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CORRESPONDENCE - SOLE SOURCE - AG-AIR INC DBA FRONTIER HELICOPTERS (3)
May 17, 2022 Ag-Air, Inc. dba Frontier Helicopters Attn: Ron Osborne PO Box 606 Johnstown, CO 80534 RE: Contract Renewal, Frontier Aerial Herbicide Application Dear Mr. Osborne: The City of Fort Collins wishes to extend the agreement term for the above captioned contract pursuant to the existing terms and conditions for one (1) additional year, August 15, 2022 through August 14, 2023 and the following: 1) Revised contract rates for application prices to $26.00 per acre, effective August 15, 2022. If the renewal is acceptable to your firm, please sign this letter in the space provided and attach a current copy of your insurance certificate naming the City as an additional insured on General Liability and Automobile Liability and including proof of Workers’ Compensation/ Employers’ Liability Insurance within the next fifteen days. If you wish to propose any changes to the existing agreement prior to renewal, please do not sign this renewal and provide details of your requested change for review and consideration. If you do not want to renew this contract, please provide written notification stating the reason for non- renewal. Please contact Beth Diven, Buyer II at (970) 221-6216 or bdiven@fcgov.com if you have any questions regarding this matter. Sincerely, Gerry Paul Purchasing Director __________________________________________ ____________________________ Signature Date (Please indicate your desire to renew this agreement by signing this letter and returning it to Purchasing Division within the next fifteen days.) GP: kr Financial Services Purchasing Division 215 N. Mason St. 2nd Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707- fax fcgov.com/purchasing DocuSign Envelope ID: 8F47FBEC-DBA2-4713-961F-CE2A946552F2 5/18/2022 CERTIFICATE OF INSURANCE This is to certify to City of Fort Collins (Certificate Holder):Post Office Box 580 Fort Collins, CO 80522-0580 The following policy(ies)Ag Air, Inc. dba Frontier Helicopter, Inc., have been issued to:Frontier Fertilizer & Chemical Company, Inc. P.O. Box 606 Johnstown, CO 80534 AIRCRAFT POLICY NO:AG 000376 20 POLICY PERIOD:FROM: August 04, 2020 TO: August 04, 2021 INSURANCE COMPANY:OLD REPUBLIC INSURANCE COMPANY AIRCRAFT LIABILITY EXCLUDING CHEMICAL LIABILITY:LIMITS OF LIABILITY EACH PERSON EACH OCCURRENCE C.Bodily Injury Liability Excluding Passengers:$ $ D.Property Damage:$XXX $ E. Passenger Bodily Injury:$ $ F. Combined Bodily Injury &Property Damage Liability Excluding Passenger & Excluding Chemical Liability: $ $1,500,000 AIRCRAFT CHEMICAL LIABILITY:LIMITS OF LIABILITY EACH PERSON EACH OCCURRENCE G.Limited Chemical Bodily Injury Liability:$ $ $ Aggregate H. Limited Chemical Property Damage:$XXX $ $ Aggregate I. Limited Chemical Combined Bodily Injury/Property Damage:$ $ $ Aggregate J. Comprehensive Chemical Bodily Injury Liability:$ $ $ Aggregate K. Comprehensive Chemical Property Damage Liability:$XXX $ $ Aggregate L. Comprehensive Chemical Combined Bodily Injury &Property Damage Liability:$XXX $500,000 $1,000,000 Aggregate DESCRIPTION OF AIRCRAFT PHYSICAL DAMAGE COVERAGE:ALL RISKS GROUND AND IN-FLIGHT FAA INSURED DEDUCTIBLES NUMBER YEAR MAKE & MODEL VALUE NOT IN-MOTION IN-MOTION N2949W 1972 Bell 206 $500,000 $2,500 $N/A N53MA 1977 Bell 206B II $500,000 $2,500 $N/A N601SJ 1985 Bell 206 L-3 $750,000 $2,500 $75,000 As respects any Aircraft Owned and Operated by the Named Insured and covered under the above referenced Policy AIRPORT POLICY NO:POLICY PERIOD:FROM: TO: INSURANCE COMPANY:OLD REPUBLIC INSURANCE COMPANY LIABILITY COVERAGES:LIMITS OF LIABILITY M. Aerial Applicator’s Premises Liability:$XXX each person $1,500,000 each occurrence * * Refer to the Policy, an Annual Aggregate limit may apply to some coverages. This Certificate Holder is: Included as a Loss Payee for Aircraft Physical Damage Coverage. Provided Breach of Warranty Coverage on Aircraft Physical Damage Coverage not to exceed 90% of the Insured Value. Included as an Additional Insured, but only with respect to operations of the Named Insured. Provided a Waiver of Subrogation, but only as respects Aircraft Physical Damage Coverage. OTHER COVERAGES/CONDITIONS/REMARKS: Provision has been made to give the Certificate Holder thirty (30) days Notice of Cancellation - ten (10) days for nonpayment of premium of any policy above, however, the Company assumes no responsibility for the failure to provide such notice. This Certificate does not change in any way the actual coverages provided by the policy(ies) specified above. Old Republic Aerosapce Representative: Agency Name: Agency Phone: B&B Protector Plans, Inc. 800.527.4953 Date: 07/31/2020 1990 Vaughn Road, Suite 350, Kennesaw, GA 30144 •(770) 590-4950 •Fax: (770) 590-0599 DocuSign Envelope ID: 8F47FBEC-DBA2-4713-961F-CE2A946552F2 05/17/2022 Brown & Brown of Colorado, Inc. 2170 S Parker Road, Suite 251 Denver CO 80231 Evie Jo Ontiveros CISR, CIC (303) 980-6265 (720) 962-5142 eontiveros@bbdenver.com AG Air Inc. DBA Frontier Fertilizer & Chemical Co P.O. Box 606 Johnstown CO 80534 ACE American Insurance Company 22667 Pinnacol Assurance 41190 21-22 AC Auto and WC A CAL H25142743-003 08/15/2021 08/15/2022 1,000,000 B Y 1009382 07/01/2021 07/01/2022 1,000,000 1,000,000 1,000,000 A Auto-Broadened Pollution Liab - Covered Autos - Included CAL H25142743-003 08/15/2021 08/15/2022 Auto-BF Pollution Included All policy terms, conditions & exclusions apply. City of Ft Collins is an additional insured as respects Auto Liability, as required by written contract. City of Fort Collins PO Box 580 Ft 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: 8F47FBEC-DBA2-4713-961F-CE2A946552F2