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HomeMy WebLinkAboutContract 47797 � d . CITY SECRETARYn CONTRACT NO. 4 10 FORTWORTH, PROFESSIONAL SERVICES AGREEMENT This PROFESSIONAL SERVICES AGREEMENT("Agreement")is made and entered into by and between the CITY OF FORT WORTH (the "City"), a home-rule municipal corporation situated in portions of Tarrant, Denton, Johnson and Wise Counties, Texas, acting by and through its duly authorized Assistant City Manager,and Kim Savage("Consultant"). City and Consultant are each individually referred to herein as a "party" and collectively referred to as the "parties." The term "Consultant"shall include the Consultant,its officers,agents,employees,representatives,contractors or subcontractors.The term"City"shall include its officers,employees,agents,and representatives. CONTRACT DOCUMENTS: The Contract documents shall include the following: 1. This Agreement for Professional Services 2. Exhibit A—Statement Of Work Plus Any Amendments To The Statement Of Work 3. Exhibit B—Payment Schedule 4. Exhibit C—Signature Verification Form All Exhibits attached hereto are incorporated herein and made a part of this Agreement for all purposes. In the event of any conflict between the documents,the terms and conditions of this Professional Services Agreement shall control. The term "Consultant"shall include the Consultant, and its officers, agents, employees, representatives, servants,contractors or subcontractors. The term"City"shall include its officers,employees,agents,and representatives. 1. Scone of Services. Consultant hereby agrees, with good faith and due diligence, to provide the City with professional services described in the Statement Of Work, which is attached hereto as Exhibit "A" and incorporated herein for all purposes,and further referred to herein as the"Services."Consultant shall perform the Services in accordance with standards in the industry for the same or similar services. In addition, Consultant shall perform the Services in accordance with all applicable federal,state,and local laws,rules,and regulations.If there is any conflict between this Agreement and Exhibit A,the terms and conditions of this Agreement shall control. 2. Term. This Agreement shall commence upon May 15,2016,("Effective Date")and shall expire no later than July 1,2016 ("Expiration Date"),unless terminated earlier in accordance with the provisions of this Agreement or otherwise extended in writing by the parties. Professional Services Agreement—Kim Savage Page 1 of 10 OFFICIAL RECORD Cir"ECREURr FT, WoRrHf r1t 3. Compensation. The City shall pay Consultant an amount not to exceed $15,000.00 in accordance with the provisions of this Agreement and Exhibit "B," Payment Schedule, which is attached hereto and incorporated herein for all purposes.Consultant shall not perform any additional services for the City not specified by this Agreement unless the City requests and approves in writing the additional costs for such services. The City shall not be liable for any additional expenses of Consultant not specified by this Agreement unless the City first approves such expenses in writing. City agrees to pay all invoices of Consultant within thirty (30) days of receipt of such invoice. Consultant may charge interest on late payments not to exceed one percent(1%). 4. Termination. 4.1. Convenience. Either the City or Consultant may terminate this Agreement at any time and for any reason by providing the other party with 30 days written notice of termination. 4.2 Breach. If either party commits a material breach of this Agreement, the non-breaching Party must give written notice to the breaching party that describes the breach in reasonable detail. The breaching party must cure the breach ten (10) calendar days after receipt of notice from the non- breaching party, or other time frame as agreed to by the parties. If the breaching party fails to cure the breach within the stated period of time, the non-breaching party may, in its sole discretion, and without prejudice to any other right under this Agreement, law,or equity, immediately terminate this Agreement by giving written notice to the breaching party. 