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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20173822.tiff
rl 1- c oLCt tD #$3a50 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Tree Disposal Services DEPARTMENT: WELD COUNTY PUBLIC WORKS DATE: 11/01/19 PERSON REQUESTING: Duane Naibauer, Road and Bridge Construction Supervisor Brief description of the problem/issue: The original agreement for the Tree Disposal Service at East Davis and Hokestra Gravel Pit can be extended from November 20, 2018, to November 19, 2019, as permitted by the contract. These extensions would be in the third year of a possible three-year term limit. The contract also allows for yearly rate adjustments based upon the current Denver/Boulder/Greeley CPI index. Oxford Recycling, Inc. (East Davis), and Aesthetic Alternative Recycling (Hokestra Gravel Pit), did not request a lump sum price increase for 2019. Oxford Recycling, Inc. and Aesthetic Alternative Recycling did not increase the after-hours and additional tree price per cubic yard beyond C.P.I. index. They will both be awarded additional services on an as needed basis. Attached to this pass around is a copy of the contract extensions/renewals and the 2019 Fee Schedules for both companies. The budget amount in 2019 for this contract is $30,000, the total lump sum contract price for both companies would be $13,340.00. Oxford Recycling and Aesthetic Alternative Recycling were awarded this contract in 2017 as the low bid contractors and the Public Works Department has been satisfied with their work. What options exist for the Board? (include consequences, impacts, costs, etc. of options): The Board may either approve or deny the contract renewal/extension. Recommendation: We recommend approval for Oxford Recycling Inc, and Aesthetic Alternative recycling LLC, under the Tree Disposal Services contract. Approve Recommendation Sean P. Conway Scott James Mike Freeman, Pro -Tern Barbara Kirkmeyer, Chair Steve Moreno n t Gras(19 Schedule Work Session 11,25-19 Other/Comments: 0017-3$aD €,Goo'7`1 CONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY DEPARTMENT Of PUBLIC WORKS AND AESTHETIC ALTERNATIVE RECYCUNG This Agreement O tension/R wewal ("Renewal", made and entered into ii.day of November, 20111 by and between the Road of Weld County Commissioners, on behalf of the Weld County Deporment of Public Works, hereinafter referred to as the "Department'', and Aedbetki Alternative RetVeif hereinafter referred to as the "Contractor. WHEREAS the parties entered into an agreement (the "Original Agreement') identified by the Weld County Clerk to the Board of County Commissioners as document M1700141/2O17.3822 approved on Noverriber 20.2Q1?. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accordance with the terms of the Original Agreement, which is incoaporeted by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows; • The second year Extension/Renewal Agreement will end on • The parties agree to extend the Oripnal Agreement for an additional one-year period, which will begin November O. 2019, and wel end on November 19, 2020, • The Renewal, together with the Original Agretment constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents: 1. This extension will be the third year of a possible three•year contract. 2 The 2018 Bid Schedule wdl be replaced by the attached 2014 Bid Schedule. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duty executed the Agreement as of the day, month, and year first above written. tTRACTOR: Signature ATTLST: Weld BY: sdritgov Deputy Clerk the a nowno Of COUNTY CO NMtSJJONERS COUNTY, COL Barbara KGrknieyer, t"_hair NOV 252019 020/ 75o2& 2019. BID SCHEDULE Ft R, Aesthetic Alt. inc. 13i sue- r� 1) 3,1vrn Sum Removal and disposal off as tree debrairraterial from the Fact Davis site that exist on the site as of September 23, 2019. Processing method and •-disposes of tree material to be :;t ....:.; by Weld County. d 4) aff't. vtl Removal and disposal off all tree dctutstmaterial from the ► oke,tra Gravel Pit Site that exist on the site as of September 23, 2©19. •ping method and end -di sal of tree material to be approved by ski County. Rate that tree rims to be disposed of and d off site OAll costs snail irtc oiled in co yd rate}, THIS RATE WILL BE USED IF ANY TREE DEBRIS,MATERIAL IS ADDED TO FAST DAVIS OR HKFSTRt pus DER lFIEF PINES HAVE BEEN BID FOR 2019 AND FOR THE REMAINDER OF THE 2019 CON t'RAU IF THE CONTRACT IS EXTENDED Contractor to be available when needed far after hours due to storms or anything classified as urgent or emergency by county personnel (Cost of disposal to be included in cu yd rate) Bidder agrees to perform all work dtscnbed in the Contract Documents k)r the unit prices as shown in the Bid Schedule Payment will be based on quote for actual tabor and equipment hourty rate tor service SIGNATURES. Dated they 017 day or FIRM NAME wrl' a BY t IDDER'S LEGAL SIGNA f URE, STATE OF INGOKI-1)RA r ION _ ADDRESS ql N 50 5- i ft...144.6 re. c "I' C 2019 Request for Taxpayer identification Number and Certification to WW.+ragavlFc HlM tzar rfeauCYors and the lam return,. time to +e99ffeel I (.faittql hem., . eeteeent Woe *one a mad aaatoadata tea fa tatlerto fart ctmt taketem d the poste whoop none s amend en num boom 1. OIncauldoinnote oett er to or O c Corporraton ❑ S Onerous) O Pea r i e O Trtsatreeaar, Virrotel agattat Weems* &nee, the tax cteserceteon (CeC ateponneel. sms cxne ration, P 1rer . 5 McaK Meek r* seproprode beet in the first Move for tea ctx eiemteaceten of the woe member owner. On not there U.C t r Ll C.1ha it rest 1LC Rwt tt-dietludad Iron the other, webs Hue:Y+rter of tha U.C at S cf iwgarQW hewn e. cony theutc efleck tee W tar U.3. bo to tat purpoyr, flea e, i y afKrl'Rttrnepa brut br the laic carawtt�uyr or t4 tamsar. Densities of prerjwy, I °wry that 1. The number saner on this farm is my Corm taxpayer ickin ilreation number (or t ant waiting or as rturrebst to be etta400 to Mot and 2. 1 w not outoot o to backup ape rig bboc tm (A .t m ammo from backup withholding, or fb) I have not notified by the beanmei %venue no tondo tirul'ajwst to backup wehholdinrx andkup withrtoicing as a result at a fallare to re;,Ort alt mttxrtst pidivklarup. Or (e) the n'has note let,meroar t s,m 3. I ant a U.S. ,limn or other U.S.. psrlun (defined below): and a. The FAt(A codetai entered on *au harm Ill any( indicating that am vxompt from fATCA 'e'6i o correct On aiiication aestruction‘ You trust outs out eon 2 atom If you nave, Dean mated d by the INSthat you ava cunt eE artsert to backup wittrsoapinp because report de (earnest adacaVidanda on vets tax ralrctan. For cost agitate trlrU,saXraa, item 2 dor s not Fly rco interest Paid tt a sil}sai or �t of secured property, set cheat, taunx;bumrss to an n+clend.tel retirement w m IPft.mOrland other than Itbw st and divadpneie, you are not required to nun tut c orldicaten, butOPAL and 9wewatt,. tanyntxlraty .... Kxt ,root provide your cannot TIN. See out Matrstesiorts IC► F'wn H.Sign lacer„. Hera ono of eh* 4 flp i re iocxen 4himei only 10 ei hem truer, not weemeeekt, eve inataamna On oa>pe 3t Flannel Peyote** p iro Enarreson fern ratCA rmporwq code 0► iyi rtrrtu w..no...I.O.•••••rwpm err vat tb©u llemee nine art0 ex1dolO3 COOlbnet ifirmeuraei U.=. puler M General instructions Section refeeren©es are to the Internet Reveretc Code unttsa (therarse noted. Future dsveloprnonta For the tritest infterna bon about de'setoprnant. retated to Form W and as iaunuotione. soon as Ion enacted alter they were prtAietesd, 9n to Nww.$.9©r/Ftnrn44r9. Purpose of Forth An .xllvidrsol or r nbty (roan W-9 reraveetar) oho rs re4uirsd'o file ;err informallat return with the Ira$ ,most obtain yots, core= tax0sI art 'dentrticaaion number MIN) which may be you social we un*y number I"SS +Q, iod+.ritttt# taxpayer itieserFiekttion number PM), arlrnphon taxpayer attends tion rx.umbec WIN", A► empkryrtr Itlmi tjr n nurnt3ts FFtAI), to repcxt rot ern rr*,nraavo n ream ttua amount mid su you. or outer a nct nt nsporsabua on an inintrnitrGsl,,lion, ExaYrciers nt insorrrmttt?gr means include, but ,ro not amitrxl to, the k#>wing. • Fun) 1099 thin' (interest rooms or pail to �fl 1 al • Form 1849d3V (dividends, inducting thecae from mocks or rwttat funds) • f pr I09tt-sasc (various typos of rtatrrtre, pores, swamis, or orosa pr«.'t'mOsi • Form 1Q9ft 13 (sox* or mutual fund sates yep certain otnor bwhsat'tic7rrz by bicker* • Edm 7094 S 1,nVNeeds from real eon ry t► ctpxm, • Form 1099-K (merchant card end third party minuets unroac:tronal • Ftern 1798 'harm mortgage imonytt), 1t999t.E iitudent loan iritct, IOW I nuifionnt • Form 7099-C rranratled debt( • corn I 099-A t treated or abo Woomera of secured PrOpertYI Item Form ie O only if you nra a U.S, ©arson (rrwhesn9 cr rtreidrnt alimj, to tenvitfr your rt rTo t TN. tT yYau dl) reeg newt trinrt W-9 to ilia mos*ater troth a (M, yew mlVI ne.sedbrcf h?>' rrty »^.thRQet,enl. ",Mint in beciur(r v,^1'1$zrlrsnti, ACCIIRI ' CERTIFICATE OF LIABILITY INSURANCE l east,, DATE(MMIDDryvYY) 5/17/2019 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 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). PRODUCER Commercial Risk Solutions 6600 E Hampden Ave Ste 200 Denver CO 80224 INSURED AESTH 1 Aesthetic Alternative Recycling LLC 2450 S. Syracuse Way Denver CO 80231 CONTACT NAME Scott Anderson, CIC PHONE ttteJta..t;atit. 303'996-7833 1, INA �(� AIL r s Sanderson ersdenveccom 303 757 7719 NAIL k 41190 INSURERS) AFFORDING COVERAGE INSURER A Secura Insurance Co. INSURER B Pinnacol Assurance INSURER C : INSURER D : INSURER E : INSURER F :. CERTIFICATE NUMBER: 389098612 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. LTR TYPE OF INSURANCE AWL $Wt1t. POLICY EFF PM).D Y EitP ,JNSO WVD POLICY NUMBER IMM/DD/YYYYI IMM/DONYYYI. A X COMMERCIAL GENERAL LIABILITY 1 CLAIMS -MADE in OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY X] PED I XH} LOC OTHER: Y 20CP003253280 5/20/2019 5/20/2020 LIMITS EACH OCCURRENCE DAMAGETO`RENTED PREMISES tE@;accxarer c.J MED EXP (Any one person) PERSONAL & AOV INJURY GENERAL AGGREGATE PRODUCTS COMP/OP AGG $1,000,000 $ 500,000 $ 10,000 $1,000,000 $ 2,000,000 $ 2,000 000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED „-.......... AUTOS ONLY AUTOS ONLY X 80A003253289 5/20/2019 5/20/2020 COMBINED SINGLE. OMIT Aga acr,4400_......._._ _.._.-_ BODILY INJURY (Per person) BODILY INJURY (Per accident)' R-OPERTY DAMAG — JEer accidenil. $1,000,000 $ $ A B X X UMBRELLA LIAR OCCUR EXCESS LIAR CLAIMS -MADE DOD i C I RETENT ON $ tp,DnR WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N A Inland Marine ACV/Special N/A 2 0 C 0003253281 3228986 20CP003253280 5/20/2019 6/1/2019 5/20/2019 5/20/2020 6/1/2020 EACH OCCURRENCE AGGREGATE $ 4,000,000 $ 4,000,000 PER (( OTH- m. LETAL.JTEI 1ER..... ,. E L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E . DISEASE - POLICY LIMIT 5 1.000,000 5/20/2020 Rented/Led Equip,. Deductible 25,000 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: All Projects Weld County, its subsidiary, parent, associated and/or affiliated entities, successors, or assigns, its elected officials, trustees, employees, agents and volunteers are Included as additional Insured on the General Liability with respect to ongoing and completed operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. CERTIFICATE HOLDER Weld County 1111 H Street Greeley CO 80632 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 ���� .__ /7.141,e04... /17477,044.-,...,7-.;. ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD [_ 7 New Entity? Cont Entity Name* AESTHETIC ALTERNATIVE RECYCLING INC Contract Name * TREE DSPOSAL SERVICE Contract Status CTB REVIEW Entity ID' §00034527 Contract ID 3250 Contract Lead* DNAIBAUER Contract Lead Email doaibauer@co.weldco.us Contract Description' TREE GINDING AND TREE DISPOSAL FROM HOAKSTRA STOCK PILE SITE. Contract Description 2 Contract Type AGREEMENT ',mount* $5,900.00 Renewable * NO Automatic Renewal Grant ICA Department PUBLIC WORKS Department Email CM- PublicWorks@weidgov.com Department Head Email CM-PublicWorks- DeptHead@weldgov.com County Attorney BOB CHOATE County Attorney Email BCHOATE@CO.WELD.CO. JS Requested B0CC Agenda Date* 11/20/2019 Parent Contract ID Requires Board Approval YES Department Project •#� Due Date 11/16/2019 Will a work session with B0CC be required?* NO Does Contract require Purchasing Dept. to be included? YES Bid/RFP #* B1700141 If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note_ the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contr Effective Termination Notice Period Review Date* 02/17/2020 Committed Delivery Date Renewal Date Expiration Date* 11/19/2020 Co act Information Contact: In. Contact Name Pturchas Purchasing Approver CONSENT Approval Process' Department Head JAY MCDONALD OH Approved Date 11121/2019 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 11/25/2019 Originator DNAI BAUER Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Approved Date 11/21/2019 Finance Approver CONSENT Finance Approved Date 11121/2019 Tyler Ref # AG 112519 Legal Counsel CONSENT Legal Counsel Approved Date 11/2112019 @onfraC+ =ID #30 51 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Tree Disposal Services DEPARTMENT: WELD COUNTY PUBLIC WORKS DATE: 11/01/19 PERSON REQUESTING: Duane Naibauer, Road and Bridge Construction Supervisor Brief description of the problem/issue: The original agreement for the Tree Disposal Service at East Davis and Hokestra Gravel Pit can be extended from November 20, 2018, to November 19, 2019, as permitted by the contract. These extensions would be in the third year of a possible three-year term limit. The contract also allows for yearly rate adjustments based upon the current Denver/Boulder/Greeley CPI index. Oxford Recycling, Inc. (East Davis), and Aesthetic Alternative Recycling (Hokestra Gravel Pit), did not request a lump sum price increase for 2019. Oxford Recycling, Inc. and Aesthetic Alternative Recycling did not increase the after-hours and additional tree price per cubic yard beyond C.P.I. index. They will both be awarded additional services on an as needed basis. Attached to this pass around is a copy of the contract extensions/renewals and the 2019 Fee Schedules for both companies. The budget amount in 2019 for this contract is $30,000, the total lump sum contract price for both companies would be $13,340.00. Oxford Recycling and Aesthetic Alternative Recycling were awarded this contract in 2017 as the low bid contractors and the Public Works Department has been satisfied with their work. What options exist for the Board? (include consequences, impacts, costs, etc. of options): The Board may either approve or deny the contract renewal/extension. Recommendation: We recommend approval for Oxford Recycling Inc, and Aesthetic Alternative recycling LLC, under the Tree Disposal Services contract. Sean P. Conway Scott James Mike Freeman, Pro -Tern Barbara Kirkmeyer, Chair Steve Moreno Approve Recommendation Work Session Schedule (P 6 Other/Comments: J 0611- 3•3DD EC7oo-1,-1 CONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY DEPARTMENT OF PUBLIC WORKS AND OXFORD RECYCLING, INC. This Agreement Extension/Renewal ("Renewal"), made and entered into 20'" day of November, 2019 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of publiQ,W.ccrkj., hereinafter referred to as the "Department", and Oxford Recycling, Inc, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an agreement (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document B#1700141/2017-3822 approved on November 20;2017. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accordance with the terms of the Original Agreement, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, In consideration of the premises, the parties hereto covenant and agree as follows: The second year Extension/Renewal Agreement will end on November 19, 2019. • The parties agree to extend the Original Agreement for an additional one-year period, which will begin November 20. 2019, and will end on November 19, 202Q. • The Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change Is hereby made to the Contract Documents: 1, This extension will be the third year of a possible three-year contract, 2. The 2018 Bid Schedule will be replaced by the attached 2019 Bid Schedule. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. CONTRACTOR: ,91649./N) A*.e Printed Name Signature ATTEST: goa/Lakf v. LD;(� Weld un / erk to BY: d-- 4t�J�°► [- .�i/� Deputy Clerk the B.ard BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLQRADO Barbara Kirkmeyer; Chair NOV 2 5 2019 2019 BID SCHEDULE FOR OXFORD RECYCLING INC. 1) Removal and disposal off all tree debris/material from the East Davis site that exist on the site as of September 23, 2019. Processing method and end -disposal of tree material to be approved by Weld County. rj 2) $ ICI lll-" Lump Sum Removal and disposal off all tree debris/material from the Hokestra Gravel Pit Site that exist on the site as of September 23, 2019. Processing method and end -disposal of tree material to be approved by Weld County. 3) $ X per cu. yd Rate that tree limbs to be disposed of and hauled off site. (All costs shall be included in cu. yd rate). THIS RATE WILL BE USED IF ANY TREE DEBRIS/MATERIAL IS ADDED TO EAST DAVIS OR HOKESTRA PILES AFTER TREE PILES HAVE BEEN BID FOR 2019 AND FOR THE REMAINDER OF THE 2019 CONTRACT IF THE CONTRACT IS EXTENDED. 4) $ o' per cu. yct Contractor to be available when needed for after hours due to storms or anything classified as urgent or emergency by county personnel. (Cost of disposal to be included in cu. yd rate) Bidder agrees to perform all work described in the Contract Documents for the unit prices as shown in the Bid Schedule. Payment will be based on quote for actual labor and equipment hourly rate for services. SIGNATURES: Dated this 2 7 day of `,e19 16 /4 i3 t~:-9;,'.-, 2019 FIRM NAME: UAiti)/ ,0 /(r.e yeZ (Ai I _ AA: BY: i ';v / BIDDER'S LEGAL SIGNATURE: STATE OF INCORPORATION: C 04' G1j'/i f > TITLE: g-' S/}.1 fiUz", ADDRESS: ,1/1.7 IV... O,( Ki— /11/6 C . %CU_1, i te,O47% (1.) .t"1/%1✓ TELEPHONE NO. _ O.. i6,a'::' , '/ ea -'t 7'///- FAX NO, Form W-9 (Rev. October 2018) Department of the Treasury internal Revenue Service Request for Taxpayer Identification Number and Certification ► Go to www.irs.gov/FormW9 for Instructions and the latest information. Give Form to the requester. Do not send to the IRS. I Print or type. See Specific Instructions on page 3. i Name (as shown on your Income tax return). Name is required on this line; do not leave this line blank. Oxford Recyci ng, Inc 