HomeMy WebLinkAboutCORRESPONDENCE - REQUISITION - P896 ROLLAND MOORE TENNIS PRO SHOP CONCESSIONAdministrative Services air.
Purchasing Division
City of Fort Collins
August 26, 2004
Lewis Tennis Inc.
1205 W. Elizabeth ST #E-PMB 111
Fort Collins, CO 80521
Re: RFP P896 Rolland Moore Tennis Pro Shop Concession
Dear Mr. Lewis:
The City of Fort Collins has elected to renew P896 Rolland Moore Tennis Pro Shop Concession 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. The term will be extended from September 5, 2004 through
September 5, 2005.
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 September 5, 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
David M. Carey, Buyer, C.P.M. at (970) 416-2191.
Sincerely,
am B. O'Neill II, CPPO, FNIGP
Director of Purchasing and Risk Management
! O
Signat r Date
(Please indicate your desire to renew P-896 by signing this letter and returning it within 15 days
with a current copy of insurance forms to Purchasing Division.)
215 North Mason Street • 2nd Floor • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707
autom,ow1 Prs Pape 1 SS040 (11/87)
Issued 07-28-2004
INSURANCE COMPANY TAILORED PROTECTION POLICY DECLARATIONS
6101 ANACAPRI BLVD., LANSING, MI 48917-3999
AGENCY WELSH INSURANCE AGENCY NC Effective 07-15-2004
32-0029-00 MKT TERI 086 (970) 663-5404 POLICY NUMBER 044632-74687368-04
INSURED LEWIS TENNIS INC
ADDRESS 1205 W ELIZABETH ST B PtBill
FORT COLLINS, CO 80521-4562
Company POLICY TERM
Bill 12:01 a.m. 12:01 a.m.
07-15-2004to 07-15-2005
COMAIRCIAL GENERAL LIABILITY COVERAGE
LIMITS OF INSURANCE
Bodily Injury General Aggregato Limit
Property Damage General Ag:rogste Limit
Bodily Injury Products/Completod Operations
Aggregate Limit
Property Damage Products/Completed Operations
Aggregate Limit
Personal And Advertising Irjury Limit
Bodily Injury Each Occurrerce Limit
Property Damage Each Occurrence Limit
Fire Damage Limit
Medical Expense Limit
02,000,000
2,000,000
21000,000
$2,000,000
11000,000
11000,000
11000,000
50,000 Any One Fire
5,000 Any One Person
Twice the "General Aggregate Limit", shown above, is provided at no additional
charge for each 12 month perioi in accordance with form 55050.
AUDIT TYPE: Annual Audit
FORMS THAT APPLY TO LIABILITY: 59351 (02-03) 55118 (08-91) 55146 (07-96)
55229 (01-02) C62271 (11-85) C62146 (01-67) 55236 (04-02) IL0021 (11-85)
55029 (07-87) CG0001 (11-88) IL0017 (11-85) 55050 (06-01) 55064 (07-87)
CL175 (02-86) SS137 (06-92) CG2147 (09-89) 59319 (04-99) 55145 (12-01)
55069 (01-86) 55051 (07-87)
LOCATION OF PREMISES YOU OWN, PENT OR OCCUPY
LOC 001 BLDG 001 2201 S Shields St
Fort Collins, CO 80526-1819
TERRITORY: 002 COUNTY: Lorimer
Classification
CODE 18206
Sporting Goods Or Athletic
Equipment Stores
CODE 4747,
Schools - Trade Or Vocational
Including Products And/Or
Completed Operations
FOREIGN TERRORISM - CERTIFIED ACTS
Premium
8ubline Basis
Gross Sales
Prom/Op 100,000
Prod/Comp Op 100.000
Pupils
Prom/Op 40
SEE FORM 59351
Rates Premium
Each 1000
2.219 0222.00
1.597 $160.00
Each
12.222 $489.00
EXCLUDED
LOCATION 001 PREMIUM $871.00