HomeMy WebLinkAboutCORRESPONDENCE - SOLE SOURCE - EMERGENCY RESPONDER TRAUMA COUNSELORS LLC (2)November 14, 2019
First Responder Trauma Counselor
Attn: Joanne Rupert
19 Old Town Square
Fort Collins, CO 80524
RE: Renewal, Natural Areas Park Rangers Peer Support
Dear Ms. Rupert:
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, February 1, 2020 through
January 31, 2021.
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: A2235C33-3E22-4064-AC10-B99085717C7C
11/18/2019
HEALTHCARE PROVIDERS
PROFESSIONAL LIABILITY COVERAGE PART ENDORSEMENT
G-121486-B (07/2001) Page 1 of 1
Additional Insured – Person or Entity
In consideration of the premium paid, and subject to the Professional Liability limit of liability shown on the
certificate of insurance, it is agreed that the PROFESSIONAL LIABILITY COVERAGE PART is
amended as follows:
The person or entity named below (the “additional insured”) is an insured under this Coverage Part but
only as respects its liability for your medical incidents and solely to the extent that:
1. a professional liability claim is made against you and the additional insured; and
2. in any ensuing litigation arising out of such claim, you and the additional insured remain as co-
defendants.
In no event is there any coverage provided under this policy for a medical incident that is the direct
liability of the additional insured.
Additional Insured:
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless
another effective date is shown below. All other provisions of the policy remain unchanged.
Must Be Completed
Complete Only When This Endorsement Is Not Prepared with the Policy
Or Is Not to be Effective with the Policy
ENDT. NO. Policy ISSUED TO ENDORSEMENT EFFECTIVE DATE
1 419073969 Joanne Rupert 9/1/2019
The City of Ft Collins
Director of Purchase Dept
PO Box 580
Ft Collins, CO 80522
DocuSign Envelope ID: A2235C33-3E22-4064-AC10-B99085717C7C
DocuSign Envelope ID: A2235C33-3E22-4064-AC10-B99085717C7C
DocuSign Envelope ID: A2235C33-3E22-4064-AC10-B99085717C7C
DocuSign Envelope ID: A2235C33-3E22-4064-AC10-B99085717C7C