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CORRESPONDENCE - RFP - 9030 CM/GC FOR POUDRE FIRE AUTHORITY SHOP ADDITION
October 9, 2020 Golden Triangle Construction, Inc. Attn: Lance Swanson 700 Weaver Park Road Longmont, CO 80501 RE: Contract Renewal, 9030 CMGC for Poudre Fire Authority Shop Addition Dear Mr. Swanson: The City of Fort Collins wishes to extend the agreement term for the above captioned agreement per the existing terms and conditions and the following: 1) The term will be extended for one (1) additional year, January 15, 2021 through January 14, 2022. 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 Senior Buyer, Elliot Dale at (970) 221-6777 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew 9030 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: 84D648A7-F436-41B0-B1D0-B95D8A313263 10/12/2020 INSR ADDL SUBR LTR INSR WVD DATE (MM/DD/YYYY) 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 COMMERCIAL GENERAL LIABILITY 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 INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: JECT LOC COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS AUTOS ONLY HIRED PROPERTY DAMAGE $ 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 This page has been left blank intentionally. DocuSign Envelope ID: 84D648A7-F436-41B0-B1D0-B95D8A313263 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ POLICY NON-OWNED 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 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 any rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORDTM CERTIFICATE OF LIABILITY INSURANCE The Continental Insurance Company Pinnacol Assurance Company Continental Casualty Company Valley Forge Insurance Company 10/12/2020 Holmes Murphy -Colorado 7600 East Orchard Rd, Ste 230 S Greenwood Village, CO 80111 Nick Brown 720-458-5770 NBrown@holmesmurphy.com Golden Triangle Construction, Inc 700 Weaver Park Rd Longmont, CO 80501 35289 41190 20443 20508 A X X X PD Ded: $5,000 X X 6045613035 12/31/2019 12/31/2020 1,000,000 500,000 15,000 1,000,000 2,000,000 2,000,000 D X X X X 6045613018 12/31/2019 12/31/2020 1,000,000 A X X X 0 6079987673 12/31/2019 12/31/2020 10,000,000 10,000,000 B N 4197806 01/01/2020 01/01/2021 X 1,000,000 1,000,000 1,000,000 C Builders Risk Blanket 6080103525 12/31/2019 12/31/2020 $30,000,000 PC1-7 $5M Frame / $10M JM $1,000,000 Temp/Transit RE: 9030 CM/GC for PFA Shop Addition - GTC job no. 1716 As required by written contract or written agreement, The City and PFA, its officers, agents and employees are included as Additional Insured under General Liability and Auto Liability with respect to the above referenced. Poudre Fire Authority Attn: Dustin DeBaere 102 Remington Street Fort Collins, CO 80524 1 of 1 #S627137/M496967 Client#: 33463 GOLTRIPC VALL2 1 of 1 #S627137/M496967 DocuSign Envelope ID: 84D648A7-F436-41B0-B1D0-B95D8A313263