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CORRESPONDENCE - RFP - 9301 TRANSFORT BUS CLEANING 2021 (2)
Official Purchasing Document Last updated 3/2018 AMENDMENT #2 AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND KG CLEAN, INC. This Second Amendment (Amendment #2) is entered into by and between the CITY OF FORT COLLINS (the “City”) and KG CLEAN, INC. (the “Service Provider). WHEREAS, the Service Provider and the City entered into Agreement 9301 Transfort Bus Cleaning effective June 1, 2021 (the “Agreement”); and WHEREAS, the parties wish to renew the Agreement for the period June 1, 2023 through May 31, 2024. and WHEREAS, Service Provider and the City desire to amend the Agreement to replace Exhibit C to incorporate Service Provider’s 3% price increase on services; and NOW, THEREFORE, in consideration of the foregoing recitals and the mutual promises herein contained, the parties agree as follows: 1. In accordance with Section 3 of the Agreement, the Agreement term will be extended for one (1) additional year, June 1, 2023 through May 31, 2024. 2. Exhibit C: COST SCHEDULE, is hereby removed and replaced in its’ entirety with the Exhibit C attached hereto. Except as expressly amended by this Amendment #2, all other terms and conditions of the Agreement shall remain unchanged and in full force and effect. In the event of a conflict between the terms of the Agreement and this Amendment #2, this Amendment #2 shall prevail. IN WITNESS WHEREOF, the parties have executed this second Amendment the day and year shown. CITY OF FORT COLLINS: By: Gerry Paul, Purchasing Director Date: KG CLEAN, INC.: By: Duane Knight, CFO Date: DocuSign Envelope ID: 704F682A-24F1-4A33-B293-658302FD3981 6/2/20236/2/2023 Official Purchasing Document Last updated 3/2018 Exhibit C COST SCHEDULE DocuSign Envelope ID: 704F682A-24F1-4A33-B293-658302FD3981 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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± 2QJRLQJ 2SHUDWLRQV VWDWXV ZKHQ UHTXLUHG E\ ZULWWHQ FRQWUDFW %ODQNHW $GGLWLRQDO ,QVXUHG IRU 9DULRXV 5HODWLRQVKLSV ZKHQ UHTXLUHG E\ ZULWWHQ FRQWUDFW RU ZULWWHQ DJUHHPHQW %ODQNHW :DLYHU RI 6XEURJDWLRQ DSSOLHV ZKHQ UHTXLUHG E\ ZULWWHQ FRQWUDFW &* )RUP $WWDFKHG ,QFOXGHV %ODQNHW $GGLWLRQDO ,QVXUHG ±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ocuSign Envelope ID: 704F682A-24F1-4A33-B293-658302FD3981 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PERSTATUTE OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2OVRQ 2OVRQ /WG 6 <RVHPLWH 6WUHHW *UHHQZRRG 9LOODJH &2 ROVRQFHUWLILFDWHV#QISFRP 8QLRQ ,QVXUDQFH &RPSDQ\ .*&/($13LQQDFRO $VVXUDQFH .* &OHDQ ,QF 'RYHU 6WUHHW 8QLW :HVWPLQVWHU &2 $; ; ; &3$ $ ; ;; &3$ $;; &3$ ; % 1 ; 6HH $WWDFKHG &LW\ RI /DNHZRRG 6 $OOLVRQ 3DUNZD\ /DNHZRRG &2 DocuSign Envelope ID: 704F682A-24F1-4A33-B293-658302FD3981