HomeMy WebLinkAboutContract 57816City Secretary Contract No. _____________
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CPR Insurance Group, LLC
VENDOR SERVICES AGREEMENT
_____________________________________________________________________________
This VENDOR SERVICES AGREEMENT (“Agreement”) is made and entered into by and
between the CITY OF FORT WORTH (“City”), a Texas home rule municipal corporation, acting by and
through its duly authorized Assistant City Manager, and CPR Insurance Group, LLC (“Vendor”), a Texas
limited liability company and acting by and through its duly authorized representative, each individually
referred to as a “party” and collectively referred to as the “parties.”
AGREEMENT DOCUMENTS:
The Agreement documents shall include the following:
1.This Vendor Services Agreement;
2.Exhibit A – Scope of Services;
3.Exhibit B – Price Schedule;
4.Exhibit C – City’s RFP No. 22-0137
5.Exhibit D – Contractor’s Bid Response to City’s RFP No. 22-0137; and
6.Exhibit E – Verification of Signature Authority Form.
Exhibits A, B, C, D, and E, which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. In the event of any conflict between the terms and conditions of Exhibits A, B,
C, or D and the terms and conditions set forth in the body of this Agreement, the terms and conditions of
this Agreement shall control.
1.Scope of Services. Damage vehicle appraisal services for City owned vehicles and non-
automotive equipment on as needed basis (“Services”), which are set forth in more detail in Exhibit “A,”
attached hereto and incorporated herein for all purposes.
2.Term. This Agreement begins on the date Assistance City Manager signs (“Effective Date”) and
expires on September 30, 2023 (“Expiration Date”), unless terminated earlier in accordance with this
Agreement (“Initial Term”). Upon the expiration of the Initial Term, the Agreement will automatically
renew under the same terms and conditions for up to five (5) one-year renewal periods (October 1 to
September 30), unless City or Vendor provides the other party with notice of non-renewal at least 60 days
before the expiration of the Initial Term or renewal period.
3.Compensation. City will pay Vendor in accordance with the provisions of this Agreement,
including Exhibit “B,” which is attached hereto and incorporated herein for all purposes. Total annual
compensation under this Agreement will not exceed Twenty-One Thousand Nine Hundred Dollars
($21,900.00). Vendor will not perform any additional services or bill for expenses incurred for City not
specified by this Agreement unless City requests and approves in writing the additional costs for such
services. City will not be liable for any additional expenses of Vendor not specified by this Agreement
unless City first approves such expenses in writing.
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4. Termination.
4.1. Written Notice. City or Vendor may terminate this Agreement at any time and for
any reason by providing the other party with 30 days’ written notice of termination.
4.2 Non-appropriation of Funds. In the event no funds or insufficient funds are
appropriated by City in any fiscal period for any payments due hereunder, City will notify Vendor
of such occurrence and this Agreement will terminate on the last day of the fiscal period for which
appropriations were received without penalty or expense to City of any kind whatsoever, except as
to the portions of the payments herein agreed upon for which funds have been appropriated.
4.3 Duties and Obligations of the Parties. In the event that this Agreement is
terminated prior to the Expiration Date, City will pay Vendor for services actually rendered up to
the effective date of termination and Vendor will continue to provide City with services requested
by City and in accordance with this Agreement up to the effective date of termination. Upon
termination of this Agreement for any reason, Vendor will provide City with copies of all
completed or partially completed documents prepared under this Agreement. In the event Vendor
has received access to City Information or data as a requirement to perform services hereunder,
Vendor will return all City provided data to City in a machine-readable format or other format
deemed acceptable to City.
5. Disclosure of Conflicts and Confidential Information.
5.1 Disclosure of Conflicts. Vendor hereby warrants to City that Vendor has made full
disclosure in writing of any existing or potential conflicts of interest related to Vendor's services
under this Agreement. In the event that any conflicts of interest arise after the Effective Date of this
Agreement, Vendor hereby agrees immediately to make full disclosure to City in writing.
5.2 Confidential Information. Vendor, for itself and its officers, agents and employees,
agrees that it will treat all information provided to it by City (“City Information”) as confidential
and will not disclose any such information to a third party without the prior written approval of
City.
5.3 Public Information Act. City is a government entity under the laws of the State of
Texas and all documents held or maintained by City are subject to disclosure under the Texas Public
Information Act. In the event there is a request for information marked Confidential or Proprietary,
City will promptly notify Vendor. It will be the responsibility of Vendor to submit reasons objecting
to disclosure. A determination on whether such reasons are sufficient will not be decided by City,
but by the Office of the Attorney General of the State of Texas or by a court of competent
jurisdiction.
5.4 Unauthorized Access. Vendor must store and maintain City Information in a secure
manner and will not allow unauthorized users to access, modify, delete or otherwise corrupt City
Information in any way. Vendor must notify City immediately if the security or integrity of any
City Information has been compromised or is believed to have been compromised, in which event,
Vendor will, in good faith, use all commercially reasonable efforts to cooperate with City in
identifying what information has been accessed by unauthorized means and will fully cooperate
with City to protect such City Information from further unauthorized disclosure.
6. Right to Audit. Vendor agrees that City will, until the expiration of three (3) years after
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final payment under this Agreement, or the final conclusion of any audit commenced during the said three
years, have access to and the right to examine at reasonable times any directly pertinent books, documents,
papers and records, including, but not limited to, all electronic records, of Vendor involving transactions
relating to this Agreement at no additional cost to City. Vendor agrees that City will have access during
normal working hours to all necessary Vendor facilities and will be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City will give Vendor
reasonable advance notice of intended audits.
7. Independent Contractor. It is expressly understood and agreed that Vendor will operate
as an independent contractor as to all rights and privileges and work performed under this Agreement, and
not as agent, representative or employee of City. Subject to and in accordance with the conditions and
provisions of this Agreement, Vendor will have the exclusive right to control the details of its operations
and activities and be solely responsible for the acts and omissions of its officers, agents, servants,
employees, Vendors, and subcontractors. Vendor acknowledges that the doctrine of respondeat superior
will not apply as between City, its officers, agents, servants and employees, and Vendor, its officers, agents,
employees, servants, contractors, and subcontractors. Vendor further agrees that nothing herein will be
construed as the creation of a partnership or joint enterprise between City and Vendor. It is further
understood that City will in no way be considered a Co-employer or a Joint employer of Vendor or any
officers, agents, servants, employees, contractors, or subcontractors. Neither Vendor, nor any officers,
agents, servants, employees, contractors, or subcontractors of Vendor will be entitled to any employment
benefits from City. Vendor will be responsible and liable for any and all payment and reporting of taxes on
behalf of itself, and any of its officers, agents, servants, employees, contractors, or contractors.
8. Liability and Indemnification.
8.1 LIABILITY - VENDOR WILL BE LIABLE AND RESPONSIBLE FOR ANY
AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY,
INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER,
WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT
ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL MISCONDUCT OF
VENDOR, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, OR
SUBCONTRACTORS.
8.2 GENERAL INDEMNIFICATION - VENDOR HEREBY COVENANTS AND
AGREES TO INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS,
AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS
OR LAWSUITS OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, FOR
EITHER PROPERTY DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO
VENDOR'S BUSINESS AND ANY RESULTING LOST PROFITS) AND/OR PERSONAL
INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, ARISING OUT OF OR IN
CONNECTION WITH THIS AGREEMENT, TO THE EXTENT CAUSED BY THE
NEGLIGENT ACTS OR OMISSIONS OR MALFEASANCE OF VENDOR, ITS OFFICERS,
AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, OR SUBCONTRACTORS.
9. Assignment and Subcontracting.
9.1 Assignment. Vendor will not assign or subcontract any of its duties, obligations
or rights under this Agreement without the prior written consent of City. If City grants consent to
an assignment, the assignee will execute a written agreement with City and Vendor under which
the assignee agrees to be bound by the duties and obligations of Vendor under this Agreement.
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Vendor will be liable for all obligations of Vendor under this Agreement prior to the effective date
of the assignment.
9.2 Subcontract. If City grants consent to a subcontract, the subcontractor will execute
a written agreement with Vendor referencing this Agreement under which subcontractor agrees to
be bound by the duties and obligations of Vendor under this Agreement as such duties and
obligations may apply. Vendor must provide City with a fully executed copy of any such
subcontract.
10. Insurance. Vendor must provide City with certificate(s) of insurance documenting
policies of the following types and minimum coverage limits that are to be in effect prior to commencement
of any Services pursuant to this Agreement:
10.1 Coverage and Limits
(a) Commercial General Liability:
$1,000,000 - Each Occurrence
$2,000,000 - Aggregate
(b) Automobile Liability:
$1,000,000 - Each occurrence on a combined single limit basis
Coverage will be on any vehicle used by Vendor, or its employees, agents, or
representatives in the course of providing Services under this Agreement. “Any
vehicle” will be any vehicle owned, hired and non-owned.
(c) Worker’s Compensation:
Statutory limits according to the Texas Workers’ Compensation Act or any other
state workers’ compensation laws where the Services are being performed
Employers’ liability
$100,000 - Bodily Injury by accident; each accident/occurrence
$100,000 - Bodily Injury by disease; each employee
$500,000 - Bodily Injury by disease; policy limit
(d) Professional Liability (Errors & Omissions):
$1,000,000 - Each Claim Limit
$1,000,000 - Aggregate Limit
Professional Liability coverage may be provided through an endorsement to the
Commercial General Liability (CGL) policy, or a separate policy specific to
Professional E&O. Either is acceptable if coverage meets all other requirements.
Coverage must be claims-made, and maintained for the duration of the contractual
agreement and for two (2) years following completion of services provided. An
annual certificate of insurance must be submitted to City to evidence coverage.
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10.2 General Requirements
(a) The commercial general liability and automobile liability policies must
name City as an additional insured thereon, as its interests may appear. The term
City includes its employees, officers, officials, agents, and volunteers in respect to
the contracted services.
