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CORRESPONDENCE - RFP - 8636 TRANSFORT BUS LIFT REPLACEMENT
May 23, 2019 Kubat Equipment & Service Co. Attn: Craig Hoyer 1070 S. Galapago Street Denver, CO 80223 RE: Contract Renewal, 8636 Transfort Bus Lift Replacement Dear Mr. Hoyer: 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 23, 2019 through April 22, 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 Doug Clapp, CPPB, Senior Buyer at (970) 221-6776 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew 8636 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: 18E7B315-756B-43AC-9669-13F330DFFDB5 5/29/2019 From: kubatscanner@gmail.com To: choyer@kubatequip.com Subject: Message from KMBT_C220 Sent: Mon 5/7/2018 8:16 AM GMT-07:00 Importance: Normal DocuSign Envelope ID: 18E7B315-756B-43AC-9669-13F330DFFDB5 06/26/2019 Moody Insurance Agency, Inc. 8055 East Tufts Avenue Suite 1000 Denver CO 80237 Brandie Zuckerman, CIC (303) 824-6600 (303) 370-0118 brandie.zuckerman@moodyins.com Kubat Equipment & Service Company, Inc.(KESCO) KESCO Enterprises, LLC 1070 S Galapago St Denver CO 80223-2804 Homeland Ins Co of NY 34452 Cincinnati Indemnity Company 23280 Pinnacol Assurance 41190 18-19 Master A Y 7930040310003 12/01/2018 12/01/2019 1,000,000 150,000 5,000 1,000,000 2,000,000 2,000,000 Stop Gap 1,000,000 B Y EPP0219301 12/01/2018 12/01/2019 1,000,000 A 0 7930040320003 12/01/2018 12/01/2019 5,000,000 5,000,000 C N 4119184 12/01/2018 12/01/2019 1,000,000 1,000,000 1,000,000 A Professional Pollution 7930040310003 12/01/2018 12/01/2019 Pollution 1,000,000 Professional 1,000,000 Policy Aggregate 2,000,000 RE: Contract renewal, 8636 Transport Bus lift replacement City of Fort Collins P.O. Box 580 Fort Collins CO 80522 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 Kubat Equipment & Service Company, Inc.(KESCO) 3656 Moody Insurance Agency, Inc. Homeland Insurance, Cincinnati Insurance, Pinnacol Assurance : Notes CONTRACTUAL LIABILITY APPLIES PER POLICY TERMS AND CONDITIONS General Liability: OBENV GE 301 0211 Form Attached Includes: Blanket Additional Insured for ongoing operations status applies only to the extent provided in form OBENV GE 301 0211 when required by written contract. OBENV GE 304 0211 Form Attached Includes: Blanket Additional Insured for Completed Operations status applies only to the extent provided in form OBENV GE 304 0211 when required by written contract. OBENV GE 320 0411 Form Attached Includes: Blanket Waiver of Subrogation applies only to the extent provided in form OBENV GE 320 0411 when required by written contract. OBENV GE 319 0211 Form Attached Includes: Primary and Non-Contributory status only to the extent provided in form OBENV GE 319 0211 when required by written contract. OBENV GL 324 0713 Form Attached Includes: Designated Project General Aggregate applies only to the extent provided in form OBENV GL 324 0713 when required by written contract. Auto Liability: AA 4171 1105 Form Attached Includes: Blanket Additional Insured status applies only to the extent provided in form AA 4171 1105 when required by written contract. AA 4172 0909 Form Attached Includes: Blanket Waiver of Subrogation applies only to the extent provided in form AA 4172 0909 when required by written contract. Excess Liability: Excess Liability policy is on a follow form basis for the following underlying insurance coverages: General Liability, Pollution Liability, Professional Liability, Automobile Liability, and Employers Liability. Additional insured status will follow when required by written contract. OBENVXS 300 0411 Form Attached Includes: Blanket Waiver of Subrogation applies only to the extent provided in form OBENVXS 300 0411 when required by written contract. OBENVXS 201 0411 Form Attached Includes: Primary and Non-Contributory status only to the extent provided in form OBENVXS 201 0411 when required by written contract. Worker’s Compensation: 359-B From Attached Includes Blanket Waiver of Subrogation. Status applies when required by written contract. Leased / Rented Coverage - 50,000 Cincinnati Insurance Company - Policy Number EPP0219301 Effective 12/01/2018 - 12/01/2019 IMPORTANT: The policy forms referenced will be sent via email only. To obtain copies, please send your request with the email address to certrequest@moodyins.com. 12/01/2018 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: 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? (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) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY