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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8786 BUNKER GEAR REPAIRASSIGNMENT OF CONTRACT
MINERVA BUNKER GEAR CLEANERS OF COLORADO CORP., as Assignor, and FIRE-DEX,
GW LLC, as Assignee, are parties transferring Bunker Gear Repair under City of Fort Collins
RFP No. 8786 from MINERVA BUNKER GEAR CLEANERS OF COLORADO CORP. to FIRE-
DEX, GW LLC (hereinafter, the “Agreement").
Assignment
MINERVA BUNKER GEAR CLEANERS OF COLORADO CORP., as Assignor, hereby assigns,
transfers, and conveys unto FIRE-DEX, GW LLC, as Assignee, all rights, title, and interest of the
Assignor in and to the Agreement.
Assignee hereby accepts the assignment and agrees to be bound by all of the terms and
conditions of the Agreement including all obligations, duties, responsibilities, and liabilities
thereunder.
Assignee shall maintain insurance coverage naming the City as an additionally insured of the
type and with the limits specified and provide evidence at the time of Assignment execution.
Electronic signatures are binding on the parties. This Assignment may be signed in counterparts.
IN WITNESS WHEREOF, the parties hereto have executed this Assignment as of the day and
year below.
ASSIGNOR COMPANY:
MINERVA BUNKER GEAR CLEANERS OF
COLORADO CORP.
By: ___________________________
Printed:
Title:
ASSIGNEE COMPANY:
FIRE-DEX, GW LLC
By: ___________________________
Printed:
Title:
CONSENT
The City hereby consents to the assignment of the Agreement to FIRE-DEX, GW LLC.
Dated Effective: 5/19/22 CITY OF FORT COLLINS, COLORADO
By:
Gerry Paul
Director of Purchasing
DocuSign Envelope ID: 9365E665-6594-48A2-A03B-D43CF253A6B9
Office Manager
Mary Xiras
President
Taylor Burke Gilman
06/14/2022
Palos/Chudy Company, LTD
27865 Clemens Road
Suite 1A
WESTLAKE OH 44145
Beverly Moore
(440) 617-9900 (440) 617-9430
bmoore@palos-chudy.com
Fire-Dex GW, LLC
780 S. Progress Drive
Medina OH 44256
Certain Underwriters at Lloyds-Brit Syndicate / AMWins AA1122000.
PHOENIX INSUR CO 25623
HARTFORD-MULTIPLE COMPANIES 19682
CL2251803631
A $2500 Deductible BI, PD, AI & PI Y GLL-10821-00 07/24/2021 07/24/2022
1,000,000
100,000
5,000
1,000,000
2,000,000
2,000,000
B Y 810-0P046915-21-14-G 08/05/2021 08/05/2022
1,000,000
0
C N 45WECAC6BUP 01/01/2022 01/01/2023 1,000,000
1,000,000
1,000,000
The City of Fort Collins, on behalf of the Poudre Fire Authority is added as an additional insured as required under written contract. We will provide a 30-day
notice of cancellation in the event of policy cancellation, 10 days for non-payment of premium.
The City of Fort Collins, on behalf of the Poudre Fire Authority
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: 9365E665-6594-48A2-A03B-D43CF253A6B9