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HomeMy WebLinkAbout119699 GALLEGOS SANITATION INC - CONTRACT - BID - 8515 PORTABLE TOILETS RENTAL & SERVICINGSERVICES AGREEMENT THIS AGREEMENT made and entered into the day and year set forth below by and between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter referred to as the "City" and Gallegos Sanitation, Inc., hereinafter referred to as "Service Provider". WITNESSETH: In consideration of the mutual covenants and obligations herein expressed, it is agreed by and between the parties hereto as follows: 1. Scope of Services. The Service Provider agrees to provide services for 8515 Portable Toilets Rental & Servicing in accordance with the scope of services attached hereto as Exhibit "A", consisting of five (5) pages and incorporated herein by this reference. Irrespective of references in Exhibit A to certain named third parties, Service Provider shall be solely responsible for performance of all duties hereunder. 2. Contract Period. This Agreement shall commence June 1, 2017, and shall continue in full force and effect until May 31, 2018, unless sooner terminated as herein provided. In addition, at the option of the City, the Agreement may be extended for additional one year periods not to exceed four (4) additional one year periods. Renewals and pricing changes shall be negotiated by and agreed to by both parties. Written notice of renewal shall be provided to the Service Provider and mailed no later than thirty (30) days prior to contract end. 3. Delay. If either party is prevented in whole or in part from performing its obligations by unforeseeable causes beyond its reasonable control and without its fault or negligence, then the party so prevented shall be excused from whatever performance is prevented by such cause. To the extent that the performance is actually prevented, the Service Provider must provide written notice to the City of such condition within fifteen (15) days from the onset of such condition. 4. Early Termination by City/Notice. Notwithstanding the time periods contained herein, the City may terminate this Agreement at any time without cause by providing written notice of termination to the Service Provider. Such notice shall be delivered at least fifteen (15) days prior to the termination date contained in said notice unless otherwise agreed in writing by the parties. All notices provided under this Agreement shall be effective when mailed, postage prepaid and sent to the following addresses: Service Provider: City: Copy to: Gallegos Sanitation, Inc. Attn: Levi Gallegos 1941 Heath Parkway Fort Collins, CO 80524 Levi@gsiwaste.com City of Fort Collins Attn: Kevin Williams, Parks Supervisor PO Box 580 Fort Collins, CO 80522 City of Fort Collins Attn: Purchasing Dept. PO Box 580 Fort Collins, CO 80522 Services Agreement - 8515 Portable Toilets Rental & Servicing Page 1 of 12 DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E In the event of early termination by the City, the Service Provider shall be paid for services rendered to the date of termination, subject only to the satisfactory performance of the Service Provider's obligations under this Agreement. Such payment shall be the Service Provider's sole right and remedy for such termination. 5. Contract Sum. The City shall pay the Service Provider for the performance of this Contract, subject to additions and deletions provided herein, as per the attached Exhibit "A", consisting of five (5) pages, and incorporated herein by this reference. 6. City Representative. The City will designate, prior to commencement of the work, its representative who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the services provided under this agreement. All requests concerning this agreement shall be directed to the City Representative. 7. Independent Service provider. The services to be performed by Service Provider are those of an independent service provider and not of an employee of the City of Fort Collins. The City shall not be responsible for withholding any portion of Service Provider's compensation hereunder for the payment of FICA, Workmen's Compensation or other taxes or benefits or for any other purpose. 8. Subcontractors. Service Provider may not subcontract any of the Work set forth in the Exhibit A, Statement of Work without the prior written consent of the city, which shall not be unreasonably withheld. If any of the Work is subcontracted hereunder (with the consent of the City), then the following provisions shall apply: (a) the subcontractor must be a reputable, qualified firm with an established record of successful performance in its respective trade performing identical or substantially similar work, (b) the subcontractor will be required to comply with all applicable terms of this Agreement, (c) the subcontract will not create any contractual relationship between any such subcontractor and the City, nor will it obligate the City to pay or see to the payment of any subcontractor, and (d) the work of the subcontractor will be subject to inspection by the City to the same extent as the work of the Service Provider. 9. Personal Services. It is understood that the City enters into the Agreement based on the special abilities of the Service Provider and that this Agreement shall be considered as an agreement for personal services. Accordingly, the Service Provider shall neither assign any responsibilities nor delegate any duties arising under the Agreement without the prior written consent of the City. 10. Acceptance Not Waiver. The City's approval or acceptance of, or payment for any of the services shall not be construed to operate as a waiver of any rights or benefits provided to the City under this Agreement or cause of action arising out of performance of this Agreement. 11. Warranty. a. Service Provider warrants that all work performed hereunder shall be performed with Services Agreement - 8515 Portable Toilets Rental & Servicing Page 2 of 12 DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E the highest degree of competence and care in accordance with accepted standards for work of a similar nature. b. Unless otherwise provided in the Agreement, all materials and equipment incorporated into any work shall be new and, where not specified, of the most suitable grade of their respective kinds for their intended use, and all workmanship shall be acceptable to City. c. Service Provider warrants all equipment, materials, labor and other work, provided under this Agreement, except City-furnished materials, equipment and labor, against defects and nonconformances in design, materials and workmanship/workwomanship for a period beginning with the start of the work and ending twelve (12) months from and after final acceptance under the Agreement, regardless whether the same were furnished or performed by Service Provider or by any of its subcontractors of any tier. Upon receipt of written notice from City of any such defect or nonconformances, the affected item or part thereof shall be redesigned, repaired or replaced by Service Provider in a manner and at a time acceptable to City. 12. Default. Each and every term and condition hereof shall be deemed to be a material element of this Agreement. In the event either party should fail or refuse to perform according to the terms of this agreement, such party may be declared in default thereof. 13. Remedies. In the event a party has been declared in default, such defaulting party shall be allowed a period of ten (10) days within which to cure said default. In the event the default remains uncorrected, the party declaring default may elect to (a) terminate the Agreement and seek damages; (b) treat the Agreement as continuing and require specific performance; or (c) avail himself of any other remedy at law or equity. If the non-defaulting party commences legal or equitable actions against the defaulting party, the defaulting party shall be liable to the non-defaulting party for the non-defaulting party's reasonable attorney fees and costs incurred because of the default. 14. Binding Effect. This writing, together with the exhibits hereto, constitutes the entire agreement between the parties and shall be binding upon said parties, their officers, employees, agents and assigns and shall inure to the benefit of the respective survivors, heirs, personal representatives, successors and assigns of said parties. 15. Indemnity/Insurance. a. The Service Provider agrees to indemnify and save harmless the City, its officers, agents and employees against and from any and all actions, suits, claims, demands or liability of any character whatsoever brought or asserted for injuries to or death of any person or persons, or damages to property arising out of, result from or occurring in connection with the performance of any service hereunder. b. The Service Provider shall take all necessary precautions in performing the work hereunder to prevent injury to persons and property. c. Without limiting any of the Service Provider's obligations hereunder, the Service Services Agreement - 8515 Portable Toilets Rental & Servicing Page 3 of 12 DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E Provider shall provide and maintain insurance coverage naming the City as an additional insured under this Agreement of the type and with the limits specified within Exhibit B, consisting of one (1) page, attached hereto and incorporated herein by this reference. The Service Provider before commencing services hereunder, shall deliver to the City's Purchasing Director, P. O. Box 580, Fort Collins, Colorado 80522, one copy of a certificate evidencing the insurance coverage required from an insurance company acceptable to the City. 16. Entire Agreement. This Agreement, along with all Exhibits and other documents incorporated herein, shall constitute the entire Agreement of the parties. Covenants or representations not contained in this Agreement shall not be binding on the parties. 17. Law/Severability. The laws of the State of Colorado shall govern the construction interpretation, execution and enforcement of this Agreement. In the event any provision of this Agreement shall be held invalid or unenforceable by any court of competent jurisdiction, such holding shall not invalidate or render unenforceable any other provision of this Agreement. 18. Prohibition Against Employing Illegal Aliens. Pursuant to Section 8-17.5-101, C.R.S., et. seq., Service Provider represents and agrees that: a. As of the date of this Agreement: 1. Service Provider does not knowingly employ or contract with an illegal alien who will perform work under this Agreement; and 2. Service Provider will participate in either the e-Verify program created in Public Law 208, 104th Congress, as amended, and expanded in Public Law 156, 108th Congress, as amended, administered by the United States Department of Homeland Security (the “e-Verify Program”) or the Department Program (the “Department Program”), an employment verification program established pursuant to Section 8-17.5-102(5)(c) C.R.S. in order to confirm the employment eligibility of all newly hired employees to perform work under this Agreement. b. Service Provider shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or knowingly enter into a contract with a subcontractor that knowingly employs or contracts with an illegal alien to perform work under this Agreement. c. Service Provider is prohibited from using the e-Verify Program or Department Program procedures to undertake pre-employment screening of job applicants while this Agreement is being performed. d. If Service Provider obtains actual knowledge that a subcontractor performing work under this Agreement knowingly employs or contracts with an illegal alien, Service Provider shall: 1. Notify such subcontractor and the City within three days that Service Provider has actual knowledge that the subcontractor is employing or contracting with an illegal Services Agreement - 8515 Portable Toilets Rental & Servicing Page 4 of 12 DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E alien; and 2. Terminate the subcontract with the subcontractor if within three days of receiving the notice required pursuant to this section the subcontractor does not cease employing or contracting with the illegal alien; except that Service Provider shall not terminate the contract with the subcontractor if during such three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. e. Service Provider shall comply with any reasonable request by the Colorado Department of Labor and Employment (the “Department”) made in the course of an investigation that the Department undertakes or is undertaking pursuant to the authority established in Subsection 8-17.5-102 (5), C.R.S. f. If Service Provider violates any provision of this Agreement pertaining to the duties imposed by Subsection 8-17.5-102, C.R.S. the City may terminate this Agreement. If this Agreement is so terminated, Service Provider shall be liable for actual and consequential damages to the City arising out of Service Provider’s violation of Subsection 8-17.5-102, C.R.S. g. The City will notify the Office of the Secretary of State if Service Provider violates this provision of this Agreement and the City terminates the Agreement for such breach. Services Agreement - 8515 Portable Toilets Rental & Servicing Page 5 of 12 DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E THE CITY OF FORT COLLINS, COLORADO By: Gerry Paul Purchasing Director DATE: ATTEST: APPROVED AS TO FORM: Gallegos Sanitation, Inc. By: Printed: Title: CORPORATE PRESIDENT OR VICE PRESIDENT Date: Services Agreement - 8515 Portable Toilets Rental & Servicing Page 6 of 12 DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E Levi Gallegos key accounts manager 6/14/2017 Assistant City Attorney 6/14/2017 City Clerk EXHIBIT A SCOPE OF SERVICES Scope of Work and General Requirements 1. Each portable toilet shall display a record of service clearly identifying personnel performing service and date of service. 2. Pick up of canceled units or units reaching their pre-established termination date will be made within one week of cancellation or termination. 3. Units will be anchored, at the expense of the Service Provider, where necessary. 4. Minor repairs of units will be made on site when possible. Any unit which cannot be repaired on site must be exchanged within 48 hours. 5. Service Provider must insure that toilet tissue will be placed in all units at the time of service. 6. Units which have been overturned shall be righted by the Service Provider at no charge to the City. 7. Each unit shall be equipped with original equipment or the manufacturer's replacement parts. Units with altered or rigged equipment will not be accepted, i.e., eye and hook as replacement for locking mechanism. 8. Each unit shall be equipped with a working lock system, occupied/vacant indicator, tissue paper holder that is firmly attached to the unit per manufacturer's specification, seat cover shall be hinged and in working order. All other equipment shall be in working order. 9. All units shall be consistent in color, appearance and age. These units are for public use and must represent a positive image. 10. Frequency of cleaning units must be maintained, i.e. weekly or daily. If awarded Service Provider misses cleaning any units more than two times per year, City has the right to cancel contract and award a new contract with next low responsive, responsible bidder. Units will be replaced if they cannot be serviced during their normally scheduled cycle, weekly or daily, due to conditions such as frozen units in winter and etc. Services Agreement - 8515 Portable Toilets Rental & Servicing Page 7 of 12 DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E 11. Awarded Service Provider will be responsible for replacement of portable toilet if damaged by an act of God. City will be responsible for replacement if damaged by vandalism. 12. The Service Provider shall provide one single point of contact to the City to handle any service issues, and notify the City immediately if there is a contact change. The Service Provider shall also provide one single point of contact to the City to handle any billing issues. The Service Provider agrees to hold prices firm for the term of the Annual Contract. Any price adjustment requests for the following year will be submitted when the Renewal Letter is sent out. The Service Provider agrees that they will not charge the City any Fuel Surcharges, Finance Charges, Service Charges, Environmental Charges, or Late Charges. All billing will be sent to the Accounts Payable Department at P.O. Box 580, not to the individual departments. 13. The Service Provider agrees to stress the importance to their Drivers to obey all posted speed limits on City of Fort Collins and Natural Areas streets, access roads, and trails. Repeated violations may be cause for contract termination. 14. The City has adopted a “Limitation on Engine Idling” to discourage the idling of vehicle engines. Service Provider must comply with turning off vehicles instead of idling for long periods (more than three minutes, as a general rule). The City also desires that Service Providers run biodiesel or other alternative fuels in their trucks. 15. Extra Cleanings on Monthly Rentals: Monthly rental of ADA handicapped-accessible portable toilets cleaned 1x/week: $85.00/month as bid. If cleaned 2x/week: $120.00/month Monthly rental of non-handicapped-accessible toilets cleaned 1x/week: $75.00/month as bid. If cleaned 2x/week: $110.00/month 16. Billing: Billing will be broken out by park site. If extra cleaning is requested, the billing will include the date that the extra cleaning was requested. Services Agreement - 8515 Portable Toilets Rental & Servicing Page 8 of 12 DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E Services Agreement - 8515 Portable Toilets Rental & Servicing Page 9 of 12 DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E Services Agreement - 8515 Portable Toilets Rental & Servicing Page 10 of 12 DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E Bid 8515 Portable Toilet Locations rev 5/1/17 ecb Frequency Pickup Placement Site Address Qty Type Service Schedule Notes PARKS Buckingham Park 101 First St 1 ADA Accessible 2x/week Monday mid-row/curb parking stall City Park Ballfields 211 Bryan Ave South 3 ADA Accessible 2x/week Thursday Ballfield Parking lot, Sheldon Dr, City Park Dr City Park Fishing Pier 1500 Mulberry St W 1 ADA Accessible 2x/week Thursday Cottonwood Glen 3074 Overland Trail S 1 ADA Accessible 2x/week Weds Gravel Parking Lot Edora Park 1420 Stuart St E 1 ADA Accessible 1x/week Weds East parking lot (old BMX lot) English Ranch 3825 Kingsley Dr 1 ADA Accessible 1x/week Weds Between mens and womens restrooms Fossil Creek Park 5821 Lemay Ave S 1 ADA Accessible 2x/week Weds Near trail @ west parking lot Greenbriar Park 730 Willox Ln 1 ADA Accessible 2x/week Monday At restrooms Hughes Disc Golf 2375 Overland Trail S 1 ADA Accessible 1x/week Weds Aggie Greens Landings Park 4351 Boardwalk Dr 1 ADA Accessible 1x/week Weds east side of east parking lot by irrigation clock Legacy Park 300 Woodlawn Dr 1 Regular unit 1x/week Monday Martinez Park 600 Sherwood St N 1 ADA Accessible 2x/week Monday NW corner of tennis parking Miramont Park 5138 Boardwalk Dr S 1 ADA Accessible 1x/week Weds basketball court Rolland Moore Playground 2201 Shields St S 1 ADA Accessible 2x/week Thursday Basketball courts Rolland Moore Park 2201 Shields St S 1 Regular unit 1x/week Thursday in parking lot at playground restroom Soft Gold Park 520 Hickory St 1 ADA Accessible 1x/week ? Parking lot Spring Canyon Park 2626 Horsetooth Rd W 1 ADA Accessible 2x/week Weds Dog park Spring Park 2100 Mathews St 1 ADA Accessible 2x/week Weds West parking lot by playground Stuart Case Park 2351 Pinecone Cir 1 ADA Accessible 2x/week Weds Between mens and womens restrooms Trolley Barn 1700 Mountain Ave W 1 Regular unit Every other week Thursday Troutman Park 500 Troutman Pkwy W 1 ADA Accessible 1x/week Monday Manhattan Ave near crosswalk Warren Park 1101 Horsetooth Rd E 1 ADA Accessible 1x/week Weds N side of ballfield parking lot Webster Park Sabercat Dr 2 ADA Accessible 1x/week Weds 1 @ park and 1 @ BMX track GOLF Collindale Golf 1441 Horsetooth Rd E 2 Regular unit On Call, as needed NA 15th green City Park Nine Golf 411 Bryan Ave S 1 ADA Accessible 1x/week Thursday #4 fairway Southridge Golf 5750 Lemay Ave S 3 Regular unit 2x/week Weds 3 units NATURAL AREAS Arapahoe Bend 4062 Strauss Cabin Rd 1 Regular unit 1x/week Weds N Shields Pond 1333 N Shields St 1 ADA Accessible 1x/week Monday Total: 25 ADA Accessible 9 Regular unit Total Count: 34 Units Services Agreement - 8515 Portable Toilets Rental & Servicing Page 11 of 12 DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E EXHIBIT B INSURANCE REQUIREMENTS 1. The Service Provider will provide, from insurance companies acceptable to the City, the insurance coverage designated hereinafter and pay all costs. Before commencing work under this bid, the Service Provider shall furnish the City with certificates of insurance showing the type, amount, class of operations covered, effective dates and date of expiration of policies, and containing substantially the following statement: “The insurance evidenced by this Certificate will not reduce coverage or limits and will not be cancelled, except after thirty (30) days written notice has been received by the City of Fort Collins.” In case of the breach of any provision of the Insurance Requirements, the City, at its option, may take out and maintain, at the expense of the Service Provider, such insurance as the City may deem proper and may deduct the cost of such insurance from any monies which may be due or become due the Service Provider under this Agreement. The City, its officers, agents and employees shall be named as additional insureds on the Service Provider 's general liability and automobile liability insurance policies for any claims arising out of work performed under this Agreement. 2. Insurance coverages shall be as follows: A. Workers' Compensation & Employer's Liability. The Service Provider shall maintain during the life of this Agreement for all of the Service Provider's employees engaged in work performed under this agreement: 1. Workers' Compensation insurance with statutory limits as required by Colorado law. 2. Employer's Liability insurance with limits of $100,000 per accident, $500,000 disease aggregate, and $100,000 disease each employee. B. Commercial General & Vehicle Liability. The Service Provider shall maintain during the life of this Agreement such commercial general liability and automobile liability insurance as will provide coverage for damage claims of personal injury, including accidental death, as well as for claims for property damage, which may arise directly or indirectly from the performance of work under this Agreement. Coverage for property damage shall be on a "broad form" basis. The amount of insurance for each coverage, Commercial General and Vehicle, shall not be less than $1,000,000 combined single limits for bodily injury and property damage. In the event any work is performed by a subcontractor, the Service Provider shall be responsible for any liability directly or indirectly arising out of the work performed under this Agreement by a subcontractor, which liability is not covered by the subcontractor's insurance. Services Agreement - 8515 Portable Toilets Rental & Servicing Page 12 of 12 DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E 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 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 06/14/2017 (970) 635-9400 (970) 635-9401 19100 Gallegos Sanitation Inc. PO Box 1986 Fort Collins, CO 80522 A 1,000,000 ACPGLAO3027019089 05/01/2017 05/01/2018 300,000 10,000 1,000,000 2,000,000 2,000,000 A 1,000,000 ACPBAPD3027019089 05/01/2017 05/01/2018 A 1,000,000 ACPCAA3027019089 05/01/2017 05/01/2018 1,000,000 0 A Equipment Floater ACPCIM3027019089 05/01/2017 Leased & Rented 200,000 RE: 8515 Portable Toilets Rental & Servicing - If required by written contract, the Certificate Holder is included as Additional Insured for ongoing operations under General Liability and Designated Insured under Automobile Liability (except Hired and Non-Owned Automobile). City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 GALLSAN-01 NROYBAL PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 info@mypfsinsurance.com Allied Insurance Group 05/01/2018 X X X X X X X X DocuSign Envelope ID: FABFA84E-DB67-4465-B2C3-8235796BDE7E