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HomeMy WebLinkAboutCORRESPONDENCE - BID - 8269 WATER METERSMarch 6, 2019 Finish Line Systems LLC Attn: Joey Davidson 11417 W I-70 Frontage Rd N Wheat Ridge, CO 80033 RE: Contract Renewal, 8269 Water Meters Dear Mr. Davidson: 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, March 8, 2019 through March 7, 2020. If the renewal is acceptable to your firm, please sign this letter in the space provided and include a current copy of your 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 Marisa Donegon, Buyer at (970) 221-6816 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew 8269 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: C31890B8-C217-43A0-B9CD-84B1C8448DC5 4/2/2019 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ PROPERTY DAMAGE $ BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? 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: Core & Main LP 1830 Craig Park Court Saint Louis, MO 63146 City of Fort Collins is included as an Additional Insured as respects to General Liability and Automobile Liability where required by written contract. INSURER AFFORDING COVERAGE: New Hampshire Insurance Company NAIC#: 23841 POLICY NUMBER: WC018177237 (IL,KY,NC,UT) EFF DATE: 08/01/2018 EXP DATE: 08/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation EL-Each Accident $1,000,000 and Employers’ Liability EL-Disease - Limit $1,000,000 Per Statute EL-Disease - Each Emp $1,000,000 INSURER AFFORDING COVERAGE: New Hampshire Insurance Company NAIC#: 23841 POLICY NUMBER: WC 018177236 (ME) EFF DATE: 08/01/2018 EXP DATE: 08/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation EL-Each Accident $1,000,000 and Employers’ Liability EL-Disease - Limit $1,000,000 Per Statute EL-Disease - Each Emp $1,000,000 INSURER AFFORDING COVERAGE: New Hampshire Insurance Company NAIC#: 23841 POLICY NUMBER: WC 018177234 (NJ, PA) EFF DATE: 08/01/2018 EXP DATE: 08/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation EL-Each Accident $1,000,000 and Employers’ Liability EL-Disease - Limit $1,000,000 Per Statute EL-Disease - Each Emp $1,000,000 2 4 Willis of New York, Inc. See Page 1 See Page 1 See Page 1 See Page 1 25 Certificate of Liability Insurance SR ID: 17754617 BATCH: 1138350 CERT: W10820012 DocuSign Envelope ID: C31890B8-C217-43A0-B9CD-84B1C8448DC5 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: Core & Main LP 1830 Craig Park Court Saint Louis, MO 63146 INSURER AFFORDING COVERAGE: American Home Assurance Company NAIC#: 19380 POLICY NUMBER: WC 018177232 (CA) EFF DATE: 08/01/2018 EXP DATE: 08/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation EL-Each Accident $1,000,000 and Employers’ Liability EL-Disease - Limit $1,000,000 Per Statute EL-Disease - Each Emp $1,000,000 INSURER AFFORDING COVERAGE: Illinois National Insurance Company NAIC#: 23817 POLICY NUMBER: WC 018177233 (FL) EFF DATE: 08/01/2018 EXP DATE: 08/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation EL-Each Accident $1,000,000 and Employers’ Liability EL-Disease - Limit $1,000,000 Per Statute EL-Disease - Each Emp $1,000,000 INSURER AFFORDING COVERAGE: New Hampshire Insurance Company NAIC#: 23841 POLICY NUMBER: WC 031467785 (AK, AZ, VA) EFF DATE: 08/01/2018 EXP DATE: 08/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation EL-Each Accident $1,000,000 and Employers’ Liability EL-Disease - Limit $1,000,000 Per Statute EL-Disease - Each Emp $1,000,000 INSURER AFFORDING COVERAGE: National Union Fire Insurance Company of Pittsburgh NAIC#: 19445 POLICY NUMBER: CA 9581298 (MA) EFF DATE: 08/01/2018 EXP DATE: 08/01/2019 ADDITIONAL INSURED: Y TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Auto Liability Combined Single Limit $2,000,000 Any Auto 3 4 Willis of New York, Inc. See Page 1 See Page 1 See Page 1 See Page 1 25 Certificate of Liability Insurance SR ID: 17754617 BATCH: 1138350 CERT: W10820012 DocuSign Envelope ID: C31890B8-C217-43A0-B9CD-84B1C8448DC5 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: Core & Main LP 1830 Craig Park Court Saint Louis, MO 63146 INSURER AFFORDING COVERAGE: National Union Fire Insurance Company of Pittsburgh NAIC#: 19445 POLICY NUMBER: CA 9581297 (VA) EFF DATE: 08/01/2018 EXP DATE: 08/01/2019 ADDITIONAL INSURED: Y TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Auto Liability Any Auto Combined Single Limit $2,000,000 4 4 Willis of New York, Inc. See Page 1 See Page 1 See Page 1 See Page 1 25 Certificate of Liability Insurance SR ID: 17754617 BATCH: 1138350 CERT: W10820012 DocuSign Envelope ID: C31890B8-C217-43A0-B9CD-84B1C8448DC5 (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER (MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY) POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $ $ OCCUR CLAIMS-MADE DED RETENTION $ PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $ EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Willis of New York, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA Core & Main LP 1830 Craig Park Court Saint Louis, MO 63146 * General Liability: The $1,000,000 per Occurrence and $2,000,000 Aggregate limits displayed is a combination of $500,000 Self-Insured Retention and $500,000 Per Occurrence /$1,500,000 Aggregate limits of liability provided by the carrier noted above. SEE ATTACHED City of Fort Collins PO Box 580 Fort Collins, CO 80522 04/02/2019 1-877-945-7378 1-888-467-2378 certificates@willis.com National Union Fire Insurance Company of P 19445 Markel American Insurance Company New Hampshire Insurance Company 28932 23841 American Home Assurance Company 19380 Illinois National Insurance Company 23817 W10820012 A 1,000,000 1,000,000 SIR: $500,000* 15,000 1,000,000 2,000,000 2,000,000 Y GL 4786836 08/01/2018 08/01/2019 A 2,000,000 Y CA 7742356 (AOS) 08/01/2018 08/01/2019 B 5,000,000 10,000 MKLM6MM70000052 08/01/2018 08/01/2019 5,000,000 C WC 018177182 No 1,000,000 08/01/2018 08/01/2019 1,000,000 1,000,000 C Workers Compensation and Employers' Liability WC 018177235 (MA, WI) 08/01/2018 08/01/2019 EL-Each Accident EL-Disease - Limit Per Statute EL-Disease - Each Emp SR ID: 17754617 BATCH: 1138350 $1,000,000 $1,000,000 $1,000,000 Willis Towers Watson Certificate Center DocuSign Envelope ID: C31890B8-C217-43A0-B9CD-84B1C8448DC5 Page 1 of 4