HomeMy WebLinkAboutCORRESPONDENCE - BID - 5478 TRAFFIC HEADS PUSHBUTTONS HARDWARE ANNUALAdministrative Services
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Purchasing Division
Citv of Fort Collins
January 28, 2004
Traffic Signal Controls, Inc.
255 Weaver Park Rd.
Longmont, CO 80501
Re: Bid #5478 Traffic Heads, Pushbuttons, and Hardware
The City of Fort Collins has elected to renew Bid #5478 Traffic Heads, Pushbuttons, and
Hardware 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 (see attached).
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 February 10, 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,
ads B. O'Neill Il, CPPO, FNIGP
r of Purchasing and Risk Management
Date
(Please indi6ate your desire to renew Bid #5478 by signing this letter and returning it with a
current copy of insurance forms to Purchasing Division on or before February 10, 2004.)
215 North Mason Street • 2nd Floor • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707
CERTIFICATE OF LIABILITY INSURANCE
American Family Insurance Company El
American Family Mutual Insurance Company if selection box is not checked.
6000 American Pky Madison, Wisconsin 53783-0001
Insured's Name and Address Agent's Name, Address and Phone Number (Agt./Dist.)
Traffic Signal Controls I Gary L. Johnson (303) 776-9870
255 Weaver Park Rd 923 Main St.
Longmont, CO 80504 Longmont, CO 80501 (101/309)
This certificate is issued 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 listed below.
COVERAGES
This is to certify that 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 policiesOLICY
TYPE OF INSURANCE
POLICY NUMBER
DATE
LIMITS OF LIABILITY
EFFECTIVE EXPIRATION
(Mo. Day. yr(Mo. Day, yr
Homeowners/
Bodily Injury and Property Damage
Mobilehomeowners Liability
Each occurrence $ 000
—
Boatowners Liability
_--
Bodily Injury and Property Damage
Each Occurrence $ '000
Personal Umbrella Liability
Bodily injury and Prover' Damage
Each Occurrence $ '000
Farts Liability & Personal Liability
Farm/Ranch Liability
Each Occurrence $ _ '000
Fans Employer's Liability
Each Occurrence $ 000
Workers Compensation and
statutory .........,..
Each Accident^ $ ,000
Employers Liability t
Disease - Each Employee $ '0001
— ---
Disease -Policy Limit ,000
General Liability
I General Aggregate $ 1,000 000
-- - --.
Products- Completed Operations Aggregate $ 000
® Commercial General
Personal and Advertising Injury $ 1,000
LlablllN (occurrence)
❑
05-X46565-02-00
6/24/2003
6/24/2004
Each Occurrence $ 1,000 '000
❑
Damage to Premises Rented to you $ 100 000
_
Medical Expense (Any One Person) $ 5 000
Businessowners Liability
Each Cmurrencet t $ '000
Aggregatett $ '000
Liquor Liability
Common Cause Limit $ '000
Aggregateumit $ 000
Automobile Liability
_
Bodily Injury - Each Person $ 000
❑ Any Auto
❑ All Owned Autos
BodilyInjury - EachAccident $ 000
Property Damage $
❑ Scheduled Autos
❑ Hired Auto
.000
❑ Nonowned Autos
❑
Bodily Injury and Property Damage Combined $ '000
Excess Liability
❑ Commercial Blanket Excess
Each OccurrencerAggregate $ 000
Other (Miscellaneous Coverages)
DESCRIP110N OF OPERATIONS/ LOCATIONS/ VEHICLES / RESTRICTIONS! SPECIAL ITEMS t The individual or partners shown as insured ❑ Have ❑ Have not
City of Fort Collins shall be listed as additional insured elected to be covered as employees under this policy.
t t Products Completed Operations aggregate is equal to each
occurrence limit and is included in policy aggregate.
CERTIFICATE HOLDER'S NAME AND ADDRESS
CANCELLATION
i0
• City of Fort Collins
Should any of the above described policies be cancelled before the
'(
expiration date thereof, the company will endeavor to mail days)
Attn: Purchasing Department
written notice to the Certificate Holder named, but failure to mail such
PO Box 580
notice shall impose no obligation or liability of any kind upon the
nts or representatives. '10 days unless different
number of hown
Ft Collins, CO 80522-0580
days
® This certifies coverage on the date of issue only. The above
described policies are subject to cancellation in conformity with their
terms and by the laws of the state of issue.
DATE ISSUED AUTHORIZED REPRESENTATIVE
1/29/2004 ^ 1O\
U-201 Ed. 5/00 Certificate Holder Stock No. 06668 Rev. 7/02