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HomeMy WebLinkAboutContract 45588-R1 ql, CSC No. OF FORT WORTH CONTRACT RENEWAL NOTICE 5/21/15 ETTL Engineers &Consultants,Inc. 2000 E RANDOL MILL RD STE 613 ARLINGTON, TX 76011 Re: NOTICE OF CONTRACT RENEWAL Requirements Contract Contract No.CSC No. 45588 (the"Contract") Renewal Term No. June 11,2015 to June 10,2016 The above referenced Contract will expire on June 10, 2015. Pursuant to the Contract, contract renewals are at the sole option of the City. This letter is to inform you that the City is exercising its right to renew CSC No. 45588 for an additional one year period, which will begin immediately upon the expiration of the current term and will end on June 10, 2016.All other terms and conditions of CSC No.45588 remain unchanged. Please return this signed acknowledgement letter, along with a copy of your current insurance certificate, to the address set forth below, acknowledging receipt of the Notice of Contract Renewal. Please log onto BuySpeed Online at rcha,,Ln 2IL-5 Z to insure that your company information is correct and up-to-date. If you have any questions concerning this Contract Renewal Notice, please contact me at the telephone number listed below. Sincerely yours, Darian Gavin., Contract Compliance Specialist FMS,Purchasing Division 817-392-2057 -Direct 817-392-8440-Fax I hereby acknowledge receipt of the Contract Renewal. Notice for CSC No. 45588 for a one year period ending on June 10,2016. 0 By: Date: a6-*,, rn Printed Name ...... KK rn Z C Signature CITY OF FORT WORTH: AT EST: ............ Fernando Costa,Assistant City Manager Mary J. Kayser,City Secretary Date: M&C RECORD CITY SE Cc,RETARY 01 SCAN U F1'.WORTHITX ETTLENG-01 KBOND '4 CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) 511221202212015 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 NAME: Hibbs-Hallmark&Co PHONE — FAX PO Box 8357 �A(C Nq xt):(903)56......... ._.... ....._.._�_.�.�C No..._5!03 581-5988 E-MAIL (� ) ._1-5 . Tyler,TX 75711 ADDRESS: _ INS URER(S AFFORDING COVERAGE J _ J —�NAIC# —_—....._.,.�................._...�_.... �_._.—._............._ INSURER A:Hudson Specialty Ins.Co. INSURED INSURER B:EMCASCO Ins Co .._....._—....._..... _ ._.._......... .._—_—.....,_n.__.......----...,-----.......--- ETTL Engineers and Consultants Inc. INSURER c:Hudson Insurance Company 1717 East Erwin INSURER 0:Texas Mutual Insurance Company 22945 Tyler,TX 75702 ___....._...__ —..—...�_�_.....__,___...__— y INSURER E: _—..—__.�...._ 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. �_._..—. _:........�........ —...__._...—� _._...._. BNSR -"—.....__.—..............��__.—_._�...— DDL UB-12 —_--------......__....._......_ POLICY EFF POLICY EXP LTR I TYPE OF INSURANCE N D MVD POLICY NUMBER MM/DD/YYYY JMWDDIYYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE L°°_.1 OCCUR ESB2575131404 06/30/2014 06/30/2015 PREMISES�Eaoccurrence)^ _$ 100,000 —. __.......... .... _.. ....... ............. ..............._........_._..._ MED EXP(Arty one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 ........... _.. .,.._. .. w...... _.._..... _..._.. �.._—.._�. �.._ . GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $� 2,000,00 POLICY F PRO- X w LOC PRODUCTS-COMPIOP AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 _ ..(Ea accident _:.....�..._.._—._ B ANY AUTO 3M7616615 06/30/2014 06/30/2015 BODILY INJURY(Per person) $ _..._._ . LI _ —..._._...._.....__........ A SCHEDULED ' auTQS O ED AUTOS BODILY INJURY(Per accident) $ _ NON-OWNED PROPERTY DAMAGE _'_ ........... HIRED AUTOS AUTOS (Per accidentL___..._—. UMBRELLA LIAR tXOCCUR EACH OCCURRENCE $ 4,000,000 C X EXCESS LIAB IMS-MADE ESB2575201404 06/30/2014 06/30/2015 AGGREGATE $ DED RETENTION$ $ 4,000,000 WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY ST&TUTS E,R.... ____........_.._,.�, _ D ANY PROPRIETORIPARTNER/EXECUTIVE YIN NI NIA A TSF0001118630 06/30/2014 0613012015 E,L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? �J _.____...........__—:.�..__,.__ .....___...._—. (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 It yes,describe under _._..__.�._.......__... DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A General Liability ESB2575131404 06/30/2014 06/30/2015 Professional Liabili 1,000,000 A General Liability ESB2576131404 06/30/2014 06/30/2015 Pollution Liability 1,000,000 DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 101,Addltlonal Remarks Schedule,may be attached It more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Forth Worth ACCORDANCE WITH THE POLICY PROVISIONS. Financial Management Division 1000 Throckmorton Street Fort Worth,TX 76102 AUTHORIZED REPRESENTATIVE t ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD