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Home My WebLink AboutCORRESPONDENCE - BID - 6113 SNOW AND ICE REMOVAL (5)AUG-10-2011 09:21 OCCUPATIONAL HEALTH 970 297 6599 P.001/001 Fort Collins August 3, 2011 Viney Trucking Attn: KevinVney PO Box 1446 LaPorte, CO 80535 RE: Renewal, 6113 Snow and Ice Removal AUG 10 son Financial services Purchasing Division 215 North Mason Stwt 2no Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707 - fax /bgov. coM1P0rchasing Dear Mr. Vney: 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. B. O'Neill II, CPPO, FNIGP r of Purch 'Rg,and Risk Management Ire Date (Please indicate your desire to renew 6113 by signing this letter and returning it to Purchasing Division within the next fifteen days.) JBOJI Rev 01/08 TnT6T. P nni 00/10/2011 09:42 9702215478 DARYL ALEXANDER INS PAGE 02/02 'ate Rp 4CERTIFICATE OF LIABILITY INSURANCE 0408i09i2011 ' 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 tho CBrtHlcate holder is an ADOIT10NAL INSURED, the P011cy(Ics) must be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain politics may require an endomomont. A statement on this certificate does not confer rights to the cortiRcete holder In Ilou of such endorsement(s). rRODUCER c NTAcT ODE Alexander Daryl Alexander Insurance Agency Inc PNDNE g70 ande 98 F^x 5205 S College Ave FD*c,�n..Estu�_.. , nLC 970-221.5478 L-ADOM33::Fort Collins, CO 80525 F 31D-F;_...INSINSURERIS)AFFORDING COVERAGENAIC4 UREO A: State Farm Mutual Automobile Insurance Company 2517R Vlney Trucking Inc 6:PO Box 1446 :Laporte, CO 80535-1446 ;": .. _— u rv,GGR: 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 RE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT —EXCLUSIONS TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, _ —.,_ INSR DOL ... ........ ADOL LIPTYPE OF INSURANCE N POLICYd POLrcY EXP lJM1n15 POLICY NUMBER 1MIDDM^/V M ry L LIABILITY FACH OCCURRENCE f MERCIAL GENERAL UAP.ILI'rY CIAIMS lAAOE OCCUR ❑ PREMISESS EaT� 5 MEDEXP(Myonoparsan) S - _.,... .. .. ..__— PERSONALRADVINJURY S_ G_RNERALAGGREW_TE - OREOATE - LIMIT APrPLIES PERPRDWCTS-COMPIDPAGGICY - PRO- LOC S " -- A LIAEILDY COMBINED SINGLE LIMIT IAUTOMOBILE ANY AUTO Ea aoed.M) f 2,000,000 _ Y 0571122-E17-06 Dsn7l20tf 05H 7y2D12 i BODILY INJURY ParEOA) ALL ONNEO AUTOS .. E X 5CHEDUIJ:DAUT05 BODILY INJURY (Par BCUtlaAn X HIRED AUTOS PROPERTY DAMAGE (PArandmn) X NON.OV4NEn AUTOS UMBRELLA LIAe OCCUR FACM OCCURRENCE S ExcIE94 LIAR CLAIMS-01AOE ❑ I AOOREOATE S DEDUCTIBLE-- -� RETENTION S S-- SgTpN V.0 BTAT II Uil l- AND EMPLOYERS' YERS' ANOERIPLOYFJt3'LNBRJTY YIN Y..LINLS ANYPROPRIETER EXCLUDED, EDUDNE OPFIgERMEMNN)E%CLVOEOT N1^❑ EL. F.ACH ACCIDENT "-- $ MAnaRory In NMl f yee, tlnz°IbP Mbar El DISFJ,$F.-EA EMPLOYE .. E ...... _...._ E.L DISEASE - POIJOY LIMIT eRCIAI nRnvlelnnle r.d....^ L IJ DEEDRIPnON OF OPERATIONS /LOCgnON RIVEHICLE3 (AIMCH ACORD fOL AamtlengllWml,rb arlwduh, Ir mom.apncad rcaulrcSl CITY OF FORT COLLINS PURCHASING OMSION P.0. BOX 580 FORTCOLLINS. CO 80522 IS LISTED AS ADDITIONAL INSURED CITY OF FORT COLLINS PURCHASING DIVISION P.O, BOX 580 FORT COLLNS. CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH TIC POLICY PROVISIONS, `mod/ '�Prr L91988-2009 ACORD CORPORATION. All rights I .. r-_-.,. ' 1 rrr rA umv name ano logo are registered marks Of ACORD 1001486 132849.4 02-11-2010 00/10/2011 09:42 9702215470 DARYL ALEXANDER INS PAGE 01/02 State Farm Insurance Daryl Alexander Insurance Agency, Inc 5205 S College Ave Fort Collins, Cc 80525 Phone:970-493-2196 Fax: 970-221-5478 FAX CITY OF FORT COLLINS To: From: Rachel Garcia Fax: 970-221-6707 Pages: 2(including cover sheet) Re: VINEY TRUCKING PROOF OF INSURANCE Date: Wednesday, August 10, 2011 CC: :TAiI FARM INSu1nN C[ El Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: RENEWAL 6113 SNOW AND ICE REMOVAL From Rachel Garcia Office Representative Agent Daryl Alexander State Farm Insurance Agency Inc. Office 970493-2196 Fax 970-221-5478 Aug 30 11 11:53a VINEY 0813012C11 RUB 11!57 PAX 9705869533 LIN Insurance 970-493-6263 p.2 INUV1/UV[ OP ID: GG AcoRo CERTIFICATE OF LIABILITY INSURANCE Moe, 01ii rYy' 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, EMEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IISURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED, the p01ICY(I08) must be endorsed. 11 SUBROGATION IS WAIVED, subject to the Earn a and Conditions of the policy. certain policies may require an endoreament A statement on this certificate does not confer rights to the Certificate holder in lieu of such endersem s. PRODUCER 970.635.9400 PFS Insurance Group-JT 970.635.9401 4848 Thompson Pkwy, Ste 200 Johnstown, CO 0534 Tad Borrett reONe „ RR NL .VINEY-1 Ire B Ar"olso Co m,06 NNCe IM%MEC Vineir Trucking, Inn. Dba Duarte Viney Tnrcldng 2507 Brockhlll Rd. Ft. Collins, CO 8OS24 MURSR A; Pinnacol Assurance 024210 INSURER a: - luwaee e : INSURER 0: INSURER l: 1 SURER P: E REVISION NUMBER: COVERAGES CERTIFICATENUMB Po THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTvfTHS7ANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT DR OTHER DOCUMENT 'raTH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CODIDITIONS OF SUCH POLICIES, LMTS SHOWN MAYM HAVE BEEN REDUCED BY PAID CLA61S. TYPSOFRSURANCE Win-- vnUNatl! Y r LIB GENERAL LM80.1rY EACH OCCURRENCE s fMA i GpxMB2GIAL GEMEMLLIABLITY WA HIED E](P anP prom { CUUMS-AVWE❑OCCUR PERSONAL AADVIWIFrY 1 GENEMI AGGREGATE / rfNLAGGRWATEUMIAPPUES PQICY Plat PRP LOG WM PRODUCTS-COMP,TWAGG f 1 MTONO=UAemn COYBP SINOLE UMT (N 4 IMno { ANY AUTO 1A BODILY INAJRY (Pe mmmI I MMY INJURY(PRa .nq 1 ALL PNNED AUTOS PROPERTY DAMAGE AeiEAM) E SCHEDULED AUTOS HIRED AUTOS { NCN-0WN'_DAUTW f U'�11lLLA UAa OCCUR EACHOCCURREN:E 1 .AGGREGATE f IDSfiSS LMe CLAalS-wU]-� I WA DEDucTIBLE s WCBTAT, OTH- x NTION { YIDRAT:RsoGMPE11aATTDX E.L Fi.CN ACCIDENT S 100,00 A AM EIPLOYERV WBIUI YlN a°FFw�e°Pis�see1OER FxciJOEUI� OFFICE ry1n NN) IlMyu,pda A uwcl Dc�SCP PTIDN OE❑ N EemN VIA 196316 9uLT WAVER Or BU5100A70 ajTWAr2 01V01I11 CM1112 I E.L. DISEASE -EA E'NRO { 10D, EL. DISEASE -POLICY UNIT 1 :100.oD OW20/ON D6eWPDON GFOPERAnONSf LDDATONaIVEwCLEB DNr+lN ACOfID 1e4 AAmew„I RunRMSOtlxAAl0.11 n10:•aprcah ngNad) CITYFCC " SHOULD ANY OF THE ABOVE DESCRIBED POLICIE86E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF FORT COLLINS ACCORDANCE WTH THE POLICY PROVISIONS. P 0 Box 5W AuTRORIaD REPRlAWxTWE FORT COLLINS. CO S0821 AAA, m 4c".fnne ar.nRn CORPORATION. AN rlohta reserved. ACORD 25 (200910.9) The ACORD name and logo are registered marks of ACORD Aug 30 11 11:53a VINEY JUL-28-2011 THU 05:01 PM GENERAL CARE 970-493-6263 FAX NO, 9IU48?bbLb p.3 r, uvuE MEDICAL OCCUPATIONAL MEMCiNE • URGENT CARE 7/28111 To: City of Fort Collins From: GeneralCare Medical Clinic Regarding: Viney Trucking 620 $011 tEMar, F62E C"UWS, C0 90521 D¢HR, I WWA, CO 00550 (970)674.0626 Generaicare serves as the designated provider for Viney Trucking in Fort Collins for Their DOT physicals and drug screen collections. We keep DOT required paper work here on file. if you have any questions or toner's please do not hesitate to contact our office. Iffice Administrator, Human Resourses Aug 30 11 11:53a VINEY 10112/2010 ri 970-493-6263 Occupational Health Services Company Profile for Viney Trucking, Inc. -'; Company Information Company Name Main Address: NAICS Code: Company Type: User Code: Sales Rep: Last Contact. Page 1 Viney Trucking, Inc. ID: VINEY Corporate Office Alt Company ID: PO Box 1446 Company #: # of Employees: 12 Laporte, CO 80535 FEIN: 48411 Main Contact: Kevin Viney Phone: 970-493-1403 Fax: 970-493-6263 Email: 07/22/2004 Next Contact: Client Since: 07l06.1998 Active Memo: Account Information - Self -Pay Billing — —` KevinViney Bill To: Kevin Viney Phone: 970-493-1403 Viney Trucking, Inc. Fax: 970-493-6263 2607 Brookhill Road �V Fort Collins, CO 30524 Workers' Comp Billing Pinnacol Assurance Bill To: Pinnacol Assurance P.O. Box 469013 PO Box 469013 Plan: PD4X, 7501 E. Lowry Blvd. 7501 E. Lowry Boulevard Group: Denver, CO 80246 Denver, CO 90230 Policy: 1963162 Phone' 88S-852-2239 Phone: 303-3614000 Fax: 303-361-5910 Departments/Contacts No Records Found — ^ � Procedures Fee Code Prime Discount Breath Alcohol Test Breath Alcohol Test 920'5 Invoice to: CO VINEY *** Breath Alcohol Test *** FAX & MAIL results to: Kevin Viney Fax it: 493-6263 (. S1 cj CX 7:TIU-FOXC5'AI: E Mwr:wANcr C0 M1;P.11 V Mot 1.11...+„2afn]»b 25.00 $25.00 Aug 30 11 11:53a VINEY 970-493-6263 1011212010 Occupational Health Services Company Profile for Viney Trucking, Inc. Fee Code Random Drug Screen UDC Comprehensive 990UC Invoice to: CO VINEY THIS IS A DOT DRUG SCREEN. Use OHS/Quest COC. Conduct a 5-panel test. FAX & MAIL results to: Kevin Viney Fax m: 493-6263 Additional Collection Fee Observed Test 990UC-01 Invoice to: CO VLNEY Reasonable Suspicion Drug Screen UDC Comprehensive 990UC Invoice to: CO VINEY THIS IS A DOT DRUG SCREEN. Use OHS/Quest COC. Conduct a 5-panel test. FAX & MAIL results to: Kevin Viney Fax #: 493-6263 Additional Collection Fee Observed'Fest 990UC-01 Invoice to: CO VINEY I?dts \TlC? I. NEFe�rS'3ILL Ai4in'rEN16CTJ(U1V.46Y PRJiIIF:_.: i>=a'=J p.5 Page 2 Price Discount 40M 40.00 S80.00 40.00 40.00 MUM Aug 30 11 11:53a VINEY 970-493-6263 p.1 Ymey Trucking, Inc. PO Box 1446 Laporte, CO 80535 Office (970) 493-1403 Far (970) 493-6263 Email vineyhucking([tmsmcom FACSRV= TRANSMCPTAL Pages Including Cover--[,