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CORRESPONDENCE - RFP - 8192 ELECTRICAL SERVICES 2015 (3)
December 12, 2019 Greiner Electric Attn: Moy Martinez 12456 Dumont Way Littleton, CO 80125 RE: Contract Renewal, 8192 Electrical Services 2015 Dear Mr. Martinez: 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 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 8192 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: 45F5D587-2F2B-41D3-9B7D-B30CF9B90F22 12/23/2019 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 FORM NUMBER: EFFECTIVE DATE: The ACORD name and logo are registered marks of ACORD ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE FORM TITLE: Page of THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01) AGENCY CUSTOMER ID: LOC #: AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE © 2008 ACORD CORPORATION. All rights reserved. CCIG GREIELE-01 SEE PAGE 1 1 SEE PAGE 1 ACORD 25 Certificate of Liability Insurance 1 SEE P 1 Greiner Electric LLC; Greiner Electric of Wyoming, LLC 12456 Dumont Way Littleton, CO 80125 SEE PAGE 1 DENESEB 1 Additional Coverages Installation Floater Carrier: Travelers Property & Casualty Policy #: QT6309006X291TIL19 Effective Dates: 10/1/19 - 10/1/20 Limit: $500,0000 Deductible: $1,000 Crime Carrier: Travelers Casualty & Surety Policy #:106600065 Effective Dates: 10/1/18 - 10/1/21 Limit: $2,000,000 Deductible: $5,000 Professional/Pollution Carrier: St. Paul Surplus Lines Insurance Company Policy #: 16N64338 Effective Dates: 10/1/19 - 10/1/20 Limit Per Claim: $1,000,000 / Limit Per Aggregate: $2,000,000 Retention: $25,000 Stop Gap Liability - WY Carrier: Charter Oak Fire Insurance Co. Policy #: CO9N997650COF19 Effective Dates: 10/1/19 - 10/1/20 Limits: $1M Each Accident/ $1M Disease Policy Limit/ $1M Disease Each Employee DocuSign Envelope ID: 45F5D587-2F2B-41D3-9B7D-B30CF9B90F22 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 9/27/2019 (720) 330-7935 (303) 799-0156 25615 Greiner Electric LLC; Greiner Electric of Wyoming, LLC 12456 Dumont Way Littleton, CO 80125 36161 41190 A 1,000,000 CO9N997650COF19 10/1/2019 10/1/2020 300,000 10,000 1,000,000 2,000,000 2,000,000 B 1,000,000 8109N921108TIL19 10/1/2019 10/1/2020 B 10,000,000 CUP9020X0761926 10/1/2019 10/1/2020 10,000,000 10,000 C 4006279 10/1/2019 10/1/2020 1,000,000 1,000,000 1,000,000 B Contractor's Equip QT6309006X291TIL19 10/1/2019 Deductible $1,000 398,880 B Leased/Rented Equip QT6309006X291TIL19 10/1/2019 10/1/2020 Deductible $1,000 450,000 City of Fort Collins 281 N. College Ave. Fort Collins, CO 80524 GREIELE-01 DENESEB CCIG 155 Inverness Drive West Englewood, CO 80112 Lindsey Murray, CIC LindseyM@thinkccig.com Charter Oak Fire Insurance Co Travelers Prop. & Casualty Pinnacol Assurance X 10/1/2020 X X X X X X X X DocuSign Envelope ID: 45F5D587-2F2B-41D3-9B7D-B30CF9B90F22