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Home My WebLink AboutCORRESPONDENCE - BID - 6037 FLEET FUEL (5)03/02/2011 17:24 970-482-8054 HAISTOH OIL PAGE 01/01 Otiv of F6 ft C o t t i msoo January 31, 2011 Haiston Oil Company Attn: Mr. Jeff Haiston 335 S Summitview Dr. Fort Collins, CO 80524 RE: Renewal, 6037 Fleet Fuel - 2007 Dear Mr. Haiston: Financial Services Purchasing Division 215 North Mason Street 2nd Floor PO Sox 580 Fort Col(Ins, CO 80522 970.221.6775 970.221.0707 • fax fagov. ConVpurChaS1nQ The City of Fort Collins wishes to extend the agreement term for the above captioned .11 proposal per the existing terms and conditions and the following: The term will be extended for one (1) additional year, March 31, 2011 through March 30, 2012. 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. 0. Box 580, Fort Collins, CO 80522, within the next fifteen days. If this extension is not agreeable with your firm, we ask that,you seldA s a written notice stating that you do not wish to renew the contract and state the reason for non -renewal. Please contact James R. Hume, CPPO, Senior Buyer at (970) 221-6776 if you have any questions regarding this matter. knoe,ely,B. ONeil!I,CPPO, FNIGPor of Purchasing and Risk Management igfi�re � Date (� (Please indicate your desire to renew 6037 by signing this letter and returning it to Purchasing Division within the next fifteen days.) JBOJI Rev 0212010 OP ID: NR ,4� CERTIFICATE OF LIABILITY INSURANCE DATDYYYV) 03/03 03/03/11 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 endorsements . — PRODUCER 970-635-9400 PFS Insurance Group'- JT LBN Insurance Agency 970-635-9401 4848 Thom pson.Pkwy;'Ste-200 Johnstown, CO 8053.4 John HlntZman CONTACT NAME: PHODBA A/C, No Eat : AAC No): — - E-MAIL ADDRESS: PRODUCER HAIST-1 ' - CUSTOMER ID#; - INSURERS AFFORDING COVERAGE NAIC # INSURED Haiston Oil Company, Inc INSURER A: Nationwide Agribusiness Ins Co 28223 Jeff Haiston 335 S Summit View Dr INSURER B : Plnnacol Assurance CO 41190 Fort Collins, CO 80524 INSURER C : INSURER D : INSRER E INSUURER F: C[1V F-KA(.Fti CF RTIF IC ATF MI IMDFD• 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. INSR LTR I rypE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF IMM1DDfYYYYl POLICY EXP 1MM/DD/YYYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR CPP 107224A 02/01/11 _ _ - 02/01/12 - _ - EACH OCCURRENCE $ 1,000,00 DAMA T RENTED PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL BADVINJURY $ 1,000,00 GENERAL AGGREGATE -$ - 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO ` LOC PRODUCTS - COMP/OP AGG $ - --"2,000,00 Emp Ben. ..$ 1,000,00 A AUTOMOBILE LIABILITY ' ANY AUTO ' ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS broad auto pollut CA 107224A - ' MCS 90 CA9948 02/01/11 02/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person), $ ' BODILY INJURY (Per accident) $ - X PROPERTY DAMAGE (Per accident) E X $ X $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CU 107224A 02/01/11 02/01/12 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,000 DEDUCTIBLE RETENTION $ 10,000 E X $ B WORKERS COMPENSATION - - - AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 3019023 - 02/01/11 02/01/12 WC STA7U- OTH- X CRYLIMR E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DI SEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CITYFTC City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 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 U 19BU-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD