HomeMy WebLinkAbout 17-06 - Approving Rocky Mountain Ham Radio License AgreementRESOLUTION NO.
A RESOLUTION APPROVING A LICENSE AGREEMENT WITH ROCKY
MOUNTAIN HAM RADIO, INC. FOR PLACEMENT OF A TWENTY-EIGHT FOOT
TOWER AND RADIO TRANSMISSION FACILITY ON TOWN -OWNED PROPERTY
WHEREAS, Rocky Mountain Ham Radio, Inc. ("Rocky Mountain Ham Radio") desires
to install on Town -owned property for amateur radio service a twenty-eight foot tower and radio
transmission facility consisting of antennae and associated equipment at the Town -owned Public
Works facility located at 7500 County Road 20, Firestone, Colorado; and
WHEREAS, the Town is willing to grant Rocicy Mountain Ham Radio a license for such
purpose, in the form of license agreement accompanying this Resolution;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF TRUSTEES OF
THE TOWN OF FIRESTONE, COLORADO*
1. The proposed License Agreement ("Agreement") between the Town of Firestone
and Rocky Mountain Ham Radio, Inc. for the installation of a twenty-eight foot tower and radio
transmission facility consisting of antennae and associated equipment on Town -owned property
is hereby approved in essentially the same form as the copy of such Agreement accompanying
this Resolution.
2. The Mayor is authorized to execute the Agreement, except that the Mayor is
hereby granted the authority to negotiate and approve such revisions to said Agreement as the
Mayor determines are necessary or desirable for the protection of the Town, so long as the
essential terms and conditions of the Agreement are not altered.
3. The Mayor, Town Manager and Town Staff are further authorized to do all things
necessary on behalf of the Town to perform the obligations of the Town under the Agreement,
and to execute and deliver any and all documents necessary to effect the license provided for
under such Agreement, upon Rocky Mountain Ham Radio's compliance with its obligations
thereunder and all terms and conditions of said Agreement.
INTRODUCED, READ AND ADOPTED this day of 6 , 2017.
TOWN OF FIRESTONE, COLORADO
f 4k Paul Sorensen
Mayor
k TEST: . j
%0
Town Clerk
ROCKY MOUNTAIN HAM RADIO EQUIPMENT LICENSE AGREEMENT
This License Agreement ("Agreement") is entered into and effective the lst day of January,
2017, by and between Rocky Mountain Ham Radio Inc., a Colorado corporation whose address
is 12244 Applewood Knolls Drive, Lakewood, CO 80215 ("Rocky Mountain Ham Radio"), and
the Town of Firestone, Colorado, a Colorado municipal corporation whose address is 151 Grant
Avenue, Firestone 80520 (the "Town").
1. Grant of License; Premises. The Town hereby grants to Rocky Mountain Ham
Radio a license to place, operate, maintain and repair a twenty-eight foot tower and radio
transmission facility consisting of antennas and associated equipment (the "Facilities") at the
Town -owned Public Works facility located at 7500 County Road 20, Firestone, CO 80504-6727
the "Premises"). The exact location of the Facilities on the Premises shall be as designated by
the Town.
2. Installation. The Facilities shall be installed in strict compliance with plans and
specifications approved by the Town Engineer in writing and in advance of installation. Any
changes to the approved plans and specifications shall require the additional, prior written
approval of the Town. Rocky Mountain Ham Radio shall also follow and strictly comply with
all directions of the Town regarding Rocky Mountain Ham Radio's installation and maintenance
of the Facilities. Initial installation of the Facilities and all maintenance and repair work shall be
conducted in a manner so as to minimize disruptions to activities and uses of the Town.
3. Limited Use of Premises; Emer�ency Use. The Premises are licensed to Rocicy
Mountain Ham Radio only for the express purpose of installation, operation, maintenance and
repair of the Facilities. Rocky Mountain Ham Radio shall not permit the Facilities to be used by
any other entity or for any other purpose without the prior written approval of the Town, as
evidenced by motion or resolution of the Board of Trustees. The Premises shall only be used for
amateur radio service as detailed under Chapter 17.58 of the Firestone Municipal Code. In the
event of an emergency situation, Rocky Mountain Ham Radio shall cooperate with the Town to
allow the Facilities to be used without cost to the Town to provide public safety radio services,
announcements or communications.
