HomeMy WebLinkAboutRESPONSE - BID - 5964 HAULINGBID SCHEDULE 5964 Hauling
You may attach a separate page with an equipment list-- Please include Firm name on it.
EQUIPMENT
YR
MAKE
MODEL
CY.YDS.
HP
$/HR.
TRACTOR/TRL
$
TRUCKS
$
TANDEM DUMP TRUCKS
$
qC
- ETC
3i-7
c
47-15
$ D
$
TANDEM DUMP TRUCKS W/PUP
$
OTHER EQUIP (LIST TYPE)
$
$
$
Failure to provide said equipment with qualified drivers as listed in the bid submitted may result in the
removal of the vendor's name from the City's bidding list for a period of three years.
FIRM NAME 014e, II TrL&ck LLC
Are youf,' r�pJoraon, Partyhrship, DBA, LLC, or PC
SIGNATUREf�C
PRINT NAME A
ADDRESS_ ONTE4 ILL TRUCKING Ll V
12378 N. County Rd 7
Wollzngton, CO 80549
(970) 568-7927
PHONE
CELL PHONE 9-I0 a-i 7 —`O-7 (-o
FAX q70 5 fic -Zct ;;)7
EMAIL <<iL rucw✓Ic @ �a11cx3, ('00
SA January 2005
Sent By: DMS ENTERPRISES, INC; 3036971699; Mar-16-06 1:37PM; Page 1/1
A�TR CERTIFICATE OF LIABILITY INSURANCE °" 2/22/ 006
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
High Country Truck Insurance 303-697-6099 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. BOX 659 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Morrison CO 80465 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED -�
wsuRERA COLUM INSURANC
O'NEILL TRUCKING LLC
INSURER B:
12378 N. CO. RD. 7
INSURER C:
WELLINGTON, CO 80549
i INSURER D:
t_.._... .. ......_......... .... _.....
.___
INSURERS:
OVERAGES
NAIC #
THE POLICIES OF INSURANCE LISTED BELOW HAVE BkkN 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 SHOW_ N MAY HAVE BEEN REDUCED BY PAID CLAIMS.
AM ADG'L F-DUCY NUMBER POLL Y EF CTNE POLICY EXP 710R
........ ... ..... ItE.RF.JM6UA8
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
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CLAIMS MAOE u OG 'UP .,
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GENL AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AUG
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AUTOMOBILE LIABILITY
71TRN370495
2/28/2006
2/28/2007
COMBINED SINGLE LIMIT
S 1,000,000
ANY AUTO
(Ea accident)
PHY/DAM 1,000 DIED
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ALL UWNEU gUIUS
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EMPLOYERS' LIABILITY
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ANY PRUPRIE7OWPANYNER/EXFctirIVF
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UFFICERIMEMSER EX00.1"01
iI yyees, deealte under
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E.L. DISEASE . POLICY LIMIT
S
OTHER
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED MY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER IS NAMED ADDTIONAL INSURED
i
V L.r\ �,rrVf1, b IIVYVvf�
VMVCLL/4, IVr�
CITY OF FT. COLLINS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEP BEFORE THE EXPIRATION
215 N. MASON ST.
DATE THEREOF, TIIE ISSUING INSURER WILL ENDEAVOR TO MAIL ,,,,,,jQ DAYS WR17Y4N
FT.COLL.INS, CO 80529
NOTICE TO INe CmWWAle KULDeN RANeU TU INL LeFI, BUI PAILUKt lO OU SO SMALL
970-221-6707
IMPOSE NO OBLIGATION OR LIABILITY Of ANY KING UPON IRE INSURER, ITS AGENTS OR
REPREBENTATTVES.
AUTNORREO REPRESINTATWE
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ACORD 25 (2001108) 0 ACORD CORPORATION 1998