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HomeMy WebLinkAboutCORRESPONDENCE - BID - 7564 SNOW AND ICE REMOVAL (4)DocuSign Envelope ID: 1513DD56-3CF4-4CE0-B7C6-1398111 F388A
City of
F6rt Collins
Purchasing
September 18, 2015
Fuller Landscaping LLC
Attn: Brian Fuller fulierlandscapeaaol.com
4836 Kiva Dr
LaPorte, CO 80535
RE: 2015 Renewal, 7564 Snow & Ice Removal
Dear Mr. Fuller:
Financial Services
Purchasing Division
215 N. Mason St 2"s
Floor
PO Box 580
Fort Collins, CO 80522
970.221.6775
970.221.6707- fax
icgov.com/purchasing
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, October 1, 2015 through
September 30, 2016.
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 Elliot Dale, Buyer at (970)221-6777 if you have any questions regarding this
matter.
Sincerely,
A9W 054cece45D...
Gerry S. Paul
Director of Purchasing
Signature Date
(Please indicate your desire to renew Agreement for 7564 by signing this letter and
returning it to Purchasing Division within the next fifteen (15) days.)
GSP: jg
A`� b® CERTIFICATE OF LIABILITY INSURANCE
4/23/20115
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 endorsements).
PRODUCER
Colorado BW Insurance Agency, Inc.
1075 W Horsetooth Rd, Ste 106
Fort Collins CO 80526
NAMTACT Matt ZZDiemer
PHONE (970)223-0924 FAX Not (910)267-2231
EMAIL
INSURERS AFFORDING COVERAGE
NAIC R
INSURERA:Ohio Security
4082
INSURED
Fuller Landscaping, LLC
4836 Kiva Drive
[Laporte CO 80535
INSURER B:
INSURER C:
INSURER D:
NSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER:CL1542387110 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.
I�TR
TYPE OF INSURANCE
DL
UBR
POLICY EFF
MIDDIY
POLICY EXP
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X
BKS55419229
/24/2015
/24/2016
EACH OCCURRENCE
$ 1,000,000
DAMAGE
PREMISES
TO NTED
a6occurrence)
$ 300,000
MED EXP(Am aria person)
$ 15,000
PERSONAL B ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
S 2,000,000
GEN'L AGGREGATE
X POLICY
LIMIT APPLIES PER.
PRO- lOC
PRODUCTS -COMPIOP AGG
$ 2,000,000
S
AUTOMOBILE UABIUTY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
COMBINED SINGLE LIMIT
Me accident)
BODILY INJURY (Per person)
_
$
BODILY INJURY (Peraccidenl)
S
PROPERTY DAMAGE
tPer aai en
$
$
UMBRELLA UAB
EXCESS UAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
S
AGGREGATE
$
DEO I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED? El (Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
WCSTATU- OTH-
LIMIT
E.L. EACH ACCIDENT
S
E.L. DISEASE . EA EMPLOYE
S
E.L DISEASE- POLICY LIMIT
I S
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLE$ (Attach ACORD 101, Additional Remarks Schedule. Nature space is required)
Certificate holder is listed as Additional Insured with respect to their interest in the ongoing
operations of the named insured on the General Liability, as required by written contract.
(970)221-6707
City of Fort Collins
Purchasing Department
215 North Mason
PO Box 850
Fort Collins, CO 80522
ACORD
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
©1988-2010
INS025 (2010Da).o1 The ACORD name and logo are registered marks of AE;UKU
All rights
/1l..vKL VEHICLE OR EQUIPMENT CERTIFICATE OF INSURANCE
04YDATE
127/207/2011MIpOJyYW)
5
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.
This form is used to report coverages provided to a single specific vehicle or equipment. Do not use this form to report liability coverage
provided to multiple vehicles under a single policy. Use ACORD 25 for that purpose.
PRODUCER
StdfF'(d?)P DARYL ALEXANDER INS AGO INC
CONTACT
MAME: RACHEL GARCIA
PNONE
A(C No Eql 970-493-2196 aNc No 970-221-5478
c�: 5205 S COLLEGE AVE SUITE A
Eawa
DDREss: rachel.qarcia.mbtq@stalelEnn.com
PRooucER
( 7L
'
FORT COLLINS CO 80525
cwroMEa IDS
INSURERS AFWROING COVERAGE
NAIL•
IxsuRRO
INSURER A: State Farm Mutual Automobile ra Inwnce Comparry
25178
FULLER, 6RIAN K
NSURER e:
4836 KIVA DR
INSURER C :
LAPORTE CO 80535-9507
INSURER D:
INSURER E:
DESCRIPTION OF UFIIICI F no FrT(116e¢ur
YEAR MAKEIMANUFACTURER MODEL
BODY TYRE VEHICLE IDENTIFICATION NUMBER
1999 GMC 3500 STAKE 4KDMIRSXJO05865
DESCRIPTION
VEH USE:SERVICElCONTRACTORS SERIAL NUMBER
f:nUFRBr FR
-- '—"""'•'•'•"'�^- REVISION NUMBER
THIS IS TO CERTIFY THAT THE POUCY(IES) OF INSURANCE LISTED BELOW HAS/HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD(S) INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR DITHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICY(IES) DESCRIBED HEREIN IstARE SUBJECT TO
ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCY(IES).
INSR
LTR
AODi
MWD
TYPE OFNSURANCE
X VENICLELIASILRY
POLICYNUMBER
POLICY EFFECTIVE
DATE(MM/DUfNM
YYY
LIMITS
INED SINGLE LIMIT E 1�0DD
'A
Y
0181361-D19-06K
10/19/2015
LY INJURY(Per person)
E
LYINJURY(PeF=4eM)
S
A0)'4119/2MD16
ERTY DAMAGE
S
GENERALWBIUiY
OC IJRENGEOCCURRENCE
RAL AGGREGATE
3
CLAIMS MADE
SR
LTR
LOSSPQJCYEFFECTI4
PAYEE
TYPE OF INSURANCE
POLICY NUNSER
DATE(MMR1DlYYYY)
POLICY E)ntATION
DATE(MWDW,,,)
UMITSl DEDUCTIBLE
VEH COLLISION LOSS
❑ ACV ❑ AGREEDMT
S LIMIT
❑ ❑ STATED AMT
S me
VEH COMP VEH OTC
❑ACV ❑ AGREF.AMT
i LIW
PROPERTY
BASIC BROAD
BPECML
❑ ❑ STATEDAMT
❑ ACV ❑ AGREED AMT
❑ RC ❑ STATEDAMT
4 me
S OMIT
S pED
T
REMARKS (INCLUDING SPECIAL CONDITIONS! OTHER COVERAGES) (ADaoh ACORD t01, AGNUonal Remarb SCNe4ulA N male spiels requlrM)
6052AW TRAILER: 1999 HOMEMADE, ID06025602, COVERAGE A APPLIES
ADDITIONAL INTEREST
L!Wect one of tbefollowing:
X Tte aWftnal N[eles[OBscrlbaO o`b hay peen 3M MDle IICY(MS) le4d herein by pr," n=,er(s)
re�quer. tos bee NwMnitlaJ to adJtne ad)pnnal lmerestaescrbeD bebw to DR puXclyies)
I_ VEHICLE) EQUIPMENT INTEREST: I (LEASED FNANCED
NAME AND ADORESSOF ADDITIONAL INTEREST
CITY OF FT COLLINS
PURCHASING DEPARTMENT
PO BOX 580
FORT COLLINS CO 80522-OSM
ernon e: ran.nme.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL Be
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS
DESCAIPTN)N OF THE ADDITIONAL INTEREST
ADDITIONAL INSURED LOSS PAYEE
LEIJDEIYS LOSS PAYEE
LOAN I LEASE NUMBER
• ••�-........, r.v.rac un a Togo are regls[erea marks Of ACORD
1004361 142987.2 01-28-2013