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Home My WebLink About14- Slate Access Agreement for sub-slab depressurization January 30, 2014 Judith Slate 833 Turnberry Ct -Bozeman, MT 59715 Subject: Access Agreement for Installation, Operation and Maintenance of Sub-slab Depressurization System and Other Mitigation Measures Dear Ms. Slate 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 agreement 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 Judith Slate Mr/Ms as Owner(s) of property located at 833TurnbeFr- y-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, MT 59771-1230 Owner: Judith Slate _833 Turnberry Ct Bozeman, IVIT 59715 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. Date: ild Owner- Printed Name L Sign ure Date: Owner- Printed Name Signature Date: City of Bozeman Chris A. Kukulski, City Manager 3 dd !1 d1 II z dd � Id CRAWLSPACE 4d a a CLOSET y 0 BATH 4 17 ro �p L ro PLAY LIVING ROOM ROOM a � o NOTE: N 1. INSTALLED EXTRACTION POINT ON EAST END OF MECHANICAL ROOM. SOLID PIPE WITH A"T"TO RIM .JOIST IN GARAGE, FROM THE"T' INSTALLED A 4"VALVE AND PERFORATED PIPE THROUGH CRAWLSPACE.SEALED CRAWLSPACE WITH 15 MIL A POLY. FROM RIM,JOIST PIPE GOES TO CEILING IN GARAGE AND UP INTO ATTIC. v INSTALLED FANTECH HP-220 FAN IN ATTIC WITH EXHAUST PIPE UP THROUGH ROOF. HOMEOWNER REVISED EXHIBIT-A ACKNOWLEDGEMENT INITIALS Thrd Lxe`r+.ag do tha larva baramlarnd,g by TEI7iA TECVYUdaa hamrd copy"1f.o"r PUng'wVx ms.*P -.dlkTRATRH.TTu drain ndb,anwd, dorrw dodw0hod M pdcn w cwPaleTETRA TECH"oHgftl 0 AP"Pawd ol N fi€TZIfECH don nolWPrweulWxm rrenitheab ducumaM%PpnY atterRkaMarmtiQwl lctltlan rs-do erltk64lTE"RATECH'n�n nPPrawL December 19,20131 VAPOR MONITORING SLATE RESIDENCE POINT LOCATED SUB-SLAB DEPRESSURIZATION 0 EXTRACTION POINT LOCATED SYSTEM EXTRACTION, PIPING PERFORATED EXTRACTION PIPE AND VAPOR MONITORING POINTS (IN CRAWLSPACE) EXHIBIT A SOLID EXTRACTION PIPE (IN CARWLSPACE) r r: d CRAWLSPACE ff x n m m z CLOSET Zo z 0 wBATH A 0 a .p 2 PLAY LIVING ROOM ROOM a a 3 �o r U w 'n a�aMmme.r.mapnai,.&01.pram TEEmma+.m1adVp-. �we..i+at.e„m�na.�a,�P�m Ya�m.mm.Pf gym.....a, ET cT.CH.dA„aiw .,.'. d December 13 2073 hY �CH B.Pwm"re.oN me9y+'rtm pury...a.P Mh prol9ct TE'ff1h TECH d..s mY,mPPuovr ol.r wnrt..pt Nn.o dx.m.rM1a k.m/W4•.tla U+mo6111sauan{mrnade meAbun�ut4EiR4 TECH'a wnQ®.pproKl. i VAPOR MONITORING SLATE RESIDENCE ' POINT LOCATED SUB-SLAB DEPRESSURIZATION SYSTEM EXTRACTION, PIPING 0 EXTRACTION POINT LOCATED AND VAPOR MONITORING POINTS EXHIBIT A 4) 0 z ca m U) er 0 C: F3 0 0 (L) r CO C D =1 a (j) o 0 N m w: -C3 cn cu U) C/) ur 4) .0 C 0) 0 0 a m c M cn C14 w • th ce) CY) 00 CO CY) M v-- ce) M 4) V— CO M Fl— a) fl— r N C) r- co 40 Co N td 6 N CO (6 Cj -,-: 6 6 6 r: Q6 CSf 04 rti co M CO CM 0 r N M 1* U) (0 0 6e- U9, U')-U)r vy LLI 10 4) 44 E NO W rar CL m 0 ,Ln ul w V CD w �! N CO 'Kd' LO (D rl� co CF) M % 0 E .r Electricity cost for user submitted device Page 1 of 1 Home I Install an Attic Fan a Keep Pipes from Freezing I LED Light Bulb Savings Comparison Electrical Products I About.Us Commonly Used Devices 60 Watt Incandescent I,fight Bulb Computer System Dr'Coffee Maker warm Oven at 350 degrees 100 Waft Incandescent Light Bulb Computer System(sleep mode) Electric Blanket Space Heater(portable) Compact Fluorescent Lamp Drip Coffee Maker(brew) Furnace Fan LCD HD TV-47 Inch Clothes Dryer Oxygen Concentrator at 3.0 LPM Microwave Oven Highest Setting) LCD Monitor-22 inch Device Larne: Depressurization Fan Cost Per Hour: $0.009859 Wattage of Device: 150 Cost Per Day: $0.236624 Kilowatt Hour Cost. 085725 � Cost Per Week; $1,656 Hours of use per day: Cost Per Month: $6.63 Calculate Gast Cost Per "ear: $36.1 Copyright 2008-2013,Spectrum Research Inc. http://www.e lectric ity-usage.corn/Electricity-Usage-Calculator.aspx?Device=Depressurizati... 9/6/21913 Electric Monthly Default Supply Rates Page I of I New Rate Effeatfve IpJWe Simpterithwill li,2013 Electric Residential Electric Ughl Effeubve Dote Price/kWh Change Effective Date Pnce)KWh Cha,n2e October 01.2012 $0061193 $10 0000191 CGtoipeirol 2072 S 0 057438 S(O 00001 7) Noverriber 00.2012 SO 061633 $0000440 1`10VOrTiber 01,2012 S 0 0'57835 $0 000398 oeeernhor,()t 2012 $0 062433 $0000800 December 01.2012 $0 058561 50000825 January 01.?BlO S0062356 $(0 000077) JarivaryCl 2o1:3 $0 008579 S(0000082) February 011,2013 S0061857 $(0000499) Febmary 01,2013 $0058133 S(0 000440) March 01.2013 SO 062533 $0000,576 March 01 2013 ',,0058744 50000611 April 01,2013 S0062481 S(0000052) April 01.7,013 S001118697 S(O OCOO47) May C1 20113 S0082388 $(0000093) May 01,2013 $a 058613 S(0 04300840 Jurre011 2013 SO 063649 $0001261 June Or,2013 7.n 059868 S 0 C01 2F5 july 01,2'0'9'3 $0 065453 $0 00 1904 drily 0'I,2071 $0051594 3 0 001'726 AuguSl 01,2013 SO 085099 S(0 000".x"54,1 Aul 01.2013 S 0076127.4 S(O 000320) September 01,20 13 So 06572'9 $a 000630 Septerribecolr 2013 $0061782 S 0 000508 General Service 1 Secondary Non Demand General Service 1 Secondary Demand Effective Date PricelkWh: Chanois Fflactlya Date Pr[ce/KWh Ctiange October 01,2012 50057438 S(000001 I) November 09,2012 $0061632 $0 000440 Nnvc,nipc,.r01 7012 $0057816 $0000398 December 01,2012 $0062434 S 0 000802 Dscernbee 01,2012 $0058681 S 0 000825 January 01,2013 $0 002357 $(0 000077) January Ol,2013 S0 058579 S(n 000082) February 01 2013 $0061858 SlO 000499) Febnuary 01 2013 $0056133 &(0 000446) March 01,2013 $0 061858 S 0 000000 March X01,2013 $0058744 $0 000611 March 01,2013 $0 06X534 $0 000676 April 0'9.2013 $0056697 5(0 000047) Apo 01,2013 $0 06248,-2 S{o O[70052) Mayor 2013 $0059613 S,(O 0000841 May 01 2013 $0062389 S(0 000093) Aino 01 201:3 $0059868 $Q 001 1.55 kwe 01,20"I3 $0 063,V)IO S D 001261 July 01..,201`3 so 0615nut 5 0001721, July 01 201.3 S 0 065454 5 0 001804 August 01,20" S-0061274 $(C 000320) August 0'1,2003 $0 065 100 S(o Septerrincrol 2013$0 06 1 IV $0 000508 Sepftirnborf)t 2013 $0 06b730 S 0 00073630 General Service I Primary Non Demand General Service I Primary Demand Effective Date PrIcefkWh Ch4nqe Effective Date Pr!Cely✓ Changer Ortober 01.2012 $0059514 $(0 0000 IS) Ockober 01,2012 $0056189 15(0 000017) Ncvernbed 01 2012 $0059942 S0000428 November 01,2012 $0056580 $0 00039 1 Decerrispr0l 2012 $0 060722 S 0 000780 Decernbeii 01,2012 $0057381 S 0 000801 Janua ry 01,7013 $0 060646 SP 0001378) January 01,2013 $0057301 8(0000080) Fvbruwy 01 20'63 SO 060160 $(O 000486) February 01,2013 S0056863 S(o 000438) March 01,2013 $0060817 S 0 COC657 March 01,2013 $0 057463 S D 000600 April 01,'7013 $0060787 -S(O 0000500 Apr"01r 2013 $0057417 $(0 0000461 May 01,2013 $0060677 $(Q 0010090) May 01 20I3 $0057335 S()000082) Ahi1e,01 2013 $0 061903 9 0 0011226 Jurle 01,2013 $0058555 $0 007220 July 01,201:3 so 003yln $0001755 July 01,2013 $00,50240 S 0 001685 August 01 2013 SO 063314 9(O 000344) AuquW 01,2313 $0059925 $10 0003151 September Orr 1013 SO 063917 $0000613 September 01,2013 $0060430 $0 000505 irrigation Non Demand InrigatIon Demand EffecHue Date Pr16e/kWh Chantle Effective Date PrIcalKlOilb Change October 01.201 2 $0057423 S(000001A) Octoicep 01 2012 $006)'7,158 Sit)0000 F) November 01,2012 $0057836 $0000398 rlvernber 01.2012 S 0 05'785x3 5 0 000398 Decerriver 01,2012 SO 058661 $0000825 Dacomber 01.2012 $0 058061 S0000826 January 0 1,2013 SO 058579 S(D 000082) January t)1,2013 5 D059579 S(O 000082) Febmary 01 2013 $0058133 S(0 000446) FLIbrijary 01,2013 $0 058133 S(O 000446; March at, '.7 2013 SO 0544 "$0000611 March 0 1,2013 $0 0587 5 0 0006'91 Apn Ot 2013 $0058697 $(0000047) April 01,2013 $0 058697 510 0013047) May 011 2013 SO 058613 5(0 000084) May Of 2013 1 a 058613 $to 000084) June 0'1,2013 so 05C.ma $0 0101255 Jui w 01,2013 $a 059858 5 0 001256 July 0 1 7013 SO 061594 S0001726 July 01,2013 S a 061594 $0001726 August 01,2013 SO 060274 $(0 000320) Augost 01,2013 $0 06'0,274 -)(0 000320) September 00 2013 SO 061762 S0000503 Sele(er,leor 0 1,2013 $0 06"X782 $0 0➢0coa GS-2 Substation GS-2 Transmission Wecoye Date PricelikWh: Change Effective Date PricalKINh, ChanSle October 01,2012 $0059003 $(a 00001 B) 17ctolsei,01 2012 $0058647 3(0 000008)...- November O'l 2012 $0059428 $0000426 November 01,2012 $0 059069 $0000422 December 01,2012 $0060201 5 0 000723 N7Pmnlbcr 01 2012 $0 059B38 S 0 000769 January 01,2013 $0060125 5(0 OCO076) January 01,9013 S�O 059763 S(0 DO0075) February01 2013 $0 05q644 $I,0 0004811 February 01.2013 $00592,64 $P 000479) March 01,20'0 3 $0 0602913 $0 000652 March 01.2013 $0 05993112 SOODOE48 April 01,2013 $0 060246 $(0 000060) April 01,2013 s 0 059882 $10 000050) Miy01 2013 $0060156 $(0 000090) May 01,2013 $0059793 S(0 000009) June 01 2013 $0 061 V2 $0001216 Juric 01.2013 S 0061001 $0001208 Judy 01,2013 so 0031 12 $0001740 July 01,2013 S 0062732 $0001731 August 01.20'13 $0 062,770 SIO 000'342} August 01 2013 S 013623913 $10 000339) September 01„2013 SO 063377 S 0 000607 Spiptenriber0l 2013 SOCU907 $0 000604 Fleciric supply rate z,change rr• thly based Oil CUrrau projected 12-rrcnffi rniMet pricias T lie rvven,riez cellertid nomparod to actual carqs Inclined by NVVC are treed up on an arivu80 bamy N*E purcha"e"',wooiearlo oleOillflfy firim prcdijck,,rs and pas,,es tho cast ducdly to costorren slU,00 warkup http://custom.northwestemenergy.com/forms/elecmonthly.asp 9/6/2013 LISA Energy Inflation Forecast Page 1 of 6 About Lys FORECASTCHART140 In Forecasts,charts and analysis... Interest Rate Forecast Stock Nlaricet Forecast Ideal Estate Forecast Exchanue}fate Forecast Economic Forecast USA Energy Inflation Forecast USA Energy Inflation Rate Forecast Target Month Forecast Hi1TFA Forecast for the USA Energy Inflation Rate for the year August 2014 1571% 12.80% ending in the target month indicated based on the Consumer Price index for All Urban Consumers: Updated Monday,August 26,2013. Energy,not seasonally adjusted. Inflation Rate for Al Urban Consumers:Energy-5 Year History 30% 4 20% to -to% -20% l -30% 1106 1/2009 112010 112011 112012 112013 112014 ills Annual US Inflaton(date 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 related to this economic indicator are below. Inflation Rate Forecast:Energy 19 Year Chart-CPI-Ener US Inflation Rats Forecast 5 Yezae Graefi-'Cansumoy Prlco Index-Energy Inflation:Food,Enorme,Housing,Medical etc.. Current Analysis&Forecast:US Energy inflation Rate Commentary 6092 e 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 HOTFA 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°/x,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 Lost Month, -2.6% Last Year....................4.7% Last 5 Years 2.4% Last 10 Years.................7.2x Last 20 Years 4.9x/4 Annual Energy Inflation Rate:Highs&Lows High(Last 12 Months) 4.7% (July,2013) Low(Last 12 Months) -3.9% (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 3.18%.It is 10,34%percent higher than the 12 months ended in July„2012 which inflated at a rate of-5,59°1x. The