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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 9230 FCWTF FILTER REPLACEMENT
December 3, 2021
Hensel Phelps Construction Co.
Attn: Brian Penner
77 NW Frontage Road
Fort Collins, CO 80524
RE: Renewal, 9230 FCWTF Filter Replacement
Dear Mr. Penner:
The City of Fort Collins wishes to extend the agreement term for the above captioned proposal
per the existing terms and conditions and the following:
1) The term will be extended for one (1) additional year, January 18, 2022 through January
17, 2023.
2) Designated project manager for all City of Fort Collins Water Treatment Facility projects
shall be:
Name: Email:
If the renewal is acceptable to your firm, please sign this letter in the space provided and
include a current copy of insurance certificate naming the City as an additional insured
for General and Automotive Liability within the next fifteen (15) days.
If this extension is not agreeable with your firm, we ask that you send u s a written notice stating
that you do not wish to renew the contract and state the reason for non-renewal.
Please contact Buyer, JD McCune, at (970) 416-4377 or jmccune@fcgov.com if you have any
questions regarding this matter.
Sincerely,
Gerry S. Paul
Director of Purchasing
__________________________________________ ________________
Signature Date
(Please indicate your desire to renew 9230 by signing this letter and returning it to Purchasing
Division within the next fifteen days.)
GSP:kr
Financial Services
Purchasing Division
215 N. Mason St. 2nd Floor
PO Box 580
Fort Collins, CO 80522
970.221.6775
970.221.6707- fax
fcgov.com/purchasing
DocuSign Envelope ID: 544B19E4-0EBA-44A7-8943-25D0C7482AFD
sjavernick@henselphelps.com
12/15/2021
Stan Javernick
12/10/2021
Flood and Peterson
PO Box 578
Greeley CO 80632
Denise Hill-Holligan
(970) 356-0123 (970) 330-1867
Dhillholligan@floodpeterson.com
Hensel Phelps Construction Co.
Hydro District
77 NW Frontage Road
Fort Collins CO 80524
Zurich American Insurance Company 16535
American Zurich Insurance Company 40142
American Guarantee and Liability Insurance Company 26247
AXA XL 24554
National Fire & Marine Ins. Co.20079
CL21112342851
A Y Y GLO369726417 01/01/2022 01/01/2023
5,000,000
500,000
5,000,000
10,000,000
10,000,000
A Y Y BAP369726117 01/01/2022 01/01/2023
5,000,000
C AUC928038420 01/01/2022 01/01/2023
10,000,000
10,000,000
(Addt'l Limits Attached)
B N Y WC369726518 01/01/2022 01/01/2023 1,000,000
1,000,000
1,000,000
RE: 9230 Fort Collins Water Treatment Facilty (FCWTF) Filter replacement.
Certificate holder is included as Additional Insured as required by written contract but only as respects to liability arising out of work performed by the named
insured on the General Liability and Automobile policies. Waiver of subrogation applies.
City of Fort Collins ATTN: Purchasing Dept.
P. O. Box 580
Fort Collins CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED $PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
DocuSign Envelope ID: 544B19E4-0EBA-44A7-8943-25D0C7482AFD
Hensel Phelps Construction Co.Flood and Peterson
Various
Various
2-D) AXA XL Umbrella US00095537LI22A $15,000,000 Each Occurrence / Aggregate
3-C) American Guarantee and Liability Ins. Co. AEC422694502 $15,000,000 Each Occurrence / Aggregate
4-E) National Fire & Marine Ins. Co. 42-XSF-31308602 $20,000,000 Each Occurrence / Aggregate
TOTAL UMBRELLA POLICY LIMITS: $60,000,000 EACH OCCURRENCE / $60,000,000 AGGREGATE
01/01/2022
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER:FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
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