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HomeMy WebLinkAbout2017-28162017 -2816 > R. ANN ING September 21, 2017 r A RC I_I IT r C T U R F October 2, 2017 — Terms & Conditions Added ENG!NEIRING Kevin Hansen, PE IINTER10RS Director of Public Works — City of Columbia Heights RE: Columbia Heights Public Library 637 3811, Avenue NE Columbia Heights, MN 55421 -3806 EST. 1915 Subject: Proposal for Services — Needs Confirmation, Site test Fits and estimates of probable ABU DHABI Cost for a New Municipal City Hall. ATLANTA AUSTIN BEIJING Dear Mr. Hansen:. BRYAN CHICAGO LEO A DALY is pleased to present this proposal to provide Professional Architectural & DALLAS Engineering services to the City of Columbia Heights. if this proposal is accepted, please sign DENVER one copy and deliver to Leo A Daly Architects and Engineers, retaining a copy for your records. FORT WORTH This letter will serve as the contract between the aforementioned parties. HONG KONG HONOLULU PROJECT GOALS & OBJECTIVES HOUSTON It is understood that the City f Columbia Heights desires substantive data on the potential Y gi p ISTANBUL LAS VEGAS feasibility of constructing a replacement City Hail. The objective of the study is to (a) Conduct a LOS ANGELES Space Needs assessment, confirming the square footage of need, and (b) to evaluate up to 4 MIAMI potential sites and costs for the replacement facility for each alternative. This combined MINNEAPOLIS information will be utilized to determine the size, site feasibility and financial requirements to Moscow implement a future project. The following information will be utilized toward the development OMAHA of this work: PHOENIX SACRAMENTO 0 A prior space needs assessment was conducted 10+ years ago. It Is anticipated that SAN ANTONIO there may be some relevancy between that study and todays need. Therefore, we will SAN MARCOS review all previous studies as background information. We will further conduct a TAMPA contemporary space needs analysis, with staff input, to determine the overall square footage of need considering today's need and the future. WACON WASHINGTON, DC WEST PALM BEACH • Prior to the execution of the work, the City is procuring and will provide to Leo A Daly copies of Soils Borings reports of the selected site including the Geo Technical recommendation for footing and foundation systems; « Prior to the execution of the work, the City is procuring and will provide to Leo A Daly copies of a legal ALTA survey of the selected site indicating the current property boundaries, below grade / above grade utilities, curb cuts, easements and the other similar aspects which may affect the site layout and development costs. SCOPE OF BASIC SERVICES LEO A DALY'S Basic Services for this work includes preliminary Architecture, Engineering and site assessment and Cost Estimation Services, as follows: 730 SECOND AVENUE SOUTH Space Needs Assessment scope and deliverable: SUITE 1100 • Review prior Space Needs Report: Review existing Space Needs Assessment Report. MINNEAPOLIS, MN 55402 4455 Identify items for further clarity, discussion or relevancy to today's space needs TEL 612.338 8741 analysis. FAX 612.338.4840 www.leoadaly,com INMA O , PLANNING • Conduct Staff Interviews and Space Needs Summary: Meet with City staff and departments and conduct tours of existing space and interviews with staff and ,ARCHITECT RF department heads. Quantify the overall space needs, including projections for potential growth in a spreadsheets summary. Review summary with staff for input tictt° �' and integrate any further refinements in priority order. In discussion with City staff, identify any space modifications, edits or additions needed to support municipal I N T F R I O R s governance for the next 20 years. Consider options for potential future growth and expansion. • Deliverable: Evaluation summary and New Space Program