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HomeMy WebLinkAboutCORRESPONDENCE - AGREEMENT MISC - BOB AND DONNA PRYOR (3)City of Fort Collins February 25, 2015 Bob and Donna Pryor 6005 S Shields St Fort Collins, Co 80526 RE: Renewal, Misc. Agreement - PSA for Hersh Hay Field Dear Mr. & Mrs. Pryor: 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. corn/p urcha sing 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, May 1, 2015 through April 30, 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 D. Stephen, CPPO, LEED AP, Senior Buyer at (970) 221-6777 if you have any questions regarding this matter. ASinc r erry aul Director of Purchasing and Risk Management Signature Date (Please indicate your desire to renew PSA for Hersh Hay Field by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP:jg ACORN" DATE (MM/DDIYYYY) CERTIFICATE OF PROPERTY INSURANCE 03/11/2016 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. If this certificate is being prepared for a parry who has an insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28. PRODUCER ICONTACT Cyrus Massoudi INSURED Napoleon Gibson 4212 S College Avenue Unit 103 Fort Collins, CO 80525-3079 Robert & Donna Pryor 6005 S Shields St Fort Collins, CO 80526-9631 NAME: PHONE 970-226-1200 FAX No: 9711226 1271 EMAIL ru a AnnRFsa. cY s@ 9entna p•com State Farm Fire and COVERAGES CERTIFICATE NUMBER- RFVISInN NIIMRFR- LOCATION OF PREMISES I DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, I more apace is required) Multiple Locations 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 POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDNYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) COVERED PROPERTY UYff8 PROPERTY OF LOSS DEDUCTIBLES WBL-3300-7 F 06/2512015 06/25/2016 BUILDING PERSONAL PROPERTY BUSINESS INCOME500 EXTRA EXPENSE RENTAL VALUE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG & PP Liability E 176NO CAUSES E 132000 BASIC BUILDING E BROAD E CONTENTS 500 X SPECIAL EARTHQUAKE E E NAND E FLOOD Ix E X Liability E 50D000 s INLAND MARINE OF LOSS NAMED PERILS TYPE OF POLICY Farm/Ranch E CAUSES E POLICY NUMBER 96-BL-3300-7 F E Is CRIME TYPE OF POLICY E E E --- BOILER 6 MACHINERY / EQUIPMENT BREAKDOWN III i E _ E SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Addhlonal Remarks Schedule, N more apace Is required) MCR I rryVm I C rIVLuizim UAIVUr-LLA 11V14 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 N Mason St FI 2 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE ©1996-2009 ACORD CORPORATION_ All rights reserved. ACORD 24 (2009/09) The ACORD name and logo are registered marks of ACORD 1004360 142986.2 01-28-2013