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HomeMy WebLinkAboutContract 49504-R1 DocuSign Envelope ID:C13B6CBA-19A3-4C6F-B62F-EB679BC9ED42 X CITY SECRETARY RECEIVEb CONTRACT NO. AUG �q 2018 CITY OF FORT WORTH REQUEST TO EXERCISE RENEWAL OPTION C"FORTWORTH C17YSECRETARY City Secretary Contract No.49504 July 31, 2018 Pictometry International Corp. Corporate Vice President: Brian Brockmann 25 Methodist Hill Drive Rochester,NY 14623 OFFICIAL RECORD Re: REQUEST TO EXERCISE RENEWAL OPTION CITY SECRETARY CSC No. 49504(the"Contract") Renewal Term August 22,2018 through August 21,2019 •WORTH9 TX The above referenced Contract expires on August 22,2018. Pursuant to the Contract,renewals are at the mutual agreement of the parties.This letter is to inform you that the City requests renewal of CSC No. 49504 for an additional one year period,which would include the products,prices,and payment terms as described in the Contract and will begin immediately upon the expiration of the current term and will end on August 21,2019. All other terms and conditions of CSC 49504 remain unchanged. Please return your signed agreement letter,along with a copy of your current insurance certificate, to the address set forth below. Please log onto BuySpeed Online at htt_ps://bso.fortworthtexas.gov/bso/to ensure that yourcompany information is correct and up-to-date. If you have any questions concerning this Request for Contract Renewal,please contact me. Sincerely yours, Mailing Address: City of Fort Worth Regina Jones IT Finance—Regina Jones Administrative Technician 200 Texas Street Regi`na.jones@fortworthtexas.gov Fort Worth,TX 76102 817-392-6049 I hereby acknowledge receipt of the Contract Renewal Notice for CSC No. 49504 for a one year period ending on August 21, 2019. By: Date: 8/3/2018 DOCUSigned by:, e•.,••.. •.O Y/?n.G�r� �20G�G►wG�N.w �: ��'� §jVffM f#0FF1419... CITY OF FORT WORTH: A ES Sus anis, Assistant City Manager �ftary/j.Kayser, City Secreta Date: <31 1!, M&C(if required)N/A Approved Date: N/A Pictometry International Corp. REQUEST TO EXERCISE RENEWAL OPTION CSC No.49504(the"Contract") 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. "�z zi�j. g'/ �g Steve Streiffert Assistant Director, IT Solutions Department OFFICIAL RECO" CITY SECRETARY " RT , T)( DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE �..► 6/20/2019 8/3/2018 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(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). CONTACT PRODUCER Lockton Insurance Brokers,LLC NAME: CA License#0F1 5767 PHONE FAX Three Embarcadero Center,Suite 600 E-MA Lo Ext: AIC No San Francisco CA 94111 ADDRESS: (415)568-4000 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Great Northern Insurance Company 20303 INSURED EagleView Technology Corporation INSURER B:Federal Insurance Company 20281 1381590 Eagle View Technologies,Inc. INSURER C:Chubb Indemnity Insurance Company 12777 Pictometry International Corp. 25 Methodist Hill Drive INSURER D: Rochester NY 14623 INSURER E: INSURER F: COVERAGES PICTO-1 CERTIFICATE NUMBER: 15530382 REVISION NUMBER: XXXXXXX 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 ADDLSUBTYPE OF INSURANCE INSO WVD POLICY NUMBER MOL DY EFF MM/DDPOLICY EXP LTR LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,00 000 A X N N 3589-3989 6/20/2018 6/20/2019 CLAIMS-MADE 7 OCCUR 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 PI POLICY� E� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: B AUTOMOBILE LIABILITY N 9947 34-77 6/20/2018 6/20/2019 COMBINED SINGLE LIMIT $ Ea accident 1 000 000 11 X ANY AUTO BODILY INJURY(Per person) $ XXXX� OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XXXXX� � X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident XXXXXXX $ XXXXXXX UMBRELLA LIAR OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX DED I I RETENTION$ $ XXXXXXX WORKERS COMPENSATION C AND EMPLOYERS'LIABILITY Y/N N 7175-05-10 6/20/2018 6/20/2019 X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 1,000,000 (Mandatory ory In NH)EXCLUDED? 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) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION 15530382 City of Fort Worth SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 200 Texas Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Worth TX 76102 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRASENTATIVE I ©1988-2015 ACORD CORPORATI . All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD