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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8065 IRRIGATION PUMP STATION MAINTENANCE & REPAIR (2)December 28, 2017 Ramey Environmental Compliance Inc Attn: Wayne Ramey 5959 Iris Parkway Frederick, CO 80504 RE: Renewal, 8065 Irrigation Pump Station Maintenance & Repair Dear Mr. Ramey: 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, March 15, 2018 through March 14, 2019. If the renewal is acceptable to your firm, please sign this letter in the space provided and include a current copy of your 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 Elliot Dale, Senior Buyer, at (970) 221-6777 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew 8065 by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP:jg 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: 3C5A94CF-1B19-4DC1-A7E5-82A043863B81 12/29/2017 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 $ 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: Inland Marine: Transit:- $50,000; IM Total:- $290,291 Carrier: American Alternative Insurance Corp; NAIC#: 19720 Policy Term: 11/1/2017 to 11/1/2018. Contractor's Pollution Liability is on Occurrence Form, Retroactive Date: 11/4/2004, Each Pollution Claims Expense Limit: $1,000,000 Professional Liability is on Claims Made Form, Retroactive Date: 11/4/2004, Each E&O Claim Expense Limit: $1,000,000. Carrier: Rockhill Insurance Company Blanket Additional Insured forms CG 20 10 07/04M RHIC 6226 06/11 AND RHIC 6105 06/11 and AU1003 (04-14). The certificate holder, it's officers, agents and employees shall be named as additional insured with respects to the liability arising out of the activities of the named insured. 1 1 Ramey Environmental Compliance Inc. Linda Ramey PO Box 99 Firestone CO 80520 RAMEENV-01 Arthur J. Gallagher Risk Management Services, Inc. 25 CERTIFICATE OF LIABILITY INSURANCE DocuSign Envelope ID: 3C5A94CF-1B19-4DC1-A7E5-82A043863B81 $ $ $ 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. 11/3/2017 Arthur J. Gallagher Risk Management Services, Inc. 3005 Center Green Drive, Suite 120 Boulder CO 80301 Ramey Environmental Compliance Inc. Linda Ramey PO Box 99 Firestone CO 80520 American Alternative Insurance Corp Pinnacol Assurance Company Rockhill Insurance Company 19720 41190 28053 Jamie McMahon 303-444-4666 303-444-8481 jamie_mcmahon@ajg.com RAMEENV-01 747002240 C ENVP01497202 11/4/2017 11/4/2018 4,000,000 50,000 5,000 4,000,000 10,000,000 10,000,000 X X X A X GPPA-PF-6056154 11/1/2017 11/1/2018 1,000,000 A X X GPPA-PF-6056154 11/1/2017 11/1/2018 3,000,000 3,000,000 B N 4086766 11/1/2017 11/1/2018 X 1,000,000 1,000,000 1,000,000 C Pollution Liability Professional Liability Complete GL Package ENVP01497202 11/4/2017 11/4/2018 Aggregate Each Occurrence Policy Aggregate $10,000,000 $4,000,000 $10,000,000 Coverage's Continued.. Property Coverage: BPP Blanket Limit:- $ 292,100 Carrier: American Alternative Insurance Corp; NAIC#: 19720 Policy Term: 11/1/2017 to 11/1/2018. See Attached... City of Fort Collins PO Box 580 Fort Collins CO 80522 DocuSign Envelope ID: 3C5A94CF-1B19-4DC1-A7E5-82A043863B81