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HomeMy WebLinkAboutCORRESPONDENCE - AGREEMENT MISC - EXODUS MOVING & STORAGE INCJanuary 9, 2019 Exodus Moving & Storage Inc. Attn: Lisa Bernhardt 120 NE Frontage Road, Unit D Fort Collins, CO 80524 RE: Contract Renewal, APP Piano Moving - Exodus Moving & Storage Inc. Dear Ms. Bernhardt: 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: 1) The term will be extended for one (1) additional year, April 1, 2019 through March 31, 2020. 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 Beth Diven, Buyer at (970) 221-6216 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew this agreement by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP:kr 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: 3E06AFD8-150D-4B5E-B254-B80326DCF432 1/9/2019 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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). PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : INSURED INSURER B : 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NOTEPAD PAGE INSURED'S NAME Date 2 Inland Carrier: Marine: Employers Mutual Casualty Company Policy Term: Number: 09/01/2018 5C73266 to 09/01/2019 Motor $1,000,Truck 000 Cargo - Castatophe Limit $ 500,000 - Property in Vehicles Warehouse $1,750,000 Legal - Limit Liability OP ID: AV When required by written contract the following forms may apply: General Blanket Liability: Additional Insured - Form CG7578 Blanket Primary Waiver and Non-of Contributory Subrogation - - Form Form CG7578 CG7578 Automobile Blanket Additional Liability: Insured - Form CA7450 Blanket Waiver of Subrogation - Form CA7450 Workers Blanket Compensation: Waiver of Subrogation - Form WC 000313 Excess Follow Liability: Form EXODU-1 Exodus Moving and Storage Inc 01/09/2019 DocuSign Envelope ID: 3E06AFD8-150D-4B5E-B254-B80326DCF432 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Kären E. Siwek, CPA EXODU-1 OP ID: AV 01/09/2019 Kären E. Siwek, CPA Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 Kären E. Siwek, CPA 970-482-7747 970-484-4165 certificates@bbcolorado.com Employers Mutual Casualty Co. 21415 Exodus Moving and Storage Inc GuideOne Prop & Cas Ins Co 13984 120 NE Frontage Rd Unit D Fort Collins, CO 80524 AX 1,000,000 X YY 5D73266 09/01/2018 09/01/2019 500,000 10,000 1,000,000 2,000,000 X 2,000,000 1,000,000 AX YY 5E73266 09/01/2018 09/01/2019 X Cargo X 5,000,000 B X 560000655-00 09/01/2018 09/01/2019 5,000,000 X 0 X AY 5H73266 09/01/2018 09/01/2019 1,000,000 1,000,000 1,000,000 A Cargo 5C73266 09/01/2018 09/01/2019 Cargo 500,000 A Warehouse 5C73266 09/01/2018 09/01/2019 Warehouse 1,750,000 City of Fort Collins is included as Additional Insured per policy forms and conditions - See page 2 CITYFC1 City of Fort Collins 281 N. College Ave Fort Collins, CO 80524 DocuSign Envelope ID: 3E06AFD8-150D-4B5E-B254-B80326DCF432