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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8631 GENERAL ENVIRONMENTAL SERVICESDecember 6, 2019 LT Environmental, Inc. Attn: John Peterson 4600 West 60th Avenue Arvada, CO 80003 RE: Renewal, 8631 General Environmental Services - LT Environmental Dear Mr. Peterson: 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 28, 2020 through February 27, 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 Pat Johnson, CPPB, Senior 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 8631 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: 4CD5C3E7-64E2-4D28-8808-01568F5F531B 12/6/2019 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? SUPP (05/04) SUPPLEMENT TO CERTIFICATE OF INSURANCE NAME OF INSURED: Additional Description of Operations/Remarks from Page 1: LT Environmental, Inc. Additional Information: Fungus/Spore/Mold Liability Coverage: Policy #SP003432012019 Eff Date: 07/01/19-07/01/20 Insurer A: See Above $1,000,000 Per Claim Limit; $2,000,000 Aggregate Limit $10,000 Deductible Leased & Rented Equipment Coverage: Policy #QT6604598789 Eff Date: 07/01/19-07/01/20 Insurer B: See Above $75,000 Limit; $1,000 Deductible DATE 06/26/2019 DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B SP003432022019 7/1/19 DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B SP003432022019 7/1/2019 DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B SP003432022019 7/1/2019 DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B SP003432022019 7/01/2019 DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B SP003432022019 7/1/19 DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B SP003432022019 07/01/19 DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B 7/1/20 8102N275484TCT19 7/1/19 8102N275484TCT19 7/1/19 to 7/1/20 DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B July 1, 2019 July 1, 2019 July 1, 2020 DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B LT Environmental, Inc. Policy # WC463252008 Effective 7/1/19 to 7/1/20 DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B (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 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 E D IMA, Inc. - Colorado Division X 2,000,000 07/01/20 07/01/20 X C 07/01/20 07/01/20 07/01/20 1,000,000 4023969 - CO WC463252009 - OS 1,000,000 LT Environmental, Inc. SP003432012019 4600 West 60th Ave. pollution, professional liability, automobile liability and employers liability policies. written contract or agreement subject to the policy terms and conditions. The umbrella policy is excess of the general, City of Fort Collins is included as Additional Insured on the General and Automobile Liability Policies if required by 16535 41190 21199 25674 X 07/01/19 26620 X Denver, CO 80202 X X 1,000,000 X francine Professional Ded. $ 53306845 53306845 Aggregate $ Limit $ 5,000,000 1,000,000 1-303-534-4567 Arvada, CO 80003 X A 100,000 Fort Collins, CO 80522 DATE (MM/DD/YYYY) 06/26/2019 Suite 100 07/01/19 1705 17th Street USA 07/01/19 1,000,000 07/01/19 07/01/19 ZURICH AMER INS CO(Pinnacol) PINNACOL ASSUR ARCH SPECIALTY INS CO TRAVELERS PROP CAS CO OF AMER AXIS SURPLUS INS CO(Bonding & Ins Spec) denaccounttechs@imacorp.com 07/01/19 N A City of Fort Collins 25,000 2,000,000 1,000,000 5,000 $10,000 Pollution Deductible Professional Liability 07/01/20 Contractors Pollution & 8102N275484TCT19 BI/PD Ded: $25,000 1,000,000 X 2,000,000 B PO Box 580 215 N. Mason Street, 2nd Floor 12EMX4381712 5,000,000 SP003432012019 DocuSign Envelope ID: 4CD5C3E7-64E2-4D28-8808-01568F5F531B