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CORRESPONDENCE - BID - 7541 MAPO SALT (4)
DocuSign Envelope ID: 5E696728-C154-41CD-BDF1-1B860F9C353E City of Fort Collins Purchasing April 16, 2015 Independent Salt Company Attn: SK Olson solson(a)indsalt.com PO Box 36 Kanopolis, KS 67454 RE: Renewal, 7541 MAPO Salt Dear Mr. Olson: Financial Services Purchasing Division 215 N. Mason St 2n° Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707-fax fcgov.com/purchasing 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, July 1, 2015 through June 30, 2016. 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 John D. Stephen, CPPO, LEED AP, Senior Buyer at (970) 221-6777 if you have any questions regarding this matter. Sin ly, VG&kryVPau1 Director of Purchasing and Risk Management Z/� 04/27/2015 Sign ture S. K. Olson, W-Distribution Date (Please indicate your desire to renew 7541 by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP:jg ''� b® CERTIFICATE OF LIABILITY INSURANCE DATE 9/15/ 01D 4 n 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: N the certificate holder is an ADDITIONAL INSURED, the policy(les) must 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). PRODUCER Assurance Partners 201 E Iron St.AEMRESS P.O. Box 1213 Salina KS 67402-1213 CONE CT Brenda Smith FAX PHONE (800)563-1871 AID Net: (705)825-5098 L .bsmith@youraseuranco.com INSURE S AFFORDING COVERAGE NAIL a INSURERAFederal Insurance Company 0281 INSURED Independent Salt Company KCI, Inc. P O Box 36 Kano olis KS 67454 INSURERS: INSURERC: INsuRERo: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 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. 1N8R LTS TYPE OF INSURANCE POLICY NUMBER MADDLSUBR KDD� M DD �P LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Me $ 1,000,000 X COMMERCIAL GENERAL LIABILITY A CLAMS -MADE I -XI OCCUR 37110044 /16/2019 /16/2015 MED EXP (Any one n $ 5,000 PERSONAL d AOV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE UMIT APPLIES PER: PRODUCTS -COMPIOP AGG $ 2,000,000 X POLICY PRQ. LOC $ AUTOMOBILE LIABILITY COMBINED INGL LIMITMe accident) 11000,000 BODILY INJURY (Pot person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 78399735 /16/2014 /16/2015 BODILY INJURY (Pat accident) $ PROPERTY DAMAGE actl $ X NON -OWNED HIRED AUTOS N AUTOS PIP.Basic $ UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A X EXCESS UAB I I CLAIMS -MADE BED I X I RETENTIONS $ 9764048 /16/2014 /16/2015 WORKERS COMPENSATION WC STATU-rS1 OTH- ER S' LI AND EMPLOYERABILITY Y I N ANY PROPRIETORIPARTNEREXECUTNE O OFFICER/MEMBER EXCLUDEOT NIA EL EACH ACCIDENT $ (Mandatary In NH) EL DISEASE, EA EMPLOYE $ If ff desaioe under DESCRIPTION OF OPERATIONS balm EL DISEASE -POLICY UMR $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addlflonal Remade Schedule, I1 more apace is nqulted) City of Fort Collins, CO is named as additional insured respecting General Liability coverage for Independent Salt Company as regards Independent Salt's product. (970)221-6707 City of Fort Collins ATTN: Purchasing Department PO Box 580 Fort Collins, CO 80522-0580 ACORD 25 (2010/05) INS025rm1mslm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOPIMO REPRESENTATIVE Smith/DWALKE 4egzo>vGl yae5 Jr-- ©1988-2010 ACORD CORPORATION. All rights reserved. Th. Ar nDn nmme mnd Innn am ro Ictarod marice of Ar.nPn