HomeMy WebLinkAboutCORRESPONDENCE - RFP - P682 (2)Administrative Services
Purchasing Division
-itv of Fort Collins
January 2, 2002
Walter Coolidge, President
American Stop Loss
200 Commercial St. STE 200
Worcester, MA 01608
Re: Renewal, #P-682 — Benefits (Stop Loss Claims)
Dear Mr. Coolidge:
The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per
the existing terms and conditions, with the following changes: contract basis changed to 24/12 at
the $16.79 rate quoted. The term will be extended for one (1) additional year, January 1, 2002
through December31, 2002.
If the renewal is acceptable to your firm, please sign this letter in the space provided and return it
to the City of Fort Collins, Purchasing Division, P. O. Box 580, Fort Collins, CO 85022, within the
next fifteen days.
If this extension is not agreeable with your firm, we ask that you send us a written notice stating that
you do not wish to renew the contract and state the reason for non -renewal.
If you have any questions regarding this matter, please contact Keith Ashbv. CPPn R� �o�.,.
416-2247.
Sincerely,
m B. O'Neill Il, CPPO, FNIGP
Di ctor of Purchasing and Risk Management
cc: Vincent Pascale, Human Resources
Pil Goldstein, William M. Mercer, Inc
Proposal #P-682
Signature
Date
(Please indicate your desire to renew Proposal #P-682 by signing this letter and returning it to
Purchasing Division within the next fifteen days.)
215 North Mason Street • 2nd Floor • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707
Keith:
Please have Jim complete and sign the attached application for Stop Loss Coverage.
It should be returned to Karen Rosati
American Stop Loss
250 Commercial Street
Suite 200
Worcester, MA 01608
Thanks,
It "
Vincent
The Union Labor Lice
Insurance company
ig
��J uCaae.° 461 Park Avenus South
Naw *k, New Yolk 1o01G
212.64b.6188
H77.797.771P
212.a83.34G8 fax
www.ugicare.com
Grouo Insurance and Health Services Request
It is understood and agreed that:
This request is based on the proposal dated December 2001and any additional quotations
provided after that date.
« This request must be received and approved by The Union Labor Life Insurance Company
at Its Home Office in Washington, D.C. before the program can become effective on
JANUARY 1, 2002.
a The Union Labor Life Insurance Company reserves the right to contract any prior carrier for
the purposes of obtaining factual date required for its underwriting review of this request for
coverage, and the carrier is authorized to release such data.
a No agent or broker is authorized to make, modify or waive any of The Union Labor Life
insurance Company's rights or requirements.
li All printed booklets, contrac,-m or certificates must receive the express written approval of
The Union Labor Life Insurance Company.
°i The following agent/broker of record will receive comm lesions upon receipt of an
a uthorization letter from the Trustees:American Stop Loss.
61 Premiums will be paid in advance on a monthlybasis. A check for $ 23,000* accompanies
this request and will be applied toward the first premium payment.
Group Applicant: CITY OF FORT COLLINS
Address:
TA): ID .No:
Signature
—N a Name
MeS B, Q°Ne 11 IT, CPPQ,FNIGP
Director of Purchsstrig-&
1 itle Ms L Mgnagement Title
j ZI 1-i O (
bate Date
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