.00
BlOing Period IRegular Payments Security Deposit $Q.00
�Monlhly Total Due At Signing 5 1,575.00
❑Quarterly
❑Semi-Annual
�Annual "Advance Lease Payment includes lhe first(1)and last(0)
❑Irregular Lease Payment(s)
"Master Agreemenl" sha11 mean the above re(erenced Masier Lease Agreement. '5chedule" shall mean lhis Lease Schedule. "Lease' shall mean this
Schedule and the Master Agreement. All of the terms and conditions set foM in the Master Agreement and any amendment, addendum, schedule or
attachment thereto or hereto including,but not limited to,Ihe Equipment Return Provisions are hereby incorporated into and made a part of Ihis Schedule.
lease Pavments. You agree to remit the Lease Payments (and applicable sales, use and properly taxes) on Ihe dates noted above a�d all other amounts
when due to:DEERE CF2EDIT,INC.,P.O.Box 4450,Caro1 Stream.IL 60i 97�450.
Hourlv Charaes. You certify that the hour meter reading on each item of Equipment is accurate as at the date you sign this Schedule. If you use any Equipment
during the Lease 7erm for more than the Ftourly Lfmil indicated above for that item oi Equipment,you will pay to us within 10 days oi the Lease Term End Data
{or eny earlier termination ot the Lease}an amount equal to the Excess Hour Charge for Ihat ilem o(Equipment for each hour in excess ot the Houriy Limit. If
ihe Lease is terminated,cancelled or eMended for any reason,the Houriy Limit will be prorated by us in ovr sole discretion.
Purehase Ootlon. You may purchase ihe Equipment on the Lease Term End Daie(or ihe Renewal Term E�d Date)for the applicable Purchase Option Price
(plus applicable Taxes including estimated propeRy taxes), provided (1) you are not fn default; and (2)we receive the Purchase Option Price and any other
amounts you owe us on or befae the Lease Term End Dale(or Ihe Renewal i'erm End Date}, Upon receipi ol the Purchase Option Pnce,we wi11 transfer to you
all of our right,title and interest in such item(s)of Equipment AS-IS,WHERE-IS,WITHOUT ANY WARRANTY A5 TQ CONDI71ON OR VALUE.
Rencwal Term. If(1)a Renewal Tem+Is provided for above,and(2)you notlfy us at Ieast slxty(60)days prlor to the end of the Lease 7erm that you
intend to renew tfie Lease for the Renewal term,the lease shall renew for the Renewal Term. You agree!o remit to us the Renewal Lease Payments
indicated above(plus epplicable taxes and other amounis}when due and payable each Bilfing Period,even if we do not send you a bill or an invoice.
Reoresentatlons and Warranties. You represent and warrant to us,as of the date yau signed this Schedule,ihat(1)the�quipment was selected by you;{2)
the Equipmant (including all manuiacturer manuals and inslructions) has been delivered to, and examined by, you; (3) lhe sate operation and the proper
servicing of lhe Equipmenl were explained to you; (4)you received the written waRanty applicable to the Equipment and understand that your rights under the
wriiten warranty may be limited;{5)lhe Equipment is unconditionally and ircevocably accepted by you as being suitable for its intended use;(6)!he Equipment is
in good condition and repair(operating and otherwise); (7)the Equipment shaEl be used only for the purpose indicated herein; (8)except as disclosed to us,
�either you nor any person related to you will have an equity inierest in lhe Equipment on She Lease Tertn Start Qate;and(9)a!I intormation provided to us by you is
true and correct.
You acknowledge and agres that: (1}we did not select, manufacture or supply any of!he Equipment;(2)we acquired the Equipment at your direction; (3)
you selected lhe supplier of the Equipment;(4)you are entitled to all manufacturer warrantles("Wananty Rights")and we assign a11 Warranty Rights to you, to
the extent assignable;{5)you may request an accurate and complete slatement of the Warranty Rights,including any disclaimers and limitations,directly from
the manufacturer;and(6}you assign to us aIl your rlghts(but none ot your obl�gaiions) under a11 purchase orders, purchase agreements or similar documents
relatfng lo lhe Equlpment. You waive atl righis and remedies confeRed upon a lessee under Sections 508—522 oi Anicle 2A of the Unitorm Commercial Code.
Lease Payments may be based on the assumption that we will be entitled to ceAain tax benelits as the owner af the Equipment. I!you take or(ail to kake
any aclion Ihat results En a Ipss of such tax benefits,you v�rip pay us,on demand,lhe amount we calculate as the value af such losi tax benefits.
RECEiVEO
MaR 3 a Zo�s
Unlv�rs�l Gov�mm�n41 MLA Op�ntlrtp L��l�Sfabd Purtfi�s�Optlon Mav 1S YO!3 App 12111026
DEERE CREDIT. INC.
�
, . +fi;,
,"'r,!
Miscellaneous. Ybu agree'that we can access any information regarding the location, maintenance, operalion and condition of Ihe Equipment, afSd you
irrevocably authorize anyone in possession of such information to provide all of that infortnation to us upon our request. You aiso agree to not di�aple or
otherwise interfere with any information-gathering or transmission device within or attached to the Equipmenl. You permit us to monitor and record tejephone
conversations between you and us. By providing any telephone number, including a mobile phone number, to us,any of our affiliates or any debl collecfGrs we
retain,we,such affiliates and such retained debt collectors can contact you using that number, including ca11s using an aulomatic dialing and announcing device
and prerecorded calls, and that such calls are not"unsolicited"under state or federal law. All of our rights under each Lease shall remain in effect after ihe
expiration of the Lease Term or termination of the Schedule.
RECElVED
MAR 3 0 2p16
Unlv¢rsal Govornmentnl MLA Operating Lease Steted Purchese OpNon Nov 15 2013 App 12111026
DEERE CREDIT, lNC.
. , ,�
C'��J
, . .�.
Lease Schedule — Equipment List �`-�'�
,nf7
Supplier 4 RIVERS EQUIPMENT, LLC
(Name 3 Ad0ress) 685 EA5T ENTERPRISE DR.,PUEBLO W EST,CO 81047
• f' •
Hour Hour Excess PurChase
Year Make Model Equipment Destription Serial Number Meter Limit Hour Payment Option
Charge
2016 JD 772GP 772GP MOTOR GRADER 1DW772GPCGF674510 5 1560/YR $65.001HR $1,575.00 $260,037.55
Equipment 1150 O ST,GREELEY,CO,80fi31-9596 QUTSIDE city limits:� WELD C0UNTY
Location
BY SIGNING THIS SCHEDULE,YOU AGREE 70 ALL OF THE TERMS AND CONDITIUPI5 OF THIS SCHEDULE AND THE MASTER AGREEMENT.
WEID COUNTY DEERE CREDIT,INC.
1150 O ST •- fi400 NW 86'"ST,PO BOX 6600
GREELEY,CO 80631-9596 JONNSTON,IA 5 131-&600
r
By� � - By'
CH/UR B ARD,WELD COUNTY
COMMISSlONERS J
Date: y MAR � 4 2��6 �ate: —[ ' �' j 1p
RECEIVED
MAR 3 0 2016
DEERE CREDlT, IN .
02 o/G--G�oZ�
U�lvcrsal Governmental MLA Operating Leaso Statod Purchase Optfon Nov 15201 J App 12111026
�
, � ,��
,�a
. �,
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��
� J4HN DEERE Delivery and Acknowledgment
FiNANCIAL Lease Schedule No. 030-0057fi22-035
Master Lease Agreement No. 0057622
Lessee: WELD COUNTY
(Name&Address) 1150 0 ST,GREELEY, CO 80631-9596
DEERE CREDIT, INC.
L@S50�: 640Q NW 86�h ST, PO BOX 6600,JOHNSTON,IA 54131-6600
Capitafized terms shall have the meanings set forth in the above referencec!Master Lease Agreement.
Lessee hereby represents and warrants that: (1) all of the Equipmerat more fully described in the above referenced Lease Schedule was
selected by Lessee; (2) all of the Equipment and the Operator's Manuals have been delivered to, and received by, Lessee; (3} afl of the
Equipment has been inspected by Lessee and is in good working order; (4}all of the Equipment is uncanditionally and irrevocably accepted
by Lessee for all purposes under the Lease; (5) the safe operation and the proper servicing of the Equipmeni have been explained ta
Lessee; (6) Lessee received the manufacturer's written warranty applicable to the Equipment and Lessee understands that its rights are
subject to the Ifmitations outlined therein; (7)no Event of Default has occurred and is continuing; and(8)no materiaf adverse change in the
financial or business conditian of Lessee has occurred since the date of the last financial statement submitted to Lessor by Lessee.
S'►gned by Lessee's duly authorized representat9ve on the date shown below.
WELD COUNTY DEERE CREDIT, INC.
1150 O ST � - 6400 N.W,86'"STREET,PO BOX 660Q
GREELEY,CO 80631-9596 JOHN3TON,IA 50131-6600
. �
By: � By:
CHAIR BOARD,WELD COUNTY
COMMISSlON ERS f�
Date: � MAR 14 2016 Date: ���`"(l[�
� RECEfVEO
Ma� 3 0 2a�s
DEERE CREDIT, INC.
ao1�- o i�2P'
Universal Govemmontal MLA Operating Leaso Steted Pu�chase Optfon Nov 15 2013 App 12111026
, �3
� �".J
M
��
� .1OHN DEERE Equipment Return Provisions `�
FINANClAL �easeSchedule No. 030-0057622-035
Master Lease Agreement No. 0057fi22
Lessee: WELD COUNTY
(Name�nddress) 115d O S?,GREEIEY,CO 80631-9596
DEERE CREDIT, INC.
Lessor: gq00 NW 86`"ST,PO BOX 6600,JOHNSTON,IA 50131-6600
The following Equipment Retum Provisions are hereby incorporated into and made a paR of the above referenced Master Lease Agreement(the"Master
Agreement"),and entered into between Deere Credit,Inc.,as Lessor("us","we"or"ou�'),and W ELD COUNTY,as Lessee("you"or"your"). Pursuant to
Section 9 of the Master Lease Agreement, all Equipment must be retumed to us in satisfactory condition. Unsatisfactory condition shall include any condilion
described in Sections 1 through 4 below("Excessive Wear and Tear").
1. Mechanical.
A. Computer systems or satety and emission control equipment not in proper working order.
B. Mechanical components that are missing, broken or unsafe or that do not operate normally, other than normal tune-ups, given the age of the
equipment.
C. Wear on power train assembly lhat exceeds manufacturers then current standards for normal wear and tear.
D. Any air filters not within manufacturer's specifications.
E. Any gauges or fluid indicators that are damaged or do not function,the electrical system fails to operate properly,the battery fails to hoid a charge or
any wire harnesses that are not tied down and kept secured,dry and clean.
F. Any pumps, motors, valves or cylinders not in good operating condition or that fail to meet rnanufacturer's rated specifications or hydraulic system
exceeds manufacturer's ihen-cument contaminant standards (as shown by oil sample analysis). Equipment not serviced according lo the
manufacturer's operating manual.
G. Any lubricant,water or A!C seal leaks.
2. Exterior.
A. Dents larger than 2 inches in diameter.
e. Excessive number of dents or scratches.
C. Any scratch 8"or longer that reaches the metal skin.
D. Any single chip the size o(a quarter or larger or muliiple small chips within one square toot.
E. Substandard paint repairs,such as peeling,bubbling or mismatched shades that evidence poor condition in comparison with original paint and require
repainting at a cost in excess of$200.
F. Rust hofes in the body metal or a rust spot that covers more than a 4-inch square area.
G. Any glass that must be repfaced due to cracks or missing glass and any windshield damages greater than$50 in amount.
H. All frame damage and substandard frame repairs.
I. Any tires or tracks that{a}have broken side walls or extessive cuts or damages,or(b)have less than 50% of the original useful life remaining,or(c)
are not of tne same size,type grade or equivalent quality manufacturer as were ariginally included on the Equipment.
3. CablOaerator Platform.
A. Heavy interior so+l or strong odors,such as manure,that cannot be removed by general cleaning.
B. Unclean condition of operator environment.
C. Holes,tears,or burns on the dash,floor covers,seats,headliners,upholstery or interior.
4. General.
A. Equipment not operated or maintained in accordance with the manufacturer's speciGcations or if components,fuels or Ouids,on or in connection with
the Equipment that do not meet manufacturer's standards were used.
$. Any other damage that in the aggregate costs$250 or more to repair or that makes the Equipment unlawful or unsafe to operate.
5. Other.
A. A!I warranty and PIP work must be completed prior to the Lease Term End Date of the Lease Schedule relating lo the Equipment.
B. The Equipment must be cleaned prior to its return.
6. kour Meter. �or each item of Equipment returned with a 6roken or missing hour meter, you shall accept an invoice from us and remit to us an amount
equal to$1,000. You agree that lhe hour meter included with the Equipment is ConClusive of the number of hours oi Equipment use.
7. Invoices for Excess Wear And Tear. Upon any retum of the Equipment, we shall,in our sole discretion,determine the existence of any Excessive Wear
and Tear. In the event any item of Equipment is returned to us with Excessive Wear and Tear,you shall,at our sole discretion,either(i)accept an invoice
from us and remit to us the cost of repairing or replacing the affected component(s}which we determine necessary to return the Equipment to its required
cortdition,andlor{ii)accept an invoice from us and remil to us an amount equal to our estimate of(l)the cost of new tires or tracks if the tires or tracks are
damaged due to broken side wa11s or excessive cuts or damage,or(2)the cost of new tires or tracks multiplied by the difference between(A)our estimate
pi the percentage of the usefu!life of the tires and tracks then remasning,and(8}Cfty percent(50°/a). For exampfe,if you return Equipment with tires having
20%of iheir useful life remaining,you would remit to us an amount equal to 30% of ihe cost of new tires((50°/a-20%j multiplied by the cost of new tires}.
Your failure to remft the re uired a ment to us within ten 10 da s of demand shall constitute a default b ou under the terms of the Lease.
WELD COUNTY DEERE CREDIT,INC.
1150 O ST • - 6400 NW 86'h ST,PO BOX 6600
GREELEY,CO 80631-9596 JOHN ON,IA 50131-6600
By �-
sy: �a /ID �=�
CHAIft BOARD,WELD COUNTY
COMMISSIONERS / 1_�/_ l� MAR 3 0 2016
�ate: �lIAR 14 201� �ate: `"1 ( /
DEERE CREDIT INC
Unlversal Govemmenhal MLA Operotlng L¢ase Stated Purchase Opdon Nov 152013 App 42111026 �V/"'~ O-/��
� JOHN DEERE Physical Damage/Liability Insurance
FINANCIAL Lease Schedule No. 030-0057622-035
Master Lease Agreement No. 0057622
Lessee: WELD COUNTY
(Name&Address) 1150 O ST,GREELEY,CO 80631-9596
DEERE CREDIT, INC.
�essor: 6400 NW 86`"ST,PO BOX 6600,JOHNSTON, IA 50131-6600
LIABILITY INSURANCE on the above referenced Lease Schedule (the "Schedule")to the above referenced Master Lease
Agreement will be provided_by the following_insurance agency:__ _ ___.
Name of Agency: Phone Number of Agency
�-�- i.�'.�_b.�,vi t��.k <>2rV��� �_ _. , � �-n�-I- �'�-'�1 _ -
-�--- � � - __ _ -- - - -
Mailing Address of Agency Fax Number of Agency
Y�v L1�z�-+il-� �f�r.�Q,�" �'u.��f 4c� ��e����� (��� `������ � �! ��- n c� - �2 2
PHYSICAL DAMAGE INSURANCE on the Schedule will be provided by the following agency:
-- - _
- - - - — - -- ---
- — — - — Phone Number of Agency:
Name of Agency �
-. T, 1 '� .� � �7
�Ui.r G'l� I l'LVl{'1(zll.� �F U`I C.F'5 �b1(� --- _ _ ��'�S�P �" U��G I
--�--- __ __ --_ __ _ - —
. __ _ . _
Mailin Address of A enc ' , Fax Number of Agency
�g �9�'���4 gJ�l f-�Q-�"' -J(�-1 1� '-1'� �c�� �r L'o Sjl}�s-()� �l " �jP " �U�2
If an insurance certificate is available, it should be provided in place of the above information
ADDITIONAL INSURED and LOSS PAYEE:
Deere Credit, Inc.
Its Successors&/or Assigns
6400 NW 86"' St
Johnston, IA 50131
The undersigned agrees and understands that, pursuant to the provisions of Section 6 of the Master Lease Agreement, the undersigned
must at all times (1) maintain public liability insurance, covering personal injury and property damage for not less than $1,000,000 per
occurrence, naming us (and our successors and assigns) as additional insured: and (2) keep the Equipment insured against all risks of
physical damage for no less than its Termination Value(as such term is defined in Section 7 of the Master Lease Agreement), naming us
and our successors and assi ns as sole loss a ee.
WELD COUNTY
1150 O ST
GREELEY,CO 80631-9596
BY ♦ ����4..n —
CHAIR BOARD.WELD COUNTY
COMMISSIONERS
I�AR 1 4 2CSG
Date:
Office Use Only
Contact Date(s): Contact Name:
Liability Insurance Company Policy#: Liability Insurance Expiration Date
Liability Limits: Notes:
Physical Damage Insurance Company and Policy# Physical Damage Insurance Expiration Date
Insured Value: Notes:
Loss Payee Deere Credit,Inc.? Verified By:
❑Yes ❑Will Be Added J
Universal Governmental MLA Operating Lease Stated Purchase Optlon Nov 15 2013 App 12111026 �/(p —Q/pC�
Certi acate of Participation
Colorado Counties Casualty and Property Pool (CAPP)
For the Coverage Period January 1, 2016 through December 31, 2016
WELD COUNTY
Colorado Counties Casualty and Proparty Pool (CAPP} hereby certifies that Weld County is a participating
Member of CAPP for the period beginning January 1, 2016 through December 31, 2018. The coverages,
conditions of inembership, and other provisions applicable to members of CAPP are as described in CAPP's
Bylaws and Intergovernmentai Agreement and in the applicable excess policies, policy statements and
endorsements thereto, copies of which have been or will be provided to Weld County.
The types and monetary limits af the coverages provided to Weld County through membership in CAPP, in
consideration of the payment of its contributions, are fimited, as of the date of this certificate, to those which
are shown below. 7he scope, terms, conditions and limitations of coverages are governed by the
aforementioned agreement and policies.
I) The types of coverages, subject to the limit on GAPP's iiability in Section 11 below, are as follows:
A} Property(including EDP,mobile equipment,and auto physical damage)
B) Liability
1) Badily Injury, Property Damage(General Liability,Auto Liability)
2) Wrongful Acts committed in the conduct of duGes(Public Entity Management Liability)
3) Bodily Injury, Property Damage, Personat Injury(Law Enforcement Liability)
4) Errors or omissions in the administration of an'rnsured's emptoyee benefits(Employee Benefits
Liability)
5) Injury resulti�g from healthcare professional services rendered by any insured who is not a medicat
doctor, psychologist,psychatherapist or nurse practitioner. (Healthcare Professional Liability).
C) Crime
1) Monies and Securities(inside)
2) Monies and Securities(outside)
3) Employee Fidelity
Dj Boiler and Machinery
E) Network Security Liability
II) CAPP Retention,Aggregate Llmlts, and Member Deductlbles
For the coverages described in Section I, CAPP shall be liable only for payment of the self-insured retention
and only to a total annua!aggregate amount for members of CAPP as a whole of the amount of the CAPP loss
fund for the coverage period. CAPP's per claim/occurrence retentlons are limited to the following for the
foregoing coverages:
A) $150,000 per claim/occurrence property—County deductible$500
B) $250,000 per claim/occurrence liability(per coverage line)—County deductible$0 except in certain
claims-See CAPP Policy Statements.
C) $150,00�per claimloccurrence crlme-County deductible$500
D) $5,000 per loss boiler and machinery-County deductible$500
E) $1�,000 or$25,000 per claim/occurrence network securlty Ilabillty-County deductible$0
CAPP 2016 CeRificate of Participation
There is a maintenance deductible of$500,which appiies to each of the County's first party
claims/occurrences/losses(property c�aims}. Payment of the deductrble reduces the amount otharvvise payable
under the applicable CAPP retention.
Pertaining to all liabiliry losses,CAPP has purchased aggregate retention protect+on with a pool self-insured
retention of$6 miilion in any one policy year.
Coverages in excess of the foregoing pool retentions are provided only by the excess i�surers in appiicabfe excess
policies,and are payable only by those excess insurers.The limits of coverage provided by the excess insurers are �
as follows:
A. Liability
From$250,000 per claimloccurrence to$10 million per claim/occurrence except for auto,which is non-
aggregated,subject to the following:
All liability coverages are provided on a claims-made coverage form. In no event shall the maxlmum per
claim/occurrence payment exceed the following for general liability,auto liabi{ity,public entity
management liability,law enforcement liability,employee benefits tiabiliry or healthcare professional
liabtlity claims subJect to ihe Govemmental Immunity Act: $350,000 per person and$990,000 per
occurrence.Additional limits,sublimits and aggregates apply as provided in the applicable excess
policies.
B. Cnme
From$150,000 to$1 million each occuRence.Additional limits,sublimits and aggregates apply as
provided in the applicable excess policies.
C. Boiler and Machinery
From$5,000 to the cost of repair/replacement for each actual loss sustained up to$100 million.
Additional limits,sublimits and aggregates apply as provided in the applicable excess policies.
D. Property
From$150,000 to$100 million each occurcence."A!I Risk"basis with subtimits of$10 miltion newly
acquired property,$5 million new constnaction each occurrence and$1 million unscheduled locations.
Sublimits of$5 million for proRertV in Flood Zone A and$50 million for property in all other flood zones.
Newly acquired property must be reported wrihin 90 days.Additional limits,sublimits and aggregates
apply as provided in the applicable excess policies.
E. Network Security Liability
Privacy Liabiliiy:$1,000,000 each clasm/$1,000,000 Aggregate,$5,000,000 Maximum Policy Aggregate
Llmit; Networic Security Liability$1,000,000 Each Claim/$1,000,000 Aggregate:$1,000,000; Intemet
Media Liability Each Claiml$1,000,000 Aggregate.All member limits are subject to the Pool Aggregate
�imits.
Data Breach Fund$5Q0,000(notificaUonlcredit monitoring,computer forensics,public relations,legal,
fraud consultation,and identity�estoration services), $500,000 for B�siness Interruption; $500,000 for
PCURegulatory Fines/Penalties.Additio�al limits, sublimits and aggregates apply as provided in the
applicable excess policies.
The excess insurers for the coverage period are One Beacon, Lexington Insurance Co., Hiscox and ACE.
Information conceming the CAPP loss fund for the coverage penod may be obtained by contacting CAPP through its
Administrator,County Technical Services, Inc.(CTSI).
