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Home My WebLink AboutCORRESPONDENCE - GENERAL CORRESPONDENCE - LEDSAdministrative Services Purchasing Division Ciry of Fort Collins February 18, 2005 Sturgeon Electric 12150 E. 11 `" Ave. Henderson, CO 80640 Attn: Gary Eckley Re: Services Agreement I have enclosed 3 copies of documents regarding the above captioned matter. Please sign the three (3) copies of the agreement, and return all copies to me, along with a current copy of your insurance. After the signatures have been obtained, a copy of the agreement will be sent to you. Please contact John Stephen, CPPO, Senior Buyer, at 970-221-6777 if you have questions. Sincerely, m s B. O'Neill II, CPPO, FNIGP Dir ctor of Purchasing and Risk Management enc JBOljbe 215 North Mason Street • 2nd Floor • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707 03/01/05 ConfirmNet -> 13032276960 Pg 2/2 A RD CERTIFICATE OF PROPERTY INSURANCE DATE CERTIFICATE 03/0110Ol/OS PRODUCER 1-630-773-3800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher & Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Two Pierce Place COMPANIES AFFORDING COVERAGE Itasca, IL 60143 COMPANY Michele Moore 630-285-3931 A Ace Prop & Cas Ins Cc (A XV) INSURED COMPANY Sturgeon Electric Company, Inc. B COMPANY C 12150 E. 112th Avenue COMPANY Henderson, CO 80640 D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO I HE 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MMIDDIYYI POLICY EXPIRATION DATE(MMIDDIYY) COVERED PROPERTY LIMITS PROPERTY BUILDING $ $ CAUSES OF LOSS PERSONAL PROPERTY $ BASIC BUSINESS INCOME $ BROAD EXTRA EXPENSE $ SPECIAL BLANKET BUILDING $ EARTHQUAKE BLANKET PERS PROP $ FLOOD BLANKET BLDG & PP $ $ A X INLAND MARINE D35938485 09/30/04 09/30/05 X See Below $2,500,000 $100,000 TYPE OF POLICY X Deductible $ Property Floater $ CAUSES OF LOSS $ NAME[) PERILS IS X OTHER All Risk CRIME $ $ TYPE OF POLICY $ BOILER & MACHINERY $ $ OTHER $ $ LOCATION OF PREMISES/DESCRIPTION OF PROPERTY SPECIAL CONDITIONSIOTHER COVERAGES Covered Property - Materials of Others in the Care, Custody and Control of the Named Insured Description of Job: SECO Job No. 821536 - Replace 8° & 12• LED's from Traffic Signal heads at various locations determined by the City of Fort Collins Traffic Operations Department CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE [HE 1556 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL City Of Fort Collins, Colorado 30_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: John Stephen BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O. Box 580 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA ACORD 24 (1195) michelel 0ACORD CORPORATION 1995 i � iT j e s rswerea ey 03/01/05 ConfirmNet -> 13032276960 Pg 2/3 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 3/01 /DDIYYYYI 0/o1/os PRODUCER 1-630-773-3800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher & Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Two Pierce Place ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Itasca, IL 60143 Michele Moore 630-285-3931 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Athena Assur Co (A XV) 41769 Sturgeon Electric Company, Inc. INsuRERB: Zurich American Ins Co (A XV) 16535 12150 E. 112th Avenue INSURER C: Henderson, CO 80640 INSURERC: NSURERE: OVERAGES 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 Dal POLICY NUMBER POLICYEFFECTIVE DATE M /YY POLICY EXPIRATION LIMITS B GENERAL LIABILITY GLO837415410 09/30/04 09/30/05 EACH OCCURRENCE $2,000,000 PREMISES aocauence $100,000 X COMMERCIAL GENERAL LIABILITY CLAIMSMADE OCCUR MEDEXP(Anyonepemon) $5,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $4,000,000 X POLICY D PRO- LOG B B AUTOMOBILE X LIABILITY ANY AUTO BAPS37415508 (A/O/S) TAPS37415608 (TX) 09/30/04 09/30/04 09/30/05 09/30/05 COMBINED SINGLE LIMIT (Eaaccldent) $3, 000, 000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (PeractldenT $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Peracddwl) $ X PD Comp Ded $100,000 X PD Coll Ded $100, 000 GARAGELIABILITY AUTO ONLY -EAACCIDENT $ OTHER THAN EAACC $ ANY AUTO $ AUTO ONLY: AGO A EXCESSIUMBRELLA LIABILITY QK06800832 09/30/04 09/30/05 EACH OCCURRENCE $10,000,000 X1 OCCUR 1:1CLAIMS MADE AGGREGATE $ 10,000,000 $ $ DEDUCTIBLE $ X RETENTION $10,000 B WORKERS COMPENSATION AND WC837415208 (A/O/S) 09/30/04 09/30/05 OTH- X WCSTATU- I ER EL EACH ACCIDENT $1,000,000 B EMPLOYERS'LIABILITY ANY PROPRIETOR,PARTNEJEXECUTIVE INC WC837415108 (CA) 09/30/04 09 /30 /OS E.L. DISEASE - EA EMPLOYEE $1,000,000 B OFFICERIMEMBEREXCLUDED? EXCLWC837415308 (WI/OR) 09/30/04 09/30/05 Ifyes,deaclb under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Description of Job: SECO Job No. 821536 - Replace 8" & 12• LED's from Traffic Signal heads at various locations determined by the City of Fort Collins Traffic Operations Department City of Fort Collins, Colorado is shown as an additional insured solely with respect to general liability and automobile liability coverage as evidenced herein as required by written contract with respect to work performed by the named insured. CFQTIFICATF uni nFR CANCFI I &TIAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1556 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Fort Collins, Colorado NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: P.O. John Stephen Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE USA ACORD 25 (2001108) michelel V ACORD CORPORATION 19BB 2517362 Powered ByCertificatesNOwTN 03/01/05 ConfirmNet -> 13032276960 Pg 3/3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.