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HomeMy WebLinkAbout13- Hoy Access Agreement for sub-slab depressurization system October 18, 2013 William &Wanda Hoy 2610 Daisy Dr. Bozeman, MT 59718 Subject: Access Agreement for Installation, Operation and Maintenance of Sub-slab Depressurization System and Other Mitigation Measures Dear Mr. & Ms. Hoy Previously you granted the City of Bozeman and its consultants access to your house to conduct indoor and sub-slab testing as part of an ongoing vapor intrusion study conducted to evaluate the possible migration of constituents, including volatile organic compounds (VOCs), from the Bozeman Landfill into surrounding properties. The results of that testing have been evaluated and the City is now recommending and seeking permission to install a sub-slab depressurization system or other possible measures to mitigate against any vapor intrusion that may be occurring from underground sources. This voluntary agreement has been prepared for the purpose of granting the City, its consultants, and contractors access to your house and property as needed to complete the design and installation of a sub-slab depressurization system or other mitigation measures. Before executing this you are asked to review the terms carefully with your own representatives. If you have any questions during this process please don't hesitate to contact Rick Hixson, City Engineer at 406-582-2280 or Kirk Miller of Tetra Tech at 406-461-0234. Sincerely, Rick Hixson, City Engineer ACCESS AGREEMENT Mr/Ms William Hoy t Mr/Ms Wanda Hoy as Owner(s) of property located at 912 Turnberry Ct. , (Property) grant the City of Bozeman (City), and its authorized consultants, and contractors access to the Property, including the interior of the house, as reasonable and necessary to design, install, operate and maintain a sub-slab depressurization system (System) consistent with Exhibit A or other mitigation measures which may include, but are not limited to, sealing any cracks and penetrations in the slab or foundation of the home. 1. Grant of Access. Owner(s) grant the City access reasonably necessary to design, install, monitor, and test the System and other mitigation measures (Permitted Activities). Thereafter the City shall have access to the Property at least twice per year, but not more than four times per year, to monitor and maintain the System, or as needed to repair or replace any System components. 2. Term of Agreement. This Agreement shall be in effect for ten (10) years from the date of execution. If the Parties agree it may be extended by any number of successive five (5) year terms. If the Agreement is not extended beyond its fixed term it shall continue year to year thereafter until terminated by either party. 3. Notice. The City shall contact Owner(s) to arrange for access to the Property as provided for here. Owners agree not to tamper with the System or to allow any person not approved by the City to tamper with or work on the System. In the event maintenance or repair is needed Owner(s) agree to notify the City as provided for here or as may be altered in writing: City Contact: Attn: City Engineer 20 East Olive Street PO Box 1230 Bozeman, IVIT 59771-1230 Owner: William & Wanda Ho 2610 Daisy Dr. Bozeman, MT 59718 4. Design. Prior to installation the City shall provide Owner(s) with final design plans and shall obtain Owner(s)' written approval to proceed, The System will be designed and installed to maximize effectiveness with minimal impact to the Property. 5. Insurance and Indemnification. Also prior to installation, City's contractor(s) will be required to provide City with evidence of adequate commercial general liability coverage naming the Owner(s) as additional insured(s) on a primary non-contributory basis. The City shall be responsible for any damage to the Property caused by the installation of the System or' other mitigation measures and agrees to fully repair any such damage. 