4.3 Duties and Obligations of the Parties. In the event that this Agreement is terminated prior to the Expiration Date, the City shall pay Consultant for services actually rendered up to the effective date of termination and Consultant shall continue to provide the City with services requested by the City and in accordance with this Agreement up to the effective date of termination. Upon termination of this Agreement for any reason,Consultant shall provide the City with copies of all completed or partially completed documents prepared under this Agreement. In the event Consultant has received access to City information or data as a requirement to perform services hereunder, Consultant shall return all City provided data to the City in a machine readable format or other format deemed acceptable to the City. 5. Disclosure of Conflicts and Confidential Information. 5.1 Disclosure of Conflicts. Consultant hereby warrants to the City that Consultant has made full disclosure in writing of any existing or potential conflicts of interest related to Consultant's services under this Agreement. In the event that any conflicts of interest arise after the Effective Date of this Agreement,Consultant hereby agrees immediately to make full disclosure to the City in writing. 5.2 Confidential information. The City acknowledges that Consultant may use products, materials, or methodologies proprietary to Consultant. The City agrees that Consultant's provision of services under this Agreement shall not be grounds for the City to have or obtain any rights in such proprietary products, materials, or methodologies unless the parties have executed a separate written agreement with respect thereto. Consultant, for itself and its officers, agents and employees, agrees that it shall treat all information provided to it by the City("City Information")as confidential and shall not disclose any such information to a third party without the prior written approval of the City. Professional Services Agreement—Kim Savage Page 2 of 10 6. Right to Audit. Consultant agrees that the City shall, until the expiration of three (3) years after final payment under this Agreement,have access to and the right to examine at reasonable times any directly pertinent books, documents, papers and records of the Consultant involving transactions relating to this Agreement at no additional cost to the City. Consultant agrees that the City shall have access during normal working hours to all necessary Consultant facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this section. The City shall give Consultant not less than 10 days written notice of any intended audits. Consultant further agrees to include in all its subcontractor agreements hereunder a provision to the effect that the subcontractor agrees that the City shall, until expiration of three (3) years after final payment of the subcontract, have access to and the right to examine at reasonable times any directly pertinent books, documents, papers and records of such subcontractor involving transactions related to the subcontract,and further that City shall have access during normal working hours to all subcontractor facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this paragraph. City shall give subcontractor not less than 10 days written notice of any intended audits. 7. Independent Contractor. It is expressly understood and agreed that Consultant shall operate as an independent contractor as to all rights and privileges granted herein, and not as agent, representative or employee of the City. Subject to and in accordance with the conditions and provisions of this Agreement, Consultant shall have the exclusive right to control the details of its operations and activities and be solely responsible for the acts and omissions of its officers, agents, servants, employees, contractors and subcontractors. Consultant acknowledges that the doctrine of respondeat superior shall not apply as between the City, its officers, agents, servants and employees, and Consultant, its officers, agents, employees, servants, contractors and subcontractors. Consultant further agrees that nothing herein shall be construed as the creation of a partnership or joint enterprise between City and Consultant. It is further understood that the City shall in no way be considered a Co-employer or a Joint employer of Consultant or any officers, agents, servants, employees or subcontractors of Consultant. Neither Consultant, nor any officers, agents, servants, employees or subcontractors of Consultant shall be entitled to any employment benefits from the City. Consultant shall be responsible and liable for any and all payment and reporting of taxes on behalf of itself,and any of its officers,agents,servants,employees or subcontractors. 8. LIABILITY AND INDEMNIFICATION. A. LIABILITY - CONSULTANT SHALL BE LIABLE AND RESPONSIBLE FOR ANY AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH,TO ANY AND ALL PERSONS,OF ANY KIND OR CHARACTER,WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL MISCONDUCT OF CONSULTANT, ITS OFFICERS,AGENTS,SERVANTS OR EMPLOYEES. B. INDEMNIFICATION - CONSULTANT HEREBY COVENANTS AND AGREES TO INDEMNIFY, HOLD HARMLESS AND DEFEND THE CITY, ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS OR LAWSUITS OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, FOR EITHER PROPERTY DAMAGE OR LOSS(INCLUDING ALLEGED DAMAGE OR LOSS TO CONSULTANT'S BUSINESS, AND ANY RESULTING LOST PROFITS) PERSONAL Professional Services Agreement—Kim Savage Page 3 of 10 INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, AND DAMAGES FOR CLAIMS OF INTELLECTUAL PROPERTY INFRINGEMENT, ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT, TO THE EXTENT CAUSED BY THE ACTS OR OMISSIONS OF CONSULTANT, ITS OFFICERS, AGENTS, SUBCONTRACTORS, SERVANTS OR EMPLOYEES. 9. Assignment and SubcontractinE. Consultant shall not assign or subcontract any of its duties, obligations or rights under this Agreement without the prior written consent of the City. If the City grants consent to an assignment, the assignee shall execute a written agreement with the City and the Consultant under which the assignee agrees to be bound by the duties and obligations of Consultant under this Agreement.The Consultant and Assignee shall be jointly liable for all obligations under this Agreement prior to the assignment. If the City grants consent to a subcontract, the subcontractor shall execute a written agreement with the Consultant referencing this Agreement under which the subcontractor shall agree to be bound by the duties and obligations of the Consultant under this Agreement as such duties and obligations may apply. The Consultant shall provide the City with a fully executed copy of any such subcontract. 10. INSURANCE. 10.1 The Consultant shall carry the following insurance coverage with a company that is licensed to do business in Texas or otherwise approved by the City: 1. Commercial General Liability a. Combined limit of not less than$1,000,000 per occurrence; 2. Automobile Liability Insurance covering any vehicle used in providing services under this Agreement,including owned,non-owned,or hired vehicles,with a combined limit of not less than $1,000,000 per occurrence. 3. Professional Liability (Errors & Omissions) in the amount of $1,000,000 per claim and $1,000,000 aggregate limit. 4. Statutory Workers' Compensation and Employers' Liability Insurance requirements per the amount required by statute. 5. Any other insurance as reasonably requested by City. 10.2 General Insurance Requirements: 1. All applicable policies shall name the City as an additional insured thereon, as its interests may appear. The term City shall include its employees, officers, officials, agents, and volunteers in respect to the contracted services. 2. The workers' compensation policy shall include a Waiver of Subrogation (Right of Recovery) in favor of the City of Fort Worth. 3. A minimum of Thirty(30)days' notice of cancellation or reduction in limits of coverage shall be provided to the City. Ten (10) days' notice shall be acceptable in the event of non-payment of premium. Notice shall be sent to the Risk Manager, City of Fort Worth, 1000 Throckmorton, Fort Worth,Texas 76102,with copies to the City Attorney at the same address. 4. The insurers for all policies must be licensed and/or approved to do business in the State of Texas. All insurers must have a minimum rating of A- VII in the current A.M. Best Key Rating Guide, or have reasonably equivalent financial strength and solvency to the satisfaction of the City's Risk Management Division. If the rating is below that required, written approval of the City's Risk Management Division is required. Professional Services Agreement—Kim Savage Page 4 of 10 5. Any failure on the part of the City to request required insurance documentation shall not constitute a waiver of the insurance requirement. 6. Certificates of Insurance evidencing that the Consultant has obtained all required insurance shall be delivered to and approved by the City's Risk Management Division prior to execution of this Agreement. 11. Compliance with Laws,Ordinances,Rules and Reaulations. Consultant agrees to comply with all applicable federal, state and local laws, ordinances, rules and regulations. If the City notifies Consultant of, or the Consultant discovers, any violation of such laws,ordinances,rules or regulations,Consultant shall immediately desist from and correct the violation. 12. Non-Discrimination Covenant. Consultant, for itself, its personal representatives, assigns, subcontractors and successors in interest, as part of the consideration herein, agrees that in the performance of Consultant's duties and obligations hereunder,it shall not discriminate in the treatment or employment of any individual or group of individuals on any basis prohibited by law. If any claim arises from an alleged violation of this non- discrimination covenant by Consultant, its personal representatives, assigns, subcontractors or successors in interest, Consultant agrees to assume such liability and to indemnify and defend the City and hold the City harmless from such claim. 13. Notices. Notices required pursuant to the provisions of this Agreement shall be conclusively determined to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3) received by the other party by United States Mail, registered, return receipt requested, addressed as follows: TO THE CITY: City of Fort Worth With Copy to the City Attorney Attn: Fernando Costa at same address 1000 Throckmorton Fort Worth TX 76102 TO CONSULTANT: Law Office of Kim Savage Attn: Kim Savage Post Office Box 41580 Long Beach,CA 90853 14. Reserved. 15. Governmental Powers. It is understood and agreed that by execution of this Agreement, the City does not waive or surrender any of its governmental powers. Professional Services Agreement—Kim Savage Page 5 of 10 16. No Waiver. The failure of the City or Consultant to insist upon the performance of any term or provision of this Agreement or to exercise any right granted herein shall not constitute a waiver of the City's or Consultant's respective right to insist upon appropriate performance or to assert any such right on any future occasion. 17. Governine Law and Venue. This Agreement shall be construed in accordance with the laws of the State of Texas. If any action, whether real or asserted, at law or in equity, is brought on the basis of this Agreement, venue for such action shall lie in state courts located in Tarrant County,Texas or the United States District Court for the Northern District of Texas,Fort Worth Division. 18. Severability. If any provision of this Agreement is held to be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired. 19. Force Maieure. The City and Consultant shall exercise their best efforts to meet their respective duties and obligations as set forth in this Agreement, but shall not be held liable for any delay or omission in performance due to force majeure or other causes beyond their reasonable control (force majeure), including,but not limited to,compliance with any government law,ordinance or regulation,acts of God, acts of the public enemy, fires, strikes, lockouts, natural disasters, wars, riots, material or labor restrictions by any governmental authority,transportation problems and/or any other similar causes. 20. Headings Not Controlling. Headings and titles used in this Agreement are for reference purposes only and shall not be deemed a part of this Agreement. 21. Review of Counsel. The parties acknowledge that each party and its counsel have reviewed this Agreement and that the normal rules of construction to the effect that any ambiguities are to be resolved against the drafting party shall not be employed in the interpretation of this Agreement or exhibits hereto. 22. Amendments. No amendment of this Agreement shall be binding upon a party hereto unless such amendment is set forth in a written instrument,and duly executed by an authorized representative of each party. 23. Entirety of Agreement. This Agreement, including any exhibits attached hereto and any documents incorporated herein by reference, contains the entire understanding and agreement between the City and Consultant, their assigns and successors in interest, as to the matters contained herein. Any prior or contemporaneous oral or written agreement is hereby declared null and void to the extent it conflicts with any provision of this Agreement. Professional Services Agreement—Kim Savage Page 6 of 10 24. Counterparts. This Agreement may be executed in one or more counterparts and each counterpart shall, for all purposes, be deemed an original, but all such counterparts shall together constitute one and the same instrument. An executed Agreement,modification,amendment,or separate signature page shall constitute a duplicate if it is transmitted through electronic means, such as fax or e-mail, and reflects the signing of the document by any party. Duplicates are valid and binding even if an original paper document bearing each party's original signature is not delivered. 25. Warranty of Services. Consultant warrants that its services will be of a professional quality and conform to generally prevailing industry standards. City must give written notice of any breach of this warranty within thirty (30)days from the date that the services are completed. In such event, at Consultant's option, Consultant shall either(a)use commercially reasonable efforts to re-perform the services in a manner that conforms with the warranty,or(b)refund the fees paid by the City to Consultant for the nonconforming services. 26. Immigration Nationality Act. The City of Fort Worth actively supports the Immigration & Nationality Act (INA) which includes provisions addressing employment eligibility, employment verification, and nondiscrimination. Consultant shall verify the identity and employment eligibility of all employees who perform work under this Agreement. Consultant shall complete the Employment Eligibility Verification Form (I-9), maintain photocopies of all supporting employment eligibility and identity documentation for all employees, and upon request, provide City with copies of all I-9 forms and supporting eligibility documentation for each employee who performs work under this Agreement. Consultant shall establish appropriate procedures and controls so that no services will be performed by any employee who is not legally eligible to perform such services. Consultant shall provide City with a certification letter that it has complied with the verification requirements required by this Agreement. Consultant shall indemnify City from any penalties or liabilities due to violations of this provision. City shall have the right to immediately terminate this Agreement for violations of this provision by Consultant. 27. Reserved. 28. Signature Authority. The person signing this agreement hereby warrants that he/she has the legal authority to execute this agreement on behalf of the respective party, and that such binding authority has been granted by proper order, resolution, ordinance or other authorization of the entity. This Agreement, and any amendment(s) hereto, may be executed by any authorized representative of Consultant whose name, title and signature is affixed on the Verification of Signature Authority Form, which is attached hereto as Exhibit "C" and incorporate herein by reference. Each party is fully entitled to rely on these warranties and representations in entering into this Agreement or any amendment hereto. 29. Survival of Provisions. The parties' duties and obligations pursuant to Section 4.4(Duties and Obligations),5 (Disclosure of Conflicts and Confidential Information), Section 6(Right to Audit),and Section 8 (Liability and Indemnification)shall survive termination of this Agreement. Professional Services Agreement—Kim Savage Page 7 of 10 SIGNATURE PAGE AGREED: AGREED: CITY OF FORT WORTH: KIM SAVAGE By: By: Uhl �-- Fernando Costa Kim Savage Assistant City Manager Owner Date: I f G Q�_�°° ° e: ATT V 8 `b;0 B ( $ a y Ma6i.kayser City Secretary j°°000000 * APPROVED AS TO FORM AND LEGALIT FXAS B&� l� Arthur N.Bashor Assistant City Attorney CONTRACT AUTHORIZATION:M&C not required Form 1295 Certification No.:Form 1295 not required Professional Services Agreement—Kim Savage OFFICIAL RECORD Page 8 of to CITY SECRETARY FT WORTH, TX EXHIBIT A STATEMENT OF WORK June 6,2016 8:30 a.m.— 11:30 a.m.(approximate time) City of Fort Worth Staff;City Norris Conference Center • Training-Land Use and Board and Commission 304 Houston Street Zoning/Reasonable Accommodations Members Fort Worth,TX 76102 and Modifications 1:00 p.m.—4:00 p.m.(approximate time) • Training-Land Use and Zoning/Reasonable Accommodations and Modifications June 7,2016 8:30 a.m.— 11:30 a.m. (approximate time) City of Fort Worth Staff;City Botanic Garden Oak Hall • Training-Land Use and Board and Commission 3220 Botanic Garden Boulevard Zoning/Reasonable Accommodations Members Fort Worth,TX 76107 and Modifications Date to Be Time to Be Determined City Council&Mayor Fort Worth City Hall Determined • Training-Reasonable Accommodations 1000 Throckmorton Street and Modifications Fort Worth,TX 76102 It is contemplated that June 6'h and 7`h training sessions will be delivered during one trip to Fort Worth and that the Council and Mayor session will be delivered on a subsequent trip. The City of Fort Worth will be responsible for: • Rental of training facilities(as outlined above) • Rental of AV equipment(per trainer's requirements) • Handling of registrations(as outlined above) • Provision of training materials for all parties identified(target audience) • Provision of Certificates of Completion for all parties that attend training(as outlined above) Professional Services Agreement-Kim Savage Page 9 of 10 EXHIBIT B PAYMENT SCHEDULE TRAINING AND TRAVEL TIME EXPENSES Item Description of Charge Number of Cost per Maximum Cost Hours Hour per Item 1. Document&Code Review;Preparation of 7 hours $400.00 $2,800.00 PowerPoint 2. 3 Training Sessions for City: 7.5 hours $40.00 $3,000.00 • June 6,2016(A.M.Session) • June 6,2016(P.M. Session) • June 7,2016(A.M. Session) 3. June Travel Time: Roundtrip San Francisco 14 hours $150.00 $2,100.00 to Fort Worth and travel time to and from airports 4. Training Session for City Council&Mayor— 1.5 hours $400.00 $600.00 Date to be determined 5. Travel Time(Dates to be determined): 14 hours $150.00 $2,100.00 Roundtrip from San Francisco to Fort Worth and travel time to and from aiD2orts. TRAINING AND TRAVEL TINIE EXPENSES SIO,600.00 ESTIMATED TRAVEL EXPENSES 6. Roundtrip Airfare for 2 Tris $750.00 7. Hotel Costs for 2 Trips($175 x three nights) $525.00 8. Ground Transportation for 2 tris $175.00 logo-mile Travel will be compensated for up to two trips to Fort Worth. Airfare will be compensated at actual cost for RT coach airfare and hotel costs at NTE$200 per night. Remainder of page and document intentionally blank Professional Services Agreement—Kim Savage Page 10 of 10 PAMF571 Q&&DD✓YYYS) CERTIFICATE OF LIABILITY INSURANCE R002 1/2016 THIS CERTIFICATEIS 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:H the certificate holder is an ADDITIONAL INSURED,the pollcy(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). PRWUCER CONTACT tiQ SEABURY & SMITH INC/PHS PHONE FAX (NC,No,Fid): (AIC.No): 255151 P: F: a DRESS : PO BOX 33015 INSURER(S)AFFORDING COVERAGE NA" SAN ANTONIO TX 78265 INSURERA: sentinel Ins Co LTD 11000 INSURED INSURER B: INSURER C: LAW OFFICE OF KIM SAVAGE INSURER D: PO BOX 41580 INSURER E LONG BEACH CA 90853 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IASR TYPEOFINSUEANCE MDL- POLICPNVANER POLICYEFF POLICY EXP LLUM LTR COMMERCIAL GENERAL LIABILRY EACH OCCURRENCE $1,000, 000 CLAIMSMADEOCCUR °A""Ar'E 7O RENTED $1,000,000 PREMISES -) A X General Liab x 72 SBM IN7400 04/17/2016 04/17/2017 MED EXP(my mepemorl) $10,000 PERSONAL a ADV INJURY $1,000, 000 GEN-AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s2,000,000 POLICY F]JET r—_11 LOC PRODUCTS-COMP/OP AGG s2,000,000 OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea erxident) ANY AUTO BODILY INJURY(Par parson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY MJURY(Paracctlaa) HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA UAB OCCUR EACH OCCURRENCE EXCESS UA13 CLAIMS-MADE AGGREGATE DED RETENnON i riOJAUACEULY)MP6'NS,ITION PER OTII- AND ENPLOYEW LIAenm STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE YM EL EACH ACCIDENT OFFICER/MEMBER EXCLUDED? wA (Mandatory M NN) ❑ EL.DISEASE-EA EMPLOYEE If yes,describe urider E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,my be aRached M mon specs to requ" Those usual to the Insured's Operations. CITY OF FORT WORTH TEXAS THEIR OFFICERS, EMPLOYEES, OFFICIALS, AGENTS, AND VOLUNTEERS AS THEY APPLY IN RESPECT TO THE CONTRACTED SERVICES ARE ADDITIONAL INSURED PER THE BUSINESS LIABILITY COVERAGE FORM SS0008 ATTACHED TO THIS POLICY. 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. CITY OF FORT WORTH TEXAS AUTHORIZED REPRESENTATIVE 1000 THROCKMORTON ST 7o--c- FORT � WORTH, TX 76102 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD