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Home My WebLink AboutRESPONSE - BID - 7339 SALE OF CITY SURPLUS SCRAP METALSBID #7339 SALE OF SCRAP METALS BID SCHEDULE The pounds of scrap are annual estimates only (based on 2011). The actual and final pounds of all scrap weighed will be weighed on the Vendor's Certified scales and considered final in producing actual scrap weight (subject to periodic Audits): STEEL: $ - 1 0 /LB. X 235,000 LBS = $ 23; 500-00TOTAL Please indicate on this line which Metals Index (as of March 14, 2012) you based your Price/LB on: ALUMINUM WIRE, INSULATED: $ • 60 /LB. X 98,000 LBS = $ 59 S00.00TOTAL * Please indicate on this line which Metals Index (as of March 14, 2012) you based your Price/LB on: Arne ricdn Me-1'4. /72arke't ALUMINUM SIGNS: $ .-70 /LB. X 13,000 LBS = $ 9 r OO,DO TOTAL Please indicate on this line which Metals Index (as of March 14, 2012) you based your Price/LB on: Arr,er ZZ //%y-A- /liar kef BRASS/COPPER MIX: $ 3.00 /LB. X 6,800 LBS = $ zo�1y00.00 TOTAL Please indicate on this line which Metals Index (as of March 14, 2012) you based your Price/LB rY12r i ca r� #2 COPPER WIRE, INSULATED: $ 1 .1a0 /LB. X 4,200 LBS = $ 6790.00 TOTAL Please indicate on this line which Metals Index (as of March 14, 2012) you based your Price/LB on: = AMatI eaA n'1eM ket RED BRASS: $ 2. (-O /LB. X 2,500 LBS = $ G 500. 00 TOTAL * Please indicate on this line which Metals Index (as of March 14, 2012) you based your Price/LB on: Arnar, ea n IY7e*r<,l /17ar keJ" CAST IRON WITH ALUMINUM: $ .as /LB. X 1,880 LBS = $ W7D.00 TOTAL Please indicate on this line which Metals Index (as of March 14, 2012) you based your Price/LB on: / R/I'7Pr/Can �%2T/f,l /pia/�.t�f SCRAP ALUMINUM, MISCELLANEOUS: $ -70 /LB. X 1,350 LBS = $ g45.00 TOTAL ` Please indicate on this line which Metals Index (as of March 14, 2012) you based your Price/LB on: 7339 Sale of City Surplus Scrap Metals Page 9 of 19 60327-15-22 BUSINESS AUTO DECLARATIONS (CONTINUED) Policy Ner REM FOUR SCHEDULE OF HIRED OR BORROWED COVERED AUTO COVERAGE AND PREMIUMS LIABILITY COVERAGE ATI BASIS, COS 0 R STATE ESTIMATED COST OF HIRE FOR EACH STATE RATE PER EACH 100 COST OF HillCOV. FACTOR( n PRIMARY) PREMIUM PREMIUM Cost of hire means the total amount you incur for the hire of "autos" you don't own (not including "autos" you borrow or rent from your employees or their family members). Cost of hire does not include charges for services performed by motor carriers of property or passengers. PHYSICAL DAMAGE COVERAGE LIMIT OF INSURANCE ESTIMATED RATES PER PREMIUM COVERAGES THE MOST WE WILL PAY ANNUAL EACH $100 DEDUCTIBLE COST OF HIRE COST OF HIRE ACTUAL CASH VALUE CUSI OF REPAIRS OR S WHICHEVER IS LESS MINUS COMPREHENSIVE $ DED. FOR EACH COVERED AUTO. BUT NO DEDUCIIBLE APPLIES TO LOSS CAUSED BY FIRE OR LIGHTNING. SPECIFIED ACI UAL LASH VALUE, CUSI OF REPAIRS UK S WHICHEVER IS LESS MINUS CAUSES OF LOSS S25 DED. FOR EACH COVERED AUTO FOR LOSS CAUSED BY MISCHIEF OR VANDALISM. COLLISION ACTUAL CASH VALUE, COST OF REPAIRS OR S WHICHEVER IS LESS MINUS S DED. FOR EACH COVERED AUTO PREMIUM ITEM FIVE SCHEDULE FOR NON -OWNERSHIP LIABILITY NAMED INSURED'S BUSINESS RATING BASIS NUMBER PREMIUM Other than a Social ServiceAgency Number of Employees Number of Partners Soci Service Agency Number of Em o ees Number o Vo unteers IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. Premium shown is payable: $ 12, 428. 00 at inception. ENDORSEMENTS ATTACHED TO THIS POLICY: IL 00 21-Broad form Nuclear Exclusion (Not applicable in New York) LOSS PAYEE COUNTERSIGNED By Date Authorized Representative 56-5190 69H EDHION 310 56-51904D6 ESE 90603 PAGE 3 OF 3 60327-15-22 Policy Hunker DECLARATIONS SUPPLEMENTAL SCHEDULE OF -COVERED AUTOS YOU OWN DESCRIPTION TERRITORY PURCHASED Covered In', del Trq�e �{a , B dy Typ Serial Num�ei (S) Ye 1V4��denti?ication�lumber I Town & State where Covered Auto will be principally garaged Oorsgipaa� i N Adpal Cq}t 8 U)L USE'DI) Auto 0. W— 07 SUPERIOR TRAILER COFT COLLINS z 10 94 WABASH6NATIONAL60 6505 FT COLLINS CO 2 12 w1JAgJgAVA532NYN8RL209LL100 94 6505 FT COLLINS CO 2 13 7JppJVg532Y3RL223566 85 3F5641283 W-100/W-15 9919 FT COLLINS CO 2 16 096532 97 FORD CC MEDIUM HEA 29128 FORT COLLINS CO 2 1FDNF70JXVVA02205 CLASSIFICATION Except for towing, all physical damage loss is payable to you and the loss Radius at Operation usiness use s - servi a Size IJVW GCW or Yeh. Age Group I ry acing con ary acing a r - retail Seating actor ctor payee named below as interests 10 . Dam. AubNru c - commercial Capacity may appear at the time of the loss. 9 10 50 50 C 2001 J .1000 .5000 68459 12 50 C 5000 J .1000 .5000 68159 13 50 C 10000 P 1.3500 1.1000 03159 16 50 C 21000 G 1.5000 .8000 2500 33159 Bence at a deductible or limit entry in any co umn below means that the limit or deductible entry in e corres on in ITEM fib column applies instead LIABILITY PERSONAL INJURY PROTECTION A�tDDED P.LP. PROP. PROT. (Mich. on Cover.gd *Limit Premium EmA s nd minas ac� Premium Edda�tPti �tnd.c ends minas �Q�n�� uct. Premium Auto No. dactib a shown hal0w remium shown bD ow 10 1000 56.00 13 1000 824.00 16 1000 1,098.0 Total Premium 2, 094.00 Bence at a dejuctible or limit entry in any column below means that the limit or deductible entry in The corresponding ITEM fib column applies instead) AUTO MED. PAY Covered PROPERTY DAMAGE Auto No. * una remum *Lima Premium *Limit Premium Emd Premium 10 4.00 13 40.001000 58.0 16 40.001000 58.0 Ota Premium 92.00 116.00 Bence a a deductible orlimit entry to any column a ow means t at t e imd or a ucti a entry m t e corres o dinq ITEM M column applies instead cumi,111KN51VI SPECIFIED CAUSES OF LOSS COLLISION TOWING LABOR Covered state In rpinus ae uc- Premium Limit stat in U i itstate iR Jninu� Premium im4 Per Disablement Premium Auto o. ti a shown a ow Premium iduct. shown a to 10 12 13 16 100 144.00 Totgl Premium 144.00 *II IYR[ r Awu lu TUIu1TAUN[\ µmnl++nv rm m ARMIRf NNANO Z�-CA_^3.ZT 56-5190 4rH EDMON 6-00 r51904 565190BED4 DECLARATIONS SUPPLEMENTAL SCHEDULE OF COVERED AUTOS YOU OWN 60327-15-22 Policy Honker DESCRIPTION TERRITORY PURCHASED (over d Auto flo. Y pp�r, moM�del Tr d� a , BVdy Type Serial i mber (S) 9e � clo'e til cation fiumber Town 8 State where Covered Auto will he principally garaged QrsTgipeW ` Ad�g DC E9 19 20 95 WABASH NATIONAL CC 1JJV532Y8SL224489 94 WJAgJVA532NATTTIIIOO9p7p597 93 V3$JAgSH NNA9pTTPiLi796L9L84 5100 5100 5100 FORT COLLINS2 FORT COLLINS CO 2 FORT COLLINS CO 2 21 94"WpJpTJTgVg532Y7RNNLp2p22775 5100 FORT COLLINS CO $ 22 03 3HTkRNAL03N580367 TRUCK 47821 FORT COLLINS CO 2 CLASSIFICATION Except for towing, all physical damage loss Is payable to you and the loss payee named below as interests a Eus o Operation usiness use s - service r - retall ize G(W or Veh. Seating Age Group rirpary ahng actor con ory acing ctor a Aufert�n c - commercial Capacity may appear at the time of the loss. is am 19 20 22 50 50 50 C C C 2001 2001 23500 J K A .1000 .1O 1.5000 .5000 .5000 .8000 .2500 68159 68459 33459 tortes on in ITEM TWb column serim a adeductible or limit entry in any column below means that the Emit ordeductible entry in the applies instead LIABILITY PERSONAL IttNJUR PROTECTION ADDED P.I.P. PROP. PROT. AN . an (over d *imrt remmm it A sEintl minuetl� Premium idde�tPtl. I7cn. Liml stated �� ud. Premium Auto fla. duiPtPible shownselow remium shown below is 19 21 22 