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Home My WebLink AboutCORRESPONDENCE - BID - 6113 SNOW AND ICE REMOVAL (3)Financial Services r it F&t Collins Purchasing Division 215 North Mason Street 2nd Floor PO Box 580 Fort Collins. CO 80522 — - ,ED 970.221.6775 970,221,6707 - fax AL' , i t3 011 fcgov. corn/purchasing August 3, 2011 B': Fuller Landscaping Attn: Brian Fuller 4836 Kiva Drive Fort Collins, CO 80535 RE: Renewal, 6113 Snow and Ice Removal Dear Mr. Fuller: 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 Direyfor of Purchasing and Risk Management ok S C _ 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:II Rev 01/08 Mar.21 2011 ::27PM No.148C P. 1,'1 `'11 h� CERTIFICATE 4F LIABILITY INSURANCE D/23/ DO11 3/23/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVFLY 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 Cho terms and conditions of the policy, conaln Policies may require an endorsement. A statement on this CerdflCdte does not confer rights to the certificate holder in lieu of such endorsamantrsl_ PRODUCER wNrAC Amanda Gsunow NAME: Colorado BA Insurance Agency, Inc. PNONE (970)223-0924N,.tv?mu:-Ran 11 Mfg 1075 W Horsetooth Rd, Ste 106 soon •a Naada.gruaaw@Dankofthewest.com ,"Oo' 00045682 Fort Collins CO 80526 wsUR S APPORDINOCOVE RAae NA wsuaEo INSURERA Colorado Casualt InsuranCe 4178! INSURER 6: Fuller Laadscapiag, LLC INSUAER C: 4836 Xiva Drive -� Laporte CO 80535 wSUREIt, ➢• I COVERAGES CERTIFICATIP NIJMRPR•2011-2OIL 2 THIS IS TO CERTIFY THAT THE. POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSI,ED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INO(CATEZ). NOrMTHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO V'rHICH THIS CERTFICATE 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 r(AVE BEEN REDUCED BY PAID CLAIMS, ILSU TR TYPE OFINSURANCE WYE POUCYNUU9ER MMhOYE MM/D EXP UNI'S OlNERAl LIA61UTY 'UGH OCCURRENCE S 1, 000, 000 A E COMMEP.CtALGENERALIABttJTY CWMS.YME Y OCCUR /2V30:1 /26/7012 O0.NA PR."SF Ea xDKAnte 1 100, 000 MED EV (Arr one xenon S 15,000 CBP861T 571 �I PERSONAL S ADV INJURY 1 1, 000, 000 --� GENERALAGGR'cGAT'c f 2, 000, OQO GEN'LAOGREGATE UMITARI^PUES PER PRODUCTS-COMP/OP AGO f 2,000,000 X POLICY PRO- F LOC I S 40TOYOaILQ WiLlTY COMO NED SINGLE LIMIT CEO6CM M) a BOOI.Y INJURY (jaw panes) S AUTOS BODILY I NJ'JRY(Por oils S AUTO$ PROPERTY CAMASE(Per ECGbMO LHIREOS AL'ros f I UMBRELLA LIAR OCCUR I EACH CCC::.RRENCE 3 E%CESS Luc CUVAS :AADE AGGREGAT! S D40UCTIBLE S RETEMnON f E WORKERS COMPENSATION yam .• A1'J OTt+ ' AND EMPLOYERS- LIAR ITY YIN n ^ E.'_ EACH ACCIDZNT f ANY RROPRIETOR?ARTNER/EXECUTNE GF7CERMEM3ER EXCLUDED? NIA (MarWAtorYIn and h. de-wW UMM , E.'.:ISEASE-EA EMPLOYE f E.L O:iEASE. P OLICY LIMIT I S 0 CRIPn OF OPERATIONS efaw arsCmp ION OF OPERATONS / LOCATIONS I VEHICLES (A IteCN AGORD 101. AEEIEanel RomaAn SehWI If m ro %Deco it nRWnd) Certificate holder is Bated as Additional Tns'ared as 1e1 General Liabili:y and their interest in operacions ae :he named iazu ed. (970)221-6707 City of Fort Collins Purchasing Department 215 North Mason FO Box 850 Fort Collins, CO B0522 ACGRD 25 (2009109) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DEUVEREO IN ACCORDANCE WITH THE POLICY PROVISIONS. AISTHOFUEO REPRE5ENTAnVE Reiaoehl/EVEAG 8 1988.2009 ACORD CORPnennnN_ An nnhm raea,veA Page 1 of 1 Louisa Liu From: fullerlandscape@aol.com Sent: Monday, August 29, 2011 5:05 PM To: Louisa Liu Subject: Re: renewal for 6113 Snow and Ice Removal- Fuller Landscape Hello Loui-T—do not have any Employee's. hat do we need to do? Thanks. Brian Fuller (Owner) ---Original Message ---- From: Louisa Liu <LLiu@fcgov.com> To: 'fullerlandscape@aol.com' <fullerlandscape@aol.com> Cc: John Stephen <JSTEPHEN@fcgov.com> Sent: Mon, Aug 29, 2011 12:28 pm Subject: renewal for 6113 Snow and Ice Removal- Fuller Landscape Dear Contractor, Thanks for your signed renewal letter for the above mentioned contract. I still need your workers comp to be able to process the renewal. Please fax or email it to me by our deadline - September 9. Please let me know if you have any question. Thanks, Louisa Liu City of Fort Collins Purchasing 215 N Mason Fort Collins, CO 80522 ph:970-221-6223 fax: 970-221-6707 email: lliu cz fcgov.com 9/9/2011 WAIVER OF WORKERS' COMPENSATION BENEFITS FORM The following is a written waiver under the Workers' Compensation laws of the State of Colorado for a Sole Proprietor. The Sole Proprietor must provide the following information, sign, and return the form to the City of Fort Collins Purchasing. I am a sole proprietor and I am doing business as L;' name of Sole Proprietor's business). I am performing work as an independent contract for the City of Fort Collins, and therefore; I do not need to provide workers' compensation insurance. I understand that if I have any employees working for me, I must maintain workers' compensation insurance on them and will send copies to the City within 30 days. Name of Sole Proprietor 18 r 1 q nj K Fo % le / ' CD No. 9 y - 3C I p- l � % � Telephone No. �� C) - .5i � `� - 3 L% Address/P.O. Box q J% K V A f)✓ City L F'o,^ �`� State C Zip code Signature of Sole Proprietor 4- Date E-Mail address Fy // -t / i,i Nc,/S c 4 /,:::, z c�- cf o ( . c c r--)