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bocc.con.amended.029.2012A
Rev. 08-30-11 jls IseCOUNTY CLERK'S CONTRACT COVERSHEET CONTRACT #: 29.2012A ORIGINATING DEPARTMENT: Facilities PROCUREMENT OFFICER: Jodi Smith PHONE #: -9205396 PROJECT NAME: Facilities Annual Trash Service CONTRACTOR: Mountain Roll-offs, Inc. DOLLAR AMOUNT: $16,266.50 LINE ITEM # Varies CONTRACT EXECUTION DATE: 12/18/2013 CONTRACT END DATE: 8/31/2014 AUTOMATIC RENEWAL: ❑ YES ®NO TERM: One year ❑ BOCC AGENDA ITEM (Grants, IGA) ® STAFF AUTHORIZED SIGNATURE (Requires BOCC Signature) (Per Revised Procurement Code 7/2005) El OVER$50,000 (Requires Section Leader& County Manager's Signature) ✓ CHECK PROCUREMENT TYPE: ❑ None ❑ Informal ❑ Formal ❑ Sole Source [' Emergency Cl Outside Agency/State Bid ❑ Compliance with C.R.S. 8-17-5-101, 102 as amended (Immigration Form) ❑ Exempt • ® Contract Renewal • ✓ CHECK CONTRACT TYPE: ❑ Services/Maintenance ❑ Employment ❑ License/Use ❑ Intergovernmental Agreement(Resolution Required) ❑ Lease ❑ Non-Profit El Construction ❑ Quasi-Public(e.g:AVH) ❑ • Goods, Equipment, Supplies ❑ Grant Agreements(Notify Finance & Resolution Required) El 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 ✓❑ All Other Blanks Filled In ✓ El If Page Left Intentionally Blank—Note on Page ✓❑ All Exhibits Attached ✓ [' Page numbered consecutively in All Legal Descriptions attached (f applicable) ✓ ❑ All Original Signatures Affixed in Notice of Award/Notice to Proceed Attached (if applicable) ✓ ❑ All Dates Filled In in Warranty(if applicable) ✓ ❑ 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# 29-2012 Budget Line Item: Varies (. 7�77 .' K ! NT ,O 1JNT FACILITIES MANAGEMENT December 16,2013 Mountain Roll-offs, Inc. 1058 County Road 100 Carbondale, CO 81612 970.945.2792 RE: Facilities Annual Trash Service Renewal of Contract# 29.2012A Pitkin County has elected to renew the Facilities Annual Trash Service which expired on 08/31/2013. 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 Mountain Roll-offs, Inc., please sign this letter in the space provided and return along with a current copy of your certificate of insurance,naming Pitkin County as additionally insured on the Certificate. Pitkin County hereby authorizes the renewal of contract Number 29.2012A with Facilities Annual Trash Service, for a period of one year from contract expiration date; new expiration date is now 08/31/2014. All rates will remain the same for the year 2013/2014. Any changes in rates thereafter will be by an addendum. BY J _ _ Date: /x . 11 /3 Jodi S ith, Facilities Manager By ^^ Date �Z —/8 / Name: _ A r It ., ler Principal Pitkin County Facilities Management,485 Rio Grande Place, Unit lot,Aspen, CO 81611 970-920-5396, 970-92o-5285 Fax or email:jodis @co.pitkin.co.us �� MTROL-1 OP ID: CS ,a►�o�z°. CERTIFICATE OF LIABILITY INSURANCE 'DATE 12117DnYYV) 12/17/13 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 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. It 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 Phone:970-945-9161 NAMEALT Cheryl Sos GIA Group/Glenwood ins.Agency Fax:970-945-6027 PHOPE 970-384-8309 FAX P O Box 1270 rhi No,Eat): (ac,Nox 970-945-6027 Glenwood Springs,CO 81602.1270 ADA ss;cheryls©glenwoodins.com Robert Asa Jones INSURER(S)AFFORDING COVERAGE NAIC r INSURER A:Pinnacol Assurance INSURED Mountain Roll Offs Inc. INSURERS:United Fire B.Casualty P.O.Box 1474 INSURER c Carbonale,CO 81623 INSURER!): INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE INSR SVINOR POLICY NUMBER (MMIDDIVYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY X 60405013 07/01/13 07/01/14 DAMAGE 10 RENTED $ 100,000 PREMISES(ES occurrence) CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 X Blanket Al GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 —1 POLICY r1 PELT ri LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ B X ANY AUTO 60405013 07/01/13 07/01/14 BODILY INJURY(Per person) $ ALL OWNED —SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED • PROPERTY DAMAGE $ _ AUTOS (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LIAB CLAIMS-MADE 60405013 07/01/13 07/01/14 AGGREGATE _ $ 2,000,000 DED X RETENTION$ 10000 $ WORKERS COMPENSATION - - WC STATU- 0TH- AID EMPLOYERS'LIABILITY X TORY LIMITS X ER A ANY PROPRIETORIPARTNER�CU11VE YIN NIA 4133726 11/01/13 11/01/14 E L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes.describe under 1,000,000 DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 1, B Property Section 60405013 07/01/13 07/01/14 B Equipment Floats 60405013 07/01/13 07/01/14 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Certificate holder is named as additional insured with respect to insured's GL & ongoing operations. • • CERTIFICATE HOLDER CANCELLATION PITKI-4 ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Pitki n County ACCORDANCE WITH THE POLICY PROVISIONS. 530 E. Main Aspen, CO 81611 AUTHORIZED AREPRESENTATIVE Oo 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD