HomeMy WebLinkAbout206064 ARNOLD BURNS DBA A & B TRUCKING - CONTRACT - BID - 5491 HAULING A AND B TRUCKINGSERVICES AGREEMENT
THIS AGREEMENT made and entered into the day and year set forth below by and
between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter
referred to as the "City" and All hereinafter referred to as "Service
Provider".
WITNESSETH:
In consideration of the mutual covenants and obligations herein expressed, it is agreed by
and between the parties hereto as follows:
Scope of Services. The Service Provider agrees to provide services in accordance
with the scope of services attached hereto as Exhibit "A", consisting of two (2) pages, and
incorporated herein by this reference.
2. Contract Period. This Agreement shall commence April 15, 2000, and shall continue
in full force and effect until April 1, 2001, unless sooner terminated as herein provided. In addition,
at the option of the City, the Agreement may be extended for additional one year periods not to
exceed three (3) additional one year periods. Pricing changes shall be negotiated by and agreed
to by both parties and may not exceed the Denver - Boulder CPI-U as published by the Colorado
State Planning and Budget Office. Written notice of renewal shall be provided to the Service
Provider and mailed no later than ninety (90) days prior to contract end.
3. Delay. If either party is prevented in whole or in part from performing its obligations
by unforeseeable causes beyond its reasonable control and without its fault or negligence, then the
party so prevented shall be excused from whatever performance is prevented by such cause. To
the extent that the performance is actually prevented, the Service Provider must provide written
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JUL.14.2003— 9:25AM-.,•-:INSURANCE MANAGEMENT _ _ -----.--N0.e12--• P.1/3
II4SURANCE MANI% 3EMENT, INC.
75 East 60th Avenue
'ommerce 'City, Colorado 80022.
'
bne: (303) 289-4485 FAX: (303) 287,2311
TelecF01"munica tions
7
AX Number:
From:
Total Number of
Transmission
(Including Cover Page)
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EXHIBIT C
BID SCHEDULE #5491
You may attach a separate page with an equipment list. Please include Firm name on it.
EQUIPMENT YR MAKE MODEL CU.YDS. HP $/HR.
TRACTOR/TRL
TRUCKS
TANDEM
DUMP
TRUCKS i2-c�
TANDEM
DUMP
TRUCKS
WITH
PUP
OTHER
EQUIPT
(LIST TYPE)
Failure to provide said equipment with qualified drivers as listed in the bid submitted may result
in the removal of the vendor's name from the City's bidding list for a period of three years.
FIRM NAME
Are you a
SIGNATURE /.1/✓�/.�.Ci�C ��
PRINT NAME y/fT R/y,7 /cl /�-�.0 R AJ
ADDRESS 2,1�20 ,L' ,§-7
PHONE/FAX
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EXHIBIT D
YEAR 2000 COMPLIANCE CERTIFICATION AND INDEMNITY
Section 1. Contractor hereby certifies that all information resources or systems to be
provided or used in connection with the performance of this Agreement are "Year 2000
Compliant", except as otherwise expressly described in Section 2, below. "Year 2000
Compliant" shall mean that information resources meet the following criteria:
a. Data structures (e.g., databases, data files) provide 4-digit date century
recognition. For example, "1996" provides date century recognition; "96" does not.
b. Stored data contains date century recognition, including (but not limited to) data
stored in databases and hardware/device internal system dates.
C. Calculations and programs logic accommodate both same century and multi -
century formulas and date values. Calculations and logic include (but are not limited to) sort
algorithms, calendar generation, event recognition, and all processing actions that use or
produce date values.
d. Interfaces (to and from other systems or organizations) prevent non -compliant
dates and data from entering any state system.
e. User interfaces (i.e., screens; reports; etc.) accurately show 4 digit years.
f. Year 2000 is correctly treated as a leap year within all calculation and calendar
logic.
Section 2. Contractor agrees to notify the City immediately of any information resources or
systems that are not Year 2000 Compliant upon encountering the same in connection with the
performance of the Agreement, including without limitation any information resources or
systems in use by Contractor in the performance of the Agreement or information resources or
systems of the City regarding which Contractor obtains information in the course of its
performance of the Agreement.
Section 3. Contractor agrees to permit examination, by the City or agents thereof, of any
and all information resources and systems in use in connection with this Agreement, and
related Year 2000 Compliance implementation plans, in order to evaluate Year 2000
Compliance and potential implications of the same for the City and for performance of the
Agreement.
Section 4. The Contractor shall indemnify and hold harmless the City, and its officers,
agents and employees, from and against all claims, damages, losses, and expenses, including
attorneys fees, arising out of or resulting from the Contractor's information resources or
systems that are not Year 2000 Compliant.
SA 10/97
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notice to the City of such condition within fifteen (15) days from the onset of such condition.
4. Early Termination by City/Notice. Notwithstanding the time periods contained herein,
the City may terminate this Agreement at any time without cause by providing written notice of
termination to the Service Provider. Such notice shall be delivered at least fifteen (15) days prior
to the termination date contained in said notice unless otherwise agreed in writing by the parties.
All notices provided under this Agreement shall be effective when mailed, postage prepaid and
sent to the following addresses:
City:
City of Fort Collins Streets Dept.
Bruce Juelfs
P.O. Box 580
Fort Collins, CO 80522
Service Provider:
AA16 0/ &AW 5; I
/� -1- bq -old 4/ ('k ,iv2
X0 V-4 44 eo .
In the event of early termination by the City, the Service Provider shall be paid for services
rendered to the date of termination, subject only to the satisfactory performance of the Service
Provider's obligations under this Agreement. Such payment shall be the Service Provider's sole
right and remedy for such termination.
5. Contract Sum. The City shall pay the Service provider for the performance of this
Contract, subject to additions and deletions provided herein, the sum as stated in the Bid Schedule,
cost breakdown is attached as Exhibit "C", consisting of 8ne (/) pages, and incorporated herein
by this reference.
6. Ci1y Representative. The City will designate, prior to commencement of the work,
its representative who shall make, within the scope of his or her authority, all necessary and proper
decisions with reference to the services provided under this agreement. All requests concerning
this agreement shall be directed to the City Representative.
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7. Independent Service provider. The services to be performed by Service Provider
are those of an independent service provider and not of an employee of the City of Fort Collins.
The City shall not be responsible for withholding any portion of Service Provider's compensation
hereunder for the payment of FICA, Workmen's Compensation or other taxes or benefits or for any
other purpose.
8. Personal Services. It is understood that the City enters into the Agreement based
on the special abilities of the Service Provider and that this Agreement shall be considered as an
agreement for personal services. Accordingly, the Service Provider shall neither assign any
responsibilities nor delegate any duties arising under the Agreement without the prior written
consent of the City.
9. Acceptance Not Waiver. The City's approval or acceptance of, or payment for any
of the services shall not be construed to operate as a waiver of any rights or benefits provided to
the City under this Agreement or cause of action arising out of performance of this Agreement.
10. Warran .
(a) Service Provider warrants that all work performed hereunder shall be
performed with the highest degree of competence and care in accordance
with accepted standards for work of a similar nature.
(b) Unless otherwise provided in the Agreement, all materials and equipment
incorporated into any work shall be new and, where not specified, of the
most suitable grade of their respective kinds for their intended use, and all
workmanship shall be acceptable to City.
(c) Service Provider warrants all equipment, materials, labor and other work,
provided under this Agreement, except City -furnished materials, equipment
and labor, against defects and nonconformances in design, materials and
workmanship/workwomanship for a period beginning with the start of the
work and ending twelve (12) months from and after final acceptance under
the Agreement, regardless whether the same were furnished or performed
by Service Provider or by any of its subcontractors of any tier. Upon receipt
of written notice from City of any such defect or nonconformances, the
SA 10/97
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affected item or part thereof shall be redesigned, repaired or replaced by
Service Provider in a manner and at a time acceptable to City.
11. Default. Each and every term and condition hereof shall be deemed to be a material
element of this Agreement. In the event either party should fail or refuse to perform according to
the terms of this agreement, such party may be declared in default thereof.
12. Remedies. In the event a party has been declared in default, such defaulting party
shall be allowed a period of ten (10) days within which to cure said default. In the event the default
remains uncorrected, the party declaring default may elect to (a) terminate the Agreement and seek
damages; (b) treat the Agreement as continuing and require specific performance; or (c) avail
himself of any other remedy at law or equity. If the non -defaulting party commences legal or
equitable actions against the defaulting party, the defaulting party shall be liable to the non -
defaulting party for the non -defaulting party's reasonable attorney fees and costs incurred because
of the default.
13. Binding Effect. This writing, together with the exhibits hereto, constitutes the entire
agreement between the parties and shall be binding upon said parties, their officers, employees,
agents and assigns and shall inure to the benefit of the respective survivors, heirs, personal
representatives, successors and assigns of said parties.
14. Indemnity/Insurance. a. The Service Provider agrees to indemnify and save
harmless the City, its officers, agents and employees against and from any and all actions, suits,
claims, demands or liability of any character whatsoever brought or asserted for injuries to or death
of any person or persons, or damages to property arising out of, result from or occurring in
connection with the performance of any service hereunder.
SA 10/97
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b. The Service Provider shall take all necessary precautions in performing the work
hereunder to prevent injury to persons and property.
c. Without limiting any of the Service Provider's obligations hereunder, the Service Provider
shall provide and maintain insurance coverage naming the City as an additional insured under this
Agreement of the type and with the limits specified within Exhibit B, consisting of one (1) pages,
attached hereto and incorporated herein by this reference. The Service Provider before
commencing services hereunder, shall deliver to the City's Director of Purchasing and Risk
Management, 256 West Mountain Avenue, Fort Collins, Colorado 80521 one copy of a certificate
evidencing the insurance coverage required from an insurance company acceptable to the City.
15. Entire Agreement. This Agreement, along with all Exhibits and other documents
incorporated herein, shall constitute the entire Agreement of the parties. Covenants or
representations not contained in this Agreement shall not be binding on the parties.
16. Law/Severabilitv_. The laws of the State of Colorado shall govern the construction
interpretation, execution and enforcement of this Agreement. In the event any provision of this
Agreement shall be held invalid or unenforceable by any court of competent jurisdiction, such
holding shall not invalidate or render unenforceable any other provision of this Agreement.
17. Special Provisions. Special provisions or conditions relating to the services to be
performed pursuant to this Agreement are set forth in Exhibit D, consisting of one (1) page,
attached hereto and incorporated herein by this reference.
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CITY OF FORT COLLINS, COLORADO
a municipal corporation
By:
James B. O'Neill 11, CPPO
Director of Purchasing and Risk Management
Date:
[Insert Corporation's name] or
[Insert Partnership name] or
[Insert individual's name]
jjibusin ss as [insert name of business]
By:
ffi ,Vda
PRINT NAME
i%iwA/ f 9 (7p,QX4fa °_
CORPORATE PRESIDENT OR VICE PRESIDENT
Date: 7 // 3 /a "00
ATTEST: (Corporate Seal)
CORPORATE SECRETARY
SA 10/97
11
- L R cP, LA-)
BID SCHEDULE #5491
You may attach a separate page with an equipment list. Please include Firm name on it.
EQUIPMENT YR MAKE MODEL CU.YDS. HP $/HR.
TRACTOR/TRL
TRUCKS
TANDEM
DUMP
TRUCKS
TANDEM
DUMP
TRUCKS
WITH
PUP
OTHER
EQUIPT
(LIST TYPE)
Failure to provide said equipment with qualified drivers as listed in the bid submitted may result
in the removal of the vendor's name from the City's bidding list for a period of three years.
FIRM NAM
Are you a
SIGNA
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or PC
ADDRESSD
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PHONE/FAX#
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Form W-9
Request for Taxpayer
Give form to the
(Rev. December 1996)
Identification Number and Certification
requester. Do NOT
Department of the Treasury
send to the IRS.
Internal Revenue Service
Name (If a jo' t account or you changed your name, see Specific Instructions on page 2.)
Business name, if different from above. (See Specific Instructions on page 2.)
O
rC
o,
Check appropriate box: Individual/Sole proprietor ❑ Corporation ❑ Partnership
❑ Other --------------------------------------
Address (number, street, and apt. or suite no.)
Requester's name and address (optional)
City, state, and ZIP code
/_&vz/hrd r^p go53
Taxpayer Identification Number IN
List account numbers) here (optional)
Enter your TIN in the appropriate box. For
individuals, this is your social security number Social security number
(SSN). However, if you are a resident alien OR a
y y a I q 1 -2 10
sole proprietor, see the instructions on page 2.
For Payees Exempt From Backup
For other entities, it is your employer OR
identification number (EIN). If you do not have a
Withholding (See the instructions
number, see How To Get a TIN on page 2. Employer Identification number
on page 2.)
Note: If the account is in more than one name,
see the chart on page 2 for guidelines on whose
number to enter.
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal
Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding.
Certification Instructions. —You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.
For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement
arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN. (See the instructions on page 2.)
Sign
Here Signature ► �j��jjq/o Date ► i7 /3 /0000
Purpose of Form. —A person who is
required to file an information return with
the IRS must get your correct taxpayer
identification number (TIN) to report, for
example, income paid to you, real estate
transactions, mortgage interest you paid,
acquisition or abandonment of secured
property, cancellation of debt, or
contributions you made to an IRA.
Use Form W-9 to give your correct TIN
to the person requesting it (the requester)
and, when applicable, to:
1. Certify the TIN you are giving is
correct (or you are waiting for a number to
be issued),
2. Certify you are not subject to backup
withholding, or
3. Claim exemption from backup
withholding if you are an exempt payee.
Note: If a requester gives you a form other
than a W-9 to request your TIN, you must
use the requester's form if it is substantially
similar to this Form W-9.
What Is Backup Withholding? —Persons
making certain payments to you must
withhold and pay to the IRS 31 % of such
payments under certain conditions. This is
called "backup withholding." Payments
that may be subject to backup withholding
include interest, dividends, broker and
barter exchange transactions, rents,
royalties, nonemployee pay, and certain
payments from fishing boat operators. Real
estate transactions are not subject to
backup withholding.
If you give the requester your correct
TIN, make the proper certifications, and
report all your taxable interest and
dividends on your tax return, payments
you receive will not be subject to backup
withholding. Payments you receive will be
subject to backup withholding if:
1. You do not furnish your TIN to the
requester, or
2. The IRS tells the requester that you
furnished an incorrect TIN, or
3. The IRS tells you that you are subject
to backup withholding because you did not
report all your interest and dividends on
your tax return (for reportable interest and
dividends only), or
4. You do not certify to the requester
that you are not subject to backup
withholding under 3 above (for reportable
interest and dividend accounts opened
after 1983 only), or
5. You do not certify your TIN when
required. See the Part III instructions on
page 2 for details.
Certain payees and payments are
exempt from backup withholding. See the
Part II instructions and the separate
Instructions for the Requester of Form
W-9.
Penalties
Failure To Furnish TIN. —If you fail to
furnish your correct TIN to a requester, you
are subject to a penalty of $50 for each
such failure unless your failure is due to
reasonable cause and not to willful neglect.
Civil Penalty for False Information With
Respect to Withholding. —If you make a
false statement with no reasonable basis
that results in no backup withholding, you
are subject to a $500 penalty.
Criminal Penalty for Falsifying
Information.— Willfully falsifying
certifications or affirmations may subject
you to criminal penalties including fines
and/or imprisonment.
Misuse of TINS. —If the requester
discloses or uses TINS in violation of
Federal law, the requester may be subject
to civil and criminal penalties.
Cat. No. 10231X Form W-9 (Rev. 12-96)
�JUL.14.2000—. 9:25AN—INSURANCE MANAGEMENT N0.812 P.2i3
ACORb CERTIFIGP TE_ OF LIABILITY
PRODUCER
Insurance Management, Inc.
6075 E , 60th Avenue
INSUP ' NC�p D 1 DATE/14/0
'7!&�TRUl o7/la/oo
THIS CERTIFICATE IS INSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Commerce City CO 80022
COMPANIES AFFORDING COVERAGE
COMPANY
A Wilshire Insurance, Company
Rob Klum
Pnana Na. 30 9-4495
INSURED
COMPANY
B
Arnold and Beverly Burns
dba: A & B Trucking
COMPANY
420 Bast 57th #55
Loveland CO B0538
COMPANY
D
GWVERAGpS
THIS IS TO CERTIFY THAT T HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REgUNYEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT W WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AIMPORDED BY THE POLHOWS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REPUCED BY PAID CLAIMS.
He
TYPE OF INSURANCE
POLICYNUMBEP
POLICYI'.FFECTIVE
pATE(MMIDD[M
POLICY EXPIRATION
DATEIIRSUDDM9
LIMITS
OENERAL
LIABILITY
GENRRALAGGREGATM
I
PRODOCTS•COMPIOPAOO
S
-71
COMMERCIAL GENERAL LIABILITY
CLAIMSMApE 1� OCCUR
PERSONAL A ADV INJURY
I
EACH OCCURRENCE
S
OWNER'S S CONTRACTORS PROT
FIRE DAMAGE (ART am fln)
S
MEOEXPIADYonr R.rnwr)
S
AUTOMOBILE
LIABILITY
ANYAUTO
COMMINEDSINGLE LIMIT
I$1,000,000
A
ALL OWNED AUTOS
SCNEDULEDAUTOS
HA2400056
07/08/00
07/08/01
DOWLY INJURY
(Farparnan)
S
X
F.
HIRED AUTOS
NOWOWNEP AUTOS
BODILY INJURY
(P r•oaldmq
S
PROPERTY DAMAGE
i
GARAGE LIABILITY
AUTO ONLY• EA ACCIDENT
;
ANY AUTO
OTHER THAN AUTO ONLY:
OWN ACCIDENT
I
AGGREGATE
S
EXCESS UA%tIJTY
EACH OCCURRENCE
S
UMBRELLA FORM
AGGREGATE
;
I
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTN•
EL EACH ACCIDENT
I
THE PRQP'FUUOFV
PAR7NERS=ECUIIVE INN•
OFFICERS ARE: EXCL
1
EL PISEASE-POLICY LIMIT
I
EL DISEASE • BA EMPLOYEE
I
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNE{NCLE FECIAL ITEMS
RERTIFIGATE WOLp(:�t
C ANCELL}1T�oH
C+ITYFC1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City Of Fort Collins
ADDITTONAS, IKKMED
Mountain Ave
256 W 580
F O Box
EXPIRATION PATE THEREOF, THE ISSUING COMPANY WALL ENDEAVOR TO MAIL
J-9-_ PAYS WRITTEN NOTICETO THE CERTIFICATE HOLD ER NAMED TO THE LEFT,
PUT FAILURE TO MA14 SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY
Fort Collins 00 B 0"4
OF ART IUNP UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
A pr1D 25-S (J1R6)
Rob Kl.ua
ACb1�D dbf {hAAT�QN 199P