Loading...
HomeMy WebLinkAboutContract 53264-R2 f j CSC No.53264-R2 i I E CITY OF FORT WORTH REQUEST TO EXERCISE RENEWAL OPTION I s I October 14,2021 i Pryor Learning Solutions,Inc. 5700 Broadmoor Street, Suite 300 Mission, Ks 66202 I Re: Contract Renewal Notice Contract No. CSC No. 53264 Renewal Term No. R-2: December 16, 2021 to December 17, 2022 The above referenced Contract with the City of Fort Worth expires on December 16,2021. Pursuant to the Contract, contract renewals are at the mutual agreement of the 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:Hfortworthtexas.goy/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, Regina Jones Contract Compliance Specialist [817] 392-2698 OFFICIAL RECORD Contract Renewal CITY SECRETARY FT. WORTH, TX 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 By: Dana Burg hdoff(Dec 7,202 o:53 CST)IVI ensuring all performance and reporting Name: Dana Burghdoff requirements. Title: Assistant City Manager APPROVAL RECOMMENDED: By: R° uA 66W Name: Regina Jones Title: Contract Compliance Specialist christonhe(Dffgt'der APPROVED AS TO FORM AND By: Christopher Harder(Dec 6,202113:20 CST) Name: Chris Harder,PE LEGALITY: Title: Water Director �//�� ATTEST: D�61 By: DBlack(Dec 6,2021 17:22 CST) Name: Doug Black Title: Senior Assistant City Attorney By: �a 94P, ss�c lcaryc�oS�fO 4o —Cl- SEGY aI Name: Ron P. Gonzales � CONTRACT AUTHORIZATION: Title: City Secretary FOR M&C: N/A oaf T ��p °°° °°!y d °°G o ��d Date Approved: 0�0 g.1d v oD °o= Form 1295 Certification No.: d °°OO°°°°°°° � a����EX ASa�p Pryor Learning Solutions, Inc. B �1'� bu�o Y• Name: Paula Fields Title: VP Finance and Treasurer OFFICIAL RECORD Contract Renewal CITY SECRETARY FT. WORTH, TX A�� CERTIFICATE OF LIABILITY INSURANCEF—=,Eo(,', M/2021 Y) 3/2021 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 Florida 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 on.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: New Hampshire Ins Co 23641 INSURED INSURER B ADP TotalSource CO XXII,Inc(PEO Company) 10200 Sunset Drive INSURER C Miami,FL 33173 Client of PEO Company: INSURER D: Pryor Leaming,Inc. INSURER E 5700 Broadmoor St Ste 300 Mission,KS 66202 INSURER F: COVERAGES CERTIFICATE NUMBER:3559808 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR INSR WVD MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1-1 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT❑LOC PRODUCTS-COMP/OP AGG $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 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 RETENTION$ WORKERS COMPENSATION X PER OTH- A AND EMPLOYERS'LIABILITY Y/N WC 038369598 KS 07/01/2021 07/01/2022 STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ 2,000,000 (Mandatory in NH) Ifyes,describe under E.L.DISEASE-EA EMPLOYEE $ 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ 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 PRYOR LEARNING,INC.,paid under ADP TOTALSOURCE,INC's payroll,are covered under the above stated policy. CERTIFICATE HOLDER CANCELLATION City of Fort Worth water Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 160811th Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Worth,TX 76102 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �on�iek de'tvice-6, Qae o (fLotida ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD