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CORRESPONDENCE - PURCHASE ORDER - 9157847
ListenUp Commercial Design/Build-audio/video/control AUDIO/VIDEO SYSTEM "Cost-Projection" FOR: 8/20/2015 CITY of FT. COLLINS "LINCOLN CENTER" 417 MAGNOLIA ST FT. COLLINS CO 80521 ACCOUNT REP: NORM SIMMER REQUESTED UPGRADE DESIGN PARAMETERS: RETAIL EXTEND ITEM QTY BRAND/MODEL DESCRIPTION EACH RETAIL SOURCES COLUMBINE-ROOM WLESS 1 (CLIENT PROVIDED) SHURE SLX4 WLESS SYSTEM $0.00 $0.00 IPOD 1 (CLIENT PROVIDED) MP3/i-POD STYLE MUSIC PLAYER $0.00 $0.00 DVD 1 SONY BDPS BLUE-RAY DVD PLAYER $149.00 $149.00 WIRED 3 (CLIENT PROVIDED) XLR(F) MIC I/P PLATES $0.00 $0.00 0 $0.00 $0.00 CONTROL 0 $0.00 $0.00 VIDEO 1 ATLONA UHDCLSO612 6CH VIDEO SWITCHER/SCALER (w/AudioFeed) $1,999.00 $1,999.00 AUDIO 1 (CLIENT PROVIDED) MACKIE 1402VLZPRO MIC/LINE MIXER $0.00 $0.00 REMOTE 0 $0.00 $0.00 0 $0.00 $0.00 AMPLIFIER 1 (CLIENT PROVIDED) BOSE FREESPACE BMA125 AMPLIFIER $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 SPEAKERS 6 (CLIENT PROVIDED) BOSE LOUDSPEAKERS (FlushInCeiling) $0.00 $0.00 0 $0.00 $0.00 0 VIDEO $0.00 $0.00 SCREEN 1 (CLIENT PROVIDED) 105"x140" MOTORIZED RECESSED VIDEO $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 DISPLAY 1 (CLIENT PROVIDED) EPSON G5750WU PROJECTOR (4500-ansi) $0.00 $0.00 0 $0.00 $0.00 0 CANYON WEST-ROOM $0.00 $0.00 DISPLAY 1 EPSON PL G6770WUNL WUXGA 3-LCD PROJECTOR (6000-ANSI) $5,399.00 $5,399.00 0 $0.00 $0.00 0 $0.00 $0.00 MISC. 1 (CLIENT PROVIDED) UNIVOX SLS300XF ASSISTED LISTEN LOOP $0.00 $0.00 0 $0.00 $0.00 0 $0.00 $0.00 1 INTEGRATION INSTALL HARDWARE: INC. 1 SNA EQUIPMENT RACK CABINET (SpecifyStyle) INC. 1 SNA DVD RACK-MOUNT SHELF INC. 1 FUR CN1800+MP15 SEQUENTIAL ON:OFF A/C PWR MODULE INC. 1 ALO HDVSTXWP VGA&AUDIO+HDMI I/P PLATE (@HeadTable) INC. 1 ALO HDVSRXIR HDMI UTP RECEIVER (@Projector) INC. 1 DAL SCREEN UP:DWN REMOTE-CONTROL (@Rack) INC. 1 EPS LENS PROJECTOR LENS (CustomThrowDistance) INC. 1 XAN PROJECTOR ON:OFF IR-MODULE INC. 1 DAL MODEL#7371 MOTORIZED PROJECTOR LIFT (SpecifyWeight) INC. 1 CHI RPAU+WMA440 PROJECTOR SPIDER MOUNT & DROP-PIPE INC. 0 INC. 5295 E. Evans Ave. Denver, CO. 80222 (303) 996-0024 ListenUp Commercial Design/Build-audio/video/control 0 INC. ALL (CLIENT PROVIDED) SECURE MOUNTING STRUCTURES $0.00 1 (CLIENT PROVIDED) 2-MAN LIFT ONSITE (Or20'A-FrameLadder) $0.00 1 (CLIENT PROVIDED) MOTORIZED PROJECTOR LIFT INSTALL LABOR $0.00 ALL (CLIENT PROVIDED) WIRE PATHWAY/CONDUIT $0.00 ANY (CLIENT PROVIDED) CEILING & WALL PENETRATIONS $0.00 ALL (CLIENT PROVIDED) SPECIFIED A/C CIRCUITS (ProjectorScreenRack) $0.00 ALL (CLIENT PROVIDED) CLEAR & OPEN WORK SPACE $0.00 EQUIPMENT RETAIL PRICE: $7,547.00 <COMMERCIAL PACKAGE DISCOUNT> -$1,886.75 EQUIPMENT "SALE-PRICE" SUBTOTAL: $5,660.25 INTEGRATION INSTALL HARDWARE: $8,824.00 MISC. PARTS & WIRE ALLOCATION: $650.00 APPLICABLE TAXES: (w/TaxExempt#) 0.00% $0.00 SCOPE of WORK/LABOR INCLUDING, INTEGRATION, TESTING, CALIBRATE, FOCUS, DESIGN ENGINEERING with COMPLETE DOCUMENTATION, TRANSPORTATION, PREP/PROJECT MANAGEMENT, "NO" RENTAL EQUIPMENT, OVERVIEW OPERATIONAL TRAINING. LABOR SUB-TOTAL ALLOCATION: $4,242.75 PROJECTED GRAND TOTAL: $19,377.00 5295 E. Evans Ave. Denver, CO. 80222 (303) 996-0024 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 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 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 (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS PER STATUTE 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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). 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. ListenUp Inc. 5295 E Evans Avenue Denver, CO 80222 Willis of Colorado, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA City of Fort Collins PO Box 580 Ft Collins, CO 80522 12/22/2015 1-877-945-7378 1-888-467-2378 certificates@willis.com Travelers Property Casualty Company of Americ 25674 Travelers Casualty and Surety Company Pinnacol Assurance Company 19038 41190 W1227689 A 1,000,000 300,000 5,000 1,000,000 2,000,000 2,000,000 Y 680-7427R464-15-42 09/30/2015 09/30/2016 B 1,000,000 09/30/2015 09/30/2016 Y BA-7090H533-15-SEL A 5,000,000 5,000 CUP-1862Y452-15-42 09/30/2015 09/30/2016 5,000,000 4065550 C 1,000,000 N 01/01/2016 01/01/2017 1,000,000 1,000,000 City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto Liability. SR ID: 10912950 BATCH: Batch #: 192529