1000 1000 1000 1000 60.00 56.00 1 041.00 ota Premium 1,273.001 Bence at 0 defictible Or limit entry in any column below means that the lima or deductible entry in 1 e corresponding ITEM *b column applies instead) Covered AUTO MED. PAY UNINSURED PROPERTY MOTORIST DAMAGE UNPERINSURED MOTORISTS Auto No. *Limit I Premium— *Limit Premium limit remium imrt Premium 19 21 22 4.00 4.00 40.001000 58.0 Ot0 Premium 56.00 58.00 -tMIUMS LINIIIS AND ULU LI JULES lAbsence at a dea-uctible Or mul antry in any CO Fumn a Ow means t at 1 e Imrt Or urli a entryin t e corres ondin ITEM TWb column applies instead) COMPKIIIEN51VI SPECIFIED CAUSES OF LOSS COLLISION TOWING LABOR (over�Qd Auto No. state sinus a uc- ti a shown a ow Premium Limit state IO TWO Premium I rt state I Jninuz tlud. shown below Premium Limit Per Disablement Premium 18 19 20 21 22 100 210.00 Total Premium 210 .0 0 *n wne eunuAo meunue. une• µmenu... " mAnvwnnma/ AAPMEPf IMSUACN(E! 56"5190 4TM EDITION 6110 C5190441 %519004 ECLARATIONS SUPPLEMENTAL CHEDULE OF COVERED AUTOS YOU OWN 60327-15-22 Policy Number DESCRIPTION TERRITORY PURCHASED Y pr, model Tr ae a , B dy Typg SeriafNumber (S) I�e Number Town 8 S ate where Covered Auto will N principally garaged rAaelx Act I Wit rver-ed uto Ao. (��MentNication T In0 23 98 FREIGHTLINER 0 0 0 2 1FUY3MDB9WL912770 24 92 WABASH NATIONAL 6500 FORT COLLINS CO 2 1JRJgVI5g3322TLYL4NNNggLgg170113 25 M2 106 MED 05 >j�� 73092 FORT COLLINS CO 2 CgWgOppCpp2TT5IHIU28426 26 00 ►��4g5ggg32NWNAXATYTILI681828 6850 FORT COLLINS CO 2 27 00 6860 FORT COLLINS CO 2 1JJ8532W9YF68AL CLASSIFICA 0 Except for towing, all physical damage a ius at uslness use Ize ge rlmary econ ary a Operation s - servi�e G(W or Veh. Group acing acing loss is payable to you and the loss r - retai Seating actor nor payee named below as interests ia. m i1oer dd (-commercial Capacity may appear at the time of the loss. 24 50 C 2001 L 5uul .1000 .5000 68459 25 50 C 45000 8 1.5000 .8000 .2500 33459 26 50 C 10000 D .1000 .5000 68459 27 50 C 10000 D .1000 5000 68459 I All 1l:UUL III ES Bence o a e A a or Imrt entry In any column below means that the limit or deductible entryIn 1 e corres on in ITEM TWb column applies instead LIABILITY PERSONAL INF RY PROTECTION ADDED P.LP. PROP. P OT. Mich. oa pre Iver�ed *Limit Premium I� s nyminu�jd�- remium IIDI%tr.r I?ml c r� end mnu P.J. uct. mium Ito No. ductib a shown beIDW rdenniuPml shown 1elow 24 1000 56.00 25 1000 1,041.00 26 1000 56.00 27 1000 56.00 ota emium 2,848.00 (Absence at a deductible or limit entry in any column below means that the limit or deductible entry in the corresponding ITEM T*O column applies instead) AUTO MED. PAY SURED MOTORIST UNDERINSURED MOTORISTS Ivered PROPERTY DAMAGE no No. Imd remium * Imrt Premium Imrt Premium Imrt Premium 24 4.00 25 40.001000 58.0 4.00 27 4.00 ota emium 92.00 116.0 (Absence at a uctl or Imd entry m any m umn a ow means t at t o Emd or a uctl a entrym t e corres ondin ITEM TWO column applies instead mrKkK N5lVt I SPEILIFIED EAUSES Of LOSS COLD ON TOWING LABOR Iverdrd state N uc- Premium Imrt stat in 0 rt state i5 uct. Premium Imrt Per Disablement Premium 1mus �e ti Premium �rlinusb f Ito o. e s own a ow sown a ow 24 25 100 301.00 500 571.00 27 Total emium 783.00 1,369.00 *n MR7 mnufn of mnueume. µfAnna mvrrn in Anvuawnvar fA0.MfAf INSUAANlf� Wit.