4. Term. The Term of this License shall be for three years commencing on January
1, 2017 ("Commencement Date") and terminating December 31, 2019 ("Expiration Date"). The
Town grants to Rocky Mountain Ham Radio the right to renew this Agreement for three (3)
additional three (3) year terms on the same terms and conditions as are herein stated, unless
otherwise terminated as provided herein, or if Rocky Mountain Ham Radio notifies the Town in
writing of its intent to not renew Agreement at least sixty (60) days prior to the Expiration Date
of the initial or renewal term. If no written notice is given, this Agreement will automatically
renew for an additional three (3) year period.
5. Payment. Rocky Mountain Ham Radio shall be solely responsible at its expense
for all costs and expenses related to the installation, operation, maintenance and repair of the
Facilities.
6. Premises Taken "As -Is"; Security of Property. Rocky Mountain Ham Radio
accepts the Premises in its current configuration and in an "as is" condition, without any implied
warranties of habitability, fitness or suitability for Rocky Mountain Ham Radio's purposes. The
Town has no obligation to make improvements in order to satisfy the needs of Rocky Mountain
Ham Radio. The Town shall have no responsibility, liability, or obligation with respect to the
safety or security of the Facilities, or any other property of Rocky Mountain Ham Radio located at
or near the Premises, it being acknowledged and understood by Rocky Mountain Ham Radio that
the safety and security of the Facilities is the sole responsibility and risk of Rocky Mountain Ham
Radio,
7. Ins?ress and Egress.
A. Access to and from the Premises shall be solely along routes designated by the
Town. Rocky Mountain Ham Radio may make use of a key provided by the Town for after-
hours access; provided, however, that such key shall be used only by persons designated in
advance to the Town. The Town may require that Rocky Mountain Ham Radio be accompanied
by the Town's personnel during any access to the Premises. Rocky Mountain Ham Radio shall
make every effort to coordinate with the Public Works Director in advance of all access to and
activities upon the Premises. Rocky Mountain Ham Radio shall maintain at the Premises and
make available to the Town a log of all visits to the Premises, including the date of the visit and
the names of any Rocky Mountain Ham Radio's employee, agent or contractor visiting the
Premises.
B. The Town shall have the right to enter into the Premises at any time during the
term of this Agreement for any purpose or activity of the Town. If any such entry or activity
requires disturbance of the Facilities, the Town shall not be required to repair or replace any such
disturbance. Except in the cases of emergency, the Town shall provide Rocky Mountain Ham
Radio forty-eight (48) hours advance notice of any activity by the Town that will cause a
disturbance to the Facilities. The Town shall have the right to place improvements on the
Premises.
8. No Acquired Interest; Easements and Other Interests.
A. Rocicy Mountain Ham Radio agrees it does not have or claim, and shall not at any
time in the future have or claim, any ownership interest or estate in the Premises, or any other
interest in real property included in the Premises, by virtue of this Agreement or any occupancy
or use of the Premises.
B. Without limiting the foregoing, Rocicy Mountain Ham Radio shall be solely
responsible for obtaining any access easements or similar permissions needed for it to access the
site from public rights -of --way.
C. Rocky Mountain Ham Radio understands that this Agreement is subject to all
easements and other interests of record applicable to the Premises prior to the date of this
Agreement. Rocky Mountain Ham Radio shall be solely responsible for coordinating its
activities hereunder with the holders of such franchise agreements or of such easements or other
2
interests of record, and for obtaining any required permission for such activities from such
holders if required by the terms of such franchises or easements or other interests.
9. Title. The Town represents and warrants to Rocky Mountain Ham Radio that the
Town owns the Premises and has full right and authority to enter into this Agreement.
10. Communications Interference. Rocky Mountain Ham Radio acknowledges that
the Town and/or its fire district and emergency service providers ("Emergency Service
Providers") operate, or may operate, on the Premises and other Town -owned property, radio,
telecommunications, and other similar communications facilities and equipment for the purpose
of providing municipal services, including but not limited to fire, emergency, and public safety
services. Rocky Mountain Ham Radio acknowledges and agrees that Town's use and the
Emergency Service Provider's use of such radio, telecommunications, and other similar facilities
and equipment shall be paramount and shall take precedence over Rocky Mountain Ham Radio's
use, whether the Town's or the Emergency Service Provider's equipment predates or postdates
the installation of the Facilities, and that Rocky Mountain Ham Radio's use of the Premises shall
not cause interference with the Town's or the Emergency Service Provider's facilities and
equipment. The Town shall provide Rocky Mountain Ham Radio with written notice of any
claim that the Facilities are the cause of interference to the Town's or the Emergency Service
Provider's telecommunications, and other similar communications facilities or equipment, or any
of the Town's or the Emergency Service Provider's radio frequency operations. Rocky
Mountain Ham Radio shall investigate such claim of interference, working jointly, as may be
required, with the Town and/or the affected Emergency Service Provider, and in the event that
Rocky Mountain Ham Radio's use is the sole or a contributing cause thereof, Rocky Mountain
Ham Radio shall, at its own expense eliminate such interference without modification to the
facilities of the Town or the affected Emergency Service Provider. In the event Rocky Mountain
Ham Radio is unable to eliminate such interference within 30 days of being notified hereof, the
Town at its option may terminate this Agreement. No additional cure period shall apply to any
termination under this Section.
