HomeMy WebLinkAboutContract 39265 CITY S;CRETARY
I oONT�ACT %to,
STATE OF TEXAS
KNOW ALL MEN BY THESE PRESENTS
COUNTY OF TARRANT
THIS AGREEMENT is made and entered by and between the City of Fort Worth, Texas, a municipal
corporation situated in Tarrant County, Texas,hereinafter called "CITY",acting herein by and through its
duly authorized Assistant City Manager,and Kinsman and Associates,hereinafter called"ENGINEER" for
the purpose of providing professional services for the third-party independent review of the Phase V Energy
Sayings Performance Contract(ESPC)proposal of Johnson Controls,Inc.for the Village Creek Wastewater
Treatment Plant.
WITNESSETH
That for and in consideration of the mutual covenants and agreements herein contained, the parties hereto
do hereby covenant and agree as follows:
SECTION I: SERVICES OF THE ENGINEER
1. CITY hereby contracts with ENGINEER as an independent contractor,and ENGINEER hereby agrees
to perform, within the professional standards normally accepted in the State of Texas, the following
professional services:
1.1. Proposed project descriptions are accurate and correlate with on-site observations
1.2. Proposed projects are appropriate solutions to existing conditions
1.3. Methods of calculating savings are reasonable and accurate to accepted standards
1.4. Project savings estimates are obtainable
1.5. Project costs are reasonable and cost/benefits are in balance
1.6. The measurement and verification method proposed is applicable and adequate
1.7. The technical interest of CITY is protected in the contract documents
2. Project scope of work for the above professional services, as defined by Johnson Controls,Inc. (JCI)
Utility Assessment Report (UAR) dated July 2009 and in accordance with Texas State Energy
Conservation Office(SECO)recommendations,is as follows:
2.1. Aeration Diffuser Upgrades
2.2. Turbine Waste Heat Recovery
2.3. Anaerobic Co-Digestion
2.4. Digester Mixing Upgrades
2.5. SCADA System Replacement
2.6. Aeration Anoxic Zones
2.7. Aeration Control Improvements
2.8. Pump&Motor Upgrades
2.9. HVAC Improvements
2.10.Lighting Retrofits
2.11.Power Factor Corrections
SECTION II: PERSONNEL
1. The following personnel will be assigned to this Project:
LL Sam Steele,Conservation Specialist,City of Fort Worth -
09-22-2009
1' t'
1.2. Madelene Rafalko,P.E.,Senior Professional Engineer,City of Fort Worth
1.3. Rzhd S1n&vqa7YresidenL Kinsman&Associates
Frank E. Kinsman
2. Neither party may change key personnel without agreement by the other party.
SECTION III: CHARACTER&EXTENT OF ENGINEER'S SERVICES
1. Perform services as outlined in ENGINEER's letter dated 11 August 2009, which is attached to and
made a part of this Agreement. ENGINEER shall consult with CITY to clarify and define CITY's
requirements relative to the assignments and review available data.
2. The schedule for the Project is:
2.1. Complete all services within 30-calendar days of contract execution.
3. ENGINEER agrees to commit the personnel to each assignment as necessary in order to complete the
assignment in an expeditious manner.
4. ENGINEER shall advise CITY as to the necessity of CITY's providing or obtaining from others
services and data required in connection with the Assignment at CTTY's cost and expense (which
services and data ENGINEER is not to provide hereunder but on which ENGINEER may rely in
performing services hereunder), and act as CITY's representative in connection with any such services
of others.
5. ENGINEER shall pay for the printing of documents as a part of the proposed fee.
SECTION IV: SPECIAL SERVICES OF ENGINEER
1. If authorized in writing by CITY, ENGINEER shall furnish or obtain from others Special Services
necessary to complete the assignments at a cost stated by the Water Department by letter.
SECTION V: COMPENSATION TO ENGINEER
1. The total compensation for all of the assignments to be performed•by ENGINEER as described in
SECTION III,CHARACTER&EXTENT of ENGINEER'S SERVICES hereof shall be$40,000.
SECTION VI: METHOD OF PAYMENT
1. ENGINEER shall be paid not more frequently than once per month on the basis of statements prepared
from the books and records of account of ENGINEER, such statements to be verified as to accuracy
and compliance with the terms of this Agreement by an officer of ENGINEER. Payment according to
statements will be subject to certification by the Director of the Water Department or his duly
authorized representative that such work has been performed.