Colorado Counties Casualty and Property Pool
Allen .Chapman,CTSI Executive
December 3,2015
CAPP 2016 Certificate of Participation
��'1
ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYVVY)
�'� 12/28/2015
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 PROOUCER,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 Anita Bruner
Arthur J. Gallagher Risk Management Services, Inc. PHoNE , 303-889-2574 F'°X 303-889-2575
6399 S. Fiddlers Green Cir E-MAIL
Suite 200 anita bruner@ajg.com
Greenwood Viilage CO 80111 INSURER S AFFORDING COVERAGE NAIC�M
_ _ wsuReRn:Colorado Counties Casuait &Pro er
INSUREU INSURERB:AtI8f1tIC S ecialt Insurance Com an 27154
Weld County u,suReRc:Lexin ton Insurance Com an 19437
P.O. Box 758
Greeley, CO 80632 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:2003104511 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANGE 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
CERTIFIGATE 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 INSD WVD POLICY NUMBER MM/�UY� MM/DDNYYY LIMITS
A x COMMERCIAL GENERAL LIAHIIITY Y PER PARTICIPATION CERT 1/1/2016 1/1/2017 EACH OCCURRENCE 5250,00�
X CLAIMS-MADE �OCCUR A Y
! PREMISES Ea cecurrence S
MED EXP(Any one person) 5
PERSONAL 8 ADV INJURY 5250,000
GEN'L AGGREGATE LIMIT APPLIES PER�. GENERAL AGGREGATE S
POLICY❑�E a �LOC PRODUCTS-COMP/OP AGG $250,000
OTHER:
$
A AUTOM081LE LIABII.ITv PER PARTICIPATION CERT 1!1/2016 1(1/2017 Ea accitlent $250,000
X ANY AUTO BODILY INJURY(Per person) S
ALL OWNED SCHEOULED
AUTOS AUTOS BODILY INJURY(Per aaident) 5
x HIREDAUTOS X AON-OOWNED I PR E TY AMA a
Per accident
X Claims Made I $
8 X UMBRELu�LIAB OCCUR I 7910003550005 1/U2016 1/V2017 EACH OCCURRENCE 510,000,000
EXCESS�IAB X CLAIMS-MADE
AGGREGATE �10,000,000
DED x RETENTION5250,000 a
WORKERS COMPENSATION PER TH-
ANO EMPLOYERS'LIABI�ITY y�N STATUTE ER „
ANV PROPRIETOR/PARTNER/EXECUTIVE � N�a E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED9
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE S
tl yes,describe under
DESCRIPTION OF OPER,4TIONS below E.L.DISEASE-POLICY LIMIT E
� Excess Property 020412751 1/1/2016 1/1/2017 BLANKET BIDG&PP 100,000,000
A Prop,Mob Eq,Auto PD,XS � PER PARTICIPATiON CERT 1/1/2016 1/1l2017 Member Ded=$500 150,000
DESCRIPTION OF OPERATION3/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
See Attached...
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Deere Credit, Inc. ISAOA ACCORDANCE WITH THE POIICY PROVISIONS.
6400 NW 86th St.
Johnston IA 50131 AUTHORIZED REPRESENTATIVE
�� C����..
O 1988-2014 ACORD CORPORATION. Ali rtghts reserved.
ACORD 25(2014/01) The ACORD name and Iogo are registered marks of ACORD
AGENCY CUSTOMER ID:
LOC#:
ACO� ADDITIONAL REMARKS SCHEDULE Page � of 1_
� AGENC� NAMEDINSURED
Arthur J. Gallagher Risk Management Services, Inc. Weld County
P.O. Box 758
POUCY NUMBER Greeley, CO 80632
CARRIER NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TiTLE: CERTIFICATE OF LIABILITY INSURANCE
Excess Property: Carrier: Lexington Insurance Company Policy#020412751 Policy Term: 01(01I2016 to 01/01/2017$100,000 Loss Limit-
Excess Property/Real&Personal Property(All Risk)including Equipment Breakdown$5,000,000 Each OccurrenceJAnnuai Aggregate-
Flood,Zone A$50,000,000 Each Occurrence/Annual Aggregate-Fiood,all other Zones$50,000,000 In the Aggregate as respects all flood
loss combined$25,00Q,000 Each Occurrence/Annual Aggregate-Earthquake$100,000 Business Income(includes Rental Income)
$150,000 Deductible Ail Perils/$5,000 Deductible Equipment Breakdown except$10,000 applies to Snake River Waste Water Treatment
Facility in Dillon, CO
RE: N 772G JD 772GXDW MOTOR GRADER SN:1 DW772GPPEF665760;Value$247,000.00.
Account#030-0057622-024
Deere Credit, Inc. ISAOA is named Additional Insured as respects to General�iability and named Loss Payee as respects Property
coverage, pursuant to and subject to the policies terms,definitions, conditions and exclusions
ACORO 101 (2008/01) O 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and Iogo are registered marks of ACORD
ACO� DATE(MAA/00lYYVV)
�� CERTIFICATE OF LIABILITY INSURANCE �2,28i2o�5
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 be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorseme�t. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement s .
PRODUCER NAMEACT Anita Bruner
Arthur J. Gallagher Risk Management Services, Inc. PHONE , 303-889-2574 F"'� . 303-889-2575
6399 S. Fiddlers Green Cir E•MAIL
Suite 200 anita bruner@ajg.com
Greenwood Village CO 80111 INSURER S AFFORDING COVERAGE NAIC N
_ �NsuReRn:Colorado Counties Casualt & Pro er
�NsuReo �NsuReR e:Atlantic S ecialt Insurance Com an 27154
Weld County u,suReRc:Lexin ton Insurance Com an 19437
P.O. Box 758 INSURER D:
Greeley, CO 80632
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:844445824 REVISION NUMBER:
THIS IS TO CERTIFV THAT THE PO�ICIES OF INSURANCE LISTED BEIOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE F0R THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM 0R 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 T0 ALL THE TERMS,
EXCLUSI0NS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
�NTR TVPE OF INSURANCE INSD WVD POLICY NUMBER MMI�DY EFF MOM,LDIp�� LIMITS
A X COMMERCIAL GENERAL IIABILITY PER PARTICIPATION CERT I 1/1/2016 1/1/2017 EACH OCCURRENCE $250,000
I A
' X CLAIMS-MA�E �OCCUR PREMISES Ea occuvence $
MED EXP(Any one person) S
PERSONAL&ADV iNJURY 5250,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY� PR� � LOC PRODUCTS-COMP/OP AGG $250,000
JECT
OTHER: S
A AUTOMOBILE uAeILI7Y PER PARTICIPATION CERT 1/1/2016 1/1/2017 S
Ea axident 250,000
X ANY AUTO BODILY iNJURV(Per person) 5
ALL OWNED SCHEDULED BODILV INJURY Per accident $
AUTOS AUTOS � �
X NON•OWNED R Y AMA
HIRED AUTOS x AUTOS per accident $
X Claims Made g
B X UMBRELLA LIAB OCCUR 7910003550005 1/1/2016 1/1l2017 EACH OCCURRENCE $10,000,000
EXCESS LIAB X � CLAIMS-MADE AGGREGATE $I0,000,000
DED x RETENTION5250,000 $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITV �.�N STATUTE ER
ANV PROPR�ETOR/PARTNER/EXECUTIVE ❑ N�A E.L.EACH ACCIDENT S
OFFICER/MEMBER EXCLUDED7
(Mandatory in NH) E.�.DISEASE-EA EMPLOYE $
II yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICV LIMIT 5
� Excess Property 020412751 1/1/2016 1/1/2017 BLANKET BLDG 8 PP 100,000,000
'4 Prop,Mob Eq,Auto PD,XS PER PARTICIPATION CERT 1(1/2016 1/1/2017 Member Ded=$500 150,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD tOt,Additional Romarks Schedule,may be attachad if more space is required)
See Attached...
CERTIFICATE HOLDER CANCELLATION
SH0ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Deere Credit, Inc. ISAOA ACCORDANCE WITH THE POLICY PROVISIONS.
6400 NW 86th St.
Johnston IA 50131 AUTHORIZED REPRESENTATIVE
�� C���..�.o.�--.
O0 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORO
i
AGENCY CUSTOMER ID:
LOC#:
�'"..�
ACURO� ADDITIONAL REMARKS SCHEDULE Page � of �
�..--�-.
AGENCV NAMEDINSURED
Arthur J. Ga�lagher Risk Management Services, Inc. Weld County
P.0. Box 758
POLICV NUMBER Greeley, CO 80632
CARRIER NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
Excess Property� Carrier: Lexington insurance Company Policy#020412751 Policy Term: 01i01/2016 to 01/01/2017$100,000 Loss Limit-
Excess Property/Real & Personal Property(All Risk) including Equipment Breakdown $5,000,000 Each Occurrence/Annual Aggregate-
Flood, Zone A$50,000.000 Each Occurrence(Annual Aggregate-Flood, all other Zones$50,000,000 in the Aggregate as respects all flood
loss combined$25,000,000 Each Occurrence/Annual Aggregate- Earthquake$100.000 Business Income (Includes Rental Income)
$150,000 Deductible All Perils/$5,000 Deductible Equipment Breakdown except$10,000 applies to Snake River Waste Water Treatment
Facility in Dillon, CO
RE: Account Reference 030-0057622-031; 030-0057622-032; 030-0057622-033; 030-0057622-034
N 772G JD 772GXDW MOTOR GRADER EQUIPPED WITH REAR HITCH SN:1 DW772GPVFF667- Estimated Value� $239.675.00
N 772G JD 772GXDW MOTOR GRADER cQUIPPED WITH REAR HITCH SN:1DW772GPLFF667- Estimated Value: $239,675.00
N 772G JD 772GXDW MOTOR GRADER EQUIPPED WJTH REAR HITCH SN:1 DW772GPKFF667 - Estimated Value: $239.675.00
N 772G JD 772GXDW MOTOR GRADER EQUIPPED WITH REAR HITCH SN:1 DW772GPLFF667: -Estimated Value: $239,675.00
Certificate Holder is an Additional Insured as respects General Liability policy, pursuant to and subject to the policy's terms, definitions.
conditions and exciusions.
Certificate holder is Loss Payee as respects property policy, pursuant to and subject to the policy's terms. definitions. conditions and
exclusions, as their interests may appear.
ACORD 101 (2008/01) O 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
. • r��t'�^�i
ii;�!
'-yJ1
�
� JC�HN DEERE Proper#y Tax Acknowledgment
F I N A N C I A L Lease Schedule No. 030-0057622•035
Master Lease Agreement No. 0057622
Lessee: WELD COUNTY
(Nama R Address) 1150 O ST,GREELEY,CO 80631-959&
DEERE CREDIT, INC.
Lessor: gq00 NW 86`"ST, PO BOX 6600,JOHNSTON,IA 50131-6600
As Lessor and Owner of the equipment, Deere Credit, Inc. is responsible for�ling and paying property tax to the
appropriate taxing authority. Lessee should not report this equipment on their property tax return.
Lessor will bill Lessee for property taxes upon receipt of an assessment from the taxing authority. Lessee will reimburse
Lessor for prope�ty taxes upon receipt of an invoice from John Deere Financial. Please refer to section 3 of the Master
Lease Agreement for further information.
7he equipment listed on the attached Master �ease Schedule — Equipment List will be reported to the fol�owing taxing
'urisdiction s .
1150 O ST � Check here if OUTSIDE city lim�ts
Street Address
• 80631-
GREELEY CO 9596 WELD
City State Zip County
PLEASE VALIDATE THE ABOVE IN�ORMATION &MAKE APPLICABLE CHANGES BELOW:
❑ Check here if OUTSIDE city limits
Street Address
City State Zip County
❑ Check here if Sales/Use Tax Exempt ❑ Check here if Property Tax Exempt
Equlpment Usage:
Percentage of Time:
The urtderstgned (the"Lessee") acknowledges that they have verified the equipment locatron listed above; understands
that the Lessor wilf file and pay property taxes and that the Lessee is required to reimburse Lessor upon receipt of an
invoice for property taxes. Failure to reimburse Lessor far property taxes shal! constitute an Event of DEfault as described
in Section 10 of the Lease.
WELD COUNTY
1150 O ST
GREELEY,CO 80631-9596
By: * .�! l 1MK►
CHAIR BOARD,WELD COUNTY
COMMISSIONERS .
Date� ♦ MAR 14 261S
RECEIVED
MAR 3 0 2016
DEERE CREDIT, INC.
020/�- o/�
Untvenal Governmental MLA Opareling Leaae Shted Purcheso Optlon Nov 15 2073 App 12114026
I
� .JOHN DEERE
FINANCIAL Advance Lease Payment Invoice
Due Date: 03/21/2016
Total Due: $1,575.00
Biiling Address: Updated Billing Information:
WELD COUNTY
PO BOX 758
GREELEY, CO 80632-0758
Please Note: All future invoices will be sent to the billing address shown unless you update your billing infonnation above.
Master Lease Agreement 0057622
Number
RentaUTax Security Origination Advance
App# Mfg. Model# Serial Number Due Date Amount Deposit Fee Lease
Pa ment
135155 JD 7T2GP 1DW772GPCGF6 03/21/2016 51,575.00 $0.00 S0.00 $1,575.00
74510
Correspondence Only: Remit Checks Payable To:
Deere Credit, Inc. Deere Credit, Inc.
Attn: Lease Administration Attn: Acct. Dept.—ALP Processing
PO Box 6600 PO Box 6600
Johnston, IA 50131-6600 Johnston, IA 50131-6600
Phone: (800) 771-0681 —select"lease" prompt"
Fax: 800 254-0020 Lease issues onl
TO ENSURE PROPER CREDIT, STAPLE CHECK AND RETURN THIS INVOICE WITH THE LEASE DOCUMENTS.
STAPLE ADVANCE LEASE PAYMENT CHECK HERE
Every Dishonored Check will result in a fee of 520.00 or an amount not to exceed the highest amourrt permitted by law.
Univenal GovemmenWl MLA Operating Lease SWteC Purehase OpHon Nov 15 2013 App 12111026
Federal/State Agency
and Indian Tribe
Claim for Exemption of
State and Local Sales/Use Tax
Purchaser
Name: WELD COUNTY
Address: 1150 O ST, GREELEY, CO 80631-9596
ID Number (If Applicable): g`{-����/3
Seller
Name: Deere Credit Inc.
Address: 6400 NW 86t" St. Johnston, IA 50131
Exemption Number (if applicable):
Reason for Exemption: Municipality
Description of Item Being Purchased:
2016 JD 772GP 772GP MOTOR GRADER 1DW772GPCGF674510
By signing below, purchaser certifies that the items being purchased are exempt from state and local sales tax.
�
By: Q ~�� _
Title: ��Y��� ����
Date: �Q��(o
Telephone Number: (970)356-4000
Unlversal Governmental MLA OperaNng Lease Stated Purchase Opdon Nov 75 2013 App 12111026
���l�d�""..�
ME�C�RANC�IJM
,� TO: Board of Commissioners DATE: January 15, 2016
.Gt?U.�
FROM: Jay McDonald, Director of Public Works
SUBJECT: 2-Yr Leased Motor Grader, 61600010
The Public Works Department recommends awarding the bid to 4 Rivers Equipment for one, 2016 John Deere
772GP Motor Grader, for a Two-Year Lease.
We would like the following Options: Option A(Electronic Cross Slope Meter) which is included in the base
price; Option D (GPS/Monitor Service Hrs & Location/Download Machine Operating History)which is included
in the base price. Option E (Manuals) is available on-line at no extra cost. Option F (Service Calls) is available
at no extra cost. The lease rate for 1500 Hours Per Year is $1,575.00 per month.
If you have any questions, please call me at extension 3761,
� ��
, ` ��__.. ,
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