11. Permits and Maintenance. Rocky Mountain Ham Radio agrees to take such
actions as are necessary to ensure that its Facilities and activities upon the Premises are operated
and conducted in a good and safe condition and manner at all times. Rocky Mountain Ham
Radio shall maintain the Facilities so as to reasonably resemble and/or blend in appearance with
the existing Public Works facility. Rocky Mountain Ham Radio shall be responsible at its
expense for securing any approvals required by the Town or any other governmental entities for
the installation, operation and maintenance of the Facilities, and for ensuring the same are in full
compliance with any approvals required by the Town or such other governmental entities or
pursuant to the Firestone Municipal Code. Rocky Mountain Ham Radio acknowledges and
agrees that the issuance by the Town of any land use, zoning, building or other permits or
approvals for the proposed use are matters subject to the regulatory authority and quasi judicial
or administrative discretion of the Town. No promise of or agreement to the issuance of such
approvals and permits have been given or made by the Town. Rocky Mountain Ham Radio
lirther agrees to comply at all times with all applicable laws, rules and regulations in Rocky
Mountain Ham Radio's use and occupancy of the Premises.
K3
12. Protection of Town Facilities. In the exercise of its rights pursuant to this
Agreement, Rocky Mountain Ham Radio shall exercise reasonable care to prevent and avoid any
damage to or interference with any of the Town's installations, buildings, structures, utilities, or
improvements on, under, or adjacent to the Premises. Rocky Mountain Ham Radio shall cease all
such actions causing such damage or interference immediately upon notice from the Town. Rocky
Mountain Ham Radio shall be solely responsible for any damages suffered by the Town or others as
a result of Rocky Mountain Ham Radio's use and occupancy of the Premises.
13. Taxes. Rocky Mountain Ham Radio acknowledges that the Town's property and
improvements are currently exempt from taxation. Rocky Mountain Ham Radio shall pay when
due any personal property tax, real property tax or other tax or fee assessed on, or any portion of
such taxes directly attributable to, the Facilities.
14. No Waste and Nuisance. During the term of this Agreement, Rocky Mountain
Hain Radio shall comply with all applicable laws affecting the Premises, the breach of which
might result in any penalty on the Town of forfeiture of the Town's title to the Premises. Rocky
Mountain Ham Radio shall not commit, or suffer to be committed, any waste or nuisance on the
Premises.
15. Utilities and Liens. If required by the Town, Rocky Mountain Ham Radio shall
be responsible for all utilities required by its use of the Premises. Utilities shall be installed only
in locations and according to plans approved in advance by the Town. Rocky Mountain Ham
Radio shall not permit any mechanic's liens or other liens to be placed upon the Premises or any
Town -owned property, and in the case of the filing of the same, will immediately obtain release
of such lien. If any lien is not discharged to the satisfaction of the Town within 30 days, the
Town shall have the right, but not the obligation, to pay and discharge the same and recover from
Rocky Mountain Ham Radio all payments made and all costs, attorneys' fees and other expenses
incurred by the Town.
16. Assignment and Subleasing. Rocky Mountain Ham Radio shall not assign or
transfer this Agreement, or any interest herein, without the prior written consent of Town, and a
consent to an assignment shall not be deemed to be a consent to any subsequent assignment.
17. Notices. All notices, demands or other writings which this Agreement requires
to be delivered, or which may be delivered by either party hereto to the other shall be deemed to
have been fully delivered, when made in writing and deposited in the United States mail, postage
prepaid and delivered to the addresses listed above. Facsimile transmissions & electronic mail
with proof of receipt are also means of delivering these communications. Any change of address
must be given in writing to either party.
