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HomeMy WebLinkAboutCORRESPONDENCE - SOLE SOURCE - SMITH ENVIRONMENTAL & ENGINEERING (2)May 4, 2018 Smith Environmental & Engineering Attn: Peter Smith 250 Perry Lane Dacano, CO 80514 RE: Renewal, Prairie Dog Mitigation Dear Mr. Smith: 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, August 1, 2018 through July 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 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 this agreement 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: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE 5/11/2018 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 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 ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE 7501 E. Lowry Blvd. Denver, CO 80230-7006 303.361.4000 / 800.873.7242 Pinnacol.com Smith Environmental and Engineering I 250 Perry Lane Dacono, CO 80514 Continental Insurance Agency Allian 23 Inverness Way East Suite 120 Englewood, CO 80112 (303) 470-3233 7501 E. Lowry Blvd Denver, CO 80230-7006 Page 1 of 1 P LINDQUIL - Underwriter 01/26/2018 14:18:40 4202890 50850382 359-B NCCI #: WC000313B Policy #: 4202890 ENDORSEMENT: Blanket Waiver of Subrogation Effective Date:January 26, 2018 Expires on: February 1, 2019 Pinnacol Assurance has issued this endorsement January 26, 2018 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE To any person or organization when agreed to under a written contract or agreement, as defined above and with the insured, which is in effect and executed prior to any loss. DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE PROPERTY DAMAGE $ $ $ $ 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 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. 5/11/2018 Van Oppen & Co. 2, Inc. VOCO 2 Insurance & Risk Control Services P.O. Box 793 Teton Village WY 83025 Brenda Todd 800-746-0048 service@vanoppenco2.com Pinnacol Assurance 41190 SMITH-1 Homeland Insurance Co. of NY 34452 Smith Environmental & Engineering and Smith Environmental Services, Inc. 250 Perry Lane Dacono CO 80514 Ohio Security Insurance Co. 24082 303820374 B X 1,000,000 X 300,000 X CPL(Pollution) 25,000 1,000,000 2,000,000 X Y Y 793007474 0000 2/1/2018 2/1/2019 2,000,000 C 1,000,000 X X X Y Y BAO56503574 2/1/2018 2/1/2019 B X 4,000,000 X X 0 Y Y 793007475 0000 X 4,000,000 2/1/2018 2/1/2019 XS GL/CPL/E&O/AL/EL A Y 4202890 2/1/2018 2/1/2019 X 1,000,000 1,000,000 1,000,000 B Professional Liability "Claims Made' 793007474 0000 2/1/2018 2/1/2019 Each Claim Aggregate Subject to GL Agg 1,000,000 2,000,000 Project: Prairie Dog Mitigation The City of Fort Collins its officers, agents and employees are included and Additional Insured under General Liability, Auto Liability, & Excess Liability as per written contract. Coverage is Primary and Non Contributory. A Waiver of Subrogation applies. City of Fort Collins 1745 Hoffman Mill Road Fort Collins CO 80524 DocuSign Envelope ID: 47B5DAAF-FB2C-478A-A6C2-0511F3D52EAE