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CORRESPONDENCE - RFP - 7413 BACKGROUND SCREENING SERVICES - HUMAN RESOURCES (5)
August 5, 2016 Sterling Infosystems, Inc. Attn: Katie Zwetzig kzwetzig@sterlinginfosystems.com 113 South College Avenue Fort Collins, CO 80524 RE: Renewal, 7413 Background Screening Services Dear Ms. Zwetzig: 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 from November 21, 2016 through November 20, 2017. 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 Jill Wilson, 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 7413 by signing this letter and returning it to Purchasing Division within the next fifteen 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: C08734CE-9B59-40A4-A7AE-B1F3734114A0 8/15/2016 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 PREMISES TO (Ea RENTED occurrence) $ CLAIMS-MADE OCCUR 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) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (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 $ SAGITTA 25.3 (2014/01) DESCRIPTIONS (Continued from Page 1) Named Insured Continued: Sterling Infosystems Holdings Inc. Sterling Credit Screening Inc. Sterling Protective Systems Inc. Data-Quick Direct Inc. Bishops Services Inc. ABSO Unisource Screening & Information Services Inc. American Background Information Services Inc. Screening International LLC The Premier Company DBA Tandem Select Sterling Infosystems- Ohio, Inc. HR Plus Verified Volunteers Checkwell Decision Corporation (US) Sterling Intermediate Corp. Sterling Midco Holding Inc. Sterling Ultimate Parent Corp. EmployeeScreen IQ, Inc. TalentWise, Inc. Other Liability Information: Cyber Liability Policy #03092459 $100,000 Retention: Privacy, Network Security or Media Wrongful Acts $1,000,000 Retention: Breach Response Services E&O/Professional Liability Policy #B1230FC02071A15 $250,000 Deductible Each Claim $1,000,000 Deductible Class Action Suits Crime Policy #82242334 $25,000 Deductible 2 of 2 #S17189697/M17156775 DocuSign Envelope ID: C08734CE-9B59-40A4-A7AE-B1F3734114A0 POLICY 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 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ACORDTM CERTIFICATE OF LIABILITY INSURANCE 2/03/2016 USI Insurance Services LLC 333 Westchester Ave, Suite 102 White Plains, NY 10604 914 459-6200 610 537-4537 Kim.ryder@usi.biz Sterling Infosystems, Inc. And It's Subsidiaries 1 State Street Plaza, 24th Floor New York, NY 10004 Hartford Fire Insurance Co Hartford Casualty Insurance Com Allied World Assurance (US) Inc Hiscox Lloyd's Synd Federal Insurance Company 19682 29424 19489 99999 20281 A X X X 16UUNBI2722 10/12/2015 10/12/2016 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 A X X X 16UUNBI2722 10/12/2015 10/12/2016 1,000,000 B X X X 10,000 16XHUBI1936 10/12/2015 10/12/2016 15,000,000 15,000,000 B N 16WEPI3210 10/12/2015 10/12/2016 X 1,000,000 1,000,000 1,000,000 C D E Cyber Liability E&O/Professional Crime 03092459 B1230FC02071A15 82242334 10/12/2015 10/12/2015 10/12/2015 10/12/2016 10/12/2016 10/12/2016 $5,000,000 Aggregate $10,000,000 Aggregate $3,000,000 Aggregate The General Liability and Auto Liability policies include an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder only when there is a written contract that requires such status, and only with regard to work performed on behalf of the named insured. (See Attached Descriptions) City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 1 of 2 #S17189697/M17156775 Client#: 1058256 STERLINF2 KSRCM 1 of 2 #S17189697/M17156775 DocuSign Envelope ID: C08734CE-9B59-40A4-A7AE-B1F3734114A0