18. Hold Harmless. The Town and its agents and employees shall be held harmless
and indemnified by Rocky Mountain Ham Radio from any liability (including, reimbursement of
reasonable legal fees and costs) for damages, injury or loss arising out of, resulting from, or in
any way connected with, Rocky Mountain Ham Radio's use and occupancy of the Premises,
unless such damages are caused by, or are the result of, willful misconduct or negligence of the
Town or any of the Town's agents. The Town shall not be liable for damages for Rocky
Mountain Ham Radio's service loss, interruption, or other consequential damages of whatever
kind or nature, regardless of the cause of such damages and Rocky Mountain Ham Radio, and
anyone claiming by and through such party, expressly waives all claims for such damages. The
parties hereto understand and agree that the Town is relying on, and does not waive or intend to
waive by any provision of this contract, the monetary limitations or any other rights, immunities,
and protections provided by the Colorado Governmental Immunity Act, C.R.S. § 2440401 et.
,eq., as from time to time amended, or otherwise available to the Town, its agents, or its
employees. This Section shall survive the termination or expiration of this Agreement.
19. Insurance.
(a) Rocicy Mountain Ham Radio, at Rocicy Mountain Ham Radio's sole cost and
expense, shall procure and maintain on the Premises and on the Facilities, bodily injury and
property damage insurance with a combined single limit of at least ONE MILLION DOLLARS
($1,000,000.00) per occurrence. Such insurance shall insure, on an occurrence basis, against all
liability of Rocky Mountain Ham Radio, its employees and agents arising out of or in connection
with Rocky Mountain Ham Radio's use of the Premises, all as provided for herein.
(b) Rocky Mountain Ham Radio shall also procure and maintain, and shall cause each
subcontractor of Rocky Mountain Ham Radio to procure and maintain, the minimum insurance
coverages listed below.
1. If required by law, Workers' Compensation insurance as required by the
Labor Code of the State of Colorado and Employers Liability Insurance. Evidence of
qualified self -insured status may be substituted.
2. Comprehensive Automobile Liability insurance with minimum combined
single limits for bodily injury and property damage of not less than ONE MILLION
DOLLARS ($1,000,000) each occurrence and ONE MILLION DOLLARS ($1,000,000)
aggregate with respect to each owned, hired and/or non -owned vehicles assigned to or
used in connection with Rocky Mountain Ham Radio's rights or obligations of this
Agreement. If Rocky Mountain Ham Radio has no owned automobiles, each officer or
employee of the Rocky Mountain Ham Radio entering the Premises shall be required to
keep in full force and effect during the term of this Agreement automobile liability and
physical damage insurance for any vehicle used on the Premises, in amounts not less than
prescribed by the laws of the State of Colorado.
(c) Rocky Mountain Ham Radio shall not be relieved of any liability, claims,
demands, or other obligations assumed pursuant to this Agreement by reason of its failure to
procure or maintain insurance, or by reason of its failure to procure or maintain insurance in
sufficient amounts, durations, or types. The coverages required above shall be procured and
maintained with forms and insurers acceptable to the Town. All coverages shall be continuously
maintained from the date of this Agreement.
(d) Rocky Mountain Ham Radio's general liability insurance shall be endorsed to
include the Town, and its elected and appointed officers and employees, as additional insureds,
unless the Town in its sole discretion waives such requirement. Every policy required above
shall be primary insurance, and any insurance carried by the Town, its officers, or its employees,
shall be excess and not contributory insurance to that provided by Rocky Mountain Ham Radio.
Such policies shall contain a severability of interest provision. Rocky Mountain Ham Radio
shall be solely responsible for any deductible losses under each of the policies required above.
(e) Certificates of insurance shall be provided by Rocky Mountain Ham Radio as
evidence that policies providing the required coverages, conditions, and minimum limits are in
full force and effect, and shall be subject to review and approval by the Town. No required
coverage shall be cancelled, terminated or materially changed until at least 30 days prior written
notice has been given to the Town.
(f) Failure on the part of Rocky Mountain Ham Radio to procure or maintain policies
providing the required coverages, conditions, and minimum limits shall constitute a material
breach of contract upon which the Town may immediately terminate this Agreement, or at its
discretion may procure or renew any such policy or any extended reporting period thereto and
may pay any and all premiums in connection therewith, and all monies so paid by the Town shall
be repaid by Rocky Mountain Ham Radio within thirty days.
20. Rocky Mountain Ham Radio Improvements. Upon prior written approval of
the Town, Rocky Mountain Ham Radio may make such improvements on the Premises as it may
deem necessary for the construction, maintenance and operation of a radio transmitter site.
21. Ri:1ht to Terminate. Either party may terminate this Agreement, with cause, by
giving thirty (30) days written notice. This Notice may be by U.S. Postal Service, Facsimile or
Electronic Mail provided that the party has verified receipt, in writing, of that Notice to the other
party. Valid cause for this Termination consists of failure to perform material duties under the
terms of this Agreement. Rocky Mountain Ham Radio may terminate this Agreement, at its
option, after giving not less than thirty (30) days' notice to the Town, if.
(a) Rocky Mountain Ham Radio determines that technical or interference
problems at the Premises or from nearby transmitting facilities, which problems cannot
reasonably be corrected, preclude Rocky Mountain Ham Radio from using the Premises
for its intended purpose;
(b) Rocky Mountain Ham Radio determines that Rocky Mountain Ham Radio
doesn't have acceptable and legally enforceable means of ingress and regress to the
Premises;
(c) Utilities necessary for Rocky Mountain Ham Radio's use of the Premises are
not available to the Premises;
(d) The Premises are damaged or destroyed to an extent which prohibits or
materially interferes with Rocky Mountain Ham Radio's use of Premises or Rocky
Mountain Ham Radio's equipment and attachments thereto;
The Town may terminate the Agreement on ninety (90) days' written notice by the Town
in the event the Town determines to demolish, remodel, reconstruct or use all or a portion of the
Premises in a manner the Town in its sole discretion determines will be incompatible with the
continuation of the license herein given, or if the Town determines in its sole discretion that the
presence of the Facilities adversely affects the Town's use, maintenance or operation of its
Public Works facility, or that all or a portion of the Premises is needed for the exclusive use of
the Town.
22. Removal of Facilities and Performance Guarantee. No later than sixty (60)
days after the termination of this Agreement, by expiration or otherwise, Rocky Mountain Ham
Radio will, at its sole expense, remove the Facilities and its personal property and fixtures from
the Premises, repair any damage to the Premises, and return the Premises to the Town in good,
usable condition, normal wear and tear and casualty excepted. If Rocky Mountain Ham Radio
fails to remove the Facilities within sixty (60) days of the termination or expiration of this
Agreement, the Town shall notify Rocky Mountain Ham Radio in writing that the Town will
remove the Facilities and store the same at Rocky Mountain Ham Radio's expense. Failure of
Rocky Mountain Ham Radio to remove the Facilities from storage and to reimburse the Town
for any and all reasonable costs actually incurred in such removal and storage ("Costs"), within
sixty (60) days of removal of the Facilities, will result in the Facilities being deemed abandoned
and title of same will vest in the Town. The Town shall have no obligation or liability to Rocky
Mountain Ham Radio in connection with any property or fixtures remaining on the Premises at
the expiration of such 60-day period. The duties of Rocky Mountain Ham Radio described in
this Section shall survive termination of this Agreement.
23. Binding on Successors. The covenants and conditions contained herein shall
apply to and bind the heirs, successors, executors, administrators and assigns of the parties
hereto.
24. Governing Law; Venue. The parties intend that this Agreement and the
relationship of the parties shall be governed by the laws of the State of Colorado. In the event of
any litigation regarding this Agreement, the parties agree that venue for such action shall be in
Weld County, Colorado.
25. Entire Agreement. This Agreement contains the entire agreement of the parties
and there are no other promises or conditions to this Agreement, either written or oral. This
Agreement supersedes any prior written or oral agreements between the parties
26. Hazardous Waste. Rocky Mountain Ham Radio shall not keep any hazardous
materials in or about the Premises without prior written consent of the Town, which will be
granted or denied in the Town's sole discretion. "Hazardous material" includes but is not limited
to asbestos, other asbestotic material (which is currently or may be designated in the future as a
hazardous material), any petroleum base products, pesticides, paints and solvents,
polychlorinated biphenyl, lead, cyanide, DDT, acids, ammonium compounds, and other chemical
products (excluding commercially used cleaning materials in ordinary quantities) and any
substance or material defined or designated as a hazardous or toxic substance, or similar term, by
any federal, state, or local law.
7
27. Relationship Between Parties. Nothing herein contained shall be deemed or
constructed by the parties hereto, nor by any third party, as creating the relationship of principal
and agent, or of partnership, or of joint venture between the parties hereto, it being understood
and agreed that neither the provisions hereof nor any acts of the parties shall be deemed to create
any relationship between the parties hereto other than the relationship of licensor and licensee.
