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HomeMy WebLinkAboutContract 50036-R1 Q 1 2 3 4 s6, CSC No. Soo 3 -(Z 1 CP .� RECEIVED o JUN -1 2018 _0 CITY OF FORT WORTH a' ply p��pRT WORYH -+ CONTRACT RENEWAL NOTICE � CINSEpRETARY �,�` 21, 2018 Mr.Phillip J.Masters Chief Financial Officer DA {1rT,4 h/!A T6 L, 1 N 840 F Avenue, Suite 100 Plano,TX 75074 Email:nmastersCadatamatic.com Phone#214-540-5060 Re: REQUEST TO EXERCISE RENEWAL OPTION Professional Services Agreement Contract No.CSC No. 50036(the"Contract") Renewal Term No. 1: October 1,2018 to September 30,2019 The above referenced Contract will expire on September 30,2018.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. 50036 for an additional one year period, which will begin immediately upon the expiration of the current term and will end on September 30, 2019. All other terms and conditions of CSC No. 50036 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 htW://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, FMS,Purchasing Division 817-392-8355—Direct 817-392-8440—Fax I hereby acknowledge receipt of the Contract Renewal Notice for CSC No. 50036 for a one year period ending on September 30,2019 By: LL,P J. MJNSfj---A5 C l-h Lf Date: F'�A`jt 2l V1 Prina and Title OA Signature Mr- CITY OF OF FORT WO TH: Q� ••Ivy TEST: Jesus Jesus`Jay"CChha'pa,Assistant City Manager �) A �* ary J. a , m y cretary Date: '..J' M&C No. A 'LSCA RECOMMENDED BY: N OFFICIAL RECORD Christopher Harder,Interim Water Director CITY SECRETARY Date: FT.WORTH,TX CSC No. APPROVED AS TO FORM AND LEGALITY: By: Lt 1 L Christy pez-Reyn s Sr. Assistant City Attorney Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract,including ensuring all Derformance and reporting requirements. Ed ci ,Water Systems Superintendent Date: 3 OFFICIAL RECORD CITY SECRETARY SFT.WORTH9 TX ACRD® DATE(MM/DD18 CERTIFICATE OF LIABILITY INSURANCE 2/8/2018 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 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). PRODUCER COME: JoAnne BrIOWNTACT a NA Frost Insurance Agency, Inc. FAX PHONE PO BOX 225749 ,214-515A139 A/C No):214-515-4199 Dallas TX 75222 AD RIESS: barlow frostinsurance.com INSURERS AFFORDING COVERAGE NAIC N INSURER A:Travelers Indemnity Co of AM 25666 INSURED DATAM-3 INSURER B:Charter flak Fire Insurance Company 25615 Communications Leasing Corporation INSURER Datamatic,Inc, suRER c:Travelers Indemnity of C7 25682 840 F Avenue, Suite 100 INSURER D Piano TX 75074 INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER:1521709395 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 ADD SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR LIMITS A X COMMERCIAL GENERAL LIABILITY ZLP15SI6590 2/1112018 21112019 EACH OCCURRENCE $1,000,00_0 CLAIMS-MADE I OCCUR DAMAGE TO REoNTur encs $300,000 MED EXP(Any one person $10,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000.000 POLICY F_� PROJEC7 F_� LOC PRODUCTS-COMPtOP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY BA3E224955 2/11/2018 2111/2019 COMBINED SINGLE LIMIT "I 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) C X UMBRELLA LIAB X OCCUR ZUPISS16633 2/1112018 2111;2019 EACH OCCURRENCE $5,000.000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X I RETENTION$ $ A WORKERS COMPENSATION U8217446562-17 2/11/2018 2/11/2019 X I PER OTH- AND EMPLOYERS'LIABILITY YIN TAT TE ER ANYPROPRIETOR/PARTNER/EXECU I IVE E.L.EACH ACCIDENT $1;000,000 OFFICER/MEMBEREXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The General Liability and Auto Liability policies include a blanket automatic additonal insured provision that provides additional insured coverage when there is a written contract between the certificate holder and the named insured requiring such status. The General Liability,Auto and Workers Compensation policies include a blanket automatic waiver of subrogation endorsement that provides waiver of subrogation coverage when there is a written contract between the certificate holder and the named insured requiring such status. 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 Street AUTHORIZED REPRESENTATIVE Fort Worth TX 76102 i ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD