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HomeMy WebLinkAboutContract 51028-R1 CSC No. 5(M-Rl R�cFi��D CITY OF FORT WORTH CrTys ,oR CONTRACT RENEWAL NOTICE Ayy 5/22/2019 DRONESENSE,INC. Attn: Christopher Eyhom,. 2600 Via Fortuna Dr. Suite 340 Austin, TX 78746 Re: Contract Renewal Notice Contract No. CSC No. 51028 (the"Contract") Renewal Term No. 1: July 18, 2019 to July 17,2020 The above referenced Contract with the City of Fort Worth expires on July 17, 2019 (the "Expiration Date"). 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 the Contract for an additional one (1) year period, which will begin immediately after the Expiration Date. All other terms and conditions of the Contract 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 Contract Renewal Notice. Failure to provide a signed acknowledgment does not affect the renewal. Please log onto PeopleSoft Purchasing at http://fortworthtexas.-c4ov/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, Vickie L. Anderson Administrative Technician 200 Texas Street Fort Worth, TX 76102 Vickie.Anderson(c),fortworthtexas.g_ov 817-392-2788 OFF6CIAL RECORD CITY SECRETAR`� Contract Renewal FT.WOtZe f CSC No. ACCEPTED AND AGREED: CITY OF FORT WORTH CONTRACT COMPLIANCE MANAGER By signing I acknowledge that I am the - person responsible for the monitoring and administration of this contract,including By: ensuring all performance and reporting Name: Susan anis 3` 1 4) requirements. Title: Assistant City Manager I By: �. APPROVAL RECOMMENDED: Name: Steve StreiYfeft Title: Assistant Director,IT Solutions APPROVED AS TO FORM AND By: LEGALITY: Name: Title: ATTEST: By: Name: Jo n B. Strong Title: Assistant Ci Attorney By: CONTRACT AUTHORIZATION: Name: er ; �,P M&C: N/A Title: City Secr _ary : . . Date Approved: N/A 1# �.. w �- m ,orm 1295 Certification No.: U ' N/A DRONESENSE, INC. By: L " C:y/ Name: Cl•,r.1 Eje,,r, Title: CEo OFFICIAL RECORD CITY SECRETARY Contract Renewal e 2 78/1/2018 E(MM/DD/YYYY) A 1 " CERTIFICATE OF LIABILITY INSURANCE 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 NAME: Cheryl Webb Higginbotham Insurance Agency, Inc. PHONE FAx 1221 S. Mopac Expy, Suite 160 I A Lo Ext: 512-457-4000 A/c No:512-472-8888 Austin TX 78746 ADDRESS: genmail@higginbotham.net INSURERS AFFORDING COVERAGE NAIC# INSURERA:Certain Underwriters @ Lloyds 15792 INSURED DRONE INSURER B: DroneSense, Inc. 2600 Via Fortuna Dr., Suite 340 INSURERC: Austin TX 78746 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1780402444 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. INSPOLICY LTR R TYPE OF INSURANCE INSD SUER POLICY NUMBER MM DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY B0621PDRON000318 8/1/2018 8/1/2019 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED X CLAIMS-MADE 7 OCCUR PREMISES(Ea occurrence) $ X 5,000 DED MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $See Below POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $ JECT OTHER, $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE ERH ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/M EMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SHARED Aggregate Limit(all coverages)$4,000,000 Professional Liability$2,000,000 Per Claim;Technology Based Services$2,000,000 Per Claim;Technology Products$2,000,000 Per Claim;Computer Network Security$2,000,000 Per Claim; Personal and Advertising Injury$2,000,000 Per Claim. Deductible$5,000 Per Claim,All Coverages Retroactive Date 8/01/2018 The General Liability policy includes an additional insured endorsement that provides additional insured status to the certificate holder only when there is a See Attached... 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: Risk Manager 1000 Throckmorton AUTHORIZED REPRESENTATIVE Fort Worth TX 76102 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: DRONE LOC#: A� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Higginbotham Insurance Agency, Inc. DroneSense, Inc. 2600 Via Fortuna Dr„Suite 340 POLICY NUMBER Austin TX 78746 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE written contract between the named insured and the certificate holder that requires such status. The General Liability policy includes an endorsement providing that 30 days notice of cancellation will be furnished to the certificate holder. ACORD 101 (2008101) ©2008ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD