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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8931 EMERGENCY MITIGATION SERVICESMay 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