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CORRESPONDENCE - RFP - 8777 GEOGRAPHIC INFORMATION SYSTEM EDITING TOOLS AND GRAPHIC WORK DESIGN SOLUTION (2)
January 21, 2022 Schneider Electric Smart Grid Solutions Attn: Drew Ditter 2620 E. Prospect Rd, Suite 130 Fort Collins, CO 80525 RE: Contract Renewal, 8777 - Geographic Information System Editing Tools and Graphic Work Design Solution Dear Mr. Ditter: 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, February 8, 2022 through February 7, 2023. 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 us a written notice stating that you do not wish to renew the contract and state the reason for non-renewal. Please contact Pat Johnson, CPPB, Senior Buyer at (970) 221-6816 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew 8777 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: 1FA2A738-874D-42C5-A55A-71412A0F0BF7 1/25/2022 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) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY B 5,000,000 6862538 Additional WC/EL policies are shown NYC-011263350-01 5,000,000 5,000,000 X 01/01/2022 41343 5,000,000 POLICY IS CLAIMS MADE Attn: Boston.CertRequest@Marsh.com | Fax: 212-948-4377 N 01/01/2022 X Contractual Liability 01/01/2022 A 3 01/01/2023 01/01/2022 A 19437 01/01/2023 6631153 (AOS) PROFESSIONAL C 5,000,000 5,000,000 on the following page 19399 HDI Global Insurance Company 5,000,000 X D X 01/25/2022 01/01/2022 5,000,000 City of Fort Collins is included as additional insured with respect to General Liability and Auto Liability per the endorsement(s) attached. General Liability is on a Primary and Non-contributory basis per the endorsement attached. X 01/01/2023 Fort Collins, CO 80524 City of Fort Collins Lexington Insurance Company X 6631152 (VA) A AIU Insurance Co. EACH CLAIM / AGGREGATE 5,000 01/01/2023 5,000,000 CUD11986-10 01/01/2023 E&O LIABILITY 6631154 (MA) 5,000,000 19445 5,000,000 CCKAY 5,000,000 01/01/2023 WC020608795 (AOS) 99 HIGH STREET MARSH USA INC. X BOSTON, MA 02110 1111 Pasquinelli Drive, Suite 100 Schneider Electric Holdings, Inc. Westmont, IL 60559 X X 024063291 01/01/2022 215 N Mason Stree X X 01/01/2022 A . 01/01/2023 National Union Fire Ins Co Pittsburgh PA DocuSign Envelope ID: 1FA2A738-874D-42C5-A55A-71412A0F0BF7 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: � Summit Energy Services, Inc.� POLICY PERIOD: 01/01/2022 - 01/01/2023� Schneider Electric Smart Grid Solutions, LLC� POLICY NUMBER: WX6559349 � WC 020608795 ( AL, AR, AZ, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV Schneider Electric Grid Automation, Inc.� Operation Technology, Inc. (DBA ETAP) (Excluding Workers' Compensation)� IGE+XAO USA, Inc.� TrentPoint Systems, Inc.� POLICY PERIOD: 01/01/2022 - 01/01/2023� 3 LIMITS: EACH ACCIDENT: $3,000,000 / DISEASE-POLICY LIMIT: 3,000,000 / DISEASE-EACH EMPLOYEE: $3,000,000� AND WY) - AIU INSURANCE COMPANY� OHIO ONLY EXCESS WORKERS COMP:� � 2 Schneider Electric Buildings Americas, Inc.� Schneider Electric Buildings, LLC� Boston Veris Industries, LLC� Schneider Electric Engineering Services, LLC� Schneider Electric IT Corporation � Pro-Face America, LLC� �� �� Schneider Electric USA, Inc. � ADDITIONAL NAMED INSUREDS INCLUDE THE FOLLOWING:� Certificate of Liability Insurance Schneider Electric Digital, Inc.� CN102662751 WC 020608794 (CA) - AIU INSURANCE COMPANY� Schneider Electric Buildings Critical Systems, Inc.� Adaptive Instruments Corp.� Schneider Electric Power Services, Inc.� **ADDITIONAL WORKER'S COMP POLICIES**� Schneider Electric IT Mission Critical Services, Inc.� ASCO Power Services, Inc. � Schneider Electric Systems USA, Inc. � WC 020608799 (WI) - AIU INSURANCE COMPANY� Proleit Corporation � ETAP Automation, Inc.(Excluding Workers' Compensation)� Schneider Electric Advisory Services, Inc.� CARRIER: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA � PUERTO RICO: WC IS PURCHASED THROUGH THE STATE FUND AS PUERTO RICO IS MONOPOLISTIC.� Schneider Electric Foundries LLC� � MARSH USA INC.� WC 65889540 (NY) - AIU INSURANCE COMPANY� SELF-INSURED RETENTION: $2,000,000� 1111 Pasquinelli Drive, Suite 100� Schneider Electric Holdings, Inc.� Westmont, IL 60559 ASCO Power Technologies, L.P. � POLICY NUMBERS, STATES, AND CARRIERS:� Schneider Electric Energy Management Software, Inc. � Buildings Control Systems, Inc. � 25 � Schneider Electric Solar Inverters USA, Inc.� DocuSign Envelope ID: 1FA2A738-874D-42C5-A55A-71412A0F0BF7 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: 33 Boston its designee will send a copy of such notice to the Certificate Holder of this Certificate. Such notice is not a right or obligation within the policies, it does not alter or amend any coverage, it will not extend any policy Schneider Electric Holdings, Inc. has agreed that, within 30 days after receipt of notice of cancellation of the insurance policies referenced above from the applicable insurers, Schneider Electric Holdings, Inc. or or representatives.�� cancellation date and it will not negate any cancellation of the policy. Failure to provide a copy of such notice to the Certificate Holder shall impose no obligation or liability of any kind upon the insurer or its agents � � � Umbrella Liability follows the underlying on additional insured and waiver of subrogation status pursuant to policy terms, conditions, and exclusions.� Certificate of Liability Insurance CN102662751 MARSH USA INC.� 1111 Pasquinelli Drive, Suite 100� Schneider Electric Holdings, Inc.� Westmont, IL 60559 25 DocuSign Envelope ID: 1FA2A738-874D-42C5-A55A-71412A0F0BF7 DocuSign Envelope ID: 1FA2A738-874D-42C5-A55A-71412A0F0BF7 DocuSign Envelope ID: 1FA2A738-874D-42C5-A55A-71412A0F0BF7 DocuSign Envelope ID: 1FA2A738-874D-42C5-A55A-71412A0F0BF7 DocuSign Envelope ID: 1FA2A738-874D-42C5-A55A-71412A0F0BF7 DocuSign Envelope ID: 1FA2A738-874D-42C5-A55A-71412A0F0BF7