28. Severability. If any section, subsection, or provision of this Agreement or the
application thereof shall be held to be invalid and unenforceable for any reason, each remaining
section, subsection, term or provision of this Agreement shall be valid or enforceable to the
fullest extent permitted by law.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date below.
TOWN OF FIRESTONE, COLORADO:
BY:
Paul Sorensen, Mayor
DATE:
ATTEST:
Larissa Medina, Town Clerk
COUNTY OF BOULDER
The
Radio, In
c.
(SEAL)
foregoing ins
trument
2017, by
ss.
ROCKY MOUNTAIN HAM RADIO
INC., a Colorado corporation
BY:
TITLE:
DATE:
was acknowledged before
me this day of
of Rocicy Mountain Ham
Witness my hand and official seal.
Notary Public
My commission expires:
E:j
1`
DATE (MM DD YYYY)
' ® CERTIFICATE OF LIABILITY INSURANCE
lrzm
12/19/2016
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 E TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELO THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BET EEN THE ISSUING INSURER(S) AUTHORI ED
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 AIVED sub ect to the terms and
conditions of the policy certain policies may re uire an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of
such endorsement(s)
PRODUCER
CONTACT
NAME: Risk Strategies Companies
PHONE
(A C No E t: 1 020
FA
(A C No):
Risk Strategies Companies
E MAIL
333 W. Wacker Drive
Suite 1950
ADDRESS: sbrelie risk strategies com
PRODUCER
CUSTOMER ID#:
INSURER(S) AFFORDING COVERAGE
NAIC #
Chicago, IL 60606
INSURER A: The Hanover Insurance Group
INSURED
INSURER B:
Rocky Mountain Ham Radio
INSURER C:
9975 Wadsworth Pkwy, 1<2-275
INSURER D:
Westminster, CO 80021
INSURERE:
INSURER F:
COVERAGES
CERTIFICATE
NUMBER:
REVISION
NUMBER:
THIS IS TO CERTIFYTHAT 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 BYTHE 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
AD01'
IHsu
sum
VD
POLICY NUMBER
POLICY EFF
(MM DO YYYY)
POLICY E P
(MM DO YYYY)
LIMITS
A
GENERAL LIABILITY
EACH OCCURENCE
$ 1,0003000
X COMMERCIAL GENERAL LIABILITY
X
DAMAGE TO RENTED
PREMISES Each Occurrence
$ 100,000
MED EXP (Any one person)
$ 10,000
CLAIMS -MADE ❑X OCCUR
RSC5214
10/1/2016
10/1/2017
PERSONAL & ADV INJURY
$ 13000,000
GENERAL AGGREGATE
$ 2,0001000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS — COMP/OP AGG
$ 21000,000
POLICY PRO X LOC
JEC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT (Each
Accident)
$
ANY AUTO
BODILY INJURY Perperson)
$
ALL OWNED AUTOS
BODLIY INJURY (Per accident)
$
SCHEDULED AUTOS
HIRED AUTOS
PROPERTY DAMAGE
(Per accident)
$
$
NON -OWNED AUTOS
$
UMBRELLA LIAB
OCCUR
EACH OCCURENCE
$
E CESS LIAB
CLAIMS -MADE
H
AGGREGATE
$
DEDUCTIBLE
RETENTION $
OR ERS COMPENSATION
AND EMPLOYERS LIABILITY
TORYLIMITS
Fi
ER
Y N
E.L. EACH ACCIDENT
ANY PROPRIETOR/PARTNER/EXECUTIVE
N A
OFFICERIMEMBEREXCLUDED?
E.L. DISEASE — EA EMPLOYEE
$
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE —POLICY LIMIT
$
Contents
$
Deductible
$
�SN OF OPERATIONS OC O S VEHICLES(Attach OR 101 A
ditionalernarks Schedule if more space 15 re uim
Club Civic, Service or Social with respects to the named
insured's actions or negligence while using your premises during the policy term is named below
as an additional insured.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE E PIRATION DATE THEREOF NOTICE ILL BE DELIVERED IN
The Town of Firestone, CO
ACCORDANCE ITH THE POLICY PROVISIONS
151 Grant Ave., P.O. Box 100
Firestone, CO 80520
AUTHORI ED REPRESENTATIVE
ofeof6 fete
201 ACORD CORPORATION All rights reser ed ACORD 2 (201 01) The ACORD name and logo are registered marks of ACORD