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HomeMy WebLinkAboutCORRESPONDENCE - BID - 5477 WOOD FLOOR FINISHING ANNUAL (2)Administrative Services MAR I 0 2005
Purchasing Division
City of Fort Collins
March 8, 2005
Accu Clean
736 Gallup Road
Ft. Collins, CO 80521
Re: Bid #5477 Wood Floor Finishing
The City of Fort Collins has elected to renew Bid #5477 Wood Floor Finishing 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 March 23, 2005. 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
Jim Hume, CPPO, Senior Buyer, at 970-221-6776,
Sincerely,
k
s B. O'Neill II, CPPO, FNIGPLar- t; Purchasing and Risl(�anagement
hate
(Please indicate your desire to renew Bid #5477 by signing this letter and returning it with a
current copy of insurance forms to Purchasing Division on or before March 23, 2005.)
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 ❑
American Famlly 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.)
Accu Clean Services Larry D. Paterson (470) 229-939S
736 Gallup Rd. 149 W Harvard Street Ste 102
Fort Collins, CO 80521 Ft. Collins, CO $0525.2186 (119/309)
This Certificate Is Issued as a matter of information only and confers no rights upon the Certifioate Holder.
This certificate does not amend, extend or after the coverage afforded by the policies listed below.
Tee la to wilty mat policies a Inpyranoa listed hslow haw ties. Issued to #A inured named aboys for the policy period Indicated, notwtmstanding any requirement term a cond'dian of any oomrad or other
document with respect to whloh We oerttoato may be 1s uad or"perlAin, the ineurance aftilad by the porches deepDed herein is subWA to all the terms. mclusions, and pondtdons or such policies.
TYPE OF INSURANCE
POLICY NUMBER
LIMITS OF LIABILITY
ErFPECT11ryE RXPIRAT400
Homeowners/
addiv hyury and properly Damns
Mobilehomeowner6 Liability
Each Gcw,ranca $ 1000
Boatownere Liability
OadN Injury Arid property Damage
Each Occurrence $ ,OOQ
Personal Umbrella Liability
Badly Injury aid Property Damage
Each Occurrence $ ,000
Famn Liability a Personal uvtnry
Farm/Ranch Liability
Each Occunimcs $ 000
Perm Empipyero Llabley
Each occurrerva $ 000
Workers Compensation and
statutory .:..:...xe.a
Each Accident $ loop
Employers l iabflity t
Disease - Each Employes $ 1000
mews -Policy Unit 0W
General Liability
Gerlaral Aggregate $ 600 000
PrDwets- ted0otraWnsA Wools $ Woloop
® CommercialGenerai
Personal and Ad� ilsin l u $ 300 OW
Liability(occurrence)
Ofi X77168-07-DO
3/18/2004
3/18/200b
t=aeh occurrence $ 300 loop
DAMAO to Premise$ flamed to you $ 100 00o
Medical Exosnee IAn One Parson $ 5
Busineaaowrtars Liability
sach0oc mancett $ 1000
AWsuatett $ ,000
Liquor Liability
Common Came Limit $ 000
Aggrega+a LVM $ '000
Automobile Liability
Badly Injury- Each Person $ 1000
❑ Any Auto
$
❑ All Owned Autos
Bodily Injury • Each Acoldant 000
property Damage $ 1000
❑ Scheduled Autos
❑ Hued Auto
easy injury and property Damage Combined $ 000
❑ Nonowned Autos
❑
Excess Liability
❑ Commercial Blanket Excess Each occunence/Aggregale $ 1000
other (Miscellaneous Coveraaes)
DESCRIPTID O TIONS / VEHICLES I ECIAL I7QA5
t The inTWidual or partners shown as insurad ❑ Have ❑ Haw nod
elated to be covered cue ernpfoyasa undo, thk pollcy.
t t Pmducte-Completed Oparahtons aggregate Is equal ra escn
occurrence limit and Is Incluaocr in policy aggmoate-
• City of Port Collins
Stwuld arty of the above described Dolicies be cancelled before the
axpiraiVon data thereof, the campsny will endeavor 1p mail .( 10 days
Purchasing Division
281 N CoEle s
written notice to the Certificate Molder named, but failure to mail such
notce shall impose no obligation or liabilitV of any kind upon the
'10 different
9
company, its itants or representatives. days unless
of days shown.
Fort Collins, CO 80524
number
Fax 221-6707
❑ This certifies coverage on the date of issue only. The above
described potibies are subject to cancellation in conformity with their
terms and Pit laws of the state of issue.
-WrTsauev
AMPRIMED REPRESENTATIVE
9/14/2005
Larry D. Peterson
U-201 Ed, 5100 Certificate Holder Stock No. 06668 Rev. 7102