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HomeMy WebLinkAboutCORRESPONDENCE - BID - 7226 SURVEY SERVICES - MISC PUBLIC OPINION SURVEYSDocuSign Envelope ID: 476CF921-55E0-47A5-89D5-CEDB72D0855E Financial Services of Purchasing Division 215 N. Mason St. 2n°Floor Collins PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707- fax P u rc"hasi n a fcgov.com/purchasing September 9, 2014 National Research Associates, Inc. Attn: Melissa Schaefer melissa a)n-r-c.com 2955 Valmont Rd Suite 300 Boulder. CO 80301 RE: Renewal, 7226 Public Opinion Survey Services -as needed by the City Dear Ms. Schaefer: 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, June 1, 2014 through May 31, 2015. If the renewal is acceptable to your firm, please sign this letter in the space provided, include a current copy of insurance certificate 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 (15) 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 John Stephen, CPPO, LEED AP, Senior Buyer at (970)221-6777 if you have any questions regarding this matter. Sincerely, e«usene by l OC A9DDAOSBM'D... Gerry S. Paul Director of Purchasing and Risk Management e«u5ignetl by: I ..l.oa+. sn2o7nn W7UAA Signature 9/17/2014 Date (Please indicate your desire to renew Agreement for 7226 by signing this letter and returning it to Purchasing Division within the next fifteen (15) days.) DocuSign En� ID: 476CF921-55E0-07A5-89D5-CEDB72DO855E NAT1430 OP ID: MCI ,a►. o I CERTIFICATE OF LIABILITY INSURANCE �/- DATE/20/2IY13 12I2012013 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 endomement(s). PRODUCER NEISEN BORTH AGENCY www.nbinsure.com CONTACT NAME: INC. En: aC No: E-MAIL ADDRESS: 333 W. Hampden Ave. Ste. 305 Englewood, CO 80110 Nelsen Insurance, Inc. INSURERS AFFORDING COVERAGE NAIC# INSURER A: Philadelphia Insurance Company INSURED National Research Center, Inc. 2956 Valmont Road Ste 300 INSURER B: Boulder, CO 80301 INSURER C: 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 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 NDDL SUER POLICY NUMBER POLICY M �DYIYEYYY POLICY MIDD YYXYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea Oo_uRence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR MED EXP(My one person) S PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PERPERTY ACCIDENT) $ HIREDAUTOS AONO-OWNED S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WC STATU- OTH- T RV ER ANY PROPRIETORIPARTNERIEXECUTIVE❑ E. L. EACH ACCIDENT $ OFFICERNEMBER EXCLUDED? NIA E.L. DISEASEEAEMPLOYE E (Mandatory in NH) It yes, descnee under DESCRIPTION OF OPERATIONS Del. EL DISEASE. POLICY LIMIT E A Professional Liab PHSD889783 01/0112014 01/0112015 Prof Liab 2,000,00 A Cyber Security Lia PHSD902873 0110112014 01101/2015 Cyber Lia 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) The Professional Liability policy includes Errors 6 Omissions Coverage of $2,000,000 each claim,$2,000,000 annual aggregate, $5,000 deductible. CERTIFICATE HOLDER CANCELLATION CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Hall West ACCORDANCE WITH THE POLICY PROVISIONS. 300 Laporte Avenue AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 476CF921-55EO-47A5-89D5-CEDB72DO855E A1 D® CERTIFICATE OF LIABILITY INSURANCE D 06/13114 VI O6/13/74 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 endorsements . - PRODUCER Ann Risk SeMces, Inc of Flonda CONTACT NAME: Aon Risk Services, Inc of Florida PHONE IF" AIC No Ezl : 800-743-8130INC,No): 800.522-7514 1001 Bncl,ell Bay Few, Suite #1100 Miami, FL 33131-0937 E ADDRESS: ADP.COLCentef AOn GOm INSURER(S) AFFORDING COVERAGE NAICA INSURER A: New Hampshre Ins Go 23MI INSURED ADP TolalSource L Inc. INSURER B: INSURER C 102M Sunset Drive Miami, FL 33173 INSURER D ALTERNATE EMPLOYER National Research Center Inc 2955 Valmont Road, Suite 300 INSURER E INSURER F Boulder, CO W301 COVERAGES CERTIFICATE NUMBER: 81o878 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. LIMITS SHOWN ARE AS REQUESTED. INS LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MWDD/YYYY UNITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occunence $ MED EXP (Any oneperson) $ PERSONAL$ ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE POLICY LIM IT APPLIES PER: PROJECT LOC PRODUCTS - COMP/OP AGO $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON OWNED HIREDAUTOS AUTOS COMBINED LIMIT Ea acdnt $ BODILY INJ URY Per persom $ BODILY INJURY Peraccidenl $ TY A E Peraccitlent $ UMBRELLA LAB EXCESS LIAB d OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE $ DEC RETENTIONS A WORKERS COMPENSATION AND EMPLOYERS' DABIDTY YIN ANY PROPRIETORIPARTNERIEXECUTNE ❑ OFFICERIMEMBER EXCLUDED? (Mandatary in NH) tye=, DESCRRIPTIIPTI ON OF OPERATIONS below N/A WC 094179798 CO 7/1/2014 7/1/2015 X WC STATU- OTH- TORV LIMITS ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000.000 E.L. DISEASE -POLICY LIMIT It 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ANach ACORD 101, Additional Remarks Schedule, U more space Is required) All wor,site employees working for the above named client company, paid under ADP TOTALSOURCE, INC.'s payroll, are covered under the abate stated policy. The shoe named dient is an alternate employer under this policy. CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Hall West THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 300 Laporte Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE 6404,04nu-A &tvMII24nc 0 f d%tid2 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD , ► `o °' CERTIFICATE OF LIABILITY IIN URAN E `osYM2014' THIS CERTIFICATE IS ISSUED AS A MAT rEA OF MFORIt1ATION ONLY AND CONFERS NO RIGHTS UPOK THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFrIRMATIVEL.Y OR NEGATIVELY AMEND. EXTEND OR ALTER THE OMMIZAGE, AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A OONTRACT BETWEEN THE ISSUING INSURERS}, AUTHORLZED REPRESENTATIVE OR PRODUCER, AND THE CeRTIFICATj= HOLDER - IMPORTANT; II the cvrUffuato holder aS an ADDMONAL INSURED, tha pofiry(ics) must trey L%ndor&ad- If SURROGATION IS WAIVED, subject to ttre terms and ooQ uFffionR of tha "Icy, partalrl policies may ragrllra an andarsarllattt- A statement on this certificate does not confer rights to the Certificate holder in lieu of wash eridaasemerd4 4 PROEtLICEP JEFF OG BURN, STATE FARM INSURANCE P 530-0426 Sao aazs q arc, Hor S#.ateFarrrl 6560 GUN PARK DRIVE, STE A �Io t — BOULDER, CO 80301 —----1bswe s�A aw�coverAr,� w,uc� _ _ N7a FMA :ate Faun Five 8rW Cam' CAGY 2M43 NATIONAL RESEARCH CENTER INc- IINSIII®Litt 2955 VALMONT R[O STE 300 IINSUIft1LC=�_ _ _ — BOULDER, 00 8031-1360 IIhlaIIRlRU= -- COVERAGES CERTIFICATE NUIIARERr RFVtSION NIJMRFRr TRS IS 1-0 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDI( ATED. NQTVJITHSTANDING ANY RE4UIRr=]MENT- TERM OR CONMION dI` ANY CONTRACT OR Q7MEfi DOCUNIE:W WITH RESPECT TO WHICh 'THIS OERTLFICATE MAY BE I&SUE6 OR MAY PERTAIN, THE INSURANCE AFFORDED IIY THE POLICIES DESCRIBED HERSN M S+JBjECT TD ALL THE TERMS, EXCLUWNS AND CONUI WNW OF WrH P¢LICIE$. LJMIT$ $HOVJN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ar -- TYPE OF INSURANCEADM Pouct NUMBI=R ro EFF MUD� Lalr'IS A ' COMMMEAL09MRALUABILITY y y 96-60-a823-5 F 11t16MOI1 11116MI4 EACHOCCURREW-E 5 l'aw.wo .J OLMUr ,- 1AU X I OCCUR � t - . 906,1540 -E- X) HIRED AUTO LIABILITY MEDEx_P A. T0.000 NON-CVME � AUTOS PERSONALiF.9 VINJur?Y 5 1.060.000 ll- AGGPE-GATE LIPMr /PPLIES IER. t RAL AGGRecATE i 2.00O,OW FOLICY LOC kW PROWCTS-COuAnOPAW % 2.000,000 i 0111EI. *iMUM061LEud16q.riY I S - AW AUTO I3MLY JNJUI#Y (Pwpwaw0 $ ALLOWNED � �0 SAUTOS --- — --- 80ULY4NJURY{PBfaidwMQ HIREDAuTOS NOP4GS b l ICWMAGE pin r A UM OMLIA G4pH G4CkfflPlE_NC_ E S EXCIeSS W$ Cd.A1L6S.+LIhI7E AWRE{,'AT€� S _ OEC R_TrNTICN 5 S WORKERS WWPENSATION AND EMPI-DYERY LL ERM Y O R ANY PRC"IFr0FZPARTr4EREXECInVE OFFICERIkIChi$�R ErUr]ECr+ N!k I PER STATUTE I ER EAGHAC✓;IDENT S EEAUASr-POUCYLIMIr lWa0�ur7►MHNI I`gqeeOESCRIKEWOF OPERATr4NS bolow # BUSINESS PROPERTY 9643U-3S23-8 F #1#S6=13 7111b^,2414 , 0R9CRWgION 17PI ❑PERAT6DH3 1 LOCATIONS 1 VEHICLES IAGORQ 101. Adtlrliornal Fkma&& Scrie�ftte, z r y W tawebru If more ttp6ed li rftw�* l RESEARCH THE CI TY OF FORT COLLINS 1:S LISTED AS ADDITIONAL ENSURED Ult:KI IS -RA I t HVLULK L-AnI4t4L.fA t lUrk CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY HALL WEST THE E)PIRATr0N DATE THEREOF, NOTICE WILL EVE OEELAVERED IN 300 LAPORTE AVENUE ACCDRDANCE WITH T+IE POLCY PROVISioNS. FORT COLLINS, CO 80522 auTlsoRlZEo REPRESEk-TATLVE {) 12894014 AGORD CORPORATION- All rights reserved. ACORD 25 (2014101 j The ACORD name and I ogO are mgistered madcs of AOORD 1001486 132$49 9 02-04-2014