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Home My WebLink AboutCORRESPONDENCE - RFP - 8164 PLAYGROUND SURFACING CONSTRUCTION SERVICES (5)September 20, 2016 Tatonka Playgrounds Attn: James Ritzel tatonka2003@yahoo.com 14555 Quail Run Road Hudson, CO 80642 RE: 2016 Renewal, 8164 Playground Surfacing Construction Services Dear Mr. Ritzel: 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 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 Elliot Dale, Buyer 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 8164 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: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 10/6/2016 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) JECT LOC POLICY PRO- GEN'L AGGREGATE LIMIT APPLIES PER: CLAIMS-MADE OCCUR COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ DED RETENTION $ CLAIMS-MADE OCCUR $ AGGREGATE $ UMBRELLA LIAB EACH OCCURRENCE $ EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS PER STATUTE OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6 PROPERTY DAMAGE $ $ $ $ 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 9/26/2016 Keller Lowry a Buckner Company 1777 S Harrison St #700 Denver CO 80210 Tatonka Contractors, LTD. 14555 Quail Run Road Hudson CO 80642 Cincinnati Insurance 10677 Teresa Heupel 303-756-9909 303-756-8818 icanhelp@kellerlowry.com 6861 1595213055 A Y Y ENP0162799 10/20/2015 10/20/2016 1,000,000 500,000 10,000 1,000,000 2,000,000 2,000,000 X X X A Y Y X X X ENP0162799 10/20/2015 10/20/2016 1,000,000 A X X X 10,000 ENP0162799 10/20/2015 10/20/2016 1,000,000 1,000,000 Certificate Holder is Additional Insured, with Waiver of Subrogation, for General & Auto Liability as required by written contract with Insured subject to the terms and conditions of the policy contract. Umbrella follows form. City of Fort Collins, its officers, agents and employees are Additional Insured for General Liability and Auto Liability per written contract with Insured subject to terms and conditions of the policy contract. City of Fort Collins Purchasing Division PO Box 580 Fort Collins CO 80522 DocuSign Envelope ID: F8084C8D-0B12-4B89-86B1-00984DBBAAA6