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CORRESPONDENCE - RFP - 7300 CONSULTING ENGINEERING SERVICES FOR CLEARVIEW CHANNEL IMPROVEMENTS & FUTURE MINOR CAPITAL IMPROVEMENTS (8)
February 6, 2014 ICON Engineering Inc Attn: Douglas Williams cjacobson@iconeng.com 8100 S Akron St, Ste 300 Centennial, CO 80112 RE: 7300 Consulting Engineering Services for Clearview Channel and Future Minor Capital Dear Mr. Williams: 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, February 1, 2014 through January 31, 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 Pat Johnson, CPPB, Senior Buyer at (970) 221-6816 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 7300 by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP: ll 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: FD9763D7-3C2C-4ED9-A288-710C5E64F698 2/10/2014 Certificate of Completion Envelope Number: FD9763D73C2C4ED9A288710C5E64F698 Status: Completed Subject: Renewal letter for 7300 Consulting Engineering Svcs for Clearview Channel and Future Minor Capital 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 2/6/2014 10:47:13 AM PT Holder: Louisa Liu lliu@fcgov.com Location: DocuSign Signer Events Signature Timestamp Pat Johnson pjohnson@fcgov.com CPPO, Senior Buyer City of Fort Collins Security Level: Email, Account Authentication (None) Completed Using IP Address: 198.59.47.100 Sent: 2/6/2014 10:50:36 AM PT Viewed: 2/6/2014 11:00:37 AM PT Signed: 2/6/2014 11:00:45 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: 2/6/2014 11:00:47 AM PT Viewed: 2/6/2014 11:03:53 AM PT Signed: 2/6/2014 11:04:06 AM PT Consumer Disclosure: Not Offered ID: Douglas J Williams cjacobson@iconeng.com Security Level: Email, Account Authentication (None) Using IP Address: 66.110.188.182 Sent: 2/6/2014 11:04:06 AM PT Viewed: 2/10/2014 7:58:49 AM PT Signed: 2/10/2014 12:42:11 PM PT Consumer Disclosure: Accepted: 2/10/2014 12:38:50 PM PT ID: 9e26d476-5542-4457-a48d-5c99ea5ad9ae 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: 2/10/2014 12:42:12 PM PT Resent: 2/10/2014 12:42:14 PM PT Viewed: 2/10/2014 2:24:00 PM PT Consumer Disclosure: Not Offered ID: Pat Johnson pjohnson@fcgov.com CPPO, Senior Buyer City of Fort Collins Security Level: Email, Account Authentication (None) Sent: 2/10/2014 12:42:12 PM PT Viewed: 2/10/2014 12:56:21 PM PT Consumer Disclosure: Not Offered ID: Mark Kempton mkempton@fcgov.com Security Level: Email, Account Authentication (None) Sent: 2/10/2014 12:42:13 PM PT Viewed: 2/10/2014 1:16:01 PM PT Consumer Disclosure: Not Offered ID: Notary Events Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 2/10/2014 12:42:13 PM PT Certified Delivered Security Checked 2/10/2014 12:42:13 PM PT Signing Complete Security Checked 2/10/2014 12:42:13 PM PT Completed Security Checked 2/10/2014 12:42:13 PM 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. Described below are the terms and conditions for providing to you such notices and disclosures electronically through your DocuSign, Inc. (DocuSign) Express user account. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to these terms and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of this document. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. For such copies, as long as you are an authorized user of the DocuSign system you will have the ability to download and print any documents we send to you through your DocuSign user account for a limited period of time (usually 30 days) after such documents are first sent to you. 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Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. To indicate to us that you are changing your mind, you must withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your DocuSign account. This will indicate to us that you have withdrawn your consent to receive required notices and disclosures electronically from us and you will no longer be able to use your DocuSign Express user account to receive required notices and consents electronically from us or to sign electronically documents from us. 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. Consumer Disclosure created on: 10/15/2013 6:07:04 PM Parties agreed to: Douglas J Williams How to contact City of Fort Collins: 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 HOLDER © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 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 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 (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS WC STATU- TORY LIMITS 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) 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. INSR ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) 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). The ACORD name and logo are registered marks of ACORD 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. 2/10/2014 Michael J Hall & Company Hall & Company 19660 10th Ave NE Poulsbo WA 98370 Icon Engineering Inc 8100 South Akron Street, #300 Centennial CO 80112 UNDERWRITERS AT LLOYDS LONDON 15792 Michael J Hall & Company 360-598-3700 360-598-3703 certificates@hallandcompany.com 732 662506496 A Professional Liab: Claims Made 1104900297/014 1/30/2014 1/30/2015 $1,000,000 Per Claim $2,000,000 Aggregate Project/Job Name: 7300 Consulting Engineering Services for Clearview Channel and Future Minor Capital City of Fort Collins Attn: Gerry S. Paul, Director of Purchasing PO Box 580 Fort Collins CO 80522 Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp