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Home My WebLink AboutContract 52362-R1 CSC No.52362-RI CITY OF FORT WORTH REQUEST TO EXERCISE RENEWAL OPTION GK Techstar August 28, 2019 Attn: Greg Scoggins 802 W 13 St Deer Park,TX 77536 Re: Contract Renewal Notice Contract No.CSC No.52362 Renewal Term No. RI:October 1,2019 to September 30,2020 The above referenced Contract with the City of Fort Worth expires on September 30, 2019. Pursuant to the Contract,contract renewals are atthe mutual agreement ofthe parties.This letter is to inform you that the City is requesting 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. To agree to renew the Contract for an additional one(1)year period, please sign and return this request to exercise renewal option, along with a copy of your current insurance certificate,to the address set forth below. Please log onto PeopleSoft Purchasing at http://fortworthtexas..qov/purchasing to insure that your company information is correct and up-to-date. Ifyou have any questions concerning this Contract Renewal Notice,please contact me at the telephone number listed below. Sincerely, Darla Morales Parts Material Supervisor 817-392-4932 �E�El�/ECI SEP 13 2019 CITYOFFoerw ORTH crfyz, r,y OFFICIAL RECORD C17Y SECRETARY FT 'FORTH,TX 6� Contract Renewal Page I of2 CSC No. 52362-R1 ACCEPTED AND AGREED: CITY OF FORT WORTH CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the personresponsible for the monitoring and administration ofthis contract,including By: _ ensuring all performance and reporting ( Name: Dana Bu10Managfe�r ffrequirements. Title: Assistant By: APPROVAL RECOMMENDED: Name: Darla Morales Title: Parts Material Supervisor /l APPROVED AS TO FORM AND By: C 4 LEGALITY: Name: Chris Harder Title: Water Director l ATTEST: By: Name: Doug Black By: Title: Assistant City Attorney Name:Mary J Kays .;, CONTRACT AUTHORIZATION: y Title: City Secretary °rt:.•••.."' :( M&C: _NIA Date Approved: 1� *'•• -� Form 1295 CertificationNo.: �Y y Y GK Techstar By: JW. Name: r-eq Title: p OFFICIAL RECORD CITY SECRETARY FT. WORTH,TX Contract Renewctl Pctge 2 of2 Workers'Compensation and Employers'Liability Policy Named Insured Endorsement Number Insperity,INC.L/C/F GK TECHSTAR,LLC Policy Number 19001 Crescent Springs Drive Symbol:RWC Number:C65814857 Kingwood,TX 77339 Policy Period Effective Date of Endorsement 10/1/2018 TO 10/1/2019 10/1/2018 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: VILLAGE CREEK WATER RECLAMATION FACILITY 4500 WILMA LANE ARLINGTON,TX 76012 ( ) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 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 WJ Authorized epresentative WC 42 03 048(06/14) c0 Copyright 2014 National Council on Compensation Insurance,Inc. All Rights Reserved. HDI Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon the certificate holder. It does not amend, extend or alter the coverage afforded by the policy listed below. Name and Address of Insured Grieshaber Verwaltungsgesellschaft mbH Hauptstr. 1 -5 D-77709 Wolf ach Additional Named Insured: GK Techstar LLC 802 W 13th Street Deer Park,TX 77536-3166 USA Insurer: HDI Global SE Postfach 51 03 69 30633 Hannover Federal Republic of Germany This is to certify that the insurance policy listed below has been issued to the company or organization named herein as insured and is in force at this time. Regardless of any requirement, contractual agreement or other documentation for which this certificate is being requested or may pertain,the insurance coverage afforded by the captioned policy will be limited to and still subject to its original terms,conditions and exclusions. Type of Insurance: General Liability-comprehensive form-including Premises Operations and Products,/Completed Operations Hazard Coverage for the above Additional Insured is provided as follows: • Coverage for"Difference in Conditions (DIC)" as far as scope coverage of the policy described herein is wider than scope of coverage of the local primary policy, for example Employer's Liability and excess Automobile coverage. • Coverage for"Difference in Limits(DIL)" between the limits of liability of the local primary $ 10.000.000 and the limits of liability of the policy described herein. Policy Number: 39908390 01155 113 Period of insurance: 01.01.2019-01.01.2020. The policy shall be renewed automatically for an additional year, unless cancelled three months prior to the expiration date. Limits of Liability: Bodily Injury and/or Property Damage combined EUR 25.000.000,00 each occurrence EUR 50.000.000,00 aggregate Employer's Liability EUR 5.000.000,00 each occur nce and excess Automobile EUR 5.000.000,00 aggreg coverage IIDI M1o11a1%I Policy Territory: worldwide. D1 �mrtwstr 1 019 stun 10 22 51, $ taltq 'Wand Stuttgart, 17.12.2018 HDI Global SE Rlslkotr4 r HDI:99,9%HDI Global HDI Global SE Handctsre.u d 0196 HDI Haftpflichtverband der Deutschen lndustrie V.a.G: c a V anion cue o www.hdi.global HR Hannover 8 60320 V«stand:Dr Christian Hinsch(Vorsitrendel, USt-ID-Nr DE 219828782 Frank Hailing.Clemens IungsiMfel,Dr.Thomas KuMt o Dr.Edgar Pub,Dr.Stefan Sigulla,Jens Wohlthat o0 0 N O QUOTATION Pages 1 A Quotation Fors City Of Fort Worth Water Quotation#s 2321637 Revision#s 01 Arlington TX Date: 05/23/19 Ph: (017) 392-4906 Fx: Attn: Damein Brocato E-Mails Damein.Brocato®fortworthtexas.gov Ref: MSA Spare Parts Shipping Point Please Address Order To: Delivery: TBD Salesmant Greg Scoggins UK TECHSTAR validity: 30 Days 802 WEST 13TH STREET Termss Net 30 Days DEER PARK TX 77536 If you have any questions please contact our office at (866) 542-0205. 14P. -� i M '} '.;tsi r .,�,'s o 5:(L� ..�� ht.-1�r�- �i rtrt r L - its t ��,1`�] 1'' �F iIJIIa ;_pl*. Tle"i L._._.4��..._L..-..T.C=�tA.' S0 =1:r =4.=y-:_...::::s..r.:�11..rh�i.:I�:J...-..- 1':��.-.�� •�•F! 1 1 5 10089364 I 83.00 415.00 Remote housing PCB 2 2 A-ULTX-SENS-70-6-0 625.00 1,250.00 Spare Sensor, Ultima% Series 70 a Sulfur Dioxide 0-25PPM 6 = GPSS 0 = No Custom Features 3 1 10045269 615.00 615.00 Body Assembly GP 316 SS NPT Quote Totalt 2,280.00 Techstar is pleased to provide you with this quotation in conjunction with Mine Safety Appliances Company; MSA Terms and Conditions shall apply unless otherwise mutually agreed in writing. If you are in need of assistance please contact our Sales team: Phone; (866) 42-0205 By W/ J14� a sen for Greg Scoggins QUOTATION rip Page: 1 Quotation Fort City Of Fort Worth Water Quotationi)t 2317023 Revision$t Arlington TX Date: 02/01/19 Ph: (817) 392-4906 Fxt Attnt Damein Brocato E-Mail: Damein.Brocato@fortworthtexas.gov Raft MSA Sensor Exchange Program FOB: Cranberry Township Please Address Order To; Delivery: 4 Weeks (Standard) Salesmant Greg Scoggino NSA Safety Bales, LLC Validity: 30 Days C/O GK TECHSTAR Termo: Net 30 Days WAC 802 WEST 13TH STREET DEER PARK TX 77536 If you have any questions please Contact our office at (866) 542-0205, ;xG9111 �_:Q�Y=--'___—� --�=--_•=eliz�_iEffiRa-�n�_—__-__:�_^:-.-- �--�:�vkct2'_:P�s�s= 1 20 A-ULTX-SENS-31-1-0 195.00 3,900.00 Spare Sensor, UltimaX Series 31 Combust 0-100t LEL - Natural Gas & H2 1 316 SS (All models except IR) 0 No Custom Features 2 EXCHANGES PER YEAR 10 Sensors per shipment 2 12 A-ULTX-SENS-28-8-0 195.00 2,340.00 Spare Sensor, UltimaX Series 28 = Chlorine 0-10PPM 8 XP Europe - for intrinsic safe barrier 0 No Custom Features 2 EXCHANGES PER YEAR 6 Sensors per shipment 3 10 A-ULTX-SENS-70-6-0 195.00 1,950.00 Spare Sensor, Ultimax series 70 = Sulfur Dioxide 0725PPM 6 GP SS 0 = No Custom Features 2 EXCHANGES PER YEAR 5 Sensors per shipment 4 8 A-ULTX-SENS-16-1-0 195.00 1,560.00 Spare Sensor, UltimaX Series 16 = Hydrogen Sulfide 0-5oPPM 1 316 SS (All models except IR) 0 No Custom Features 2 EXCHANGES PER YEAR 4 Sensors per shipment 5 1 MISCELLANEOUS 250,00 250.00 *��**++**++*• CONTINUED ON PAGN 2 +**�** ****+"*• QUOTATION Page: 2 Quotationgt 2317023 Revision4t Datet 02/01/19 TeEi :. t-==-`:_� =-;__= P:ar•.t -:Ds .ti�ori_>_=':i�'.;__'__ ;: _=:Unt=Rrpa=�T.otaa:=P."tiae_ _ Quote Totals 10,000.00 Techstar is pleased to provide you with this quotation in conjunction with Mine Safety Appliances Cam any) MBA Terms and Conditions shall apply unless otherwise mutually agreed in writing. If you are in need of field service or start-up assistance please contact Heather Barnett for a quotation and/or acheduling at the following: Phone: 866-5412--0220,5 r ' /Email:hbarnett®techstaria.com Byi Nathan Wheen for Greg Wcoggins i I i I ' I