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HomeMy WebLinkAboutCORRESPONDENCE - BID - 6113 SNOW AND ICE REMOVAL (4)Fort Collins AUG 11 y011 August 3, 2011 JJ's Trucking Attn: Stan Pflipsen 221 West Douglas Road #17 Fort Collins, CO 80524 RE: Renewal, 6113 Snow and Ice Removal Dear Mr. Pflipsen: 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. ' Si cerely, Jam B. O'Neill II, CPPO, FNIGP D r for of Purchasing and Risk Management S—lO-zoo Signature vDate (Please indicate your desire to renew 6113 by signing this letter and returning it to Purchasing Division within the next fifteen days.) Wrem =0111I1 Participants by Alpha Sort Field From: To: J J 's Trucking (71) Pool Group: DOT (D1) Participant to Name SSN Nome DOT Occu Pool Rnd Tem, Term. Date XXX-XX-9098 Stephen Anderson XXX-XX-9098 Y CDL D1 Y N XXX-XX-6560 Dean Oushack XXX-XX-6560 Y CDL D1 Y N XXX-XX-4830 Stan Pllipsen XXX-XX-4830 Y CDL D1 Y N Records in this group: Pool Group: DOT (D1): 3 Records In this company: J J's Trucking (71): 3 Total Records Printed: 3 812/2011 10:18:10AM Participants by Alpha Sort Field Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE °o8/11/2011 ) 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 Gary Cramer CONTACT NAME: Gary Cramer A/CONNo Ee:970-484-1374 Fac No) 970-493-0226 1275 E Magnolia ST Unit I E-MAIL ADOREss: gary,cramer.b68o@statefarm.com Fort Collins CO 80524 INSURER() AFFORDING COVERAGE NAIC# INSURERA: INSURED PFLIPSEN, STAN INSURER B: INSURERC: DBA JJ'S TRUCKING INSURER D: 221 W DOUGLAS RD LOT 17 FORT COLLINS CO 80524-1392 INSURERE: 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 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. INSRPOLICY LTR TYPEOFINSURANCE J=SUER POUCYNUMBER EFF JMMMDNYYYI POLICY EYP (MMMDNYYYILIMITS GENERAL LIABILITY ❑ ❑ EACH OCCURRENCE $ 2,000,000 GENERAL LIABILITY -EICOMMERCIAL PREMISESEEa o=rrence $ 2,000,000 CLAIMSWADE F-IOCCUR 96-BQ-F987-7 04/22/2011 04/22/2012 MED EXP(Any one person) $ 5,000 PERSONAL S ADV INJURY $ 2,000,000 BUSINESS -MISC GENERALAGGREGATE $ 4,000,000 GENT. AGGREGATE LIMITJeCT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY LIABILITY ❑Y ❑Y COMBINED SINGLE LIMIT Ea e.slars $ 500,000 BODILY INJURY (Per person) $ ANY AUTO 2004261-D29-06A 04/29/2011 10/29/2011 BODILY INJURY (Per aotlderd) $ ALL OWNED x SCHEDULED AUTOS AUTOS HIRED AUTOS AUTOSMED 200 4262-D29-O6A 117 3516-DIO-06S D4/29/2011 04/10/2011 10/29/2011NON-O 10/10/2011 PROPERTY (DAMAGE $ a UMBRELLA DAB OCCUR ❑ ❑ EACH OCCURRENCE S AGGREGATE $ EXCESS EMB CLAIMSWADE DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' UABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICEMEMBER EXCLUDED? Y❑ N/A �Y 96-BP-R6454 08/09/2011 08/09/2012 WC STATU. OTH- T RV LIMITS ER E.L EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 (Mandalory In NH) E.L. DISEASE -POLICY LIMIT $ 500,000 Ifyes, under RIP'TI5e OFFPERATIONS 1, F-1 F-1 7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 88 KENWORTH T800 DUMP VIN: 1XKDD29X5JS512834 76 MACK R600 DUMP VIN: R686ST8447 72 MACK DUMP VIN: RS711 LS12978 CERTIFICATE City Of Fort Collins Attn: Purchasing 215 N Mason ST 2nd Floor Fort Collins CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES,13E)CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE ^LL BE DELIVERED IN ACCORDANCE WITH J4E POLICY PROVISIONS. /� ACORD 25 (2010/05) The ACORD name and logo are registered marks,6f ACORD 1001486 132849.6 11-15-2010 From: KnsBna Group Fax: +1 (888) 817-3534 To: Fax: +1 (970) 221-6707 Page 2 of 7 8/15/2011 If 28 Kristina Consulting Group LLC P.O. Box 2853, Evergreen,CO 80437 • 866.576.6657 FAX: 888.299.2491 Confidential FAX To: Ft Collins Purchasing / ATTN: John Stevens Fax (970) 221.6707 From: Michelle / Debbie Goodman Kristina Consulting Group LLC Phone: 303.880.7550 / Office: 303.670.2269 Fax Number. 888.299.2491 Subject: CERTIFICATION OF ENROLLMENT IN CONSORTIUM Date: August 15, 2011 Pages: Comments: Attached please find the Certification for Enrollment in Random Selection for the 1s1 Quarter 2011, 2n' Quarter 2011, and the participant lists. Also attached is the current participant list with the Stephen Anderson added. Their negative pre- employment test results are on file. Please don't hesitate to call if you have any other questions or concerns. Thank you! Debbie Goodman — 303.880.7550 Kristina Consulting Group The documents accompanying this transmission contain information which is confidential and/or legally privileged. The information is intended only for the use of the above named party/company. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution, or taking of any action in reliance of this document is strictly prohibited, and that this document should be returned to this firm immediately. In this regard if you have received this document in error please notify us by phone immediately at 303.670.2269. From: Kristine Group Fax: +1 (888) 817-3534 To: Fax: +1 (970) 221-6707 Page 3 of 7 8/15/2011 11:28 Random Selection - Eligible Pool Random Batch R0001445 Configuration Name: SmallCompanies2011(1) Reprint of Audit Trail for batch qenerated on 02/24/2011 Company: 71 J J's Trucking Contact: Gene Schwartz Phone: (970) 221-4008 Fax: (970) 484-3211 Home Base: Contact: Phone: Fax: ID SSN Name Occupation Pool Group XXX-XX-4830 XXX-XX-4830 Stan Pflipsen CDL Dot (DOT) D1 DOT 1 Eligible Participants In Home Base: Q 1 Eligible Participants In Company: J J's Trucking (71) 822011 10:20:50AM Random Selection - Eligible Pool Page 1 of 1 From: Krisfina Group Fax: +1 (888) 817-3534 To: Fax: +1 (970) 221-6707 Page 4 of 7 8/15/2011 11:28 Participants by Alpha Sort Field From'. To: J J 's Trucking (71) Pool Group: DOT (D1) Participant to Name SSN Home DOT Occu Pool Rnd Term. Tem. Date XXX-XX-9098 Stephen Anderson XXX-XX.9098 Y CDL Dl Y N XXX-XX-6560 Dean Dushack XXX-XX-6560 Y CDL D1 Y N XXX-XX-4830 Stan Pflipsen XXX-XX-4830 Y CDL D1 Y N Records In this group: Pool Group: DOT (137): 3 Records In this company: J J's Trucking (71): 3 Total Records Printed: 3 822011 10:18:10AM Participants by Alpha Sort Field Page 1 of 1 From: Kristine Group Fax: +1 (888) 817-3534 To: Fax: +1 (970) 221-6707 Page 5 of 7 W15/2011 11:28 Kristina Consulting Group LLC PO Box 2853 Evergreen, CO. 80439 Gene Schwartz J J's Trucking 221 W. Douglas Rd #17 Fort Collins, CO 80524 Certification of Enrollment in Random Selection 3/3/2011 11:25:37AM Batch R0001445 Generated on 2/24/2011 This document certifies that your company's employees are subject to computer- generated random selections for alcohol and/or drug testing. You should store this document with your other permanent drug testing records. Number of your employees eligible for selection 1 Number of your employees selected for Drug testing only 0 