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HomeMy WebLinkAboutContract 45592-R1 (2)CITY OF FORT WORTH CONTRACT RENEWAL NOTICE 5/21/15 Landtec Engineers, LLC. 5450 East Loop 820 South Fort Worth, TX 76119 CSC No. _ Re: NOTICE OF CONTRACT RENEWAL Requirements Contract Contract No. CSC No. 45592 (the "Contract") Renewal Term No. 7: June 11, 2015 to June 10, 2016 f/ The above referenced Contract will expire on June 10, 2015. 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. 45592 for an additional one year period, which will begin immediately upon the expiration of the current term and will end on June 10, 2016. All other terms and conditions of CSC No. 45592 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 BuySpeed Online at http://fortworthtexas.gov/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 yours, Darian Gavin, Contract Compliance Specialist FMS, Purchasing Division 817-392-2057 - Direct 817-392-8440 - Fax I hereby acknowledge receipt of the Contract Renewal Notice for CSC No. 45592 for a one year period ending on June 10, 2016. By: JiC MCCOY incteLt,(1-- V Ul'f1 ce- Inck.6-1`61e'' Date: Printed Name and Title (Y\' �-CO\rwl,a,c)2-------- signature CITY OF FORT WORTH: AT 4-6144.414.C4 Fernando Costa, Assistant Ci Date: 61/61/5 enager OFFICIAL RECORD F��li if SECRETAPY G G fNORTH, TX , ,t5,,.. Is\ Mary J. Kayser, City Secretary M&C No. C-26764 SCANNED AcciRcpCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/26/2015 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 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 McLaughlin Brunson Insurance 12801 N. Central Expressway Suite 1710 Dallas TX 75243 INSURED Landtec Engineers, LLC 1700 Robert Rd. Suite 101 Mansfield TX 76063 COVERAGES Agency, LLP CONTACT NAME: Joe A Bryant PHONE (A/C. No. Ent: (214) 503-1212 I AIC. No): (214) 503-8899 E-MAIL ADDRESS: INSURER A : INSURER B : INSURER C: INSURER D : INSURER E : INSURER F: INSURER(S) AFFORDING COVERAGE Phoenix Insurance Company Travelers Casualty & Surety Co Travelers Indemnity Company Travelers Prop Casualty Co of Am Hudson Insurance Company CERTIFICATE NUMBER: Cert ID 29004 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER I (MM/DD/YYYY) I (MMIDD/YYYY) LIMITS GENERAL LIABILITY I NAIC 25623 19038 25658 25674 25054 ID X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X,C,U Coverage GEN'L AGGREGATE LIMIT APPLIES PER: l POLICY I X I !VT I I LOC AUTOMOBILE LIABILITY A X X C X B ANY AUTO ALL OWNED AUTOS HIRED AUTOS UMBRELLA LIAB EXCESS LIAB DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E Professional Liability X SCHEDULED AUTOS NON -OWNED AUTOS X Y Y PACP7314L961 1/1/2015 1/1/2016 Y Y BA1956L10A 6/2/2015 6/2/2016 OCCUR Y CLAIMS -MADE N/A Y CUP8118Y120 Y UB5240Y710 Y AEE71990-08 1/1/2015 1/1/2016 1/1/2015 1/1/2016 1/5/2015 1/5/2016 EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea nmirrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) EACH OCCURRENCE AGGREGATE X I TORY LIMITS I I ER 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 1,000,000 $ 5,000,000 $ 5,000,000 E.L EACH ACCIDENT J $ E.L DISEASE - EA EMPLOYEE] $ E.L DISEASE - POLICY LIMIT Per Claim Annual Aggregate $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) The claims made professional liability coverage is the total aggregate limit for all claims presented within the policy period and is subject to a deductible. Thirty (30) day notice of cancellation in favor of certificate holder on all policies. City of Fort Worth, its officers, employees and servants are named as additional insured on the general, auto and umbrella liability as required by contract. A waiver of subrogation is shown in favor of the additional insured on the workers compensation coverage. CERTIFICATE HOLDER City of Fort Worth Department of Transportation and Public Works 1000 Throckmorton Street Fort Worth TX 76102 ACORD 25 (2010/05) CANCELLATION 1,000,000 1,000,000 1,000,000 2,000,000 4,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD