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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8456 ORGANIZATIONAL ASSESSMENTMarch 23, 2020 HRQ Holdings, LLC Attn: Tyler O'Gara 2859 Umatilla St Denver, CO 80211 RE: Renewal, 8456 Organizational Assessment Dear Mr. O'Gara: 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 your 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 8456 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: B67BA2A4-0395-4B6C-BE82-29A2CB6ED0F2 3/27/2020 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. 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). SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. $ CERTIFICATE HOLDER © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) OTHER: JECT LOC PRO- POLICY GEN'L AGGREGATE LIMIT APPLIES PER: CLAIMS-MADE OCCUR COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ DED RETENTION $ CLAIMS-MADE OCCUR AGGREGATE $ UMBRELLA LIAB EACH OCCURRENCE $ EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS PER STATUTE OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE AGENCY CUSTOMER ID: LOC #: PRODUCER CARRIER NAIC CODE POLICY NUMBER INSURED ISSUE DATE: CERTIFICATE NUMBER: BY494G4D Arthur J. Gallagher Risk Management Services, Inc. Landrum Human Resource Companies, Inc (continued from previous page) Retention- Zurich American Insurance Company; POLICY # PRA 5908811-06 $1,000,000 Employee Dishonesty; $1,000,000 Forgery or Alteration; $1,000,000 Inside the Premises; $1,000,000 Outside the Premises; $1,000,000 Computer Fraud; $1,000,000 Money Orders & Counterfeit Paper Currency; $1,000,000 Client's Property Coverage; $1,000,000 Funds Transfer Fraud. CYBER LIABILITY 10/1/2019-10/1/20 Landmark American Insurance Company: Policy# LCY778549- $2,000,000 Limits.. $1,000,000 Aggregate Directors & Officers Liability; 10/1/19-10/1/20 Zurich American Ins Co - MPL 0139366-05- Retention/SIR-$50,000-$5,000,000 Each Occurrence $1,000,000 Additional Limit for Defense Costs $6,000,000 Combined Aggregate. Stop Gap included for states of North Dakota, Ohio, Washington, Wyoming under policy #PRA 5908811-06 at limits of $1m/$1m/$1m effective 10/1/19-10/1/20. Professional Liability Policy #PRA5908811-06 referenced above has a $50,000 Deductible "Each Wrongful Act". Retention. Schedule of entities that may be covered under these policies; certain policies do not apply to certain entities: Landrum Human Resource Companies, Inc; Landrum Human Resource Companies, Inc. II; hrQ, Inc; Landrum Professional Employer Services, Inc. I; Landrum Professional Employer Services, Inc. II; Landrum Professional Employer Services, Inc. III; Landrum Professional Employer Services, Inc. IV; Landrum Staffing Services, Inc; Landrum Administrative Services, Inc; Landrum Companies, Inc; Landrum Contract Services, Inc; Landrum Family Partnership, LTD; Accredited Holdings, LLC; Accredited Insurance, LTD; Amstaff Human Resources, Inc. VI; Landrum Professional Employer Services Retirement Savings Plan, and LandrumHR SJR. 03/27/2020 Page 2 of 2 DocuSign Envelope ID: B67BA2A4-0395-4B6C-BE82-29A2CB6ED0F2 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? (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 DATE (MM/DD/YYYY) 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 12/31/2019 Liberty Mutual Insurance Co. National Insurance East 2000 Westwood Dr. Wausau, WI 54401 www.LibertyMutual.com Liberty Mutual Fire Insurance Company 23035 A WA2-65D-428303-060 1/1/2020 1/1/2021 ✓ WC2-651-291281-160 1/1/2020 1/1/2021 1,000,000 N 1,000,000 1,000,000 Roberta Johnson CMeCertProduction@LibertyMutual.com Landrum Human Resource Companies, Inc., Etal 6723 Plantation Road Pensacola FL 32504-0698 53329591 ✓ Waiver of subrogation is included in favor of the certificate holder, where required by written contract, and where applicable by law. City of Fort Collins 215 North Mason St Fort Collins CO 80524 Workers Compensation coverage for Employees leased to but not subcontractors of hrQ, Inc. 53329591 | LM_2802 | 1/20-1/21 - hrQ, Inc. | Connie Myszka | 12/31/2019 12:15:07 PM (CST) | Page 1 of 1 DocuSign Envelope ID: B67BA2A4-0395-4B6C-BE82-29A2CB6ED0F2 DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED HIRED NON-OWNED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ $ INSD ADDL WVD SUBR N / A $ (Ea accident) (Per accident) The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE $ $ $ $ $ BY494G4D 10/01/2020 City of Fort Collins 215 North Mason Street Fort Collins, CO 80524 1,000,000 PRA 5908811-06 1,000,000 PRA 5908811-06 Each Claim Commerical Crime Professional Liability 2,000,000 Zurich American Insurance Company Employees Dishonest Acts B 1,000,000 7,000,000 10/01/2019 10/01/2020 100,000 3,000,000 16535 A Aggregate 3,000,000 American Guarantee & Liability Ins Co PRA 5908811-06 10/01/2020 UMB 6513024-06 A 3,000,000 7,000,000 Arthur J. Gallagher Risk Management Services, Inc. 250 Tequesta Drive Suite 306 Tequesta, FL 33469 Landrum Human Resource Companies, Inc 6723 Plantation Road Pensacola, FL 32504 03/27/2020 10/01/2019 10/01/2019 10/01/2020 10,000 The above General Liability and Automoble policies have Blanket Additional Insured and Blanket Waiver of Subrogation. The Umbrella Policy indicated above is a Follow Form Policy and as such, follows the General Liability and Automobile for the Blanket Additional Insured and Blanket Waiver of Subrogation. Primary NonContributory & Waiver of Subrogation are automatically included as required by written contract and/or agreement under the General Liability & Automobile; General Liability includes Designated Project Limits of Insurance at $3,000,000 Designated Project Aggregate Limit and $5,000,000 Combined Total Designated Project Aggregate Limit; Umbrella is follow form; all subject to the terms, conditions and exclusions within the policy. EPLI - Beazley - POLICY #MR191072; POLICY TERM 10/1/19-10/01/20 $3,000,000 MAXIMUM LIMIT OF LIABILITY FOR EACH CLAIM. $3,000,000 THIRD-PARTY DISCRIMINATION LIMIT OF LIABILITY. $3,000,000 PUNITIVE, EXEMPLARY AND MULTIPLE DAMAGES LIMIT OF LIABILITY. $7,000,000 MAXIMUM AGGREGATE LIMIT OF LIABILITY FOR ALL CLAIMS. $1,000,000 Max Limit of Liability Each Claim per client company $1,000,000 Max Aggregate of Liability Each Claim per client company COMMERCIAL CRIME/Fidelity 10/1/19-20 ( LOSS SUSTAINED)$25,000 (continued next page) 1,000,000 PRA 5908811-06 A 10/01/2019 X X X X X X X Page 1 of 2 DocuSign Envelope ID: B67BA2A4-0395-4B6C-BE82-29A2CB6ED0F2