HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8653 DEFENSE COUNSEL (2)March 23, 2020
Richard W. Martin, Attorney at Law
Attn: Richard Martin
155 E. Boardwalk Drive #400
Fort Collins, CO 80525
RE: Contract Renewal, 8653 Defense Counsel - Richard W. Martin, Attorney at Law
Dear Mr. Martin:
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 1, 2020 through March 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 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 8653 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: 57C8E836-32A0-4097-90C7-5BEB5A8A5B38
3/25/2020
Insured Full Copy
1817059 03-24-20
SEAN CURRY
4020 S COLLEGE AVE UNIT 4
FORT COLLINS, CO 80525-3064
RICHARD MARTIN
155 BOARDWALK DR STE 400
FORT COLLINS, CO 80525-3040
CUSTOMER NUMBER: RUN DATE:
DocuSign Envelope ID: 57C8E836-32A0-4097-90C7-5BEB5A8A5B38
Insured Full Copy
648813342
03-24-20
002
SEAN CURRY
Allstate Insurance Company
SEAN CURRY
RICHARD MARTIN
X BUSINESSOWNERS NO CHARGE
X
NO CHARGE NO CHARGE
ALL OTHER TERMS AND CONDITIONS REMAIN THE SAME
DM CW 30 01 10 Allstate Insurance Company
Policy Number
THIS ENDORSEMENT CHANGES THE POLICY.
PLEASE READ IT CAREFULLY.
COMMON POLICY CHANGE ENDORSEMENT
Endorsement No.
Named Insured Effective Date:
12:01 A.M., Standard Time
Agent Name
This endorsement will not be used to decrease coverages, increase rates or deductibles or alter any terms or
conditions of coverage unless at the sole request of the insured.
COVERAGE PART INFORMATION ---Coverage parts affected by this change as indicated by x below.
Commercial Property
Commercial General Liability
Commercial Crime
Commercial Inland Marine
The following item(s):
Insured’s Name Insured’s Mailing Address
Policy Number Company
Effective/Expiration Date Insured’s Legal Status/Business of Insured
Payment Plan Premium Determination
Additional Interested Parties Coverage Forms and Endorsements
Limits/Exposures Deductibles
Covered Property/Location Description Classification/Class Codes
Rates Underlying Exposure/Insurance
is (are) changed to read {See Additional Page(s) }
The above amendments result in a change in the premium as follows:
This premium does not include taxes and surcharges.
No Changes To be Adjusted at Audit
Additional Return
Tax and Surcharge Changes
Additional Return
Countersigned By:
AUTHORIZED AGENT
DocuSign Envelope ID: 57C8E836-32A0-4097-90C7-5BEB5A8A5B38
Insured Full Copy
648813342
03-24-20
SEAN CURRY
RICHARD MARTIN
Allstate Insurance Company
COMMON POLICY FORMS AND ENDORSEMENTS
DM CW 30 01-10 COMMON POLICY CHANGE ENDORSEMENT
DM CW 12 01-10 SCHEDULE OF FORMS AND ENDORSEMENTS
DM CW 12 01 10
DM CW 12 01 10 Allstate Insurance Company
Policy Number
SCHEDULE OF FORMS AND ENDORSEMENTS
Named Insured Effective Date:
12:01 A.M., Standard Time
Agent Name
DocuSign Envelope ID: 57C8E836-32A0-4097-90C7-5BEB5A8A5B38
Insured Full Copy
648813342 04-05-2019
SEAN CURRY 03-24-20
155 BOARDWALK DR STE 400
04-05-2020
04-05-2019
FORT COLLINS, CO 80525-3040
CITY OF FORT COLLINS RICHARD MARTIN
$ 1,000,000
$ 10,000
X
X $ 10,200 X
$ 500 0 X
EQUIPMENT BREAKDOWN,PROFESSIONAL OFFICE SHIELD ENHANCEMENT
ATTORNEY
$ 2,000,000.00
$ 2,000,000.00
$ 50,000.00
215 N MASON ST
FORT COLLINS, CO 80524-4402
CERTIFICATE OF INSURANCE - COMMERCIAL
CI CW 01 01 14
ALLSTATE INSURANCE COMPANY - NORTHBROOK, IL
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Description of Operation:
CERTIFICATE HOLDER NAMED INSURED
Name and Address of Party to Whom this Certificate is Issued Name and Address of Insured
Location Address (if different than above)
This is to certify that policies of insurance listed below have been issued to the insured named above subject to the expiration date indicated below,
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.
TYPE OF INSURANCE AND LIMITS
Policy Number: Effective Date: Expiration Date:
COVERAGE SUMMARY
BUSINESS LIABILITY AMOUNT
COMPREHENSIVE LIABILITY Per Occurrence
DAMAGE TO PREMISES RENTED TO YOU Any One Premises
MEDICAL PAYMENTS Per Person
OTHER THAN PRODUCTS / COMPLETED OPERATIONS AGGREGATE
PRODUCTS / COMPLETED OPERATION AGGREGATE
PROPERTY INSURANCE
POLICY TYPE
SPECIAL FORM BROAD FORM BASIC FORM BUILDERS RISK SPECIAL FORM
BUILDING Replacement Cost Actual Cash Value Blanket Limit
CONTENTS Replacement Cost Actual Cash Value Blanket Limit
Deductible Wind Deductible % Exclude Wind YES NO
ADDITIONAL COVERAGE’S:
MORTGAGE CLAUSE --The policy contains a Mortgage Clause in favor of:
Mortgagee
Address
CERTIFICATE PERIOD
THIS CERTIFICATE WILL REMAIN IN FORCE FROM THE INCEPTION OF THE POLICY UNTIL THE POLICY IS CANCELLED OR EXPIRES.
POLICY INCEPTION DATE: 12:01 AM 12:00 NOON Standard Time at the location of the Insured Premises.
PROVISIONS
This form is not the contract of insurance, but attests that a policy as identified above has been issued. The provisions of the policy shall prevail
in all respects.
SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Authorized Representative Date
DocuSign Envelope ID: 57C8E836-32A0-4097-90C7-5BEB5A8A5B38