HomeMy WebLinkAboutCORRESPONDENCE - RFP - 7130 SALES USE AND LODGING TAX THIRD PARTY AUDITOR (13)cim'.' ^ I
Fort Collins RECEI`TED
MAR 2 8 2011
BY: ,f'6_
March 16. 2011
Revenue Recovery Group, Inc.
Attn: Mr. King Woolf
12012 Bricksome Avenue
Baton Rouge, LA 70816
RE: 7130 Sales, Use and Lodging Tax Third Party Auditor
Dear Mr. Woolf:
Financial services
Purchasing Division
215 North Mason Street
2nd Floor
PO Box 580
Fort Collins, CO 80522
970.221.6775
970. 221.6707 - fax
fc9ov.com/Purchasing
The City of Fort Collins wishes to extend the agreement term for the above captioned proposal
per the existing terms and conditions.
The term will be extended for one (1) additional year, June 1, 2011 through May 31, 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. 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 me at (970) 221-6779 if you have any questions regarding this matter.
Sincerely,
B. ON II, O, F N I G P
of Purchasing and Risk Managemen
Sig
3-21- //
Date
(Please indicate your desire to renew 7130 by signing this letter and returning in to Purchasing
Division within the next fifteen days.)
Rev 02/2010
A OR� CERTIFICATE OF LIABILITY INSURANCE OP ID KS DATE(MMID57WW)
03/24/11
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 a en orsed. I SUBRO N I 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
NAME:
PHONE
AIC No Sid: (M No):
Henry Insurance Service, Inc.
ADDRESS:
9624 Brookline Suite 200
Baton Rouge LA 70809
CUSTOMERIDN: REVEN-1
Phone:225-927-0451 Fax:225-926-8510
INSUREMS) AFFORDING COVERAGE
NAICIt
INSURED
INSURERA: America First Insurance
12696
Revenue Recovery Group Inc.
P O Box 77738
INSURER : 1a Workers' Compensation Cote.
22350
INSURERC: old Republic Insurance Company
Baton Rouge LA 70879
INSURER D: Amarican safety Indemnity co.
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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.
LTR
TYPE OF INSURANCE
INSR
WVD
POLICY NUMBER
(MMIDD/YYYY)
(MW1i YYY)
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X Business Owners
BOP9673381
01/10/11
01/10/12
EACH OCCURRENCE
$ 1000000
PREMISES (Ea owunnence)
s50000
MED EXP(Any one person)
s5000
PERSONAL B ADV INJURY
$1000000
GENERAL AGGREGATE
$ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER.
X POLICY PRO- LOC
JEC
PRODUCTS - COMPIOP AGG
s2000000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NONLOWNEDAUTOS
BA8399777
01/10/11
01/10/12
COMBINED SINGLE LIMIT
(Ea accident)
$ 1000000
X
BODILY INJURY (Per person)
$
BODI LY INJURY (Per acccenn
$
PROPERTY DAMAGE
(Per accident)
$
$
$
UMBRELLA LIAS
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
IS
B
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIV
OFFICER/MEMBER EXCLUDED?
(Mandatory In MR)
If yes, desbe under
DESCRIPTION OF OPERATIONS below
IA
84549A
MWC11576902
01/26/11
01/26/11
01/26/12
01/26/12
- X
TORV LIMITS ER
E.L EACH ACCIDENT
$1000000
E.L. DISEASE - EA EMPLOYEE
$ 1000000
EL.DISEASE - POLICY LIMIT 1
$1000000
D
PROFESSIONAL LL4B
170PGl PF005102
O6/06/10
06/06/11
Ea. claim 1,000,000
Aggregate 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remerb Schedule, If mom space Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CITYOF2 THEEXPWATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
Purchasing Division
P.O. Box 580
lUes AGGRO CORPORATION. All rights resewed.
ACORD 25 (2009109) The ACORD name and logo are regis red marks of ACORD