Loading...
HomeMy WebLinkAboutAMERICAN PORTABLE BUILDINGS - CONTRACT - BID - 5832 SALE OF WATER METER SHOP MODULAR UNIT (2)Administrative Services Purchasing Division City of Fort Collins BILL OF SALE I, JAMES B. O'NEILL II, AS REPRESENTATIVE FOR THE CITY OF FORT COLLINS, THE LEGAL OWNER OF ONE (1) MANUFACTURED HOME VIN #IAFBKDXJN14260 FOR VALUE RECEIVED (IN THE AMOUNT OF $103.00) DO HEREBY ASSIGN, TRANSFER AND CONVEY UNTO AMERICAN PORTABLE BUILDINGS CORP. THE PROPERTY DESCRIBED ABOVE. re of Seller) SUBSCRIBED AND SWORN TO BEFORE ME THISPr7OV(DAY OF T y 2004. (SEAL) 1 ARY PUBLIC 424-1 /o� 7 215 North Mason Street • 2nd Floor • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707 Administrative Services Purchasing Division City of Fort Collins Memorandum To: Edna Hoernicke, Chief Accountant Thru: James B. O'Neill II, CPPO, FNIGP — Director Purchasing and Risk Management From: Ed Bonnette, C.P.M., CPIM, CPPB - Buyer Date: 1/20/2004 Re: Proceeds from sale of Water Meter Shop Modular Unit (Bid #5832) Please deposit the attached check as follows: Check #015280 to Business Unit 101, Object Account 369903 Facilities for $103.00. IL 215 North Mason Street • 2nd Floor • P.O. Box 580 * Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707 O Ln ti O ti O a m ca ru Ln a 0 D W D m "►i OC1�a o -iN < W CS 6-1 > 1 7n z y illr. N m W 11 -� A -zI 0 pp W G.' FYI�v. \,IIllry r m < C) m -rl n yj Ak"V4VT II IPV \ III 11 \\ vk�`'M�f { r K� we.' �5 i4 �[,• I P4P4 A vv O o T- P\ Aw tin 01 m mFn in 0 om m W ►� Fr Z 00 CD ''. 1� D \ � � Z (A Om . A n # v; 4A0d W Yc vif CID Il ul A�� 19 p zm A II©il �e 41 �.. n W.. y \ b litRL , COLORAnn RFrISTRATInnIm1A1NGQCUIE) TAv orrr, - — TYPE nl inn IIL LII I PLATE TABNAL VIN EXPIRE . TITLE YR, MAKE BODY SERIES MODEL• CWT/PASS T/C FLEET# UC.M3V01451 V1 M A G MH PUR. DATE PUR. PRICE ORIGINAL TAXABLE VALUE BUS. DATE CO.# U/R CODE (17I1'1/91 38024.70 :38,0L:4 06/08/9Z 01:- U 0:)01 PREV. EXP. PRIOR O.T. OWN. TAX LIC. FEE TITLE FEE OTHER FEE ().0c7 0.00 0.00 .F50 Q.00 RTD TAX COUNTY TAX CITY TAX STATE TAX SPECIAL FEE FUEL 0.00 0.00 0.00 0.00 0.00 UNIT# 1, MILES HC DATE MOTOR VEHICLE INSURANCE IS COMPULSORY IN COLORADO, NON-COMPLIANCE IS A MISDEMEANOR TflAFFIC OFFENSE. num¢o mn.ev.e ll u,r ..nnnr,, CITY Ui' FORI COLLINS Flo BOX 580 IFT COLLINS CO u0'b;' z VAFATTV LARIMER 06/08/92 0 '5'222JAS M0 TOTAL5. 5 v From: Rebecca Hall At: CRS Insurance Brokerage FaxID: 303-757-7719 To: Ed Bonnette, Purchasing Division Date: 1/9104 09:31 AM Page: 2 of 2 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID BH DATE(MMIDDPWYYY) PRODUCER AMERI-8 01 09 04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CRS Insurance Brokerage HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6600 E. Hampden Ave., 2nd Flr. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80224 Phone: 303-996-7800 Fax: 303-757-7719 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA'. Mountain States Inauaanos Co. American Portable Buildings INSURERB. Pinnacol Assurance Corporation CO oration INSURER C. 2892 A 64th Avenue Denver CO 80221 INSURERD INSURER E f`Fl\/CDAGCC 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 1561L LTR NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MIDDIY POLICY EXPIRATION DATE MIDDIY LIMITS A GENERAL LIABILITY COMMERCIALGENERALLLABILITY CLAIMS MADE ® OCCUR CPPOO82490 06/01/03 06/01/04 EACH OCCLRRENCE $ 1,000,000 % PREMISES Eaoccurence $ 100,000 MED EXP(Any one parson) $ 10,000 