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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 7106 CURED-IN-PLACE SANITARY SEWER STORMWATER MAINS REHABILITATIONC• Financial Services it 0 Purchasing Division F t c:: LL 215 N. Mason St. 2nd Floor O r 1 0 jfls PC Box 580 Fort Collins, CO 80522 ovcc sing April 10, 2012 Reynolds mImer LLC Attn: Mr. Dennis Brock 7915 Cherrywood Loop Kiowa, CO 80117 RE: 7106 Cured-In-Plae Sanitary Sewer Stormwater Mains Rehabilitation Dear Mr. Brock: The City of DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 5 IIJ 2 OI 2 9/212011 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 Lockton Companies, LLC-1 Kansas City 2 CT 444 W. 47th Street, SUite 900 PHONE I Kansas City MO 64112-1906 (A!CNO, Eat). , N (816) 960-9000 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Old Republic Insurance Company 24147 INSURED REYNOLDS INLINER, LLC INSURER B: t26 7915 CHERRYWOOD LOOP KIOWA, CO 80117 INSURER C. INSURER D: INSURER B: INSURER F: COVERAGES LAYINOI FK CERTIFICATE NUMBER: 1 1412295 REVISION NUMBER: XXXXXXX 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. iNSH ADDL R POLICY EFF POLICY EXF LTR TYPE OF INSURANCE tSR POLICY NUMBER (MMJDD/YYYY ‘MM/DD/YYYY LIMITS A GENERALLIABILITY Y N MWZY 59)51 5/112011 5/1/2012 EACHOCCURRENCE $ 2,000,000 x DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ba occurrence) 500,000 I CIMSMADE OCCUR MED EXP (Any one personl $ 10,000 CONTRACTUAL PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 5,000,000 GEN’L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 5,000,000 E9 PRO- [1 LOC — — $ POLICYI I JECT COMBINED SINGLE LIMIT A AUTOMOBILE LIABILITY N N MW’FB 21277 5/1/2011 5/1/2012 Eaaccidenl( $ 2,000,000 X ANY AUTO BODILY INJURY (Per person) $ XXXXXXX ALL OWNED Ffl SCHEDULED NON-OWNED HROPERTY DAMAGE AUTOS AUTOS BODILY INJURY (Per accident 5 XXXXXXX X HIRED AUTOS X AUTOS Per accident) XXXXXXX S — UMBRELLA LIAB [_IOCCUR — — NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMs-MADE AGGREGATE $ XXXXXXX BED j RETENTION $ $ WCIKKERS COMPENSATiON v WC STATU- I IDTH A AND EMPLOYERS LIABILITY Y I N N MWC I 1701600 5/1/201 I 5/1/2012 ITORY LIMITS) I FR STOI 5 GAP(ND.OI I.WA.WV.WY A ANY PROPRIETOWPARTNER/ExECUTIVE NI A EL EACHACCIDENT $ 5,000,000 OFFICER/MEMBER EXCLUDED? (Mondatorrj is Wit E.L. DISEASE - EA EMPLOYEE $ 5,000,000 II yes, describe Under DESCRIPTION OF OPERATIONS below NT. DISEASE. POLICY LIMIT $ 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VDHICLLS I(Aitach ACORD 101, AdditIonal Remarks Schedule, if more space Is required) RE: FT. COLLINS, CO. 7106 CIP SANITARY SEWER STORM WATER MAiNS REIJAB CERTIFICATE HOLDER IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY COVERAGE, ONLY AS REQUIRED BY CONTRACT, SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. 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. 1141 2295 AUTHORIZED REPRESENTATIVE CITY OF FT. COLLINS PURCHASING DIVISION FT. COWNSr C08o522 ACORD25 (2010105) ©T9á20i0 ACcVDtORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACc’RIZY Fort Collins wishes to extend the agreement term for the above Captioned proposal per the existing terms and conditions. The term will be extended for one (1) additional year, June 1, 2012 through May 31, 2013. 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. 0. 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 Opal Dick, CPPO, Senior Buyer at (970) 221-6778 if you have any questions regarding this matter. Sincerely JmesJB. O’Neill II, CPPO, FNIGP Direct Purchasing and Risk M gement __ 4/12/12 Signature Mark Slack Date District Manager (Please indicate your desire to renew 7106 by signing this letter and returning it to Purchasing Division within the next fifteen days.) JBO: II Rev 02/2010