Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutCORRESPONDENCE - RFP - 7546 DIRECTIONAL BORING & TRENCHING SERVICES (3)September 28, 2015
Sage Telecommunications Corp
Attn: Mike McFadden mike.mcfadden@sagecom.net
6700 Race Street
Denver, CO 80229
RE: Renewal, Agreement for 7546 Directional Boring
Dear Mr. McFadden:
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, November 25, 2015 through
November 24, 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 Pat Johnson, CPPB, Senior Buyer at (970)221-6816 if you have any
questions regarding this matter.
Sincerely,
Gerry S. Paul
Director of Purchasing
__________________________________________ ________________
Signature Date
(Please indicate your desire to renew Agreement for 7546 by signing this letter and
returning it to Purchasing Division within the next fifteen (15) days.)
GSP:jg
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: A1B8A373-1C6A-4AF2-8396-353B3C685471
9/30/2015
Liberty Mutual Fire Insurance Company 23035-001
Westchester Fire Insurance Company 10030-001
Liberty Insurance Corporation 42404-001
877-945-7378 888-467-2378
certificates@willis.com
Willis of Pennsylvania, Inc.
c/o 26 Century Blvd.
P. O. Box 305191
Nashville, TN 37230-5191
6700 Race St.
Denver, CO 80229
X
X
X
5,000,000
1,000,000
5,000,000
5,000,000
5,000,000
A TB2631004260015 7/31/2015 7/31/2016
X
X X
A AS2631004260025 7/31/2015 7/31/2016 5,000,000
X X 5,000,000
5,000,000
B G22049860010 7/31/2015 7/31/2016
X
1,000,000
1,000,000
1,000,000
N
C WA763D004260035 7/31/2015 7/31/2016
C WC7631004260045 7/31/2015 7/31/2016
Workers’ Compensation in State of Washington is Self Insured.
The following is Additional Insured as respects General Liability only if required by written
contract and coverage applies only as respects work performed by the Insured for the Additional
Insured. All coverage terms, conditions and exclusions of the policy apply. Additional Insured:
City of Fort Collins.
Sage Telecommunications Corp of Colorado, LLC
Page 1 of 1 07/01/2015
Y
23334923
Fort Collins, CO 80522
300 La Porte Ave
Attn: Engineering Dept
City of Fort Collins
Coll:4719986 Tpl:1969009 Cert:23334923
DATE (MM/DD/YYYY)
PRODUCER
INSURED
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS’ LIABILITY Y / N
N / A
(Mandatory in NH)
LA 99 224 09 10 Page 1 of 1
Policy Number: TB2631004260015 & AS2631004260025 Endorsement Number: LA 99 224 09 10
Issued by: Liberty Mutual Fire Insurance Company & Liberty Mutual Fire Insurance Company Endorsement Effective Date:
7/31/2015
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION TO THIRD PARTIES
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE PART
MOTOR CARRIER COVERAGE PART
GARAGE COVERAGE PART
EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART
SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART
COMMERCIAL GENERAL LIABILITY COVERAGE PART
EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the
Schedule below. We will send notice to the email or mailing address listed below at least 10 days, or the number of days listed
below, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first
named insured.
B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance
notification will not extend the policy cancellation date nor negate cancellation of the policy.
SCHEDULE
Name of Other Person(s) /
Organization(s):
Email Address or mailing address: Number Days Notice:
City of Fort Collins Attn: Engineering Dept300 La Porte
AveFort Collins, CO 80522
30
All other terms and conditions of this policy remain unchanged.
DocuSign Envelope ID: A1B8A373-1C6A-4AF2-8396-353B3C685471
WM 90 18 09 10 2010 Liberty Mutual Group of Companies Page 1 of 1
Ed. 09/01/2010 All Rights Reserved
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION TO THIRD PARTIES
A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons
or organizations shown in the Schedule below. In no event does the notice to the third party exceed
the notice to the first named insured.
B. This advance email notification of a pending cancellation of coverage is intended as a courtesy only.
Our failure to provide such advance notification will not extend the policy cancellation date nor negate
cancellation of the policy.
SCHEDULE
Name of Other Person(s) /
Organization(s):
Email Address or mailing address: Number Days Notice:
City of Fort Collins
Attn: Engineering Dept300 La Porte
AveFort Collins, CO 80522
30
WA763D004260035 (AOS)
WC7631004260045 (OR & WI)
Effective: 7/31/2015
Expiration: 7/31/2016
All other terms and conditions of this policy remain unchanged.
DocuSign Envelope ID: A1B8A373-1C6A-4AF2-8396-353B3C685471
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
CONTACT
NAME:
PHONE FAX
(A/C, NO, EXT): (A/C, NO):
E−MAIL
ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC #
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
EACH OCCURRENCE
DAMAGE TO RENTED
$
CLAIMS−MADE OCCUR PREMISES (Ea occurence) $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN’L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
PRO-
POLICY JECT LOC
OTHER: $
COMBINED SINGLE LIMIT
(Ea accident) $
ANY AUTO
ALL OWNED
AUTOS
BODILY INJURY(Per person) $
SCHEDULED
AUTOS
HIRED AUTOS
BODILY INJURY(Per accident) $
NON-OWNED
AUTOS
PROPERTY DAMAGE
(Per accident) $
$
OCCUR EACH OCCURRENCE
CLAIMS−MADE AGGREGATE
$
$
DED RETENTION $ $
PER OTH-
STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
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.
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 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 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 (2014/01)
© 1988−2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
CERTIFICATE OF LIABILITY INSURANCE
DocuSign Envelope ID: A1B8A373-1C6A-4AF2-8396-353B3C685471