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Home My WebLink About133693 CGRS INC - CONTRACT - RFP - 8631 GENERAL ENVRIRONMENTAL SERVICESOfficial Purchasing Document Last updated 3/2018 Page 1 of 2 AMENDMENT #01 AGREEMENT 8631 GENERAL ENVIRONMENTAL SERVICES BETWEEN THE CITY OF FORT COLLINS AND CGRS, INC. This 1st Amendment (Amendment #01) is entered into by and between the CITY OF FORT COLLINS (the “City”) and CGRS, INC. (the “Professional”). WHEREAS, the Professional and the City entered into an Agreement effective February 28, 2018 (the “Agreement”); and WHEREAS, Professional and the City desire to amend the Agreement to reflect the addition of services for Compliance and Advanced Line Leak Detection Services. NOW, THEREFORE, in consideration of the foregoing recitals and the mutual promises herein contained, the parties agree as follows: 1. Exhibit D to the agreement is hereby amended to incorporate the Compliance and Advanced Line Leak Detection Services Fee Schedule, attached hereto and incorporated herein by this reference, and is effective upon execution of this Amendment #01. Except as expressly amended by this Amendment #01, all other terms and conditions of the Agreement shall remain unchanged and in full force and effect. In the event of a conflict between the terms of the Agreement and this Amendment #01, this Amendment #01 shall prevail. IN WITNESS WHEREOF, the parties have executed this First Amendment the day and year shown. CITY OF FORT COLLINS: By: Gerry Paul Purchasing Director DATE: CGRS, INC. By: Printed: Title: Date: DocuSign Envelope ID: 335B513E-93EE-4998-9BE6-FCF7150B7315 5/9/2019 Glen Vallance 5/9/2019 Associate Hydrologist Official Purchasing Document Last updated 3/2018 Page 2 of 2 EXHIBIT D FEE SCHEDULES DocuSign Envelope ID: 335B513E-93EE-4998-9BE6-FCF7150B7315 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXP TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) LIMITS AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG OTHER: $ COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 5/6/2019 (970) 635-9400 (970) 635-9401 24856 C G R S, Inc. & CA TESTCO, LLC 1301 Academy Ct Fort Collins, CO 80524 41840 41190 22292 A 1,000,000 X FEIECC1329006 3/1/2019 3/1/2020 50,000 Blanket Add'l Insd 5,000 Blkt Waiver of Subo 1,000,000 2,000,000 2,000,000 B 1,000,000 X AW4A232142 3/1/2019 3/1/2020 Blanket Add'l Insd Blkt Waiver of Subro A 10,000,000 FEIEXS1329106 3/1/2019 3/1/2020 10,000,000 0 C 4029480 1/1/2019 1/1/2020 1,000,000 1,000,000 1,000,000 D Leased/Rented Equip RH4A231842 3/1/2019 $1,000 Deductible 200,000 A Pollution/Profession FEIECC1329006 3/1/2019 3/1/2020 Limit Per Claim 1,000,000 If required by written contract, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability and Automobile Liability City of Fort Collins PO Box 580 Fort Collins, CO 80522 CGRSINC-01 LPREWITT PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 info@mypfsinsurance.com Admiral Insurance Company Allmerica Financial Benefit Insurance Company Pinnacol Assurance Co The Hanover Insurance Company X 3/1/2020 X X X X X X X X X X X X X DocuSign Envelope ID: 335B513E-93EE-4998-9BE6-FCF7150B7315