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HomeMy WebLinkAboutB13-0286 CR2 TRANSMITTAL, REQUESTED INFO Department of Community Development 0 75 South Frontage Road TOWN OF VAIL # Vail, CO 81657 Tel: 970.479.2128 www.vailgov.com Development Review Coordinator TRANSMITTAL FORM Use this form when submitting additional information for planning applications or building permits. This form is also used for requesting a revision to building permits. A two hour minimum building review fee(.`$1 '9 wi!' be%harged upon reissLance `the pr:mit. Application/Permit#(s)information applies to: Attention: ( ) Revisions ` IQ ([d"2 CJ) 2 /�/ ( ) Response to Correction Letter 1� _attached copy of correction letter —) Deferred Submittal ( )Other Project Street Address: I le o `_2aLA -s`��-�-�e (Number) (Street) c ,�(Suite#) Building/Complex Name: Description of Transmittal/List of Changes, Items Atta ed: I ` Applicant,Information e ✓e5 , (architect,contractor,own/er./o/wnevr's,,rMep),, Contact Name: Address: y City V State:���Zip: [� Contact Name: L2 deenn (use additional sheet if necessary) Contact Phone: Building Permits: Revised A&9f+K)NAt Valuations (Labor&Materials) Contact E-Mail: J L (DO NOT include original valuation) O , (2 I hereby acknowledge that I have read this application,filled out Building: $ 1 in full the information required,completed an accurate plot plan, and state that all the information as required is correct. I agree to Plumbing: $ s3 cR,.8 6 0 comply with the information and plot plan,to comply with all Town �� , 3 L1 ordinances and state laws, an to build this structure according Electrical: $ -T to the towAzo' ' and su isio n codes, design review ap- __proved, Inl Buil ' and Residential Codes and other Mechanical: $ lY ordi an o n licable thereto. X Total: $ 21� , �t OvvkerlfJWrq R rese ative Signature(Required) Date Received: For Office Use Only: D Fee Paid: Received From: SCP 03 2013 Cash Check# CC: Visa/MC Last 4 CC# exp.date: Authorization# TOWN OF VAIL VV��EVG:r ! JWIL.VI IMIVJ%0P"k-, Plumbing•Heating•System Design SHEET NO. OF P.Q.Box 1168 Aeon, Colorado 81620 ' CALCULATED BY -.. DATE Phone: (970) 949-0200 conceptmechanical@comcast.net CHECKED BY DATE 1�^ rrvF. ,t c- 3 a FO/! 4f' {� Q 0� �• beet 4-Il- t 67 041,0 � 3 IMP 41 U' ,Y" t r ° l ! -._.....y.._��. ^� 4 A e 6;77 FlAA-_7 4 ; Fwd: Anderson Pricing Subject: Fwd: Anderson Pricing From: Michael Warmenhoven <mike_warmenhoven @hotmail.com> Date: 9/3/2013 7:58 AM To: Rocky Mountain Reprographics Vail <vail @rockrepro.com> Anthony, 2 copies also. Thanks. Sent from the iPhone of Mike Warmenhoven Construction Services. Please excuse any misspellings or grammar errors. Thank you. Begin forwarded message: From: __ConceptMechanical(a)_comcast.net i Date: August 30, 2013, 11:55:10 AM MDT I To: mike warmenhoven <mike warmenh oven(a�_hotmail.com> Subject: Anderson Pricing Mike, Wanted to get you pricing before the weekend. I will follow up with a formal proposal with all of our exclusions noted. I have NOT priced thermostats and sensors at this time for the living/dining/kitchen zone and stair zone. We are also working up a price on wireless thermostats for the project. Here is my pricing break down: A. BASE PLUMBING ROUGH IN AND TRIM PRICE: $ 7,280 B. PLUMBING FIXTURE ALLOWANCE FOR KITCHEN AND BAR: $ 16,160 PLUS ESTIMATE OF $ 300 FREIGHT C. PLUMBING FIXTURE ALLOWANCE FOR GUEST BATHROOMS ONE AND TWO: $ 3,340. D. GAS PIPING WORK: $ 5,720 E. NEW HEAT ROLL OUT AT THE LIVING/DINING/KITCHEN: $ 4,600 a F. NEW SNOW MELT ROLL OUT