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HomeMy WebLinkAboutC14-371 American Tire Recylcing LLC Agreement f i
AGREEMENT FOR SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
AMERICAN TIRE RECYCLING, LLC.
THIS AGREEMENT ("Agreement") is effective as of th-r, day of , 2014 by and
between American Tire Recycling, LLC. (hereinafter"Contractor") and Eagle CA nty, Colorado, a body
corporate and politic(hereinafter"County").
RECITALS
WHEREAS, County desires to hire a contractor to haul and recycle waste tires (the "Project") collected
from the Eagle County Waste Tire Facility located at 815 Ute Creek Road, Wolcott, Colorado (the
"Property"); and
WHEREAS, Contractor is authorized to do business in the State of Colorado and has the time, skill,
expertise, and experience necessary to provide the Services as defined below in paragraph 1 hereof; and
WHEREAS, this Agreement shall govern the relationship between Contractor and County in connection
with the Services.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Contractor and
County agree as follows:
1. Services or Work. Contractor agrees to diligently provide all services, labor, personnel and
materials necessary to perform and complete the services or work described in Exhibit A ("Services" or
"Work") which is attached hereto and incorporated herein by reference. The Services shall be performed
in accordance with the provisions and conditions of this Agreement. .
a. Contractor agrees to furnish the Services no later than December 31, 2014 and in
accordance with the schedule established in Exhibit A. If no completion date is specified in Exhibit A,
then Contractor agrees to furnish the Services in a timely and expeditious manner consistent with the
applicable standard of care. By signing below Contractor represents that it has the expertise and
personnel necessary to properly and timely perform the Services.
b. In the event of any conflict or inconsistency between the terms and conditions set forth in
Exhibit A and the terms and conditions set forth in this Agreement, the terms and conditions set forth in
this Agreement shall prevail.
2. County's Representative. The Solid Waste Department's designee shall be Contractor's contact
with respect to this Agreement and performance of the Services.
6,14-31I
� a
3. Term of the Agreement. This Agreement shall commence upon the date first written above, and
subject to the provisions of paragraph 11 hereof, shall continue in full force and effect through the 31st
day of December, 2014.
4. Extension or Modification. This Agreement may be extended for up to three additional one-year
terms upon written agreement of the parties. Any amendments or modifications shall be in writing signed
by both parties. No additional services or work performed by Contractor shall be the basis for additional
compensation unless and until Contractor has obtained written authorization and acknowledgement by
County for such additional services in accordance with County's internal policies. Accordingly, no
course of conduct or dealings between the parties, nor verbal change orders, express or implied
acceptance of alterations or additions to the Services,and no claim that County has been unjustly enriched
by any additional services,whether or not there is in fact any such unjust enrichment, shall be the basis of
any increase in the compensation payable hereunder. In the event that written authorization and
acknowledgment by County for such additional services is not timely executed and issued in strict
accordance with this Agreement, Contractor's rights with respect to such additional services shall be
deemed waived and such failure shall result in non-payment for such additional services or work
performed.
5. Compensation. County shall compensate Contractor for the performance of the Services in a sum
computed and payable as set forth in Exhibit A. Compensation for the performance of the Services under
this Agreement shall not exceed $17,000.00 without a written amendment to this Agreement in
accordance with Paragraph 4 hereof Contractor shall not be entitled to bill at overtime and/or double
time rates for work done outside of normal business hours unless specifically authorized in writing by
County.
a. Payment will be made for Services satisfactorily performed within thirty (30) days of
receipt of a proper and accurate invoice from Contractor. All invoices shall include detail regarding the
hours spent,tasks performed,who performed each task and such other detail as County may request.
b. If, at any time during the term or after termination or expiration of this Agreement,
County reasonably determines that any payment made by County to Contractor was improper because the
Services for which payment was made were not performed as set forth in this Agreement, then upon
written notice of such determination and request for reimbursement from County, Contractor shall
forthwith return such payment(s) to County. Upon termination or expiration of this Agreement,
unexpended funds advanced by County, if any, shall forthwith be returned to County.
c. County will not withhold any taxes from monies paid to the Contractor hereunder and
Contractor agrees to be solely responsible for the accurate reporting and payment of any taxes related to
payments made pursuant to the terms of this Agreement.
d. Notwithstanding anything to the contrary contained in this Agreement, County shall have
no obligations under this Agreement after, nor shall any payments be made to Contractor in respect of
any period after December 31 of any year, without an appropriation therefor by County in accordance
with a budget adopted by the Board of County Commissioners in compliance with Article 25, title 30 of
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Eagle County Landfill General Services Final 5/14
s i
the Colorado Revised Statutes, the Local Government Budget Law (C.R.S. 29-1-101 et. seq.) and the
TABOR Amendment(Colorado Constitution,Article X, Sec. 20).
6. Subcontractors. Contractor acknowledges that County has entered into this Agreement in
reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any
subcontractor agreements for the performance of any of the Services or additional services without
County's prior written consent, which may be withheld in County's sole discretion. County shall have
the right in its reasonable discretion to approve all personnel assigned to the subject Project during the
performance of this Agreement and no personnel to whom County has an objection, in its reasonable
discretion, shall be assigned to the Project. Contractor shall require each subcontractor, as approved by
County and to the extent of the Services to be performed by the subcontractor, to be bound to Contractor
by the terms of this Agreement, and to assume toward Contractor all the obligations and responsibilities
which Contractor, by this Agreement, assumes toward County. County shall have the right (but not the
obligation)to enforce the provisions of this Agreement against any subcontractor hired by Contractor and
Contractor shall cooperate in such process. The Contractor shall be responsible for the acts and omissions
of its agents, employees and subcontractors.
7. Insurance. Contractor agrees to provide and maintain at Contractor's sole cost and expense, the
following insurance coverage with limits of liability not less than those stated below:
a. Types of Insurance.
i. Workers' Compensation insurance as required by law.
ii. Auto coverage with limits of liability not less than $1,000,000 each accident
combined bodily injury and property damage liability insurance, including coverage for owned,hired, and
non-owned vehicles.
iii. Commercial General Liability coverage to include premises and operations,
personal/advertising injury, products/completed operations, broad form property damage with limits of
liability not less than$1,000,000 per occurrence and$1,000,000 aggregate limits.
b. Other Requirements.
i. The automobile and commercial general liability coverage shall be endorsed to
include Eagle County, its associated or affiliated entities, its successors and assigns, elected officials,
employees, agents and volunteers as additional insureds. A certificate of insurance consistent with the
foregoing requirements is attached hereto as Exhibit B.
ii. Contractor's certificates of insurance shall include subcontractors, if any as
additional insureds under its policies or Contractor shall furnish to County separate certificates and
endorsements for each subcontractor.
iii. The insurance provisions of this Agreement shall survive expiration or
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Eagle County Landfill General Services Final 5/14
termination hereof.
iv. The parties hereto understand and agree that the County is relying on, and does
not waive or intend to waive by any provision of this Agreement, the monetary limitations or rights,
immunities and protections provided by the Colorado Governmental Immunity Act, as from time to time
amended, or otherwise available to County, its affiliated entities, successors or assigns, its elected
officials, employees, agents and volunteers.
v. Contractor is not entitled to workers' compensation benefits except as
provided by the Contractor, nor to unemployment insurance benefits unless unemployment compensation
coverage is provided by Contractor or some other entity. The Contractor is obligated to pay all federal
and state income tax on any moneys paid pursuant to this Agreement.
8. Indemnification. The Contractor shall indemnify and hold harmless County, and any of its
officers, agents and employees against any losses, claims, damages or liabilities for which County may
become subject to insofar as any such losses, claims, damages or liabilities arise out of, directly or
indirectly, this Agreement, or are based upon any performance or nonperformance by Contractor its
employees, agents or any of its subcontractors hereunder; and Contractor shall reimburse County for
reasonable attorney fees and costs, legal and other expenses incurred by County in connection with
investigating or defending any such loss, claim, damage, liability or action. This indemnification shall
not apply to claims by third parties against the County to the extent that County is liable to such third
party for such claims without regard to the involvement of the Contractor. This paragraph shall survive
expiration or termination hereof.
9. At all times during the Term of the Agreement, Contractor must be registered with the
Department of Public Health and Environment (CDPHE) and authorized to haul waste tires. A copy of
Contractor's current registration is attached hereto as Exhibit C.
10. Prior to final compensation under this Agreement, Contractor must provide Eagle County with
proof that tires have been recycled at a permitted Waste Tire Monofill or a registered waste tire
Processor/End-user.
11. Ownership of Documents. All documents (including electronic files) and materials obtained
during, purchased or prepared in the performance of the Services shall remain the property of the County
and are to be delivered to County before final payment is made to Contractor or upon earlier termination
of this Agreement.
a) Eagle County Solid Waste and Recycling will keep completed manifests on-site for
three (3) years from the date tires are delivered. Manifests will be available to Colorado Department of
Public Health and Environment for any landfill inspection(s).
12. Notice. Any notice required by this Agreement shall be deemed properly delivered when (i)
personally delivered, or (ii) when mailed in the United States mail, first class postage prepaid, or (iii)
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Eagle County Landfill General Services Final 5/14
when delivered by FedEx or other comparable courier service, charges prepaid, to the parties at their
respective addresses listed below, or(iv)when sent via facsimile so long as the sending party can provide
facsimile machine or other confirmation showing the date, time and receiving facsimile number for the
transmission, or(v)when transmitted via e-mail with confirmation of receipt. Either party may change its
address for purposes of this paragraph by giving five (5) days prior written notice of such change to the
other party.
COUNTY:
Eagle County, Colorado
Attention: Ken Whitehead
815 Ute Creek Road
Post Office Box 473
Wolcott, CO 81655
Telephone: 970-328-3465
Facsimile: 970-328-3556
E-Mail: ken.whitehead @eaglecounty.us
With a copy to:
Eagle County Attorney
500 Broadway
Post Office Box 850
Eagle, Co 81631
Telephone: 970-328-8685
Facsimile: 970-328-8699
E-Mail: atty @eaglecounty.us
CONTRACTOR:
American Tire Recycling,LLC.
Attention: Teresa Immel,President and Manager
5101 Columbine Street
Post Office Box 16647
Denver, CO 80216
Telephone: 303-853-0789
Facsimile: 303-286-7264
13. Termination. County may terminate this Agreement, in whole or in part, at any time and for any
reason, with or without cause, and without penalty therefor with seven (7) calendar days' prior written
notice to the Contractor. Upon termination of this Agreement, Contractor shall immediately provide
County with all documents as defined in paragraph 9 hereof, in such format as County shall direct and
shall return all County owned materials and documents. County shall pay Contractor for Services
satisfactorily performed to the date of termination.
14. Venue, Jurisdiction and Applicable Law. Any and all claims, disputes or controversies related to
• this Agreement, or breach thereof, shall be litigated in the District Court for Eagle County, Colorado,
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Eagle County Landfill General Services Final 5/14
which shall be the sole and exclusive forum for such litigation. This Agreement shall be construed and
interpreted under and shall be governed by the laws of the State of Colorado.
15. Execution by Counterparts; Electronic Signatures. This Agreement may be executed in two or
more counterparts, each of which shall be deemed an original,but all of which shall constitute one and the
same instrument. The parties approve the use of electronic signatures for execution of this Agreement.
Only the following two forms of electronic signatures shall be permitted to bind the parties to this
Agreement: (i) Electronic or facsimile delivery of a fully executed copy of the signature page; (ii) the
image of the signature of an authorized signer inserted onto PDF format documents. All documents must
be properly notarized, if applicable. All use of electronic signatures shall be governed by the Uniform
Electronic Transactions Act, C.R.S. 24-71.3-101 to 121.
16. Other Contract Requirements and Contractor Representations.
a. Contractor has familiarized itself with the nature and extent of the Services to be
provided hereunder and the Property, and with all local conditions, federal, state and local laws,
ordinances,rules and regulations that in any manner affect cost,progress, or performance of the Services.
b. Contractor will make, or cause to be made, examinations, investigations, and tests as he
deems necessary for the performance of the Services.
c. To the extent possible, Contractor has correlated the results of such observations,
examinations, investigations,tests,reports, and data with the terms and conditions of this Agreement.
d. To the extent possible, Contractor has given County written notice of all conflicts, errors,
or discrepancies.
e. Contractor shall be responsible for the completeness and accuracy of the Services and
shall correct, at its sole expense, all significant errors and omissions in performance of the Services. The
fact that the County has accepted or approved the Services shall not relieve Contractor of any of its
responsibilities. Contractor shall perform the Services in a skillful, professional and competent manner
and in accordance with the standard of care, skill and diligence applicable to contractors performing
similar services. Contractor represents and warrants that it has the expertise and personnel necessary to
properly perform the Services and shall comply with the highest standards of customer service to the
public. Contractor shall provide appropriate supervision to its employees to ensure the Services are
performed in accordance with this Agreement. This paragraph shall survive termination of this
Agreement.
f. Contractor agrees to work in an expeditious manner, within the sound exercise of its
judgment and professional standards, in the performance of this Agreement. Time is of the essence with
respect to this Agreement.
g. This Agreement constitutes an agreement for performance of the Services by Contractor
as an independent contractor and not as an employee of County. Nothing contained in this Agreement
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Eagle County Landfill General Services Final 5/14
shall be deemed to create a relationship of employer-employee, master-servant, partnership,joint venture
or any other relationship between County and Contractor except that of independent contractor.
Contractor shall have no authority to bind County.
h. Contractor represents and warrants that at all times in the performance of the Services,
Contractor shall comply with any and all applicable laws, codes, rules and regulations.
i. This Agreement contains the entire agreement between the parties with respect to the
subject matter hereof and supersedes all other agreements or understanding between the parties with
respect thereto.
j. Contractor shall not assign any portion of this Agreement without the prior written
consent of the County. Any attempt to assign this Agreement without such consent shall be void.
k. This Agreement shall be binding upon and shall inure to the benefit of the parties hereto
and their respective permitted assigns and successors in interest. Enforcement of this Agreement and all
rights and obligations hereunder are reserved solely for the parties, and not to any third party.
1. No failure or delay by either party in the exercise of any right hereunder shall constitute a
waiver thereof. No waiver of any breach shall be deemed a waiver of any preceding or succeeding
breach.
m. The invalidity, illegality or unenforceability of any provision of this Agreement shall not
affect the validity or enforceability of any other provision hereof.
n. The signatories to this Agreement aver to their knowledge no employee of the County has
any personal or beneficial interest whatsoever in the Services or Property described in this Agreement.
The Contractor has no beneficial interest, direct or indirect, that would conflict in any manner or degree
with the performance of the Services and Contractor shall not employ any person having such known
interests.
o. The Contractor, if a natural person eighteen(18)years of age or older, hereby swears and
affirms under penalty of perjury that he or she (i) is a citizen or otherwise lawfully present in the United
States pursuant to federal law, (ii) to the extent applicable shall comply with C.R.S. 24-76.5-103 prior to
the effective date of this Agreement.
15. Prohibitions on Government Contracts.
As used in this Section 15, the term undocumented individual will refer to those individuals from foreign
countries not legally within the United States as set forth in C.R.S. 8-17.5-101, et. seq. If Contractor has
any employees or subcontractors, Contractor shall comply with C.R.S. 8-17.5-101, et. seq., and this
Agreement. By execution of this Agreement, Contractor certifies that it does not knowingly employ or
contract with an undocumented individual who will perform under this Agreement and that Contractor
will participate in the E-verify Program or other Department of Labor and Employment program
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Eagle County Landfill General Services Final 5/14
("Department Program") in order to confirm the eligibility of all employees who are newly hired for
employment to perform Services under this Agreement.
a. Contractor shall not:
i. Knowingly employ or contract with an undocumented individual to perform
Services under this Agreement; or
ii. Enter into a subcontract that fails to certify to Contractor that the subcontractor
shall not knowingly employ or contract with an undocumented individual to perform work under the
public contract for services.
b. Contractor has confirmed the employment eligibility of all employees who are newly
hired for employment to perform Services under this Agreement through participation in the E-Verify
Program or Department Program, as administered by the United States Department of Homeland
Security. Information on applying for the E-verify program can be found at:
http://www.dhs.gov/xprevprot/programs/gc 1185221678150.shtm
c. Contractor shall not use either the E-verify program or other Department Program
procedures to undertake pre-employment screening of job applicants while the public contract for services
is being performed.
d. If Contractor obtains actual knowledge that a subcontractor performing work under the
public contract for services knowingly employs or contracts with an undocumented individual, Contractor
shall be required to:
i. Notify the subcontractor and County within three (3) days that Contractor has
actual knowledge that the subcontractor is employing or contracting with an undocumented individual;
and
ii. Terminate the subcontract with the subcontractor if within three days of receiving
the notice required pursuant to subparagraph (i) of the paragraph (d) the subcontractor does not stop
employing or contracting with the undocumented individual; except that Contractor shall not terminate
the contract with the subcontractor if during such three(3) days the subcontractor provides information to
establish that the subcontractor has not knowingly employed or contracted with an undocumented
individual.
e. Contractor shall comply with any reasonable request by the Department of Labor and
Employment made in the course of an investigation that the department is undertaking pursuant to its
authority established in C.R.S. 8-17.5-102(5).
f. If Contractor violates these prohibitions, County may terminate the Agreement for breach
of contract. If the Agreement is so terminated specifically for breach of this provision of this Agreement,
Contractor shall be liable for actual and consequential damages to County as required by law.
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Eagle County Landfill General Services Final 5/14
g. County will notify the Colorado Secretary of State if Contractor violates this provision of
this Agreement and County terminates the Agreement for such breach.
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Eagle County Landfill General Services Final 5/14
. .
IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth
above.
COUNTY OF EAGLE, STATE OF COLORADO,By and Through Its COUNTY MANAGER
BY: / . �ri
K-' 1 Montag, County Manager
CONTRACTOR:
By:________________________, —
Print Name: T 6 4WC 1'
42Az&d, ______aik&gr_____
Title:
10
Eagle County Landfill General Services Final 5/14
••
• "
EXHIBIT "A
American Tire Recycling,LLC
5101 Columbine Street
PUB 16647
Denver, CO 80216
Phone: 303-853-0789 Fax: 303-286-7264
1. American Tire Recycling,LLC Proposal for Eagle County Tire Clean-up:
(a) Pursuant to volume estimates provided by Eagle County Representatives and
there is an estimated 6,000 waste tires to be removed from the Eagle County
Waste Tire Collection Facility located at Eagle County Landfill in Wolcott,
Colorado("Site"). Based on our previous experience of cleaning up similar sites
in the past for other Counties in Colorado as well as private parties,we would use
approximately 90 tires per ton for such cleanup bids.
(b) Therefore based on approximately 6,000 passenger tires to be removed from the
Site the estimated cost to remove all of these waste tires from the Site would be as
follows:
Cost to load and remove 6,000 waste tires: $0.60/tire
Cost to transport 6,000 waste tires to ATR's Denver Facility $0.50/tire
Cost to Recycle the Waste Tires at ATR's Site in Denver $0.90/tire
Total Cost to Remove,Transport and Recycle tires $2.00/tire
Based on approximately 6,000 passenger or light truck tires with a rim size of
18"or less at the Eagle County Site,the estimated cost for this bid will be
approximately$2.00/tire or$12,000 for 6,000 tires to remove,transport and
recycle these waste tires at ATR's Facility in Denver,Colorado.
However,if the Eagle County waste tires include semi-truck tires or off-the-road
(OTR)tires the cost of the tire clean would be adjusted to account for$5.00/semi-
truck tire and between$10-$50 for each OTR tire depending on the actual size of
the OTR tire removed from the Eagle County Site. For OTR tires less than 4' in
diameter the fee would be$10/tire,for OTR tires between 4'-5' in diameter the
fee would be$15/tire,for OTR tires between 5'-6'in diameter the fee would be
$20/tire and for any OTR tires between 6'-S' in diameter the fee would be$30/tire
and for any OTR tire larger than 8'in diameter the fee would be$50/tire.
After loading and removing the 6,000 waste tires from the Eagle County Site,
ATR will transport them via semi-trailers to ATR's tire recycling facility at 5101
Columbine Street in Denver,CO 80216,where they will be recycled into various
beneficial end use products and subsequently sold to third party beneficial end
users. Based on our previous experience ATR estimates this will require
approximately 6 semi-loads of tires to remove the 6,000 waste tires from the
Eagle County Site since each semi-trailer should be able to transport
approximately 1,000 to 1,100 tires depending on the actual size of the tires.
2
American Tire Recycling,LLC
5101 Columbine Street
POB 16647
Denver, CO 80216
Phone: 303-853-0789 Fax: 303-286-7264
2. Cleanup Plan and Schedule of Tire Cleanup Timeline:
ATR would bring its equipment to the site within 30 days of being awarded the
bid and load the Eagle County waste tires into semi-trailers and remove between 2-3,000
tires per day from the site and transport them to ATR's tire recycling facility in Denver
where the tires will be recycled in beneficial end use products and sold to third party
beneficial end users. ATR recycles up to 3,000 tires per day using tire recycling
equipment to make(i)Tire Bales and(ii)Shredded Tire Product(STP)material. The tire
bales are sold to various agricultural end use customers in Colorado and the STP material
or tire chips are sold to various end use customers in Colorado which in turn use them for
"alternative ground cover"(AGC),fuel substitute for coal for power plants or cement
kilns.
3. Experience&Company History:
Company History: ATR was formed in 2010 to provide tire processing and
recycling for an affiliated company Colorado Tire Recycling,LLC("CTR")and
other third parties in Colorado. CTR provides waste tire collection services to
over 250 Colorado retail tire dealers and consumers every month in Colorado and
recycles between 2-3,000 waste tires per day. 100%of these waste tires are
recycled at ATR's tire recycling facility at 5101 Columbine Street in Denver,
Colorado 80216 into beneficial end use products such as tire bales,shredded tire
products("STP"),or tire derived fuel("TDF")material rather than disposed of at
Colorado licensed landfills or monofills. American Tire Recycling,LLC's
business philosophy is to"be part of the solution rather than part of the problem"
in Colorado when it comes to processing and recycling Colorado generated waste
tires. With over 5,000,000+waste tires generated annually in Colorado finding
and developing solutions to recycle these Colorado generated waste tires into
various beneficial end use products is an ongoing problem for the CDPHE and
citizens of Colorado.
ATR and CTR are minority owned Colorado private family run business managed
by Teresa Immel,the President and Manager of both ATR as well as CTR.
Colorado Tire Recycling,LLC("CTR"),was formed in 2009 to provide waste tire
collection services to Colorado retail tire dealers,consumers as well as
Municipalities and Counties to recycle their waste tires rather than dispose of
them in Colorado licensed landfills or monofills.
American Tire Recycling,LLC("ATR"),is a licensed Tire Processor registered
with the CDPHE in Colorado,as reflected in the attached registration certificate
from the CDPHE. ATR has worked for several Counties,Municipalities and
private land owners in Colorado to assist them in clean-up of their waste tires
such as Otero County,Moffat County,Lake County,City of Trinidad as wells as
numerous private land owners in Colorado. With our mobile tire recycling
3
•
American Tire Recycling,LLC
5101 Columbine Street
POB 16647
Denver, CO 80216
Phone: 303-853-0789 Fax: 303-286-7264
equipment ATR has the ability to process and recycled waste tires at the
Customers site or alternatively bring the waste tires to its Denver tire recycling
facility for recycling. For larger volume tire clean-ups of over 25,000+tires we
typically prefer to process&recycle waste tire clean-up projects on site and
transport the recycled products to our Denver facility or directly to one of our
beneficial end users sites to minimize the cost of contract trucking and handling
the tires twice. However,if the Customer prefers to have the waste tires removed
from their property and processed and recycled off-site ATR is indifferent as to
where the tires are ultimately recycled.
ATR recycles 100%of any waste tires it receives at its Denver Facility.
Oscar Solis,a 4 year employee of CTR and ATR will lead an experienced team
responsible for the Roberts Ranch tire clean-up. Oscar has managed tire clean-up
projects for Otero County for approximately 230,000+waste tires in which ATR
shredded these tires to produce alternative ground cover("AGC")material for
their county landfill as well as a 75,000 tire cleanup for a private landowner in
Weld County into STP material that was used by Waste Connections,Inc.as
AGC for their Erie,Colorado landfill in 2013.Most recently a 25,000+tire clean-
up project for Moffat County Landfill in Craig,Colorado in November 2013,
where ATR recycled approximately 25,000 waste tires into approximately 245
tire bales for beneficial end use by dairy farms and ranches in the agricultural
industry. As we speak ATR is completing a 25,000+tire cleanup project for Lake
County Landfill in Leadville,Colorado in June 2014. To date ATR prides itself
in being able to complete all tire clean-up projects on time and on budget for its
clients.
Thanks for the opportunity to submit this bid for your County Tire Cleanup. All
insurance requirements will be provided within 5 business days of any contract
awarded. ATR's insurance for its vehicles and general liability covers a
$2,000,000 aggregate limit with a single limit per occurrence of$1,000,000.
Sincerely,
Am 'can T. Recycling,LLC
sa Immel,President and Manager
4
EXHIBIT B
INSURANCE CERTIFICATE
12
Eagle County Landfill General Services Final 5/14
7501 E Lowry Blvd
P1NIV/,COL Denver, CO 80230-7006
ASSURANCE 303-361-4000/800-873-7242
www.pinnacol.com
NCCI #:WC050403`
Policy# 4153858
Colorado Tire Recycling LLC Associates Insurance Group
5101 Columbine St 8400 E. Prentice Ave.,#300
Denver,CO 80216 Greenwood Village, CO 80111
(303)793-3388
ENDORSEMENT: Premium Credit Addendum
Current Schedule of Credits for Policy Period 03/01/2014-03/01/2015
2.5% The premium differential for a designated provider has been applied to the policy premium from
03/01/2014 thru 03/01/2015.
Currently your policy is not receiving a credit for Cost Containment Certification. Please contact
Pinnacol Assurance for information on becoming Cost Containment Certified and obtaining this
credit.
Premium Credits for Qualifying Risk Management Programs that have received Cost Containment Certification
from the State of Colorado.
If you qualify for experience and/or schedule rating and you have implemented a certified workers'compensation risk
management program or service, and your business has received the Cost Containment Certification from the State of
Colorado,we must allow a 5% premium credit on your next renewal if your loss experience has improved since your last
renewal date.The schedule below will indicate if you qualify for this credit.
If you do not qualify for experience and/or schedule rating on your workers'compensation insurance and you have
implemented a certified workers compensation risk management program or service, and your business has received the
Cost Containment Certification•from the State of Colorado,we must offer premium credits on your next renewal as follows:
Premium Credit Credit Criteria
10% If you have been loss free for at least the last year immediately preceding the effective date of the
premium credit.
8% If you,have had one medical loss exceeding$250 in the last year immediately preceding the effective
date of the premium credit.
6% If you have had two medical losses,each exceeding$250,within the last year immediately
precedhg-the-effective-late-of-th prerriiurrrc`Pe�Y'it __� _.
4% If you have had three medical losses,each exceeding$250,within the last year immediately
preceding the effective date of the premium credit.
2% If you have had three medical losses, each exceeding$250, and one claim for loss of time
in the last year immediately preceding the effective date of the premium credit.
0% If you have had more than three medical losses and one claim for loss of time in the last
year immediately preceding the effective date of the premium credit.
Pursuant to Colorado Insurance Regulation 5-1-11 (lll)(F)all workers'compensation insurers must allow a credit of 2.5%
on all policies when you have selected a designated medical provider.
If you have selected a designated medical provider,we must allow a credit of 2.5%. If you are eligible for schedule rating,
the 2.5% credit must be included in the total schedule credit or debit, subject to the 25%maximum limitation.
If you are not eligible for experience Of schedule rating,the 2.5%credit will be applied, in addition to the premium credit
applicable. The combined premium credit and the 2.5%credit for selection of a designated medical provider shall not
exceed 12.5%o. 7501 E Lowry Blvd Denver,CO 80230-7006
D.,..e c of 1A v - 4153858 40525404 UB202
Right to Appeal Classifications/Experience Modification:
If Pinnacol Assurance determines that the employees at your business are misclassified, Pinnacol Assurance can correct
the classification and charge and collect additional premium not included in the initial premium.
If you have any questions,regarding the employee classification/experience modification assigned to calculate your
workers'compensation insurance premium, you must direct your questions to Pinnacol Assurance or to your authorized
Pinnacol Assurance agent within thirty(30)days after the anniversary date of the policy, or thirty(30)days after the date of
receipt by you of notice of a change in a classification. Pinnacol Assurance or the authorized Pinnacol Assurance agent
must explain to you why a particular employee classification/experience modification was used, and must explain
sufficiently to eliminate any possible confusions within thirty(30)days after receipt of your request for information.
If you continue to disagree with a classification applied to your policy, Section 8-55-102, C.R.S. gives you the right to
appeal Pinnacol Assurance's final decision by filing written notice with the Worker's Compensation Classification Appeals
Board within 30 days after you have exhausted all appeal review procedures provided by Pinnacol Assurance. Your written
request for appeal should be sent to the Worker's Compensation Appeals Board, do NCCI -Attn: Tim Hughes, 10920 W.
Glennon Dr., Lakewood, CO, 80226. Written instructions for your appearance before the Colorado Workers'Compensation
Appeals Board will be furnished by the Secretary of the Board. The Board will render a decision as to whether a
misclassification has occurred.
Availability of Medical Case Management Services:
When the injury or disease cited in a claim filed against your policy shows high potential for the development of medical
costs, a Pinnacol Assurance team nurse is assigned to contact the injured worker. The purpose of this contact is to
facilitate proper treatment, injured worker recovery, coordination of multiple provider costs, and the medical necessity and
claim-relatedness of medical services.
When the injury or disease cited in a claim shows low potential for the development of above-average medical costs, a
Pinnacol Assurance Medical Claims Assistant reviews medical costs for adherence to standard cost schedules and
relatedness to the claim. If review indicates non-standard costs or unrelated costs,the Assistant refers the costs to a
Team Nurse for further medical cost management.
If you believe that a claim filed against your policy may develop significant medical costs, or an injured employee has
questions or concerns about claim-related medical procedures, you can contact a team nurse through the assigned claim
representative.
Deductible Plans:
Deductible plans are available that allows policyholders to pay a portion of the claim cost on a per claim basis in exchange
for a premium discount. The deductible levels currently available are: $500, $1,000,$1,500, $2,000, $2,500, $5,000,
$10,000, or$13,500. By law, all claims must be filed with and initially paid by Pinnacol Assurance. Policies endorsed with
the deductible program are then billed for reimbursement of total medical and lost wage costs until the claim is closed or
the deductible is met, whichever comes first. Deductible options can only be added within 30 days of your policy renewal or
effective date. The deductible plan selected will apply to the full policy period and can only be changed or removed prior to
the next renewal date of your policy. To determine if a deductible plan is right for you, please contact Pinnacol Assurance.
Right to Notice of Change In Rate By Classification:
If you desire information whenever there is a change in your workers'compensation insurance rate by classification, you
must request such information from Pinnacol Assurance. This request for information must be in writing.
Policyholder Disclosure Notice of Terrorism and Catastrophe Insurance Coverage:
Coverage for acts of terrorism is included-in-your policy. Under your existing coverage, any losses resulting from certified
acts of terrorism would be partially reimbursed by the United States government. The United States government would pay
85%of our insured losses that exceed our insurer deductible."Premium for terrorism is calculated on the basis of total
payroll. The total Colorado payroll is divided by$100 and multiplied by the approved terrorism rate, $0.01 per$100 of
payroll. The calculation is expressed as(Colorado payroll/$100 X Approved Terrorism Rate=Premium). This premium is
not subject to any other modification including, but not limited to, premium discount,experience rating, schedule rating, or
retrospective rating.
Additionally, all workers'compensation carriers are required to charge premium to cover large losses. Premium for
Catastrophe(other than Certified Acts of Terrorism)is calculated on the basis of total payroll.The total Colorado payroll is
divided by$100 and multiplied by the approved Catastrophe(other than Certified Acts of Terrorism)rate, $0.01 per$100
of payroll. The calculation is expressed as(Colorado payroll/$100 X Catastrophe(other than Certified Acts of Terrorism)
Value= Premium). This premium is not subject to any other modifications including, but not limited to, premium discount,
experience rating, schedule rating, or retrospective rating.
Effective Date:January 27, 2014
Pinnacol Assurance has issued this endorsement January 27, 2014.
Kristin Trujillo
Underwriter
7501 E Lowry Blvd Denver,CO 80230-7006
Page 6 of 14 P - 4153858 40525404 UB202
ATMMIDDIYYYY)
E(
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE MM 2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Liz Smith
NAME:
CIA-Leavitt Insurance Agency, Inc. PHONE 719.589.3611 ' FAX 800.746.4434
(A/C,No,Ext): _-- (A/C,No):
100 Premium Way, PO Box 5002 ADDRESS: liz-smith@leavitt.com
Alamosa, CO 81101 INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Berkley Regional Spec Ins Co 31295
INSURED American Tire Recycling, LLC INSURER B: 1
5101 Columbine St. INSURERC:
Denver, CO 80215 INSURERD:
INSURER E:
INSURER F: ,
COVERAGES CERTIFICATE NUMBER: 14/15 GL REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
/Y LIMITS
LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDYYY)
GENERAL LIABILITY i CGL0065154 07/18/2014 07/18/2015 EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED
X COMMERCIAL GENERAL LIABILITY I I PREMISES(Ea occurrence) 11 100,000
CLAIMS-MADE X OCCUR I MED EXP(Any one person) $ 5,000
A X PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GE 'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMP/OP AGG $ Excluded
X POLICY JECT I LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident) $
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED I SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident) $
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS (Per accident)
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION WC STATU- I OTH
AND EMPLOYERS'LIABILITY Y/N TORY LIMITS 1 ER
ANY PROPRIETOR/PARTNER/EXECUTIVEn E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
I
1
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required)
THIS CERTIFICATE IS SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY.
Eagle County is included as additional insured, per the terms and conditions of the policy, ATIMA
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Eagle County .
P.O. Box 850 AUTHORIZED REPRESENTATIVE - ,.,
500 Broadway
Eagle, CO 81631-0850 Liz Smith/ELSMIT
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
Additional Coverages and Factors 08/21/2014
Line of Business Coverages for General Liability
Coverage Limits Ded/Ded Type Rate Premium Factor
General Aggregate 2,000,000 1,000/Flat
Basis: Per Claim; Applies: Both BI & PD
Products/Completed Ops Excluded
Aggregate
Personal & Advertising 1,000,000
Injury
Each Occurrence 1,000,000
Fire Damage 100,000
Medical Expense 5,000
Employment Practices Liab 100,000 5,000/Flat
Ins
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
TM 08/22/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CON(ACT Li z Smi t h
NAME:
CIA-Leavitt Insurance Agency, Inc. (AHONo,EM): 719.589.3611 FNCC,No):800.746.4434
100 Premium Way, PO Box 5002 n DRess: liz-smith @leavitt.com
Al amosa, CO 81101 INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: EMC Insurance Companies C21415
INSURED Colorado Tire Recycling, LLC INSURER B:
5101 Columbine St. INSURERC:
Denver, CO 80215 INSURERD:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 14/15 Auto REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR W O�LICY EFF POLICY EXP LIMITS
LTR INSR VD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY)
GENERAL LIABILITY EACH OCCURRENCE $
UAMAGL I U KEN I EU
COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $
CLAIMS-MADE OCCUR MED EXP(Any one person) $
X PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $
POLICY PRO-
JECT LOC $
AUTOMOBILE LIABILITY 5X13956 06/10/2014 06/10/2015 COMBINED SINGLE LIMIT
(Ea accident) $ 1,000,000
X ANY AUTO BODILY INJURY(Per person) $
A ALL OWNED
AUTOS SCHEDULED
AUTOS BODILY INJURY(Per accident) $
NON-OWNED PROPERTY DAMAGE
HIRED AUTOS AUTOS (Per accident)
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS'LIABILITY Y/N _TORY LIMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVfj-1 NIA E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? I I — —
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
THIS CERTIFICATE IS SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY.
Eagle County is included as Additional Insured with respects to Automobile Liability, per the
terms and conditions of the policy, ATIMA.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Eagle County
P.O. Box 850 AUTHORIZED REPRESENTATIVE F; •
500 Broadway
Eagle, CO 81631-0850 Liz Smith/ELSMIT
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
Y w
Additional Coverages and Factors 06/26/2014
Line of Business Coverages for Business Auto
Coverage Limits Ded/Ded Type Rate Premium Factor
Combined single limit 1,000,000
Medical payments 5,000
Uninsured motorist 1,000,000
combined single limit
Underinsured motorist 1,000,000
combined single limit
Comprehensive ALS 1,000
Collision ALS 1,000
EXHIBIT C
CDPHE PROOF OF REGISTRATION
13
Eagle County Landfill General Services Final 5/14
STATE OF COLOPADO
John W.Hooper,Gr.
Christopher E.Mena,MD,MPH
Executive Director and Chief Medical Officer
Dedicated to protemIng and Improving the health and environment of the people of Colorado 44 *
4 Cherry Creek Dr.S. Laboratory Services D vision *
r
Denver,Colorado 8024-1530 y!8100 Lowr 13tvd. . ..._ ..
Phone( )698.2000 Denver,+ 230-602 Colorado r o Departm t
Located in Glendale,Colorado ( )8924090 of Public Health
l l/www.cdpbe.state.co.us and Environment
February 13,2013
Teresa Immel/Jalal Kacimi
Colorado Tire Recycling, LLC
P.O. Box 16647
Denver,CO 80216
RE: Notification of Waste Tire Certificate of Registration Number
Dear Teresa Immel/Jalal Kacimi:
The Hazardous Materials and Waste Management Division,Solid Waste and Materials Management Program
of the Colorado Department of Public Health and Environment has received a Waste Tire Certificate of
Registration Application (Form WT-1)from your business for the following location:
Colorado Tire Recycling, LLC
5101 Columbine
Denver,CO 80216
Certificate of Registration Number: 1451
In accordance with state regulations,the Waste Tire Certificate of Registration Number listed above has been
assigned to above referenced location. Future correspondence should include this number.Your business has
registered as the following:
TireRetailer/Wholesaler WasteTireHauler
WasteTireCollectionFacility WasteTireEndUser
WasteTireProcessor LI WasteTireMonofill
Additionally,your Waste Tire Facility has been assigned the Facility Decal Number listed below.The decal is
valid until the expiration date also listed below,at which time,your facility must renew its registration in
accordance with Section 10 of the Colorado Solid Waste Regulations(6 CCR 1007-2, Part 1).
Facility Decal Number: 1451-15 Facility Decal Expiration: 8/24/2015
Any change in location would require a new Waste Tire Certificate of Registration Application (Form WT-1)to
be filed,as Certificate of Registration Numbers are location specific. Failure to have a Waste Tire Certificate of
Registration Number for a new location or use of the wrong Waste Tire Certificate of Registration Number for
shipment of waste tires may result in enforcement action under§25-17-201, et seq,of the Colorado Revised
Statutes(C.R.S.),and Section 10 of the Colorado Solid Waste Regulations (6 CCR 1007-2, Part 1).Also,in
accordance with Section 10 of the regulations, if any of the following changes occur,this office must be
notified in writing at the above address: 1) mailing address,2) business name,3)type of registration,4)contact
name or phone number,5)ownership, or 6)the site has closed.
p
Please be aware that the handling and management of waste tires, including the generation,collection,
transportation,processing,storage,and disposal of waste tires, is regulated under Section 10 of the Colorado
Solid Waste Regulations(6 CCR 1007-2, Part 1).A copy of the regulations and additional information about
waste tire requirements is available online at http://www.colorado.gov/cdphe/hm .
Special Provisions for Waste Tire Haulers
A copy of this Certificate of Registration must be retained at your facility AND in EACH vehicle owned or rented
that is used for hauling waste tires.Also,a copy of this Certificate of Registration must be provided to EACH
retailer of tires where waste tires are picked up for transport. If you are a Waste Tire Hauler the assigned
vehicle decal numbers and their expiration dates along with the Hauler Facility Number are listed below.
Vehicle Decal Number VehicleLicenseNumber Vehicle Decal Expiration
382-14 CO 711WSM 3/15/2014
i ,a,to `,c ia,;..a...mg
409-14 CO 066YRR 3/15/2014
Hauler Facility Decal Number: 1451-14 Hauler Facility Decal Expiration: 3/15/2014
If you have any questions or need further information, please contact Shana Baker at(303)692-3305 or Nick
Boudreau at(303)692-3459.
Sincerely,
Shana Baker,Waste Tire Specialist Nick Boudreau,Waste Tire Specialist
Solid Waste and Materials Management Program Solid Waste and Materials Management Program
cc: SW DNV 1451 3.9.1
In STATE F COLORADO
John W.Hickerilooper,Governor
Christopher E.Urbina,MD,MPH
Executive Director and Chief Medical Officer
Dedicated to protecting and improving the health and environment of the people of Colorado *
4300 Cherry Creek Dr.S. Laboratory Services Division « ►aye
Denver,Colorado 802.46.1530 81 00 Lowry Blvd.
Phone(303)692.2000 Denver,Colorado 60230-6928
Colorado in Glendale,Colorado (303)692-3090 of Pu ;_ t
httpJfwww.cdphe.state co.us and Environment
May 06, 2013
Teresa Immel/Jalal Kacimi
American Tire Recycling, LLC -
P.O. Box 16647
Denver, CO 80216
RE: Notification of Waste Tire Certificate of Registration Number
Dear Teresa Immel/Jalal Kacimi: -
The Hazardous Materials and Waste Management Division,Solid Waste and Materials Management Program
of the Colorado Department of Public Health and Environment has received a Waste Tire Certificate of
Registration Application (Form WT-1)from your business for the following location:
American Tire Recycling, LLC
5101 Columbine Street
Denver,CO 80216
Certificate of Registration Number: 1452
In accordance with state regulations,the Waste Tire Certificate of Registration Number listed above has been
assigned to above referenced location. Future correspondence should include this number.Your business has
registered as the following:
TireRetailer/Wholesaler WasteTireHauler
WasteTireCollectionFacility WasteTireEndUser
WasteTireProcessor WasteTireMonofill
Additionally,yourWaste Tire Facility has been assigned the Facility Decal Number listed below.The decal is
valid until the expiration date also listed below,at which time,your facility must renew its registration in
accordance with Section 10 of the Colorado Solid Waste Regulations(6 CCR 1007-2, Part 1).
Facility Decal Number: 1452-15 Facility Decal Expiration: 3/16/2015
Any change in location would require a new Waste Tire Certificate of Registration Application(Form WT-1)to
be filed, as Certificate of Registration Numbers are location specific. Failure to have a Waste Tire Certificate of
Registration Number for a new location or use of the wrong Waste Tire Certificate of Registration Number for
shipment of waste tires may result in enforcement action under§25-17-201,et seq, of the Colorado Revised
Statutes(C.R.S.),and Section 10 of the Colorado Solid Waste Regulations(6 CCR 1007-2, Part 1).Also,in
accordance with Section 10 of the regulations, if any of the following changes occur,this office must be
notified in writing at the above address: 1) mailing address,2) business name,3)type of registration,4)contact
name or phone number, 5)ownership,or 6)the site has closed.
4 W kr
Please be aware that the handling and management of waste tires, including the generation,collection,
transportation;processing,storage,and disposal of waste tires,is regulated under Section 10 of the Colorado
Solid Waste Regulations(6 CCR 1007-2, Part 1).A copy of the regulations and additional information about
waste tire requirements is available online at http://www.colorado.gov/cdphe/hm
Special Provisions for Waste Tire Haulers
A copy of this.Certificate of Registration must be retained at your facility AND in EACH vehicle owned or rented
that is used for hauling waste tires.Also,a copy of this Certificate of Registration must be provided to EACH
retailer of tires where waste tires are picked up for transport. If you are a Waste Tire-Hauler the assigned
vehicle decal numbers and their expiration dates along with the Hauler Facility Number are listed below.
If you have any questions or need further information, please contact Shana Baker at(303)692-3305 or Nick
Boudreau at(303) 692-3459.
Sincerely,
Shana Baker,Waste Tire Specialist Nick Boudreau,Waste Tire Specialist
Solid Waste and Materials Management Program Solid Waste and Materials Management Program
cc: SW DNV 1452 3.9.1