HomeMy WebLinkAboutCORRESPONDENCE - BID - 6113 SNOW AND ICE REMOVAL (2)City of
.,,-,-Fort Collins
August 3, 2011
Danczak Resources Inc
11 Attn: Charlene Danczak boy ;fie
CO 8057 I
RE: Renewal. 6113 Snow and Ice Removal
Dear Ms. Danczak:
AUG1S2011
Financial Services
Purchasing Division
215 North Mason Street
2nd Floor
PO Box 580
Fort Collins. CO 80522
970,221.6775
970.221,6707 - 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,
James B. O'Neill II, CPPO, FNIGP
D�lre'ccttor of Purchasing 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.)
Ir rom
Rev 01 /08
Client#: 41364
DANRE
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDD"YYY)
9/26/2011
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: Nicole Koehn
Flood & Peterson ins., Inc.
PHONE 970 356-0AIC, 123 F 9703301867
Eat): No
P. O. Box 578
E-MAIL
ADDRESS: nicole.koehn@floodandpeterson.com
Greeley, CO80632
12
970 356-0123
INSURER(S)AFFOROING COVERAGE
NAICO
INSURER A: United FIFA & Cas.
INSURED
INSURER B :
Danczak Resources, Inc.
P.O. Box 339
INSURER C:
Johnstown, CO 80534
INSURERD:
INSURER E
INSURER F :
COVERAGES CERTIFICATE NUMBER: RFViSInN NUMRFR-
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 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
TYPE OF INSURANCE
ADDL
INSR
SUBR
VIVO
POLICY NUMBER
POLICY EFF
MMIDDIYYNY
POLICY EXP
MMIDDIYYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIALGENERALUABILITY
CLAIMS -MADE OCCUR
X PDDed:250
60080110
7/18/2011
071181201
EACH OCCURRENCE
$1 000 000
AMAGETO RENTED
REMISES Ea occurrence
S1100,000
MEO UP(My one Person)
S5,000
PERSONAL & ADV INJURY
S1,000000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO -CT LOC
PRODUCTS - COMP/OP AGG
$2,000,000
$
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
ALL OWNED X AUTOS SCHEDULED
AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
60080110
7/18/2011
07/18/201
EeaB�BDSINGLE LIMIT
$1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY Per eccidenp
$
PROPERTY DAMAGE
Per accident
S
UMBRELLALIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTION$
S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)If yes,
DESCRIPTIONescnbe OFFunder
DESCRIPTION OF OPERATIONS below
NIA
WC STATU- OTM-
E.L. EACH ACCIDENT
5
E.L. DISEASE - EA EMPLOYEE
S
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Certificate holder is included as Additional Insured as required by written contract with respects to
liability arising out of work performed by the named insured.
City of Fort Collins Purchasing
215 N Mason
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
F 6.-ni, 'r Ot.fe.ioa J rJwPre.r awsL/GR a TAJC.
4D1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) 1 of 1
#S648584/M630951
The ACORD name and logo are registered marks of ACORD
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