Ashleigh Price Approved 1/14/2013

Size: px
Start display at page:

Download "Ashleigh Price Approved 1/14/2013"

Transcription

1 City Council Agenda 35. Printer Cartridges Contract Ashleigh Price Approved 1/14/2013 Action: A. Award the low-bid unit price contract to SunBelt Office Suppliers, Inc. for the purchase of new and remanufactured printer cartridges for the term of two years, and B. Authorize the City Manager to extend the contracts for three additional, one-year terms with possible price adjustments as authorized by the contract. Staff Resource: Charles Robinson, Shared Services Explanation Shared Services/Procurement Management issued an Invitation to Bid (ITB) to provide new and remanufactured ink/laser printer cartridges for facsimile machines and desktop printers to the City of Charlotte and on behalf of the Charlotte Cooperative Purchasing Alliance (CCPA). The ITB included 401 original equipment manufacturer (OEM) printer cartridges that have been purchased by the City or other participating public agencies within the past year. Bidders were asked to identify alternative remanufactured cartridges for all OEM items that are environmentally preferred, sustainably produced, and cost less than the OEM product. City departments are encouraged to purchase remanufactured printer cartridges when feasible per the City Environmental Policy. Departments and participating public agencies may elect to order OEM or an alternate remanufactured printer cartridge as needed without guaranteed quantities. Two responsive bids and four non-responsive bids were received in response to the ITB. SunBelt Office Suppliers, Inc. was determined to be the lowest responsive bidder meeting all requirements including, but not limited to price, quality, performance, qualifications and experience, delivery, workmanship, ability to provide Products and Services to all potential participating public agencies, collection and recycling programs offered, on-line ordering, reporting, administrative fees, incentives, and any applicable environmentally preferable attributes. The annual expenditure is estimated to be a total of $200,000. Background The CCPA is a cooperative purchasing program established by Shared Services/Procurement Management with the specific purpose of reducing procurement costs by leveraging aggregate purchasing volume to receive better pricing. CCPA contracts are available for the use and to the benefit of all entities that must comply with state purchasing laws (cities, counties, public and private schools, colleges and universities, non-profits, and all governmental entities). The City of Greenville, City of High Point, Greenville Utilities, Mecklenburg County, New Hanover County, and Town of Southern Pines have expressed interest in using the contracts. SunBelt Office Suppliers, Inc. offers proactive approaches to addressing the City s environmental initiatives. For example, the City of Charlotte and Mecklenburg County s FY2012 purchases from SunBelt Office Suppliers, Inc. resulted in the following: - A total of 4,469 recycled printer cartridges; - Avoidance of 26,814 pounds of plastic in our landfills; and January 14,

2 City Council Agenda - Production of 3,352 pounds of recycled cardboard into post-consumer products. Small Business Opportunity No SBE goals are established for purchases of goods and equipment (Appendix Section 18 of the SBO Policy). Funding Various Departments Operating Budgets January 14,

3 Contract#: Amendment#: 6 Vendor#: 4514 STATE OF NORTH CAROLINA COUNTY OF MECKLENBURG SITH AMENDMENT TO THE AGREEMENT TO PROVIDE NEW AND REMANUFACTURED LASER/INK CARTRIDGES THIS SITH AMENDMENT TO THE AGREEMENT TO PROVIDE NEW AND REMANUFACTURED LASER/INK CARTRIDGES (this Sixth Amendment ) is made and entered into this 14th of August, 2017, by and between SunBelt Office Suppliers, a company doing business in North Carolina (the "Company"), and the City of Charlotte, a North Carolina municipal corporation (the "City"). Statement of Background and Intent A. The City of Charlotte and the Company entered into an Agreement for New and Remanufactured Laser/Ink Cartridges dated February 1, 2013 (the Contract ) pursuant to which the Company agreed to provide New and Remanufactured Laser/Ink Cartridges for the City of Charlotte. B. The parties amended the Contract to add Products and to incorporate the E-Verify Certification and unit price adjustments in the First Amendment dated April 1, C. The parties amended the Contract to extend the Term of the Contract by the first of three (3) oneyear renewal terms to expire on January 31, 2016 and to incorporate unit price adjustments. D. The parties amended the Contract to extend the Term of the Contract by the second of three (3) one-year renewal terms to expire on January 31, E. The parties amended the Contract to add Products and to incorporate the Iran Divestment Act and unit price adjustments due to the HP Big Deal in the Fourth Amendment dated September 1, F. The parties amended the Contract to extend the Term of the Contract by the third of three (3) oneyear renewal terms to expire on January 31, G. The parties now desire to amend the Contract to add and modify Products and to incorporate changes in the Notices and Miscellaneous sections and certain other changes. NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein, the parties hereby agree to the following: A G R E E M E N T 1. The terms of the Contract are restated by and incorporated into this Sixth Amendment by reference. 2. Defined terms used in this Sixth Amendment shall have the same meaning as are assigned to such terms in the Contract. 3. This Sixth Amendment incorporates modifications to the pricing sheet due to repetitive use of noncore Products and updated Product numbers as specified in Exhibit A. 4. Section 17 of the Contract ( Notices ) is restated in its entirety as follows: 17 NOTICES. Communications that relate to any breach, default, termination, delay in performance, prevention of performance, modification, extension, amendment, or waiver of any provision of this Contract shall be sent to: SUNBELT OFFICE SUPPLIERS AMENDMENT SI 1

4 For the Company: Bryan Burns SunBelt Office Suppliers, Inc. For the City: Kay Elmore City of Charlotte Management & Financial Services Procurement Management Contract#: Amendment#: 6 Vendor#: Southside Drive 600 East Fourth Street, CMGC 9th Floor Charlotte, NC Charlotte, NC Phone: Phone: Fax: Fax: bryan@sunbeltofficesupply.com kelmore@charlottenc.gov With Copy To (Company): With Copy To (City): Cindy White City of Charlotte City Attorney s Office 600 East Fourth Street CMGC 15 th Floor Charlotte, NC Phone: cwhite@charlottenc.gov 5. Section 18 of the Contract ( Miscellaneous ) is hereby appended as follows: PRE-AUDIT. No pre-audit certificate is required under N.C. Gen. Stat (a) because this Contract is for an indefinite quantity with no minimum purchase requirement. Notwithstanding anything contained herein to the contrary, this Contract does not require the City to purchase a single product or service, and a decision by the City to not make any purchase hereunder will violate neither this Contract nor any implied duty of good faith and fair dealing. The City has no financial obligation under this Contract absent the City s execution of a valid and binding purchase order or contract addendum containing a pre-audit certificate. 6. Except to the extent specifically provided above, this amendment shall not be interpreted or construed as waiving any rights, obligations, remedies, or claims the parties may otherwise have under the Contract. 7. In all other respects and except as modified herein, the terms of the Contract shall remain in force and effect. [Signature Page Follows] SUNBELT OFFICE SUPPLIERS AMENDMENT SI 2

5 A Contract#: Amendment#: 6 Vendor#: 4514 IN WITNESS WHEREOF, and in acknowledgement that the parties hereto have read and understood each and every provision hereof, the parties have caused this Sixth Amendment to be executed as of the date first written above. SUNBELT OFFICE SJPPLIERS, INC. CITY OF CHARLOTTE: CITY MANAGER'S OFFICE BY: (signat PR T NAME: gc-2.74 TITLE: V DATE: LtA ri.5 BY: (signature) PRINT NAME: }20 \Ach r 6- TITLE: DATE: E0//7 CITY OF CHARLOTTE: INSURANCE A IS MANAGEMENT BY: (signature) PRINT NAME: risiee 660k1 TITLE: c 4 V r DATE: 0117 SUNBELT OFFICE SUPPLIERS AMENDMENT SI 3

6 SUNBELT OFFICE - CCPA CONTRACT NEW AND REMANUFACTURED LASER/INK CARTRIDGES EHIBIT A - PRICING SHEET NON CORE PRODUCTS MOVED TO OEM CORE PRODUCTS ITEM DESCRIPTION MFG NAME MFG PRODUCT NUMBER YIELDS QTY UOM PRICE 24 TONER,HY,F/HL2270DW,BK BROTHER MFG BRTTN EA $ TONER,FOR HL 1440,6000PGS BROTHER MFG BRTTN EA $ TONER,F/LJ2100/2200,BK HEWLETT PACKARD HEWC4096A EA $ TONER,F/ HP CP4005,BK HEWLETT PACKARD HEWCB400A EA $ TONER,F/ HP CP4005,CYN HEWLETT PACKARD HEWCB401A EA $ TONER,F/ HP CP4005,YL HEWLETT PACKARD HEWCB402A EA $ TONER,F/ HP CP4005,MA HEWLETT PACKARD HEWCB403A EA $ TONER,F/ LJ P1505,BK HEWLETT PACKARD HEWCB436A EA $ TONER,F/HP CLJCP1215,BK HEWLETT PACKARD HEWCB540A EA $ TONER,F/HP CLJCP1215,CYN HEWLETT PACKARD HEWCB541A EA $ TONER,F/HP CLJCP1215,YEL HEWLETT PACKARD HEWCB542A EA $ TONER,F/HP CLJCP1215,MA HEWLETT PACKARD HEWCB543A EA $ TONER,F/HP CP4025/4525,BK HEWLETT PACKARD HEWCE260A EA $ TONER,F/CM4540 MFP,CN HEWLETT PACKARD HEWCF031A EA $ TONER,F/CM4540 MFP,YL HEWLETT PACKARD HEWCF032A EA $ TONER,F/CM4540 MFP,MG HEWLETT PACKARD HEWCF033A EA $ TONER,F/LJ2300,BK HEWLETT PACKARD HEWQ2610A EA $ TONER,Q2612A,2/B,BK HEWLETT PACKARD HEWQ2612D B $ TONER,F/ LJ 2400,BK HEWLETT PACKARD HEWQ6511A EA $ TONER,F/ LJ5200 SERIES,BK HEWLETT PACKARD HEWQ7516A EA $ TONER,F/P3005,6.5K,BK HEWLETT PACKARD HEWQ7551A EA $ TONER,F/P2015,3K,BK HEWLETT PACKARD HEWQ7553A EA $ TONER,CE285A,DUAL PACK,BK HEWLETT PACKARD HEWCE285D B $ TONER,F/P2015,7K,BK HEWLETT PACKARD HEWQ EA $ **417 INKCART,951L,CN HEWLETT PACKARD HEWCN046AN EA $ **418 INKCART,951L,MG HEWLETT PACKARD HEWCN047AN EA $ **419 INKCART,951L,YW HEWLETT PACKARD HEWCN048AN EA $ MANUFACTURER CHANGE IN PRODUCT NUMBERS ITEM # OLD NUMBER MFG NAME NEW NUMBER B001AA CANON CNM3500B001AA 33 CNM8955A001AA CANON CNM8955A F7 CANON CNM7621A001AA 38 S35 CANON CNM7883A CAN1509B007 CANON CNM1509B CANCL211 CANON CNM2976B CAN2974B001 CANON CNM2974B B001AA CANON CNM2662B B001AA CANON CNM2661B B001AA CANON CNM2660B B001AA CANON CNM2659B A002BA CANON CNMF B001AA CANON CNM0264B001 4