2 Business rtama/diaregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions certain entitles, instructions Exempt payee Exemption code (if any) (Applies to accounts (codes apply only to not Individuals; see on page 3): code (if any) in Individual/sole proprietor or N C Corporation IS s Corporation MI Partnership is Trust/estate single -member LLC. company, Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) appropriate box In the line above for the tax classification of the single -member owner. is classified as a single -member LLC that Is disregarded from the owner unless the Is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single from the owner should check the appropriate box for the tax classification of its owner. D. D. limited liability from FATCA reporting Note: Check the LLC if the LLC another LLC that is disregarded El Other (see instructions) Do not check owner of the LLC Is -member LLC that maintained outside She U.S.) 5 Address (number, street, and apt. or suite no.) See Instructions, 2400 W. Oxford Ave Requester's name and address (optional) 6 City, state, and ZIP code Englewood, CO 80110 7 List account number(s) here (opttonai) •Taxpayer identification Number Enter your TIN in the appropriate box. The TIN provided must match the name given on line •1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entitles, it is your employer Identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the Instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. or Employer Identification number 8 4 1 1 S cj C) EMEI Certification Under penalties of perjury, I certify that: 1. The number shown on this form Is my correct taxpayer identification number (or I am waiting for a number to be Issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (If any) indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage Interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than Interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Here Signature of U.S. person ► General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest Information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who Is required to file an Information return with the IRS must obtain your correct taxpayer Identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an Information return the amount paid to you, or other amount reportable on an information return. Examples of information returns Include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) Date ► C.> ! • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of Income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage Interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev, 10-2018) AW EP OXFOREC-01 CERTIFICATE OF LIABILITY INSURANCE DENESEB DATE (MMIDDIYYYYI 11/4/2019 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain potfcies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CCIG 155 Inverness Drive West Englewood, CO 80112 INSURED Oxford Recycling, Inc. 2400 W. Oxford Ave Englewood, CO 80110 NAME•CT Shannon Lissolo PHONE FAX (AC iNo, Eat): (720) 330-7932 AlC, No): tors; Shannon.Lissolo@thInkccig.com INSURERS) AFFORDING COVERAGE INSURER A:Union Insurance Company.. INSURER s:Pinnacol Assurance INSURER C : INSURER C): INSURER E : INSURER F NAICI.. 26844 41190 COVERAGES �IU ATE NI IMAI=i7• - --- -. _ .._.,.,_... ,.,.., VOI,0r. tIli,,m E.fi. THIS IS TO CERTIFY THAT THE POUCIES 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. ILT R' TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP ' LTR � � fNSD WVD fMMftlD/TYYYt fMMIDD/YYYYi LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1'000,000 CLAIMS -MADE ` X OCCUR X X CPA311917823 1/1/2019 1/1/2020 pDR fsEs(EaEw a arks? 300,000 MED EXP (Any one person) S 10+000 PERSONAL SADVINJURY $ 1,000,000 GEN'LAGGREGATELIMITAPPLIESPER: '; , GENERAL AGGREGATE $ 2,000,000 POLICY 1 X Pa X LOC PRODUCTS - COMP/OP AGO $ 2+000,000 OTHER: A AUTOMOBILE UABILITY i COMSD SINGLE LIMIT 1,000,000 X I ANY AUTO X X CPA311917823 1/1/2019 1/1/2020 sway WARY (Perperson) S " , OWNED SCHEDULED -- -- AUTOS ONLY AUTOS BODILY INJURY (Per acetdent) • S I HIRED NUTO.SONLY PROPERTY DAMAGE AUTOS ONLY AUTOS ONL (Per accident) $ A X UMBRELLAUAB X : OCCUR 1,000,000 EACH OCCURRENCE S EXCESS LIAB CLAIMS MADE X x CPA311917823 1/1/2019 1/1/2020 AGGREGATE $ 1'000,000 DED IX RETENTION 0 B AND EMPLOYCOMPENSATION RS' C ABIUT/ X PER ER !STATUTE. ER ANYPROPRIETOR/PARTNERIEXECUTIVE Yl NI X 4007491 1/1/2019 1/1/2020 E.L EACH ACCIDENT $ 1,000,000 FFICE BgEERR EXCLUDED? N NIA (Mande y in Nit) E.L. DISEASE - EA EMPLOYEE; $ 1,000,000 II yak deycrtbe Wider DESCRIPTION OF OPERATIONS below E DISEASE -POLICY LIMIT $ 1,000,000 A Leased/Rented Equip CPA311917823 1/1/2019 1/1/2020 Limit 800,000 A Special - RC CPA311917823 1/1/2019 1/1/2020 Deductible 5,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: Tree Grinding Disposal 2019. As required by written contract or written agreement, Weld County Public Works is included as Additional Insured under Automobile Liability and Additional Insured for ongoing and completed operations under General Liability on a primary and non-contributory basis. As required by written contract or written agreement, Waivers of Subrogation in favor of the Additional Insured apply to Automobile Liability, General Liability and Workers' Compensation. Umbrella Policy is follow form to Automobile Liability, General Liability and Workers' Compensation. CERTIFICATE HOLDER Weld County Public Works PO Box 758 Greeley, CO 80632.0758 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 f"?..: ---' 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Entit Information Entity ID* @00034501 Entity Name* OXFORD RECYCLING INC Contract Name* TREE DISPOSAL Contract Status CTB REVIEW ❑ New Entity? Contract ID 3251 Contract Lead* DNAiBAUER Contract Lead Email dnaibauer@co.weld.co.us Contract Description * TREE GRINDING AND DISPOSAL AT DAVIS EAST STOCK PILE SITE. Contract Description 2 Contract Type* AGREEMENT Amount* $T440.00 Renewable NO Automatic Renewal Grant Department PUBLIC WORKS Department Email CM- PublicWorksi weldgov.com Department Head Email CM-PublicWorks- DeptHead@weldgov.com County Attorney BOB CHOATE County Attorney Email BCH OATE@CO. WELD. C©. US Requested BOCC Agenda Date* 11/20/2019 Parent Contract ID Requires Board Approval YES Department Project # Due Date 11/1612019 Will a work session with 8OCC be required?* NO Does Contract require Purchasing Dept. to be included? YES Bid/RFP #* 81700141 tf this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* 08/17/2020 Termination Notice Period Renewal Date Committed Delivery Date Expiration Date* 11/19/2020 Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver CONSENT Approval Process'' Department Head JAY MCDONALD OH Approved Date 11/21/2019 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 11/25/2019 Originator DNAIBAUER Purchasing Approved Date 11/21/2019 Finance Approver CONSENT Finance Approved Date 11/21/2019 Tyler Ref* AG 112519 Legal Counsel CONSENT Legal Counsel Approved Date 11/21/2019 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: Tree Disposal Services DEPARTMENT: WELD COUNTY PUBLIC WORKS DATE: 12/5/18 PERSON REQUESTING: Duane Naibauer, Road and Bridge Construction Supervisor Brief description of the problem/issue: The original agreement for the Tree Disposal Service at East Davis and Hokestra Gravel Pit can be extended from November 20, 2018, to November 19, 2019, as permitted by the contract. These extensions would be in the second year of a possible three-year term limit. The contract also allows for yearly rate adjustments based upon the current Denver/Boulder/Greeley CPI index. Oxford Recycling, Inc. (East Davis), and Aesthetic Alternative Recycling (Hokestra Gravel Pit), did not request a lump sum price increase for 2018. Oxford Recycling, Inc. due to a large job with complications and some equipment issues has contacted me and is removing there bid for consideration. They feel that they would not be able to get the work done in a timely manner and they want to keep the good relationship that they have with Weld County for past years work that they have performed for us. Aesthetic Alternative Recycling did not increase the after-hours and additional tree price per cubic yard beyond C.P.I. index. Aesthetic Alternative Recycling is being awarded the Iloaksra Pit site and they also had submitted a bid for the Davis East site as well. I have contacted Aesthetic and they would be able to complete the work at booth sites. Attached to this pass around is a copy of the contract extensions/renewals and the 2018 Fee Schedule. The budget amount in 2018 for this contract is $30,000, the total contract price for both companies would have been $16,640.00. With Oxford Recycling, Inc. resending there bid this would change the total amount to Aesthetic Alternative Recycling to $20,780.00. This will still be under the total budget by $9,220.00. Aesthetic Alternative Recycling were awarded this contract in 2017 as the low bid contractor Hoakstra site and the Public Works Department has been satisfied with their work. What options exist for the Board? (include consequences, impacts, costs, etc. of options): The Board may either approve or deny the contract renewal/extension. Recommendation: We recommend approval for Aesthetic Alternative recycling LLC, under the Tree Disposal Services contract for the Davis East. Approve Recommendation Sean P. Conway Julie A. Cozad Mike Freeman Barbara Kirkmeyer, Pro-Tem Steve Moreno, Chair la/la/a tg Schedule Work Session Other/Comments: o'er/ 7-3S 62-,9-. CONTRACT AGREEMENT EXTENSION/RENEWAL BETWEEN THE WELD COUNTY DEPARTMENT OF PUBLIC WORKS AND AESTHETIC ALTERNATIVE RECYCLING This Agreement Extension/Renewal ("Renewal), made and entered into 20= day of November. 2018, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Public Works, hereinafter referred to as the "Department", and Aesthetic Alternative Recycling hereinafter referred to as the "Contractor". WHEREAS the parties entered into an agreement (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document B#1700141/2017-3822 approved on November 20,2017. WHEREAS the parties hereby agree to extend the term of the Original Agreement in accordance with the terms of the Original Agreement, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on November 19. 2017. • The parties agree to extend the Original Agreement for an additional one-year period, which will begin November 20. 2018, and will end on November J.9, 2019. • The Renewal, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Contract Documents: 1. This extension will be the second year of a possible three year contract. 2. The 2017 Bid Schedule will be replaced by the attached 2018 Bid Schedule. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. CONTRACTOR: Printed Sig Lure ATTEST: Weld BY: Deputy Cler to the Board BOARD OF COUNTY COMMISSIONERS WELD C • UNTY, COLORADO ve Moreno, Chair etc 12 2m8 07-O/ 7- 3MoZ.d2 MNSR LIR A A A v CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 5/17/2018 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(les) 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). PRODUCER Commercial Risk Solutions„NNW_PHONE------- 6600 E Hampden Ave Ste 200 Denver CO 80224 TACT Scott Anderson CIC PHONE • 303-996-7832 INC,Nol:303-757 7719 • sanderson@crsdenver.com INSURER(S,j„AFFORDINGCOVERAGE NAILS INSURER A : SeCUra Insurance Co INSURER B: Pinnacol Assurance _.._ INSURER C:__� _ ._�_.._..,_,e ,_.._..•,„„ INSURED AESTH-1 Aesthetic Tree Service, Inc. 2450 S. Syracuse Way Denver CO 80231 4119O INSURER D: INSURER E : INSURER F : :549163691 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, AODL'0l1BR INSD WVO X TYPE OF INSURANCEY 'rYY1 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I A I OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY L J Pga OTHER, AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY _ HIRED AUTOS ONLY X X X LOC SCHEDULED AUTOS NON -OWNED AUTOS ONLY Y POLICY NUMBER 20CP003253280 80A003253289 5120/2018 5/20/2018 5/20/2019 5/20/2019 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PR5MI$E$ (Ea occurrencq) , $.500,000 MED EXP 4Any one person) $ 10,000 51,000,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000 000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ CORM Oh INGLE LIMIT® Si 000,000 tEa BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ APeractSdem1 $ A B X UMBRELLA LIAB EXCESS LIAB DED I X I RETENTIONS 10000 X OCCUR CLAIMS -MADE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXEC UTIV E OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Inland Marine ACV/Speciel YIN N N/A 2000003253281 3228986 20CP003253280 5/20/2016 6/1/2018 5/20/2018 5/20/2019 6/1/2019 5/20/2019 EACH OCCURRENCE 5 4,000,000 AGGREGATE - $ 4,000,000 x )STATUTE OTH- ER E L. EACH ACCIDENT $1.000.000 E L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000.000 Rented/Led Equip. Deductible 25,000 1.900 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) All Projects; Weld County, its subsidiary, parent, associated and/or affiliated entities, successors, or assigns, its elected officials, trustees, employees, agents and volunteers are included as additional insured on the General Liability with respect to ongoing and completed operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. CERTIFICATE HOLDER CANCELLATION Weld County 1111 H Street Greeley CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Form W-9 (Rev. November 2017) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification ► Go to www.Irsgov/FormW9 for Instructions and the latest information. Give Form to the requester. Do not send to the IRS. m Name (as ahowm on your income tax return). Name is required on this line; do not leave this line blank. Aesthetic -crte s-erv� c 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. ❑ IndlviduaVsole proprietor or 0 C Corporation ', S Corporation 0 Partnership 0 Trust/estate single -member LLC Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded front the owner for US. federal tax purposes. Otherwise, a single -member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (set instructions) ► O 4 Exemptions (codes apply only to certain entities, not individuals; see Instructions on page 3): Exempt payee code (If any) Exemption from FATCA reporting code Of any) (Applies to eccananrnhnw outside The US) 6 Address (rmber, street, and apt. areas ran,) See instructions. 2450 c. s\4racusL wet e Glty. *date, and ZIP code Denver 1 GO 8.023 1 7 List account number(s) here (optional) Requester's name and address (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: if the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number or Employer identification number 4 2 Part II Certification 0 1 Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I arn exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report al interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Date* 0012414401g General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its Instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your contact taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer Identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of Information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of Income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 11-2011) 2018 BID SCHEDULE FOR Aesthetic Alt. Inc. 15 3110.00 1) $ I Lump Sum Removal and disposal off all tree debris/material from the East Davis site that exist on the site as of November 30, 2018. Processing method and end -disposal of tree material to be approved by Weld County. 5 aOO.00 2) $ + Lump Sum Removal and disposal off all tree debris/material from the Hokestra Gravel Pit Site that exist on the site as of November 30, 2018. Processing method and end -disposal of tree material to be approved by Weld County. 3) $ 51. 04er cu. vd Rate that tree limbs to be disposed of and hauled off site. (All costs shall be Included in cu. yd rate). THIS RATE WILL BE USED IF ANY TREE DEBRIS/MATERIAL IS ADDED EAST DAVIS OR HOKESTRA PILES AFTER NOVEMBER 30, 2018, TO THE TREE DEBRIS PILES AT THE EAST DAVIS OR HOKESTRA SITES AND FOR 2018 IF THE CONTRACT IS EXTENDED. 4) $- er cu. Contractor to be available when needed for after hours due to storms or anything classified as urgent or emergency by county personnel. (Cost of disposal to be Included in cu. yd rate) Bidder agrees to perform all work described in the Contract Documents for the unit prices as shown in the Bid Schedule. Payment will be based on quote for actual labor and equipment hourly rate for services. SIGNATURES: Dated this 120 day of ltiove 2018 FIRM NAME: t,� Aes ►e c. BY: k 1 iLJS it-44� TITLE: f BIDDER'S LEGAL SIGNATURE: STATE OF INCORPORATION Ci C) ADDRESS: c2 y Sra 5. SsirR c'.•$C W4y l C yr — Co g'O 3) TELEPHONE NO. 303 ESP 945 FAX NO. 3a.3 Cj 72 S 3o7 y MEMORANDUM TO: Board of Commissioners DATE: November 6, 2017 FROM: Jay McDonald, Director of Public Works SUBJECT: 2017 Tree Disposal Services, B1700141 The Public Works Department recommends that tree disposal at the East Davis site be awarded to Oxford Recycling at a lump sum cost of $15,598.00. We further recommend that tree disposal at the Hokestra Gravel Pit site be awarded to Aesthetic Alternative Recycling at a lump sum bid of $4,000.00. Both were the lowest bidders per location. This is a one year contract with the possibility of two additional one year extension periods. If you have any questions, please call me at extension 3761, M: mona:wordfiles/bids/mtreedisposa12017.docx 0�10i7- 3 Yg &007 1! DATE OF BID: NOVEMBER 3, 2017 REQUEST FOR: TREE DISPOSAL SERVICES DEPARTMENT: PUBLIC WORKS DEPT BID NO: #B1700141 PRESENT DATE: NOVEMBER 6, 2017 APPROVAL DATE: NOVEMBER 20, 2017 (contract renewal for 2' & 3rd year option) VENDOR OXFORD RECYCLING INC 2400 W OXFORD AVE ENGLEWOOD CO 80110 AESTHETIC ALTERNATIVE RECYCLING 2450 S SYRACUSE WAY DENVER CO 80231 HIRED GUN WEED & PEST CONTROL LLC 25307 CR 50 KERSEY CO 80644 EAST DAVIS SITE REMOVAL OF TREES AS AS OF OCTOBER 25, 2017 $15,598.00 $19,360.00 $68,600.00 PUBLIC WORKS WILL REVIEW THE BIDS. WELD COUNTY PURCHASING 1150 O Street Room #107, Greeley CO 80631 E-mail: rturf(a�weldgov.com E-mail: reverett(a�weldgov.com E-mail: mwalers(a�weldgov.com Phone: (970) 400-4216,4222 or 4223 Fax: (970) 336-7226 HOKESTRA GRAVEL PIT SITE REMOVAL OF TREES AS OF OCTOBER 25, 2017 $6,578.00 $4,000.00 $17,150.00 RATE OF TREE LIMBS TO DISPOSE & HAUL OFF $8.00/cu yd $8.00/cu yd $343.00/cy RATE TO USE AS NEEDED $8.00/cu yd $8.00/cu yd $400.00/cy 0.107-58 oo
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