Number of your employees selected for Alcohol testing only 0 Number of your employees selected for dual Drug/Alcohol testing 0 Total number of your employees selected for testing: 0 Total number of participants in this random pool 191 Total number of participants selected from this random pool 25 Total percentage of eligible participants selected for Drug Testing: 13.09 Total percentage of eligible participants selected for Alcohol Testing: 3.14 Authorized Signature From: Kristine Group Fax: +1 (888) 817-3634 To: Fax: +1 (970) 221-6707 Page 6 of 7 8/162011 11:28 Random Selection - Eligible Pool Random BatchR0001479 Configuration Name: Group2 2ndgtr2011 Reprint of Audit Trail for batch generated on 05/02/2011 Company: 71 J J's Trucking Contact: Gene Schwartz Phone: (970) 221-4008 Fax: (970) 484-3211 Home Base: Contact: Phone: Fax: ID SSN Name Occupation Pool Group XXX-XX-6560 XXX-XX-6560 Dean Dushack COL Dut(OOT) 01 DOT XXX-XX-2870 XXX-XX-2870 Mike McLughlin COL Dot(DOT) D1 DOT XXX-XX-4830 XXX-XX-4830 Stan PAipsen COL Dot(DOT) D1 DOT 3 Eligible Participants in Home Base: () 3 Eligible Participants in Company: J J's Trucking (71) 5/42011 8:33:OOAM Random Selection - Eligible Pool Page 1 of 1 From: Kristina Group Fax: +1 (888) 017-3534 To: Fax: +1 (970) 221.6707 Page 7 or 7 8/15/2011 11:28 Kristina Consulting Group LLC PO Box 2853 Evergreen, CO. 80439 Gene Schwartz J J's Trucking 221 W. Douglas Rd #17 Fort Collins, CO 80524 Certification of Enrollment in Random Selection 5/4/201 1 10:36:42AM Batch R0001478 Generated on 5/2/2011 This document certifies that your company's employees are subject to computer- generated random selections for alcohol and/or drug testing. You should store this document with your other permanent drug testing records. Number of your employees eligible for selection 3 Number of your employees selected for Drug testing only 0 Number of your employees selected for Alcohol testing only 0 Number of your employees selected for dual Drug/Alcohol testing 0 Total number of your employees selected for testing: 0 Total number of participants in this random pool 125 Total number of participants selected from this random pool 17 Total percentage of eligible participants selected for Drug Testing: 13.60 Total percentage of eligible participants selected for Alcohol Testing: 3.20 q^ Authorized Signature Krishna Consulting Group LLC PO Box 2853 Evergreen, CO. 80439 Gene Schwartz J J's Trucking 221 W. Douglas Rd #17 Fort Collins, CO 80524 Certification of Enrollment in Random Selection 5/4/2011 10:36:42AM on 5/2/2011 This document certifies that your company's employees are subject to computer- generated random selections for alcohol and/or drug. testing. You should store this document with your other permanent drug testing records. Number of your employees eligible for selebtion 3 Number of your employees selected forl'Drug testing; only 0 Number of your employees selected for Accohol testing;only 0 Number of your employees selected for dual Drug/Alcohol testinc I 0 Total number of your employees selected for testing: ! I 0 Total number of participants in this random pool 125 Total number of participants selected from,I this random pool 17 Total percentage of eligible participants selected.for Drug Test ng: Total percentage of eligible participants selected to �Aicohol Testing: 13.60 3.20 Authorized Signature