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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8107 ATHLETIC FIELD SCOREBOARDS (7)March 13, 2018 Colorado Time Systems Attn: Dave Sauer 1551 E 11th Street Loveland, CO 80537 RE: Renewal, 8107 Athletic Field Scoreboards Dear Mr. Sauer: 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 attach a current copy of insurance naming the City as an additional insured for General and Automobile Liability, within the next fifteen 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 Beth Diven, 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 8107 Athletic Field Scoreboards 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: 5424D23E-A425-4318-B0E2-FED0E810E1A7 3/28/2018 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ PROPERTY DAMAGE $ BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: 2 2 Atlanta TC2NUB-9D90031-4-17 (AL CA CO GA IA IL IN KS KY MD MI MO MT NC NE NV NY OK PA SC TN TX UT) � TROUB-9D90032-6-17 (AZ, FL, OR, WI)� �� UB-7J602089-17-14-G (AK AZ CA CO FL ID IL IN KS MD MN MT NC NH NV NY OK OR PA TN TX WV)� �� �� � Workers' Compensation (Continued): � Certificate of Liability Insurance 457102 Marsh USA, Inc.� dba Colorado Time Systems, Inc.� Everlast Climbing Industries, Inc.� Loveland, CO 80537 1551 E. 11th St.� 25 DocuSign Envelope ID: 5424D23E-A425-4318-B0E2-FED0E810E1A7 DocuSign Envelope ID: 5424D23E-A425-4318-B0E2-FED0E810E1A7 DocuSign Envelope ID: 5424D23E-A425-4318-B0E2-FED0E810E1A7 DocuSign Envelope ID: 5424D23E-A425-4318-B0E2-FED0E810E1A7 (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER (MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY) POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $ $ OCCUR CLAIMS-MADE DED RETENTION $ PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $ EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY C 2,000,000 08/01/2018 G2821800A 001 Manashi Mukherjee UB-7J602089-17-14-G 10,000,000 ATL-004365418-16 1,000,000 25,000,000 TROUB-9D90032-6-17 X 25674 25,000,000 Aggregate of Marsh USA Inc. Atlanta, GA 30326 N X Comp/Coll Ded: $1,000 SIR $10,000 Per Occ. 08/01/2017 Liberty Surplus Insurance Corp 3 08/01/2018 08/01/2017 25658 08/01/2018 TJ-CAP-9D897065TIL-17 Excess Umbrella B 4,000,000 2,000,000 (See Additional Page.) 19445 Travelers Property Casualty Company Of America 1,000,000 X E 03/28/2018 25,000,000 02/01/2017 25,000,000 08/01/2017 Re: RFP 8107 – Athletic Field Scoreboards City of Fort Collins is listed as additional insured as their interests may appear, during and until completion of the project, on a primary and non-contributory basis via CG 2010 & CG 2037 , as required by written X 08/01/2017 POLICY AGGREGATE Fort Collins, CO 80522 City of Fort Collins Travelers Indemnity Co 10,000 contract. A Waiver of Subrogation applies in favor of the additional insureds on the Workers Compensation policy, where required by written contract. X A B National Union Fire Insurance Co. of Pittsburgh, PA 457102-CTS-GAUWX-17-18 Each Occurrence EXCLUDED 08/01/2018 1,000,000 1000054456-07 D 4,000,000 10172 100,000 1,000,000 08/01/2018 TC2NUB-9D90031-4-17 Two Alliance Center Marsh USA, Inc. X 3560 Lenox Road, Suite 2400 Attn: Atlanta.CertRequest@marsh.com / Fax: 212-948-4321 X dba Colorado Time Systems, Inc. Everlast Climbing Industries, Inc. Loveland, CO 80537 1551 E. 11th St. X X 1000054456-07 08/01/2017 PO Box 580 08/01/2017 B 08/01/2018 10725 08/01/2018 Westchester Surplus Lines Insurance Co DocuSign Envelope ID: 5424D23E-A425-4318-B0E2-FED0E810E1A7