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CORRESPONDENCE - RFP - 8931 EMERGENCY MITIGATION SERVICES
May 8, 2020 Paul Davis Restoration of Fort Collins Attn: David McCarty 2636 Midpoint Dr., Ste A Fort Collins, CO 80525 RE: Contract Renewal, Emergency Mitigation Services Dear Mr. McCarty: 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, August 16, 2020 through August 15, 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 Beth Diven, Buyer at (970) 221-6216 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew 8931 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: BE2CE06D-D2E2-4D3C-8F5B-DD0BA0007CB9 5/8/2020 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. The Loomis Company P&C Division PAULDA-265 SEE PAGE 1 1 SEE PAGE 1 ACORD 25 Certificate of Liability Insurance 1 SEE P 1 Wild West Restoration DBA Paul Davis Restoration of Ft. Collins, CO 2636 Midpoint Drive, Unit A Fort Collins, CO 80525 SEE PAGE 1 CHAFER 1 Description of Operations/Locations/Vehicles: Umbrella is follow form Commercial General Liability: Includes Defense in Excess of Limits Umbrella Liability - Includes Contractor Pollution Liability Pollution Liability Deductible - $5,000 Bailees - Policy Limit - $250,000; Expiration date is 10/17/20 - includes scheduled locations, unscheduled locations and while in transit Paul Davis Restoration Inc, Completion Services Inc, Chubb and Son Insurance, First Notice Systems Inc/DBA Innovation Property-its parents, subsidiaries and affiliates, Liberty Mutual Insurance Companies, Lionsbridge Contractor Group Cooperative, AIG Global Claims Services Inc, AIG its affiliated companies, Colliers International WA, LLC and its affiliated companies, ESIS Inc. and all its affiliates, directors, officers, and employees, Nationwide Mutual Company, Alacrity Services LLC, Crawford Contractor Connection, Hanover Insurance Group, Allstate Insurance Company, Tokio Marine Management Inc, Homesite Insurance. FOR MASSACHUSETTS, NEW JERSEY, NEW YORK AND RHODE ISLAND: Narragansett Bay Insurance Company, are additional insureds on the General Liability, Automobile Liability, Pollution Liability and Umbrella Liability policies, if required by written contract, and are subject to the terms, conditions and exclusions of the policies. Coverage is provided on a primary and non-contributory basis. General Liability and Pollution Liability include coverage for the additional insured for ongoing operations and completed operations with respect to liability arising out of the insured's work. DocuSign Envelope ID: BE2CE06D-D2E2-4D3C-8F5B-DD0BA0007CB9 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 CHAFER 10/17/2019 PAULDA-265 C 12EMX1194801 B 648831084 D 4213078 A SP003660022019 A SP003660022019 1,000,000 1,000,000 1,000,000 0 2,000,000 2,000,000 uninsured mot 1,000,000 2,000,000 1,000,000 2,000,000 5,000 100,000 1,000,000 1,000,000 X X X X X X X X X E MNP 1024155 - 50 10/17/2019 10/17/2020 10/17/2019 10/17/2020 10/17/2019 10/17/2020 10/01/2019 10/01/2020 10/17/2019 10/17/2020 10/17/2019 10/17/2020 If required by written contract, the Certificate Holder is an Additional Insured on the General Liability policy, on a primary & non-contributory basis, including Products & Completed Operations and subject to the terms, conditions, and exclusions of the policy. Blanket waiver of subrogation applies to the general liability Blanket Loss Payee applies for contractors' equipment coverage SEE ATTACHED ACORD 101 The Loomis Company P&C Division 850 N Park Road Wyomissing, PA 19610 (610) 374-4040 (610) 376-1049 Paul Davis Restoration Inc 5210 Belfort Road, Suite 300 Jacksonville, FL 32256 Wild West Restoration DBA Paul Davis Restoration of Ft. Collins, CO 2636 Midpoint Drive, Unit A Fort Collins, CO 80525 AXIS Surplus Insurance Co Allstate Insurance Company Arch Specialty Insurance Company Pinnacol Berkley National Insurance Company 38911 26620 21199 X X X X X N X X X $2500 deductible $1M/$2M/$5K ded 250,000 Pollution Bailees DocuSign Envelope ID: BE2CE06D-D2E2-4D3C-8F5B-DD0BA0007CB9