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Home My WebLink AboutCORRESPONDENCE - BID - 2697 ASPHALT SUPPLY (2)Administrative Services Purchasing Division City of Fort Collins April 6, 2006 Don Kehn Construction 6550 S. County Road 5 Ft. Collins, CO 80528 Re: Bid #5697 Asphalt Supply The City of Fort Collins has elected to renew Bid #5697 Asphalt Supply 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 with pricing listed below: SG $23.55 S $25.90 SX $27.00 S PG 64-28 Binder $33.70 per Ton 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, within fifteen (15) days. If delivered, please deliver to 215 North Mason Street, 2rd 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 John Stephen, CPPO, CPPB Senior Buyer, at 970-221-6777. Sincerely, one-' L ZJm B. O'Neill 11, CPPO, FNIGP Director of Purchasing and Risk Management Qt,�u' Z-1- D O - 06� Signature Date (Please indicate your desire to renew Bid #5697 by signing this letter and returning it 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 r1ionff- 21172 nnulCFUA11 A AID. CERTIFICATE OF LIABILITY INSURANCE DATE (MMI DmrY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Colorado ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 720 S. Colorado Blvd Ste 600-N HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I Box 469025 Denver, CO 80246-9025 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Travelers Indemnity Company 25658 Don Kohn Construction, Inc. 6550 SCRS Fort Collins, CO 80528 INSURERS: Pinnacol Assurance 10780 INSURER C: INSURER D: INSURER E: COVERAGES 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 BYTHE 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. MISR LTR ROD INSA TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY 161ES893 11/01/05 11/01/06 EACH OCCURRENCE $1,0001000 GENERAL LIABILITY DAMAGE TO RENTEDS30O O00 NMERCIAL CLAIMS MADEOOCCUR MED EXP (Any one person) f5 000 PERSONAL S ADV INJURY f1 000 000 # CG D2 46 102) GENERAL AGGREGATE f2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGO f2000000 iPOLICY 51 mRo R-1 Loc A AUTOMOBILE LIABILITY ANY AUTO 161E8893 11/01/05 11/01/06 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Perperson) f ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) f HIRED AUTOS NONOWNED AUTOS X X PROPERTY DAMAGE (Per accidenQ f Ltd Pollution GARAGE UABUJTY AUTO ONLY - FA ACCIDENT f OTHER THAN FA ACC f ANY AUTO f AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY 161ESS93 11101/05 11/01/06 EACHOCCURRE14CE $2000000 X1 OCCUR CLAIMS MADE AGGREGATE f2 000 000 f f DEDUCTIBLE f X RETENTION f 10 000 B WORKERS COMPENSATION AND 2093950 10/01/05 10/01/06 X I v✓C STATU- I JOTH_- EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE OFFICERWEMBER EXCLUDED? E.L. EACH ACCIDENT f50O OOO E.L. DISEASE -FA EMPLOYEE f5OO 000 N yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project Description: Furnishing Asphalt The following are Additional Insureds as respects General Liability only if required by written contract and coverage applies only as respects (See Attached Descriptions) City of Ft Collins ATTN: Director of Purchasing 8: Risk Management P. O. Box 580 Ft. Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL sn• DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001108) 1 of 3 #M271146 MAS 0 ACORD CORPORATION 1988 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 after the coverage afforded by the policies listed thereon. Awrtu Zra t'euuliun) 2 of 3 #M271146 DESCRIPTIONS (Continued from Page 1) 1 work performed by the Insured for the Additional Insureds. All coverage terms, conditions and exclusions of the policy apply. AL, etional Insureds: City of Fort Collins The Additional Insured endorsement which is referenced above under 'Type of Insurance -General Liability" is attached. The following cancellation conditions always apply: - 10 days for non-payment of premium - If policy shown, 10 days for Workers' Compensation for fraud; material misrepresentation; non-payment of premium; other reasons approved by the Commissioner of Insurance AMJ L5.3 (ZUU7/Ue) 3 of 3 MA271146 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY —CONTRACTORS COVERAGE PART 1. WHO IS AN INSURED — (Section II) is amended to include any person or organization you are re- quired to include as an additional insured on this policy by a written contract or written agreement in effect during this policy period and signed and executed by you prior to the loss for which cover- age is sought: The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The person or organization is only an additional insured with respect to liability caused by "your work" for that additional insured. 2. The insurance provided to the additional insured is limited as follows: a) In the event that the limits of liability stated in the policy exceed the limits of liability required by a written contract or written agreement in effect during this policy period and signed and executed by you prior to the loss for which coverage is sought, the insurance provided by this endorsement shall be limited to the limits of liability required by such contract or agreement. This endorsement shall not in- crease the limits stated in Section III — LIMITS OF INSURANCE. b) The insurance provided to the additional in- sured does not apply to "bodily injury", "prop- erty damage", "personal injury" or "advertising injury" arising out of an architect's, engineer's or surveyor's rendering of or failure to render any professional services including: I. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifi- cations; and c) This insurance does not apply to "bodily in- jury" or "property damage" caused by "your work" included in the "products -completed operations hazard" unless you are required to provide such coverage for the additional in- sured by a written contract or written agree- ment in effect during this policy period and signed and executed by you prior to the loss for which coverage is sought and then only for the period of time required by such con- tract or agreement and in no event beyond the expiration date of the policy. 3. Subpart (1)(a) of the Pollution exclusion under Paragraph 2., Exclusions of Bodily Injury and Property Damage Liability Coverage (Section I — Coverages) does not apply to you if the "bodily injury" or "property damage" arises out of "your work" performed on premises which are owned or rented by the additional insured at the. time "your work" is performed. 4. Any coverage provided by this endorsement to an additional insured shall be excess over any other valid and collectible insurance available to the additional insured whether primary, excess, con- tingent or on any other basis unless a written contract or written agreement in effect during this policy period and signed and executed by you prior to the loss for which coverage is sought specifically requires that this insurance apply on a primary or non-contributory basis. When this in- surance is primary and there is other insurance available to the additional insured from any source, we will share with that other insurance by the method described in the policy. 5_ As a condition of coverage, each additional insured must: II. Supervisory or inspection activities per- a.) Give us prompt written notice of any "occur - formed as part of any related architectural rence" or offense which may result in a claim or engineering activities. and prompt written notice of "suit". CG D2 46 10 02 Copyright, The Travelers Indemnity Company, 2002 Page 1 of 2