6. Installation Costs. The City shall ensure that no liens or encumbrances related to the System are placed on the Property and shall be responsible for all costs associated with the design and installation of the System or other mitigation measures. 2 7. System Ownership. The City shall own the System and shall be responsible for the cost of monitoring, operating and maintaining the System until otherwise agreed by the Parties or until this Agreement is terminated as provided herein. 8. Electrical Costs, Upon System installation the City shall pay Owner(s) a lump sum to cover projected cost of operating the System for the term of this Agreement based on the present value of the costs of operating the System for 10 years as shown in Exhibit B and should this Agreement be extended beyond the fixed term the City shall pay the Owner(s) an additional lump sum payment for the costs of operating the System for the term of any such extension until this Agreement is terminated. 9. Termination, At any time 60-days prior to the end of any Agreement term then in effect either party may, upon 60-days written notice to the other, terminate this Agreement. Upon termination, unless otherwise agreed to by the parties, the City of Bozeman agrees that it will, at the request of the Owner either convey the entire system to the owner or disconnect electrical service to the System and remove any components of the System requested by the Owner, and repair any damage to the Property that might have been caused in connection with any of the Permitted Activities, and to the extent reasonably possible return the Property to the condition it was in before Permitted Activities were conducted. 10. Binding on Successors. This Agreement is binding on the Parties and any person succeeding to the Parties' respective interests including agents, tenants, heirs, and assigns. Owner agrees to disclose this Agreement to any person or entity holding or accepting any interest in the Property. If the Property is rented, Owner(s) shall provide City with a copy of Exhibit C, "Tenant Acknowledgment" executed by any existing or future tenants. 11, No Admissions. Nothing in this Agreement may be construed as an admission of liability or as a waiver or release of any claim or defense that either Party may have related to vapor intrusion at the Property or otherwise. /)U/UAW Date: Owner-"Printed Na me Sig afuFe l....... Date: �. Owner- Printed Name /11 A/11 I Qri'attire Date:-3, 0 City of Bozeman Chris A. Kukulski, City Manager i4 k kk I `f MECH ROOM d o I� r w I Y W i) NON-EXCAVATED AREA a 4 N YMECH SHAFT STORAGE uj� CLOSET BATH � a z STUDIO REC. ROOM o. E I,. NOTES 1 EXISTING EXTRACTION POINT IN SOUTH EAST CORNER OF MECHANICAL ROOM. PIPING RUNS UP TO CEILING OF MECHANICAL ROOM TO NORTH EAST CORNER { OF MECHANICAL ROOM UP THROUGH EXISTING OPENING IN GARAGE FLOOR.PIPING RUNS UP GARAGE WALL INTO ATTIC. FANTECH HP 220 FAN INSTALLED. NO HOMEOWNER REVISED EXHIBIT-A ACKNOWLEDGEMENT INITIALS '' V`` xann cksaa�+n.��m�- or+nanp+r�acrrarmrcr.n rrtcn.rure.wnoc�+an,Wmnvw,esww+o nposwa,mnwunw c++m�ar.nur,�nwxr+tnrecn an agvua wd ae iroxc,+�.. {.. '° ay 76rgA[ECH yy{py"wcebQ twM"IMp watl M+M IDuEaE iF1nATECW deM+ �q'FLN9dN'M'sMVBpFWUYRS'a.' +�N+M'Mbme..m9Atadbn 4x imamm.wwdw+f kC.11YXAFGHuan Afmm)9%�wkf ' VAPOR MONITORING HOY RESIDENCE POINT LOCATED SUB-SLAB DEPRESSURIZATION SYSTEM EXTRACTION, PIPING IB► EXTRACTION POINT LOCATED AND VAPOR MONITORING POINTS EXHIBIT A r 4 MECH ROOM Z 0 0 m m NON-EXCAVATED AREA lx_ I Z MECH SHAFT STO4CAGE w � Q BATH w Q w Q U z 0' STUDIO REC. ROOM z a y NOTES 1, EXACT PLACEMENT OF VAPOR EXTRACTION PIPES TO BE DETERMINED. LOCATION SHOWN IN PLAN IS FOR REFERENCE ONLY. nN u w 0 Th TETRATELHas UUS taeordeopy 4mrp oolnafw 6prcd &TETRR TECH Tbaul WIM1BL M1 b. lek Gd iud W d ¢d wiho'EStl'EP-rWfStk Ca 60'of TETRA TELM.Ano6W 1 'llb Uk d Tyr:oawc a h l Mml=o t d am a November 13,2013 �- wa8ai#+�U pO�dTETRA TELR does notl uppiov of or warrandihese dac4men9Yrf anY ndmsal'onrvrmatl6cabmn aamsde wllhautl TETRA TECH'awrtYlkM1 aPPraVdl aY VAPOR EXTRACTION PIPE HOY RESIDENCE (IN CRAWLSPACE) SUB-SLAB DEPRESSURIZATION VAPOR MONITORING SYSTEM EXTRACTION, PIPING POINT LOCATED AND VAPOR MONITORING POINTS EXHIBIT A 0 EXTRACTION POINT LOCATED cu EP a C) (1) , o N - -: (CDL 6 7r CM-0 L w C.) a) cn m 0 Z) U) Lo 0 — 4) 0 C) a ca c (n r N w 00 0 CA cl Cd 6 SV C© 6 vi r 6 6 6 r 06 Cq E co CO C77 CT9 0 r CV M C7 Ifa W Q 6-j- 6'3 6% 6?bq 6-} uj V 60- E fJl w E o .0 - > a. % Ir U) 0 0 > Eu ru 4) m qt LO CO P- 00 m U) o E E C I= Iz; 0 U) 0 [L w w Electricity cost for user submitted device Page 1 of 1 Home G lnstaR an Attic Fan J Keep Pipes from Freezing LED Light Bulb Savings Comparison Electrical Products I About Us Commonly Used Devices 60 Watt Incandescent Light Bulb Computer System Dri p Coffee Maker warm Oven at 350 degrees 100 Watt lncandescent Light Bulb Computer System(sleep model Electric Blanket Space Heater(portable) Compact Fluorescent Lamp Drip Coffee Maker brew Furnace Fan LCD HO TV-47 Inch Clothes Dryer Oxygen Concentrator at 3.0 LPM Microwave Oven(Highest Setting) LCD Monitor-22 Inch Device Name: Depressurization Fan Cost Per Hour: $0.009359 Wattage of Device. 150 Cost Per Day: 0.236624 Kilowatt Hour Cost: 065729 Cost PorWeek: $1.656 Hours of use per day: 24 Cost Per Month: $6.63 Calculate Cost Cost Per Year: 66A3 Copyright 2005-2013,Spectrum Research, lnc. http://www.electricity-usage.com/Electric ty-Usage-Calculator.aspx?Device=Depressurizati... 9{612013 Electric Monthly Default Supply Rates Page I of I New Rare EffeeA ive Date Selplamber 1,2VI1113 Electric Residential Electric Ughting Effective Date Pri"IfiWin Change Effective Date Priciar(Wh Change Odaber 01,2012 $0051193 (0 00001 9) October 01,2012 $0 05743E $(0 000017) November 01,2012 $0061533 S0000440 November'01,2012 S 0 057806 $U 9170398 DecernUer 01,2012 S0062433 $0 OUGHOD CaLierriber 01,2012 $0058861 S 0 O00 E25 January 01,2013 60062256 $(0000077) January 01,2013 S U 058579 S(cj�1000052) February 01,2,013 $0 0151857 $(0000499) February 01,2013 S0058133 $(0000446) Mwch 01,2013 $0062533 $0000676 Maven 01.70'X3 $0058744 $0000611 Apra 01,2313 $0062481 $(0 0001052) April 01,2013 S0098697 5(0 000047) May 01,2013 S0062388 $,(0 000093) May 01,2013 $a 058613 S(0000084) June 01,2013 S0063649 S 0 001261 June 01 20,13 $0059868 $0001255 ,July 0'1,2013 $0065453 $0001804 July 01,2013 $0 061594 S0001726 August 01,2013 $o 065090 $(Q 0003.54) August 01,2013 $0061274 $(0000320) September 101,2013$0066729 $0000630 September 2013 $0 081782 $0 000bos General Service 1 Secondary Non Demand General Service I Secondary Demand Effective Oita PrcelkWh Change Effective Date PrJcerKWh Change October 01,2012 S0057433 S(0 000017) November 01 nl;l $0 061.632 $()500440 Novernber 01,2012 $0 057336 $0 000398 December(11,2012 $0 062434 S D 000802 December 0 1,2012 $0056661 S 0000825 January 01,2013 $0062357 $(O OOUJ)?'/) January 01,2013 $0 058W9 $(J]000092) February Orl,20111 5 0 061858 $)o 00049,9) February 01 2013 $0 058133 $(Q 000446) March 01,2013 $0061858 S 0 000000 Mardi Oli 2013 $0058744 $0 00061 I March 01,2013 S0062534 $0 000676 April 01,2013 $0 058697 '4(13 000041) April 0'l,2013 $0062482 S1O 000052) May 01,2013 $0058613 $(0 000064 May 01,2'013 $0062389 s(o owm) June 01 1013 $o 05gaas $0001255 June Ot 2013 $0 ovw $0 001261 Jury 01 2013 $0 061694 $0001726 July 01,2013 S a 065454 $0 00,1604 Auqust 01,'2013 $0061274 $(0 00032'0) August O1,2013 a 0 05S100 $(0 000354) Seprew ber 0 1,2013$0061752 5 01000505 Septerriber0l 2013 $0065730 S 0 000630 General Service I Primary Non Demand General Service I Primary Demand Effective Date PriceikWh Change Effective Date Pric0l Change October 01,2.012 $0059514 $(()00OC1 8) October 01,2012 $0056139 S(O 000017) Novcniber 01,2012 $0059942 $0 000428 November 01 2012 S 0056580 $0 00039'1 Decembpr 01,2012 $0060722 600007,00 December 01,2012 S 0057381 $0000801 January 01,2013 $0060646 Sf)000076) January 01,20113 $0 0573011 $(0 000080) February 01.2013 SO 060160 $(1)000486) February 01,2013 S 0056863 $fO 000438) March 01,2013 $0060817 S 0 000657 March 0'1.2013 S 0067463 $0000600 April 01,2013 S0060767 S(O 000050) April 01 2013 S0057417 $(0000046) May W.2013 $0060677 S(0000020) May 01 2013 $0067335 $(0000082) June 01,2013 $0061903 S 0 00 1226 June 01.2013 S 0 068555 $0001220 July 01,2013 $0063656 $0001765 July 01,2013 S 0060240 $0001685 Auqu,tQ1 2013 $0063314 S(C)0003441 August 01 2013 S 0 059925 SO 00=5) September 01,2013$0063927 S 0 0006133 September 01 2013 S 0 060430 $0000505 Irrigation Non Demand Irrigation Demand rVI'active Data Price/kWh 0aangL Effective Date PriceKlyth Change October 01,2012 $0 051438 $(a 000017) October 01.2012 $0 057438 $(0 00001.79 Now,rfilber 01.2012 $0 n57836 $0 G[039lJ$ November ol 2012 $0 057836 $a 000390 DacerlrbarOl 2012 $0 U58661 $0000625 December 01,2,012 $0 0581361 $0 000825 January 01,2'013 In 0168579 $p 00008'2) January 01,2013 S 0058579 540 000082) February 01,201.'J $0058133 $to 000446) February 01 2013 $0 058133 $(0 000,446) Marrh 01,2013 SO 0)98744 $Q 000611 March 01 201'3 $0058744 $0000611 A'Pril 01,�013 $0 050697 $(0000041) ApniOrl 2013 $0058647 $(0 000047) May 01,2013 $0 058613 $to 000064) May 0l` 2013 $0058613 $(D 000084} June W 2083 $o 050668 $01001265 juneOl 2013 $0059668 5 0001265 ,July 01,2012 $0061594 SC 001726 July 0i 2013 S0061594 $0001726 August 01.'2093 50 0612'74 $(0 000320) August 01,2013 $0 061274 $QO 000320) Seetelrber 01.2013$0 061782 S0000508 SaJoIarnber 01 2013 $0061732 S 0 000508 GS-2 Substation GS-2 Transml Effective Date Price)l Change OcloberV 2012 $0059003 $00000018) October 01 2012 $0058547 S(o 000018) NoverritLar 01,2012 Sit)059428 S o 000426 November 01,9012 $006,9069 S 0 0100422 Dacertiber 0 1,2012 $0 06020'1 S a 0007771 Dprerriber 01,2012 $0 059k138 $0 000769 Jinuary 0 1,PQ I 3 $0060125 $$;0000076) January Ul 2013 $005'9763 S(n 000075) February,01.2013 $0 059644 $(0 0000819 February 01,2013 S 0 059284 $(0 0004791 March 01.2013 00 060296 1,0 000052 March 01 2013 $010599'32 SOCO0648 April 01,2013 $01060245 $10 000050) April 01,2013 $0(N59882 $(a fl May'r,j 20rI3 $Dta-'0156 $(O 000090) May 01 2013 $;0 059793 S(o oconag) June 01.2013 $0 061 v? $l)00 1216 June 0 1,2013 $0 061 Out $0001208 July Ol 2013 $0 0531 12 $Q 001740 July 01 2013 $0062732 $0001731 Augur 01,2013 S0062770 lijO 000542t August 01,2013 5 J)862393 $(C 000339) September 01,2013 SO 063V7 $a mosoy September 01.2013 S 0 052197 $0 000604 Efecilk,supply ratsl Crlinje Incrilthly 1ha.SP,1 Or,uurre,,lJ prniecl Ld J2-rnoAft rovyot pncan The ravemx collwted cowp8red to actual nQst$flCurrOd by NVVF are trued Lip on an irrLial banls InWF purchaasl ahc1o.sMe eactnoty trarn PxOM'Q"',L'Ind Pasarqs 1hL,ca�A d,roctly fo cwjnPnRgs wil nirkup http://custom.northwestemenergy.com/forms/elecmonthly.asp 9/6/2013 USA Energy Inflation Forecast Page I of 6 AbOLA Q3 ME Forecasts,charts and analysis... FOR ECASTCHART2,111, Interest Rate Forecast Stock Market Forecast Real Estate Forecast Exchange Rate Forecast Economic Forecast USA Energy Inflation Forecast USA Energy Inflation Rate Forecast Target Month ForeCast tLO—TFA Forecast for the USA Energy Inflation Rate for the year August 2014 15.71% 12.80% ending in the target month indicated based on the Consumer Price Index for