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HomeMy WebLinkAboutCORRESPONDENCE - BID - 6113 SNOW AND ICE REMOVAL (6)Fort Collins
IWO
August 3, 2011
Lafarge North America
Attn: Kelly Steele
1800 North Taft Hill Road
Fort Collins, CO 80521
RE: Renewal, 6113 Snow and Ice Removal
Dear Mr. Steele:
AUG 16 2011
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, /v\`Q��
?1e
B. O'Neill II, PPO, FNIGP
y of rchasing and.5isk Management
Date
indicate your desire to renew 6113 by signing this letter and returning it to Purchasing
within the next fifteen days.)
NMI
Rev 01/08
CERTIFICATE OF LIABILITY INSURANCE
DATE(M 00DTYYYY)
DBND21
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 endomement(s).
PRODUCER
AGO Risk Services central, Inc.
Philadelphia PA office
CONTACT
NAM
PHONE TAX
INC,No,Erdt (866) 283-7122 wc. (847) 953-5390
EwINL
ADDRESS:
One Liberty Place
1650 Market Street
INSURERS) AFFORDING COVERAGE
NAIL
Suite 1000
Philadelphia PA 19103 USA
INSURED
INSURERA: National Union Fire Ins CO Of Pittsburgh
19445
Lafarge West, Inc
1800 North Taft Hill Road,
Fort Collins CO BOS21 USA
INSURER B: Insurance Company of the State of PA
19429
INSURER L: Granite State Insurance Company
23809
INSURER D: Illinois National Insurance CO
23817
INSURER E New Hampshire Ins Co
23841
INSURER F: Lexington Insurance Company
19437
COVERAGES CERTIFICATE NUMBER: 570043505746 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. Limits shown are as requested
LTR
TYPE OFINSURANCE
INSR
WVO
POLICY NUMBER
MIINDDIYYYY
MPM'DDIYYYY
LIMITS
GENERAL LIABILITY
GL CM
EACH OCCURRENCE
$2,000,000
X OERCIAL GENERAL LIABILITY
CMM
REMIS O N
PREMISES Ea T cD nce
YS00, 000
X CIAIMS-MADE ❑ OCCUR
VIED EXP(Any one person)
S50,000
PERSONAL B ADV INJURY
$2,000,000
GENERALAGGREGATE
$2,000,000
GENTL AGGREGATELNIT APPLIES PER:
PRODUCTS - COMPIOP AGG
$2,000,000
X POLICY PR T LOC
A
AUTOMOBILELLABILRY
cA. 1607650
0710112011
07/01/2012
COMBINED SINGLE LIMIT
feeaccident
$2,000,000
A
CA 1607651 (MA)
07/01/2011
07/01/2012
BODILY INJURY (Pet person)
A
% ANY AUTO
CA 1607652 (OR)
07/01/2011
07/01/2012
A
ALL OWNED SCHEDULED
CA 1607653 (VA)
07/01/2011
07/01/2012
BODILY INJURY (Per acciden0
AUTOS AUTOS
NG.GWNED
PROPERTY DAMAGE
HIRED AUTOS
AUTOS
Per ocodenl
F
X
UMBRELLA LNB
X
OCCUR
62795160
07/01/2011
07/01/2012
EACH OCCURRENCE
$1,000,000
EXCESS UAB
CLAIMSMADE
AGGREGATE
$1,000,000
DED
I RETENTION
B
WORKERS COMPENSATION AND
WC005145487A0S)
07/01/2011
07/01/2012
RY LIMITSTU
X wee, STA- OTK
C
EMPLOYERS' LIABILITY YIN
WC005145488 (CA)
07101120110710112012
E.L. EACH ACCIDENT
$2,000,000
D
aNYPnovRleioR/PanNER rEr,ELurIVE ❑
N
NIA
WC005145489 FL
( )
07/01/2011
0710112012
EL DISEASE -EA EMPLOYEE
$2,000,000
D
OFFICEn1MEMBERE%CLUDEDi
(Mandatory in NM
WCO26149465
07/01/2011
07/01/2012
D
urea tlesmee antler
O SC RIPTION OF OPERATIONS Ielow
WC00514S491(MI)
07/01/2011
07/01/2012
EL DISEASE-Poucv LIMIT
82,000,000
B
Excess WC
WC5145490
07/01/2011
07/01/2012
EL Each Accident
$2, 250, 000
XS Workers Compensation (
EL Disease - Policy
$2,250,000
SIR applies per policy ter
s & condi
ions
EL Disease - Ea Emp
$2,250,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES patech ACORD ID1, Maddened Remarks Schedule, B more space Is required)
RE: 6113 Snow & Ice Removal - 2011 Renewal. City Of Fort Collins is included as Additional Insured with respect to General
Liability and Automobile Liability policies as respects to operations of the named insured where required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
City Of FOrt
Collins
AUTHOWED REPRESENTATIVE
Purchasing DI.V151
on
Attn: lames
PO Box
O'Neill
Fort Collinsli
CO 80522 USA
cXt'o>a a=/L�cNG /GusCN
�jL7*s4 �JsF�t
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD
Attachment to ACORD Certificate for Lafarge West, Inc
The terns, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage
afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy.
INSURED
Lafarge West, Inc
1800 North Taft Hill Road,
Fort Collins CO 80521 USA
ADDITIONAL POLICIES
INSURER
If a policy below does not include limit information, refer to the corresponding policy on the ACORD
certificate form for policy limits.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBR
W,YD
POLICI'NUMSER1
POLICY DESCRIPTION
POLICY EFF
(NIMIDDII'YY\)
POLICY EXP
(MMIDDIYYYY)
LIMITS
WORKERS COMPENSATION
g
N/A
WC005145492 (NI)
7/01/201
07/01/2012
A
N/A
WcOO5145493 (OR)
7/01/201
07/01/2012
g
N/A
WCOOS145494 (WI)
3710112011
07/01/2012
g
N/A
WCOOS145495 (Tx)
7/01/201
07/01/2012
E
N/A
WC015883676(MN)
7/01/201
07/01/2012
Certificate No : 570043505746