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Home My WebLink AboutCORRESPONDENCE - RFP - 8525 DEVELOPMENT REVIEW FEE STUDY (3)March 8, 2018 MGT of America Consulting, LLC Attn: J Bradley Burgess 8200 S Quebec Suite A3 #184 Centennial, CO 80112 RE: Renewal, 8525 Development Review Fee Study Dear Mr. Bradley: 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, June 14, 2018 through June 13, 2019. 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 Director of Purchasing, Gerry Paul, at (970) 221-6779 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew 8525 by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP:kr 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: 55CC4E96-D162-4E1C-A213-DC92F95B3112 3/8/2018 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 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 OWNED SCHEDULED HIRED NON-OWNED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112 $ $ $ 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 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: 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. 6/30/2017 Earl Bacon Agency, Inc. P.O. Box 12039 Tallahassee FL 32317 MGT of America, LLC MGT of America Consulting, LLC 3800 Esplanade Way, Ste 210 Tallahassee FL 32311 Continental Casualty Company Valley Forge Insurance Co. Transportation Ins. Co. TravelersCas.&SuretyCo.ofAmer. American Cas.Co.of Reading, PA 20443 20508 20494 31194 20427 Bobby Bacon/Nancy Klucher 850-878-2121 850-878-2128 bbacon@earlbacon.com/nkluch@earlbacon.com MGTOF-1 1459453311 E Y Y 5095130327 7/1/2017 7/1/2018 Deductible 1,000,000 300,000 15,000 1,000,000 2,000,000 2,000,000 None X X X X A-XV Rating E Y Y X X X A-XV Rating 2093563501 7/1/2017 7/1/2018 1,000,000 Deductible None A X X X X 10,000 2093563496 7/1/2017 7/1/2018 5,000,000 5,000,000 B C 3011086712-All Other 3011086788 CA 7/1/2017 7/1/2017 7/1/2018 7/1/2018 X 500,000 500,000 500,000 Y D Professional Liability (E&O) Claims-Made Form 7/5/95 Retro Date/A++XV 105638880 7/1/2017 7/1/2018 Each Claim Aggregate 2,500,000 5,000,000 N N Umbrella: A-XV Rating. All Other Workers' Comp & CA Workers' Comp: A-XV Rating. CA - Workers' Comp Employers Liability Limits: $1,000,000 Each Accident $1,000,000 Disease Policy Limit $1,000,000 Disease Each Employee Cyber Liability: Continental Casualty Company -Limits of Liability $1,000,000/$1,000,000 Retention $10,000 Reto Date 3/30/2017-Claims Made Effective 3/30/17 - 3/30/2018 City of Fort Collins P.O. Box 580 Fort Collins CO 80522 DocuSign Envelope ID: 55CC4E96-D162-4E1C-A213-DC92F95B3112