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CORRESPONDENCE - BID - 8261 CONCRETE REQUIREMENTS
March 19, 2020 Aggregate Industries Attn: Dale Brooks 1687 Cole Blvd., Suite 300 Golden, CO 80401 RE: Renewal, 8261 Concrete Requirements Dear Mr. Brooks: 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 from March 1, 2020 through February 28, 2021. 2) Revised contract pricing, effective March 1, 2020, per the attached. 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 Marisa Donegon, Buyer at (970) 416-4377 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing ________________________________________ ________________ Signature Date (Please indicate your desire to renew 8261 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: 7EB199F0-1C49-4F4A-A101-682A938CF77F 3/30/2020 DocuSign Envelope ID: 7EB199F0-1C49-4F4A-A101-682A938CF77F Holder Identifier : AIUS 7777777707070700077761616045571110767717016204447207442027772507300072640577046230130777051513167400307173554633675503075336374275733210727111467046621207324011170072130076727242035772000777777707000707007 7777777707070700073525677115456000733001507037113007132337352162110070233262530731100713232724317311007123337243062011071233372430620110713223734307311007022337243163110077756163351765540777777707000707007 Certificate No : 570078400975 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/23/2019 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. PRODUCER Aon Risk Services Southwest, Inc. Houston TX Office 5555 San Felipe Suite 1500 Houston TX 77056 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (866) 283-7122 INSURED INSURER A: Indemnity Insurance Co of North America 43575 INSURER B: ACE American Insurance Company 22667 INSURER C: ACE Fire Underwriters Insurance Co. 20702 INSURER D: American Guarantee & Liability Ins Co 26247 INSURER E: INSURER F: FAX (A/C. No.): (800) 363-0105 CONTACT NAME: Holcim Participations (US) Inc. 6211 Ann Arbor Rd Dundee MI 48131 USA COVERAGES CERTIFICATE NUMBER: 570078400975 REVISION NUMBER: 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. Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL TYPE OF INSURANCE INSD POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance AGENCY ADDITIONAL REMARKS EFFECTIVE DATE: CARRIER NAIC CODE NAMED INSURED See Certificate Number: See Certificate Number: POLICY NUMBER AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: Aon Risk Services Southwest, Inc. 570000035837 570078400975 570078400975 ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSURER INSURER INSURER INSURER INSURER(S) AFFORDING COVERAGE Page _ of _ NAIC # Holcim Participations (US) Inc. TYPE OF INSURANCE POLICY NUMBER LIMITS WORKERS COMPENSATION C SCFC65891050 10/01/2019 10/01/2020 OTHER B Excess WC WCUC65891098 10/01/2019 10/01/2020 EL Each Accident $1,000,000 EL Disease - Policy $1,000,000 EL Disease - Ea Empl $1,000,000 19-20 WC Retro (WI) XS WC (MI,OH,OK,SC,WA) N/A ADDL INSD INSR LTR SUBR WVD POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) SIR applies per policy terms & conditions ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Additional Named Insureds AGENCY THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance ADDITIONAL REMARKS EFFECTIVE DATE: CARRIER NAIC CODE NAMED INSURED See Certificate Number: See Certificate Number: POLICY NUMBER AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: 570000035837 Aon Risk Services Southwest, Inc. 570078400975 570078400975 Page _ of _ Holcim Participations (US) Inc. Holcim Participations (US) Inc. Aggregate Industries Management, Inc. International Atlantins Insurance Company Holcim (US) Inc LaFargeHolcim Finance US LLC AI Northeast Region Inc Bardon Inc Tiger Minimix Inc Lattimore Materials Corp Tarrant Concrete Company, Inc AI SWR Inc AI WCR Inc Tiger Delivery LLC AI Land Co Lordstown Construction Recovery LLC Redland Quarries NY Inc. Lafarge Aggregates Illinois Inc. Fredonia Valley Railroad Inc. AI Midwest Region Inc Meyer Material Company LLC Kost Inc GeoCycle LLC Systech Environmental Corporation Lafarge PNW Inc. Nautilus Holding Company American Transport Leasing Inc. Cement Transport Ltd Surplus Items Inc Thorsteinburg Materials Co Inc ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign DocuSign Envelope Envelope ID: ID: 7EB199F0-60E9D47F-1C49-4A10-4F4A-4077-AA8C-A101-682A938CF77F 0C8AB1BA8EC9 DocuSign DocuSign Envelope Envelope ID: ID: 7EB199F0-60E9D47F-1C49-4A10-4F4A-4077-AA8C-A101-682A938CF77F 0C8AB1BA8EC9 PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X GEN'L AGGREGATE LIMIT APPLIES PER: $2,000,000 $2,000,000 $5,000 $2,000,000 $10,000,000 $4,000,000 B HDOG71451483 10/01/2019 10/01/2020 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $5,000,000 B 10/01/2019 10/01/2020 19-20 Auto (AOS) B ISAH25289390 10/01/2019 10/01/2020 19-20 Auto (NH only) SIR applies per policy terms & conditions COMBINED SINGLE LIMIT (Ea accident) ISAH25289432 EXCESS LIAB X OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED $10,000,000 $10,000,000 UMBRELLA LIAB 10/01/2019 D AUC014440103 10/01/2020 RETENTION X E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER PER STATUTE A 10/01/2019 10/01/2020 19-20 WC (AOS) B WLRC65891013 10/01/2019 10/01/2020 $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A N 19-20 WC (AZ,MA) WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 WLRC65890975 XSAH2528947A 10/01/2019 10/01/2020 Aggregate 19-20 XS Auto (NH ONLY) B Excess Auto Lia SIR applies per policy terms & conditions $4,950,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Insured is self-insured on physical damage for all owned, leased and rented autos. RE: All projects in and near the City of Fort Collins, CO. City of Fort Collins is included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability and Automobile Liability policies. CERTIFICATE HOLDER CANCELLATION CityREPRESENTATIVE of Fort Collins AUTHORIZED Attn: Purchasing Department PO Box 580 Fort Collins CO 80522 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DocuSign DocuSign Envelope Envelope ID: ID: 7EB199F0-60E9D47F-1C49-4A10-4F4A-4077-AA8C-A101-682A938CF77F 0C8AB1BA8EC9