Loading...
HomeMy WebLinkAboutbocc.con.amended.121.2014A_1/ Rev. 08-30-11 jls COUNTY CLERK'S CONTRACT COVERSHEET CONTRACT #: 121.2014A ORIGINATING DEPARTMENT: Facilities PROCUREMENT OFFICER: Jodi Smith PROJECT NAME: Asbestos Consulting Services LLC PHONE #: -9205396 CONTRACTOR: Grande River Environmental, DOLLAR AMOUNT: $10,000.00 LINE ITEM # Various CONTRACT EXECUTION DATE: 3/18/2015 CONTRACT END DATE: 5/31/2016 AUTOMATIC RENEWAL: ❑ YES ® NO TERM: 1 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 ® Informal ❑ Formal ❑ Sole Source ❑ Emergency ❑ 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 ❑ Construction ❑ Quasi -Public (e.g.-AVH) ❑ Goods, Equipment, Supplies ❑ Grant Agreements (Notify Finance & Resolution Required) ❑ Other (e.g. revenue) ❑ Change Order/Contract Amendment (C/C: 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: ✓ ® No Pages Missing ✓® All Other Blanks Filled In ✓ ® If Page Left Intentionally Blank —Note on Page ✓® All Exhibits Attached ✓ ® Page numbered consecutively ✓❑ All Legal Descriptions attached (if applicable) ✓ ® All Original Signatures Affixed ✓❑ Notice of Award/Notice to Proceed Attached (if applicable) ✓ ® All Dates Filled In ✓❑ Warranty (if applicable) ✓ ❑ Special Instructions for Finance Department: ✓ ® Authorized Procurement Officer's Name: Glenn Carr, Facilities Supervisor 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 #121.2014 0,17Bil N couNIT FACILITIES MANAGEMENT March 16, 2015 Grande River Environmental, LLC 562 Huntington Point Lane, Clifton, CO 81520 RE: Asbestos Consulting Services Renewal of Contract # 121.2014A Pitkin County has elected to renew the Grande River Environmental, LLC contract which is set to expire on 5/31/2015. 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 one- (1) year by the express written consent of both parties." If the renewal of this contract is agreeable to Grande River Environmental, LLC, please sign this letter in the space provided and return it along with a current copy if your certificate of insurance, naming Pitkin County as additionally insured on the Certificate. Pitkin County hereby authorizes the renewal of contract Number 121.2014, now known as contract number 121.2014A, with Grande River Environmental; LLC for a period of one (1) year from contract expiration date; the new expiration date is now 5/31/2016. All rates will remain the same for the year 2015/2016. Any changes in rates thereafter will be by an addendum. By_, b (�� Date: ✓ /U �� Glenn Carr, Facilities Supervisor ByDate: Pr. I Pitkin County Facilities Management, 485 Rio Grande Place, Unit 1o1, Aspen, CO 81611 970-920-s396,970-920-5285 fax or ema0: iodi.smith(q-vo.pitkin.co.us j GRANRIV-01 JCUDNEY ,a►coRO CERTIFICATE OF LIABILITY INSURANCE DATE 1 21112@01212015 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 endomement(s). PRODUCER OClnsurers 2228 S Fraser St # 2 Aurora, CO 80014 CONTACT NAME: PHONE FAX AIC No, Ext), (720) 320-2931 MC No): (888) 314-9878 ADDEMAIL RESS:jack@dcinsurers.com INSURER(S) AFFORDING COVERAGE NAIC# 02/1312015 INSURER A: Admiral Insurance CO. EACH OCCURRENCE $ 1,000,000 INSURED INSURER B : ACulty 14184 INSURERC: Pinnaccil Assurance 41190 Grande River Environmental, Llc Colby Koerner 562 Huntingtonpoint Lane INSURER D: INSURER E: Clifton, CO 81502 INSURER F: AUTOMOBILE XX 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 LTR TYPE OF INSURANCE A UbL INSD UBR MD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE T OCCUR X Professional Liabili X X FEI-ECC-12941-02 02/1312015 02/1312016 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence If 50,000 MED EXP (My one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRO - X POLICY JECT F1 LOC OTHER' GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE XX LIABILITY ANY AUTO ALL OMED X SCHEDULED AUTOS AUTOS NON OIANED HIRED AUTOS AUTOS X X X37028 0310512015 0310512016 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident)E PROPERTY DAMAGE $ Per acadent $ UMBRELLA LMB EXCESS LIAB HCI OCCUR -AIMS -MADE X I EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/ ECUTIVE YIN OFFICERAIEMBER EXCLUDED? (Mandatory in NH) I/yes, describe under DE SCRIPTION OF OPERATIONS below NIA X 4176655 06/2712014 0612712015 X SPER TATUTE ERH E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE E 600,000 E.L. DISEASE -POLICY LIMIT $ 500,000 X DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarls Schedule, may be attached If more space is mqulmdl CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PITKIN COUNTY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 530 EMAIN ST Aspen, CO 81611 AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD