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CORRESPONDENCE - BID - 7355 HAULING SERVICES (2)
February 11, 2015 Ore Cart Trucking Attn: Mark Adsit m.adsit@comcast.net 5406 Fairway Six Drive Fort Collins, CO 80525 RE: 7355 Hauling Services 2015 Renewal Dear Mr. Adsit: The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the following: The term will be extended for one (1) additional year, April 1, 2015 through March 31, 2016. If the renewal is acceptable to your firm, please sign this letter in the space provided and include a current copy of insurance certificate naming the City as an additional insured for General and Automotive Liability 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 7355 by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP: jg 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: 43920F49-27D0-4C70-AA08-62836E807256 2/12/2015 ORE(;AR1 OPIO: OW .' ACORD' CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYVY) ~. 05122/14 THIS CERTIFICATE IS ISSUED AS A MAnER 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: 801-943-2600 CONTACT NAME: HUB Transportation (UT) IT:c,NoL -- P. O. Box 17346 Fax: 801-943-3889 W2~e.,.Ext): -- Salt Lake City, UT 84117 E-MAIL Kevin R. Waldram ~Q!!'~_s:~ ___ ~~'" - INSURER(S! AFFORDING COVERAGE INSURER A : Northland Insurance Co. (NTU) INSURED Teresa Adsit INSURERB: dba: Ore Cart Trucking I -- 5406 Fairway Six Drive INSURERC: I ---- Fort Collins, CO 80525 -INSURERD: ~~~---~-.-. .~-- INSURERE: INSURERF: 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 LTR lGENERAL LIABILITY ADO[ SUBRI POLICY NUMBER 11~~';fDivWv, II:~~~%~' EACH OCCURRENCE LIMITS $ 2,000,00C A ~~~~G'''~~ iu rv X WN141779 03/14/14 03/14115 ~REMISES DAMAGE TO lEa RENTED occurrencel $ 100,00C CLAIMS-MADE 00 OCCUR MED EXP (Anyone person) $ 5,00C PERSONAL & ADV INJURY $ 2,000!~ GENERAL AGGREGATE .1~ __ 2,000,00C -~~--.~--.---- ~'L I POLICY AGGREGATE np'~p.LIMIT ,: APPLIES nLOC PER: I PRODUCTS - COM PlOP AGG 1$ $ 2,000,00( f-AUTOMOBILE -- LIABILITY I COMBINED (Ea accident) SINGLE LIMIT ----4 I $ 2,000,00C A ANY AUTO X IWN141779 03/14/14 03/14/15 f--- BODILY INJURY (Per person) $ ALL OWNED ~ SCHEDULED -- AUTOS AUTOS BODILY INJURY (Per accident) $ I NON-{)WNED i-~ROPERTY~AMAGE- $ -- , HIRED AUTOS HAUTOS Per accident $ I UMBRI:LLA LIAB ~jOCCUR f--- EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ ~=- -- DED I I RETENTION $ $ WORKERS COMPENSATION I I WCSTATU- I 10TH-I AND EMPLOYERS' LIABILITY Y I N TORY LIMITS ER . ANY PROPRIETORIPARTNERlEXECUTIVE D' I EL EACH ACCIDENT I $ OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) ~L DISEASE - EA EMPLOYEE. $ If yes, describe under DESCRIPTION OF OPERATIONS below I E~' DISEASE - POLICY LIMIT I $ A Motor Truck Cargo I IWN141779 03/14/141 03/14115 Limit 10,00( IBROAD FORM I ITHEFTDEDUCTABLE $2,000 I Deduct. 1,00( DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) This certificate applies to the Schedule of Vehicles on file with the insurance company. The Certificate Holder is named as Additional Insured for Auto & General Liability. Endorsement requested from the insurance company CERTIFICATI= - HOLDER CANCELLATION CITYF04 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FAX 970-223-3576 215 No. Mason Street 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 I ~ C-~ · ~~.- ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 43920F49-27D0-4C70-AA08-62836E807256