2. The above charges are on the basis of prompt payment of bills rendered and continuous progress of the
work on the Assignment until completion. If CITY fails to make any agreed to payment due
ENGINEER for services and out-of-pocket expenses within sixty-days after approval of ENGINEER's
statement thereof,ENGINEER may, after giving seven-days'written notice to CITY,suspend services
under this Agreement until ENGINEER has been paid in full all amounts due for services actually
performed and out-of-pocket expenses actually incurred.
09-22-2009 Page 2 of 8
SECTION VII: CITY RESPONSIBILITIES
1. Provide criteria and information as to CTffs requirements and designate a person with authority to act
on CITY's behalf on all matters concerning the Assignment.
2. Assist ENGINEER in obtaining existing studies,reports and other available data and services of others
pertinent to the Assignment and in obtaining additional reports and data as required.
3. Upon reasonable notice arrange for access to and make all provisions for ENGINEER to enter upon
public and private property as may be required for ENGINEER to perform services hereunder.
4. Designate in writing qualified persons who will act as CITY's representatives with respect to the
Assignment for the purposes of transmitting instructions, receiving information, interpreting and
defining CITY's policies and decisions with respect to ENGINEER's services.
5. Review all reports, recommendations and other documents and provide written decisions pertaining
thereto within a reasonable time.
6. Upon reasonable notice provide labor and safety equipment to expose structural elements, to make
temporary repairs,and to operate mechanical and electrical systems as required by ENGINEER in the
services.
7. Provide such legal,accounting,insurance and other counseling services to CITY as may be required for
the Assignment.
8. Bear all costs incident to compliance with this Section.
SECTION VIII: TERMINATION
1. CITY may terminate this Agreement at any time for convenience or for any cause by notice in writing
to ENGINEER. Upon receipt of such notice, ENGINEER shall immediately discontinue all services
and work and the placing of all orders or the entering into Contracts for supplies,assistance,facilities
and materials in connection with the performance of this Agreement and shall proceed to cancel
promptly all existing contracts insofar as they are chargeable to this Agreement.
2. If CITY terminates this Agreement under the foregoing paragraph, CITY shall pay ENGINEER for
services performed in accordance herewith prior to such termination, less such payments having been
previously made. Such payment shall be based upon the work completed up to the date of termination
of the Agreement in accordance with the method of compensation prescribed in Sections V and VI
hereof. ENGINEER shall also be compensated for all termination-related expenses such as meeting
attendance,document reproduction,and transfer of records.
3. Upon early termination or conclusion of this Agreement,ENGINEER shall provide CITY reproducible
copies of all completed or partially completed engineering documents prepared under this Agreement
that shall become the property of CITY and may be used by CITY in any manner it desires.
ENGINEER shall not be liable for the use of such materials for any project other thaw the project
described in this Agreement
SECTION IX: INDEMNITY AND INSURANCE
1. Approval by CITY of contract documents shall not constitute or be deemed to be a release of the
responsibility and liability of ENGINEER, its officers, agents, employees and Subconsultants, for the
accuracy and competency of the services performed under this Agreement, including but not limited to
surveys,location of subsurface investigations, designs, working drawings and specifications and other
engineering documents.
2. Such approval shall not be deemed to bean assumption of such responsibility and liability by CITY for
any negligent act, error or omission in the conduct or preparation of the subsurface investigations,
09-22-2009 Page 3 of 8
surveys, designs, working drawings and specifications and other documents by ENGINEER, its
officers,agents,employees and Subconsultants,it being the intent of the parties that approval by CITY
signifies CITY's approval of only the general design concept of the improvements to be constructed.
3. In this connection ENGINEER shall indemnify and hold CTTY and all its officers,agents,servants and
employees harmless from any loss,damage,liability or expenses,on account of damage to property and
injuries, including death, to all persons, including but not limited to officers, agents, or employees of
ENGINEER or Subcontractor, and all other persons performing any part of the work and
improvements, which may arise out of any negligent act, error or omission in the performance of
ENGINEER's professional services. In no event shall ENGINEER be liable for consequential
damages.
4. ENGINEER shall defend at its own expense any suits or other proceedings brought against CITY, its
officers,agents,servants and employees,or any of them on account thereof,and shall pay all expenses
and satisfy all judgments which may be incurred by or rendered against them arising out or the
indemnification; provided and except, however, that this indemnification provision shall not be
construed as requiring ENGINEER to indemnify or hold CITY or any of its officers,agents,servants or
employees harmless from any loss,damages,liability or expense,on account of damage to property or
injuries to person caused by defects or deficiencies in design criteria and information fiunished
ENGINEER by CITY,or any deviation in construction from ENGINEER's designs,working drawings,
specifications or other documents.
5. Without limiting the above indemnity,ENGINEER shall maintain a policy of comprehensive general
liability insurance coverage with carriers acceptable to CITY in at least the following amounts:
Commercial General Liability: $1,000,000 Per Occurrence
$2,000,000 Aggregate Limit
Workers Compensation:
Coverage A: Statutory limits
Coverage B: Employers Liability Insurance
$100,000 Each Accident/Each Occurrence
$100,000 Disease—per each employee
$500,000 Bodily Injury/Disease—Policy Limit
Automobile Liability: $1,000,000 each accident on a combined single basis
OR
$250,000 Property Damage
$500,000 Bodily Injury per person per occurrence
Professional Liability Insurance
Errors and Omissions: $1,000,000 Per occurrence
$2,000,000 Project aggregate
6. ENGINEER shall furnish CITY a Certificate of Insurance in at least the above amounts. Certificate
shall contain a provision that such insurance cannot be canceled without 30-days prior written notice to
CITY. CITY reserves the right to revise insurance requirements specified in this agreement to the best
interests of CITY.
7. General Insurance Requirements
7.1. Commercial General Liability coverage shall be endorsed to name CITY an Additional Insured
thereon,as its interests may appear. The term CITY shall include its employees,officers, officials,
agents,and volunteers as respects the contracted services.
7.2. Certificate(s) of insurance shall document that insurance coverage specified are provided under
applicable policies documented thereon.
09-22-2009 Page 4 of 8
7.3. Any failure on part of CITY to request required insurance documentation shall not constitute a
waiver of the insurance requirements.
7.4. A minimum of forty-five days notice of cancellation, non-renewal or material change in coverage
shall be provided to CITY. A ten(10)days notice shall be acceptable in the event of non-payment of
premium. Such terms shall be endorsed onto ENGINEER's insurance policies. Notice shall be sent
to the City of Fort Worth Water Department, 1000 Throckmorton,Fort Worth,TX 76102.
7.5. CITY shall not be responsible for the direct payment of any insurance premiums required by this
agreement. It is understood that insurance cost is an allowable component of ENGINEER's general
overhead.
7.6. CITY reserves the right to revise insurance requirements specified in this agreement according to the
best interests of CITY.
7.7. Insurers for all policies must be authorized to do business in the state of Texas or be otherwise
approved by CITY;and,such insurers shall be acceptable to CITY in terms of their financial strength
and solvency.
7.8. Deductible limits,or self-insured retentions,affecting insurance required herein may be acceptable to
CITY at its sole discretion;and,in lieu of traditional insurance,any alternative coverage maintained
through insurance pools or risk retention groups must be also approved Dedicated financial
resources or letters of credit may also be acceptable to CITY.
7.9. CITY shall be entitled, upon its request and without incurring expense, to review ENGINEER's
insurance policies including endorsements thereto and, at CITY's discretion; ENGINEER may be
required to provide proof of insurance premium payments.
7.10.CITY shall not be responsible for the direct payment of any insurance premiums required by this
agreement. It is understood that insurance cost is an allowable component of ENGRNEER's indirect
overhead.
7.11.All insurance, except for the Professional Liability insurance policy, shall be written on an
occurrence basis.
7.12.The Professional Liability Policy shall be written on a"claims made"and shall be in effect for the
duration of this agreement and for 12 months following ENGINEER's issuance of the Certificate
of Substantial Completion. ENGINEER's current insurer shall list CITY as a certificate holder
for a period of ten(10)years following the issuance of the Certificate of Substantial Completion
by ENGINEER. CITY shall be notified at least 30-days prior to cancellation or substantial
change in coverage.
7.13.Subconsultants to ENGINEER shall be required by ENGINEER to maintain the same or reasonably
equivalent insurance coverage, except for Professional Liability Insurance, as required for
ENGINEER- ENGINEER shall provide CITY with documentation thereof on certificates of
insurance. The ENGINEER shall assure that Subconsultants provide acceptable and appropriate
levels of Professional Liability coverage or that ENGINEER's coverage provides coverage for the
work of the Subconsultant Notwithstanding anything to the contrary contained herein,in the event a
subconsultant's insurance coverage is canceled or terminated, such cancellation or termination shall
not constitute a breach by ENGINEER of the Agreement.
09-22-2009 Page 5 of 8
SECTION X: INDEMNITY PERTAINING TO HAZARDOUS MATERIALS
1. CITY acknowledges ENGINEER will perform part of the work at CITY's facilities that may contain
hazardous materials, including asbestos containing materials, or conditions, and that ENGINEER had
no prior role in the generation,treatment,storage,or disposition of such materials. In consideration of
the associated risks that may give rise to claims by third parties or employees of CITY,CITY agrees in
so far as permitted by law, to indemnify ENGINEER from any and all losses, damages, claims, or
actions brought by third party or employees of CITY against ENGINEER or ENGINEER's employees,
agents, officers, or directors, in any way arising out of the presence of hazardous materials or
conditions at CITY's facilities, except for claims shown by final judgment to arise out of the sole
negligence of ENGINEER. CITY shall defend at its own expense any suits of other proceedings
brought against ENGINEER and its officers, agents, servants, and employees or any of them on
account thereof. Nothing herein shall be construed so as to require CITY to levy or assess any tax.
2. In connection with hazardous waste, including petroleum products, CITY agrees to the maximum
extent permitted by law to defend,hold harmless and indemnify ENGINEER from and against any and
all claims and liabilities resulting from CITY's violation of any federal,state or local statute,regulation
or ordinance relating to the disposal of hazardous substances or constituents. Nothing herein shall be
construed so as to require CITY to levy or assess any tax.
3. The requirements contained in this Section shall not apply if ENGINEER introduces the hazardous
materials or conditions.
SECTION XI: RIGHT TO AUDIT
1. ENGINEER agrees that CITY shall,until the expiration of three(3)years after final payment under this
Agreement, have access to and the right to examine any directly pertinent books, documents, papers
and records of ENGINEER involving transactions relating to this Agreement. ENGINEER agrees that
CITY shall have access during normal working hours to all necessary ENGINEER facilities and shall
be provided adequate and appropriate workspace in order to conduct audits in compliance with the
provisions of this section. CITY shall give ENGINEER reasonable advance notice of intended audits.
2. ENGINEER Rwther agrees to include in all its subcontracts hereunder a provision to the effect that the
subconsultant agrees that CITY shall,until the expiration of three (3)years after final payment under
the subcontract, have access to and the right to examine any directly pertinent books, documents,
papers and records of such subconsultant, involving transactions to the subcontract, and further, that
CITY shall have access during normal working hours to all subconsultant facilities, and shall be
provided adequate and appropriate work space, in order to conduct audits in compliance with the
provisions of this article. =shall give subconsultant reasonable advance notice of intended audits.
3. ENGINEER and Subconsultants agree to photocopy such project-related documents as may be
requested by CITY. CITY agrees to reimburse ENGINEER and Subconsultant for the costs of copies
at the rate published in the Texas Administrative Code.
SECTION XII: SUCCESSORS AND ASSIGNS
1. CITY and ENGINEER each bind themselves, their successors and assigns, to the other party to this
Agreement and to the successors and assigns of each other party in respect to all covenants of this
Agreement.
09-22-2009 Page 6 of 8
SECTION XM: ASSIGNMENT
1. Neither party hereto shall assign, sublet or transfer its interest herein without prior written consent of
the other party, and any attempted assignment, sublease or transfer of all or any part hereof without
such prior written consent shall be void.
SECTION XIV: INDEPENDENT ENGINEER
1. ENGINEER shall perform all work and services hereunder as an independent Engineer, and not as an
officer, agent, servant or employee of CITY. ENGINEER shall have exclusive control of, and the
exclusive right to control the details of the work performed hereunder, and all persons performing
same,and shall be solely responsible for.the acts and omissions of its officers, agents,employees and
Subconsultants. Nothing herein shall be construed as creating a partnership or joint venture between
CITY and ENGINEER,its officers,agents,employees and Subconsultants,and doctrine of respondent
superior has no application as between CITY and ENGINEER.
SECTION XVI: OBSERVE AND COMPLY
1. If permitting authorities require design changes so as to comply with published design criteria and/or
current engineering practice standards which ENGINEER should have been aware of at the time this
Agreement was executed,ENGINEER shall revise plans and specifications, as required, at its own cost
and expense. However, if design changes are required due to the changes in the permitting authorities'
published-design criteria and/or practice standards criteria which are published after the date of this
Agreement which ENGINEER could not have been reasonably aware of,ENGINEER shall notify CITY
of such changes and an adjustment in compensation will be made through an amendment to this
Agreement.
SECTION XVH: VENUE
1. Venue of any suit or cause of action under this Agreement shall lie in Tan-ant County,Texas.
IN TESTIMONY THEREOF,CITY has caused this instrument to be signed in triplicate in its name and on
its behalf, by its City Manager and attested by its City Secretary, with the Corporate Seal affixed; and
ENGINEER has also properly executed this instrument in triplicate copies, each of which is deemed an
original.
EXECUTED IN THE CI O FORT WORTH,TEXAS,THIS t day of •.C.E.,�g
By: APPROVED:
Principal's Name Frank E. Kinsman
Kinsman & Associates, Consulting Engineers
Company
President
Office(President or Vice-President) By:
Fernando Costa
Assistant City Manager
09-22-2009 Page 7 of S
APPROVAL O ED: RECORDED:
By. ` By.
S.Frank Crumb,P.E. kMarkyHen c
Director,Water Department City Secretary
APPROVED AS TO FO AND�EGALTTY:
By. Date:
Assistant City A cy
Contract AuthoxiaastioR
Date
09-22-2009 Pige`a ofd'
KINSMAN&ASSOCIATES,Consulting Engineers
Systems Analysis and Das;gn
August 11,2009
Mr. Samuel C. Steele
Conservation Specialist
City of Fort Worth
1000 Throckmorton Street,TJPW
Fort Worth,Texas 76102-631.1
Dear Mr. Steele:
We are hereby proposing to perform a third-party review of documents related to the
performance contract proposal on the Village Creek Wastewater Treatment Plant submitted by
Johnson Controls, Inc. We are teaming with Alan Plummer Associates, Inc. to perform this
service as described in our Third-Party Review Qualifications&Experience as submitted to your
office on July 2,2009.
Our proposal review will include verification of the following:
1. Proposed project descriptions are accurate and correlate with on-site observation.
2. Proposed.projects are appropriate solutions to existing conditions.
3. Methods of calculating savings are reasonable.and accurate to acceptable standards_
4. Project savings estimates are obtainable.
5. Project costs are reasonable and cost/beriefits are in balance.
6. The measurement and verification method proposed is applicable and adequate.
7. Proposed financial plans meet applicable state code and other applicable guidelines.
8. The technical interest of the owner is protected in the contract documents.
These items have been described in more detail in our July 2,2009 Q&E submission.
Even though our review time is dependent on the difficulties we may encounter and responses by
the Johnson Controls team, we will provide our best effort to complete our work in 30 days
following notification to proceed.
8533 Ferndale Road-SWie 102 D23as,Texaa 75238 Ph.(972)8A4.7676-Fa)c(972)J3"-3355
w WW,.'(nlmanen9ineerwV tom
Mr. Samuel Steele
August 11,2009
Page 2
Our fee for this work is $40,000.00 for a single package. If the proposed work by Johnson
Controls should be separated into two phases, our fee will be $5,000.00 additional to review the
second phase. This additional fee is needed to reverify that the separate document will stand
alone meeting all review requirements.
If there are any questions regarding this proposal, we would be pleased to respond. Thank you
for this opportunity to be of service.
Sincerely,
' ,�j1
Prank E.Kinsman
President
!pt
Page 1 of 2
City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL ACTION: Approved on 9/22/2009
DATE: Tuesday, September 22, 2009 REFERENCE NO.: "C-23788
LOG NAME: 60THIRD PARTY REVIEW
SUBJECT:
Authorize an Agreement in the Amount of$40,000.00 with Kinsman and Associates Engineering
Consultants for a Third Party Review of the Detailed Energy Study and Energy Savings Performance
Contract, Phase V, at Village Creek Wastewater Treatment Plant
RECOMMENDATION:
It is recommended that the City Council authorize the City Manager to execute an Agreement in the
amount of$40,000.00 with Kinsman and Associates Engineering Consultants for a Third Party Review of
the Detailed Energy Study and Energy Savings Performance Contract, Phase V, at Village Creek
Wastewater Treatment Plant.
DISCUSSION:
On September 16, 2008, (M& C C-23046) the City Council authorized a Project Development Agreement
with Johnson Controls, Inc., for a Detailed Energy Study to identify potential projects for reducing energy
usage at Village Creek Wastewater Treatment Plant as Phase V of the City's Energy Savings
Performance Contract.
Energy Savings Performance Contracts are governed by Texas Local Government Code, Chapter 302
which requires that all improvements be paid for by the savings generated. The law also requires an
independent third party review of project costs, savings and measurement and verification methods before
any improvements are constructed.
Kinsman and Associates Engineering Consultants has conducted the third party review for each of the
previous four project phases and has experience State-wide with similar projects. Staff has reviewed the
costs and finds them to be fair and reasonable.
Funds were not specifically budgeted for this project in the Fiscal Year 2009 Adopted Budget, however,
the department has identified current year savings to offset the full cost.
M/WBE - A M/WBE Waiver was approved due to the presence of negligible subcontracting opportunities.
The project is located in COUNCIL DISTRICT 5.
FISCAL INFORMATION/ CERTIFICATION:
The Financial Management Services Director certifies that funds are available in the current operating
budget, as appropriated, of the Water and Sewer Operating Fund.
FUND CENTERS:
TO Fund/Account/Centers FROM Fund/Account/Centers
PE45 531200 0705001 $40,000.00
http:/,,'apps.cfwnet.org/ecounciI/printmc.asp?id=12254&print=true&DocType=Print 9/23%2009
Page 2 of 2
CERTIFICATIONS:
Submitted for City Manager's Office b Fernando Costa (6122)
Originating Department Head_ S. Frank Crumb (8207)
Additional Information Contact: Madelene Rafalko (8215)
ATTACHMENTS
1. 60THIRD PARTY REVIEW MWBE.pdf (CFW Internal)
2. 60THIRDPARTYREVIEW MAP.pdf (Public)
3. Funds Availability.pdf (CFW Internal)
http://apps.cfwnet.org'ecounciUpri ntmc.asp?id=12254&print=true&DocType=Print 9/23/2009
ACORP, CERTIFICATE OF LIABILITY INSURANCE 09/22/2009)
PRODUCER (972)581-4800 FAX (972)581-4850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bell Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
16980 Dallas Parkway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Dallas, TX 75248
INSURERS AFFORDING COVERAGE NAIC#
INSURED Kinsman & Associates INSURERA: Maryland Casualty
8533 Ferndale Rd. INSURER Hartford Underwriters
Suite 102 INSURER C: Beazley Ins. Co. , Inc.
Dallas, TX 75238 INSURER D:
INSURER E.
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY PASO42635384 09/26/2009 09/26/2010 EACH OCCURRENCE S 11000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1,000,00
CLAIMS MADE a OCCUR MED EXP(Any one person) S 10,00(
A PERSONAL&ADV INJURY $ 1,000,00(
GENERAL AGGREGATE $ 2,000,00(
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00(
POLICY PRO LOC
ECT
AUTOMOBILE LIABILITY 46UECPN1417 02/23/2009 02/23/2010 COMBINED SINGLE LIMIT
(Ea accident) $
X ANY AUTO 1,000,000
ALL OWNED AUTOS BODILY INJURY $
X SCHEDULED AUTOS (Per person)
B
HIRED AUTOS BODILY INJURY S
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR ❑CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND 46 WEC DW7796 10/18/2009 10/18/2010 X WC STATU- OTH-
EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 500,00
B ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,00(
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,00C
OTH V15RVR09PNPA 03/13/2009 03/13/2010 $1,000,000 Per claim
C roYessional Liability
$2,000,000 Aggregate
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
ertificate Holder is listed as Additional Insured on General Liability. (10 day for non-payment)
CERTIFICATE H LDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
_45" DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
City Of Fort Worth BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
1000 Throckmorton OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES
Fort Worth, TX 76102 A„THORIZEDREPRESENTA-IVE r (r"
�Byron Johnson/TERRY
ACORD 25(2001/08) �,ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25(2001/08)