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