AT EAST BREAKFAST DECK PATIO: $ 1 ,920. I 1 of 2 9/3/2013 8:20 AM Fwd: Anderson Pricing G. NEW SNOW MELT ROLL OUT AT WEST DINNER DECK PATIO: $ Ct� 2,150 H. DUCTING AND WALL CAP FOR KITCHEN RANGE HOOD: $ 1 ,000 Please call with any questions or comments. Thank you. Tim Rosen, PE; VP/Secretary Concept Mechanical, Inc. P.O. Box 1165 Avon, CO 81620 Phone: 970-949-0200 Fax: 970-949-0300 Cell: 970-331-4505 2 of 9/3/2013 8:20 AM i WHITE RIVER ELECTRIC,INC. n PO Box 11 18-Avon,Colorado 81620 970-149-1403 fax 970-926-5049 MIKE WARMENHOVEN CONSTRUCTION SERVICES 8/30/2013 1160 SANDSTONE DR-VAIL ANDERSON RESIDENCE ILIGHTING LAYOUT PROVIDED BY 186 LIGHTING DESIGN GROUP PROVIDE AND INSTALL ELECTRICAL WIRING, FIXTURES AND LIGHTING CONTROLS PER LAYOUT BY 186 LIGHTING CONTROL GROUP DATED 08/30/2013. FIXTURES AND CONTROLS HAVE NOT BEEN APPROVED AND FINAL PRICING IS NOT INCLUDED FOR THESE ITEMS. QTY DESCRIPTION TOTAL LABOR- PANEL AND FEEDER 1 ITE-SIEMENS 42 SPACE 3-PHASE LOAD CENTER(REPLACE EXISTING) 288.00 1 100-AMP 3-PHASE SUB-PANEL FEEDER(REPLACE EXISTING PANEL) 36.00 10 ITE-SIEMENS Q120AFCI-ARC-FAULT CIRCUIT BREAKER 414.00 6 TERMINATE BRANCH CIRCUITRY/IDENTIFY BRANCH CKTS 604.00 5 CALCULATIONS/PERMITTING/PROCESS DOCS 621.00 LABOR-PANEL AND FEEDER TOTAL $1,963.00 MATERIAL- PANEL AND FEEDER 1 ITE-SIEMENS 42 SPACE 3-PHASE LOAD CENTER(REPLACE EXISTING) 329.00 1 100-AMP 3-PHASE SUB-PANEL FEEDER(REPLACE EXISTING PANEL) 165.00 10 ITE-SIEMENS Q120AFCI-ARC-FAULT CIRCUIT BREAKER 659.00 6 ITE-SIEMENS Q120P-STANDARD CIRCUIT BREAKER 40.00 6 TERMINATE BRANCH CIRCUITRY/IDENTIFY BRANCH CKTS 49.00 MATERIAL-PANEL AND FEEDER TOTAL $1,242.00 LABOR- FIXTURES AND LIGHTING 30 DEMO OF EXISTING LIGHTING AND WIRING 2,933.00 86 LAYOUT AND MOUNT TYPE Al -A5 FIXTURES 3,053.00 55 LAYOUT L1 -L2 LED HORIZONTAL STRIPS 1,627.00 14 LAYOUT L1 LED VERTICAL STRIPS IN CABINETS 663.00 50 LAYOUT L1 &L2 REMOTE LED DRIVERS 1,479.00 2 LAYOUT AND MOUNT TYPE P1 FIXTURES 154.00 L 1 LAYOUT AND MOUNT TYPE P2 FIXTURE 77.00 Q 1 LAYOUT AND MOUNT TYPE P3 FIXTURE 77.00 2 LAYOUT AND MOUNT TYPE Z1 FIXTURES 178.00 Q 86 INSTALL CONDUCTORS-TERMINATE TYPE Al -A5 FIXTURES 3,358.00 55 INSTALL CONDUCTORS-TYPE L1 -L2 HORIZONTAL STRIPS 1,822.00 14 INSTALL CONDUCTORS-TYPE L1 VERTICAL STIRPS IN CABINETS 580.00 50 INSTALL SWITCH-LEGS TO L1 &L2 REMOTE LED DRIVERS 2,663.00 2 INSTALL CONDUCTORS-P1 FIXTURES 107.00 1 INSTALL CONDUCTORS-P2 FIXTURE 53.00 1 INSTALL CONDUCTORS-P3 FIXTURE 53.00 2 INSTALL CONDUCTORS-TERMINATE TYPE Z1 FIXTURES 83.00 86 TRIM AND ADJUST TYPE Al -A5 FIXTURES 2,035.00 55 INSTALL L1 -L2 LED HORIZONTAL STRIPS 1,627.00 14 INSTALL L1 LED VERTICAL STRIPS IN CABINETS 746.00 50 INSTALL REMOTE LED DRIVERS/TERMINATE CONDUCTORS 2,958.00 2 INSTALL AND ADJUST TYPE P1 PENDANT FIXTURES 272.00 1 INSTALL AND ADJUST TYPE P2 PENDANT FIXTURE 136.00 1 INSTALL AND ADJUST TYPE P3 PENDANT FIXTURE 136.00 2 INSTALL/TRM AND ADJUST TYPE Z1 FIXTURES 154.00 LABOR- FIXTURES AND LIGHTING TOTAL $27,024.00 MATERIAL- FIXTURES AND LIGHTING 2 LAYOUT AND MOUNT TYPE P1 FIXTURES 49.00 1 LAYOUT AND MOUNT TYPE P2 FIXTURE 25.00 1 LAYOUT AND MOUNT TYPE P3 FIXTURE 25.00 86 INSTALL CONDUCTORS-TERMINATE TYPE Al -A5 FIXTURES 1,133.00 55 INSTALL CONDUCTORS-TYPE L1 -L2 HORIZONTAL STRIPS 1,902.00 14 INSTALL CONDUCTORS-TYPE L1 VERTICAL STIRPS IN CABINETS 484.00 50 INSTALL SWITCH-LEGS TO L1 &L2 REMOTE LED DRIVERS 412.00 2 INSTALL CONDUCTORS-P1 FIXTURES 33.00 1 INSTALL CONDUCTORS-P2 FIXTURE 16.00 1 INSTALL CONDUCTORS-P3 FIXTURE 16.00 2 INSTALL CONDUCTORS-TERMINATE TYPE Z1 FIXTURES 33.00 MATERIAL- FIXTURES AND LIGHTING TOTAL $4,128.00 LABOR-SWITCHING AND POWER 33 LUTRON MAGNETIC DIMMING-WALL BOX CONTROL 3,226.00 7 LUTRON ELECTRONIC DIMMING-WALL BOX CONTROL 704.00 3 LEVITON DECORA ROCKER SWITCH 231.00 20 LEVITON DECORA DUPLEX WALL RECEPTACLE 1,538.00 10 LEVITON DECORA DUPLEX GFCI RECEPTACLE 1,006.00 4 APPLIANCE RECEPTACLE- 120-V CKT AND POWER CONNECTION 592.00 2 APPLIANCE RECEPTACLE-240-V/30-AMP CKT CONNECTION 497.00 1 APPLIANCE RECEPTACLE-240-V/50-AMP CKT CONNECTION 296.00 1 RANGE HOOD SYSTEM-POWER AND LIGHTING 266.00 LABOR-SWITCHING AND DIMMING TOTAL $8,356.00 MATERIAL-SWITCHING AND POWER 33 LUTRON MAGNETIC DIMMING-WALL BOX CONTROL 1,902.00 7 LUTRON ELECTRONIC DIMMING-WALL BOX CONTROL 576.00 3 LEVITON DECORA ROCKER SWITCH 99.00 20 LEVITON DECORA DUPLEX WALL RECEPTACLE 659.00 10 LEVITON DECORA DUPLEX GFCI RECEPTACLE 412.00 4 APPLIANCE RECEPTACLE- 120-V CKT AND POWER CONNECTION 329.00 2 APPLIANCE RECEPTACLE-240-V/30-AMP CKT CONNECTION 379.00 1 APPLIANCE RECEPTACLE-240-V/50-AMP CKT CONNECTION 214.00 1 RANGE HOOD SYSTEM-POWER AND LIGHTING 66.00 MATERIAL-SWITCHING AND POWER TOTAL $4,636.00 TOTAL $47,349.00 EXCLUSIONS - i THE REMOVAL OF DRYWALL TO FACILITATE THE ROUTING OF NEW WIRING OR LIGHTING FIXTURES. DRYWALL REMOVAL AND RE-INSTALLATION SHALL BE THE RESPONSIBILITY OF OTHERS. THE REMOVAL OR REPLACEMENT OF WOOD TRIM SURFACES(SUCH AS BASEBOARD OR DOOR TRIM) TO FACILITATE THE ROUTING OF NEW WIRING OR BOXES. PATCHING, PAINTING OR REPAIR OF DRYWALL OR PLASTER SURFACES AS REQUIRED TO INSTALL NEW CIRCUITRY AND WIRING IN CEILING AND WALL SPACES. LOW VOLTAGE OR 120-VOLT WIRING ASSOCIATED WITH TELEPHONE,CATV, FIRE AND SECURITY SYSTEMS OR MECHANICAL SYSTEMS. IF WORK IS REQUIRED IN THESE AREAS IT WILL BE DONE ON A PER HOUR BASIS. PERMIT FEES(IF REQUIRED)SHALL BE SUBMITTED FOR AND PAID BY OTHERS. IF BUILDING STRUCTURE OR EXISTING CONCEALED MECHANICAL SYSTEM WILL NOT ALLOW INSTALLATION OF WIRING OR FIXTURES,SUCH WORK(AND ASSOCIATED PRICING)SHALL BE VOIDED OR RE-EVALUATED. THIS ESTIMATE IS VALID FOR A PERIOD OF THIRTY DAYS. E6LjQ t, -a.: 'A ' TOWN OF VAIL :I CONTRACTOR REGISTRATION i4. Business Name: Mike Warmenhoven Construction Services Principal Name: Mike Warmenhoven Business Address: PO BOX 5923 City, State Zip: Vail CO 81658 Phone: 970 )390 -0411 E-Mail; mikewarmenhoven @hotmail.com Electrical and Plumbing contractors shall provide their State of Colorado Electrical or Plumbing License number Fire Protection contractors shall provide of their State of Colorado Division of Fire Safety Contractor's Registration number ❑ Electrical Lic.#: ❑ Fire Protection Reg. #: ❑ Plumbing Lic. #: I hereby certify that it is my responsibility to abide by the Vail Town Code and licensing requirements. Further;I certify that I shall maintain the insurance and li- censing requirements per Vail Town Code. 1 understand that failure to comply with all town codes, laws,and regulations may result in revocation of my license in- clud' pe Ides as allo ed by law. 4 Contractor Signature Date Issued by:Martin Haeberle, Chief Building Official Date � 1 L� O 1 c, Registration Expiration Date Department o De t - c p �Commurity Development-75 South Frontage Road West—Nall,CO 81657—Photie.970-479.2139,j ,. -�� OP ID: AK CERTIFICATE OF LIABILITY INSURANCE F DAT11/15DI!12 111152 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 Phone: 970-949-5110 CONTACT NAME: Arrow Insurance Mgt-Avon Fax: 970-949-6306 PHONE FAX 70 Benchmark Rd#103 arC No E AA No): P.O. Box 918 E-MAIL Avon, CO 81620 ADDRESS: PRODUCER WARM E-1 Angie Kriedeman CUSTOMER ID/: INSURERS)AFFORDING COVERAGE NAIC i INSURED M Warmenhoven Construction INSURERA:Acuity Insurance Service, LLC PO Box 5923 INSURER B Va I I,CO 81658 INSURER C: INSURER D: INSURER E: 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 WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUB POLICYEFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM1DD MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A X COMMERCIAL GENERAL UABILITY X03237 10/05/12 10/05/13 PREMISES Ea occurrence $ 100,000 CLAIMS-MADE FxI OCCUR MED EXP(Any one person) $ 5,000 X Busing S Owners PERSONAL&ADV INJURY $ 1,400,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS -- PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIA CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE E L EACH ACCIDENT Is OFFICERIMEMBER EXCLUDED? NIA li (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION TOWNVA3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Vail ACCORDANCE WITH THE POLICY PROVISIONS. 75 S. Frontage Rd.W. AUTHORIZED REPRESENTATIVE Vail,CO 81657 Angie Kriedeman ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD T-C I W-M OWN OF 'VA CONTRACTOR REGISTRATION mo��o Business Name: White River Electric, Inc. Principal Name•. Richard Geddes Business Address: PO BOX 1118 City,State Zip: Avon i c0 81620 Phone: (170 )949 _ 1403 E-Mail: rick @whiteriverelectric.com Electrical and Plumbing contractors shall provide their State of Colorado Electrical or Plumbing License number Fire Protection contractors shall provide of their State of Colorado Division of Fire Safety Contractor's Registration number Electrical Lic.#: 1476 O Fire Protection Reg.#: O Plumbing Lic. I hereby certify that it is my responsibility to abide by the Vail Town Code and licensing requirements.Further;I certify that I shall maintain the insurance and li- censing requirements per Vail Town Code.I understand that failure to comply with all town codes,laws,and regulations may result in revocation of my license in- cluding penalties as allowed by law. Debra Geddes `" 08/29/2012Q/_�) Contractor Signature Date Issued by:Martin Haeberle,Chief Building Official Date Registration Expiration Date Department of Community Development-75 South Frontage Road West—Yail,CD 8I _ftol:970 479-2139 OP ID:SC ACJRO DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/11/13 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 970-945-9111 CONTACT Shanti Cartmell,CIC Neil-Garing Agency, Inc. PHONE PO Box 1576 970-945-2350 ac No Ext:970-945-9111 _ ac No): 970-945-2350 Glenwood Springs,CO 81602 ADD ADDRESS:scartmell neil arin .com Jim Nadon,CIC PRODUCER CUSTOMER ID#,WHITE-3 INSURERS AFFORDING COVERAGE NA(C# INSURED White River Electric, Inc INSURERA:Federated Mutual Group PO Box 1118 INSURER B:Pinnacol Assurance Avon, CO 81620 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE AD L U POLICY EFF POLICY EXP - POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 9822785 11/01/12 11/01/13 AMA E NTED PREMISES Ea occurrence $ 100,00 CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000, I GENERAL AGGREGATE $ 2,000, GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,0 X I POLICY PRO- LOC $ AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT $ 1,000,00 A X ANY AUTO 9822786 11/01/12 11/01/13 (Ea accident) BODILY INJURY(Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,0001 X EXCESS Lab CLAIMS-MADE AGGREGATE $ 1,000,00 A 9822787 11/01/12 11/01/13 DBMTBLE $ Xi RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY X T RY LIMIT X ER B ANYPROPRIETOR/PARTNERlEXECUTIVE Y/N 17 02101/13 02/01/14 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? ❑Y NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 5500,0 If yes,describe under -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 A !Contractor's E&O 9160327 11/01/12 11/01/13 Per Claim 500,00 I Aggregate 500,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER _ CANCELLATION MIKE-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Mike Warmenhoven THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Construction Services ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 5923 Vail,CO 81658 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD ' � � TOWN OF VAIL CONTRACTOR REGISTRATION 0 0 CP Principal Name: At eP 7 Business Address: City,State Zip: Electrical and Plumbing contractors shall provide their State of Colorado Electrical or Plumbing License number Fire Protection contractors shall provide of thcir State of Coloz-ado Division of Fire Safety Contractor's Rcg(s"Uon number o Electrical Lic. #: 13 Fire Protection Reg,A 01(`Iumbing Lic, #., !2�iq � z censing requirements per Vail Town Code. I understand that failure to comply with all town codes,laws,and regulations may result in revocation of my license In- Contractor Signature Date Issued byr Martin Haeber1c,,Chief Building Official Date Registration Expiration Date 9 DepwtxnentofComrnunityDevelopment-75 South Frontage Road West—Vag,Co 81657—Phone.-970.+79.2139 _ _ � �. ca. OP ID:SC CERTIFICATE OF LIABILITY INSURANCE DAT 02/04D/YYYY) 02/04/13 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 970-945-9111 NAME: Shanti Cartmell,CIC Neil-Garing Agency, Inc. PHONE FAX PO Box 1576 970-945-2350 A/c No Ext;970-945-9111 No;970-945-2350 Glenwood Springs,CO 81602 E-MAIL SS:scartmell neil arin .com PRODUCER Jim Nadon,CIC CUSTOMER ID#:CONCE-1 -- --- --.- INSURE S AFFORDING COVERAGE NAIL# INSURED Concept Mechanical, Inc INSURER A:Cincinnati Insurance Company 28665 PO Box 1165 INSURER B:Pinnacol Assurance Avon, CO 81620 INSURER C: INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD L UB -- LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/Y7POLIC W LIMITS GENERA L LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY TBD 02/08/ 4 DAMAGE T RENTED PREMISES Ea occurrence $ 500, CLAIMS-MADE OCCUR MED EXP(Any one person) $ 10, PERSONAL&ADV INJURY $ 1,000,0 GENERAL AGGREGATE $ 2,000,0 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY X PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,0 A X ANY AUTO TBD 02/08/13 02/08114 (Ea accident) ALL OWNED AUTOS BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNEDAUTOS $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,000,0 EXCESS LUAB CLAIMS-MADE AGGREGATE $ 1,000,00( A TBD 02/08/13 02/08114 ' DEDUCTIBLE g X RETENTION $ -'-' - $ - -- -"- WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY X T Y LtlrlfT X ER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 NIA 3021509 07/01/12 07/01113 E.L.EACH ACCIDENT $ 500,0 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500, If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 500, A Contractors E&O TBD 02/08/13 02/08/14 Per Claim 500, IiAggregate 500, DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION MIKEW-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Mike Warmenhoven Construction THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Services ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 5923 Vail,CO 81658 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD