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CORRESPONDENCE - BID - 7117 PFA AND CITY BOARD-UP SERVICES (16)
DocuSign Envelope ID: 6486A701-4DBF-4085-B905-ECA367761604 April 7, 2014 Paul Davis Restoration Attn: Mr. Fred Roberts 309 Lincoln Courts Fort Collins, CO 80524 RE: Renewal, 7117 PFA and City Board-Up Services Dear Mr. Roberts: 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.con1/pu1chasing 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, May 15, 2014 through May 14, 2015. 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 Jill Wilson, Buyer, at (970) 221-6216 if you have any questions regarding this matter. ~ DocuSigned by: sincerely, ~A::!4~Z=: '-/- I 'I - It( Date (Please indicate your desire to renew 71 17 by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP: jw PAULD-1 OP ID: JD ACORD. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 04/15/14 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 Phone: 970-482-7747 CONTACT NAME: Brown & Brown Inc Fax: 970-484-4165 PHONE 4532 Boardwalk Dr, Suite 200 ~No Ext\: I r~~.No): Fort Collins, CO 80525 E-MAIL Tyler B. Allen ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Secura Insurance A Mutual Co. 22543 INSURED Paul Davis Restoration of INSURER B: Pinnacol Assurance Company 41190 Northern Colorado-Legacy Corp 309 Lincoln Ct INSURER c: Crum & Forester Specialty Ins 44520 Fort Collins, CO 80524 INSURERD: 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 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 TYPE OF INSURANCE '°'DDL ~UBR POLICYEFF POLICY EXP LTR 'IN<:R WVD POLICY NUMBER /MM/DD/YYYYl l/MM/DD/YYYYl LIMITS GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 c - x x EPK102460 12/05/13 12/05/14 DAMAGE TO RENTED - D COMMERCIAL CLAIMS-MADE GENERAL [!] LIABILITY OCCUR PREMISES (Ea occurrence) s 50,000 ·- MED EXP (Any one person) $ 5,000 x Mold EPK102460 12/05/13 12/05/14 PERSONAL & ADV INJURY $ 1,000,000 - x CPL EPK102460 12/05/13 12/05/14 GENERALAGGREGATE $ 3,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 I POLICY lxl ~~R-r !Loe Emp Ben. $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 - IEa accident) $ A x ANY AUTO 20A003186136-3 12/05/13 12/05/14 BODILY INJURY (Per person) $ - ALL OWNED - SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ - HIRED AUTOS ~ AUTOS NON-OWNED rp~?~~~d~~t?AMAGE s - x PD- - 50,000 s x UMBRELLA LIAB ~OCCUR EACH OCCURRENCE $ 2,000,000 c - EXCESSLIAB CLAIMS-MADE NOTEPAD 1NsURED's NAME Paul Davis Restoration of When required by written contract the following apply: PAULD-1 OP ID: JD Blanket Additional Insured - Ongoing - CG2010 07/04 Blanket Additional Insured - Completed Operations CG2037 07/04 Blanket Waiver of Subrogation - CG2404 10/93 Primary & Non-Contributory Wording - CFENV01036 Umbrella Blanket Additional Insured - CFENUOOOll Automobile Blanket Additional Insured - CAE0131 08/10 Primary & Non-Contributory Wording - CAE0131 08/10 Blanket Waiver of Subrogation - CAE0131 08/10 PAGE 2 DATE 04/15/14 EFX100925 12/05/13 12/05/14 AGGREGATE $ 2,000,000 OED I x I RETENTION $ 10,000 $ WORKERS COMPENSATION x I WC STATU- I JOTH- AND EMPLOYERS' LIABILITY TORY LIMITS ER B Y/N ANY PROPRIETOR/PARTNERIEXECUTIVE D 4156670 07/01/13 07/01/14 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Leased/Rented Eq 20CP0031861353 12/05/13 12/05/14 Lsd/Rntd 100,000 A PPO/Bailees 20CP0031861353 12/05/13 12/05/14 PPO 250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Fort Collins is included as additional insured per the conditions and forms shown on page 2. CERTIFICATE HOLDER CANCELLATION CITYDIV 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 PO Box 580 AUTHORIZED REPRESENTATIVE I Fort Collins, CO 80522-0580 p~w°'~ © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD