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HomeMy WebLinkAboutCORRESPONDENCE - AGREEMENT MISC - WASTE-NOT RECYCLING (2)June 20, 2019
Waste-Not Recycling
Attn: Ms. Anita Comer
1065 Poplar St
Loveland, CO 80534
RE: Renewal, Miscellaneous Agreement for E-Waste Recycling
Dear Ms. Comer:
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, September 1, 2019 through
August 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 Ed Bonnette, C.P.M., CPPB, Senior Buyer at (970) 416-2247 if you have any
questions regarding this matter.
Sincerely,
Gerry S. Paul
Director of Purchasing
__________________________________________ ________________
Signature Date
(Please indicate your desire to renew Misc Agreement for E-Waste Recycling 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: F99ACDFD-B27B-40C0-B6B3-FD124E30D9A1
7/2/2019
EARTENT-01 DVIGIL
CERTIFICATE OF LIABILITY INSURANCE
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
LTR TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY
X
CPA3136552-23
6/3/2019
6/3/2020
EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE X OCCUR
DAMAGE TO RENTED
PREMISES (Ea occurrence) $
300,000
MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY X
PRO-
LOC
JECT
OTHER:
PRODUCTS - COMP/OP AGG $ 2,000,000
$
A AUTOMOBILE LIABILITY
X
CPA3136552-23
6/3/2019
6/3/2020
COMBINED SINGLE LIMIT
(Ea accident) $ 1,000,000
X ANY AUTO BODILY INJURY (Per person) $
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
SCHEDULED
AUTOS
NON-OWNED
AUTOS ONLY
BODILY INJURY (Per accident) $
PROPERTY DAMAGE
(Per accident) $
$
A X UMBRELLA LIAB
EXCESS LIAB
X OCCUR
CLAIMS-MADE
CPA3136552-23
6/3/2019
6/3/2020
EACH OCCURRENCE $ 5,000,000
AGGREGATE $ 5,000,000
DED X RETENTION $
0
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
PER
STATUTE
OTH-
ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
B Pollution Liability MKLV7ENV100949 6/3/2019 6/3/2020 Each Claim 2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
If required by written contract, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability and Automobile Liability.
CERTIFICATE HOLDER CANCELLATION
ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AUTHORIZED REPRESENTATIVE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
Purchasing Division
P.O. Box 580
Fort Collins,, CO 80522-0580
DATE (MM/DD/YYYY)
5/30/2019
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).
PRODUCER
PFS Insurance Group
4848 Thompson Parkway Suite 200
Johnstown, CO 80534
CONTACT
NAME:
PHONE
(970) 635-9400
(A/C, No, Ext):
FAX
(970) 635-9401
(A/C, No):
E-MAIL info@mypfsinsurance.com
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Continental Western Group 10804
INSURED
Earth Enterprises, Inc. dba Waste-Not Recycling
1065 Poplar Street
Johnstown, CO 80534-4160
INSURER B : Evanston Insurance Company 35378
INSURER C :
INSURER D :
INSURER E :
INSURER F :
DocuSign Envelope ID: F99ACDFD-B27B-40C0-B6B3-FD124E30D9A1