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2237 RFP 14/15-13 Disaster Debris RemovalThe item(s) noted below is/are attached and forwarded to your office for the following action(s): ❑ Development Order ❑ Mayor's signature ❑ Final Plat (original mylars) ❑ Recording ❑ Letter of Credit ❑ Rendering ❑ Maintenance Bond ® Safe keeping (Vault) ❑ Ordinance ❑ Deputy City Manager ❑ Performance Bond ❑ Payment Bond ❑ Resolution ❑ City Manager Signature ❑ ❑ City Clerk Attest/Signature ❑ City Attorney/Signature Once completed, please: ❑ Return originals to Purchasing- Department ❑ Return copies Special Instructions: 1 year renewal and insurance Li vwiye,y (3oja.&zyeAr 7/28/2020 From Date SharePoint_Finance_Purchasing_Forms - 2018.doc C ITY OF �,,)ANFGIR63,31 FINANCE DEPPS ATNIEN'f July 22, 2020 Crowder Gulf 5435 Business Parkway Theodore, AL 36582 Subject: RFP 14/15-13 Disaster Debris Removal Dear Mr. John Ramsay, The above — referenced annual contract will expire on August 23, 2020, unless renewed, The City of Sanford is requesting that this annual contract be renewed for an additional one year period (8/24/2020 — 8/23/2021). This will be the last renewal under contract RFP 14/15-13 Disaster Management Support. The City of Sanford will be putting Disaster Management Support out to bid in the coming months. Therefore, we are requesting that you choose one of the following options and return this letter to The City of Sanford Procurement Department, Attn: Lindsey Bojadzijev, P.O. Box 1788, Sanford, FL 32772 or email to pLircLip.sin&(�(,,!)san fordfl.1,ov, within 15 calendar days from receipt. a. I want to continue performing under this annual contract for an additional one (1) year period under the same terms and conditions as agreed upon in the above — referenced quotation. As a condition of this renewal, the vendor agrees to provide The City of Sanford with an updated insurance certificate upon expiration of lite original certificate on file with the City. b. I am not interested in extending this contract for an additional one — year period. Why? Vendor: ign`aturejihiey-Ra—msa iye ile Sr. Vice President/COO Title 0 --aq-RC) Date Art Woodruff Sheena Britton Kerry S. Wiggins, Sr Mayor District I District 2 City of,Sanford: Art Woodruff Mayor Title Date Patrick Austin Patty Mahany Norton N. Bonaparte, Jr. District 3 District 4 City Manager City Hall, 2n° Floor - 300 N. Park Avenue - Sanford, FL 32771-1244 - PO Box 1788 - Sanford FL, 32772-1788 p. 407.688,5020 - f. 407.688.5021 - sanfordfl.gov No. 65 REVISED Louisiana certificate form: LDI COI 280990 01 12 CERTIFICATE OF LIABILITY INSURANCE DATE6//29/202029/2020 PRODUCER Pathway Insurance Group, LLC 753 Nichols Avenue Fairhope, AL 36532 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A THE GRAY INSURANCE COMPANY INSURED CrowderGulf Joint Venture, Inc. 5629 Commerce Blvd. E Theodore, AL 36582-1675 COMPANY B COMPANY C COMPANY D COVERAGES 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. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDlYI POLICY EXPIRATION DATE (MM/DD(YY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY Q OWNER'S & CONTRACTOR'S PROT XSGL-074436 8/1/2019 7/1/2022 GENERAL AGGREGATE Unlimited PRODUCTS — COMP/OP AGG $3,000,000.00 PERSONAL & ADV INJURY $1,000,000.00 EACH OCCURRENCE $1,000,000.00 FIRE DAMAGE (Any one fire $100,000.00 MED EXP (Any oneperson) $5,000.00 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS XSAL-075438 8/1/2019 7/1/2022 COMBINED SINGLE LIMIT $1_,0_0_0,0_00.00 _ BODILY INJURY Perperson) X X X BODILY INJURY Per accident PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY — EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE A EXCESS LIABILITY UMBRELLA FORM X OTHER THAN UMBRELLA FORM GXS-043602 7/1/2020 7/1/2021 EACH OCCURRENCE $4,000,000.00 AGGREGATE $4,000,000.00 A WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE X INCL OFFICERS ARE: EXCL GWC-071166-FL2 7/1/2020 711/2021 X WCSTATU- OTH TORY LIMITSI I ER EL EACH ACCIDENT $1,000,000.00 EL DISEASE—POLICY LIMIT $1,000,000.00 EL DISEASE—EA EMPLOYEE $1,000,000.00 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS The certificate holder is an additional insured on all policies except Workers' Compensation and is provided a Waiver of Subrogation, all if required by written contract. The above insurance policies shall be primary and noncontributory to any other insurance policies maintained by the certificate holder, if required by written contracL Re: Disaster Debris Removal CERTIFICATE HOLDER CANCELLATION 2523#65 City of Sanford Purchasing Division 300 N. Park Avenue P. O. Box Sanford, FLL 32771 in the event of cancellation by The Gray Insurance Company and if required by written contract, 30 days written notice will be given to the Certificate Holder. AUTHORIZED REPRESENTATIVE GCF 00 50 01 01 12 THE RAY INSURANCE COMPANY Louisiana certificate form: LDI COI 280990 01 12