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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8025 FITNESS EQUIPMENT FOR THE FOOTHILLS ACTIVITY CENTER (4)October 13, 2016 Sport & Fitness Inc Attn: Ken Forzley ken@sportandfitnessinc.com 1409 Pikes Peak Ave Fort Collins, CO 80524 RE: Renewal, 8025 Fitness Equipment for the Foothills Activity Center Dear Mr. Forzley: 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, December 12, 2016 through December 11, 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 8025 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: D2F102DA-2645-4F41-9CF9-E32600204370 10/20/2016 CERTIFICATE HOLDER ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) JECT LOC PRO- POLICY GEN'L AGGREGATE LIMIT APPLIES PER: CLAIMS-MADE OCCUR COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ RETENTION $ DEDUCTIBLE CLAIMS-MADE OCCUR $ $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS WC STATU- TORY LIMITS 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 AUTOS SCHEDULED AUTOS HIRED AUTOS Certificate Copy 502184 10-18-16 OLD TOWN INS INC 315 W.MAGNOLIA ST #7 FORT COLLINS, CO 80521 CITY OF FORT COLLINS 215 N MASON ST FORT COLLINS, CO 80524-4402 CUSTOMER NUMBER: RUN DATE: DocuSign Envelope ID: D2F102DA-2645-4F41-9CF9-E32600204370 Certificate Copy 648128822 12-17-2015 10-18-16 12-17-2016 OLD TOWN INS INC SPORT AND FITNESS, INC 1409 PIKES PEAK AVE FORT COLLINS CO 80524-4313 CERTIFICATE HOLDER CITY OF FORT COLLINS X X X $ 1,000,000 215 N MASON ST FORT COLLINS, CO 80524-4402 CI CW A02 10 11 Includes copyrighted material of Insurance Services Office, Inc., with its permission CI CW A02 10 11 Allstate Insurance Company Page 1 of 1 CERTIFICATE OF INSURANCE This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regard- less of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holder: Named Insured: Automobile Liability Insurer Name: Allstate Insurance Company Policy Number: 1 --Any Auto 2 --Owned Autos Only 3 --Owned Priv. Pass. Autos Only 4 --Owned Autos Other Than Priv. Pass. Autos Only 5 --Owned Autos Subject to No Fault 6 --Owned Autos Subject to a Compulsory UM Law 7 --Specifically Described Autos 8 --Hired Autos Only 9 --Non-owned Autos Only Policy Effective Date: Policy Expiration Date: Limits Of Combined Single Limit (each accident) Insurance: BI Per Person BI Per Accident PD Per Accident Description of Operations/Locations/Vehicles/Endorsements/Special Provisions Interested Party Type: THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE H OLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Producer: Authorized Representative: Date: DocuSign Envelope ID: D2F102DA-2645-4F41-9CF9-E32600204370 NON-OWNED AUTOS $ COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ $ $ $ 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. INSR ADDL WVD SUBR N / A $ $ 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). The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE (A/C, No, Ext): PRODUCER PRODUCER CUSTOMER ID #: 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. INS025 (200909) 09/28/2015 JOHN C. BECKETT & ASSOCIATES, INC. 220 Smith Street Ft. Collins CO 80524- (970) 484-2805 (970) 484-2885 linda@beckettinsurance.com Sport & Fitness, Inc. Sport & Fitness, Inc. 1409 Pikes Peak Avenue Fort Collins CO 80524- ESSEX INSURANCE CO. A X X X blanket addl insured X Y 3DV9328 12/28/2014 12/28/2015 / / / / / / / / / / / / / / / / / / / / / / / / 2,000,000 50000 1000 2,000,000 2,000,000 2,000,000 NO COVERAGE / / / / / / / / / / / / / / / / / / / / / / / / / / / / NO COVERAGE / / / / / / / / / / / / / / / / YOU WILL NEED TO CALL / / / / PINNACOL DIRECTLY FOR / / / / CERT. 800-873-7242 / / / / # 4110269 / / / / A BUSINESS PROPERTY 1CU1747 09/09/2015 09/09/2016 SPECIAL FORM 200,000 / / / / CITY OF FORT COLLINS ITS OFFICERS, AGENTS AND EMPLOYEES ARE LISTED AS ADDITIONAL INSURED ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. ( ) - (970) 224-6134 PURCHASING DEPT CITY OF FORT COLLINS 215 N MASON 2ND FLOOR FORT COLLINS CO 80522-0580 DocuSign Envelope ID: D2F102DA-2645-4F41-9CF9-E32600204370