`-ll_1TT -5190 4TH ED111014 6 W (519D441 519011104 96 This Spectrum Policy consists of the Declarations, Coverage Forms, Common Policy Conditions and any 69 other Forms and Endorsements issued to be a part of the Policy. This insurance is provided by the stock PG' insurance company of The Hartford Insurance Group shown below. SBA r� INSURER: HARTFORD CASUALTY INSURANCE COMP U)'S HARTFORD PLAZA, HARTFORD, CT 06115 III.,. COMPANY CODE: 3 I CJ ll ( THE Policy Number: 34 SBA PG6996 SC ARTFORD SPECTRUM POLICY DECLARATIONS ORIGINAL � Named Insured and Mailing Address: ROCKY MOUNTAIN BATTERY SERVICE o (No., Street, Town, Slate, Zip Code) 1475 N COLLEGE AVE m FORT COLLINS CO 80524 Policy Period: From 05/10/12 To 05/10/13 1 YEAR 12:01 a.m., Standard time at your mailing address shown above. Exception: 12 noon in New Hampshire. � Name of Agent/Broker: MOUNTAIN INSURANCE BROKERS ro Code: 343294 0 N Previous Policy Number: 34 SBA PG6996 Named Insured is: CORPORATION Audit Period: NON-AUDITABLE Type of Property Coverage: SPECIAL Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy, we agree with you to provide insurance as staled in this policy. TOTAL ANNUAL PREMIUM IS: $4,790 Countersigned by Authorized Representative Form SS 00 02 12 06 Page 001 (CONTINUED ON NEXT PAGE) Process Date: 03/12/12 Policy Expiration Date: 05/10/1-3 Date INSURED COPY SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 34 SBA PG6996 Location(s), Building(s), Business of Named Insured and Schedule of Coverages for Premises as designated by Number below. Location: 001 Building: 001 1475 N COLLEGE AVE FORT COLLINS CO 80524 Description of Business: AUTO PARTS & SUPPLIES STORE Deductible: $ 500 PER OCCURRENCE BUILDING AND BUSINESS PERSONAL PROPERTY LIMITS OF INSURANCE :19114911114C REPLACEMENT COST BUSINESS PERSONAL PROPERTY REPLACEMENT COST PERSONAL PROPERTY OF OTHERS REPLACEMENT COST MONEY AND SECURITIES INSIDE THE PREMISES OUTSIDE THE PREMISES Form SS 00 02 12 06 Process Date: 03/12/12 $ 149,700 $ 60,900 NO COVERAGE $ 10,000 $ 5,000 Page 002 (CONTINUED ON NEXT PAGE) Policy Expiration Date: 05/10/13 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 34 SBA PG6996 Location(s), Building(s), Business of Named Insured and Schedule of Coverages for Premises as designated by Number below. Location: 001 Building: 001 PROPERTY OPTIONAL COVERAGES APPLICABLE LIMITS OF INSURANCE TO THIS LOCATION d, STRETCH PLUS COVERAGE:FORM SS 04 88 N THIS FORM INCLUDES MANY ADDITIONAL o COVERAGES AND EXTENSIONS OF COVERAGES. A SUMMARY OF THE COVERAGE LIMITS IS ATTACHED. LIMITED FUNGI, BACTERIA OR VIRUS $ 50,000 o COVERAGE: FORM SS 40 93 THIS IS THE MAXIMUM AMOUNT OF �ry INSURANCE FOR THIS COVERAGE, 04 SUBJECT TO ALL PROPERTY LIMITS FOUND ELSEWHERE ON THIS DECLARATION. o INCLUDING BUSINESS INCOME AND EXTRA EXPENSE COVERAGE FOR: 30 DAYS N k Form SS 00 02 12 06 Page 003 (CONTINUED ON NEXT PAGE) Process Date: 03/12/12 Policy Expiration Date: 05 /10 /13 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 34 SBA PG6996 Localion(s), Building(s), Business of Named Insured and Schedule of Coverages for Premises as designated by Number below. Location: 001 Building: 002 1475 N COLLEGE AVE FORT COLLINS CO 80524 Description of Business: AUTO PARTS & SUPPLIES STORE Deductible: $ 500 PER OCCURRENCE BUILDING AND BUSINESS PERSONAL PROPERTY LIMITS OF INSURANCE BUILDING REPLACEMENT COST BUSINESS PERSONAL PROPERTY REPLACEMENT COST PERSONAL PROPERTY OFOTHERS REPLACEMENT COST MONEY AND SECURITIES INSIDE THE PREMISES OUTSIDE THE PREMISES $ 152,500 NO COVERAGE $ 10,000 $ 5,000 Form SS 00 02 12 06 Process Date: 03/12/12 Page 004 (CONTINUED ON NEXT PAGE) Policy Expiration Date: 05/10/13 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 34 SBA PG6996 Location(s), Building(s), Business of Named Insured and Schedule of Coverages for Premises as designated by Number below. Location: 001 Building: 002 PROPERTY OPTIONAL COVERAGES APPLICABLE LIMITS OF INSURANCE TO THIS LOCATION STRETCH PLUS COVERAGE:FORM SS 06 88 N THIS FORM INCLUDES MANY ADDITIONAL o COVERAGES AND EXTENSIONS OF o COVERAGES. A SUMMARY OF THE COVERAGE LIMITS IS ATTACHED. m LIMITED FUNGI, BACTERIA OR VIRUS o COVERAGE: FORM SS 40 93 THIS IS THE MAXIMUM AMOUNT OF INSURANCE FOR THIS COVERAGE, w SUBJECT TO ALL PROPERTY LIMITS FOUND ELSEWHERE ON THIS ro DECLARATION. o INCLUDING BUSINESS INCOME AND EXTRA EXPENSE COVERAGE FOR: N $ 50,000 30 DAYS Form SS 00 02 12 06 Process Date: 03/12/12 Page 005 (CONTINUED ON NEXT PAGE) Policy Expiration Date: 05/10/13 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 34 SBA PG6996 Location(s), Building(s), Business of Named Insured and Schedule of Coverages for Premises as designated by Number below. Location: 002 Building: 001 2929 N GARFIELD AVE LOVELAND CO 8053E Description of Business: AUTO PARTS & SUPPLIES STORE Deductible: $ 500 PER OCCURRENCE BUILDING AND BUSINESS PERSONAL PROPERTY LIMITS OF INSURANCE BUILDING REPLACEMENT COST BUSINESS PERSONAL PROPERTY REPLACEMENT COST PERSONAL PROPERTY OF OTHERS REPLACEMENT COST MONEY AND SECURITIES INSIDE THE PREMISES OUTSIDE THE PREMISES Form SS 00 02 12 06 Process Date: 03 / 12 / 12 $ 112,400 $ 30,500 NO COVERAGE $ 10,000 $ 5,000 Page 006 (CONTINUED ON NEXT PAGE) Policy Expiration Date: 05/10/13 fArn a t ,"-a n /Y?>z-r!-a. / M At k of #1 COPPER : $ -- 5 /LB. X 400 LBS = $ 11400.t10 TOTAL * Please indicate on this line which Metals Index (as of March 14, 2012) you based your Price/LB on: ffmor,cKn //lei-1 /1��r�cQf #2 COPPER $ 3.41D /LB. X 260 LBS = $ 88q.00 TOTAL * Please indicate on this line which Metals Index (as of March 14, 2012) you based your Price/LB on: i4 ma � cc�n /Ii�f-�-I /n.c✓ ket #1 COPPER WIRE, INSULATED: $ a.gfl /LB. X 170 LBS = $ W76.00 TOTAL * Please indicate on this line which Metals Index (as of March 14, 2012) you based your Price/LB on: ^ lY /YIE�/G4-, A'Jaf.c,'� /YJa�k¢fi BID GRAND TOTAL Iaq,Ig5.00 Priv 6 r AND TITLE &an R. t4yo,q P(esr�2r�l TYPED OR PRINTED NAME AND TITLE cA ¢ cL r� @ r- r� b re c y c I i n y, c o vr) EMAIL (ioctav Mtn. (3sf- ry SQrJrce o� 1=+. <f0j .�5 Tic 1415 /0. (folIose 4vP. t-i-.Lo(Ir, CO 00) LlSy-5-39� 7339 Sale of City Surplus Scrap Metals Page 10 of 19 SPECTRUM POLICY DECLARATIONS (Continued) POLICYNUMBER: 34 SBA PG6996 Location(s), Building(s), Business of Named Insured and Schedule of Coverages for Premises as designated by Number below. Location: 002 Building: 001 PROPERTY OPTIONAL COVERAGES APPLICABLE LIMITS OF INSURANCE TO THIS LOCATION STRETCH PLUS COVERAGE:FORM SS 04 88 N THIS FORM INCLUDES MANY ADDITIONAL o COVERAGES AND EXTENSIONS OF COVERAGES. A SUMMARY OF THE COVERAGE LIMITS IS ATTACHED. LIMITED FUNGI, BACTERIA OR VIRUS o COVERAGE: FORM SS 40 93 THIS IS THE MAXIMUM AMOUNT OF INSURANCE FOR THIS COVERAGE, W SUBJECT TO ALL PROPERTY LIMITS m FOUND ELSEWHERE ON THIS N DECLARATION. o INCLUDING BUSINESS INCOME AND EXTRA EXPENSE COVERAGE FOR: N M $ 50,000 30 DAYS Form SS 00 02 12 06 Process Date: 03/12/12 Page 007 (CONTINUED ON NEXT PAGE) Policy Expiration Date: 05/10/13 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 34 SBA PG6996 PROPERTY OPTIONAL COVERAGES APPLICABLE LIMITS OF INSURANCE TO ALL LOCATIONS BUSINESS INCOME AND EXTRA EXPENSE COVERAGE COVERAGE INCLUDES THE FOLLOWING COVERAGE EXTENSIONS: ACTION OF CIVIL AUTHORITY: EXTENDED BUSINESS INCOME: EQUIPMENT BREAKDOWN COVERAGE COVERAGE FOR DIRECT PHYSICAL LOSS DUE TO: MECHANICAL BREAKDOWN, ARTIFICIALLY GENERATED CURRENT AND STEAM EXPLOSION THIS ADDITIONAL COVERAGE INCLUDES THE FOLLOWING EXTENSIONS HAZARDOUS SUBSTANCES EXPEDITING EXPENSES MECHANICAL BREAKDOWN COVERAGE ONLY APPLIES WHEN BUILDING OR BUSINESS PERSONAL PROPERTY IS SELECTED ON THE POLICY IDENTITY RECOVERY COVERAGE FORM SS 41 12 Form SS 00 02 12 06 Process Date:03/12/12 12 MONTHS ACTUAL LOSS SUSTAINED 30 DAYS 30 CONSECUTIVE DAYS $ 50,000 $ 50,000 $ 15,000 Page008 (CONTINUED ON NEXT PAGE) Policy Expiration Date: 05/10/13 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 34 SBA PG6996 BUSINESS LIABILITY LIABILITY AND MEDICAL EXPENSES MEDICAL EXPENSES - ANY ONE PERSON PERSONAL AND ADVERTISING INJURY DAMAGES TO PREMISES RENTED TO YOU ANY ONE PREMISES AGGREGATE LIMITS PRODUCTS -COMPLETED OPERATIONS GENERAL AGGREGATE EMPLOYMENT PRACTICES LIABILITY COVERAGE: FORM SS 09 01 EACH CLAIM LIMIT DEDUCTIBLE - EACH CLAIM LIMIT NOT APPLICABLE AGGREGATE LIMIT RETROACTIVE DATE: 05102005 LIMITS OF INSURANCE $1,000,000 $ 10,000 $1,000,000 $ 300,000 $2,000,000 $2,000,000 $ 5,000 $ 5,000 This Employment Practices Liability Coverage contains claims made coverage. Except as may be otherwise provided herein, specified coverages of this insurance are limited generally to liability for injuries for which claims are first made against the insured while the insurance is in force. Please read and review the insurance carefully and discuss the coverage with your Hartford Agent or Broker. The Limits of Insurance stated in this Declarations will be reduced, and may be completely exhausted, by the payment of "defense expense" and, in such event, The Company will not be obligated to pay any further "defense expense" or sums which the insured is or may become legally obligated to pay as "damages". BUSINESS LIABILITY OPTIONAL COVERAGES WAIVER OF SUBROGATION: FORM SS 12 15 LOCATION: 001 BUILDING: 001 SEE FORM IH 12 00 Form SS 00 02 12 06 Process Date: 03/12/12 Page 009 (CONTINUED ON NEXT PAGE) Policy Expiration Date: 05/10/13 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 34 SBA PG6996 ADDITIONAL INSUREDS: THE FOLLOWING ARE ADDITIONAL INSUREDS FOR BUSINESS LIABILITY COVERAGE IN THIS POLICY. LOCATION 001 BUILDING 001 TYPE PERSON ORGANIZATION NAME SEE FORM IH 12 00 Form SS 00 02 12 06 Page 010 (CONTINUED ON NEXT PAGE) Process Date: 03/12/12 Policy Expiration Date: 05/10/13 1475 N COLLEGE AV FORT COLLINS, CO 80524 970-484-5384 CUSTOMER REFERENCES: 1. Bob Simms, Atlas Metal & Iron, Denver, CO, 1-303-825-7166 2. Charlie Alva, Warehouse Foreman, PVREA, Ft. Collins, CO, 970-282-6425 3. Tim Hedgespeth, City of Loveland Water/Power, Loveland, CO, 970-962-2000 __EQUIPMENT LIST: • 1992 Ford Cargo 7000, 20' box truck • 1997 Ford 20' box truck • 1998 Freightliner Semi -tractor • 2003 International 20' box truck • 2005 Freightliner 24' flatbed trailer • 2004 & 2008 Tailift Forklifts • 2011 Bobcat S650 • 11 53' Semi -trailers, 3 48' Semi -trailers • 40 4x4x5 metal bins • Can get roll offs if needed We can receive direct drop-offs during business hours We have 10 employees including officers The only single point of contact is Dean Hoag, President/Owner of Rocky Mtn. Battery/Recycling Center. (W) 970-484-5384, (F) 970- 484-5394, deanC@rmbrecvcling.com, (C) 970-690-3550, emergency contact is employee Rudy Rodriquez, (C) 970-481-6757 ROCKYMTYBAZTERY&""'§� x ; RECYCLING CENTER �, k y `V Vendor Statement: I have read and understand the specifications and requirements for this bid and I agree to comply with such specifications and requirements. I further agree that the method of award is acceptable to my company. I also agree to complete SERVICES AGREEMENT with the City of Fort Collins within 30 days of notice of award. If contract is not completed and signed within 30 days, City reserves the right to cancel and award to the next lowest responsible and responsive bidder. NOTE: VENDOR STATEMENT IS TO BE SIGNED & RETURNED WITH YOUR PROPOSAL. VENDOR IS TO ALSO INCLUDE THE REQUIRED INSURANCE CERTIFICATE NAMING THE CITY OF FORT COLLINS AS AN ADDITIONAL INSURED. FIRM NAME: Rocky Mountain Battery Service of Fort Collins Inc. ADDRESS: 1475 N College Av., Fort Collins, CO 80524 EMAIL ADDRESS: dean@ rmbrecycling.PHONE: 970-484-5384 com BIDDER'S NAME: Dean R. Hoag SIGNATURE: SERVICE ISSUES CONTACT: Dean Rv Hoag TELEPHONE:970-484-5384 EMAIL: dean@rmbrecycl FAX: 970-484-5394 .com CELL #:970-690-3550 EMERGENCY: Rudy Rodriquez 970-481-6757 BACKUP: N/A BILLING ISSUES CONTACT:Dean R. Hoag TELEPHONE: 97_0-484-5384;; FAX: 970-484-5394 EMAIL: dean@rmbrecycling.com CELL #: 970-690-3550 BACKUP: N/A EMERGENCY: N/A PLEASE GO TO www.fcgov.com/purchasing TO REGISTER IN OUR E-PROCUREMENT SYSTEM FOR FUTURE BID OPPORTUNITIESI BE SURE TO SELECT ALL APPROPRIATE COMMODITY CODESI Commodity Codes used for this bid: 926-77 Recycling Services 7339 Sale of City Surplus Scrap Metals Page 7 of 19 aa',F Y Commissioner of Agriculture STATE ORI John Salazar - za MEASUREMENT�SI DepartmentofAgnculture; Dlwsion 3125;WyahcdoC46enver, (A) 80,001 LBS AND. UP (F)�., 76THRU450'. _ - (B) 30,001 THRU 80,000 LBS (G) 4 THRU 75 LB _ (C) -_ 10,001 THRU 30,000 LBS (H) ..3 LBS OR LE: (D) 1.001 THRU 10,006 CBS '.' (I) '_`BELT CONVE _ 41Y3f• (E) 1- 451. THRU 1,000 LBS IN MOTIONA _ r Y ROCKY, MOUNTAIN;] N COL] h�;1475 �: �=FORT.COLID e 1 J1 - THIS LICENSEEXPIRES 6 MI2012' 1F 1drYy�i rP4t ' Yn L +oti Nce: sThis Incense .. i� VL� i�h -•f � �a 1 COLORADO DEPARTMENT OF AGRICULTURE DIVISION OF INSPECTION & CONSUMER SERVICES 2331 West 3lst Avenue, Denver, Colorado 80211 Business #: 12394 Timein: 4/11/2011 24449PM County: Time Out 411112011 2:56.27PM Below are the results of an inspection of: ROCKY MOUNTAIN BATTERY SERVICE 1475 N COLLEGE AVE FORT COLLINS, CO 80524 FIELD ACTIVITY REPORT Inspector: Dave Debus Report #.M021CS007259 Page 1 of I MEASUREMENT STANDARDS CERTIFICATION OF TEST -SCALES (303) 477-4220 Title 35, Artlde 14 Scales Test Capacity Appr. Pass Repair Cond. Services Rendered Warning Violation 2000# 1 No rip Wt. 1 No RMB Recycling Date: Department• Paid With Check: # Weight Commodity # Scrap # Scrap # Scrap # Scrap Price @ /Ib @ /Ib @ /Ib @ /Ib Total Due: d Amount BUSINESS AUTO DECLARATIONS FARMERS INSURANCE EXCHANGE I] POLICY MEMBERS OF FARMERS INSURANCE GROUP OF COMPANIES ❑COVERAGE PART HOME OFFICE: 4680 WILSHIRE BLVD., LOS ANGELES, CALIFORNIA 90010 REM ONE NAMED ROCKY MOUNTAIN BATTERY EK14700 INSURED Account Number Nod. o� MAILING 1475 N COLLEGE AVE 07-08-348 60327-15-22 ADDRESS Agent olry umFT� e� FORT COLLINS CO 80524-.1215 Type of The named insured is an individual ❑ Partnership ❑X Corp. Business unless otherwise stated: ❑ Joint Venture .❑ Organization (Other than Partnership or joint venture) Policy Period from 05/09/12 (not prior to time applied for) to 05/09/13 12:01 AM Standard Time If this Policy replaces other coverages that end at noon standard time on the same day this policy begins, this policy will not take effect until the other coverage ends. This policy will continue for successive policy periods as follows: If we elect to continue this insurance, we will renew this policy if you pay the required renewal premium for each successive policy period subject to our premiums, rules and forms then in effect. REM TWO SCHEDULE OF COVERAGES AND COVERED AUTOS 'This policy provides only those coverages where a chary is shown in the premium column below. Each of these coverages will apply only to those "autos" shown as covered "autos'. "Autos" are shown as covered "autos" fora particular coverage by the entry of one or more of the symbols from the COVERED AUTO Section of the Business Auto Coverage Form next to the name of the coverage. 'COVERED AUTOS LIMIT THE MOST WE WILL PAY FOR COVERAGES ANY ONE ACCIDENT OR LOSS PREMIUM (LIMITS SHOWN IN THOUSANDS) LIABILITY 7 S 1000 8,823.00 PERSONAL INJURY PROTECTION lent Na-Fauns (or equivaCoverage) SEPARATELY STATED IN EACH PIP ENDORSEMENT ADDED PERSONAL INJURY PROTECTION SEPARATELY STATED IN EACH ADDED PIP ENDORSEMENT (or equivalent added no-fault cov.) PROPERTY PROTECTION INSURANCE SEPARATELY STATED IN THE P.P.I. ENDORSEMENT MINUS (Michigan only) S DEDUCTIBLE FOR EACH ACCIDENT AUTO MEDICAL PAYMENTS 7 S SEE SCHEDULE 332.00 UNINSURED MOTORIST 7 S SEE SCHEDULE 406.00 UNINSURED MOTORIST S PROPERTY DAMAGE UNDERINSURED MOTORISTS (When not S incl. in Uninsured Motorists (overage)Actual PHYSICAL DAMAGE Cost of pp less minus Ssh YSEE alue rSCHEDULE Dad. forrE ver is Covered COMPREHENSIVE COVERAGE 7 Auto. But no Deductible Apples to Loss Caused�y Fire or Acts"autos'. 1,366.00 Li htnin . See Item Four or borrowed PHYSICAL DAMAGE SPECIFIED CAUSES OF LOSS (OVERAGE Arta Cos Va ue o st o ey air, is ev r i LLess us 2 De� E c Cov re Auto eor ss or �an�a fee �or Ca ser)�Fy gchief Ism. Item Foc hired or borrov Autos . PHYSICAL DAMAGE Actual Cash Value or Cost of Repair whichever is COLLISION (OVERAGE 7 less minus S SEE SCHEDULE Ded. for Each Covered 1,501.00 Auto. See item four for hired or borrowed "Autos'. coven S fauto (ACTUAL TOWING AND LABOR LIMIT) PREMIUM FOR ENDORSEMENTS ESP IEDTOTALPREMIUM 12 428.00 {AAMEAf �`INSUAAN<F\ ` vOUo' N N S6-5190 61H EDMON 3-10 tS19D601 PAGE 1 OF 3 56519QE0b BUSINESS AUTO DECLARATIONS (Continued) REM THREE SCHEDULE OF COVERED AUTOS YOU OWN 60327-15-22 Policy Number DESCRIPTION TERRITORY PURCHASED YBpr, del Trgd� NaB� , Bpdy Typ@ (5) Town 8 S)ate where Covered AdUSED Covered Serial dumber Ve''tcl@.;dentitication Number VIN Qrigipal `osT New DaD[gF(' (nd Auto will 6e principally garaged A uto No. S 2 02 1GBJG31R721126954 4 92 FORD CARGO L/T 39854 FT COLLINS CO 2 lFDNH70P7NVA26206 5 88 DOggfflp TRAIILERRS 2500 FT COLLINS CO 2 D1DgTgV22Z23JINI032g5g13 6 88 1DTV42X23JN029768 2500 FT COLLINS CO 2 7 86 FRUEHAUF 2500 FT COLLINS CO 2 GE013499 IH2CLASSIFICATION Except for towing, all physical damage a lus o uslness use 1ze ge rlmary econ ary a Operation s - servi4e GCW or Veh. Group citing acing loss Is payable to you and the loss r - retail Seating odor dor payee named below as interests la . h Cover.@o Aulo4 c - commercial Capacity may appear at the time of the loss. 50 C 29500 L 1.5000 .8000 .2500 33459 5 50 C 2001 P . 1000 .5000 68459 6 50 C 2001 P .1000 .5000 68459 7 50 C 2001 P .1000 .5000 L 68459 (Absence at a deductible or 1md entry inany co umn a ow means that the limit or deductible entry in t e corres on ing ITEM TWb column applies instead LIABILITYPERfS�ONAL It UR PROTECTION DDED P.I.P.e PROP. PROT. Mich. on covered *Limit Premium 11 s nd minu�tl Premium I��t� I�nd.c rtat it end mmtu �� ud. remium Auto No. dudiUO b a shown�e�Ow remium shown below 5 1000 1'056.00 7 1000 56.00 Ota Premium 2,608.001 (Absence at a deductible or limit entryin any column below means that the limit or deductible entry 1n t e corres ondin ITEM TYPO column applies instead) AUTO MED. PAY UNINSURED MOTORIST UNDERINSURED MOTORISTS Covered PROPERTY DAMAGE Auto No. * 1md I Premium— *Limit Premium 1mFt Premium Premium 4 40.001000 58.0 6 4.00 7 4.00 O10 Premium 92.00 116.00 (Absence at a deductible or mut entry 1n any column below means t at t e FmFt or udF a entry 1n t e corres ondin ITEM TY O column applies instead) CO MrKEHENSIVE �-rttatitu c.Aubi:5 OF LOSS —jCOLU ON TO NO LABOR Cover d stet inus a uc- Premium Limit state n b 1 d start m �nu Bdud. Premium I A Per Disci�ement Premium Auto t�o. ti a shown a ow Premium shown�elow 4 100 129.00 - 5 6 7 otci Premium 229.00 132.00 +n i"M a unum m eunuew une. %5190 6TH EDITION 3-10 C5190602 PAGE 2 OF 3 565190106