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
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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
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