PERSONAL&ADVINJURV $ 1,000,000 GENERALAGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. POLICV PET CLOC PRODUCTS-COMP/OP AGG $2,000,000 AUTOMOBILE LIABILITY A % AN AUTO BAP0082490 06/01/03 06/01/04 COMBINED SINGLE LIMIT (Eaacnaert) $ 1,000 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Pcr person) $ HIRED AUTOS NON -OWNED AUTOS BODILYINJLRV (Per acaderrl) $ PROPERTYDAMAGE (Per acclieni) $ GARAGE LIABILITY ANV AUTO AUTO ONLY -EA ACCIDENT $ OTHER THAN EAACC $ AUTO ONLY: qGG $ EXCEEEAIMBRELLA LIABILITY A $ OCCUR ❑ CLAIMS MADE LTM OO82490 06/01/03 06/01/04 EACH OCCLRRENCE $ 1,000,000 AGGREGATE $ 1, GOO, 000 DEDUCTIBLE % RETENTION $ 10 000 8 WORKERS COMPENSATION AND B EMPLOYERS'LIABILITY 4071058 MY°ROPRIETOR/PARTNER/EKECUTNE 07/01/03 07/01/04 OFFICER/MEMSER EXCLUDED? WC STATV- OTHH TORY UMITS ER E L. EACH ACCIDENT $ 100000 If yes, de5crlbe under SPECIAL PROVISIONS below OTHER EL. DISEASE - EA EMPLOYEE E.L. DISEASE LIMIT $ 100000 $ 500000 A Commercial Applica CPP0082490 06/01/03 06/01/04 A property Section I CPPOO82490 1 06/01/03 06/01/04 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Regarding project: Purchase of surplus equipment for a modular office. CERTIFICATE HOLDER ...__.. __.__. CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION The City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Purchasing Division Attn: Ed Bonnette NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL P.O. BOX 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ft. Collins CO 80522 REPRESENTATIVES, A ZED REPREgENTA'm 25 lf. . PgqISFlEt21 S C R7IId �iAECEIPT (D6inelstic M ly, No Insurance Coverage Provided) co M Q- ✓Ao6 tag I ,. a 41 C3 Cr Curti(:ed Fe ' V RReceipt Fe (IEnden r;:ernement Requlrec _ /i� P tmWK �7 A o / C3Restricted C3 Delivery Fe( (Endorsement Requirec _ r > y O _ _ /)u', ll O Total Ilostage & Fees m tn — -- Sent To ,- �i/uy r� r i -� Street, Apt. No.; or PC, 0. n ---- Z No. C3 C3 `vim`- Y _ -fB e-_ ------------•-- •---•-- p City, State, ZIP+ • f am WhIN to revs(" *0 • Carnplete items t ondior 2 for additional services. • Compleb forest 3, and 4a & b. - fdlowl" "Moss (for an am$ • Print your name end address on the reverse of this form so that we pan . fN)t�^l rewrin We seed to you. y* • Atteeh %* form to the front of the mailpiece, or on the back if spats •' do" I. A' .. not peaait. . • Writer"Return Receipt.Requested" on the mailpiece below the article msInaler. Z; � y or • "m Return Racei►t will show to whom the article was delivered and go deb de3wrsd. 3. Article Addressed to: 48. Ankle Q 1/�✓i�ie�i��� 7� ,E // Al —I4� A10X S.G �' . t : * `r/ //J //� 41Ma !P`1`j1rr/r ii• � ttl �. %� (' Como" "M WWI PS Form . Decam6er 7891us.co ts�-ass taR C(lI nRAnn RFGISTRATIF)N/nWNFRSHIP TAX RFUIPT TYPE PLATE TABNAL VIN EXPIRE .. _. ..... TITLE .. B , r 2 6 r ...t .(. ..NLY YR. MAKE BODY SERIES MODEL CWT/PASS T/C FLEET# 0I. A.'3 `l0 1 415 ':) I Pt A u M I•i FOR. DATE PUP. PRICE ORIGINAL TAXABLE VALUE BUS. DATE CO # U/R CODE 07/31 / 9 1 3130�`,4. I0 36 j OL4 0610819Z 06 U 0001 PREV. EXP, PRIOR 0 T. OWN TAX LIC. FEE TITLE FEE OTHER FEE U.00 il.UO U.00 5.50 0.00 RTD TAX COUNTY TAX CITY TAX STATE TAX SPECIAL FEE FUEL U.00 0.00 0.00 0.00 0.00 UNIT# GVW MILES HC DATE MOTOR VEHICLE INSURANCE IS COMPULSORY IN COLORADO, NON-COMPLIANCE IS A MISDEMEANOR TRAFFIC OFFENSE. OWNER NAME7MAILING ADDRESS CITY OF FORT COLLINS PO sox 580 FT COLLINS Cu S05ILL vA}roKIM LARIAER 06108/'742 075222JAS W& TOTAL_ b,5i1