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HomeMy WebLinkAboutContract 47842-R1 CSC No. 1h CITY OF FORT WORTH CONTRACT RENEWAL NOTICE S4 56 ,3 8/14/17 ! NSF ISR LTD 789 N Dixboro Rd Ann Arbor,MI 48105 04 3� Attn:Jeanette Halliday w Email:hallidgan, sf.org Phone:(734)827-3804 Fax:(734)827-7164 8 9 5 b £2 Re: NOTICE OF CONTRACT RENEWAL BioSolids Audit Contract No.CSC No.47842(the"Contract") Renewal Term No.2:June 2,2017 to June 1,2018 The above referenced Contract expire on June 2,2017. 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.47842 for an additional one year period,which will begin immediately upon the expiration of the current term and will end on June 1,2018.All other terms and conditions of CSC No. 47842 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 hU://fortworthtexas.gov/purchasing 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, Darla Morales Village Creek Reclamation and Reuse Division 817-392-4932-Direct 817-3924956-Fax I hereby acknowledge receipt of the Contract Renewal No. 1 Notice for CSC No.47842 for a one year period ending on June 1,2018. By: l.�L�� G1 Date: _ i I Printed Name and Title OR Signature ~ 60. CITY OF RT WOR ATTEST: ?_ Jay Chapa,Assistant/City fManager Mar J.kayfirx9y ecr xACJ Date: �/ J0�`� ` M&C No. None RECOMMENDED BY: OFFICIAL.RECORD :re Pressley CITY SECRETARY As rstance Director,Village Creek FT,WORTH, TX CSC No. Contract Compliance Manager: By signing, I acknowledge that I am the person responsible for the monitoring and administration of the contract, including ensuring all performance and reporting requirements. —�d/a /16VId Name of Employee Title CSC No.4 1 -` Contract Compliance Manager: By signing,I acknowledge that I am the person responsible for the monitoring and administration of the contract, includin nsuring all performance and reporting requirements. Name of Employee LAr 2Gu/�SOr Title OFFICIAL RECORD CITY SECRETARY FT.yyARTH,TX ^' 1 DATE(MM/DD/YYYY) ALCOR® CERTIFICATE OF LIABILITY INSURANCE 7/16/2017 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 have ADDITIONAL INSURED provisions or 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). CT PRODUCER NAMV Amy L.Micallef, CIC, CISR,AIS, LIC,AAI Marsh&McLennan Agency LLC 15415 Middlebelt Road PHONE 734-525-2445 FAX 734-525-1841 Livonia MI 48154-3805 E-MAIL ,amicallef@mma-mi.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Federal Insurance Company 20281 INSURED NSFINTER INSURERB:ACE American Insurance Company 22667 NSF International;NSF International Strategic INSURER C: Registrations,Ltd DBA NSF-ISR Ltd. INSURERD: 789 N, Dixboro Road Ann Arbor MI 48105 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:963713152 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 ADDL POLICY EFF POLICY EXP LIMITS LTR INSD WVO POLICY NUMBER MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY 35854081 7/1/2017 7/1/2018 EACH OCCURRENCE $1,000,000 FX OCCUR DAMAGESI RENTED CLAIMS-MADE PREMISES Ea occurrence $1,000,000 • MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY a JE �LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 73538064 7/1/2017 7/1/2018 Ea accident $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY X AUTOS ONLY Per accident $ X $ A X UMBRELLA LIAB X OCCUR 79853485 7/1/2017 7/1/2018 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION $ A WORKERS COMPENSATION 71722532 7/1/2017 7/1/2018 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETORMARTNER/EXECUTIVE F--1N E.L.EACH ACCIDENT $1,000,600 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Professional Liability G27882067001 7/1/2017 7/1/2018 Limit $15,000,000 Retro Date 01/01/1944 Retention-Non Mass $250,000 Mass/Class Action $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Under the Professional Liability policy Independent Auditors engaged under contract are included as insureds regarding"Professional Services"performed on behalf of the Named Insured per the attached form Insured Amendatory Endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FOR INFORMATION PURPOSES ONLY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN E&O COVERAGE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPR€SENTATIVE OFFICIAL RECORD ©1988-2015 ACORD CORD rved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ���WORTHS '� e Halliday, Jeanette From: Morales, Darla <Darla.Morales@fortworthtexas.gov> Sent: Tuesday,August 15, 2017 9:44 AM To: Halliday,Jeanette Subject: FW: NSF ISR LTD Renewal form Attachments: 20170815081914573.pdf Please sign and send 3 sign hard copies to the address listed below to my attention.To process it faster if you don't mind sending it next day or two day that would be great.And again that you for your patience with this process and myself. Thank you, Darla Morales Parts/Material Supervisor Village Creek Water Reclamation Facility 4500 Wilma Lane Arlington,TX 76012 Tel: (817)392-4932 Cell: (682)402-4623 Fax: (817)392-4956 Darla.Morales@fortworthtexas.gov City of Fort Worth-Working together to build a strong community 1