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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 7418 TEMPORARY PERSONNEL SERVICES (2)July 31, 2014 Express Employment Professionals Attn: Jeanne Fangman 2850 McClelland Dr, Ste 100 Fort Collins, CO 80525 RE: Renewal, 7418 Temporary Personnel Services Dear Ms. Fangman: 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, November 1, 2014 through October 31, 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 for General and Automotive Liability 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 Jill Wilson, Buyer at (970) 221-6216 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing and Risk Management __________________________________________ ________________ Signature Date (Please indicate your desire to renew 7418 by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP: jw Financial Services Purchasing Division 215 N. Mason St. 2nd Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707- fax fcgov.com/purchasing DocuSign Envelope ID: 36117479-4358-4490-98DB-8E5949B097EA 8/11/2014 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXP TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) LIMITS AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: $ COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Express Services, Inc. Workers Compensation Policy Schedule: Policy periods: 10/1/13-14 The Insurance Company of the State of Pennsylvania Policy No. WC015630781 NAIC# 19429 States Covered: CA Illinois National Insurance Co. Policy No. WC015630782 NAIC# 23817 States Covered: ME Illinois National Insurance Co. Policy No. WC015630789 NAIC# 23817 States Covered: FL National Union Fire Insurance Company of Pittsburgh, PA Policy No. WC015630783 NAIC# 19445 States Covered: MA, ND, WI, WY National Union Fire Insurance Company of Pittsburgh, PA Policy No. WC6636228 NAIC# 19445 States Covered: OH National Union Fire Insurance Company of Pittsburgh, PA Policy No. WC6636229 NAIC# 19445 States Covered: WA New Hampshire Insurance Company Policy No. WC015630784 NAIC# 23841 States Covered: AR, CO, DC, DE, HI, ID, MS, MT, NM, NV, OK, RI, SD, TN, TX, WV New Hampshire Insurance Company Policy No. WC015630785 NAIC# 23841 States Covered: IL, KY, NC, NH, UT, VT New Hampshire Insurance Company Policy No. WC015630786 NAIC# 23841 States Covered: NJ, PA New Hampshire Insurance Company Policy No. WC015630787 NAIC# 23841 States Covered: AK, AZ, GA, VA New Hampshire Insurance Company Policy No. WC015630788 NAIC# 23841 States Covered: AL, CT, IA, IN, KS, LA, MD, MI, MN, MO, NE, NY, OR, SC Miscellaneous Attachment: M480401 Master ID: 1352730, Certificate ID: 11957536 DocuSign Envelope ID: 36117479-4358-4490-98DB-8E5949B097EA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 EXPRESS SERVICES, INC. DBA: EXPRESS EMPLOYMENT PROFESSIONALS 9701 BOARDWALK BOULEVARD OKLAHOMA CITY, OK 73162 EXPSE01 American Guarantee and Liab. Ins. Co. 26247 New Hampshire Insurance Company 23841 Zurich American Insurance Company 16535 X X X STAFFING SERVICE 5,000,000 1,000,000 10,000 5,000,000 5,000,000 5,000,000 X X 1,000,000 XXXXXXX XXXXXXX XXXXXXX XXXXXXX X X 20,000,000 20,000,000 XXXXXXX N X 1,000,000 1,000,000 1,000,000 CRIME/FIDELITY STAFFING E&O COVERAGE CRIME/FIDELITY: 5,000,000 E&O OCC/AGG: 5,000,000 B PRA5854213-01 10/1/2013 10/1/2014 B PRA5854213-01 10/1/2013 10/1/2014 B PRA5854213-01 10/1/2013 10/1/2014 C UMB5498877-01 10/1/2013 10/1/2014 A SEE ATTACHED POLICY #'S 10/1/2013 10/1/2014 10/1/2014 1352730 Y N Y N Y N N 9/24/2013 N N 11957536 11957536 XXXXXXX CITY OF FORT COLLINS ATTN: JILL WILSON P.O. BOX 580 FORT COLLINS CO 80522 ALL INSURANCE CARRIERS SHOWN ON THIS CERTIFICATE HAVE AN A.M. BEST RATING OF A XV OR BETTER UNLESS OTHERWISE NOTED. LOCATION: 1016 - FORT COLLINS, CO / TYPE OF COMPANY: MUNICIPALITY / JOB DESCRIPTION: GENERAL CLERICAL AND ADMINISTRATIVE SUPPORT POSITIONS / CITY OF FORT COLLINS IS LISTED AS AN ADDITIONAL INSURED AS RESPECTS TO WORK PERFORMED BY TEMPORARY ASSOCIATES, AS PER WRITTEN CONTRACT AND/OR STAFFING AGREEMENT, EXCEPT FOR NEGLIGENCE OR WILLFUL MISCONDUCT OF CITY OF FORT COLLINS. ADDITIONAL INSURED DOES NOT APPLY TO WC, E&O OR FIDELITY. X See Attachment DocuSign Envelope ID: 36117479-4358-4490-98DB-8E5949B097EA