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Home My WebLink AboutCORRESPONDENCE - AGREEMENT MISC - WASTE-NOT RECYCLINGJune 12, 2017 Waste-Not Recycling Attn: Ms. Anita Comer 1065 Poplar St Loveland, CO 80534 RE: Renewal, Miscellaneous Agreement for E-Waste Recycling Dear Ms. Comer: 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, September 1, 2017 through August 31, 2018. 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 Ed Bonnette, C.P.M., CPPB, Senior Buyer at (970) 416-2247 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew Misc Agreement for E-Waste Recycling 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: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C 6/30/2017 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD 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 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 EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG OTHER: $ COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (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 INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) 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 DocuSign Envelope ID: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C DocuSign Envelope ID: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C DocuSign Envelope ID: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C DocuSign Envelope ID: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C DocuSign Envelope ID: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C DocuSign Envelope ID: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C DocuSign Envelope ID: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C DocuSign Envelope ID: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C DocuSign Envelope ID: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C DocuSign Envelope ID: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C DocuSign Envelope ID: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C 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 have ADDITIONAL INSURED provisions or 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 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 06/30/2017 (970) 635-9400 (970) 635-9401 10804 Earth Enterprises, Inc. Dba Waste- Not Recycling dba Waste-Not Recycling 1065 Poplar Street Loveland, CO 80534 28932 A 1,000,000 CPA3136552 06/03/2017 06/03/2018 300,000 Per Project Aggregat 10,000 1,000,000 2,000,000 2,000,000 A 1,000,000 CPA3136552 06/03/2017 06/03/2018 A 5,000,000 CPA3136552 06/03/2017 06/03/2018 5,000,000 0 5,000,000 B Pollution Liability MKLV2ENV100177 06/03/2017 Pollution 1,000,000 A Equipment Floater CPA3136552 06/03/2017 06/03/2018 Leased & Rented 750,000 If required by written contract or written agreement, the certificate holder is included as additional insured for general liability and Designated Insured under Automobile Liability (except Hired and Non-Owned Automobile). City of Fort Collins Purchasing Division P.O. Box 580 Fort Collins,, CO 80522-0580 EARTENT-01 JCAMPBELL PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 info@mypfsinsurance.com Continental Western Group Markel American Insurance Co Personal Injury 06/03/2018 X X X X X X X X DocuSign Envelope ID: 7C228C94-C168-4D38-BE17-DEFD7E5CB90C