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Home My WebLink Aboutbocc.con.amended.176.2011CRev. 08-30-11 jls COUNTY CLERK'S it/ CONTRACT COVERSHEET CONTRACT #: 176.201 1 C ORIGINATING DEPARTMENT: Facilities PROCUREMENT OFFICER: Glenn Carr PHONE #: -9205377 PROJECT NAME: Fire Extinguishers CONTRACTOR: Tri County Fire Protection, Inc. DOLLAR AMOUNT: $3,500.00 LINE ITEM # Various CONTRACT EXECUTION DATE: 4/7/2015 CONTRACT END DATE: 9/21/2015 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 (CIO: 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 ✓ ® If Page Left Intentionally Blank Note on Page ✓ ® Page numbered consecutively ✓ ® All Original Signatures Affixed ✓ ® All Dates Filled In ✓ ® Special Instructions for Finance Department: ✓® All Other Blanks Filled In ✓® All Exhibits Attached ✓❑ All Legal Descriptions attached (if applicable) ✓❑ Notice of Award/Notice to Proceed Attached (if applicable) ✓❑ Warranty (if applicable) ✓ ® Authorized Procurement Officer's Name: Glenn Carr 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 M176.2011 m FACILITIES MANAGEMENT March 16, 2015 Tri County Fire Protection Inc. DBA Colorado West Fire Protection P.O. Box 309, Rifle, CO 81650 RE: Pitkin County Tri County Fire Protection Contract Renewal of Contract # 176.2011C Pitkin County has elected to renew the Fire Extinguisher contract with Tri County Fire Protection, Inc. which expired on 9/21/2014. 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 Tri County Fire Protection, Inc., 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 176.2011 B, now known as contract number 176.2011 C, with Tri County Fire Protection, Inc. for a period of one (1) year from contract expiration date; the new expiration date is now 9/21/2015. All rates will remain the same for the year 2015/2016. Any changes in rates thereafter will be by an addendum. � By _/o-./ . Ce-- Date: / // 1 F enCar, . cilities Supervisor B Date: Principal Pitkin County Facilities Management, 485 Rio Grande Place, Unit fol, Aspen, CO 8161, 970-920-5396, 970-920-5285 fax or email: iodi.smith mco.pitkin.co.us TRICOUN-01 KIMT01 '4`� o CERTIFICATE OF LIABILITY INSURANCE DA 4TE 1712015 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. H 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 T. Charles Wilson Insurance Service 384 Inverness Parkway Suite 170 Englewood, CO 80112 CONTACT Vicki Sullivan NAME: PHONEFAX A_IC NUqu (303) 368-5757 ac No : (303) 3685863 noo less: info@wilsonins.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Everest Indemnity 10851 INSURED INSURER B: Colorado Casualty Ins. Co. 41785 TO County Fire Protection Inc. P. O. Box 309 INSURER C: 51GLOO5505-141 04118/2014 04/18/2015 3159 Baron Ln INSURER D: Rifle, CO 81650 INSURER E: INSURER F: PERSONAL B ADV INJURY $ 1,000,000 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. ILTR TYPE OF INSURANCE INSD VNO POLICY NUMBER POLICY EFF MMIDDN POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE a OCCUR 51GLOO5505-141 04118/2014 04/18/2015 PREMISES Ea occurrence $ 50,000 MED EXP (My one" man) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT [:]LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea ac Nene BODILY INJURY (Per Person) $ B X MY AUTO BA4066056 10/01/2014 10/01/2015 ALL OWNED' SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident)$ PROPERDAMAGE $ Per a.dTY t MIRED AUTOS NONIMED AUTOS $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCAB Ess LI CLMMS-MADE 51CCO02607441 04/18/2014 04/18/2015 DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- $TAME ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT E OFFICERIMEMBER EXCLUDED'! F1 NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, desaibe antler DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT E DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be anached N more space Is mqulmd) If required by Written agreement, Pitkin County is included as an additional Insured per policy terms and conditions. Pitkin County 485 Rio Grande Place, Unit 101 Aspen, CO 81611 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 REPRESENTATIVE ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD