HomeMy WebLinkAboutContract 50657-R1 CITY SECRETARY
CONTRACT NO. 5005-7-RI _
CITY OF FORT WORTH
REQUEST TO EXERCISE RENEWAL OPTION
City Secretary Contract No. 50657
March 13,2019
Digital Resources Inc.
Wendy Bock
2107 Greenbriar, Suite B
Southlake,TX 76092
Re: REQUEST TO EXERCISE RENEWAL OPTION
CSC No. 50657(the"Contract")
Renewal Term April 19,2019 through April 18,2020
The above referenced Contract expires April 18,2019. Pursuant to the Contract,renewals are at the
mutual agreement of the parties. This letter is to inform you that the City requests renewal of CSC No.
50657 for an additional twelve-month period,which will begin immediately upon the expiration of the
current term and will end on April 18,2020. All other terms and conditions of CSC 50657 remain
unchanged. Please return your signed agreement letter,along with a copy of your current insurance
certificate,to the address set forth below.
If you have any questions concerning this Request for Contract Renewal,please contact me.
Sincerely yours,
Mailing Address:
City of Fort Worth
Kathy Agee-Dow IT Finance—Kathy Agee-Dow
Senior Contract Compliance Specialist 200 Texas Street
Kathryn.Agee-Dow(@fortworthtexas.gov Fort Worth,TX 76102
817-392-8461
I hereby acknowledge receipt of the Contract Renewal Notice for CSC No. 50657 for a twelve-
month period ending on April 18,2020.
By: Wendy Bock,President Date: 03/13/19
Printed Name and Title
Signature FC3� 1pp
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Cru(O FORT WO "'II: ATT ST: J' `
Susan Alanis,Ass'stant City Manager ry J. Ka ity 964, tar ......
Date: I M&C(if required) N/A _
Approved Date:_N/A
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:PTY SECRETARY
FT. WORTH,TX
Request to Exercise Renewal Option CSC 50657 with Digital Resources
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
Steve Sreiffert
Assistant Director, IT Solutions Department
OFFICIAL RECORD
CITY SECRETARY
F`. WORTH,TX
AC6Z** CERTIFICATE OF LIABILITY INSURANCE DAT2(N °°"YV")
F03114/201
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($),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.
H 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).
PRODueme COKTACT Darren Cuppett
United Insurance Network
(817)260-0162 _ I ll,t;(817)274-3305
3939 W.Green Oaks Blvd. Ste 213 IE4 dcuppett�unetlns.eom
ARLINGTON,TX 76016 s j
License#•1772319 INSURERS AFFORDING COVERAGE I MAIC i
T._-- iNwRritA. Burlinaton Insurance Company
NSUMD INSURERD: Travelers insurance Cornoanv— 19046
DIGITAL RESOURCES INC INSURER c: EVanStOn Insurance COMDanv
2107 GREENBRIAR DR,STE B INSURER D: yQttsdaie j
SOUTHLAKE,TX 76092 INSURERS:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 000000004052670 REVISION NUMBER: 199
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 NTH 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.
IQSR TYPE OF WURANCE POLICY EFF POLICY EXP L"TS
LTR NUrrim
MM
X c.r.ERaALOMEMALUAaa"Y Y Y 102BW49189 01/01/2019 0110112020 EACH OCCURRENCE s 1.000.000
CwMs41ADE®OCCUR Fes_ L s 100,000
MEDEXP ane exon) s 61000
jPERSONAL aADV iNJURY ;s 1,000.000
GMAGGREGATELIMITAPPIJES PER I GENERAL AGGREGATE s 2 000 000
X PCUCY❑29 ❑Loc PRODUCTS-COMPICPAGG s 2,000,000
OTHER: s
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B A °AUULTM Y Y BA4K266423 01101/2019 01101/2020 _�,�et,. �_EUMn s 1,000,000
ANY AUTO eWLY INJURY(Perpmw) 'sOVMED —
AUTOS ONLY AUTOS i BODILY INJURY(Per acddeM 3 _—
HIREDAUTOSONIY AUT { PR TY DAMAGE s
s
C 'IMIRrLL"UAM N OCCUR Y Y EZXS3004039 0110112019 0110112020 EACH OCCURRENCE $ 1,000000
EXCESSUAa CLVM54AAM AGGREGATE s 1,000,000
DED ' I RETENTION S s
WOMUM COWSHIATION FIT
AND SIMLOYW'LWWTY YIN {
ANY PROPWETpVPARTNERIVECUTWE ❑ M f A E L EACH ACCIDENT S
OFFICERAMMOM EXCLUDED?(Unddery In MV) ELOMEASF-EAEMPUJYE S
DEk=-OPOwPERATIONS below ELOISEASE-POUCYUMIT S
D Inland Marine CPS2954287 01101/2019 01101/2020 Leasing 50,000
DESCRIrTION OF CMAY S/LOCATIONS/VEHIM a(AGGRO sa,AA Oft- i Remede S*Adele,my be MuhW r ease epm r rea+Ml
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRAN DATE NOTICE WILL
Cry Of Fort worm ACCORDANCE WITH THE POLILICY�PROVISIONS. BE DELIVERED IN
200 Texas St
FORT WORTH,TX 76102 AUTHGNtIiED RaFRtSENTATNa
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PrirNad by DJC on March 14,2019 at Os:OtaM