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Casualty&Property Resolutions
SERVICE AGREEMENT BETWEEN CITY OF FORT WORTH
AND CPR INSURANCE GROUP, LLC
THIS SERVICE AGREEMENT FOR PROFESSIONAL SERVICES, effective on the
last day executed below (the "Effective Date"), is by and between the City of Fort
Worth, Texas, a home rule municipal corporation organized under the laws of the
State of Texas ("City"), acting by and through its duly authorized Assistant City
Manager and CPR Insurance Group,LLC,a Texas Limited Liability Company,acting by
and through Les Titus, its duly authorized President ("Contractor") (collectively
referred to as the "Parties").
In consideration of the mutual promises and performances set forth below,
and other good and valuable consideration, the sufficiency and receipt of which the
parties acknowledge,the parties agree as follows:
1. Term. This Agreement shall be for a term of one (1) year and shall commence on
the last day executed below, and end on April 1, 2017, unless terminated earlier
by either party in accordance with this Agreement. This Agreement may be
renewed for up to two (2) additional one (1)year periods, each a Renewal period,
by mutual written agreement of the Parties.
3. Compensation.
Contractor shall bill the City for services rendered pursuant to Exhibit "A" on a
monthly basis. The total of all payments and obligations made and incurred by
City hereunder, in consideration for services rendered by Contractor, shall not
exceed the amount of Fifty Thousand Dollars and no cents ($50,000.00) annually
or during any Renewal Term.All services shall be performed to City's satisfaction,
and City shall not be liable for any payment under this Agreement for services
which are unsatisfactory or which City has not approved.
OFFICIAL RECORD
CITY SECRETARY
FT.WORTHI,TX
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City shall not be obligated or liable under this Agreement to any party other than
Contractor for payment of any monies or provision of any goods or services. If
amounts owed are not paid within thirty (30) days after their Due Date ("Grace
Period"),City will pay Contractor interest in accordance with the Prompt Payment
Act, Section 2252.025 of the Texas Government Code.
4. Termination.
The City or Contractor may terminate the Agreement upon thirty (30) days written
notice to the other party with or without cause.
S. Indemnification.
CONTRACTOR SHALL BE LIABLE AND RESPONSIBLE FOR ANYAND ALL
PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY,
INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR
CHARACTER, WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED
BY THE NEGLIGENT ACT(S) OR OMISSION(S), MALFEASANCE OR
INTENTIONAL MISCONDUCT OF CONTRACTOR,ITS OFFICERS,AGENTS,
SER VA NTS OR EMPLOYEES.
CONTRACTOR AGREES TO DEFEND, INDEMNIFY, AND HOLD THE CITY, ITS
OFFICERS, AGENTS, SERVANTS, AND EMPLOYEES HARMLESS AGAINST ANY
AND ALL CLAIMS, LAWSUITS, ACTIONS, COSTS, AND EXPENSES OF ANY KIND,
INCLUDING, BUT NOT LIMITED TO, THOSE FOR PROPERTY DAMAGE OR LOSS
(INCLUDING ALLEGED DAMAGE OR LOSS TO OWNER'S BUSINESS AND ANY
RESULTING LOST PROFITS) AND/OR PERSONAL INJURY (INCLUDING DEATH)
THAT MAY RELATE TO, ARISE OUT OF, OR BE OCCASIONED BY (1)
CONTRACTOR'S BREACH OF ANY OF THE TERMS OR PROVISIONS OF THIS
AGREEMENT OR (11) ANY NEGLIGENT ACT OR OMISSION OR INTENTIONAL
MISCONDUCT OF CONTRACTOR, ITS OFFICERS, AGENTS, ASSOCIATES,
EMPLOYEES, CONTRACTORS(OTHER THAN THE CITY), OR SUBCONTRACTORS
RELATED TO THE PERFORMANCE OF THIS AGREEMENT; EXCEPT THAT THE
INDEMNITY PROVIDED FOR IN THIS SECTION SHALL NOT APPLY TO ANY
LIABILITY RESULTING FROM THE SOLE NEGLIGENCE OF THE CITY OR ITS
OFFICERS, AGENTS, EMPLOYEES, OR SEPARATE CONTRACTORS, AND IN THE
EVENT OF JOINT AND CONCURRENT NEGLIGENCE OF BOTH CONTRACTOR AND
CITY, RESPONSIBILITY, IF ANY, SHALL BE APPORTIONED COMPARATIVELY IN
ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS. NOTHING HEREIN
SHALL BE CONSTRUED AS A WAIVER OF THE CITY'S GOVERNMENTAL
IMMUNITYAS FURTHER PROVIDED BY THE LAWS OF TEXAS.
CPR Insurance Group, LLC—Claims Services Agreement Page 2
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6. Miscellaneous.
a. Assignment. This Agreement does not constitute either party as the agent or
legal representative of the other for any purpose whatsoever. The parties are
not granted any express or implied right or authority to assume or create any
obligation or responsibility on behalf of the other or to bind the other in any
manner whatsoever. The Parties shall not assign this Agreement without the
prior written consent of the other.
b. Authority. Each party covenants with the other that it has full power and
authority to enter into and perform its obligations under this Agreement and
the persons executing this Agreement on their behalf are duly authorized to
do so by all requisite action.
c. Binding. This Agreement shall be binding upon the parties hereto, their
respective successors and assigns.
d. Notice. All notices, requests, demands, and other communications that are
required or permitted to be given under this Agreement shall be in writing
and shall be deemed to have been duly given upon the delivery or receipt
thereof, as the case may be, if delivered personally or sent by registered or
certified mail, return receipt requested,postage prepaid, as follows:
City of Fort Worth/City: Susan Alanis,Assistant City Manager
1000 Throckmorton Street
Fort Worth,Texas 76102
Copies to: City Attorney's Office
1000 Throckmorton Street
Fort Worth,Texas 76102
CPR Insurance Group, LLC—Claims Services Agreement Page 3
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To Contractor: Les Titus, President
CPR Insurance Group, LLC
600 E John Carpenter Fwy, Suite 365
Irving, TX 75062
e. Amendments. The parties expressly reserve the right to modify this
Agreement, from time-to-time, by mutual agreement. No modification or
amendment of the provisions of this Agreement shall be effective unless in
writing and signed by authorized representatives of the Parties.
f. Invalidity of Particular Provisions. Should any term, provision, condition,
or other portion of this Agreement or the application thereof be held to be
inoperative,invalid, or unenforceable,the remainder of this Agreement or
the application of the term or provision to persons or circumstances other
than those to which it is held invalid or unenforceable shall not be affected
thereby and shall continue in full force and effect.
g. No Waiver. No waiver of full performance by any party shall be construed,
or operate, as a waiver of any subsequent default or breach of any of the
terms, covenants, or conditions of this Agreement.
h. Entire Agreement. This written instrument constitutes the entire
agreement by the parties hereto concerning the work and services to be
performed hereunder, and any prior or contemporaneous, oral or written
agreement,which purports to vary from the terms hereof shall be void.
i. Venue and Jurisdiction. Should any action,whether real or asserted,at law
or in equity, arise out of the execution, performance, attempted
performance of this Agreement, venue for said action shall lie in Tarrant
County, Texas. This Agreement shall be governed by the laws of the State
of Texas.
j. Severability. If any provision of this Agreement is held to be invalid,illegal or
unenforceable, the validity, legality and enforceability of the remaining
provisions shall not in any way be affected or impaired.
CPR Insurance Group, LLC—Claims Services Agreement Page 4
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k. Headings not Controlling. Headings and titles used in this Agreement are
for reference purposes only and shall not be deemed a part of this
Agreement.
1. Public Information Act. Contractor understands and agrees that the City is a public
entity under the laws of the State of Texas, and as such, is subject to various public
information laws and regulations, including, but not limited to, the Texas Public
Information Act, Chapter 552 of the Texas Government Code (the "Act").
Contractor acknowledges that, under the Act, the following information is subject
to disclosure: 1) all documents and data held by the City, including information
obtained from the Contractor, and 2) information held by the Contractor for or on
behalf of City that relates to the transaction of City's business and to which City has
a right of access.
m. Right to Audit. Contractor agrees that the City shall, until the expiration of three
(3) years after this Agreement, have access to and the right to examine at
reasonable times any directly pertinent books, documents, papers and records of
the Contractor involving transactions relating to this Agreement at no additional
cost to the City. Contractor agrees that the City shall have access during normal
working hours to all necessary Contractor facilities and shall be provided adequate
and appropriate work space in order to conduct audits in compliance with the
provisions of this section. The City shall give Contractor not less than 10 days
written notice of any intended audits.
n. Insurance.
A. The Contractor shall carry the following insurance coverage with a company
that is licensed to do business in Texas or otherwise approved by the City:
B. General Insurance Requirements:
1. All applicable policies shall name the City of Fort Worth as an
additional insured thereon, as its interests may appear. The term
City of Fort Worth shall include its employees, officers, officials,
agents, and volunteers in respect to this Agreement.
2. The workers' compensation policy shall include a Waiver of
Subrogation (Right of Recovery) in favor of the City of Fort Worth.
3. A minimum of Thirty (30) days' notice of cancellation or reduction
in limits of coverage shall be provided to the City. Ten (10) days'
notice shall be acceptable in the event of non-payment of
premium. Notice shall be sent to the Risk Manager, City of Fort
Worth, 1000 Throckmorton, Fort Worth, Texas 76102, with copies
to the City Attorney at the same address.
4. The insurers for all policies must be licensed and/or approved to do
business in the State of Texas. All insurers must have a minimum
CPR Insurance Group, LLC—Cloims Services Agreement Page 5
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rating of A- VII in the current A.M. Best Key Rating Guide, or have
reasonably equivalent financial strength and solvency to the
satisfaction of Risk Management. If the rating is below that
required,written approval of Risk Management is required.
S. Any failure on the part of the Contractor to request required
insurance documentation shall not constitute a waiver of the
insurance requirement.
6. Certificates of Insurance evidencing that the Contractor has
obtained all required insurance shall be delivered to and approved
by the City's Risk Management Division prior to execution of this
Agreement. A copy of the policy and certificates is also attached
hereto as Exhibit C and incorporated herein by reference.
IN WITNESS WHEREOF,this Agreement is executed by the Parties on the 181h
day of April, 2016.
CITY OF FORT WORTH: CONTRACTOR:
1;y: Susan Alanis by: Les Titus
Assistant City Manager President
Approved as to Form and Legality: ATTEST:
Fop
Guillermo (Will) S. Trevino Mary J. je7 0� 0000
Assistant City Attorney City Secretary U$
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NO M&C REQUIRED o '
NO 1295 FORM REQUIRED '
CPR Insurance Group, LLC—Claims Services Agreement OFFICIAL RECORDCITY SECRETAifff6
FT.WORTH,TX
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EXHIBIT A
OUR SERVICES AND COMMITMENT
Our Services
L;;� 24 Hour Claims Reporting
L;;� In-House Claims Administration
L;;� Immediate Resolution of Bodily Injury Claims and Property Damage Claims
L;;� Payment of BI and PD Losses on-site while meeting with loss participants
L;;� Vehicle Appraisals(Personal Auto,Trucks,Tractor Trailer Rigs,and Heavy Equipment)
L;;� Property Appraisals-XACT ware Software
b Emergency Response Team for Catastrophic Losses
L;;� Claim Investigations(Fraud Claims Agreement with G4S)
L;;� Mediation and Trial Representation
L;;� Claims Technical and Compliance Audits
Scene Investigations, Police Reports,Witness Statements
Vehicle Salvage Agreement with COPART Auto Auction
National Subrogation Agreement with SDI Subrogation Division
National Network of Independent Adjuster to support our needs
Our Commitment
cy Professional and Ethical claims handling(treating your loss participants with respect and dignity)
cy Acknowledgement of new assignments within one hour of notification
Contact with loss participants within 24 hours of receipt of assignment
A* Settlement of Property Damage Claims(including full appraisal)within 3 days of assignment
A* Settlement of Heavy Equipment Damage Claims(including full appraisal) within 5 days of assignment
cy Attempt a successful resolution of Bodily Injury Claims within 5 days of assignment
Straight forward billing with no drive time charges
CPR Insurance Group, LLC—Claims Services Agreement Page 7
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FIELD SERVICES AND OUTSIDE
INVESTIGATIONS AUTO CLAIMS
Outside Field Investigations will be billed at the following Time&Expense Rates Plus all
Miscellaneous Costs. CPR will obtain approval for outside field investigation services from City
of Fort Worth prior to sending an adjuster with the exception of emergency or after-hour claims.
TIME& EXPENSE RATES:
Claims Examiner 1 $
75.00
Claims Examiner II $
80.00
Claims Examiner III $
85.00
ALAE Services
Description Fee
Private Auto Appraisal $ 110.00
Heavy Equipment Appraisal $80/hr
Total Loss Workup $ 30.00
Rapid Response Settlement-Successful $ 500.00
Rapid Response Settlement-Unsuccessful $ 150.00
Recorded Statement-English $ 100.00
Recorded Statement-Spanish $ 125.00
Transcribed Recorded Statement $ 80.00
Scene Investigation $80/hr
Property Claims $ 80./hr
Mediation and Trial Representation $80/hr
All Other Outside Claim Adjusting Services hourly per schedule above
CPR Insurance Group,LLC—Claims Services Agreement Page 8
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Property CAT Schedule
Full Cost of Repairs
$0 - $1,000 $265.00 ***
$1,001 - $2,500 $305.00
$2,501 - $5,000 $355.00
$5,001 - $7,500 $420.00
$7,501 - $10,000 $485.00
$10,001 - $15,000 $550.00
$15,001 - $20,000 $640.00
$20,001 - $25,000 $705.00
$25,001 - $30,000 $770.00
$30,001 - $35,000 $835.00
$35,001 - $40,000 $1,000.00
$40,001 - $50,000 $1,210.00
$50,001 - $75,000 $1,320.00
$75,001 - $100,000 $1,680.00
$100,001 - $150,000 $2,425.00
$150,001 - $200,000 $2,995.00
$200,001 - $300,000 $3,525.00
$300,001 - $500,000 $4,410.00
- Over 1.0%of Gross Loss,
$500,001 with minimum of
$5,000.00
CPR Insurance Group,LLC-Claims Services Agreement Page 9
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Standard Work Product
• Agreed Estimate of Damages • Contents Inventory
• Coverage Application • Recommended Adjustment
• Diagram • Valuation (where required)
• Photos of Damage&Risk • Salvage&Subrogation Comments
• Adjuster's Report
CPR Insurance Group, LLC—Claims Services Agreement Page 10
CPRIN-1 OP ID:SJ
ACOR®� DATE(MMIDD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 0411812016
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(les)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 CONTACTNAME; Sara Piro
Moreman,Moore A Company,Inc. H0
820 Jordan Street,Suite 400 .318-227-0873 arc No):31824-0449
c No E
Shreveport,LA 71101 ADDRESS:Jeff Zeagler ss:s iro moremanmoore.com
INSURER(S)AFFORDING COVERAGE NAIL
INSURER A:CNA Insurance Com panies
INSURED CPR Insurance Group,LLC INSURER B:
Suite 365 INSURER C:
600 E.John Carpenter Freeway
Irving,TX 75062 INSURER D:
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.
1514 POLICY EFF POLICY EXF
LM7R TYPE OF INSURANCElim Ana, POLICY NUMBER M MMIDOIYYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE f 1,000,00
CLAIMS-MADE X OCCUR X X 5094626357 09/2612015 09126/2016 PREMISES Ee occurrence f 300,00
MED EXP(Any one person) f 10,0
PERSONAL&ADV INJURY f 1.000,00
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE f 2,000,00
X POLICY❑ FILOC PRODUCTS-COMP/OP AGG f 2,000,00
OTHER: S
AUTOMOBILE LIABILITYEs accident ING LIMI f 1,000,00
A ANY AUTO X X 5094827689 1111512015 09126/2016 BODILY INJURY(Per person) $
ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
X HIRED AUTOS X NON-OWNED PROPERTY
OPE Y AMAG S
AUTOS Par accident
$
X UMBRELLA LIAR OCCUR EACH OCCURRENCE S 5,000,00
A EXCESS LJAB HCLAIMS-MADE X X 5092212109 09/26/2015 09/26/2016 AGGREGATE s 5,000,00
DED RETENTIONS 10000 f
X
WORKERS COMPENSATION X STATUTE ER
AND EMPLOYERS'LIABILITY
A ANY ICEIOPRI�R TNp�CUTIVE Y� NIA X 0594627640 09/26/2015 09126/2016 E.L.EACH ACCIDENT $ 1,000,00
(Mandatory In NH) E DISEASE-EA EMPLOYEE S 1,000,00
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT f 1,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks SO 9,may be attached F mon space Is required)
30 DAY NOTICE OF CANCELLATION EXCEPT FOR NON PAYMENT OF PREMIUM.
CERTIFICATE HOLDER CANCELLATION
CITYFO4
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CITY OF FORT WORTH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
RISK MANAGER
1000 THROCKMORTON AUTHORIZED REPRESENTATIVE
FORT WORTH,TX 76102
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD