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CORRESPONDENCE - 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