will be provided in the report. Site Feasibility & Test Fit Concepts: EST. 1915 ® Preliminary Storm Water Analysis:. Conduct preliminary assessment of Storm water ABU DHABI requirements and provide narrative solutions to achieve jurisdictional requirements; ATLANTA • Confirm site reouirements & Site Test Fit: Determine preliminary setbacks, quantity AUSTIN of parking, delivery / loading needs, lot ingress and egress, quantity of open space BERING and conceptual lot limits and overall building to site relationship; BRYAN o Review of Soil Borings or Technical Site Data: City provided survey and soils boring CHICAGO information to determine any additional impacts to site layout, building foundation DALLAS systems, or site development. This review will be summarized in narrative form DENVER within a final report; FORT WORTH FIONG KONG • Deliverable: A graphic conceptual site fit plan for up to 4 sites, and conceptual HONOLULU rendering of the preferred concept 1 site and report narrative. HOUSTON ISTANBUL Building Construction narratives LAS VEGAS • Deliverable: Develop a summarized narrative of the anticipated building systems LOS ANGELES (structural systems, HVAC systems, roofing, exterior building materials) to be MIAMI utilized in order to develop an accurate cost assessment. The following are MINNEAPOLIS identified goals of the city which will be incorporated: Moscow o Backup power generation, sustainability and potential Net Zero capacity OMAHA o Energy Efficient features for lighting and ventilation (Maximize natural PHOENIX SACRAMENTO lighting, incorporate LED, efficient Mechanical Systems and Energy SAN ANTONIO Recovery) SAN MARCOS o Security Access (level and complexity to be determined) TAMPA o The City does not wish to consider Geo Thermal TIANJIN WACO Development of Probable Costs WASHINGTON, Dc s Deliverable: Probable Cost estimate for each developed concept. WEST PALM BEACH The Leo A Daly team will provide all of the above information within a bound report. A final presentation to City Council will be included, if desired. This scope of work will not include the following. If these or other items are desired, they can be provided at additional costs: • Interior finishes selection or finish boards for floors, walls and ceilings; • Detailed layout of the interior or furniture layout. • Additional detailed or photo realistic exterior renderings. SCHEDULE The time frame for this work is estimated to be 60 -90 days from receiving authorization to proceed. The schedule is subject to change dependent upon City review processes. It is anticipated that 2 - 3 meeting with the primary staff contact will be included. 730 SECOND AVENUE SOUTH SUITE 1100 MINNEAPOLIS, MN 55402 -2455 TEL 612.338.8741 FAX 612,338.4840 www.leoada ly.com V L ANN I N G COMPENSATION FOR THESE SERVICES The basic services lump sum fee has been established on an assessment of the time required ARCHITECTURE ARCHITECTURE LEO A DALY Architecture & Engineering $22,500. � r� <A �� Iv����� IN TER I() RS REIMBURSABLE EXPENSES Reimbursable Expenses are in addition to compensation for services and include expenses incurred by the Design Architect and Design Architect's employees in the interest of the project As follows: • Expense of transportation; • Expense of reproduction, postage couriers and long- distance communications; EST Ives • Expense of renderings, models, presentation boards, or photography; • Expense of equipment and equipment rentals. ABU DHABI Al N AUSTIN PAYMENTS BEIJING Payments are due and payable thirty (30) days from the date of the Design Architect's monthly BRYAN invoice. Amounts unpaid forty -five (45) days after the invoice date shall bear interest at the rate CHICAGO of 12 percent (12 %) per annum. We reserve the right to suspend the performance if our services DALLAS at any time if payments are overdue. DENVER FORT WORTH LIMIT OF LIABILITY HONG KONG Neither the Design Architect, the Design Architect's consultants, nor their agents or employees HONOLULU shall be jointly, severally or individually liable to the Client in excess of the compensation to be HOUSTON paid pursuant to this Agreement, by reason of any act or omission, including breach of contract ISTANBUL or negligence not amounting to a willful or intentional wrong. LAS VEGAS LOS ANGELES LEO A DALY and LEO A DALY's consultants shall have no responsibility for the discovery, MIAMI presence, handling, removal, disposal of or exposure of persons to hazardous materials in any MINNEAPOLIS form at the Project site including but not limited to asbestos asbestos products, y Moscow 1 g p , pol chlorinated OMAHA biphenyl (PCB), mold or other toxic substances. PHOENIX SACRAMENTO LEO A DALY will provide services and obligations under this Agreement in conformity with the SAN ANTONIO standards of care and skill of our profession. SAN MARCOS TAMPA CONCLUSION TIANJIN If this meets with your approval, please sign and return one (1) copy of this letter to Cindy A WACO McCleary, Principal, Market Sector Lead Regional Government, LEO A DALY via fax (612-338 - WASHINGTON, DC 4840) or via mail. We appreciate this opportunity and we look forward to working with you. WEST PALM BEACH Sincerely, Leo A Daly Cindy McCleary, AIA LEED AP, NCARB Vice President - Market Sector Lead Regional Government Camccleary@ —leg dal .com (612) 341 -9588 730 SECOND AVENUE SOUTH SUITE 1100 MINNEAPOLIS, MN 55402 -2455 TEL 612 338,8741 FAX 612.338.4840 www, leoada ly.com PLANNING PAYMENTS Payments are due and payable thirty (30) days from the date of the Design Architect's monthly ARCHITECT invoice. Amounts unpaid forty -five (45) days after the invoice date shall bear interest at the rate of 12 percent (12 %) per annum. We reserve the right to suspend the performance if our services E N c r N I F, R1 N, at any time if payments are overdue. I id ° E R 10 RS EXTENSION OF THE CONTRACT: Upon mutual acceptance of the scope, schedule and fee, additional professional services may be procured by the execution of additional appendices (Exhibits) and shall be attached to the base contract and fully incorporated within. LIMIT OF LIABILITY EST. 1915 Neither the Design Architect, the Design Architect's consultants, nor their agents or employees shall be jointly, severally or individually liable to the Client in excess of the compensation to be ABU A81 paid pursuant to this Agreement, by reason of any act or omission, including breach of contract ATLANTA AUSTIN or negligence not amounting to a willful or intentional wrong. BRYAN LEO A DALY and LEO A DALY's consultants shall have no responsibility for the discovery, CHICANO presence, handling, removal, disposal of or exposure of persons to hazardous materials in any DALLAS form at the Project site, including but not limited to asbestos, asbestos products, polychlorinated DENVER biphenyl (PCB), mold or other toxic substances. FORT WORTH HONG KONG LEO A DALY will provide services and obligations under this Agreement in conformity with the HONOLULU standards of care and skill of our profession. We will not be responsible for the performance of HOUSTON the construction contract(s), work or products, or any defects, deficiencies of effects resulting ISTANBUL from any contractor, sub - contractor, manufacturer, supplier, and fabricator, consultant retained LAS VEGAS by you or any third party. This agreement will not be construed as giving us the responsibility LOS ANGELES for or the authority to control, direct or supervise construction, construction means, methods, MIAMI techniques, sequences or procedures, or safety measures and programs. MINNEAPOLIS Moscow INSTRUMENTS OF SERVICE OMAHA Drawings, models, specifications and other documents, including those in electronic form, PHOENIX prepared by the Design Architect and the Design Architect's consultants are Instruments of SACRAMENTO Service for use solely with respect to this Project. The Design Architect and the Design SAN ANTONIO Architect's consultants shall be deemed the authors of their respective Instruments of Service and SAN MARCOS shall retain all common law, statutory and other reserved rights, including copyrights. TAMPA TIANJIN WACO The Design Architect grants to the Client a nonexclusive license to reproduce the Architect's WASHINGTON, DC Instruments of Service for purposes of marketing, promotion, construction, use and maintenance WEST PALM BEACH of the Project. The Design Architect shall obtain similar nonexclusive licenses from the Design Architect's consultants consistent with this Agreement. Any termination of this Agreement prior to completion of the Project shall terminate this license. The Client shall not use the Instruments of Service for future additions or alterations to this Project or for other projects, unless the Client obtains the prior written agreement of the Design Architect and the Design Architect's consultants. Any unauthorized use of the Instruments of Service shall be at the Client's sole risk and without liability to the Design Architect and the Design Architect's consultants. PUBLIC RELATIONS The Design Architect shall have the right to include photographic and artistic representations of the Project among the Design Architect's promotional and professional materials. However, the Design Architect's materials shall not include the Client's confidential or proprietary information if the Client has previously advised the Design Architect in writing of the specific information 730 SECOND AVENUE SOUTH SUITE 1100 considered by the Client to be confidential or proprietary. MINNEAPOLIS, MN 55402 -2455 TEE 612.338.8741 FAX 612.338.4840 www,leoadaly.com W'O ll R ll 1A PLANNING The Client shall provide professional credit for the Design Architect in the Client's promotional Materials for the Project as follows: LEO A DALY. Client shall notify of and collaborate with the ARC FIITECTURE Design Architect on all major Project - related promotional events and press requests. The Design Architect reserves the right to participate in and shall receive copies of all distributed materials. ENGINEE RING The Design Architect in turn shall notify the Client of and collaborate with the Client on all INTERIORS Project- related promotional events and press requests as identified by the Design Architect. EST. 1915 ABU DI -IABI ATLANTA AUSTIN BEIJING BRYAN CHICAGO DALLAS DENVER FORT WORTH HONG KONG HONOLULU HOUSTON ISTANBUL LAS VEGAS LOS ANGELES MIAMI MINNEAPOLIS MOSCOW OMAHA PHOENIX SACRAMENTO SAN ANTONIO SAN MARCOS TAMPA TIANJIN WACO WASHINGTON, DC WEST PALM BEACH 730 SECOND AVENUE SOUTH SUITE 1100 MINNEAPOLIS, MN 55402 -2455 TEL 612.338..8741 FAX 612.338.4840 www.leoadaly.com Cc: Leo A Daly Project File ARCHITECT: LEO A DALY By: Aw /-_7 �,A Printe : James G. Sokolowski, PE Title: Director of Operations i /°1+� CERTIFICATE OF LIABILITY I S U RM L 7/1/2018 DATE (MM /DD/YYYY) 1 9/27/2017 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 have ADDITIONAL INSURED provisions or 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816)960 -9000 CONTACT — PHONE FAX A/ No Ext : A/C No : EMAIL ADDRESS: COMMERCIAL GENERAL LIABILITY CLAIMS -MADE El OCCUR INSURER (S) AFFORDING COVERAGE NAIC # INSURER A: Llo des EACH OCCURRENCE INSURED LEO A. DALY 1367150 8600 INDIAN HILLS DRIVE _ INSURER B PREM SESOEa occur ence INSURER C OMAHA NE 68114 -4039 INSURER D INSURER E; INSURER F: COVERAGES LEOADOI CERTIFICATE NUMBER: 14967087 REVISION NUMBER: XXXXXXX 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 LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF MM /DDNYYY POLICY EXP MM /DD /YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE El OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX PREM SESOEa occur ence $ XXXXXXX MED EXP (Any one person) $ XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE� D LOC GENERAL AGGREGATE $ XXXXXXX PRODUCTS - COMP /OP AGG $ XXXXXXX $ OTHER: AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT Ea accident $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX ANY AUTO BODILY INJURY Per accident ( ) $ XXXXXXX OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ XrXrXXXXX $XXXXXXX UMBRELLA LIAR OCCUR NOT APPLICABLE EACH OCCURRENCE $XXXXXXX AGGREGATE $ XXXXXXX EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ N/A NOT APPLICABLE PER OTH- STATUTE ER E.L. EACH ACCIDENT $ XXx} xxx _ E.L. DISEASE - EA EMPLOYEE $ XXXXXXX (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ XXXXXXX DESCRIPTION OF OPERATIONS below A PROFESSIONAL LIABILITY N N LDUSA1704566 7,1/2017 7/112018 $1,000,000 EACH CLAIM AND IN THE ANNUAL AGGREGATE DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: PRELIMINARY ARCHITECTURE, ENGINEERING AND SITE ASSESSMENT AND COST ESTIMATION SERVICES FOR NEW MUNICIPAL CITY HALL. a.crc i in�,n i r= nvt_ucrt UANUtLLA I IUN 14967087 CITY OF COLUMBIA HEIGHTS ATTN: KEVIN HANSEN, PE, DIRECTOR OF PUBLIC WORKS 637 38TH AVENUE NE COLUMBIA HEIGHTS, MN 55421 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED Cc 1988G2015 ACORD CORPORATION_ All rinhts rasPrvarl ACORD 25 (2016103) The ACORD name and Logo are registered marks of ACORD ACea►R ' ® CERTIFICATE OF LIABILITY INSURANCE 1/1/2018 DATE(MM /DD/YYYY) F9/27,12017 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 have ADDITIONAL INSURED provisions or 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960 -9000 CONTACT PHONE FAX Ext' A/C No Mall° ADDRESS: N 10]5651942 - 1,12017 INSURER S AFFORDING COVERAGE NAIC # INSURER A: American Casualt . Company of Reading, PA 20427 __ INSURED LEO A. DALY INSURER B: Valle Forge Insurance Coin an 20508 INSURER C; National Fire Insurance Co of Hartford 20478 1349712 8600 INDIAN HILLS DRIVE INSURER D: Transportation Insurance Company 20494 OMAHA NE 68114 -4039 INSURER E: $ 2,000,000 _PRODUCTS - COMP /OP AGG INSURER F: $ COVERAGES LEOAD01 CERTIFICATE NUMBER: 14967086 REVISION NUMBER: XXXXXXX 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 TYPE OF INSURANCE ANDDL W BR POLICY NUMBER MM /DDNYYY MM DD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR N I N 10]5651942 - 1,12017 111!2018 I EACH OCCURRENCE $ 1 000 000 _ DAMAGE TO RENTED PREMISES Ea occurrence _ $ 300,000 MED EXP (Any one person) _ $ 10,000 PERSONAL & ADV INJURY $ 1 OOO 000 GENT AGGREGATE LIMIT APPLIES PER: POLICY X:J PECOT- LOC OTHER: GENERAL AGGREGATE $ 2,000,000 _PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X AUTOS ONLY N 1N 1015651956 11112017 1/1/2018 Ee acc deDtSINGLE LIMIT $ 1 000 0 O0 X BODILY INJURY (Per person) $ XXXXXXX X P accident) BODILY INJURY (Per accen ( ) $ XXXXXXX X Per accident DAMAGE $ _XXXXXXX $XXXXXXX UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I I RETENTION $ _ $ XXXXXXX B D D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE Y/ N OFFICER /MEMBER EXCLUDED? i N i (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A N 1015651973 (AIDS) 2025515744 (HI) 1063334422 (CA) 1/1/2017 112017 1,1/2017 I AU2018 1'1/2018 11/1,20 18 PER OTH- X STATUTE I JER E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 - E.L. DISEASE -POLICY LIMIT 1,000,000 __$ DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: PRELIMINARY ARCHITECTURE, ENGINEERING AND SITE ASSESSMENT AND COST ESTIMATION SERVICES FOR NEW MUNICIPAL CITY HALL. t,Crt I I c nvLUCrc t.ANI rLLA I IVN 14967086 CITY OF COLUMBIA HEIGHTS ATTN: KEVIN HANSEN, PE, DIRECTOR OF PUBLIC WORKS 637 38TH AVENUE NE COLUMBIA HEIGHTS, MN 55421 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED ©198802015 ACORD CORPORATION. All rights reserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD