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HomeMy WebLinkAboutContract 52913-R1 CSC No. 52913-R1 CITY OF FORT WORTH CONTRACT RENEWAL NOTICE September 9, 2020 Industrial Organizational Solutions, Inc. 1520 Kensington Road Oak Brook, IL 60523 Re: NOTICE OF CONTRACT RENEWAL Civil Service Promotional Exam Consultant Contract No. CSC No. 52913 (the "Contract") Renewal Term No. 1: October 10, 2020 to October 9, 2021 The above referenced Contract will expire on October 10, 2020. 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. 52913 for an additional one year period, which will be effective as of October 10, 2020 and will end on October 9, 2021. All other terms and conditions of CSC No. 52913 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 PeopleSoft Purchasing at http://fortworthtexas.szov/purchasinsz 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 yours, Cristina Macias Administrative Assistant Human Resources Department 817-392-7511 OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX 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 ensuring all performance and By: P .o===w , reporting requirements. Name: Jesus J. Chapa Title: Deputy City Manager By: Name: Harold Cates APPROVAL RECOMMENDED: Title: Manager of Human Resources APPROVED AS TO FORM AND LEGALITY: By: r Name: Nathan Gregory Title: Interim Director of Human Resources By: Name: JB Strong ATTEST: Title: Assistant City Attorney ga440p�Il� ppF FoRr 4z 2 pgA.o ° °°oo��� CONTRACT AUTHORIZATION: ��/" U � , oo M&C: C-52913 By: ova o°°° °o 4" Date Approved: October 10, 2019 Name: Mary Kayser a ezp°b p Qa r sap Title: City Secretary Industrial Organizational Solutions, Inc. By: ja e d Name: Chad C. Le el Title: President/CEO OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX `4 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY) 09/09/20 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 endorsements . PRODUCER CONTACT Aon Risk Services,Inc of Florida NAME: Aon Risk Services,Inc of FIDrida 1001 Brickell Bay Drive,Suite#1100 PHONE FAX Miami,FL 33131-4937 A/C,No,Ext:800-743-8130 A/C,No):800-522-7514 EMAIL ADDRESS: ADP.COI.Center Aon.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: New Hampshire Ins Co 23841 INSURED INSURER B: ADP TotalSource FL XXIX,Inc. 10200 Sunset Drive INSURER C: Miami,FL 33173 ALTERNATE EMPLOYER INSURER D: IndustriallOrganizational Solutions,Inc. INSURER E: 1520 Kensington Road Suite 110 Oakbrook,IL 60523 INSURER F: COVERAGES CERTIFICATE NUMBER:2866542 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. LIMITS SHOWN ARE AS REQUESTED. INS TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MMIDD/YYY MM/DD/YYYY MERCIAL GENERAL LIABILITY EACH OCCURRENCE $ RENTED COM DAMAGE T CLAIMS-MADE ❑ OCCUR PREMISESOEa occurrrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ POLICY F7 PROJECT LOC PRODUCTS-COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY Ea accc dents NGLE L M T $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEC I I RETENTION$ WORKERS COMPENSATION X PER OTH- A AND EMPLOYERS'LIABILITY Y/N WC 027115080 TX 07/01/20 07/01/21 STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 71 N/A E.L.EACH ACCIDENT $ 2,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) All worksite employees working for INDUSTRIAL/ORGANIZATIONAL SOLUTIONS,INC.,paid under ADP TOTALSOURCE,INC.'s payroll,are covered under the above stated policy. INDUSTRIAL/ORGANIZATIONAL SOLUTIONS,INC.is an alternate employer under this policy. CERTIFICATE HOLDER CANCELLATION 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 REPRESENTATIVE 1 II1 Qac of ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 77/2/2020 E(MMIDDIYYYY) ° 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: CSU Chicago HUB International Midwest Limited PHONE FAX 55 East Jackson Boulevard (Al., A/C No Ext: 312-922-5000 A. No): Chicago IL 60604 ADDRESS: csuchicago@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Hanover Insurance Company 22292 INSURED INDUSOL-01 INSURERB: Philadelphia Indemnity Insurance Company 18058 Industrial/Organizational Solutions, Inc. 1520 Kensington Road, Suite 110 INSURERC:Allmerica Financial Benefit Insurance Company 41840 Oak Brook IL 60523 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1309262233 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 ADDTYPE OF INSURANCE IN%n W POLICY EFF POLICY EXP LTR BR POLICY NUMBER MMIDD/YYYY D MMD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY OHCA346279 7/4/2020 7/4/2021 EACH OCCURRENCE $2,000,000 CLAIMS-MADE OCCUR A DMAGE SD RENTED PREMISES T Ea occurrence $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY� JECOT- LOC PRODUCTS-COMP/OPAGG $4,000,000 OTHER: $ C AUTOMOBILE LIABILITY AWCA346115 7/4/2020 7/4/2021 COEaMBINED ccident SINGLE LIMIT $1,DOO,D00 a X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (par.. Per accident A X UMBRELLA LIAB X OCCUR OHCA346279 7/4/2020 7/4/2021 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$n $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Professional Liability PHSD1557058 7/4/2020 7/4/2021 Limit-Each Claim 5,000,000 Limit-Aggregate 5000,000 Deductible 25,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Professional Retro Date 7/4/1997 Coverage: Cyber Liability;Insurer:Everest National Insurance; NAIC: 10120; Policy No:CYB000136-201; Policy Term:7/4/20 to 7/4/21; Limit: $2,000,000. Re: Fire Trainee Entrance Examinations City of Fort Worth, its employees,officers, officials,agents,and volunteers are included as additional insured under General Liability and Automobile Liability, when agreed in a written contract,subject to policy terms,conditions and exclusions. 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 200 Texas Street AUTHORIZED REPRESENTATIVE Fort Worth TX 76102 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Signature: Signature: Email: allison.tidwell@fortworthtexas.gov Email: Vania.Soto@fortworthtexas.gov Signature: d saw Email: Vania.Soto@fortworthtexas.gov