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HomeMy WebLinkAboutCORRESPONDENCE - AGREEMENT MISC - FORT FUN (4)City Of Fort Collins Purchasing November 21, 2013 Play Pointe LLC, dba Fort Fun DEC 9 2013 Attn: Ms. Jan McClure 1513 East Mulberry BY: Fort Collins, CO 80524 RE: Renewal, Misc.' Agreement - Fort Fun Go Kart Classes Dear Ms. McClure: Financial Services Purchasing Division 216 N. Mason St. 2"" Floor PO Box 580 Fort Collins, CO 80522 970.221.6776 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 with no changes for 2014. The term will be extended for 12 months, November 16, 2013 through November 15, 2014. 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. The City confirms receipt of a current copy of insurance naming the City as an additional insured. 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 David Carey, CPPB, Buyer at (970) 416-2191 if you have any questions regarding this matter. Sinc r y erry S. Paul Direc urchasing a d Risk Management Signatur Date (Please indicate your desire to renew misc. agreement - Fort Fun Go Kart Classes by signing this letter and returning it to Purchasing Division within the next fifteen days.) JDS:dc Rev 02/2010 Aco CERTIFICATE OF LIABILITY INSURANCE DATE(i2oi2013MM/DD 11o13 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 CONTACT Mark E. Swanson NAME: CENTENNIAL INSURANCE AGENCY, LLC. PHONE AIC,No . (719) 544-1111 FAX No: (719)545-5120 1515 Fortino Blvd. 2nd Floor E-MAIL... nno�mswanson@centennial-ins.com INSURER(S) AFFORDING COVERAGE NAIC # Pueblo CO 81008 INSURER A :T . H . E . Insurance Company INSURED INSURER B : Fun Fortress, LLC and Play Pointe, LLC INSURERC: DBA : Fort Fun INSURER D : 1513 E . Mulberry Street INSURER E : Fort Collins CO 80524 INSURERF: COVERAGES CERTIFICATE NUMBER:2013-2014 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 50 000 $ r A CLAIMS -MADE F_x1 OCCUR X PP0101471-03 5/30/2013 5/30/2014 MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS PPOIO1471-03 5/30/2013 5/30/2014 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS A X UMBRELLA LIAB X OCCUR CPP0101471-03 05/30/2013 05/30/2014 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is named as an Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division P.O. BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 Mark Swanson/CARLIE��J` ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. INSO25190100F1o1 The ArYn0r1 n— ­1 Innn — rnnicfnrorl —kc of AC(10r1