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Home My WebLink AboutContract 45593-R1 (2),sc LK5s3---ki CITY OF FORT WORTH CONTRACT RENEWAL NOTICE 5/21/15 Globe Engineers 17819 Davenport Road, STE 240 Dallas, TX 75252 Re: NOTICE OF CONTRACT RENEWAL Requirements Contract Contract No. CSC No. 45593 (the "Contract") Renewal Term No. X June 11, 2015 to June 10, 2016 !PG 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. 45593 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. 45593 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. eov/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. 45593 for a one year period ending on June 10, 2016. By: Frci y _ C4iZE11'1 4Ces>ticiedit Printed Name and Title Signature CITY OF FORT WORTH: --)--61444442H Fernando Costa, Assistant City Ma tgcf -- -. !. Date: 6a a �s t OFFICIAL ki•EflRD �R �11FII4 ? sECRFI iA Y f, i o WORTH, TX Date: ATTEST: c\ Mary J. Kayser, City Secretary M&C No. C-26764 SCANNED CERTIFICATE OF LIABILITY INSURANCE A DATE (MMIDDIYYYY) 05/08/2015 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 The Risk Specialty Group LLC 4801 Woodway Drive Suite 300 East Houston TX 77056 INSURED Globe Engineers, Inc. 17819 Davenport Rd CONTACT ,-IMF: PHONE (713) 552-1900 FAX Not; (7131_513-5411 (A(C Nn, Ext): E-MRIL ADDRESS: tianders@riskspecialtybgrotJp.Gom INSURER(S1 AFFORDING COVERAGE INSURER : RLI Insurance Company INSURER B : INSURER C : INSURER D Suite 240 INSURER E : Dallas TX 75252 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED ITION OF ANY CONTRACT HAVE BEEN ISSUED TO THE INSURED NAMED DOCUMENT FOR THE POLICY PERIOD CT OR OTHER DOGUMFNT 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. INSREXP LTYPE OF INSURANCE I NSR 'UBR wvn POLICY NUMBER I (POLICY M DOY/YEYYV IM� DDPVY 1 LIMITS GENERAL LIABILITY $ $1,000,000 NAIL # A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X J OCCUR PSB0003345 05/05/2015 05/05/2016 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X .IF O AUTOMOBILE LIABILITY A _ ANY AUTO ALL OWNED AUTOS X HIRED AUTOS X LOC SCHEDULED AUTOS NON -OWNED AUTOS X UMBRELLA LIAB X OCCUR A EXCESS LIAB CLAIMS -MADE DED I X I RETENT ON N10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABIL TY A OFFICER/MEMBER EXCLUDED? ECUTIV (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below Professional Liability "claims made" Y/N N/A PSB0003345 PSE0001962 PSW0002905 RDP0020043 05/05/2015 EACH OCCURRENCE DAMAGE TO RENTED PRFMISES4Ea MED EX P LAny one person) PERSONAL & ADV INJURY GENER;SLAGGREGATE PRODUCTS - COMP/OP AGG I. COMBINED SINGLE LIMIT /Fa acneientl BODILY INJURY (Per person) 05/05/2016 BODILY INJURY (Per accident) PROPERTY DAMAGE leer aeiJienU. EACH OCCURRENCE 05/05/2015 05/05/2016 I AGGREGATE X 17�iit i M ITR ( I OFR 05/05/2015 05/05/2016•L, fAc: i ACCIDENT E.L. DISEASE - EA EMPLOYEE I E.L. DISEASE - POLICY LIMIT Each Claim Limit 05/05/2015 06/05/2016 Aggregate Limit DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION $1,000,000 $ 10,000 Fs $1,000,000 $ 2,000 000 $ 2,000,000 s $1,000,000 $ $ 2,000,000 $ 2,000,000 $ _ $ $1,000,000 $ $1,000,000 $ $1,000,000 $1,000,000 $1,000,000 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 <CC> ACORD 26 (2010/05) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD