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bocc.con.amended.177.2011B
Rev. 08-30-11 jls COUNTY CLERK'S • lir CONTRACT COVERSHEET CONTRACT #: 177.2011B ORIGINATING DEPARTMENT: Facilities PROCUREMENT OFFICER: Jodi Smith PHONE#: 920—f 396 PROJECT NAME: Structural Engineering CONTRACTOR: Glenwood Stgructural and Civil Inc. DOLLAR AMOUNT: $5,000.00 LINE ITEM # Various CONTRACT EXECUTION DATE: 9/30/2013 CONTRACT END DATE: 10/1/2014 AUTOMATIC RENEWAL: El YES ❑ NO TERM: One year ❑ BOCC AGENDA ITEM (Grants, IGA) ❑ STAFF AUTHORIZED SIGNATURE (Requires BOCC Signature) (Per Revised Procurement Code 7/2005) ❑ OVER $50,000 (Requires Section Leader& County Manager's Signature) ✓ CHECK PROCUREMENT TYPE: ® None El Informal El Formal El Sole Source El Emergency El Outside Agency/State Bid El Compliance with C.R.S. 8-17-5-101, 102 as amended (Immigration Form) El Exempt ❑ Contract Renewal • ✓ CHECK CONTRACT TYPE: ® Services/Maintenance El Employment ❑ License/Use ❑ Intergovernmental Agreement(Resolution Required) El Lease El Non-Profit El Construction ❑ Quasi-Public (e.g.-AVH) El Goods, Equipment, Supplies El Grant Agreements(Notify Finance& Resolution Required) . ❑ Other(e.g. revenue) ❑ Change Order/Contract Amendment (C/O: 10%or$25K whichever is the lesser must have County Manager signature) All Contracts should be proofed and all exhibits and notices must be attached for the following: ✓ El No Pages Missing in All Other Blanks Filled In ✓ El If Page Left Intentionally Blank—Note on Page ✓❑ All Exhibits Attached ✓ El Page numbered consecutively in All Legal Descriptions attached (if applicable) ✓ El All Original Signatures Affixed in Notice of Award/Notice to Proceed Attached (if applicable) ✓ El All Dates Filled In in Warranty(if applicable) ✓ El Special Instructions for Finance Department: ✓ El Authorized Procurement Officer's Name: BY CHECKING ABOVE AND ENTERING NAME,THE AUTHORIZED STAFF PERSON INDICATES THAT THE ATTACHED DOCUMENT HAS BEEN PROOFED AND READY FOR SCANNING. NOTE: CLERK'S OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE ARCHIVES RETAINAGE SCHEDULE. ALL ATTACHMENTS MUST BE WITH THIS CHECKLIST! Original Contract# 177-2011 gr • , % KIN ®U 1@T 'I' FACILITIES MANAGEMENT September 11, 2013 Glenwood Structural and Civil, Inc. 812 Pitkin Avenue Glenwood Springs, CO 81601 RE: Pitkin County Glenwood Structural and Civil Inc. Contract Renewal of Contract# 177-2011 B Pitkin County has elected to renew the Glenwood Structural contract with Glenwood Structural and Civil, Inc. which is set to expire on 10/01/2012. Per the terms of the contract it states that "At the expiration of the initial term, the contract may be extended for an additional term of four (4) additional one 1-year terms by the express written consent of both parties." If the renewal of this contract is agreeable to Glenwood Structural and Civil Inc., please sign this letter in the space provided and return along with a current copy if your certificate of insurance, naming Pitkin County has additionally insured on the Certificate. Pitkin County hereby authorizes the renewal of contract Number 177-2011 A with Glenwood Structural and Civil Inc., for a period of one year from contract expiration date; new expiration date is now 10/01/2014. All rates will remain the same for the year 2013/2014. Any changes in rates thereafter will be by an addendum. By _� Date: 20 / : .. J , Fa/litres Manager By 16x4 /- Date `7/Z3// . 'rrn i pal Pitkin County Facilities Management, 485 Rio Grande Place, Unit lm,Aspen, CO 816)1 97o-920-5396, 970-920-5285 Fax or email:jodis @co.pitkin.co.us OP ID:SC •"%CCPRO, CERTIFICATE OF LIABILITY INSURANCE DATE 03/19DIYYYY) 03/19/13 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 'RESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. -ORTANT: 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). PRODUCER 970-945-9111 NAME7 CONTACT.Shanti Cartmell,CIC• Nell-Garing Agency,Inc. 970-945-2350 lac°,Nri,EA:970-945-9111 I IQA'e,No):970-945-2350 Glenwood Box 1576 Glenwood Springs,CO 81602 ADDRESS:scartmell®neil-garing.com Craig Smiley,CIC PRODUCER GLSTR-1 CUSTOMER ID A: INSURER(S)AFFORDING COVERAGE NAIL J INSURED Glenwood Structural&Civil Inc INSURER A:Employers Mutual Casualty Co. 812 Pitkin Ave INSURER B:Pinnacol Assurance Glenwood Springs,CO 81601 INSURER c:Everest National Insurance`Co.,. _ INSURERD: t'✓ " �I x� .�.�Nt,�� e.�.!;.r? INSURERE: "- - `DTs' Kr sat INSURER F: COVERAGES CERTIFICATE NUMBER: 1 REVISION NUMBER: THIS IS TO CERTIFY THAT'THE'POLICIES'OF'INSURANCELISTED 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 TYPE OF INSURANCE ADDL SUS'' POLICY EFF POLICY EXP LIMITS INSR WVD I POUCY NUMBER IMMIDOIYYYY) (MM/DDWYYY) • GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY X 4X4413013 • 11/15/12 11/15/13 DAMAGE TO GEN rED $ 300,000 PREMISES-(Ea occurrence) CLAIMS-MADE X OCCUR MED EXP(Any one person) S 5,000 • PERSONAL&ADV INJURY $ 1,000,000 • GENERAL AGGREGAI E S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 _ POLICY I- JE9 LOC $ — ‘..._,JTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO 4X4413013 11/15/12 11/15/13 (Ea accident) BODILY INJURY(Per person) S ALL OWNED AUTOS BODILY INJURY(Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) X NON-OWNED AUTOS • E S UMBRELLA UAB _ OCCUR ' EACH OCCURRENCE $ EXCESS LIAB CLAIMS-AADE AGGREGATE $ NONE DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- 0TH- AND EMPLOYERS'LIABILITY X TORY LIMITS _04t•FR N B ANY PROPRIETOR/PARTNER/EXECUTIVE YI 4111112 01/01/13 01/01/14 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE $ 100,000 N yes.desmbe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ 500,000 C Professional Liab. 79AE000809131 - 03/01/13 03/01/14 Per Claim 1,000,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more apace Is required) Certificate holder is Additional Insured with regard to General liability and ongoing operations of the insured per the Blanket Al Endorsement (BP7337). CERTIFICATE HOLDER CANCELLATION PITKINO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Pitkin County THE EXPIRATION. DATE THEREOF, NOTICE WILL BE DELIVERED IN 76 Service Center Rd ACCORDANCE WITH THE POLICY PROVISIONS. Aspen,CO 81611 AUTHORIZED REPRESENTATIVE LiCAOLOW ©1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD