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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 7291 GEOTECHNICAL TESTING SERVICES (12)November 7, 2014
CTL/Thompson
Attn: Heather Grubb hgrubb@ctlthompson.com
351 Linden St, Ste 140
Fort Collins, CO 80524
RE: 7291 Geotechnical Testing Service
Dear Ms. Grubb:
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, 2015 through
December 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,
Gerry S. Paul
Director of Purchasing and Risk Management
__________________________________________ ________________
Signature Date
(Please indicate your desire to renew 7291 by signing this letter and returning it to
Purchasing Division within the next fifteen days.)
GSP: jg
Finance 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: A0720D69-BA3D-47F0-85CF-AC8509E2F32A
11/10/2014
CERTIFICATE HOLDER
© 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05)
AUTHORIZED REPRESENTATIVE
CANCELLATION
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
JECT LOC
POLICY PRO-
GEN'L AGGREGATE LIMIT APPLIES PER:
CLAIMS-MADE OCCUR
COMMERCIAL GENERAL LIABILITY
GENERAL LIABILITY
PREMISES (Ea occurrence) $
DAMAGE TO RENTED
EACH OCCURRENCE $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
DED RETENTION $
CLAIMS-MADE
OCCUR
$
AGGREGATE $
UMBRELLA LIAB EACH OCCURRENCE $
EXCESS LIAB
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
INSR
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
WC STATU-
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
If yes, describe under
DESCRIPTION OF OPERATIONS below
(Mandatory in NH)
OFFICER/MEMBER EXCLUDED?
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
HIRED AUTOS
NON-OWNED
AUTOS AUTOS
AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability.
Additional Insured: City of Fort Collins, Purchasing Division
1 1
CTL / Thompson, Inc.
7306 S. Alton Way
Centennial CO 80112
CTLTHO
USI Colorado, LLC Prof Liab
25 CERTIFICATE OF LIABILITY INSURANCE
DocuSign Envelope ID: A0720D69-BA3D-47F0-85CF-AC8509E2F32A
PROPERTY DAMAGE $
$
$
$
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
ADDL
WVD
SUBR
N / A
$
$
(Ea accident)
(Per accident)
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).
The ACORD name and logo are registered marks of ACORD
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
INSURED
PHONE
(A/C, No, Ext):
PRODUCER
ADDRESS:
E-MAIL
FAX
(A/C, No):
CONTACT
NAME:
NAIC #
INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
INSURER(S) AFFORDING COVERAGE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
11/7/2014
USI Colorado, LLC Prof Liab
1515 Wynkoop Street
Suite 200
Denver CO 80202
CTL / Thompson, Inc.
7306 S. Alton Way
Centennial CO 80112
Charter Oak Fire Insurance Company
Travelers Indemnity Company
Pinnacol Assurance Company
Starr Surplus Lines Insurance Compa
25615
41190
13604
25658
800-873-8500 303.831.5295
CTLTHO
871742848
A Y Y 6802C991762 10/1/2014 10/1/2015 1,000,000
1,000,000
10,000
1,000,000
2,000,000
2,000,000
X
X
X
A Y Y
Y Y
X
X X
8101175R522 10/1/2014 10/1/2015 1,000,000
B X
X
X
10,000
CUP3C002974 10/1/2014 10/1/2015 8,000,000
8,000,000
C
N
6180512 10/1/2014 10/1/2015 X
500,000
500,000
500,000
Y
D Professional Liability
Claims Made
SLSLPRO26233614 10/1/2014 10/1/2015 Per Claim
Annual Aggregate
$2,000,000
$4,000,000
As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and
exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under
General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with
respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. The General Liability,
Automobile Liability, Umbrella/Excess insurance policies applies on a primary and non-contributory basis. A Blanket Waiver of Subrogation
applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation. The Umbrella / Excess Liability
See Attached...
City of Fort Collins; Purchasing Dept.
PO Box 580
Fort Collins CO 80522
DocuSign Envelope ID: A0720D69-BA3D-47F0-85CF-AC8509E2F32A