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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8158 SPORTS TEAM PHOTO SERVICESAugust 5, 2016 Rolexis, Inc dba Team Sport Photos Attn: Gretchen Steinbrueck gretchen@tspimaging.com 11880 Upham Street Unit A Broomfield, CO 80020 RE: Renewal, 8158 Sports Team Photo Services Dear Ms. Steinbrueck: 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 1, 2016 through October 31, 2017. If the renewal is acceptable to your firm, please sign this letter in the space provided and include a current copy of your insurance certificate naming the City as an additional insured for General 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 8158 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: A795B7E1-B88A-42DB-B127-4B8D85062990 8/23/2016 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) PRODUCER INSURED CONTACT NAME: PHONE (A/C, No, Ext): EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE FAX (A/C, No): NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) LIMITS CERTIFICATE HOLDER CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE ADDL INSR SUBR WVD POLICY EXP (MM/DD/YYYY) GENERAL AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY POLICY NUMBER CARRIER NAIC CODE ADDITIONAL REMARKS NAMED INSURED EFFECTIVE DATE: ROLEXIS INC DBA TEAM SPORT PHOTO 2 2 WILLIAM J ALBERT 49-99863-01 01/01/2015 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 10/20/2015 4999863 DocuSign Envelope ID: A795B7E1-B88A-42DB-B127-4B8D85062990 Y / N N / A EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) EACH OCCURRENCE AGGREGATE E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT PER STATUTE OTH- ER DED RETENTION $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) $ OTHER: 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). 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. ROLEXIS INC DBA TEAM SPORT PHOTO 11880 UPHAM ST UNIT A BROOMFIELD, CO 80020 CITY OF FORT COLLINS 215 N MASON ST 2ND FL PO BOX 580 FORT COLLINS, CO 80524 10/20/2015 Sentry Customer Service 800-295-6919 800-514-7191 businessproducts_direct@sentry.com 0010 SENTRY INSURANCE A MUTUAL COMPANY 24988 0010 WILLIAM J ALBERT X BUSINESSOWNERS LIABILITY A X X X 49-99863-01 01/01/2015 01/01/2016 1,000,000 300,000 10,000 3,000,000 3,000,000 X NON-OWNED AUTO X HIRED AUTO 4999863 10/20/2015 Page 1 of 2 1 00001 0000000000 15293 0 N 955683FE-7E1F-4D1B-8053-13C73CDBAE77 DocuSign Envelope ID: A795B7E1-B88A-42DB-B127-4B8D85062990