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Home My WebLink AboutRESPONSE - BID - 8076 BACKFLOW ASSEMBLY TESTING & REPAIRAward will be based on lowest total for all (1 through 3) of the Bid Schedule. 1. Provide testing of any size PVB $ 25.lb per test X 76 = $ I '1 O 1 • C. O 2. Provide testing of any size test X 55 = $ I <o'1 I :zS- 3. Repair labor rates $ ?.'5.oo per hour X 6 hrs $ I 5 D. O 0 GRAND TOTAL$ 3'"14'0.taq- 4. Maximum material mark-up City will pay: 1) < $500.00 + 10% Bidder's mark-up 10 % 2) > $500.00 + 8% Bidder's mark-up B % Since miscellaneous materials and minimum charge will be a minor factors with this contract in most cases, they will not be calculated in bid method of award, but contractor must honor both mark-up rate and minimum charge. FIRM NAME SIGNATURE PRINTED ADDRESS PHONE/EMAIL °t10-4Yt-<2><;;,~0 Cf10-44'3,~ot34 ~ BID 8076 Backflow Assembly Testing & Repair Page 5of13 ~ana sackflow Test & Repair 404 Crescent Drive Loveland, CO 80538 ID PROPOSAL 8076 Backflow Assembly Test and Re air To: City of Ft. Collins, Purchasing Dept. for review concerning this bid. 1. Bid Schedule 2. Ce1tification from ABPA 3. Calibration of Test Kit 4. Ce1tificate of Insurance 5. Colorado Fire System Registration 6. Completed Jobs in Fo1t Collins, FCLWD, and ELCO Water Districts: 1322 Alene Circle Ft. Collins, CO 80525 FC, Commercial Fire, Domestic, Irrigation 4014 S. Lemay Ft. Collins, CO 80525 FC, Residential Fire 632 S. Mason St. Ft. Collins, CO 80524 FC, Commercial Fire 1725 Sharp Point Dr. Ft. Collins, CO 80525 FC, Elementary School Fire, Domestic, Irrigation 2745 Minnesota Dr. Ft Collins, CO 80524 FC, High School Fire, Domestic, Irrigation 1330 Blue Spruce Dr. Ft Collins, CO 80524 FC, Commercial Fire, Domestic, Irrigation 5003 Fossil Blvd. Ft. Collins, CO 80525 FCL WO, Commercial Fire, Domestic 3912 Capitol Dr. Ft Collins, CO 80526 FCL WO, Residential Fire, Domestic, Irrigation 3900 Canal Dr. Ft. Collins, CO 80524 ELCO, Commercial Fire, Irrigation 1303 SW Frontage Rd. Ft. Collins, CO 80524 ELCO, Commercial Fire, Domestic, Irrigation Sincerely, 970-461-8680 AMERICAN BACKFLOW PREVENTION ASSOCIATION I 0/21/2014 David Baptista 404 Crescent Drive Loveland, CO 80538 Dear David: At the bottom is your ABP A Backflovv Prevention Assembly Tester wallet card. Please review the card for any misspelling or errors and report it to the Certification Depaitment at ABPA Headquarters as soon as possible. Sincerely, Michael Ahlee Certification Administrator Receipt of Payment Fee Type: Tester I Tester Renewal Amount Paid: $95.00 Date Fee Paid: 9/23/2014, MC 6254 CONTACT INFORMATION: AMERICAN BACKFLOW PREVENTION ASSOCIATION Post Office Box 3051 Bryan, Texas 77805-3051 (979) 846-7606 (979) 846-7607 Fax certification@abpa .org For information on renewal of this certification, or for general information about certification visit www.abpa.org American Backflow Prevention Association Backflow Prevention Assembly Tester Issue Date Certification Number £rpiratio11 Date 10/31/2005 06 - 00226 10/31/2017 David Baptista 404 Crescent Drive Loveland, CO 80538 ~ (_ a£/!,z_,,_ Administrator -- . ' - BAVCO 20435 South Susana Road Long Beach, CA 90810 BAVCO VALVE CO. Phone: 800-458-3492 Fax: 310-639-0721 www.bavco.com gaugelab@bavco.com Backflow Test Kit Evaluation & Calibration Report Asset Number: 102606 Customer: Ohana Backtlow Testing Manufacturer: Midwest Contact: David Model: 845-5 Street: 404 Cresent Dr. Serial Number: 04081757 City: Loveland Calibration Tech: Pedro State: co Results: Pass Zip Code: 80538 Calibration No. 6433 Telephone: (970) 461-8680 Calibration Date: 2/ 11 /2015 Temperature: 24.60 Celcius Recommended Recalibration Date: 2111 12016 Humidity: 37.00 % Accuracy of the gauge in the above test kit was checked with dry nitrogen against a Heise Standard as stated below. It has been calibrated using measurement standards traceable to the National Institute of Standards and Technology (NIST). Procedures utilized were in accordance with USC FCCCHR Manual of Cross-Connection Control 10th Ed Appendix A and manufacturer's requirements. The remaining items in the test kit, if included (needle valves, hoses, etc) were evaluated and pressure tested. The gauge was found to have performed as stated in the attached report. This calibration does not guarantee the accuracy of the gauge at any time subsequent to or prior to this calibration. Technician Remarks: Tested and Calibrated. Calibration Standard Utilized Serial Number Cal Date Due Date * Standard I * Heise PM 44595 91312014 91312015 Reference Test Points Initial Reading Final Reading 12.0 PSIG 12.5 PSIG 12.2 PSIG 8.0 PSIG 8.3 PSIG 8.0 PSIG 5.0 PSIG 5.3 PSIG 5.0 PSIG 2.0 PSIG 2.3 PSIG 2.0 PSIG 1.0 PSIG 1.3 PSIG 1.0 PSIG 0.0 PSIG 0.0 PSIG 0.0 PSIG Signature: Date: Page I of I ~ ' 0 I ACO RD CERTIFICATE OF LIABILITY INSURANCE I DA TE ( '-.1 ,110 0 YYYY I Ii..-..-- 12/1/201 4 11 29 AM THIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CE RTIFICATE HOLDER. TH IS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICI ES 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 te rms and co nditions of t he po licy, certain policies rnay require an endorsement. A s tatement on this certificate docs not con fer rights to the certificate holder in lieu of such cndorsement(s) . PRODUCER ~~~jgcr Dave Jackson Jackson Insurance Agency Inc i-==~-~- --- - -- . [t,2, No) 9/Q-20J-0 5 15 1528 N L incoln Ave# 1 r~gNJo , Ex!} 9 70-667 -3680 Loveland CO 80538 ~6·if~~ 5 5 , 1ackson1ns 1@yahoo com ~~~~~~~~ID ~ ' I INSURER(S) AFFOROING COVERAGE NAIC • INSURED INSURER A Security National Insu rance Company 19879 David A Baptista OBA O h ilna Back flow Test and repair 404 Crescent Dr INSURER B · Lovelarid CO 80538 INSURER C INSURER D: INSURER E : INSURER F . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY H IAr THE POLICIES OF INSURANCF LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIC/\ TED NOTV\H HSTA DI NG ANY REQU IREMENT TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH f HIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL rHE TER ,15 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE GENERAL LIABILITY 0 0 1 .. p,•-;. v :.-; 0 D D 1:1--' _:t: .. l ;. ,· ,r. F -,;, l u r: 11 ;.Prt If~ Pt R 0 r(\_.i-·• 0 ~~~~~ 0 u:.~ AU TOMOBILE LIABILITY D .. 1, ..... _, D ;, l. JAi'lFfJ ;.11 -~~ D :;. ·1rrn:11.1 .\111i;._'.~:; D Ylf.iT·- D ·. '\ ~ :. r:t p .. , - ,~ ... D D UMBRELLA LI AB D D EXCESS LIAS D .I;, MS.\V·Df D 'lf-Ut' ' JHLl D R!:'U , f:l)f J WORKERS COMPENSATION ANO EMPLOYERS' LIAB ILI TY Y/ N 1\DDL SUBR tt. I C.-0 WVQ POLICY NUMBER D D NA10401 1302 DD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSUREDS - OWNERS, LESSEES OR CONTRACTORS This endorsement moct1f1es insurance proV1Clect unde1 t11e following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Policy Nu111be1 ' \Ill-HJ I 130.:' Endorsement Effective I.:' I .:'O 1-l 12 01 am Nar11ecl l11su1 eel ll;1\i d \ n.1p1i,l<L Im\: <>ha11a 13ad. ll< l\\ 1.:, 1 and r.:pair Countersigned By SCHEDULE - --- - ------ - - NBrne Any person of Person or orgam'.or Oraanization: zat1on mat t h e name d msure . d · 1s o bl' 1gate d by virtue · o f a written · contract or agreement to provide insurance such as is afforded by this policy. Locat101' If no t:ntn; <=1ppea1s above 1nformat1on required to complete this endorsement will be shown 1n the Declarations as applicable to th1 endorserne t , A. Section II - Who Is An Insu red 1s amended to include as an insured the person or organization sl1own 111 the Scl1edule but only to the extent that the person or organization shown ir1 tt1e Schedule 1s held l1ab:e for your acts or om1ss1ons arising out of yow ongoing operations performed for that insured B. With respect to the insurance afforded to these add1t1onal insureds. the following exclusion 1s added 2. Exclusions This insurance does not apply to "bodily 1niury" or "property damage" occurring after (1) All wo1·k 1nclud1ng materials. parts or equipment furnished 1n connection with sucl1 wo1k. on the proiect (Other t11an service maintenance or repair·s) to be performed by or on behalf of the additional 1nst1red(s1 at the site of the covered operations has been completed 01 (2) That portion of "your work" out of which the mJUI'/ or damage arises has been put to its intended use by any person or organ1zat1on other han another contractor or subcontractor engaged 1n performing operations for a pnnc1pal as a part of the sarne pro1ect C. The words you" and your refer to t11e f\lamed Insured shown 111 t11e Declaratrons 0. Yow work· means work or operations performed by you or on your behalf and materials parts or equ1pn1ent furn1sl1ecf 1n connection with such work or operations Prima WordJ'.}9 If required by written contract or agreement Such insurance as 1s afforded by this policy shall be primary insurance ond any insurance or self-insurance n1a1nta1ned by the above ac!d1t1onal 111sured(s) shall be excess of the insurance afforded to the named insured and shall not contnbute to rt Waiver of Subrogation If required by written contracl or ag1eement We waive any nght of 1·ecovery we may l1ave against an e11t1ty that 1s an cidd1tronal insured per the terms of tl11s endorsement because of payments we rnake 101 1niury or damage arising out of "your work " done under a contract with that person or organ1zat1011 49-0108 07 11 May Include Copyrighted Material of Insurance Services Offices. Inc Used with perrrnss1on Page 1 of 1 Colorado Division ol rare Prevention and Control Registration number IS ~ 1256 By Issue ol this Registration, The State ol Colorado, Division ol Fire Prevention and Control Recognizes 1)4'114 ~ WITB tJ'"4 ~~ 7ue • ie~, ~e -~~ Registered rare Suppression ' System Contraetor Dated this 24 Dayol 12 zo 14 Ezpiration Date 1)~ 31, 2015 This lleglstraU-will remain In ellect aatll eaplraUon and Is au19Ject to tbe rules and regulaUona ol tbe Director the Dl..tsl- ol Fire PreYentlon and Control ~Lo DD POLICY EFF POLICY EXP IMMIODIYYYY) IMMIDDIYYYYI 121112014 1211 /20 15 LIMITS FMC H OCCtA7 H CNl.~ 0.·"'11 ·\GE rn RE'I-[[ "RE V ISES 1F.a o..:c irf""::'" V Fl~ [-{r •\ny O!l"? r·"'ro;:,·•1 CJ ' 1 I P l ~lEO ~If ; ()~[ ._ .',\ - f .1 rlcrrr.('>f\' PRO PEO T ~ o :. r.1:.{ ;f 1 Per i"iCCKlC>rt D .''6'R-i'.~~ I~~ 0 ')~~- 1 000 000 100 000 s 5 .000 1 000 000 2.000 000 2 000 000 .:. i,"• r P ,I/.,![ fOR11 1:,rr '·l[fW '\ f l f'·•TR1 ~/ ! \1 P f ~,r~··l IDL:J (M.indatorv 111 NH) -I NI A D E t !-. ·\1... 1 i :,1,,_~00 Et IT ' 1 (.•;, ! t. •:;~r t'•_; ·'' !"'.'' :-t_c::·-c..:1. · 1cr . ·.J· er :::H;... · 1r ·rj' :. •. ·,-: .. DD DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES (Att.t c. h ACORD 101, Add1t1onal Remarks Schedi1lc. 1f more c;; paco 1s re q ui red ) some small plumbing repair a nd b ack flow testing and repa ir CERTIFICATE HOLDER A CORD 25 (2009/09) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PR VISIONS . The ACORD name and logo are registered m arks of ACORD ORPORA T ION. Al l rig hts reserved . . "-.:.