HomeMy WebLinkAboutCORRESPONDENCE - RFP - P1152 RISK MANAGEMENT INSURANCE CONSULTANT (2)City of
F6rt o i ns
Purchasing
October 21, 2011
Applied Risk Solutions, LLC
Attn: Mr. James M. Graham, CIC
12200 E. Briarwood Avenue, Suite 150
Centennial, CO 80112
RECEIVED
OCT 2 Q" 2011
RE: Renewal, P1152 Risk Management Insurance Consultant
Dear Mr. Graham:
Financial Services
Purchasing Division
215 N. Mason St. 2"' Floor
PO Box 580
Fort Collins, CO 80522
970.221.6775
970.221.6707-fax
fcgov. com/purchasing
RECEIVED
N0V 3 2011
BY: �.,v
The City of 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, January 1, 2012 through December 31,
2012.
If the renewal is acceptable to your firm, please sign this letter in the space provided 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 me at (970) 221-6779 if you have any questions regarding this matter.
Sincerely,
'B. O'Neill II, CPPO, FNIGP
r of Purchasing and RiFk, Management
ature
Date
(Please indicate your desire to renew P1152 by signing this letter and returning it to Purchasing
Division within the next fifteen days.)
•
Rev 06/2009
OP ID: CB
a►14. z CERTIFICATE OF LIABILITY INSURANCE
DATE /09/11VVY)
06/09/11
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 ,, _, 801-924-1400
NA T CT
The Presidio'Group, Inc.- ------__.. _ 801-924-1441
5295South 300 West -#550' ,per" ,:nr
Salt Lake City, UT 84107 -
Alan W. Lord CIC, CWCA1 -
al° N ,ExO; •- - FAX No).--
E-MAIL - -: -' -
ADDRESS: .. -• - .. _.--
-PRODUCER-
MAXPRI - - — " ---'--
CUSTOMER ID9:- - '-
INSURER(S) AFFORDING COVERAGE NAIC p
_ _
INSURED Maxwell Products, Inc.
INSURER A:Ironshore Insurance Ltd.
650 S Delong Street
INSURER B: Colorado Casualty Insurance 141785
Salt Lake City, UT 84104
INSURER C: Employers Insurance Group
INSURER D :
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: 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 REOUIREMEN'I, '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 BYjjPAID CLAIMS. '- --- - --- -_--._
WSR IAODLr Vivo POLICY NUMBER I MDMIDDIYFVVV MMIDD//YYYY LIMITS
LTR TYPE OF INSURANCE ---
GENERAL LIABILITY
•..".-.
EACII OCCURRENCE '
$ 2,000,00
A 1
'X COMMERCIAL•GENERAL LIABILITY. {
CLAIM'-MADE'EI OCCUR -
- -C.
--
.., .,
000228001 _ --
... ___ _
04/05/11
-
-_.
04/05/12
-
YAMAGET0 R2N1EO.
PREMISES (ra occurrence)_
$ -"- 500,0000
MBDEXPiAnyonepa ma)
I'$' - 25,00
PERSONAL 3 ADV INJURY
I $ 2,000,00
GENERAL AGGRE.GAIF
$ 4,000,00
GEN'1. AGGREGATE LIMI I APPLIES PER
PRODUCI S-COMPIOPAGG
2,000,00
POLICY -II f,o I LOC
Pollution
_$
5 2,000,0D
B
AUTOMOBILE
LIABILITY
ANYAUTO
BA8683295
06/12/11
06/12/12
COMBINED SINGLE LIMI I
(Ea lmckInp
$ 1,000,00
BODILY INJURY (per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
AIRED nil ro5
BODILY INJURY(uer accident)
$
—
X
PROPERTY Y DAMAGE
(Perer accident)
—
$
X
X
NON-O)ANFD AUTOS
$
$ _
-
UMBRELLA LIAR
iJCQ1R
-
EACH
S
—
AGGREGATE
EXCESS LIAB
CI AIMS-MAnE
DEDUCTIBLES
_
RETENTION $
$
WORKE0.$COIdPENSATION
y VJC SrAN- OTH-
G
ANDEMPLOYER S'LIABILITY V/N
ANY PROPRIETORIPARTNERtEXECUIIVGr I
OFFICERIMEMBEIi EXCLUDED9 IJ
(Mandatory is NH)
If yes. describe under
N / A
FN0329778-06
08/01/10
08/01/11
—10RYDNIII S,I_I ER_
E.L. EACH ACCIDENT Is
100,00
jj__
L.L. DISEASE- EA LMPLOYEEI
S 100,00
F.LD16LASE-POLICY I IMITIS
500,06
DESCRIPTION OF OPERATIONS holow
B
Inland Marine
I
IM8696815
06/12/11
06/12/12
177,60
I
(Equipment
Ded 1,00
DESCRIPTION OF OPERATIONS l LOCATIONS l VEHICLES (Attach ACORD 101, Additional Remarks Schedule, Harder space is required)
Subject to the terms and conditions of the Policy. City of Fort Collins is
additional insured as respects general liability per form 94358 04107
attach
JO : 6080 rack Seal Mathrial
CITYFOR
City of Fort Collins
Purchasing Division
PO Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
v "ba-zuuy AUUKU UURHURATION. All rights reserved.
ACORD 2512009109) The ACORD name and logo are registered marks of ACORD