7 PRODUCER CERTIFICATE OF LIABILITY INSURANCE INSURED INSURER B : Sunbelt Office Supplies Inc 200 Southside Dr INSURER C : Charlotte, NC INSURER D : DATE (MM/DD/YYYY) 08/10/2017 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, ETEND 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 have ADDITIONAL INSURED provisions or 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). Dwight Grimestad CONTACT NAME: Sentry Customer Service PHONE FA (A/C, No, Ext): (A/C, No): ADDRESS: businessproducts_direct@sentry.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Sentry Insurance a Mutual Company 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, ECLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF POLICY EP (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A A A CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC OTHER: AUTOMOBILE LIABILITY COMMERCIAL GENERAL LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY UMBRELLA LIAB ECESS LIAB SCHEDULED AUTOS NON-OWNED AUTOS ONLY OCCUR DED RETENTION $ CLAIMS-MADE /01/ /01/ /01/ /01/ /01/ /01/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EECUTIVE A N / A OFFICER/MEMBER ECLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below /01/ /01/2018 EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) EACH OCCURRENCE AGGREGATE PER STATUTE E.L. EACH ACCIDENT OTH- ER E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ 500,000 $ 15,000 $ 1,000,000 $ 3,000,000 $ 2,000,000 $ $ 1,000,000 $ $ $ $ $ 1,000,000 $ 1,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 $ 500,000 $ 500,000 $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER City of Charlotte 600 E 4th St Charlotte, NC CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) Page 1 of ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD 08/10/2017 Sentry Insurance a Mutual Company N f233e7b9-2b f-ad93bb719dda

8 AGENCY Dwight Grimestad POLICY NUMBER CARRIER ADDITIONAL REMARKS AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of NAIC CODE NAMED INSURED Sunbelt Office Supplies Inc Sentry Insurance a Mutual Company EFFECTIVE DATE: 04/01/2017 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance ACORD 101 (2008/01) Sentry Insurance a Mutual Company 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 08/10/2017

9 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name Of Additional Insured Person(s) Or Organization(s) SCHEDULE Location(s) Of Covered Operations City of Charlotte 600 E 4th ST Charlotte NC Description: City of Charlotte Contract # Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", This insurance does not apply to "bodily injury" or "property damage" or "personal and advertising "property damage" occurring after: injury" caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or law; and subcontractor engaged in performing 2. If coverage provided to the additional insured operations for a principal as a part of the same is required by a contract or agreement, the project. insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. Change effective 08/10/2017 CG Insurance Services Office, Inc., 2012 Page 1 of Sentry Insurance a Mutual Company N b f a-b3c9-0e331305ad /10/2017

10 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of Sentry Insurance a Mutual Company Insurance Services Office, Inc., 2012 Change effective 08/10/2017 CG /10/2017

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC A AUTOMOBILE LIABILITY Y Y CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/30/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY

More information

SPECIAL EVENTS INSURANCE REQUIREMENTS

SPECIAL EVENTS INSURANCE REQUIREMENTS Permit Center 210 Lottie Street, Bellingham, WA 98225 Phone: (360) 778-8300 Email: pwpermits@cob.org Web: www.cob.org/permits SPECIAL EVENTS INSURANCE REQUIREMENTS Permit Applicant: Give this memorandum

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE ACORDTM CERTIFICATE OF LIABILITY INSURANCE 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

More information

CERTIFICATE.OF.LIABILITY.INSURANCE

CERTIFICATE.OF.LIABILITY.INSURANCE CERTIFICATE.OF.LIABILITY.INSURANCE TIE R045 2/2/2018 DATE THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

Exhibit E-1: Insurance Requirements

Exhibit E-1: Insurance Requirements Please produce separate Certificate(s) of Insurance for this project as detailed below: Certificate Holder: AllertonFox Construction LLC 110 W 40 th Street, Suite 1603 New York, NY 10018 CERTIFICATE# 1:

More information

29. Cisco Technology Products

29. Cisco Technology Products City Council Agenda 29. Cisco Technology Products Action: A. Approve contracts for providing Cisco technology products and services for the term of five years in the estimated annual amount of $2,000,000

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/8/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE ACORD CERTIFICATE OF LIABILITY INSURANCE Date (MM/DD/YR) Today s Date THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES

More information

INSURANCE REQUIREMENTS

INSURANCE REQUIREMENTS Exhibit C INSURANCE REQUIREMENTS ATTACH A COPY OF YOUR EVIDENCE OF INSURANCE MEETING ALL REQUIREMENTS 1.0 Mandatory Insurance Requirements Prior to commencing work, and until all obligations under this

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE UMBRELLA LIAB EXCESS LIAB DED RETENTION CERTIFICATE OF LIABILITY INSURANCE OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE DATE (MM/DD/YYYY) 04/20/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION

More information

Subcontractor Insurance Requirements

Subcontractor Insurance Requirements Subcontractor Insurance Requirements Project Name / #: Certificate Holder & Address: All Operations Back s Construction, Inc. 1602 Front Street, Suite 100 San Diego, CA 92101 Comprehensive General Liability

More information

The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the following:

The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the following: DocuSign Envelope ID: 698692AA-34AA-4E87-B00D-5F810F0FFDD6 Financial Services Purchasing Division 215 N. Mason St. 2 nd Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707- fax fcgov.com/purchasing

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/5/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

Insurance Requirement Sheet

Insurance Requirement Sheet Insurance Requirement Sheet To ensure optimal protection for our guests as well as our own organization we ask our guests to provide sufficient insurance coverage. Most organizations are already covered

More information

UMBRELLA LIAB EXCESS LIAB CERTIFICATE OF LIABILITY INSURANCE OCCUR CLAIMS-MADE DATE (MM/DD/YYYY) 11/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF I

UMBRELLA LIAB EXCESS LIAB CERTIFICATE OF LIABILITY INSURANCE OCCUR CLAIMS-MADE DATE (MM/DD/YYYY) 11/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF I UMBRELLA LIAB EXCESS LIAB CERTIFICATE OF LIABILITY INSURANCE OCCUR CLAIMS-MADE DATE (MM/DD/YYYY) 11/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE

More information

You can reproduce this certificate as needed. Ohio Bureau of Workers' Compensation. Required Posting

You can reproduce this certificate as needed. Ohio Bureau of Workers' Compensation. Required Posting 30 W. Spring St. Colum bus, OH 43215 Certificate of Ohio Workers' Compensation This certifies that the employer listed below participates in the Ohio State Insurance Fund as required by law. Therefore,

More information

VENDOR INSURANCE REQUIREMENTS

VENDOR INSURANCE REQUIREMENTS VENDOR INSURANCE REQUIREMENTS California State University, Northridge Foundation is a recognized auxiliary of the California State University, Northridge. Doing business with the CSUN Foundation requires

More information

INSURED INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: DATE (MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 6/09/2014 THIS

More information

Crandall Corporation. Permit Package

Crandall Corporation. Permit Package Crandall Corporation Permit Package May 2018 Prepared by Crandall Corporation UNITED STATES OF AMERICA DEPARTMENT OF TRANSPORTATION PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION

More information

CONTACT NAME: PHONE (A/C, No, Ext): ADDRESS: INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F :

CONTACT NAME: PHONE (A/C, No, Ext):  ADDRESS: INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : 1 2 3 5 6 7 8 9 COMMERCIAL GENERAL LIABILITY CLAIMS-MADE X OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE EACH OCCURRENCE

More information

Proposal For: 917 Alabama Avenue S. Bremen, Georgia Phone: (770) Fax: (770)

Proposal For: 917 Alabama Avenue S. Bremen, Georgia Phone: (770) Fax: (770) Proposal For: JEA Solicitation Title: The Point Meadows 230/26kV Substation and Transmission Circuits 946/956 Interconnect JEA Solicitation Number: 085-16 Silvey Proposal No. 16P028 917 Alabama Avenue

More information

CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

DocuSign Envelope ID: E7-5F1C-4156-BC4E C6B

DocuSign Envelope ID: E7-5F1C-4156-BC4E C6B INSURED CERTIFICATE OF LIABILITY INSURANCE COLUM-8 DATE (MM/DD/YYYY) INSURER A : National Fire Ins Co of Hartfo INSURER B : 20478 Midwest Employers Casualty Co INSURER C : INSURER D : INSURER E : INSURER

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE 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

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/8/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE ACORDTM INSURED INSURER A : Travelers Property Cas Co of America INSURER B : Travelers Indemnity Company INSURER C : Berkley Insurance Company INSURER D : Travelers Indemnity Company of CT INSURER E :

More information

STATE OF ALABAMA ALCOHOLIC BEVERAGE CONTROL BOARD MONTGOMERY, ALABAMA

STATE OF ALABAMA ALCOHOLIC BEVERAGE CONTROL BOARD MONTGOMERY, ALABAMA STATE OF ALABAMA ALCOHOLIC BEVERAGE CONTROL BOARD MONTGOMERY, ALABAMA LICENSE EXPIRES SEPTEMBER 30, 2019 RENEW LICENSE(S) BEFORE AUGUST 1, 2019 Confirmation Number: 20180725000010800 Renewal Period: June

More information

Note on Idaho Private Investigator License

Note on Idaho Private Investigator License Note on Idaho Private Investigator License Idaho is one of five (5) states in the U.S. that do not require and do not provide any government-issued licenses for private investigators and private investigation

More information

State of West Virginia Solicitation Response

State of West Virginia Solicitation Response Purchasing Division 2019 Washington Street East Post Office Box 50130 Charleston, WV 25305-0130 State of West Virginia Solicitation Response Proc Folder : 388532 Solicitation Description : ADDENDUM 2 -

More information

Travel Demand Model Development and Improvements

Travel Demand Model Development and Improvements Travel Demand Model Development and Improvements Volume II Cost Proposal submitted to Kalamazoo Area Transportation Study submitted by Cambridge Systematics, Inc. with Dunbar Transportation Consulting

More information

State of West Virginia Solicitation Response

State of West Virginia Solicitation Response Purchasing Division 2019 Washington Street East Post Office Box 50130 Charleston, WV 25305-0130 State of West Virginia Solicitation Response Proc Folder : 426521 Solicitation Description : Addendum 3-Williamson

More information

Architecture Historic Preservation Construction Management 224 South Michigan Avenue Suite 245 Chicago, Illinois 60604 312.922.2600 312.922.8222 Fax SMITH HARDING JV July 22, 2014 Ms. Jennifer Maul Risk

More information

Industrial Equipment Campers Flat Beds Mobile Homes Heavy Equipment RVs Motor Homes Trailers

Industrial Equipment Campers Flat Beds Mobile Homes Heavy Equipment RVs Motor Homes Trailers We are a repossession company that specializes in difficult and hard to locate recoveries. Our team of recovery agents and investigators will locate and secure your collateral in a timely and professional

More information

SUBCONTRACTOR QUALIFICATION FORM For J. RAYMOND CONSTRUCTION CORP

SUBCONTRACTOR QUALIFICATION FORM For J. RAYMOND CONSTRUCTION CORP SUBCONTRACTOR QUALIFICATION FORM For J. RAYMOND CONSTRUCTION CORP 465 W. Warren Rd. Phone#: (407) 862.6966 On the Web at www.jray.com Longwood, FL 32750 Fax #: (407) 571.3597 Instructions: Elaboration

More information

PARADE APPLICATION RULES

PARADE APPLICATION RULES PARADE APPLICATION RULES 1. All applicants for entry are subject to approval and acceptance by the Parade committee. For applications to be considered, they must be completed and received by December 1,

More information

Purpose of Training. Disclaimer

Purpose of Training. Disclaimer Purpose of Training The Council of Contracting Agencies (CCA) Committee on Risk Management and Insurance recommends that public entities have a program of risk management and insurance so as to minimize

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) Month//Year PRODUCER SIR and WRAP Programs THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Insurnce Agent/Broker Name AND CONFERS NO RIGHTS

More information

Note on Alaska Private Investigator License

Note on Alaska Private Investigator License Note on Alaska Private Investigator License Alaska is one of five (5) states in the U.S. that do not require and do not provide any state-issued licenses for private investigators and private investigation

More information

CONTACT NAME: PHONE (A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : Gordon Chevrolet, Inc. INSURER C : 171 Great Road INSURER D : Acton, MA 01720 INSURER E : INSURER F : INSURER(S) AFFORDING

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE PRODUCER INSURED CONTACT NAME: PHONE (A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : FAX (A/C, No): A UMBRELLA LIAB OCCUR N N 793001413 6/30/2016

More information

CONTRACTOR NETWORK. Application & Program Fundamentals

CONTRACTOR NETWORK. Application & Program Fundamentals CONTRACTOR NETWORK Application & Program Fundamentals INTRODUCTION DCMG is extremely thorough in the credentialing process of our network members to ensure that our client base of insurance carriers, property

More information

D.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI

D.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI D.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI For NEW VENDORS, your certificate should be returned to the division with your subcontractor agreement. For

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

CITY OF ROHNERT PARK CITY COUNCIL AGENDA REPORT

CITY OF ROHNERT PARK CITY COUNCIL AGENDA REPORT Mission Statement We Care for Our Residents by Working Together to Build a Better Community for Today and Tomorrow. ITEM NO. 7C1 Meeting Date: February 14, 2017 Department: Development Services Submitted

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE UMBRELLA LIAB OCCUR CERTIFICATE OF LIABILITY INSURANCE ECESS LIAB CLAIMS-MADE DED RETENTION 10,000 CUP8E78327A 7/15/2016 7/15/2017 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EECUTIVE

More information

OVERSIZE LOADS TYPES OF PERMITS ISSUED

OVERSIZE LOADS TYPES OF PERMITS ISSUED City of Moreno Valley 14177 Frederick Street Moreno Valley, CA 92552 (951) 413-3140 OVERSIZE LOADS TYPES OF PERMITS ISSUED 1. Annual Permits are valid from the date of issuance to the expiration date not

More information

[COMPANY INFORMATION]

[COMPANY INFORMATION] 2013 Damage Appraisers of North America [COMPANY INFORMATION] Contains coverage maps with rates, company Quick Facts, W-9 tax form, and copies of important corporation documents that could be of use to

More information

NOTICE OF AWARD. RE: Bid #4183RP-Painting & Pressure Washing Services-Contact Labor

NOTICE OF AWARD. RE: Bid #4183RP-Painting & Pressure Washing Services-Contact Labor LAKE COUNTY SCHOOLS Leading our Children to Success Procurement Services 29529 CR 561 Tavares FL 32778 (352) 253-6760 Fax: (352) 253-6761 http://lake.k12.fl.us Superintendent: School Board Members: Susan

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under

More information

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFI

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFI CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

INVITATION TO BID RSU-21 Schools Additions and Renovations (Referendum 6-10) Bid Package Concrete - Mildred L Day School Sprinkler and Pump Room

INVITATION TO BID RSU-21 Schools Additions and Renovations (Referendum 6-10) Bid Package Concrete - Mildred L Day School Sprinkler and Pump Room INVITATION TO BID RSU-21 Schools Additions and Renovations (Referendum 6-10) Concrete - Mildred L Day School Sprinkler and Pump Room Project Information Project 14669: RSU-21 Schools Additions and Renovations

More information

The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin

The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin within the Vendor Self Service portal at wvoasis.gov.

More information

Thank you for your interest in joining the LiteGear family!

Thank you for your interest in joining the LiteGear family! 1 Thank you for your interest in joining the LiteGear family! In order to set up your LiteGear Account, return the following items. Please note, that it may take up to 24 hours to process and verify all

More information

EFFECTIVE JULY 1, 2009

EFFECTIVE JULY 1, 2009 EFFECTIVE JULY 1, 2009 Los Angeles World Airport Special Endorsement forms will no longer be accepted. The only evidence of insurance accepted will be either a Certificate of Insurance and/or a True and

More information

SOIL INVESTIGATION REPORT

SOIL INVESTIGATION REPORT SOIL INVESTIGATION REPORT Report Date: 11/9/16 Inspection Date: 8/25/16 Level of Study: 3 Site Location: 160 Monroe Drive, Lake Dow North, Lot 186 Job No. 16356.2 Client: Dave Aynes, Atlanta Leasing &

More information

December 01, 2011 GREG CRAWFORD PURPOSE TRANSPORTATION CORP 8181 JETSTAR DRIVE SUITE 130 IRVING, TX 75063 CERTIFICATE OF STANDARD CARRIER ALPHA CODE (SCAC) ASSIGNMENT The Standard Carrier Alpha Code of

More information

Case KJC Doc 64 Filed 12/21/17 Page 1 of 16

Case KJC Doc 64 Filed 12/21/17 Page 1 of 16 Case 17-12913-KJC Doc 64 Filed 12/21/17 Page 1 of 16 UNITED STATES BANKRUPTCY COURT DISTRICT OF DELAWARE In re Dextera Surgical Inc., et al. Case No. 17-12913 (KJC) Debtor INITIAL MONTHLY OPERATING REPORT

More information

NEW VENDOR INFORMATION

NEW VENDOR INFORMATION NEW VENDOR INFORMATION ENROLLMENT INSTRUCTIONS When you become a BH Management Compliant Vendor you are approved to offer your services to all properties managed by BH Management Services, LLC anywhere

More information

Dear Transportation Manager:

Dear Transportation Manager: Dear Transportation Manager: As the transportation manager, I am sure you are always looking for qualified help moving your freight. We, at ST Freight, LLC are eager to show you the advantages we offer

More information

SCANA Corporation. AEGIS Insurance Services, Inc.

SCANA Corporation. AEGIS Insurance Services, Inc. ESSENTIALS OF CONTRACTUAL RISK TRANSFER: INSURANCE ISSUES WITH CONTRACTORS, VENDORS, & SUPPLIERS David P. Abernathy, Esq. Vice President & General Counsel Spire, Inc. Bryony Bowers Hodges, Esq. Assistant

More information

Chad M. Buchanan, C.F.O. (260) , Ext Alan Scherer, Operations Department

Chad M. Buchanan, C.F.O. (260) , Ext Alan Scherer, Operations Department To: Transportation Department RE: Logistics Packet Thank you for the opportunity to service your transportation needs. Attached are documents that will assist you in establishing Circle Logistics as your

More information

Committed to Excellence Procurement Services 29529 CR 561 Tavares FL 32778 (352) 253-6760 Fax: (352) 253-6761 http://lake.k12.fl.us Superintendent: School Board Members: Susan Moxley, Ed.D. District 1

More information

Subcontractor Insurance Requirements Certificate Holder VCI Construction, LLC 1921 W. Eleventh Street, Upland CA 91786

Subcontractor Insurance Requirements Certificate Holder VCI Construction, LLC 1921 W. Eleventh Street, Upland CA 91786 Subcontractor Insurance Requirements Certificate Holder VCI Construction, LLC 1921 W. Eleventh Street, Upland CA 91786 Provide this document to your insurance agent along with all samples of endorsements

More information

EVIDENCE OF PROPERTY INSURANCE

EVIDENCE OF PROPERTY INSURANCE Quail Creek La Paz Condominium Association 29b Technology Drive Suite 100 Irvine, CA 92618- EVIDENCE OF PROPERTY INSURANCE THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY

More information

State of West Virginia Solicitation Response

State of West Virginia Solicitation Response Purchasing Division 2019 Washington Street East Post Office Box 50130 Charleston, WV 25305-0130 State of West Virginia Solicitation Response Proc Folder : 332008 Solicitation Description : OSR Southern

More information

The deadline for submitting this application is March 23, (Attach additional sheets if necessary) General Information:

The deadline for submitting this application is March 23, (Attach additional sheets if necessary) General Information: The deadline for submitting this application is March 23, 2018. (Attach additional sheets if necessary) General Information: Organization name (as stated on IRS 501(c)(3) letter) Texas Legal Services Center

More information

WASHTENAW COUNTY ROAD COMMISSION Permit Engineering Section 555 N. Zeeb Road Ann Arbor, MI 48103

WASHTENAW COUNTY ROAD COMMISSION Permit Engineering Section 555 N. Zeeb Road Ann Arbor, MI 48103 WASHTENAW COUNTY ROAD COMMISSION The following is (1) a list of the activities which utility companies will be allowed to undertake in Washtenaw County road Right-of-Way under a Blanket Permit ; and, (2)

More information

WASHTENAW COUNTY ROAD COMMISSION Permit Engineering Section 555 N. Zeeb Road Ann Arbor, MI 48103

WASHTENAW COUNTY ROAD COMMISSION Permit Engineering Section 555 N. Zeeb Road Ann Arbor, MI 48103 WASHTENAW COUNTY ROAD COMMISSION Permit Engineering Section The following is (1) a list of the activities which utility companies will be allowed to undertake in Washtenaw County road Right-of-Way under

More information

BLUEPRINT 2010 ACORD CERTIFICATE OF INSURANCE CHANGES CONSTRUCTION PRACTICE LIKELY ISSUES CONSTRUCTION CONTRACTS

BLUEPRINT 2010 ACORD CERTIFICATE OF INSURANCE CHANGES CONSTRUCTION PRACTICE LIKELY ISSUES CONSTRUCTION CONTRACTS CONSTRUCTION PRACTICE BLUEPRINT September 2010 www.willis.com 2010 ACORD CERTIFICATE OF INSURANCE CHANGES Many of you have heard that ACORD, the licensing company for insurance forms, has amended their

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 12/23/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE

More information

18 November 2015

18 November 2015 18 November 2015 No Search Results SAM Search Results List of records matching your search for : Record Status: Active DUNS Number: 015902943 Functional Area: Entity Management, Performance Information

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE A A A B A- LOCKTON COMPANIES, INC. 85 AVENUE OF THE AMERICAS, STE. 200, NY, NY 0036 B- AON/ALBERT G. RUBEN & CO., INC. 5303 VENTURA BL., SUITE 200, SHERMAN OAKS, CA MISC EQUIP/PROPS SETS, WARD/3RD PARTY

More information

Council Communication September 20, 2016, Business Meeting

Council Communication September 20, 2016, Business Meeting Council Communication September 20, 2016, Business Meeting Sole Source Procurement National Research Center, Citizen Survey FROM: Ann Seltzer, management analyst, seltzera@ashland.or.us SUMMARY This sole

More information

SECOND AMENDMENT TO MASTER PURCHASE AGREEMENT

SECOND AMENDMENT TO MASTER PURCHASE AGREEMENT STATE OF NORTH CAROLINA CONTRACT # 110179.02 COUNTY OF MECKLENBURG SECOND AMENDMENT TO MASTER PURCHASE AGREEMENT THIS SECOND AMENDMENT To The Agreement to provide Park And Playground Equipment, Surfacing,

More information

Summit Management Services, Inc. Vendor Management Program Requirements

Summit Management Services, Inc. Vendor Management Program Requirements Summit Management Services, Inc. Vendor Management Program Requirements I/we agree to provide goods and/or services for Summit Management Services, Inc. and/or properties managed by Summit Management Services,

More information

OVERVIEW TOP 24/7 CREDIT RATING 15,000+ APPROVED MOTOR CARRIERS CLIENT SUPPORT 1%

OVERVIEW TOP 24/7 CREDIT RATING 15,000+ APPROVED MOTOR CARRIERS CLIENT SUPPORT 1% OVERVIEW 24/7 TOP CLIENT SUPPORT 1% CREDIT RATING 15,000+ APPROVED MOTOR CARRIERS ABOUT US Founded in 2005, D&L Transport is a leading transportation brokerage company offering exceptional freight brokerage

More information

Vendor Management Program (VMP)

Vendor Management Program (VMP) 1 Vendor Management Program (VMP) Dear New Vendor Partner, Thank you for your interest in doing business with Summit Management Services, Inc. As a premier national residential real estate company, Summit

More information

WORLDWIDE EXPRESS TRUCKLOAD

WORLDWIDE EXPRESS TRUCKLOAD WORLDWIDE EXPRESS TRUCKLOAD 2017 Worldwide Express is your full-service FTL service provider, with offices across the nation available to help you identify the right solution at the right price, letting

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/03/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

APPLICATION TO OBTAIN BUILDING PERMIT

APPLICATION TO OBTAIN BUILDING PERMIT Kevin Donohue Building Inspector Building Department Village of Port Chester 222 Grace Church Street Port Chester, New York 10573 Permit Fee: Paid On: Check #: (914) 939-5203 Fax (914) 939-8747 KDonohue@portchesterny.com

More information

Fl POLICY [XJ JECT PRO- D LOC PRODUCTS - COMP/OP AGG $ OTHER: $ A-7CA /1/2018 7/1/20 19!Ea accidenll

Fl POLICY [XJ JECT PRO- D LOC PRODUCTS - COMP/OP AGG $ OTHER: $ A-7CA /1/2018 7/1/20 19!Ea accidenll ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 7/1/2019 6/14/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE

More information

June 22, To the Owners of. Solair Wilshire Homeowners Association 3785 Wilshire Boulevard Los Angeles, CA Re: Insurance Renewal

June 22, To the Owners of. Solair Wilshire Homeowners Association 3785 Wilshire Boulevard Los Angeles, CA Re: Insurance Renewal HUB International Insurance Services June 22, 2018 580 California Street, Suite 1300 www.hubinternational.com Phone: 415.276-2812 Lic. No. 0757776 To the Owners of 3785 Wilshire Boulevard Re: Insurance

More information

ï

ï ï î í ì ë ê é è ç ïð ïï ïî ïí UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory

More information

Established in 2006, serving US and Canada with TL, LTL. Our team working 24/7 to provide all the support that you need.

Established in 2006, serving US and Canada with TL, LTL. Our team working 24/7 to provide all the support that you need. Mailing Address :- PO Box 4 Syosset, NY, 11791. Phone :- 716-337-5000/516-874-0909. Fax :- 716-772-3383 Website :- www.alg.us.com Corporate HQ:- 68 S Service Suite #100, Melville, NY, 11747. (A freight

More information

) BMX Partnership Agreement )

) BMX Partnership Agreement ) STATE OF SOUTH CAROLINA ) COUNTY OF SPARTANBURG ) BM Partnership Agreement ) This AGREEMENT is made and entered into on this 30 day of VO (c. rvl be f 2016, by and between the COUNTY OF SPARTANBURG, a

More information

MC DATH

MC DATH Carrier Profile Corporate Name: Dalor Transit, Inc. Established: 1976 Federal Employer Identification: 39-1332520 ICC Identification: MC 147312 US DOT Number: 168179 SCAC Identification Code: DATH Address:

More information

Rudolph Libbe Inc Subcontractor / Vendor Prequalification Instructions

Rudolph Libbe Inc Subcontractor / Vendor Prequalification Instructions Rudolph Libbe Inc Subcontractor / Vendor Prequalification Instructions Introduction The following document provides an outline of information needed to complete the on -line subcontractor/vendor pre-qualification

More information

MODIFICATION NO. 3 OF AGREEMENT C WITH CONVEY, INC.

MODIFICATION NO. 3 OF AGREEMENT C WITH CONVEY, INC. MODIFICATION NO. 3 OF AGREEMENT C2012741 WITH CONVEY, INC. This Modification No. 3 ("Third Modification") is made and entered iryto this ~ day of June 2016 ("Effective Date"), by and between the Alameda

More information

1. REGISTRATION NUMBER 2. REASON FOR SUBMISSION (FDA Establishment Identifier)

1. REGISTRATION NUMBER 2. REASON FOR SUBMISSION (FDA Establishment Identifier) 12. HCT/Ps REGULATED AS MEDICAL DEVICES 11. HCT/Ps DESCRIBED IN 21 CFR 1271.10 DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE FOOD AND DRUG ADMINISTRATION ESTABLISHMENT REGISTRATION AND

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS-MADE X OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: X PRO- POLICY JECT LOC AUTOMOBILE LIABILITY EXCESS LIAB CLAIMS-MADE DED X RETENTION 10,000 WORKERS COMPENSATION AND EMPLOYERS'

More information

- DATE (MM/DD!YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/5/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT

More information

October 1, To all Owners of. 66 Cleary Court Condominium Owners Association 66 Cleary Court San Francisco, CA

October 1, To all Owners of. 66 Cleary Court Condominium Owners Association 66 Cleary Court San Francisco, CA CA DOI#0D08408 Tel 415.541.7900 Fax 415.541.7195 Toll Free 800.648.1600 October 1, 2012 To all Owners of 66 Cleary Court San Francisco, CA 94109 Re: Insurance Ladies & Gentlemen: Enclosed are the Evidence

More information

Per your request, the Village will revise the above-mentioned contract by reducing the amount of

Per your request, the Village will revise the above-mentioned contract by reducing the amount of VILLAGE OF ra slake z est. 1895 November 20, 2014 TGF Enterprises Inc. Mr. Tom Flader 530 North Avenue Libertyville, IL 60048 Re: 2014/2015 Snow Removal Contract Revision Dear Mr. Flader, Per your request,

More information

The following documents are required to be filed with Salt Lake City Corp. in order to obtain an Engineering Division Public Way Permit:

The following documents are required to be filed with Salt Lake City Corp. in order to obtain an Engineering Division Public Way Permit: The following documents are required to be filed with Salt Lake City Corp. in order to obtain an Engineering Division Public Way Permit: Permit Bond (required for any excavation or construction only):

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE ACORD. Iient#: 131 DAVIFAR CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/26/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

More information

CONTRACTOR LICENSING APPLICATION. Complete Separate Application for each License (CLASS A, B, C, D AND E)

CONTRACTOR LICENSING APPLICATION. Complete Separate Application for each License (CLASS A, B, C, D AND E) City of Lawrence PLANNING & DEVELOPMENT SERVICES Building Safety Division PO Box 708 1 Riverfront Plaza, Suite 11 0 Lawrence, Kansas 66044 p. (785) 832-7700 f. (785) 832-3110 www.lawrenceks. org/pds buildinqinspections@lawrenceks.org

More information

RFP - FCPA Conference Video

RFP - FCPA Conference Video RFP - FCPA Conference Video Lead Contact Ben Powell ben@benpowellmedia.com 703-909-5682 305 Douglass Ave Falls Church, VA 22042 http://www.vimeo.com/79440842 www.benpowellmedia.com Ben Powell Media is

More information

ANC 1B TRANSPORTATION COMMITTEE Thursday, November 19, :00-8:15 p.m. Columbia Heights Recreation Center 1480 Girard Street, NW AGENDA

ANC 1B TRANSPORTATION COMMITTEE Thursday, November 19, :00-8:15 p.m. Columbia Heights Recreation Center 1480 Girard Street, NW AGENDA ANC 1B TRANSPORTATION COMMITTEE Thursday, November 19, 2015 7:00-8:15 p.m. Columbia Heights Recreation Center 1480 Girard Street, NW AGENDA 3rd and U Street Curb Cut (DDOT Tracking # 118364) Presenter:

More information