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Contract 48976-R2
CSC No. IZ2 ApR-8 2019 {mNgr 91ZA1� FoRTWORTH. CITY OF FORT WORTH REQUEST TO EXERCISE RENEWAL OPTION March 25,2019 Goodwill Industries of Fort Worth Attn: David Cox, President and CEO PO Box 15520 Fort Worth,Texas 76119 Re: REQUEST TO EXERCISE RENEWAL OPTION Attended Donation Center Services Contract No. CSC No.48976(the`Contract") Renewal Term No.#2:March 30, 2019 to March 29,2020 The above referenced Contract will expire on March 29,2019. 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.48976 for an additional one year period,which will begin immediately upon the expiration of the current term and will end on March 29,2019. All other terms and conditions of CSC No.48976 remain unchanged. Please return your signed agreement letter, along with a copy of your current Insurance certificate,to the address set forth below. Final approval of a new purchase order is dependent on fund availability. If approved, a new purchase order will be e-mailed to you. Please note that the former supplier site, BuySpeed Online, will no longer be available for use.The City of Fort Worth has Implemented a new system for procurements of goods and services.This will include bidding and direct purchases of goods and services. Business partners will able to access their City-related business information through the City's new PeopleSoft Supplier portal. To access your information in the new system, businesses need to register as a*User"using the link provided below. hops://supplier.fork 2ifhtexas.7o&ggfnnni/SUPPLIER/ERP/h✓NU! FRAMEWORK.PT LANDINGPAGE.GBL?& You will need the following to complete registration: Your Vendor number: XXXX and your company's TIN identification number. **In the description field please put the position you hold within your company. EX:owner,office manager,accounts payable.** If you have any questions concerning this correspondence,please call 817-392-5385.Thank you for your prompt attention and for your continued interest in doing business with the City of Fort Worth. Sincerely yours, Carola Scharlach,Sr.Administrative Assistant Code Compliance Administration 818 Missouri Ave. Fort Worth,TX 76104 OFFICIAL RECORD CITY SECRETARY FT. WORTH,TX C5C No. as,renew this contract for a one year period ending on March 29, 2020. _No, do not renew this contract. By: � �`� (/o _aeP�P� Date: �+ 2 ~ �6 Printed Name and Title RT'w Executed on the day of rl ,2018. OF 0 'v CITY OF 'FORT WORTH: ATTEST: By: ' 1 By: f iIr Valerie Washington Mary Ka AS r ' Assistant City Manager City Secre ary Date: *4 Il q APPRO AL E MM ED: By: Brand—on Ben Director-C460E Compliance Date: 4— 1--I 1 APPROVED AS TO FORM AND LEGALITY: By: L��—z A Christa Re Sr.Assistant Ci y Contract Authorization: / M&C: P-12014 1295 Certification Contract Compliance Manager: By signing I acknowledge that 1 am the person responsible for the monitoring and administration of this contract, including ensurgall performa�nceb reporting requirements. German Vazquez Superintendent- of Compli e OFFICIAL RECORD CITY SECIU ARY_ Fr', wdR-i H, TX DATE(MM/DDIYYYY) AC Ro® CERTIFICATE OF LIABILITY INSURANCE 16.� O1/02/2019 - F 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 CONTACT Laura Plemons Roach Howard Smith & Barton - Fort Worth NAME: 1320 S University Dr, Suite 1000 (AIC,N Ext: (817) 332-1313 x130 AC No) (817) 332-2956 E-MAIL 1plemons@rhsb.com ADDRESS: Fort Worth TX 76107 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Philadelphia Indemnity 18058 INSURED (817) 335-4610 INSURER B:Texas Mutual Ins CO 22995 Goodwill Industries of Ft. Worth INSURER C: P.O. Box 15520 INSURERD: Fort Worth TX 76119 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:Cert ID 43491 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. INTR ADDL SUER POLICPOLICY NUMBER MM/DDY EFF POLICMM/DDY EXP LIMITS TYPE OF INSURANCE A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMA CLAIMS-MADE � OCCUR PHPK1919865 01/01/2019 01/01/2020 GE (Ea RENTED PREMISE I occurrence $ 100,000 MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY ECTPRO- [7 LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 A X ANY AUTO PHPK1919865 01/01/2019 01/01/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAB X OCCUR PHUB658372 01/01/2019 01/01/2020 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED I X I RETENTION$ 10,000 $ WORKERER 101RTH- B AND YERS'LSAILITTION YIN TSF0001192433 07/01/2018 07/01/2019 X STATUTE EE AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/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) COMPLETE NAMED INSURED: Goodwill Industries of Fort Worth, Inc., Goodwill Industrial Services of Fort Worth, Inc. , Goodwill Industries of Fort Worth Foundation, Inc. and Goodwill Industries of Fort Worth DBA The Garden Room. The general policy includes a blanket automatic additional insured endorsement/provision that provides additional insured status to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The general and auto liability policies include a blanket automatic waiver of subrogation endorsement/provision that provides this feature only when there is a written contract between the named insured and the CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Worth ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Cristina Camarillo 200 Texas Street AUTHORIZED REPRESENTATIVE Fort Worth TX 76102 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DESCRIPTION OF OPERATIONS SECTION CONTINUED DATE 01/02/2019 CERTIFICATE HOLDER: INSURED: City of Fort Worth Goodwill Industries of Ft. Worth Attn: Cristina Camarillo 200 Texas Street P.O. Box 15520 Fort Worth TX 76119 Fort Worth TX 76102 DESCRIPTION OF OPERATIONS CONTINUED: certificate holder that requires it. DOC(10/2003)