rise in inflation rates from,tune 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°/x.Over the last year, http://forecast-chart.com/inflation-usa-energy.html 9/6/2013 USA Energy Inflation Forecast Page 2 of 6 inflation in me energy price inaax was A.i nv.. i:ne average rate over Tne issi i v 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 bark 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,took at the links under the rive 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 Government's inflation economics policy attempts to control inflation. High inflation and negative inflation(deflation)can have damaging effects on the economy Commentary 6092 a 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%aver 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 2.61%.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 Lost Month 19.9% Last Year...... .............3.2% Last 5 Years 27% Last 10 Years.................7.2% Last 20 Years 4.9'A http://forecast-chart.com/inflation-usa-energy.html 9/6/2013 Exhibit C TENANT ACKNOWLEDGEMENT (Tenant's Name), agree to cooperate with and allow the City of Bozeman (City), its consultants and contractors to enter the property and dwelling I lease from , Owner(s)/Landlord, located at (address) in Bozeman IVIT to design, install, monitor, operate, and maintain a sub-slab 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. Date* Owner- Printed Name Signature 4 aiIC" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1111. y'" 10/18/2013 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(es)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 NAME, CADE RASMUSSEN INSURANCE UNLIMITED AIC"N ,t 06-586-181$ {Afc,Na]�0 -586-5881 703 W MENDENHALL ADDRESS: CADS MTISURANCEUNLIM'ITED.CQM BOZEMAN, MT 59715 INSUI IS]AFFORDING COVERAGE NAIL# INSURERA.AUSTIN MUTUAL INSURANCE COMPANY.. INSURED _ INSURER s DON DICKSON INSURER...®.. ..._......._................_� TRIPLE R MITIGATION INSURER D: 6640 SYPES CANYON RD INSURER E: BOZEMAN MT 69715 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. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER(DOCUMENT VATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 1T R TYPE OF INSURANCE A D SUBR POLICY NUMBER. MMJDD1YYYY MMIDOfYYYY LIMITS LTR GENERAL LIABILITY EACHOCCURRENGE $1,000,000 A BP 1731015 00/12/13 09(12114 DA AGE'a RENTED X COMMERCIAL GENERAL LIABILITY PREMISES tEa nccurcenca_ $100,000 CLAIMS-MADE I—XI OCCUR MED EXP(Any one person) 115,000 �^ PERSONAL&ADV INJURY $1,000,,t000 GENERAL AGGREGATE $2,000,000 CENT AGGREGATE LIMIT APPLIES PEW PRODUCTS-OO! Pf AGG 82,000,000 PRO- ._.._......._......_.._._._..._ POLICY LOC $ AUTOMOBILE LIABILITY COMDINED SINGLE LIMIT 300..,00..0 09/1211'3 09112/14 EaaIdent ___ , ANY AUTO BODILY INJURY;Per person) 8 ALL OWNED SCHEDULED BODILY INJURY{Per accident) $� AUTOS X I AUTOS NON-OWNED ROPiERTY DAMAGE 8 HIRED AUTOS AUTO'S _............ i s UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATESp DED RETENTIONS .�® $....._ WORKERS COMPENSATION VVC STATU- CTH- AND EMPLOYERS"LIABILITY YIN ..._. T LIMITS ANY PROPRIETOMPARTNER>EXECUTIVE[ NIA E.L EACHACCIDENT $ OFFICERIMEMBER EXCLUDED7 (Mandatary in NH) E.L.DISEASE-EA EMPLOYE $ 11',03,dasr:r Under DESCRIPTIOO N OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS d VEHICLES (Attach ACORD 141,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION JUDITH SLATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 833 TURNBERRY CT 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 26(2010105) The ACORD Flame and logo are registered marks of ACORD Printed by CCR on October 18,2013 at 08:50AM