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HomeMy WebLinkAboutContract 45591-R1 CSC No. ps CITY OF FORT WORTH CONTRACT RENEWAL NOTICE 5/21/15 Gorrondona&Associates,Inc. 7524 Jack Newell Blvd. South Fort Worth,TX 76118 Re: NOTICE OF CONTRACT RENEWAL Requirements Contract Contract No.CSC No. 45591 (the"Contract") Renewal Term No./I: June 11, 2015 to June 10,2016 hoa 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. 45591 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. 45591 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 b gov/ urchasin, 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. 45591 for a one year period ending on June 10,2016. V 00 By: Brad J Gorrondona President Date: Ma 22, 2015 cqi el Printad Name)rvJ T' e mw Signatu e 000000° CITY OF FORT WORTH: A TEST:® e a RD may J. Kayser,Ciy Secretary Da e.7M&C No. C-26764 . ............... FT.WORM TX SCANNED CERTIFICATE OF LIABILITY INSURANCE F9/9/2014 ' 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. PORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to .ne 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 NTACT NAME: Linda Helms First Texas Insurance Services, LLC PHONE (817)275°2626 FAX (617)275-2661 (Am yo 700 Highlander Blvd, Ste 350 `MAIL ADDRESS,linda.helms @firsttex®com INSURERS AFFORDING COVERAGE NAIC N Arlington TX 76015 INSURERA:Hartford Casualty Insurance 29424 INSURED INSURER B:PrO ert and Casualty Insurance 34690 Gorrondona & Associates, Inc. INSURER C:Hartf ord Underwriters Ins. Co. 30104 7524 Jack Newell Blvd South INSURERD:Continental Casualty Company 0443 INSURER E: Fort Worth TX 76118 INSURER F: COVERAGES CERTIFICATE NUMBER:CL149905509 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 A UB POLICY NUMBER MM%DCY EFF POLICY 1 LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREtl Moccurrence $ 300,000 A CLAIMS-MADE [i]OCCUR 46UUNHH9963 /11/2014 9/11/2015 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICYFXI PRO LOG $ AUTOMOBILE LIABILITY COMBINED Si LE LIM Ea accident 1 000'000 ( X ANY AUTO BODILY INJURY(Per on) $ ALL OWNED SCHEDULED 46UUNHH9963 /11/2014 /11/2015 AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED ROPERTY DAMAGE $ HIRED AUTOS AUTOS S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 A EXCESS LIAB I CLAIMS-MADE AGGREGATE $ 10,000,000 DEC) I X I RETENTION$ 10,00 6XHUJD0151 /11/2014 /11/2015 $ C WORKERS COMPENSATION X WC STATU- 0TH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE�'� NSA E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? �_J 3B32 /11/2014 /11/2015 (Mandatary In NH) 6TVEZR E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D Professional kEH133324696 /20/2014 /20/2015 per claim 5,000,000 Annual 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) City of Fort Worth is an Additional Insured on General Liability and Automobile Liability, per written & executed contract. Waiver of Subrogation in favor of City of Fort Worth, per written & executed contract 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 1000 Throckmorton Fort Worth, TX 76102 AUTHORIZED REPRESENTATIVE Trey Dacy/LH ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201 ).01 The ACORD name and logo are registered marks of ACORD _. a