HomeMy WebLinkAboutCORRESPONDENCE - RFP - P884 CIVIL ENGINEERING ANNUAL (4)Administrative Services
Purchasing Division
JAN 3 0 2004
Citv of Fort Collins
January 20, 2004
North Star Design
700 Automation Drive, Unit
Windsor, CO 80550
Attn: Patricia Kroetch, PE
Re: P-884 Civil Engineering Annual
I
The City of Fort Collins has elected to renew P-884 Civil Engineering Annual 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.
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 January 31, 2004. 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, CPPO, Senior Buyer, at 970-221-6777.
Sincerely,
VJ0
kess B. O'Nelll Il, CM, FNIGP
ac Purchasin an Risk Management
ZZ(a�
natu a Date
(Please indicate your desire to renew P-884 by signing this letter and returning it with a current
copy of insurance forms to Purchasing Division on or before January 31, 2004.)
215 North Mason Street • 2nd Floor • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707
' DEC-29-2003 MON 03:43 PM SIX & GEVING FAX NO, 18008240896 P. 01/01
OP ID $ DATE (MMIDOrfm)
ACORD CERTIFICATE OF LIABILITY INSURANCE 14ANXi0-1 12 29 03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Six & Geving/Denver Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Si & Gev ng/DeBlvd. 5er ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Lakewood CO 80228
Phoret720-962-0930 Faxs720-962-0942 INSURERS AFFORDING COVERAGE NAIL# —
IN5111IEU—_ -----_ --_ •---,_^-- �- --- INSURER A. $MC insurance Companies
INSURERB; California Xndemnity
Northstar Concrete, Xnc. WSURFR C_
p. O. Box Y INSURERb; _
Her_thoud CO 80513-0739 INsuFTERE; ^ -
HAVE
BEEN ISSUED TO TI IC INSURED NAMED
ABOVE FOR THE POLICY
PERIOD INDICATED,
NOTWITHSTANDING
THE
ANY
POI ICICS
RCOUIREME
OF INSURANCE LISTED BELOW
NT. TERM OR CONDITION OF ANY
CONTRACT OR OTI IFn DOCUMENT WITH
RESPECT 70 WHICI I
THIS CERTIFICATE MAY
DC ISSUED OR
IRANCE AFFORDED BY 71Ir=
POLICIES DESCRIBED HCRCIN IS SUnJCCT
TO ALL Tf IE TERMS,
EXCLUSIONS AND CONDITIONS
OF SUCH
MAY
FOUCICS.
PERTAIN.
T11E INSI
ACGRFGAT E LIMITS SHOWN MAY I IAVE BEEN
REDUCED BY PAID CLAIMS.
_• _
,.__. ,
ISR
D'
---"" " '-- —�-
POLICY NUMBER ..
POLICYEFPI4rIVE
DATE MMIDdYY
P6LIZ` UPIRATI N
DATE(MMIDDIM
LIMITS
.TR
NSR
TYPE OFINSURANCE
EACH OCCURRENCE
$1, OOO, OOO
A
GENERAL LIABILITY
X COIAMERCIAL Gr:NERAL LIABILITY
2XB9468
04 / /03
a6
04/26/04
OAMAYILT-- FfD-RENTE
PRCIISES-Fa oceUrenm
:_100000
-CLAIMS MADE UOCCUR
MEDEXP(Anyonegmr ) _
f5,000
--
PFRSONALBADVINJURY
f1,000,000
---' "'---" "
GENERAL AGGREGATE
f2,009,000
f 2, 000, 000--
PRODUCTS -COMProR ACG
G[N'L AOGREGAIELIMIT APPLIES PER:
-
PRO-
POLICY JE(.LOO
AU fOMODII.E L IARILTTY
COMBINED SINGLE LIMIT
(Eaaceldma)'
$1,000,000
A
X ANYAUTO
2X89468
04/26/03
04/26/04
ALL OWNFO AUTOS
SOPILYINJURY
$
(Perpmr ,))
SCI ICDULHI AUTOS
- - •
• ^
X Jill4-0AUTOS
BODILY INJURY
f
--
(Per midenq
••
X NON OWNED AUTOS
-- '—
.- -
rTy
acceldenlDAMAGE
f
_. ----.,,�--
(PPROPERTY
rr
CARAGE•LUIBILITY
AUTO ONLY - EA ACCIDENT_
f
ANYAUIO
OTHER THAN ,EA ACC
i
S
AUTO ONLY: AGG
EX CRSSIUMBRKLALUjIBIL17Y
F•ACM OCCURRENCE
S •, -
1 OCCUR C I CLAIMS MADE
AGGREGATE
•
f
ULDUCTIBLE
_.. ..
5 _..-.--•
f
RnCNTION f
WORKERS
COMPFNSATION AND
X i'ORY LIMITS CR
__ •,- __
EMF'LOYE:RS'UABII.ITY
C1078178F
09/02/03
09/02/04
E.L. EACH ACCIDENT
s100,000
II
ANY
PNOI'HIE TORrPART NI--R/CXCCUTIVE
E.L. DISEASE• EA EMPLOYEE
100,000
OF I:ICm.'MLMCIER
EXCLUDED?
_f ...—
II y.f,
demcrm umUw _ _ _
E.L. DISEASE • POLICY LIMIT
$5 0 0 , 000
A
2X89468
)ESCRIPTION OF r)FERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY kNUU"
All projeCrs all locations. VAX 970-532-0805
HOLDER
City of Ft. Collins
Fnghieering Aepartment
281 N. C011e9e "a
PO Zox 560
Ft Collins CO 80522-0580
04/26/03I 04/26/04� P-
Scheduled $154,500
T.AA arl/2e 5150.000
CITYF ^ 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORC THE EXPIRATION
PATE THEREOF, THE ISSUING INSURER WILL ENOFAVOR TO MAIL 10 - DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
IMPOSE NO OBLIGATION OR LUUULITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES.
AUT)IORUkD REPRE5ENTATIVE
Sandra Ara On
D CO RATION 1988
25
ACORD- CERTIFICATE OF LIABILITY INSURANCE ,JAN 2 s 209,'8/04°"YYY'
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: The Hartford Insurance
North Star Designs, Inc
700 Automation Drive, Unit I
INSURER B:
Windsor, CO 80550
INSURER C:
INSURER D:
INSURER E:
GUVtFiAUE5
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
LTR
ADD'
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DDIYY
POLICY EXPIRATION
DATE MWDDIYY
LIMITS
A
GENERAL LIABILITY
34SBANF8434
04/13/03
04/13/04
EACH OCCURRENCE
$500 000
X COMMERCIAL GENERAL LIABILITY
DDAAMIAGET1 RENTED nPRE
$50 000
MED EXP (Any one person)
$rj 000
CLAIMS MADE O OCCUR
PERSONAL & ADV INJURY
$500 000
GENERAL AGGREGATE
$1 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$1 000 000
POLICY PRO-
JECT LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESSIUMBRELLA LIABILITY
X OCCUR F-ICLAIMS MADE
34SBANF8434
04/13/03
04/13/04
EACH OCCURRENCE
s4,000,000
AGGREGATE
S4,000,000
DEDUCTIBLE
X RETENTION $ 10000
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTH-
TWRYSLIMIT
IT C
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
City of Fort Collins -Purchasing
Purchasing Division
P.O. Box 580
Fort Collins, CO 80522-0580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
M+ Vmu to (cuu Nua) 1 Ot 2 95271471/M244718 GXB 0 ACORD CORPORATION 1988