Al Urban CDnsumem Updated Monday,August 26,2013. Energy,not seasonally adjusted. Inflation Rate for All Urban Consumers:Energy-5 Year History 30% 20% -10% -20% -30% 1108 112009 112010 112011 112012 112013 112014 1115 Annual US Inflation Rate for Energy is plotted monthly in gray(Consumer Price Index for All Urban Consumers:Energy).The forecast for the target month is shown in green.Other links rotated to this economic indicator are below. Imlatmn Rate Forocast°Energy 10 Year Chart-CPI-Enorq US Inflation Rate Forecast 53 Year(traph-Consumer Price—Index rM Inflation:Food,Energy,Housing,Medical etc, Current Analysis Sr Forecast:US Energy Inflation Rate Commentary 6092 a ENERGY INFLATION RATE July,2013 Data: The forecast for the US Energy Inflation Rate is in the table at the top of this page.Forecast-Chart.com is forecasting that Energy Inflation Rates will be roughly 15.71%over the next year.The table shows a HDTFA of 12.80%which suggests that the inflation rate for energy prices in the US for the 12 months ending August,2014 could easily fall between 28.51%and 2.91%.Links to Forecasts for many other economic indicators may be found at the top of this page.The energy price index used in this article is the Consumer Price Index for All Urban Consumers:Energy,hereinafter referred as the energy price index. Annual US Energy Inflation Rate Last Month -2.6% Last Year ...................4.7% Last 5 Years 2.4% Last 10 Years.................72% Last 20 Years 4.9% Annual Energy inflation Rate;Highs&Lows High(Last 12 Months) 4.7% (July,2013) Low(Last 12 Months) -8.9% (August,2012) High(Since January,1958) 47.1% (April,1980) Low(Since January,1958) -28.1% (August,2009) The annual Energy Inflation Rate for the 12 months ended in July,2013 was 4.75%.That's 1,57%percent higher than the 12 months ended in June,2013 which inflated at a rate of 3,1 SW It is 10 34%percent higher than the 12 months ended in July,2012 which inflated at a rate of-5 59%. The rise in inflation rates from June to July indicates that the short term inflation trend in energy prices has been up.If that trend continues,we should see an inflation rate for the 12 months ended in August,2013 that is close to 6.32%. The USA Energy Inflation Rate one year ago was-5.59%.Over the test year, http://forecast-chart.com/inflation-usa-energy.html 9/6/2013 USA Energy Inflation Forecast Page 2 of 6 ination ln me energy price inaex was 4.to-/., I ne average rate over me last's u years was 7.20%. Lower Inflation over the last 12 months compared to the average Inflation over the last 10 years serves as an indicator that the long term trend in the Energy Inflation Rate is down Inflation expectations should be adjusted accordingly. Forecast-Chart com's historical research covers Energy Inflation Rate data back to January,1958,The average annual inflation rate in energy prices during that period of history was 4,92%.The highest rate was 47.13%.The lowest rate was-28.09%. The high was attained in the 12 months ended in April Of 1980.The low was achieved in the 12 months ended in August of 2009. Recent rates experienced in the 12 months ended in July of 2013 are similar to the historical 4.92%average, This page provides a five year chart and a forecast for the US Energy Inflation Rate For links to longer term charts,look at the links under the five year chart (above).One link opens a ten year chart,Another opens our longest term graph on the Energy Inflation Rate.Just one glance at Forecast-Chart.com's long term charts can provide tremendous insight into the historical trends of the Financial markets. The US Governments inflation economics policy attempts to control inflation. High inflation and negative Inflation(deflation)can have damaging effects on the economy. Commentary 6092 e ENERGY INFLATION RATE June,2013 Data: The forecast for the US Energy Inflation Rate is in the table at the top of this page.Forecast-Chart.com is forecasting that Energy Inflation Rates will be roughly 15,48%over the next year.The table shows a HDTFA of 12.87%which suggests that the inflation rate for energy prices in the US for the 12 months ending July,2014 could easily fall between 28,34%and 2-81%,Links to Forecasts for many other economic indicators may be Found at the top of this page.The energy price index used in this article is the Consumer Price Index for All Urban Consumers:Energy,hereinafter referred as the energy price index. Annual US Energy Inflation Rate Last Month 19.9% Last Year........... 321/4 Last 5 Years 2.7% Last 10 Years. 7,20✓ Last 20 Years 4.9% http://forecast-chart.com/inflation-usa-energy.html 9/6/2013 Exhibit C TENANT ACKNOWLEDGEMENT GL- I, ~� (Tenant's Name), agree to cooper with nd allow the City of Bozeman (City), its consultants and contractors to enter the property and dwelling I lease from t �+ 4'u'� V �0,M'1 CIO, $-y y Owner(s)/Landlord, located at 1 (address) in Bozeman N1T to design, install, monitor, operate, and maintain a sub- b depressurization system and other measures for the purpose mitigating subsurface vapor intrusion. I have been provided with a copy, of the Access Agreement entered in to between Owner and City for the same purpose and agree to comply with all applicable terms. iI1"a Date ( - 13 Owner- Printed Name Z/�Twv�-�Jo I 5i ature 4 D ACC>RV CERTIFICATE OF LIABILITY INSURANCE 1o�18�zo13 ATE(MMfDDJYYYY) 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 endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), ...,PRODUCER CONTACT CADERASMUSSEN INSURANCE UNLIMITED .__ ._._ ... Pv"c°."ry,Extl:406-586-1818 i Vic,Nor 406-586-8881 703 W MENDENHALL E-MAIL CAC)E(0)-MTINSURANCEUNLIMITED.COM BOZEMAN, MT 59715 INSURER(S)AFFORDING COVERAGE NAIL# INSURERA.»AUSTIN MUTUAL INSURANCE COMPANY INSURED ..-. ._. .."__.".�..�._"..____......�. INSURER B DON DICKSON INSURER C: TRIPLE R MITIGATION INSURER D: 6640 SYPES CANYON RD INSURER E: BOZEMAN MT 59715 1 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDiN0 ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES OF-SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _."m....a......... ILTR TYPE OF INSURANCE ADD BR POLICYNUMBER MMIDDYIYYYY MMfn fYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE 31,000,000 A BP 1731015 09!12113 09!12114 DAMAGE TORE�iH ED— X COMMERCIALGENERALUABILITY PREMISES{Eaaccurrence) $100,000 CLAIMS-MADE �OCCUR MEDEXP(Any one person).. $5,000 PERSONAL&AOV INJURY $1,000,000 GENERAL AGGREGATE x2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGO x2,000,000 POLICY PRO-. LOC S A.....AUTOMOBILE LIABILITY BA 1924640 09/12/13 0911214 COMBINED SINGLE LIMIT/14 300,000 fEaaccid S ANY AUTO BODILY INJURY(Per person) $ . ALLOWNED SCHEDULED BODILY INJURY(Peraccldent)I3 AUTOS AUTOS -- HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ . Per occident AUTOS x UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE x. DED RETENTIONS$ 8 WORKERS COMPENSATION �PJC STATU- OTH- TORY LIMITS... E. AND EMPLOYERS'LIABILITY YIN " ANY PROPRIETORIPARTNERIEXECUTIVE❑ N f A E.L.EACH ACCIDENT x OFFICERIMEMBER EXCLUOED7 (Mandatory in NH.. E.L.DISEASE-EA EMPLOYE $ _ If yes,describe under DESCRIPTION OF OFERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES(Attach ACORD 101,Additional(Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION WILLIAM &WANDA HOY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2610 DAISY DR THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN BOZEMAN, MT 59715 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE CADE RASMUSSEN O 1988-2010 ACORD CORPORATION, All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Printed by CCR on October 18,2013 at 08:49AM