HomeMy WebLinkAboutCORRESPONDENCE - BID - 6113 SNOW AND ICE REMOVAL (5)City of
,.-Fort Collins
August 3, 2011p�;YIG�
Barker Construction /�c.
Attn: L-N, NE4A
142 North Timberline Road
Fort Collins, CO 80524
�P
RE: Renewal, 6113 Snow and Ice Removal
Dear Mr. Bivens: A p K t il_
A U G 12 2011
S\
Financial Services
Purchasing Division
215 North Mason Street
2nd Floor
PO Box 580
Fort Collins, CO 80522
970.221.6775
970221,6707 - fax
fcgov.com/Purchasing
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:
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, 2011 through September
15, 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 John D. Stephen, CPPO, LEED AP, Senior Buyer at (970) 221-6777 if you have
any questions regarding this matter.
Sincerely,
`a m s B. O'N ill If-CPPO, FNIGP
i ctor f rchasing and Ri Mana ement
ignature Date
(Please indicate your desire to renew 6113 by signing this letter and returning it to Purchasing
Division within the next fifteen days.)
Rev 01 /08
Clipntf - 20175
RARCO
ACORD. CERTIFICATE OF LIABILITY INSURANCE
Do4/z am"Y
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(les) must be endorsed. H 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
Flood & Peterson Ins., Inc.
P. O. Box 578
CONTACT
NAME Jennifer Winter
PHONE 970 268-7127FAX
A/C No Ell: Arc. No : 970 506-6846
ADDRESS: Jannifer.Winter®fpinsurance.com
Greeley, CO 80632
97035"123
C STONER ID e:
INSURER(S) AFFORDING COVERAGE
NAIC0
INSURED
INSURERA: Bituminous Insurance
Barker Construction Company, Inc.
INSURER B: Pinnacol Assurance
142 North Timberline Road
Fort Collins, CO 80524
INSURERC:
INSURER O :
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 REOUtREMENT, 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.
TYPE OF INSURANCE
POLICY NUMBER
(MIMA30O/Y" LICY FF
MM/CDON P
LIMITS
A
GENERAL LIABILITY
CLP3552974
5/01/2011
05/0112012
EACH OCCURRENCE
$110001000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
DAMAGE to RERTEIF—
PREMISES Eamcurr
000000
MED EXP(Any one person)
$10 000
PERSONAL & ADV IW URY
E1 000 000
X PD 13ed:1,000
GENERAL AGGREGATE
s2,000,000
GENL AGGREGATE LIMIT APPUES PER:
PRODUCTS- COMPIOP AGG
s2 O00 000
POLICY X IFCTPRO- LOC
$
A
AUTOMOBILE
LIABILFTY
CAP3552975
5/01/2011
05101/2012
COMBINED SINGLE LIMIT
IEa acciaenq
$
11000,000
ANY AUTO
BODILY INJURY (Per person)
S
X
X
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
60DILY INJURY (Per accident)
S
PROPERTY DAMAGE
(Per accident)
$
X
NON -OWNED AUTOS
S
X
Drive Other Car
S
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
S
AGGREGATE
S
EXCESS UAB
CLAIMS -MADE
DEDUCTIBLE
S
S
RETENTION S
B
WORKERS COMPENSATION
ANDEMPLOYERS'UABILT' YIN
ANY PROPPoETOWPARTNER/EXECUrIVE❑
OFFICEWMEMBER EXCLUDED?
(Myyandatory In NH)
NIA
4033363
10/01/2010
10/01/2011
X WCSTATI} OTH-
E.L EACH ACCIDENT
$1 000 000
E.L. DISEASE - EA EMPLOYEE
S1,000,000
under
It DESCRIPTIONOF OPERATIONS Wd
LE0a
DISEASE - POLICY OMIT
S1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101. Addllonal Remarks Schedule.If more apace Is required)
City of Fort Collins Engineering Department is named as additional
Insured, but only as respects liability arising out of worts performed by
the named insured (Excluding Workers' Compensation).
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
Engineering Department
g g P
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Ft Collins, CO 80522.OSM
AUTHORIZED REPRESENTATIVE
FlOOOL T o:jAvs000 rNr✓/ a.Jr n r rAJc.
01988-2009 ACORD CORPORATION. All rights reserved
ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S608197/M608192 JZS
eV�MiT sT
usaf►arie vuw�uemr:• vo�.�►
Social Security Number. 524-55-3179
First Name:
DAVID
Last Name:
BARKER
Reason for Test:
Pre -Employment
Company:
BARKER CONTRUCTION
Location:
Occupation:
Procedure. Urine
SUMMARY
Date Scheduled:
7/25/2011
Date Collected:
7/25/2011
Date Tested:
7/26/2011 Result:
Date Reviewed:
7/26/2011 Negative
Who Ordered Test: admire
Date Ordered: 7/25/2011
Time: 1200
Regulatory Mode: FMCSA
Date Notified: 7/25/2011
Time:
Date Scheduled:
Time:
DOT Test:
El
Employee Catagory: Driver
7/25/2011
Collected by: Johnson Drug Testing
Date Arrived: 7/25/2011
Time:
605 South College Avenue
Date Collected: 7/25/2011
Time: 1412
Fort Collins, CO80524
Sample ID: 3751317
Split Specimen:
Phone: (970)493-2222
Collection Stators:
OK
FAX:(970)482-1971
Tested by: Quest Diagnostics
Lab Received Date: 7/26/2011
Time:
Account: 10072494
lab Reported Date: 7/2612011
Time:
Testing Status: Completed
Accession Number:
Panel: SAMHSA
Reviewed by: ELENOR GILBERT
MRO Received Date: 7/26/2011
MRO Copy CCF7
MRO Reported Date: 7/26/2011
Review Status:
Negative
Drug Confirmation Cutoff Result
Lab Notes: MRO Notes:
n
Social Security Number: 524-76-0865
First Name:
KENNETH
Last Name:
BARKER
Reason for Test- Pre -Employment
Company:
Location:
A,2,Ij Q91 C
Occupation:
Procedure. Urine
SUMMARY
Date Scheduled:
7/21/2011
Date Collected:
721/2011
Date Tested:
7/22/2011 Result:
Date Reviewed:
7222011 Negative
Who Ordered Test admin
Date Ordered: 7/21/2011
Time: 0800
Regulatory Mode: FMCSA
Date Notified: 7/21/2011
Time:
Time:
DOT Test
M
Employee Catagory: Driver
Date Scheduled: 7/212011
Collected by: Johnson Drug Testing
Date Arrived: 7/21/2011
Time:
605 South College Avenue
Date Collected: 7/21/2011
Time: 1344
Fort Collins, CO80524
Sample m: 3751314
Split Specimen:
El
Phone: (970)493-2222
Collection Status:
OK
FAX:(970)482-1971
Tested by: Quest Diagnostics
Lab Received Date: 7222011
Time:
Account 10072494
Lab Reported Date: 722/2011
Time:
Testing Status: Completed
Accession Number:
Panel: SAMHSA
Reviewed by: ELENOR GILBERT
MRO Received Date: 722/2011
MRO Copy CCF7
MRO Reported Date: 7222011
1124
Review Status:
Negative
Drug Confirmation Cutoff Result
Lab Notes: MRO Notes:
11