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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8903 AUTO BODY REPAIR SERVICESOfficial Purchasing Document
Last updated 3/2018
Page 1 of 2
AMENDMENT #1
AGREEMENT BETWEEN THE CITY OF FORT COLLINS
AND KUSTOM PAINT & TRIM
This First Amendment (Amendment #1) is entered into by and between the CITY OF FORT
COLLINS (the “City”) and KUSTOM PAINT & TRIM (the “Service Provider).
WHEREAS, the Service Provider and the City entered into Agreement 8903 Auto Body Repair
Services effective August 6, 2019 (the “Agreement”); and
WHEREAS, Service Provider and the City desire to amend the Agreement.
NOW, THEREFORE, in consideration of the foregoing recitals and the mutual promises herein
contained, the parties agree as follows:
1. The Agreement term will be extended for one (1) additional year, August 6, 2020
through August 5, 2021.
2. Exhibit A: General Scope of Services: Parts, is hereby replaced in its’ entirety with the
following:
Parts:
All parts replaced must confirm to the following requirements:
1. After-Market Parts.
After-Market part(s) are the preferred part option to be used when available and
appropriate.
2. Original Equipment Manufacture (OEM).
OEM part(s) are to be used only when a comparable After-Market part is not
available. Use of such part(s) require prior written approval by a City Shop
Supervisor.
3. Used Parts.
Used part(s) may be considered by the City depending on the age, cost, and
condition of such part(s). Use of such used part(s) require prior written approval
by a City Shop Supervisor.
4. All incidentals, materials, shop supplies and charges shall be included in the
Service Provider’s hourly rate.
DocuSign Envelope ID: EF641AA3-59BF-4319-83E8-6A65CBE1A61D
Official Purchasing Document
Last updated 3/2018
Page 2 of 2
Except as expressly amended by this Amendment #1, all other terms and conditions of the
Agreement shall remain unchanged and in full force and effect. In the event of a conflict between
the terms of the Agreement and this Amendment #1, this Amendment #1 shall prevail.
IN WITNESS WHEREOF, the parties have executed this first Amendment the day and year
shown.
CITY OF FORT COLLINS:
By:
Gerry Paul
Purchasing Director
DATE:
AUGUST 6, 2020
By:
Printed:
Title:
CORPORATE PRESIDENT OR VICE PRESIDENT
Date:
DocuSign Envelope ID: EF641AA3-59BF-4319-83E8-6A65CBE1A61D
8/12/2020
Gerard Kloppe
8/12/2020 President
DocuSign Envelope ID: EF641AA3-59BF-4319-83E8-6A65CBE1A61D
08/12/2020
Weedin Insurance Agency, Inc
1601 E Eisenhower Blvd
Loveland CO 80537
HEATHER SALVADOR
(970) 667-2145 (970) 669-9295
HEATHER@WEEDINAGENCY.COM
KUSTOM PAINT AND TRIM INC
1417 WEBSTER AVE
FORT COLLINS CO 80524
State Auto Mutual Insurance 25135
Milbank Insurance Company 41653
CL2081203030
A Y BOP2846690 07/01/2020 07/01/2021
2,000,000
300,000
5,000
2,000,000
4,000,000
4,000,000
*BOND 250
A Y BAP2451736 12/09/2019 12/09/2020
1,000,000
Uninsured motorist BI-
single limit
1,000,000
B Y WCP2239912 07/01/2020 07/01/2021
500,000
500,000
500,000
City of Fort Collins is Additional Insured as required by written contract.
CITY OF FORT COLLINS
281 N COLLEGE AVE
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.
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?
(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)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY