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HomeMy WebLinkAboutCORRESPONDENCE - AGREEMENT MISC - RECYCLE THAT LLC (3)January 14, 2014 Recycle That, LLC Attn: Paul Stone 9345 N Elm Court Federal Heights, CO 80260 RE: misc. agreement - Recycle That LLC at Rivendell Dear Mr. Stone: The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions. The term will be extended for one (1) additional year, March 1, 2014 through February 28, 2015. If the renewal is acceptable to your firm, please sign this letter in the space provided include a current copy of insurance naming the City as an additional insured and return all documents to the City of Fort Collins, Purchasing Division, P. O. Box 580, Fort Collins, CO 80522, 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 Ed Bonnette, CPPB, CPM, Buyer at (970) 416-2247 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing and Risk Management __________________________________________ ________________ Signature Date (Please indicate your desire to renew Recycle That by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP: ll Finance 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: E5684DB2-31AE-4B39-AF70-19144137DF01 1/22/2014 Certificate of Completion Envelope Number: E5684DB231AE4B39AF7019144137DF01 Status: Completed Subject: Renewal letter for misc agreement - Recycle That LLC at Rivendell Source Envelope: Document Pages: 1 Signatures: 2 Envelope Originator: Certificate Pages: 5 Initials: 0 Louisa Liu AutoNav: Enabled EnvelopeId Stamping: Enabled 215 N Mason St Fort Collins, CO 80524 lliu@fcgov.com IP Address: 198.59.47.100 Record Tracking Status: Original 1/14/2014 2:01:34 PM PT Holder: Louisa Liu lliu@fcgov.com Location: DocuSign Signer Events Signature Timestamp Ed Bonnette ebonnette@fcgov.com CPM, CPPO, Senior Buyer City of Fort Collins Security Level: Email, Account Authentication (None) Completed Using IP Address: 198.59.47.100 Sent: 1/14/2014 2:05:24 PM PT Viewed: 1/21/2014 7:31:55 AM PT Signed: 1/21/2014 7:32:05 AM PT Consumer Disclosure: Not Offered ID: Gerry Paul gspaul@fcgov.com Director of Purchasing & Risk Management City of Fort Collins Security Level: Email, Account Authentication (None) Using IP Address: 198.59.47.100 Sent: 1/21/2014 7:32:05 AM PT Viewed: 1/21/2014 9:24:44 AM PT Signed: 1/21/2014 9:24:59 AM PT Consumer Disclosure: Not Offered ID: Paul Stone paul.stone@recyclethat.com Security Level: Email, Account Authentication (None) Using IP Address: 72.19.130.37 Sent: 1/21/2014 9:25:01 AM PT Viewed: 1/21/2014 9:26:53 AM PT Signed: 1/22/2014 5:26:29 AM PT Consumer Disclosure: Accepted: 1/22/2014 5:25:57 AM PT ID: 11fc5671-90bb-4491-ab08-d20c0853b9c3 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Louisa Liu lliu@fcgov.com Administrative Aide City of Fort Collins Security Level: Email, Account Authentication (None) Sent: 1/22/2014 5:26:30 AM PT Resent: 1/22/2014 5:26:31 AM PT Viewed: 1/23/2014 11:46:17 AM PT Consumer Disclosure: Not Offered ID: Ed Bonnette ebonnette@fcgov.com CPM, CPPO, Senior Buyer City of Fort Collins Security Level: Email, Account Authentication (None) Sent: 1/22/2014 5:26:30 AM PT Viewed: 1/22/2014 8:02:30 AM PT Consumer Disclosure: Not Offered ID: Susie Gordon sgordon@fcgov.com Security Level: Email, Account Authentication (None) Sent: 1/22/2014 5:26:30 AM PT Consumer Disclosure: Not Offered ID: Notary Events Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 1/22/2014 5:26:30 AM PT Certified Delivered Security Checked 1/22/2014 5:26:30 AM PT Signing Complete Security Checked 1/22/2014 5:26:30 AM PT Completed Security Checked 1/22/2014 5:26:30 AM PT Consumer Disclosure CONSUMER DISCLOSURE From time to time, City of Fort Collins (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through your DocuSign user account all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact City of Fort Collins: Consumer Disclosure created on: 10/15/2013 6:07:04 PM Parties agreed to: Paul Stone You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: gspaul@fcgov.com To advise City of Fort Collins of your new e-mail address To let us know of a change in your e-mail address where we should send notices and disclosures electronically to you, you must send an email message to us at gspaul@fcgov.com and in the body of such request you must state: your previous e-mail address, your new e-mail address. 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By checking the 'I Agree' box, I confirm that:  I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF ELECTRONIC CONSUMER DISCLOSURES document; and  I can print on paper the disclosure or save or send the disclosure to a place where I can print it, for future reference and access; and  Until or unless I notify City of Fort Collins as described above, I consent to receive from exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to me by City of Fort Collins during the course of my relationship with you. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03/28/2013 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 Phone: (303) 972-6633 Fax: (303) 972-6655 CONTACT NAME: Danielle IRG - AFFINITY INSURANCE PARTNERS, LLC 7991 SHAFFER PARKWAY, SUITE 300 LITTLETON CO 80127 PHONE (A/C, No, Ext): (303) 972-6633 FAX (A/C, No): (303) 972-6655 E-MAIL ADDRESS: dschmelingirgco.com PRODUCER CUSTOMER ID: 25680 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Endurance American Specialty Insurance RECYCLE THAT, LLC DBA RECYCLE THAT 9345 ELM CT FEDERAL HEIGHTS CO 80260 INSURER B : INSURER A : INSURER C : INSURER E : INSURER D: INSURER F : COVERAGES CERTIFICATE NUMBER: 42662 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 LTR TYPE OF INSURANCE ADD'L INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL LIABILITY X CBC100015387 03/28/13 03/28/14 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurence) $ 50,000 CLAIMS-MADE X OCCUR MED. EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS PROPERTY DAMAGE (Per accident) $ NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- TORY LIMITS OTH ER $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y / N E.L. EACH ACCIDENT $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A E.L. DISEASE-EA EMPLOYEE $ E.L. DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Additional insured include The City, its officers, agents and employees with respects to general liability as required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION City of Fort Collins PO Box 580 Fort Collins, CO 80522 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 Attention: Thomas J. Luberski ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp