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HomeMy WebLinkAboutContract 46710-R3 X34 56 789 CSC No. ♦��,� �p1� CITY OF FORT WORTH a �Ci ,h �oQy REQUEST TO EXERCISE RENEWAL OPTION .e' April O is QQv 'merit Resources px'1642 Keller,TX 76244 Re: REQUEST TO EXERCISE RENEWAL OPTION Training and Executive Search Agreement Contract No.CSC No.46710409 (the"Contract') Renewal Term No.2:June 2,2018 to June 1,2019 2ald C� The above referenced Contract will expire on June 1,2g4-7.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.46710 413 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.46710-_W*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 http://fortworthtexas.gov/purchasing to insure that your company information is correct and up-to-date. If you have any questions concerning this Request for Contract Renewal,please contact me at the telephone number listed below. Sincerely yours, Irene Jasoni,Administrative Assistant Performance&Budget Division 817-392-27767-Direct 817-392-2440-Fax I hereby acknowledge receipt of the contract Renewal Notice for CSC No. 467104,11-for a one year period ending on June 1, 2019. By: CRvw 5PVK! eb D bate: le PrintecJ Name and Title e-f ORT Signature _�• ' `. U '_ CITY OF FORT WORTH: A TE � ssnianis/�++Assistant City Manager �ary/j. Kayser, City Secret A �rnanolo tasty Date: Co/*A3 M&C No. N/A APPROVED AS TO FORM AND LEGALITY: OFFICIAL RECORD CITY SECRETARY CITY ATTO NEY FT-WORTH,TX CSC No. Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Name of Employee 'SII L T) hA MCA/ Title FOVIFICIAILL RECORD RETARYRTH7 TX DATE(1100111oorrWY) ACVR& CERTIFICATE OF LIABILITY INSURANCE ou23r2o1e 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: N the certificate holder Is an ADDITIONAL INSURED,the pollcy(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 statemaft on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: M Stella Burrows AR SeheO d Son Agerwy Inc PHONE 2,, (972)423x1548 (972)423-35157 1001 East 15th SOW tlW100 ADDREa: sburtows40sche0insurance.e0m INS AFFORDING COVERAGE IUUC 0 Ph= TX 75074 INSURER A: Foremost Signature InINNU 0e CO. 41513 INSURED INSuR6t s• United States Liability Ins.Co lTO"+rwna t Resources kLC. INSURER C: P O BOX 1642 INSURER D INSURER E Kelp TX 76244 WSURER F: COVERAGES CERTIFICATE NUMBER: CLI71128WO80 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. NOTVWHSTANDIMG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WOCH 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. POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER Lam X CeruMRCIAL GENERAL LN°0m EACH OCCURRENCE s 2.000.000 cuuMS Mw 90=1S 1,000,000 MEDEXP ons S 10.000 A PASOOSISS699 12/01/2017 12101/2018 PELeiOWLAAOVINJURY s 2,000,000 OEN1 AGGREGATE LUT APPUEs PER GENERAL AGGREGATE S 4.000,000 X PCxNCWr❑� ❑LAC PRODUCTS-COMP/OP AM S 4.000.000 19 OTHER I s AUTOMOBILE LUtaI ITYLaw S 1,000,000 n ANYAM BODILY IN.RIRY(P.r Pwwn► S AAUTO$ONLY OWNED SCHEDULED PAS008 f 58899 12101/2017 12/01/2018 Boozer INJURY per rotldNnO s X AIrfOS ONLY x AUTOSY014 S s Umapin A Me OCCUR EACH OCCURRENCE S 1.000.000 AlIICMLIAM CLAWS-MADE PASOOSISM99 12101/2017 1210112018 AGGREGATE s DEo I I RETENTm s IS WOII{ERS COUPENSATION AND wa%OYERw U"IU7Y Y N N Min I I R ANYFF CME 0PNETORrEXCLUDEDT'ARTNDWt*'?fECUT1VE ❑ NIA EL EACH ACCIDENT S yw EL DISEASE-EA EMPLOYEE S DESCRIPTION OF OPERATIONS EL DISEASE-POLICY LUT S p $1.000.000 PON•Cbbn Dad$5000 B SPISS4503A 10/1812017 10/1802018 $1,000,000 AgWggWe DESCW PTION OF OPERATIONS N LOCATIONs N VEIDCI.ES(&CORD 101,AddMoml Remrw Sdodub.Trey M MbeMd B nw*$Pow b wPdNod) CNy cf Fort VVtfrlh,TX is added as Additional Insured for the General Liability policy as squired by wrillix corLtralx CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLIMS BE CANCELLED BEFORE THE EXPOAUM DATE THEREOF,NOTICE 1MLL W DELIVERED IN Cky of FOR Vfto ACCORDANCE WITH THE POLICY PROVISKMIl. 1000 Th*dmwROn SL AUTNOIIZED REPRESENTATRIE FORW=i TX 76102 'AMOK O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(201W3) The ACORD name and logo are registered marks of ACORD ACC> ffi CERTIFICATE OF LIABILITY INSURANCE DATE25/20/YYYY) t�f" Acct#: 2326439 4/2512018 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 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 CONTACT 888$28365 Lockton Companies,LLC NAME:PHONE FAX E-MAIL 5847 San Felipe,Suite 320 a Ne xt E : A/c No): Houston,TX 77057 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Indemnity Insurance Co.of North America 43575 INSURED INSURERS: Insperity,Inc.UC/F STRATEGIC GOVERNMENT RESOURCES,INC. INSURER C 19001 Crescent Springs Drive Kingwood,TX 77339 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. INSR TYPE OF INSURANCE ADDL SUBR POLICPOLICY NUMBER MM/DDY EFF POLICY EXP MIDDLIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ MAE To CLAIMS-MADE FIOCCUR PREMISES Ea occuErrence $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JRO- POLICY❑PRO ❑LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNEDPROPERTY DAMAGE $ per HIRED AUTOS AUTOS accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATIONY/N PER OTH- AND EMPLOYERS'LIABILITY X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? N/A X 064659741 10/1/2017 10/1/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1 000 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addttlonal Remarks Schedule,may be attached H more apace Is required) Contract#46710-23 WAIVER OF SUBROGATION IN FAVOR OF City of Fort Worth WHEN REQUIRED BY WRITTEN CONTRACT. ALL STATES EXCEPT OH,ND,WY AND WA 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 AUTHORIZED REPRESENTATIVE IRENE JASONI FOR WORTHM X TON 7610 �!}� FORT WORTH,TX 76102 ©1gBB-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Workers'Compensation and Employers'Liability Policy Named Insured Endorsement Number Insperity,INC.L/C/F STRATEGIC GOVERNMENT RESOURCES,INC. Policy Number 19001 Crescent Springs Drive Symbol:RWC Number:C64659741 Kingwood,TX 77339 Policy Period Effective Date of Endorsement 10/1/2017 TO 10/1/2018 4/25/2018 Issued By(Name of Insurance Company) Indemnity Insurance Co.of North America Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule,where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.The premium for this endorsement is shown in the Schedule. Schedule 1. (X) Specific Waiver Name of person or organization: City of Fort Worth 1000 Throckmorton Fort Worth,TX 76102 ( ) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: Contract#46710-R3 3. Premium: The premium charge for this endorsement shall be INCLUDED percent of the premium developed on payroll in connection with work performed for the above person(s)or organization(s)arising out of the operations described. 4. Advance Premium: INCLUDED Authorized Representative WC 42 03 048(06/14) 0 Copyright 2014 National Council on Compensation Insurance,Inc. All Rights Reserved.