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CORRESPONDENCE - 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