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HomeMy WebLinkAboutCORRESPONDENCE - AGREEMENT MISC - AIR RESOURCE SPECIALISTS (2)March 15, 2018
Air Resource Specialists Inc
Attn: Joseph Adlhoch
1901 Sharp Point Drive, Ste E
Fort Collins, CO 80525
RE: Renewal, Air Quality Monitoring Station
Dear Mr. Aldhoch:
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 1, 2018 through May 31,
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 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 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: 4B7687B5-7ACC-48D6-AB52-B519A7DC0C06
3/19/2018
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
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).
PRODUCER CONTACT
NAME:
PHONE FAX
(A/C, No, Ext): (A/C, No):
E-MAIL
ADDRESS:
PRODUCER
CUSTOMER ID #:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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 SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $
CLAIMS-MADE OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
POLICY PRO- LOC $
JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED AUTOS BODILY INJURY (Per accident) $
SCHEDULED AUTOS PROPERTY DAMAGE
(Per accident) $
HIRED AUTOS
NON-OWNED AUTOS $
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' LIABILITY TORY LIMITS ER
Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N / A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
OP ID: SLS
03/19/2018
Phone: 970-223-1804
Front Range Insurance Group
2002 Caribou Drive, Ste. 101
Fort Collins, CO 80525
David A. Wooldridge LUTCFAAI
Fax:
AIRRE-1
Air Resource Specialists, Inc
Jim Allan
1901 Sharp Point Dr., #F
Fort Collins, CO 80525
Pinnacol Assurance 41190
Cincinnati Insurance Companies 10677
Westchester Surplus Lines Ins
1,000,000
CX X G23802910011
06/11/2017 06/11/2018 50,000
X 5,000
X Professional Liab G23802910011
06/11/2017 06/11/2018 1,000,000
X Contractors Pollu G23802910011
06/11/2017 06/11/2018 3,000,000
3,000,000
X
X 1,000,000
B X EBA0145843 06/11/2017 06/11/2018
B X EBA0145843 06/11/2017 06/11/2018
B X EBA0145843 06/11/2017 06/11/2018 HNOA Phy Dmg 50,000
B X HNOA Physical Dmg EBA0145843 06/11/2017 06/11/2018
XX 2,000,000
2,000,000
C G24224818007
06/11/2017 06/11/2018
X
A 1477552 05/01/2017 05/01/2018 1,000,000
1,000,000
1,000,000
C Bus Pers Prop EPP0145843 06/11/2017 06/11/2018 ALL LOCS 814,200
BUS Inc 1,000,000
The Additional City Fort Insured Collins, with it respect officers, to the agents General and employees Liability are Policy listed and as the
Commercial Auto Policy
CITY OF
City of Fort Collins
Financial Services
215 N. Mason St. - 2nd Floor
PO Box 580
Fort Collins, CO 80522
DocuSign Envelope ID: 4B7687B5-7ACC-48D6-AB52-B519A7DC0C06