HomeMy WebLinkAboutCORRESPONDENCE - BID - 6113 SNOW AND ICE REMOVAL (4)Financial Services
City of
Purchasing Division
215 North Mason Street
F6rtCollins
2nd Floor
PO Box 580
Fort Collins, CO 80522
970.221.6775
970.221.6707 - fax
fcgov.com/Purchasing
July 13, 2010
Hageman Earth Cycle
Attn: Roger Hageman
3501 East Prospect Road
Fort Collins, CO 80525 A'JG 12 ?D1p
RE: Renewal, 6113 Snow and Ice Removal RECE'/ VF
D
Dear Mr. Hageman:
The City of Fort Collins wishes to extend the agreement term for the above captioned proposal
per the existing terms and conditions and the following:
Due to the current economic climate, the City of Fort Collins will not be accepting any increase
in price; current contract pricing will be utilized for the year.
Any person (contractor) who operates a commercial motor vehicle, as defined in §382.107, in
intrastate or interstate commerce and is subject to the commercial driver's license requirement
of 49 CFR part 383 must be included in an alcohol and controlled substances testing program
under the Federal Highway Administration's rule. Documentation of proof must be
submitted with this renewal prior to performing work for the City of Fort Collins.
The term will be extended for one (1) additional year, September 16, 2010 through September
15, 2011. If the renewal is acceptable to your firm, please sign this letter in the space provided
include a current copy of insurance naming the City as an additional insured and return all
documents to the City of Fort Collins, Purchasing Division, P. O. Box 580, Fort Collins, CO
80522, within the next fifteen days.
If this extension is not agreeable with your firm, we ask that you send us a written notice stating
that you do not wish to renew the contract and state the reason for non -renewal.
Please contact John D. Stephen, CPPO, CPPB, Senior Buyer at (970) 221-6777 if you have
any questions regarding this matter.
Sincerely,
LB.O'NeillII, CPPO, FNIGP
rasin and Risk Management
Signature Date
(Please indicate your desire to renew 6113 by signing this letter and returning it to Purchasing
Division within the next fifteen days.)
JBO:kt
Rev 01 /08
National Diagnostics Incorporated
Occupational Health Services
August 4, 2010
Hageman Earth Cycle Inc
Attn: Karen Horner
3501 E Prospect Road
Fort Collins, CO 80525
Dear Karen,
This letter is to verify that Hageman Earth Cycle Inc is a member of ne Nationai Diagnostics 2010
DOT Consortium. The consortium selection lists are generated on ;i quarterly basis. The percentage
pulled is based on FMCSA random testing requirements of 50% UDS and 10% BAT annually.
Random selections are computer generated and are selected on a "pu ely random'' basis. All
employees have an equal chance of being selected for random testii:g: and could be selected more
than once during the year.
The Department of Transportation requires that your company ccrn;il_y with all procedural
requirements established by the consortium so we can insure con,')lirtti' e with all applicable federal
drug and alcohol testing regulations for all members. Each memhej'%, cooperation is crucial to insure
their random iesting program is in compliance with DOT guidelin_..-..
If you have any questions please feel free to contact the random del:;;;rtment: at (704) 364-7550.
Sincerely,
National Diagnostics, Inc.
6407 IDLEWILD ROAD, SUITE 211 • CHARLOTTE, NC 28212 • (7;c4) 364-7550 • FAX (704) 364-2418
Client#: 24703
HAGEA
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDDNYYY)
10/01 /2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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).
PRODUCER
CONTACT
NAME:
Flood & Peterson Ins., Inc.
PHONE 970 356-0123 FAX 9705066836
A/C No Ext : A/C No :
Corporate Mailing Address:
ADDRESS: Kelly. Beauvais@fpinsurance.com
P. 0. Box 578
eKUUUUtK
Greeley, CO 80632
CUSTOMER ID If,
INSURER(S) AFFORDING COVERAGE
NAIC If
INSURED
INSURER A: Continental Western Group
Hageman Earth Cycle, Inc.
INSURER B : Pinnacol Assurance
3501 E. Prospect Road
Fort Collins, CO 80525
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR NSR
OF INSURANCE
L
ADDTYPE
U R
POLICY NUMBER
MfN/DD/YVVY
MM/DD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE Fx� OCCUR
X PD Ded:500
CWP234489328
12/01/2009
12/01/2010
EACH OCCURRENCE
$1 000 000
DAMAGE ( RENTED
PREMISESS Ea occurrence)
$100,000
MED EXP (Any one person)
$5,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOCI
PRODUCTS - COMP/OP AGG
$2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CWP234489328
12/01/2009
12/01/201 a
COMBINED SINGLE LIMIT
(Ea accident)
$1,000.000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
$
A
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
CU236140828
12/01/2009
12/01/2010
EACH OCCURRENCE
$1 000 000
AGGREGATE
$1 000 000
DEDUCTIBLE
RETENTION 10000
$
X
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE -7
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
WA
4036218
10/01/2010
10/01/2011
X WC STAIMISTU- TH-
DRY FR
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE - EA EMPLOYEE
$100,000
E.L. DISEASE - POLICY LIMIT
$500OOO
J
-
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Re: Snow Removal
L,l I IrRiA I C nULUMIY GANGtLLA I IUN :SU uavS Tor Non-F'avmenT
City of Fort Collins
Purchasing Department
256 W. Mountain Ave.
Fort Collins, CO 80521
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S565953/M565947 KLB
09/24/2010 09:18 9702217163 HAGEMAN EARTH CYCLE PAGE 02
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS-
DD*OLICY EFFE VE POLICY EXPIRATION
R TYPE OF INSURANCe POLICY NUMBER
A GENERAL LIABILITY CWP234489328 12101/09 12/01/10
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 11 OCCUR
X PD Ded:500
GEN•L AWREGATE LIMIT APPLIES PER
A
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
3CHE0ULED AUTOS
x HIRED AUTOS
X NOWOWNED AUTOS
GARAGE LIABILITY
ANY AUTO
A EXCESSNIMBRELLA LIABILITY CU236140828
X1 OCCUR CLAIMS MADE
DEDUCTIBLE
X RETENTION 110,000
WORKERS COMPENSATION AND
EMPLOYRRS' LIABILITY
ANY PROPFtIETORwPARTNERrEXECUTNE
OFFICERIMEMBER EXCLUDED7
IFygg desarft under
SPEC R VISION
OTHER
12/01/09 1121Q1110
12101109 112101110
pRSCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Re: Snow Removal
City of Fart Collins
Purchasing Department
256 W. Mountain Ave.
Fort Collins, CO 8OS21
ACORD 2S (2001108)1 Of 2 #54025731M492588
PERIOD INDICATED. NOTWITHSTANDING
5 CERTIFICATE MAY BE ISSUED OR
KCLUSIONS AND CONDITIONS OF SUCH
LIMITS
EACH OCCURRENCE
S1 00Q 000
DAMAGE TO RENTED
ME13 EXP Any one ereon
$100 000
$5 000
PERSONAL 8 ADV INJURY
$1 000 000
GPNERALAGGREGATE
32.000.000
PRODUOTS • COMPIOPAGG
$2 OQQ OOO
COMBINED SINGLE LIMB
(En accldent)
$1 rOQQrQQd
BODILY INJURY
(per person)
$
BODILY INJURY
(Pereoddent)
g
PROPERTY DAMAGE
(ParewIdonl)
AUTO ONLY - EAACCIDE.NT
S
$
OTHER THAN EA ACC
AUTO ONLY: AGG
EACH OCCURRENCE
$
$
$1 00Q 000
AGGREGATE
$1 000 000
Q
$
WC STATU- OTH-
E.L. EACH ACCIDENT
S
F,L DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT $
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES EE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL __III_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMP09E No OBLIGATIQN OR LIABILITY OF ANY KING UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORI&D REPRESENTATIVE
SLS 9 ACORD CORPORATION 1SU
09/24/2010 09:18 9702217163 HAGEMAN EARTH CYCLE PAGE 03
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, certaln policies may
require an endorsement. A statement on this certificate does not confer rights to the certtFlcate
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 Ilsted thereon.
ACORD 25•S (2001100) 2 of 2 #$4925731M492568
09/24/2010 09:18 9702217163 HAGEMAN EARTH CYCLE PAGE 04
1
ACORD. CERTIFICATE OF LIABILITY'
INSURANCE
DATE (MMID "YYY)
PRODUCER
Flood & Peterson Insurance Inc
4821 Wheaton Drive
Box 270370
Irdrt Collins, CO 80527
THIS
ONL
HOL
ALT
ICERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
R THE COVERAGE AFFORDED BY THE POLICIES BELOW,
INSUR
RS AFFORDING COVERAGE
NAIC #
INSURED
Hageman Earth Cycle, Inc.
Hageman Enterprises, LLC
3501 F. Prospect Road
Fort Collins, CO 80525
INSURE
A; Continental Western Group
INSURE
B:
INSURE
C
INSUR
D!
INSURE
E;
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WIT
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJ
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ABOVE KOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
CT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
LT R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF
CTIVE
POLICY EXPIRATION
TIE
LIMITS
A
0ENERAL LIABILITY
COMMERCIAL GENERAL LIABILITYDAMAGE
CLAIMS MADE a OCCUR
CWP234489328
12101109
12/01110
EACH OCCURRENCE
$1 000 000
TO RENTED
g100 000
MED EXP (Any oneperson)
$$ 000
PERSONAL & AOV INJURY
11,000,000
X PO Ded:500
GENERAL AGGREGATE.
$2000000
GEN'L AGGREGATE LIMIT APPLIES PER;
PRODUCTS - COMProP AGO
s2.000 000
POLICY E PRO' LOC
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
CWP234489323
12/01/09
12/01110
COMBINED SINGLE LIMIT
$1,000,000
BODILY INJURY
(Per p0mon)
L
ALL OWNED AUTOS
SCHEDULED AUTO$
X
BODILY INJURY
(Pe lttltlent}
HIRED AUTOS
NOWOWNEDAUTO$
ie
PROPERTY DAMAGE
(Per aeddenl)
g
1.GARAGE
LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EA ACC
S
ANY AUTO
A exCEssruM8RELLA LIABILITY CU236140828
)( OCCUR 17 CLAIMS MAPS
DEDUCTIBLE
X RETENTION $10 000
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXC411I0E07
If yes, deechbv antler
SRECIAL PR N below
OTHER
AUTO ONLY'
12/01109 12101110 EACH OCCUR
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPEOIAL PROVISIONS
City of Fort Collins
Risk Management Dept
Attu: DarlerIa
PA. Box 530
Ft Collins , CO $0522
ACORD 25 (2001108)1 of 2 #S4926181M492568
E.L.
ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
'.EREoF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ,_34_ DAYS WRTrtEN
rO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO Do $D SHALL
No OBLIGATION OR LIABILJTY OF ANY K1Nb UPON THE INSURER, ITS AGENTS OR
ENTATIVES.
tlZED REPRESENTATIVE
SLS 0 ACORD CORPORATION 1988
09/24/2010 09:18 9702217163 HAGEMAN EARTH CYCLE
PAGE 05
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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.
ACORD 25-S (2001108) 2 of 2 #S4926181M492568