HomeMy WebLinkAboutCORRESPONDENCE - BID - 5491 HAULING CHUCK HOFFMANAdminis._ative Services
Purchasing Division
City of Fort Collins
February 28, 2003
Chuck Hoffman
1901 Longworth Rd.
Ft. Collins, CO 80526
Re: Bid #5491 Hauling
The City of Fort Collins has elected to renew Bid #5491 Hauling for the City of Fort Collins with
your firm. The terms and conditions of this renewal will be the same as stated in the original bid
documents and including the 2002 increases.
If the renewal is acceptable to your firm, please sign this letter in the space provided and return
along with a current copy of your insurance to the City of Fort Collins, Purchasing Division,
before March 17, 2003. If delivered, please deliver to 215 North Mason Street, 2"d Floor , Fort
Collins, CO 80524. If mailed, the mailing address is P.O. Box 580, Fort Collins, Colorado
80522-0580.
If this renewal is not acceptable with your firm, please send us a written notice stating that you
do not wish to renew the bid. If you have any questions regarding this renewal, please contact
John Stephen, CPPB, Senior Buyer, at 970-221-6777.
Sincerely,
COS
Virector
es B. O'Neill II, CPPO, FNIGP
of Purchasing and Risk Management
(/? J(� kz ZZZ4��`� , -� 3
Signature Date
(Please indicate your desire to renew Bid #5491 by signing this letter and returning it with a
current copy of insurance forms to Purchasing Division on or before March 17, 2003.)
215 North Mason Street • 2nd Floor • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707
Adminis«ative Services
Purchasing Division
City of Fort Collins
February 28, 2003
Chuck Hoffman
1901 Longworth Rd.
Ft. Collins, CO 80526
Re: Bid #5491 Hauling
The City of Fort Collins has elected to renew Bid #5491 Hauling for the City of Fort Collins with
your firm. The terms and conditions of this renewal will be the same as stated in the original bid
documents and including the 2002 increases.
If the renewal is acceptable to your firm, please sign this letter in the space provided and return
along with a current copy of your insurance to the City of Fort Collins, Purchasing Division,
before March 17, 2003. If delivered, please deliver to 215 North Mason Street, 2"d Floor , Fort
Collins, CO 80524. If mailed, the mailing address is P.O. Box 580, Fort Collins, Colorado
80522-0580.
If this renewal is not acceptable with your firm, please send us a written notice stating that you
do not wish to renew the bid. If you have any questions regarding this renewal, please contact
John Stephen, CPPB, Senior Buyer, at 970-221-6777.
Sincerely,
Vm
es B. ONeillII,Cctor of Purchasing and Risk Management
2-
Signature Date
(Please indicate your desire to renew Bid #5491 by signing this letter and returning it with a
current copy of insurance forms to Purchasing Division on or before March 17, 2003.)
215 North Mason Street • 2nd Floor • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707
CERTIFICATE OF INSURANCE
St -CH INSURANCE AS RESPECTS THE 'NTEREST OF THE CERTIFICATE HOLDEP ILL NOT BE CANCELED OR OTHERWISE
TERMINATED WITHOUT GIVING 10 DA PRIOR WRITTEN NOTICE TO THE CERTff ATE HOLDER NAMED BELOW, BUT IN NO
EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE
DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW.
This certifies that: F-1 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois, or
has coverage
UT
in force for It
Named Insured
Address of Named Insured
STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois
POLICY NUMBER
J !(`111EFFECTIVE
DATE
'
OF POLICY
(/ •�
DESCRIPTION OF
VEHICLE
Q
LIABILITY COVERAGE
YES F NO
Q YES 0 NO
YES NO
sure Lien s I f r
LIMITS OF LIABILITY
a. Bodily Injury
/ 07!5-Z% �[%'Zf
�r+r�.•x<e
Each Person
'
e
Each Accident
GARY W. CRAMER, Agent
b. Property Damage
/
/� U�v'lr d
EachAmident
2038SouthCollegeAvenue
Fort Collins, Colorado 80525
c. Bodily Irlury s Property
Damage Single Limit
Bus. 970-484-1374 or 970484-7050
Each Accident
E�I I
YES u NO iJ YES � NO
PHYSICAL DAMAGE
a YES NO
YES 0 NO
COVERAGES
a. Comprehensive
$ Deducti
$ Deductible
$ Deductible $ Deductible
YES NO
YES NO
0 YES 0 NO YES 0 NO
b. Collision
$ Deductible
$ Deductible
$ Deductible $ Deductible
EMPLOYER'S
NO
YES 0 NO
YES NO
= 0
YES E NO
NON -OWNERSHIP
� YES
COVERAGE
HIRED CAR COVERAGE
YES � NO
0 YES NO
0 YES � NO
YES NO
Signature of Authorized Representative Tit ge is Co a Number Date
Name and Address of Certificate Holder 7 Name and Address of Agent
F
'IX
CERTIFICATE HOLDER COPY
MARCH 03, 2003
AUTO POLICY STATUS
H PHONE: (
) 498-0449
HOFFMAN,CHUCK
FIRE
S50 6852-C21-06J-001
IRG:
0
DBA CHUCK HOFFMAN TRUCKING
TERR:
007
1901 LONGWORTH RD
1988
MACK DUMP
CLASS:
30600000
FORT COLLINS CO 80526-1516
TRUCK
ACC FREE:
NOT ELIG
VIN:
2M2N187Y2JCO25615
BIRTH:
DEC-31-36
STATUS:RENBL DUE
DATE:MAR-21-03
TERM DATE:
TOT PREM:
756.00
AMT DUE: 756.00
OXD:SEP-21-92
COV DATE:OCT-18-02
PREV PREM:
757.80
A /iMM /
669.60
P3 INC LOSS
65.80
U 100 /300
20.60
AMT PAID: 757.80 DATE PAID: AUG-13-02
APP DATE 04-30-03, ODM 72162 09-92.
NAME: HOFFMAN,CHUCK
REPLACED POLICY: S506852-06I 001
H PHONE: ( ) 498-0449
POLICY FORM: 99065
EXCEP. & END": ADD'L INSURED - CITY OF FT COLLINS PURCHASING DEPT 256 W
MOUNTAIN ST FORT COLLINS CO 80521, SEE FILE, INS. CERT TERM NOTICE - SCHMIDT
EARTH BUILDERS 7250 GREENRIDGE RD WINDSOR CO 80550.
REC CHG:
COV. S NAMES S AMT