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HomeMy WebLinkAboutRESPONSE - BID - 5774 MAPO ATHLETIC FIELD PAINTEXHIBIT C VII ESTIMATED QUANTITIES AND BID FORM THE QUANTITIES ARE ESTIMATES ONLY. AWARD WILL BE BASED ON LOWEST, RESPONSIVE AND RESPONSIBLE PRICE PER GALLON. QUANTITY COLOR PRICE PER GALLON 16545 GALLONS WHITE $ 3.15 730 GALLONS YELLOW, RED, GREEN, BLUE, ORANGE $ 7.65 _ SIGNATURE PAGE The undersigned Bidder, having examined these documents, and having full knowledge of the condition under which the work described herein must be performed, hereby proposes that he will fulfill the obligations contained herein in accordance with all terms, conditions, and specifications set forth; and that he will furnish all required products and pay all incidental costs in strict conformity with these documents, for the stated prices as payment in full. Submitting Firm: Kwal Paint, Inc. (Corporation, DBA, Partnership, LLC, or PC?) Address: 3900 Joliet St Denver, CO 80239 Telephone Number: (303) 371-5600 Name of Agent (print/type): M; 1 P.G Tnnnn Title: Autho Date: Attest: My Commission Expires: ,3/ s/ ,�� CORPORATE SEAL U'4,0, 16 My Commission Expires July 31, 2003 15:24 APR 17, 2003 *362943 PAGE: 2/2 AOQW. CERTIFICATE OF LIABILITY INSURANCE 08/03/2003 (MMIDDIYY 04/77/')nnMlI PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER 444W. Companies ONLY AND CONFERS NO RIGHTS UPON - 44 W. 47th Street Suite 900 HOLDER. THIS CERTIFICATE DOES NOT AN Kansas City Mo 64112-1906 AFFORDED BY THE (816) 960-9000 INSURERS AFFORDING COVERAGE INSURED 1006482 PROFESSIONAL PAINT, INC. KWAL-HOWELLS, INC. ATTN: PATI NUCE 3900 JOLIET STREET D�NVER CO 80239 ORI 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR O ICY BE POLICY EFFECTIVE 08/03/2002 POLICY EDATE tMXPIRATIDO YYlON LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE [X] OCCUR POLLUTION LEGAL LIAB 1950155 08/03/2003 EACH OCCURRENCE 1000 000 FIRE DAMAGE (Any one fire 50 000 MED EXP (Any one ereon 10,000 X PERSONAL & ADV INJURY 1,000,000 X (CLAIMS MADE FORA) GENERAL AGGREGATE 2,000,000 GENL AGGREGATE LIMIT APPLIES PER O PRE LOC PRODUCTS- COMP/OP AGO 100D 000 B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED ALTOS NON -OWNED AUTOS 8087121 08/03/2002 08/03/2003 COMBINED SINGLE LIMIT (Ea a —lard) $ 1 0aD aDD BODILY INJURY (Per peieon) $ X))x BODILY INJURY(Per accident) $ XXXXXXX PROPERTY DAMAGE (Per accident) $ XXXXXXX GAR AGE LIABILITY ANY AUTO NOT APPLICABLE AUTOONLY-EAACCIDENT XXXXXXX OTHER THAN EA ACC ALTO ONLY. AGG XXXX= XXXXXXX E%CE55 LIA&CITY OCCUR Ll CLAIMS MADE ❑ UMBRELLA DEDUCTIBLE FORM RETENTION 41 NOT APPLICABLE EACH OCCURRENCE XXXXXXX AGGREGATE XXXXXXX XXXXXXX XXX ?X1CX X;{XXXXX B WORKERS COMPENSATION AND EMPLOYERS LIABILITY 3280341 08/03/2002 08/03/2003 X WCSTAN- OTH- E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYE 1000 000 E.L. DISEASE -POLICY LIMIT 1,000,000 OTHER DESCRIPTION OF OPERATION&LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPEC WL PROVISIONS THE CITY OF FORT COLLINS IS AN ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR. CITY OF FORT COLLINS ATTENTION: JOHN STEPHEN, CPPB, SENIOR BUYER P.O. BOX 580 215 NORTH MASON STREET 2ND FLOOR FORT COLLINS CO 8D522-0580 SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25S (7197) © ACORD CORPORATION 19R2