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HomeMy WebLinkAboutContract 45594-R1 ip CSC No. 4S!9q—R, CITV OF FORT WORTH CONTRACT RENEWAL NOTICE 5/21/15 T'Smith Inspection&Testing,LLC. 7473 Airport Freeway Fort Worth,TX 76118 Re: NOTICE OF CONTRACT RENEWAL Requirements Contract Contract No.CSC No.45594(the"Contract") Renewal Term No.X.June 11,2015 to June 10,2016 1P& The above referenced Cott: ct 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 new CSC No. 45594 for an additional one year period,which will begin immediately upon the expiration of the current to and will end on June 10, 2016. All other terms and conditions of CSC No.45594 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 IlLuji.- ,!!'fgi-LWo qhL er,.4 vLp.vTSkgWUi to insure that your company information is correct and up-to-date. If you have any questions concerning this Cont Tact 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 8 17-392-9440•-Fax I hereby acknowledge receipt of the Contract Renewal Notice for CSC No. 45594 for a one year period ending on June l0,2016. By: Arthur Ethedy,III,Chel_Operaling Officer Date: ®0 00 ri n;d_L e dTillc S ignature CITY OF FORT WORTH: A TEST: Temando Costa,Assistant City Manager Mary J. Kayser,City Secretary Date: ..................... M&C No. 'A OFFICIAL,RECORD CITY SECRETARY SCANNE I -T No TX F .WOR7 ............. DAT9(MWDD/YYPY) CERTIFICATE OF LIABILITY INSURANCE u 5!2..212 015 HIS CERTIRCATE i$ 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($), AUTHORIZED "PRISSINTATNI OR FRODUCER, AND THE CERTIFICATE HOLDER, WORTANT: N the efts fitaft froider Is an ADDITIONAL INSURED,On Pol"Iss)must be andorsa L It SUBROGATION IS WAIVED,sub)ect to the tarns seed aondMons of Ilia poky,certain Polities may squire an ems. A statunant an this cerUftaie does not to Mar rights to the ta►t raft hower In Neu of such!n"Mord e. PRODUCER NAME: Bradley Insurance Agency P FAX lj=eA�: 1317-332-8208 Ate;x ,:817-532-8289 1415 Summit Avenue A S Port North, TX 76102 APPORMINS COVIVIAea INSURER A: United iAl, t Ynsurikag I , INSURED T Smith Inspection i Testing,LLC. INSURER B Mercury County Mutual Insurance CouWany Terry Smith INSURER C: 8cottsda11110 Insurance C n 2211 Century Center Blvd.Ste1011mailing INSURER D°rl`sxas Mutual Insurance C 22945 Irving, TX. 75062 INSURER E:The NartfOrd - r F: ©yd r s of London aalk COVERAGE$ 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 CLANS.APIX AM LTII TYPE OF INSURANCE POLICY allMOER LINTS GENERAL LIABILITY EACH OCCURRENCE S 20 GOLD 0 000 GO MAERMAL GENERAL LIAMM PREMISE Ee C MED EXP Lmy am Pte) S A g 8 D Y USA4066257 9/11/2015 09/17/2014 PERSONAL aADVINJURY t CLAZlL1 GENERAL AGGREGATE S 2.QQO.000 . G WL AGGREGATE Left APPLIES PER: PRODUCTS®COMP/OP AGG :S POLICY 0 PRO LOC S AUTOMOBILE LIABILITY $ 1,000,000 ten ANY AUTO BODILY INJURY(Per parson) S ALL OWNED SCHEDULED BODLY MURY(Per ) S AUTOS AUTOS y Y BA420000006276 10/29/2014 10/29/2015 HIRED AUTOS AUTOS Peraccidsnt S E UMBRELLA LIAS �� � EACH OCCURRENCE $10,00,00000 EXCESS LIAY XL30092280-01 ells/2s1s 9/1sl2a1s C S�4ADE y Y AGGREGATE s10,000,0100 DED ntATI(NI$ s WO AND EMPLOYERS'LIABILITY V r Ni'r rj MIA sl�s/2o14 a/xsJsaas E,L.EACH ACCIDENT s 1,00,0,fl 0 >D ya1 cLL v L3�.1 Y E.L.cars m EA EWPLOYE s 1,000 000 DEOCE RII CF OPERATIONS DOW* E.L. -POLICY LOOT S 1,0�"0,,0100 x Property 468 6733 1/17/2015 01/19/2010 valuable Papers $100,000 P Profeesis l MIA 0193-02 :4/"/"Is fi96/2 01e 1411,000 000 Per ocap # ICs DESCRIPTION OF OPERATIONS I LOCATIONe/VEHICLES (Atom ACORD tat,Atlmww Rern&U Sdwaft,M mare WM M r ) Pkajoet:AMU&I 0eoteebaieal Material Testiaq and swVjora&*fttal WsWire®eats Contract-aevels"t. City of tort Worth, Do"las W. Wiorei0, p8, eh.0., Director, Derartsreat of frauspogtatioa said tablic Marks, City of pert Worth is laelodsd as Additional insured as domoral Liability, Ante Liability, and Umbrella Liability fellows few. Waiver of Subrogation is Is tbsir favor on erraeral Liability, Ante Liability, Umbrella Liability, cad Workers Compensation policies. Von (10) day Notice. CERTIFICATE HOLDR CAIwIC LATNOIN City of >rort Worth, Douglas W. Wiersig, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ph.D., Director, Dept. of Tranxportation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN and Public Works, City of tort North ACCORDANCE WITH THE POLICY PROVISIONS. 1000 Throckmorton Street Pot North, TX. 76102 AUTHORIZED IPRE NTArIVE rr P,R:817-3192-7913 • .. 8 fl - 014 AC C��Ft4.T"141J. A 15 Te A . 25(2010M) The ACORD name and lop are marks ACORD