(b) The workers’ compensation policy must include a Waiver of Subrogation
(Right of Recovery) in favor of City.
(c) A minimum of Thirty (30) days’ notice of cancellation or reduction in
limits of coverage must be provided to City. Ten (10) days’ notice will be
acceptable in the event of non-payment of premium. Notice must be sent to the
Risk Manager, City of Fort Worth, 200 Texas Street, Fort Worth, Texas 76102,
with copies to the Fort Worth City Attorney at the same address.
(d) The insurers for all policies must be licensed and/or approved to do
business in the State of Texas. All insurers must have a minimum rating of A- VII
in the current A.M. Best Key Rating Guide, or have reasonably equivalent financial
strength and solvency to the satisfaction of Risk Management. If the rating is
below that required, written approval of Risk Management is required.
(e) Any failure on the part of City to request required insurance
documentation will not constitute a waiver of the insurance requirement.
(f) Certificates of Insurance evidencing that Vendor has obtained all required
insurance will be delivered to the City prior to Vendor proceeding with any work
pursuant to this Agreement.
11. Compliance with Laws, Ordinances, Rules and Regulations. Vendor agrees that in the
performance of its obligations hereunder, it will comply with all applicable federal, state and local laws,
ordinances, rules and regulations and that any work it produces in connection with this Agreement will also
comply with all applicable federal, state and local laws, ordinances, rules and regulations. If City notifies
Vendor of any violation of such laws, ordinances, rules or regulations, Vendor must immediately desist
from and correct the violation.
12. Non-Discrimination Covenant. Vendor, for itself, its personal representatives, assigns,
contractors, subcontractors, and successors in interest, as part of the consideration herein, agrees that in the
performance of Vendor’s duties and obligations hereunder, it will not discriminate i n the treatment or
employment of any individual or group of individuals on any basis prohibited by law. IF ANY CLAIM
ARISES FROM AN ALLEGED VIOLATION OF THIS NON-DISCRIMINATION COVENANT
BY VENDOR, ITS PERSONAL REPRESENTATIVES, ASSIGNS, CONTRACTORS,
SUBCONTRACTORS, OR SUCCESSORS IN INTEREST, VENDOR AGREES TO ASSUME
SUCH LIABILITY AND TO INDEMNIFY AND DEFEND CITY AND HOLD CITY HARMLESS
FROM SUCH CLAIM.
13. Notices. Notices required pursuant to the provisions of this Agreement will be
conclusively determined to have been delivered when (1) hand-delivered to the other party, its agents,
employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the
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transmission, or (3) received by the other party by United States Mail, registered, return receipt requested,
addressed as follows:
To CITY:
City of Fort Worth
Attn: Assistant City Manager – Dana Burg
200 Texas Street
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654
With copy to Fort Worth City Attorney’s Office at
same address
To VENDOR:
CPR Insurance Group, LLC
Michael Trotter, Managing Director / CFO
600 E. John Carpenter Freeway Ste. 365
Irving, TX 75062
Facsimile: _______________
14. Solicitation of Employees. Neither City nor Vendor will, during the term of this
Agreement and additionally for a period of one year after its termination, solicit for employment or employ,
whether as employee or independent contractor, any person who is or has been employed by the other
during the term of this Agreement, without the prior written consent of the person's employer.
Notwithstanding the foregoing, this provision will not apply to an employee of either party who responds
to a general solicitation of advertisement of employment by either party.
15. Governmental Powers. It is understood and agreed that by execution of this Agreement,
City does not waive or surrender any of its governmental powers or immunities.
16. No Waiver. The failure of City or Vendor to insist upon the performance of any term or
provision of this Agreement or to exercise any right granted herein does not constitute a waiver of City's or
Vendor’s respective right to insist upon appropriate performance or to assert any such right on any future
occasion.
17. Governing Law / Venue. This Agreement will be construed in accordance with the laws
of the State of Texas. If any action, whether real or asserted, at law or in equity, is brought pursuant to this
Agreement, venue for such action will lie in state courts located in Tarrant County, Texas or the United
States District Court for the Northern District of Texas, Fort Worth Division.
18. Severability. If any provision of this Agreement is held to be invalid, illegal or
unenforceable, the validity, legality and enforceability of the remaining provisions will not in any way be
affected or impaired.
19. Force Majeure. City and Vendor will exercise their best efforts to meet their respective
duties and obligations as set forth in this Agreement, but will not be held liable for any delay or omission
in performance due to force majeure or other causes beyond their reasonable control, including, but not
limited to, compliance with any government law, ordinance, or regulation; acts of God; acts of the public
enemy; fires; strikes; lockouts; natural disasters; wars; riots; epidemics or pandemics ; government action
or inaction; orders of government; material or labor restrictions by any governmental authority;
transportation problems; restraints or prohibitions by any court, board, department, commission, or agency
of the United States or of any States; civil disturbances; other national or regional emergencies; or any other
similar cause not enumerated herein but which is beyond the reasonable control of the Party whose
performance is affected (collectively, “Force Majeure Event”). The performance of any such obligation is
suspended during the period of, and only to the extent of, such prevention or hindrance, provided the
(469) 565-8545
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affected Party provides notice of the Force Majeure Event, and an explanation as to how it prevents or
hinders the Party’s performance, as soon as reasonably possible after the occurrence of the Force Majeure
Event, with the reasonableness of such notice to be determined by the City in its sole discretion. The notice
required by this section must be addressed and delivered in accordance with Section 13 of this Agreement.
20. Headings not Controlling. Headings and titles used in this Agreement are for reference
purposes only, will not be deemed a part of this Agreement, and are not intended to define or limit the scope
of any provision of this Agreement.
21. Review of Counsel. The parties acknowledge that each party and its counsel have
reviewed and revised this Agreement and that the normal rules of construction to the effect that any
ambiguities are to be resolved against the drafting party will not be employed in the interpretation of this
Agreement or Exhibits A, B, and C.
22. Amendments / Modifications / Extensions. No amendment, modification, or extension
of this Agreement will be binding upon a party hereto unless set forth in a written instrument, which is
executed by an authorized representative of each party.
23. Counterparts. This Agreement may be executed in one or more counterparts and each
counterpart will, for all purposes, be deemed an original, but all such counterparts will together constitute
one and the same instrument.
24. Warranty of Services. Vendor warrants that its services will be of a high quality and
conform to generally prevailing industry standards. City must give written notice of any breach of this
warranty within thirty (30) days from the date that the services are completed. In such event, at Vendor’s
option, Vendor will either (a) use commercially reasonable efforts to re-perform the services in a manner
that conforms with the warranty, or (b) refund the fees paid by City to Vendor for the nonconforming
services.
25. Immigration Nationality Act. Vendor must verify the identity and employment eligibility
of its employees who perform work under this Agreement, including completing the Employment
Eligibility Verification Form (I-9). Upon request by City, Vendor will provide City with copies of all I-9
forms and supporting eligibility documentation for each employee who performs work under this
Agreement. Vendor must adhere to all Federal and State laws as well as establish appropriate procedures
and controls so that no services will be performed by any Vendor employee who is not legally eligible to
perform such services. VENDOR WILL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM
ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH
BY VENDOR, VENDOR’S EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, OR
AGENTS. City, upon written notice to Vendor, will have the right to immediately terminate this Agreement
for violations of this provision by Vendor.
26. Ownership of Work Product. City will be the sole and exclusive owner of all reports,
work papers, procedures, guides, and documentation that are created, published, displayed, or produced in
conjunction with the services provided under this Agreement (collectively, “Work Product”). Further, City
will be the sole and exclusive owner of all copyright, patent, trademark, trade secret and other proprietary
rights in and to the Work Product. Ownership of the Work Product will inure to the benefit of City from
the date of conception, creation or fixation of the Work Product in a tangible medium of expression
(whichever occurs first). Each copyrightable aspect of the Work Product will be considered a "work-made-
for-hire" within the meaning of the Copyright Act of 1976, as amended. If and to the extent such Work
Product, or any part thereof, is not considered a "work-made-for-hire" within the meaning of the Copyright
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Act of 1976, as amended, Vendor hereby expressly assigns to City all exclusive right, title and interest in
and to the Work Product, and all copies thereof, and in and to the copyright, patent, trademark, trade secret,
and all other proprietary rights therein, that City may have or obtain, without further consideration, free
from any claim, lien for balance due, or rights of retention thereto on the part of City.
27. Signature Authority. The person signing this Agreement hereby warrants that they have
the legal authority to execute this Agreement on behalf of the respective party, and that such binding
authority has been granted by proper order, resolution, ordinance or other authorization of the entity. This
Agreement and any amendment hereto, may be executed by any authorized representative of Vendor. Each
party is fully entitled to rely on these warranties and representations in entering into this Agreement or any
amendment hereto.
28. Change in Company Name or Ownership. Vendor must notify City’s Purchasing
Manager, in writing, of a company name, ownership, or address change for the purpose of maintaining
updated City records. The president of Vendor or authorized official must sign the letter. A letter indicating
changes in a company name or ownership must be accompanied with supporting legal documentation such
as an updated W-9, documents filed with the state indicating such change, copy of the board of director’s
resolution approving the action, or an executed merger or acquisition agreement. Failure to provide the
specified documentation so may adversely impact future invoice payments.
29. No Boycott of Israel. If Vendor has fewer than 10 employees or this Agreement is for
less than $100,000, this section does not apply. Vendor acknowledges that in accordance with Chapter
2271 of the Texas Government Code, the City is prohibited from entering into a contract with a company
for goods or services unless the contract contains a written verification from the company that it: (1) does
not boycott Israel; and (2) will not boycott Israel during the term of the contract. The terms “boycott Israel”
and “company” has the meanings ascribed to those terms in Section 2271 of the Texas Government Code.
By signing this Agreement, Vendor certifies that Vendor’s signature provides written verification to
the City that Vendor: (1) does not boycott Israel; and (2) will not boycott Israel during the term of
the Agreement.
30. Prohibition on Boycotting Energy Companies. Vendor acknowledges that, in
accordance with Chapter 2274 of the Texas Government Code, as added by Acts 2021, 87th Leg., R.S.,
S.B. 13, § 2, the City is prohibited from entering into a contract for goods or services that has a value of
$100,000 or more that is to be paid wholly or partly from public funds of the City with a company with 10
or more full-time employees unless the contract contains a written verification from the company that it:
(1) does not boycott energy companies; and (2) will not boycott energy companies during the term of the
contract. The terms “boycott energy company” and “company” have the meaning ascribed to those terms
by Chapter 2274 of the Texas Government Code, as added by Acts 2021, 87th Leg., R.S., S.B. 13, § 2. To
the extent that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this
Agreement, Vendor certifies that Vendor’s signature provides written verification to the City that Vendor:
(1) does not boycott energy companies; and (2) will not boycott energy companies du ring the term of this
Agreement.
31. Prohibition on Discrimination Against Firearm and Ammunition Industries . Vendor
acknowledges that except as otherwise provided by Chapter 2274 of the Texas Government Code, as added
by Acts 2021, 87th Leg., R.S., S.B. 19, § 1, the City is prohibited from entering into a contract for goods or
services that has a value of $100,000 or more that is to be paid wholly or partly from public funds of the
City with a company with 10 or more full-time employees unless the contract contains a written verification
from the company that it: (1) does not have a practice, policy, guidance, or directive that discriminates
against a firearm entity or firearm trade association; and (2) will not discriminate during the term of the
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contract against a firearm entity or firearm trade association. The terms “discriminate,” “firearm entity”
and “firearm trade association” have the meaning ascribed to those terms by Chapter 2274 of the Texas
Government Code, as added by Acts 2021, 87th Leg., R.S., S.B. 19, § 1. To the extent that Chapter 2274
of the Government Code is applicable to this Agreement, by signing this Agreement, Vendor certifies that
Vendor’s signature provides written verification to the City that Vendor: (1) does not have a practice, policy,
guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will
not discriminate against a firearm entity or firearm trade association during the term of this Agreement.
32. Electronic Signatures. This Agreement may be executed by electronic signature, which
will be considered as an original signature for all purposes and have the same force and effect as an original
signature. For these purposes, “electronic signature” means electronically scanned and transmitted versions
(e.g. via pdf file or facsimile transmission) of an original signature, or signatures electronically inserted via
software such as Adobe Sign.
33. Entirety of Agreement. This Agreement, including all attachments and exhibits, contains
the entire understanding and agreement between City and Vendor, their assigns and successors in interest,
as to the matters contained herein. Any prior or contemporaneous oral or written agreement is hereby
declared null and void to the extent in conflict with any provision of this Agreement.
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IN WITNESS WHEREOF, the parties hereto have executed this Agreement in multiples.
CITY OF FORT WORTH:
By: ___________________________
Name: Dana Burghdoff
Title: Assistant City Manager
APPROVAL RECOMMENDED:
By: ______________________________
Name: Steve Cooke
Title: Property Management Director
ATTEST:
By: ______________________________
Name: Jannette S. Goodall
Title: City Secretary
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
reporting requirements.
By: ______________________________
Name: Alan Shuror
Title: Assistant Director, General Services
APPROVED AS TO FORM AND LEGALITY:
By: ______________________________
Name: Christopher Austria
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: N/A
Form 1295: N/A
VENDOR:
CPR Insurance Group, LLC
By:
Name: Michael Trotter
Title: Managing Director / CFO
Date: ________________
Michael Trotter (Jul 5, 2022 09:39 CDT)
Michael Trotter
07/05/2022
Eliana Guevara on behalf of Alan Shuror (Jul 5, 2022 22:39 CDT)
Eliana Guevara on behalf of Alan Shuror
Steve Cooke (Jul 8, 2022 14:55 CDT)
Christopher Austria (Jul 8, 2022 15:39 CDT)
Dana Burghdoff (Jul 8, 2022 15:47 CDT)
Dana Burghdoff
Jannette S. Goodall (Jul 8, 2022 15:54 CDT)
Jannette S. Goodall
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EXHIBIT A SCOPE OF SERVICES
1. The Property Management Department (PMD) shall utilize this Agreement for comprehensive estimate
services of body shop repairs and replacements for damaged City-owned vehicles and equipment that the
City is required to repair or sublet to a contracted vendor for repairs as a result of an accident for the Property
Management Department.
2. VENDOR RESPONSIBILITIES
2.1 Vendor shall provide a high-quality vehicle damage appraisal that provides a description of the
damage with detailed picture documentation and actual loss and condition of the vehicle.
2.2 Vendor’s appraisers involved in the damaged vehicle appraisal process shall possess certifications
from either The Bureau of Certified Auto Appraisers or The American Society of Certified Auto
Appraisers to support their knowledge and duties of this agreement. Vendor shall maintain all
certifications and keep current throughout the duration of this agreement.
2.3 If the damaged vehicle is already located at a 3rd party repair facility for initial appraisal or
supplemental request and review, Vendor shall be asked to inspect/re-inspect damages.
2.4 Vendor shall designate at least one (1) person as Point of Contact with office phone or cell phone
number and email for accessibility.
2.5 The appraising vendor shall not perform any reports or body work.
2.6 Vendor shall appear on-site ready to provide appraisal services within forty-eight (48) hours of being
requested by appropriate City personnel from City of Fort Worth Property Management Department,
Fleet Division.
2.7 Vendor shall report to Fleet Service Centers to provide appraisal services, Monday through Friday
between 7:30 a.m.– 9:30 p.m. unless expressly authorized by the Fleet Service Center Supervisor(s) or
their designee. Any deviation from this timeframe shall require written approval from the Fleet
Service Center Supervisor(s) or their designee.
2.8 Vendor shall provide the appraisal report of appraisal services performed on City-owned vehicles
and equipment within forty-eight (48) hours.
2.9 Provide all labor, equipment, supplies, transportation, and supervision to perform appraisal services
as requested by the City.
2.10 City of Fort Worth Fleet Service Center locations for appraisal services, but not limited to:
2.10.1 South Side Service Center
4100 Columbus Trail Fort Worth, TX 76133
2.10.2 Water Service Center
2222 West Daggett
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Fort Worth, TX 76102
2.10.3 James Avenue Service Center
5021 James Avenue
Fort Worth, TX 76115
2.10.4 Northside Service Center
301 Hillshire Drive
Fort Worth TX 76131
2.10.5 Brennan Body Shop
2500 Brennan Street
Fort Worth, TX 76106
2.11 Appraisal Reports- Vendor shall email or provide a printed appraisal report generated through current
edition of estimating repair software CCC ONE and Mitchell 1.
2.12 Vendor’s appraisal report provided shall all be quoted on a ‘time and parts’ basis, to the agreed upon
contract rates and itemized to illustrate the cost of each of the following if applicable to the service
or work performed: cost of part(s) to be installed, cost of labor to perform repair and/or installation,
inspection, diagnostic fees; itemized by labor hours except when estimated as a turnkey project/job.
2.12.1 Vendor shall provide appraisal services and all material required to bring damaged City-
owned vehicles back to their original state. Appraisal services and materials shall include, but
are not limited to:
2.12.2 Spot painting;
2.12.3 Glass repair;
2.12.4 Complete and full body painting;
2.12.5 Restoration;
2.12.6 Mechanical rebuilding;
2.12.7 Frame straightening; and
2.12.8 Original Equipment Manufacturer (OEM) parts unless otherwise approved by City of Fort
Worth personnel handling body shop repairs.
2.13 Vendor’s adherence shall include pictures of the four corners of estimated equipment along with
detailed pictures of noted damages. Images should also include the following:
2.13.1 Vehicle Identification number (VIN);
2.13.2 Vehicles’ license plate;
2.13.3 Vehicle’s mileage;
2.13.4 The production plates.
2.14 Vendor shall email all appraisal reports and associated pictures to the authorized Fleet Representative
upon completion of damage appraisal.
2.15 Vendor shall submit a revised supplemental appraisal report if during the course of the originally
estimated repairs it is noted that additional repairs will be needed.
2.16 When indicating damages are exceeding value, Vendor shall provide a valuation based on actual
cash value (ACV) through Kelly Blue Book (KBB).
Vendor Services Agreement Page 14 of 19
CPR Insurance Group, LLC
2.0 TYPES OF CITY-OWNED VEHICLES AND EQUIPMENT
2.1 Types of City-owned vehicles and equipment may include, but are not limited to:
2.1.1 Compact, mid-sized, and large cars weighing up to 1/4 ton
2.1.2 Pickup trucks and equipment weighing from 1/2 ton to 1-ton
2.1.3 Large trucks and equipment weighing over 1-ton
Vendor Services Agreement Page 15 of 19
CPR Insurance Group, LLC
EXHIBIT B PAYMENT SCHEDULE
Event Description
The City of Fort Worth (City) seeks quotes to finalize an Agreement for Damaged Vehicle Appraisal Services for
city-owned vehicles and non-automotive equipment on an "as-needed" basis for the Property Management
Department.
68%0,66,215(48,5(0(176$1''($'/,1(6
All companies/individuals wishing to do business with the City of Fort Worth must register as a Bidder on the
PeopleSoft Supplier Portal. Please visit
https://www.fortworthtexas.gov/departments/finance/purchasing/register for more information.
Assigned Buyer: Laura Ortiz
Pre-Bid Conference will be held at the Fort Worth City Hall, 200 Texas Street, Development Services Conference
Room, LL 1201, Fort Worth TX, 76102 on Tuesday, May 10, 2022 at 1:00 pm.
Join virtually:
https://fortworthtexas.webex.com/fortworthtexas/j.php?MTID=m6e9006fbe799fbac9e2fce13e43cfe20
Meeting number (access code): 2551 987 8574
Meeting password: nxMY2CpTj35
Join by phone
+1-469-210-7159 United States Toll (Dallas)
Quotes are solicited for furnishing the merchandise, supplies, services and/or equipment set forth. Completed
Quote must submitted via email to FMSPurchasingResponses@fortworthtexas.gov, by the above "Finish Time"
and addressed to the above Buyer and have the bid number and clearly marked on the subject line. Quotes may
also be received in the Purchasing Division, 200 Texas Street, Fort Worth, Texas 76102. Late quotes will not be
considered for award unless bidders are notified otherwise. Quotes may be withdrawn at any time prior to the
official opening by written notification. Quotes may not be altered, amended or withdrawn after the official opening.
The period for acceptance of this proposal will be ______ calendar days (90 calendar days unless a different
period is inserted by the bidder) after opening date.
Solicitation Documents:
Cover Page
Bid Submission Signature Page**
Bid Solicitation**
Part 1 Purchasing Agreement Specifications
Part 2 Scope of Services/Specifications
Attachment A - Conflict of Interest Disclosure Requirement**
Attachment B - Bidder's Contract Information**
Attachment C - Questionnaire**
Attachment D - References Page
Attachment F - Draft Service Agreement
Attachment G - Document Check List**
Signed addendum(s) acknowledging receipt (if applicable)**
**Required to be completed and submitted. See Section 15.0, Part 1 for all required document that need to be
submitted. Failure to submit all items will be grounds for rejection of a bid as non-responsive to the specifications.
&29(53$*(
Invited: PUBLIC EVENT DETAILS
Submit To:City of Fort Worth
FINANCIAL MANAGEMENT SERVICES
FINANCE - Purchasing
200 Texas St. (Lower Level, South)
Fort Worth TX 76102
United States
Email:FMSPurchasingResponses@fortworthtexas.gov
Event ID Page
CFW01-22-0137 1
Event Round Version
11
Event Name
3'2UDamaged Vehicle Appraisal Services
Start Time
05/04/2022 8:00:00 CDT
Finish Time
05/18/2022 8:00:00 CDT
EXHIBIT C
CITY’S RFP No. 22-0137
The undersigned, by his/her signature, represents that he/she is submitting a binding offer and is authorizedto bind
the respondent to fully comply with the solicitation document contained herein. The Respondent, bysubmitting and
signing below, acknowledges that he/she has received and read the entire document packetsections defined above
including all documents incorporated by reference, and agrees to be bound by the termstherein.
Legal Company Name:_________________________________________________
Company Address:________________________________________
City, State, Zip:_______________________________________
Vendor Registration No._______________________________________
Printed Name of Officer or Authorized Representative: _____________________________________
Title: ______________________________________________________
Signature of Officer or Authorized Representative:__________________________________________
Date:___________________________________________________________
Email Address:___________________________________________________
Phone Number: ________________________________________________
Federal Identification Number (FID): _________________________________
Will agreement be available for Cooperative Agreement use (see Section 6.0 Cooperative Pricing)? Yes____No____
%,'68%0,66,216,*1$785(3$*(
Invited: PUBLIC EVENT DETAILS
Submit To:City of Fort Worth
FINANCIAL MANAGEMENT SERVICES
FINANCE - Purchasing
200 Texas St. (Lower Level, South)
Fort Worth TX 76102
United States
Email:FMSPurchasingResponses@fortworthtexas.gov
Event ID Page
CFW01-22-0137 2
Event Round Version
11
Event Name
Damaged Vehicle Appraisal Services
Start Time
05/04/2022 8:00:00 CDT
Finish Time
05/18/2022 8:00:00 CDT
Line:1
Description: Qty Unit UnitPrice Total
Appraisal of Compact, Mid-sized & Large Autos
Including up to ¼ ton Pickup Trucks &
Equipment
60.00 EA
Line:2
Description: Qty Unit UnitPrice Total
Appraisal of 1/2 ton to 1-ton Pickup Trucks
and Equipment
30.00 EA
Line:3
Description: Qty Unit UnitPrice Total
Appraisal of above 1-ton Large Trucks and
Equipment
30.00 EA
Total Bid Amount:
%,'62/,&,7$7,21
Invited: PUBLIC EVENT DETAILS
Submit To:City of Fort Worth
FINANCIAL MANAGEMENT SERVICES
FINANCE - Purchasing
200 Texas St. (Lower Level, South)
Fort Worth TX 76102
United States
Email:FMSPurchasingResponses@fortworthtexas.gov
Event ID Page
CFW01-22-0137 3
Event Round Version
11
Event Name
Damaged Vehicle Appraisal Services
Start Time
05/04/2022 8:00:00 CDT
Finish Time
05/18/2022 8:00:00 CDT
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PART 1-
PURCHASING AGREEMENT SPECIFICATIONS
1.0 SCOPE
1.1 The City of Fort Worth (City) seeks quotes to finalize an Agreement for damaged vehicle appraisal
services for City-owned vehicles and non-automotive equipment on an “as needed” basis for the
Property Management Department. Prospective responding bidders should ensure they download
all attachments for complete responses and understanding of the agreement the City intends to
award from this solicitation. The successful bidder(s), known hereafter as “Contractor”/“Vendor.”
1.2 This Agreement shall begin on the date stated upon contract execution or award (“Effective Date”)
and shall expire on upcoming September 30th, (“Expiration Date”), unless terminated earlier in
accordance with this Agreement (“Initial Term”). Upon the expiration of the Initial Term, the
Agreement will automatically renew under the same terms and conditions for up to five (5) one-year
renewal periods (October 1 to September 30), unless City or Vendor provides the other party with
notice of non-renewal at least 60 days before the expiration of the Initial Term or renewal period.
However, if funds are not appropriated, the City may cancel the Agreement 30 calendar days after
providing written notification to the Contractor/Vendor.
1.3 The quantities listed on the bid solicitation are only estimates based on previous usage and do not
indicate intent to purchase or guarantee future business. The City is obligated to pay for only those
goods actually ordered by an authorized City employee and then received as required and accepted
or paid by the City.
1.4 Following the award, additional services of the same general category that could have been
encompassed in the award of this Agreement, and that are not already on the Agreement, may be
added.
1.5 Unit price shall include all costs associated including but no limited to delivery, fuel charges, and
freight. No additional charges will be accepted or paid by the City.
1.6 The submission of a bid by the bidder shall be considered evidence of compliance with these
requirements.
1.7 Prices in the bid shall remain firm for the entire term of the agreement.
2.0 DETAILED SCOPE OF SERVICES/SPECIFICATIONS
2.1 The Vendor hereby agrees to provide the City with requirements attached hereto and incorporated
for all purpose’s incident to this Agreement in Part- 2, Scope of Services/Specifications and Exhibit
A of Attachment F more specifically describing the goods to be provided hereunder.
3.0 CHANGE IN COMPANY NAME OR OWNERSHIP
3.1 The Vendor shall notify the City’s Purchasing Manager, in writing, of a company name, ownership,
or address change for the purpose of maintaining updated City records. The president of the
company or authorized official must sign the letter. A letter indicating changes in a company name
or ownership must be accompanied with supporting legal documentation such as an updated W-9,
documents filed with the state indicating such change, copy of the board of director’s resolution
approving the action, or an executed merger or acquisition agreement. Failure to do so may
adversely impact future invoice payments.
4.0 INVOICING REQUIREMENTS
4.1 The City of Fort Worth has begun implementing an automated invoicing system.
4.2 The Vendor shall send invoices electronically to our centralized Accounts Payable department
invoice email address: supplierinvoices@fortworthtexas.gov. This email address is not monitored so
please do not send correspondence to this email address. The sole purpose of the supplier invoices
email address is to receipt and process supplier invoices.
4.3 Please include the following on the subject line of your e-mail: vendor name, invoice number, and
PO number, separated by an underscore (ex: Example, Inc._123456_FW012- 000001234).
4.4 To ensure the system can successfully process your invoice in an expedient manner, please adhere
to the following requirements:
All invoices must be either a PDF or TIFF format.
Image quality must be at least 300 DPI (dots per inch).
Invoices must be sent as an attachment (i.e. no invoice in the body of the email).
One invoice per attachment (includes PDFs). Multiple attachments per email is acceptable but
each invoice must be a separate attachment.
Please do not send handwritten invoices or invoices that contain handwritten notes.
Dot matrix invoice format is not accepted.
The invoice must contain the following information:
Supplier Name and Address;
Remit to Supplier Name and Address, if different;
Applicable City Department business unit# (i.e. FW013)
Complete City of Fort Worth PO number (i.e. the PO number must contain all preceding
zeros);
Invoice number;
Invoice date; and
Invoices should be submitted after delivery of the goods or services.
4.5 To prevent invoice processing delays, please do not send invoices by mail and email and please do
not send the same invoice more than once by email to supplierinvoices@fortworthtexas.gov. To
check on the status of an invoice, please contact the City Department ordering the goods/services
or the Central Accounts Payable Department by email:
ZZ_FIN_AccountsPayable@fortworthtexas.gov.
4.6 If you are unable to send your invoice as outlined above at this time, please send your invoice to our
centralized Accounts Payable department instead of directly to the individual city department. This
will allow the city staff to digitize the invoice for faster processing.
4.7 If electronic invoicing is not possible, you may send your paper invoice to:
City of Fort Worth
Attn: FMS Central Accounts Payable
200 Texas Street
Fort Worth, Texas 76102
The City’s goal is to receive 100% of invoices electronically so that all supplier payments are
processed efficiently. To achieve this goal, we need the Vendor’s support.
4.8 If the Vendor has any questions, please contact the Accounts Payable team at (817) 392- 2451 or
by email to ZZ_FIN_AccountsPayable@fortworthtexas.gov.
5.0 CITY REQUIREMENTS AND RESERVATIONS
5.1 The City will identify the location, City contact, and description of the service request to the
Contractor.
5.2 The City will provide a purchase order number before the commencement of any service.
6.0 COOPERATIVE PURCHASING
6.1 Should other governmental entities decide to participate in this Agreement, Bidders shall indicate in
their bid response whether they agree that all terms, conditions, specifications, and pricing would
apply.
6.2 If the successful Bidder agrees to extend the resulting Agreement to other governmental entities, the
following will apply: Governmental entities within utilizing agreements with the City of Fort Worth will
be eligible, but not obligated, to purchase material/services under this Agreement(s) awarded as a
result of this solicitation. All purchases by governmental entities other than the City of Fort Worth will
be billed directly to that governmental entity and paid by that governmental entity. The City of Fort
Worth will not be responsible for another governmental entity’s debts. Each governmental entity will
order its own material/services as needed.
7.0 INSURANCE REQUIREMENTS
7.1 The Contractor shall carry insurance in the types and amounts for the duration of this contract as
listed in the draft service agreement, Attachment F to this solicitation, and furnish certificates of
insurance along with copies of policy declaration pages and policy endorsements as evidence
thereof.
8.0 CONTRACTOR REQUIREMENTS IN ORDER FOR THE BID TO BE EVALUATED
8.1 The Bidder shall:
8.1.1 Demonstrate its ability to secure and perform the services within the delivery requirements
specified herein.
8.1.2 Have a minimum of two (2) years of experience providing similar services to similar size
government and/or organization.
8.1.3 Be located within 50 miles of City Hall – 200 Texas Street, Fort Worth, Texas 76102.
8.1.4 Have the ability to provide services within 48 hours of service request.
8.1.5 Have and operate a full-time, permanent business address with the ability to be reached
by e-mail and telephone.
9.0 LAWS, REGULATIONS, AND ORDINANCES
9.1 The Vendor shall be responsible for meeting all Federal: laws, ordinances and regulations; State:
laws, ordinance and regulations; County: laws, ordinances and regulations; and City: laws,
ordinances, and regulations for safety of people, environment, and property. This includes, but is not
limited to, all Federal, State, County, and City Agencies, Administrations and Commissions such as
the Environmental Protection Agency (EPA), Occupational Safety and Health Administration
(OSHA), and the Texas Commission on Environmental Quality (TCEQ). In the event any law,
regulation or ordinance becomes effective after the start of this Agreement, the Vendor is required
to comply with new policy. Any mandates requiring the City to comply with new guidelines will also
require the Vendor to comply.
10.0 QUANTITIES
10.1 The quantities listed on the bid solicitation are only estimates based on previous usage and do not
indicate intent to purchase or a guarantee of future business. The City of Fort Worth is obligated to
pay for only those materials and services actually ordered by an authorized City employee and then
received as required and accepted by the City.
11.0 PERFORMANCE
11.1 Failure of the City to insist in any one or more instances upon performance of any of the terms and
conditions of this Agreement shall not be construed as a waiver or relinquishment of the future
performance of any terms and conditions, but the Vendor's obligation with respect to such
performance shall continue in full force and effect.
12.0 COMPLAINTS
12.1 Complaints processed through the City Purchasing Division are to be corrected within fourteen (14)
days of formal notice of complaint. Written response to the Purchasing Division is required. Failure
to properly resolve complaints within the fourteen (14) calendar day time period may result in the
cancellation of the applicable line item(s) in the price agreement.
13.0 METHOD OF AWARD
13.1 Bids will first be evaluated based on bids received from a responsible bidder that presents the best
value to the City. A responsible bidder is defined as a bidder that:
13.1.1 Meets all the requirements listed in Section 8.0, Part 1.
13.1.2 Submits a completed quote packet within the stated time deadline and in accordance with
the specifications.
13.1.3 One who demonstrates his/her ability to successfully deliver the supplies, equipment, or
services being procured.
13.2 Bids that do not receive 50% or more of the total available points, excluding the points for price, will
be deemed non-responsive.
13.3 The following criteria will be used to determine the best value:
13.3.1 Cost of Service – up to 40 points
13.3.2 Bidder’s approach to perform services – up to 25 points
13.3.3 Bidder’s qualifications, certifications and references– up to 20 points
13.3.4 Bidder’s ability to meet the City’s needs– up to 15 points
13.4 In order for the City to receive adequate coverage on its requirements as specified in the solicitation,
the City reserves the right to make multiple awards.
13.5 The City reserves the right to accept or reject in whole or in part any or all bids received and to make
an award on the basis of individual item, combination of items, or overall bid, as it is deemed in the
best interest of the City.
13.6 The City also reserves the right to reject the bid of a bidder who has previously failed to perform
properly or complete on time agreements of a similar nature.
14.0 TENTATIVE SCHEDULE OF EVENTS
RFQt Release Date May 4, 2022 8:00 AM Local Time
Pre-Bid Conference May 10, 2022 1:00 PM Local Time
Deadline for Questions May 11, 2022 5:00 PM Local Time
RFQt Due Date May 18, 2022 8:00 AM Local Time
Recommended Vendor Selection June 2022
15.0 QUOTATIONS
15.1 Bidders shall submit the following items with their quote. Failure to provide all the information will
deem the bid non-responsive:
15.1.1 A completed and signed Bid Submission Signature Page;
15.1.2 A completed and signed Bid Solicitation;
15.1.3 A completed and signed Conflict of Interest Questionnaire, Attachment A;
15.1.4 A completed and signed Bidder’s Contact Information, Attachment B;
15.1.5 A completed and signed Questionnaire, Attachment C;
15.1.6 A completed References Page, Attachment D;
15.1.7 A completed and signed Document Check List, Attachment G;
15.1.8 Copies of appraiser’s certifications from either The Bureau of Certified Auto Appraisers or
The American Society of Certified Auto Appraisers;
15.1.9 Signed Addendum(s) acknowledging receipt;
15.2 Failure to submit the items listed in Section 15.1 will be grounds for rejection of a bid as non-
responsive to the specifications.
16.0 QUESTIONS
16.1 Questions, explanations or clarifications desired by a bidder regarding any part of the RFQt must be
requested in writing from the Purchasing Division no later than May 10, 2022 at 5:00 PM (local time).
Requests must be sent to the following:
16.1.1 Email: FMSPurchasingResponses@fortworthtexas.gov
RFQt 22-0137 ATTENTION: Laura Ortiz
Must be included in the subject line
Please note, if an e-mail confirming receipt of your e-mail is not received within 1 business
day, please contact the City of Fort Worth Purchasing at 817-392-2462.
17.0 RIGHTS OF INVENTIONS MADE UNDER A CONTRACT OR AGREEMENT
17.1 If the Federal award meets the definition of “funding eCFR — Code of Federal Regulations
agreement” under 37 CFR §401.2 (a) and the recipient or subrecipient wishes to enter into a contract
with a small business firm or nonprofit organization regarding the substitution of parties, assignment
or performance of experimental, developmental, or research work under that “funding agreement,”
the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to
Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants,
Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding
agency.
18.0 CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT
18.1 Vendor shall comply with all applicable standards, orders or regulations issued pursuant to the Clean
Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C.
1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of
the Environmental Protection Agency (EPA).
19.0 DEBARTMENT AND SUSPENSION
19.1 Per Executive Orders 12549 and 12689, a contract award (see 2 CFR 180.220) shall not be made
to parties listed on the government-wide exclusions in the System for Award Management (SAM), in
accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR
part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.”
SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by
agencies, as well as parties declared ineligible under statutory or regulatory authority other than
Executive Order 12549.
20.0 BYRD ANTI-LOBBYING AMENDMENT (31 U.S.C. 1352)
20.1 Firms that apply or bid for an award exceeding $100,000.00 must file the required certification. Each
tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any
person or organization for influencing or attempting to influence an officer or employee of any agency,
a member of Congress, officer or employee of Congress, or an employee of a member of Congress
in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C.
1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in
connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to
the non-Federal award.
20.2 Bidders shall provide proof of Byrd Anti-Lobbying Amendment certification filings with their bid, if the
bid exceeds $100,000.00.
21.0 UNIT PRICE ADJUSTMENT
21.1 The unit prices may be adjusted for increases or decreases in Vendor’s cost after completion of each
Agreement year upon written request from the Vendor.
21.2 The Vendor must submit its price adjustment request, in writing, at least 60 days before completion
of each Agreement year. The Vendor shall provide written proof of cost increases with price
adjustment request.
21.3 If the City concludes that the rate increase being requested is exorbitant, the City reserves the right
to adjust the rate request, or reject the rate request in its entirety and allow the Agreement to expire
at the end of the Agreement term. If the City elects not to exercise the renewal option, the Purchasing
Division will issue a new solicitation.
21.4 Prices bid shall remain firm for each one-year term of the Agreement and shall include all associated
freight and delivery costs.
21.5 Prices offered shall be used for bid analysis and for Agreement pricing. In cases of errors in
extensions or totals, the unit prices offered will govern.
21.6 Upon expiration of the Agreement term the successful bidder, agrees to hold over under the terms
and conditions of this Agreement for a reasonable period of time to allow the city to re-bid an
agreement, not to exceed ninety (90) days. Vendor will be reimbursed for this service at the prior
agreement rate(s). Vendor shall remain obligated to the City under all clauses of this Agreement that
expressly or by their nature extends beyond and survives the expiration or termination of this
Agreement.
21.7 Goods and/or services shall not be suspended by the Vendor without a 30-day prior written notice to
the Purchasing Manager.
22.0 RIGHT TO AUDIT
22.1 Vendor agrees that City shall, until the expiration of three (3) years after final payment under the
Agreement, have access to and the right to examine any directly pertinent books, documents, papers
and records of Vendor involving transactions relating to the Agreement. Vendor agrees that City shall
have access during normal working hours to all necessary Vendor facilities and shall be provided
adequate and appropriate workspace in order to conduct audits in compliance with the provisions of
this section. City shall give Vendor reasonable advance notice of intended audits.
PART 2-
SCOPE OF SERVICES/SPECIFICATIONS
The intent of this RFQt is to finalize an Agreement for comprehensive estimate services of body shop repairs and
replacements for damaged City-owned vehicles and equipment that the City is required to repair or sublet to a
contracted vendor for repairs as a result of an accident for the Property Management Department.
1.0 VENDOR RESPONSIBILITIES
1.1 Vendor shall be located within 50 miles of Fort Worth City Hall, 200 Texas Street, Fort Worth, Texas
76102.
1.2 Vendor shall have a minimum of two (2) years of experience providing similar services to similar size
government and/or organizations.
1.3 Vendor shall provide a high-quality vehicle damage appraisal that provides a description of the
damage with detailed picture documentation and actual loss and condition of the vehicle.
1.4 Vendor’s appraisers involved in the damaged vehicle appraisal process shall possess certifications
from either The Bureau of Certified Auto Appraisers or The American Society of Certified Auto
Appraisers to support their knowledge and duties of this agreement. Vendor shall maintain all
certifications and keep current throughout the duration of this agreement and submit copies to the
City with their bid response.
1.5 If the damaged vehicle is already located at a 3rd party repair facility for initial appraisal or
supplemental request and review, Vendor shall be asked to inspect/re-inspect damages.
1.6 Vendor shall designate at least one (1) person as Point of Contact with office phone or cell phone
number and email for accessibility.
1.7 The appraising vendor shall not perform any reports or body work.
1.8 Vendor shall appear on-site ready to provide appraisal services within forty-eight (48) hours of being
requested by appropriate City personnel from City of Fort Worth Property Management Department,
Fleet Division.
1.9 Vendor shall report to Fleet Service Centers to provide appraisal services, Monday through Friday
between 7:30 a.m.– 9:30 p.m. unless expressly authorized by the Fleet Service Center Supervisor(s)
or their designee. Any deviation from this timeframe shall require written approval from the Fleet
Service Center Supervisor(s) or their designee.
1.10 Vendor shall provide the appraisal report of appraisal services performed on City-owned vehicles
and equipment within forty-eight (48) hours.
1.11 Provide all labor, equipment, supplies, transportation, and supervision to perform appraisal services
as requested by the City.
1.12 City of Fort Worth Fleet Service Center locations for appraisal services, but not limited to:
2.4.1 South Side Service Center
4100 Columbus Trail
Fort Worth, TX 76133
2.4.2 Water Service Center
2222 West Daggett
Fort Worth, TX 76102
2.4.3 James Avenue Service Center
5021 James Avenue
Fort Worth, TX 76115
2.4.4 Northside Service Center
301 Hillshire Drive
Fort Worth TX 76131
2.4.5 Brennan Body Shop
2500 Brennan Street
Fort Worth, TX 76106
1.13 Appraisal Reports- Vendor shall email or provide a printed appraisal report generated through current
edition of estimating repair software CCC ONE and Mitchell 1.
1.14 Vendor’s appraisal report provided shall all be quoted on a ‘time and parts’ basis, to the agreed upon
contract rates and itemized to illustrate the cost of each of the following if applicable to the service
or work performed: cost of part(s) to be installed, cost of labor to perform repair and/or installation,
inspection, diagnostic fees; itemized by labor hours except when estimated as a turnkey project/job.
1.15 Vendor shall provide appraisal services and all material required to bring damaged City-owned
vehicles back to their original state. Appraisal services and materials shall include, but are not limited
to:
1.15.1 Spot painting;
1.15.2 Glass repair;
1.15.3 Complete and full body painting;
1.15.4 Restoration;
1.15.5 Mechanical rebuilding;
1.15.6 Frame straightening; and
1.15.7 Original Equipment Manufacturer (OEM) parts unless otherwise approved by City of Fort
Worth personnel handling body shop repairs.
1.16 Vendor’s adherence shall include pictures of the four corners of estimated equipment along with
detailed pictures of noted damages. Images should also include the following:
1.16.1 Vehicle Identification number (VIN);
1.16.2 Vehicles’ license plate;
1.16.3 Vehicle’s mileage;
1.16.4 The production plates.
1.17 Vendor shall email all appraisal reports and associated pictures to the authorized Fleet
Representative upon completion of damage appraisal.
1.18 Vendor shall submit a revised supplemental appraisal report if during the course of the originally
estimated repairs it is noted that additional repairs will be needed.
1.19 When indicating damages are exceeding value, Vendor shall provide a valuation based on actual
cash value (ACV) through Kelly Blue Book (KBB).
2.0 TYPES OF CITY-OWNED VEHICLES AND EQUIPMENT
2.1 Types of City-owned vehicles and equipment may include, but are not limited to:
2.1.1 Compact, mid-sized, and large cars weighing up to 1/4 ton
2.1.2 Pickup trucks and equipment weighing from 1/2 ton to 1-ton
2.1.3 Large trucks and equipment weighing over 1-ton
ATTACHMENT A-
CONFLICT OF INTEREST DISCLOSURE REQUIREMENT
Pursuant to Chapter 176 of the Local Government Code, any person or agent of a person who contracts or seeks to
contract for the sale or purchase of property, goods, or services with a local governmental entity (i.e. The City of Fort
Worth) must disclose in the Questionnaire Forms CIQ (“Questionnaire”) the person’s affiliation or business
relationship that might cause a conflict of interest with the local governmental entity. By law, the Questionnaire must
be filed with the Fort Worth City Secretary no later than seven days after the date the person begins contract
discussions or negotiations with the City, or submits an application or response to a request for proposals or bids,
correspondence, or another writing related to potential agreement with the City. Updated Questionnaires must be
filed in conformance with Chapter 176.
A copy of the Questionnaires Form CIQ is enclosed with submittal documents. The form is also available at - .
If you have any questions about compliance, please consult your own legal counsel. Compliance is the individual
responsibility of each person or agent of a person who is subject to the filing requirement. An offense under Chapter
176 is a Class C misdemeanor.
NOTE: If you are not aware of a Conflict of Interest in any business relationship that you might have with the
City, state Vendor name in the # 1, use N/A in each of the areas on the form. However, a signature is required
in the #7 box in all cases.
ATTACHMENT B-
BIDDER CONTACT INFORMATION
Bidder’s Name: ___________________________________________________ _______________
Bidder’s Local Address: ________________________________ ___________________________
Phone: _______________ ______________ Fax: ___________________________ __
Email: ___________________________________________ ________________________
Name of persons to contact when placing an order or billing questions:
Name/Title: _____________________________________________________ ______________
Phone: _______________ ______________ Fax: ___________________________ __
Email: ___________________________________________ ________________________
Name/Title: _____________________________________________________ ______________
Phone: _______________ ______________ Fax: ___________________________ __
Email: ___________________________________________ ________________________
Name/Title: _____________________________________________________ ______________
Phone: _______________ ______________ Fax: ___________________________ __
Email: ___________________________________________ ________________________
ATTACHMENT C-
QUESTIONNAIRE
1. How long has your company been in business providing the requested services?
_____________________________________________________________________________________
2. Are you able to provide services within 48 hours of the service request? Yes No- If no please explain
why.
_____________________________________________________________________________________
____________________________________________________________________ _
3. Are you able to provide services, Monday – Friday between 7:30 a.m. – 9:30 p.m. as stated in Section 1,
Part 2? Yes No
_____________________________________________________________________________________
4. Please provide the number of certified personnel you have available to perform the services.
__________________________________________________________________ ___________
5. Please describe the background and qualifications of certified personnel that will be performing the
services, please including the following items:
a. Title
b. Number of years or months performing these services
c. Number of years employed by your company
d. Licenses or certifications held by personnel
6. What is your firm’s plan or approach to perform appraisal services?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
___________________________________ _________
7. Are you able to provide the appraisal report within 48 hours of services being performed? Yes No- If
no please explain why.
_____________________________________________________________________________________
__________________________________________________________ ___________
8. Please describe or provide an example of the report that will be submitted once the appraisal has been
completed.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
9. Is your company located within 50 miles of the City of Fort Worth City Hall (200 Texas Street, Fort Worth,
Texas 76102? (Provide address) Yes No
_____________________________________________________________________________________
_____________________________________________________________________
10. Do you have and operate a full-time, permanent business address with the ability to be reached by email
and telephone? Yes No- If no please explain why.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
ATTACHMENT D-
REFERENCES
Bidder’s shall provide the following information with their bid for at least two (2) references of similar size government
and/or organizations for services being requested.
1. Company’s Name:
Name of Contact:
Title of Contact:
Present Address:
City, State, Zip Code:
Telephone No.: Fax No.:
Type of Services Provided:
2. Company’s Name:
Name of Contact:
Title of Contact:
Present Address:
City, State, Zip Code:
Telephone No.: Fax No.:
Type of Services Provided:
3. Company’s Name:
Name of Contact:
Title of Contact:
Present Address:
City, State, Zip Code:
Telephone No.: Fax No.:
Type of Services Provided:
ATTACHMENT E-
NO QUOTE SHEET
(Please complete this form, only if, your firm has chosen not to submit a bid)
Laura Ortiz, Buyer
City of Fort Worth, Purchasing Division
200 Texas Street
Fort Worth, Texas 76102
Fax Number: 817-392-8440
Email Address: FMSPurchasingResponses@fortworthtexas.gov
Please check the items that only apply:
Do not sell the item(s) required.
Cannot be competitive.
Cannot meet the specifications highlighted in the attached Bid.
Cannot provide insurance required.
Cannot provide bonding required.
Cannot comply with indemnification requirements.
Job too large.
Job too small.
Do not wish to do business with the City.
Other reason:
Company Name:
Authorized Officer or Agent Signature:
Telephone: ( ) Fax Number: ( )
City Secretary Contract No. _____________
Vendor Services Agreement Page 1 of 14
ATTACHMENT F – DRAFT VENDOR SERVICES AGREEMENT
_____________________________________________________________________________
This VENDOR SERVICES AGREEMENT (“Agreement”) is made and entered into by and
between the CITY OF FORT WORTH (“City”), a Texas home rule municipal corporation, acting by and
through its duly authorized Assistant City Manager, and [LEGAL NAME OF THE PARTY] (“Vendor”),
a [STATE REGISTERED AND TYPE OF COMPANY] and acting by and through its duly authorized
representative, each individually referred to as a “party” and collectively referred to as the “parties.”
AGREEMENT DOCUMENTS:
The Agreement documents shall include the following:
1. This Vendor Services Agreement;
2. Exhibit A – Scope of Services;
3. Exhibit B – Price Schedule;
4. Exhibit C – City’s RFP No.__________
5. Exhibit D – Contractor’s Bid Response to City’s RFP No.________; and
6. Exhibit E – Verification of Signature Authority Form.
Exhibits A, B, C, D, and E, which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. In the event of any conflict between the terms and conditions of Exhibits A, B,
C, or D and the terms and conditions set forth in the body of this Agreement, the terms and conditions of
this Agreement shall control.
1. Scope of Services. [SIMPLE DESCRIPTION OF SCOPE OF SERVICE] (“Services”),
which are set forth in more detail in Exhibit “A,” attached hereto and incorporated herein for all purposes..
2. Term. This Agreement begins on [MONTH DAY, YEAR] (“Effective Date”) and expires
on [MONTH DAY, YEAR] (“Expiration Date”), unless terminated earlier in accordance with this
Agreement (“Initial Term”). City will have the option, in its sole discretion, to renew this Agreement under
the same terms and conditions, for up to _______ (___) one-year renewal option(s) (each a “Renewal
Term”).
3. Compensation. City will pay Vendor in accordance with the provisions of this Agreement,
including Exhibit “B,” which is attached hereto and incorporated herein for all purposes. Total
compensation under this Agreement will not exceed ____________________ Dollars ($______.__).
Vendor will not perform any additional services or bill for expenses incurred for City not specified by this
Agreement unless City requests and approves in writing the additional costs for such services. City will not
be liable for any additional expenses of Vendor not specified by this Agreement unless City first approves
such expenses in writing.
DRAFT
Vendor Services Agreement Page 2 of 14
4. Termination.
4.1. Written Notice. City or Vendor may terminate this Agreement at any time and for
any reason by providing the other party with 30 days’ written notice of termination.
4.2 Non-appropriation of Funds. In the event no funds or insufficient funds are
appropriated by City in any fiscal period for any payments due hereunder, City will notify Vendor
of such occurrence and this Agreement will terminate on the last day of the fiscal period for which
appropriations were received without penalty or expense to City of any kind whatsoever, except as
to the portions of the payments herein agreed upon for which funds have been appropriated.
4.3 Duties and Obligations of the Parties. In the event that this Agreement is
terminated prior to the Expiration Date, City will pay Vendor for services actually rendered up to
the effective date of termination and Vendor will continue to provide City with services requested
by City and in accordance with this Agreement up to the effective date of termination. Upon
termination of this Agreement for any reason, Vendor will provide City with copies of all
completed or partially completed documents prepared under this Agreement. In the event Vendor
has received access to City Information or data as a requirement to perform services hereunder,
Vendor will return all City provided data to City in a machine readable format or other format
deemed acceptable to City.
5. Disclosure of Conflicts and Confidential Information.
5.1 Disclosure of Conflicts. Vendor hereby warrants to City that Vendor has made full
disclosure in writing of any existing or potential conflicts of interest related to Vendor's services
under this Agreement. In the event that any conflicts of interest arise after the Effective Date of this
Agreement, Vendor hereby agrees immediately to make full disclosure to City in writing.
5.2 Confidential Information. Vendor, for itself and its officers, agents and employees,
agrees that it will treat all information provided to it by City (“City Information”) as confidential
and will not disclose any such information to a third party without the prior written approval of
City.
5.3 Public Information Act. City is a government entity under the laws of the State of
Texas and all documents held or maintained by City are subject to disclosure under the Texas Public
Information Act. In the event there is a request for information marked Confidential or Proprietary,
City will promptly notify Vendor. It will be the responsibility of Vendor to submit reasons objecting
to disclosure. A determination on whether such reasons are sufficient will not be decided by City,
but by the Office of the Attorney General of the State of Texas or by a court of competent
jurisdiction.
5.4 Unauthorized Access. Vendor must store and maintain City Information in a secure
manner and will not allow unauthorized users to access, modify, delete or otherwise corrupt City
Information in any way. Vendor must notify City immediately if the security or integrity of any
City Information has been compromised or is believed to have been compromised, in which event,
Vendor will, in good faith, use all commercially reasonable efforts to cooperate with City in
identifying what information has been accessed by unauthorized means and will fully cooperate
with City to protect such City Information from further unauthorized disclosure.
6. Right to Audit. Vendor agrees that City will, until the expiration of three (3) years after DRAFT
Vendor Services Agreement Page 3 of 14
final payment under this Agreement, or the final conclusion of any audit commenced during the said three
years, have access to and the right to examine at reasonable times any directly pertinent books, documents,
papers and records, including, but not limited to, all electronic records, of Vendor involving transactions
relating to this Agreement at no additional cost to City. Vendor agrees that City will have access during
normal working hours to all necessary Vendor facilities and will be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City will give Vendor
reasonable advance notice of intended audits.
7. Independent Contractor. It is expressly understood and agreed that Vendor will operate
as an independent contractor as to all rights and privileges and work performed under this Agreement, and
not as agent, representative or employee of City. Subject to and in accordance with the conditions and
provisions of this Agreement, Vendor will have the exclusive right to control the details of its operations
and activities and be solely responsible for the acts and omissions of its officers, agents, servants,
employees, Vendors, and subcontractors. Vendor acknowledges that the doctrine of respondeat superior
will not apply as between City, its officers, agents, servants and employees, and Vendor, its officers, agents,
employees, servants, contractors, and subcontractors. Vendor further agrees that nothing herein will be
construed as the creation of a partnership or joint enterprise between City and Vendor. It is further
understood that City will in no way be considered a Co-employer or a Joint employer of Vendor or any
officers, agents, servants, employees, contractors, or subcontractors. Neither Vendor, nor any officers,
agents, servants, employees, contractors, or subcontractors of Vendor will be entitled to any employment
benefits from City. Vendor will be responsible and liable for any and all payment and reporting of taxes on
behalf of itself, and any of its officers, agents, servants, employees, contractors, or contractors.
8. Liability and Indemnification.
8.1 LIABILITY - VENDOR WILL BE LIABLE AND RESPONSIBLE FOR ANY
AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY,
INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER,
WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT
ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL MISCONDUCT OF
VENDOR, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, OR
SUBCONTRACTORS.
8.2 GENERAL INDEMNIFICATION - VENDOR HEREBY COVENANTS AND
AGREES TO INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS,
AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS
OR LAWSUITS OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, FOR
EITHER PROPERTY DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO
VENDOR'S BUSINESS AND ANY RESULTING LOST PROFITS) AND/OR PERSONAL
INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, ARISING OUT OF OR IN
CONNECTION WITH THIS AGREEMENT, TO THE EXTENT CAUSED BY THE
NEGLIGENT ACTS OR OMISSIONS OR MALFEASANCE OF VENDOR, ITS OFFICERS,
AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, OR SUBCONTRACTORS.
8.3 INTELLECTUAL PROPERTY INDEMNIFICATION – Vendor agrees to
defend, settle, or pay, at its own cost and expense, any claim or action against City for
infringement of any patent, copyright, trade mark, trade secret, or similar property right
arising from City’s use of the software and/or documentation in accordance with this
Agreement, it being understood that this agreement to defend, settle or pay will not apply if
City modifies or misuses the software and/or documentation. So long as Vendor bears the DRAFT
Vendor Services Agreement Page 4 of 14
cost and expense of payment for claims or actions against City pursuant to this section,
Vendor will have the right to conduct the defense of any such claim or action and all
negotiations for its settlement or compromise and to settle or compromise any such claim;
however, City will have the right to fully participate in any and all such settlement,
negotiations, or lawsuit as necessary to protect City’s interest, and City agrees to cooperate
with Vendor in doing so. In the event City, for whatever reason, assumes the responsibility
for payment of costs and expenses for any claim or action brought against City for
infringement arising under this Agreement, City will have the sole right to conduct the
defense of any such claim or action and all negotiations for its settlement or compromise and
to settle or compromise any such claim; however, Vendor will fully participate and cooperate
with City in defense of such claim or action. City agrees to give Vendor timely written notice
of any such claim or action, with copies of all papers City may receive relating thereto.
Notwithstanding the foregoing, City’s assumption of payment of costs or expenses will not
eliminate Vendor’s duty to indemnify City under this Agreement. If the software and/or
documentation or any part thereof is held to infringe and the use thereof is enjoined or
restrained or, if as a result of a settlement or compromise, such use is materially adversely
restricted, Vendor will, at its own expense and as City's sole remedy, either: (a) procure for
City the right to continue to use the software and/or documentation; or (b) modify the
software and/or documentation to make it non-infringing, provided that such modification
does not materially adversely affect City's authorized use of the software and/or
documentation; or (c) replace the software and/or documentation with equally suitable,
compatible, and functionally equivalent non-infringing software and/or documentation at no
additional charge to City; or (d) if none of the foregoing alternatives is reasonably available
to Vendor terminate this Agreement, and refund all amounts paid to Vendor by City,
subsequent to which termination City may seek any and all remedies available to City under
law.
9. Assignment and Subcontracting.
9.1 Assignment. Vendor will not assign or subcontract any of its duties, obligations
or rights under this Agreement without the prior written consent of City. If City grants consent to
an assignment, the assignee will execute a written agreement with City and Vendor under which
the assignee agrees to be bound by the duties and obligations of Vendor under this Agreement.
Vendor will be liable for all obligations of Vendor under this Agreement prior to the effective date
of the assignment.
9.2 Subcontract. If City grants consent to a subcontract, the subcontractor will execute
a written agreement with Vendor referencing this Agreement under which subcontractor agrees to
be bound by the duties and obligations of Vendor under this Agreement as such duties and
obligations may apply. Vendor must provide City with a fully executed copy of any such
subcontract.
10. Insurance. Vendor must provide City with certificate(s) of insurance documenting
policies of the following types and minimum coverage limits that are to be in effect prior to commencement
of any Services pursuant to this Agreement:
10.1 Coverage and Limits
(a) Commercial General Liability:
DRAFT
Vendor Services Agreement Page 5 of 14
$1,000,000 - Each Occurrence
$2,000,000 - Aggregate
(b) Automobile Liability:
$1,000,000 - Each occurrence on a combined single limit basis
Coverage will be on any vehicle used by Vendor, or its employees, agents, or
representatives in the course of providing Services under this Agreement. “Any
vehicle” will be any vehicle owned, hired and non-owned.
(c) Worker’s Compensation:
Statutory limits according to the Texas Workers’ Compensation Act or any other
state workers’ compensation laws where the Services are being performed
Employers’ liability
$100,000 - Bodily Injury by accident; each accident/occurrence
$100,000 - Bodily Injury by disease; each employee
$500,000 - Bodily Injury by disease; policy limit
(d) Professional Liability (Errors & Omissions):
$1,000,000 - Each Claim Limit
$1,000,000 - Aggregate Limit
Professional Liability coverage may be provided through an endorsement to the
Commercial General Liability (CGL) policy, or a separate policy specific to
Professional E&O. Either is acceptable if coverage meets all other requirements.
Coverage must be claims-made, and maintained for the duration of the contractual
agreement and for two (2) years following completion of services provided. An
annual certificate of insurance must be submitted to City to evidence coverage.
10.2 General Requirements
(a) The commercial general liability and automobile liability policies must
name City as an additional insured thereon, as its interests may appear. The term
City includes its employees, officers, officials, agents, and volunteers in respect to
the contracted services.
(b) The workers’ compensation policy must include a Waiver of Subrogation
(Right of Recovery) in favor of City.
(c) A minimum of Thirty (30) days’ notice of cancellation or reduction in
limits of coverage must be provided to City. Ten (10) days’ notice will be
acceptable in the event of non-payment of premium. Notice must be sent to the
Risk Manager, City of Fort Worth, 200 Texas Street, Fort Worth, Texas 76102,
with copies to the Fort Worth City Attorney at the same address.
DRAFT
Vendor Services Agreement Page 6 of 14
(d) The insurers for all policies must be licensed and/or approved to do
business in the State of Texas. All insurers must have a minimum rating of A- VII
in the current A.M. Best Key Rating Guide, or have reasonably equivalent financial
strength and solvency to the satisfaction of Risk Management. If the rating is
below that required, written approval of Risk Management is required.
(e) Any failure on the part of City to request required insurance
documentation will not constitute a waiver of the insurance requirement.
(f) Certificates of Insurance evidencing that Vendor has obtained all required
insurance will be delivered to the City prior to Vendor proceeding with any work
pursuant to this Agreement.
11. Compliance with Laws, Ordinances, Rules and Regulations. Vendor agrees that in the
performance of its obligations hereunder, it will comply with all applicable federal, state and local laws,
ordinances, rules and regulations and that any work it produces in connection with this Agreement will also
comply with all applicable federal, state and local laws, ordinances, rules and regulations. If City notifies
Vendor of any violation of such laws, ordinances, rules or regulations, Vendor must immediately desist
from and correct the violation.
12. Non-Discrimination Covenant. Vendor, for itself, its personal representatives, assigns,
contractors, subcontractors, and successors in interest, as part of the consideration herein, agrees that in the
performance of Vendor’s duties and obligations hereunder, it will not discriminate in the treatment or
employment of any individual or group of individuals on any basis prohibited by law. IF ANY CLAIM
ARISES FROM AN ALLEGED VIOLATION OF THIS NON-DISCRIMINATION COVENANT
BY VENDOR, ITS PERSONAL REPRESENTATIVES, ASSIGNS, CONTRACTORS,
SUBCONTRACTORS, OR SUCCESSORS IN INTEREST, VENDOR AGREES TO ASSUME
SUCH LIABILITY AND TO INDEMNIFY AND DEFEND CITY AND HOLD CITY HARMLESS
FROM SUCH CLAIM.
13. Notices. Notices required pursuant to the provisions of this Agreement will be
conclusively determined to have been delivered when (1) hand-delivered to the other party, its agents,
employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the
transmission, or (3) received by the other party by United States Mail, registered, return receipt requested,
addressed as follows:
To CITY:
City of Fort Worth
Attn: Assistant City Manager
200 Texas Street
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654
With copy to Fort Worth City Attorney’s Office at
same address
To VENDOR:
____________________, ____.
________ , Title
___________________
___________________
Facsimile: _______________
14. Solicitation of Employees. Neither City nor Vendor will, during the term of this
Agreement and additionally for a period of one year after its termination, solicit for employment or employ, DRAFT
Vendor Services Agreement Page 7 of 14
whether as employee or independent contractor, any person who is or has been employed by the other
during the term of this Agreement, without the prior written consent of the person's employer.
Notwithstanding the foregoing, this provision will not apply to an employee of either party who responds
to a general solicitation of advertisement of employment by either party.
15. Governmental Powers. It is understood and agreed that by execution of this Agreement,
City does not waive or surrender any of its governmental powers or immunities.
16. No Waiver. The failure of City or Vendor to insist upon the performance of any term or
provision of this Agreement or to exercise any right granted herein does not constitute a waiver of City's or
Vendor’s respective right to insist upon appropriate performance or to assert any such right on any future
occasion.
17. Governing Law / Venue. This Agreement will be construed in accordance with the laws
of the State of Texas. If any action, whether real or asserted, at law or in equity, is brought pursuant to this
Agreement, venue for such action will lie in state courts located in Tarrant County, Texas or the United
States District Court for the Northern District of Texas, Fort Worth Division.
18. Severability. If any provision of this Agreement is held to be invalid, illegal or
unenforceable, the validity, legality and enforceability of the remaining provisions will not in any way be
affected or impaired.
19. Force Majeure. City and Vendor will exercise their best efforts to meet their respective
duties and obligations as set forth in this Agreement, but will not be held liable for any delay or omission
in performance due to force majeure or other causes beyond their reasonable control, including, but not
limited to, compliance with any government law, ordinance, or regulation; acts of God; acts of the public
enemy; fires; strikes; lockouts; natural disasters; wars; riots; epidemics or pandemics ; government action
or inaction; orders of government; material or labor restrictions by any governmental authority;
transportation problems; restraints or prohibitions by any court, board, department, commission, or agency
of the United States or of any States; civil disturbances; other national or regional emergencies; or any other
similar cause not enumerated herein but which is beyond the reasonable control of the Party whose
performance is affected (collectively, “Force Majeure Event”). The performance of any such obligation is
suspended during the period of, and only to the extent of, such prevention or hindrance, provided the
affected Party provides notice of the Force Majeure Event, and an explanation as to how it prevents or
hinders the Party’s performance, as soon as reasonably possible after the occurrence of the Force Majeure
Event, with the reasonableness of such notice to be determined by the City in its sole discretion. The notice
required by this section must be addressed and delivered in accordance with Section 13 of this Agreement.
20. Headings not Controlling. Headings and titles used in this Agreement are for reference
purposes only, will not be deemed a part of this Agreement, and are not intended to define or limit the scope
of any provision of this Agreement.
21. Review of Counsel. The parties acknowledge that each party and its counsel have
reviewed and revised this Agreement and that the normal rules of construction to the effect that any
ambiguities are to be resolved against the drafting party will not be employed in the interpretation of this
Agreement or Exhibits A, B, and C.
22. Amendments / Modifications / Extensions. No amendment, modification, or extension
of this Agreement will be binding upon a party hereto unless set forth in a written instrument, which is
executed by an authorized representative of each party. DRAFT
Vendor Services Agreement Page 8 of 14
23. Counterparts. This Agreement may be executed in one or more counterparts and each
counterpart will, for all purposes, be deemed an original, but all such counterparts will together constitute
one and the same instrument.
24. Warranty of Services. Vendor warrants that its services will be of a high quality and
conform to generally prevailing industry standards. City must give written notice of any breach of this
warranty within thirty (30) days from the date that the services are completed. In such event, at Vendor’s
option, Vendor will either (a) use commercially reasonable efforts to re-perform the services in a manner
that conforms with the warranty, or (b) refund the fees paid by City to Vendor for the nonconforming
services.
25. Immigration Nationality Act. Vendor must verify the identity and employment eligibility
of its employees who perform work under this Agreement, including completing the Employment
Eligibility Verification Form (I-9). Upon request by City, Vendor will provide City with copies of all I-9
forms and supporting eligibility documentation for each employee who performs work under this
Agreement. Vendor must adhere to all Federal and State laws as well as establish appropriate procedures
and controls so that no services will be performed by any Vendor employee who is not legally eligible to
perform such services. VENDOR WILL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM
ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH
BY VENDOR, VENDOR’S EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, OR
AGENTS. City, upon written notice to Vendor, will have the right to immediately terminate this Agreement
for violations of this provision by Vendor.
26. Ownership of Work Product. City will be the sole and exclusive owner of all reports,
work papers, procedures, guides, and documentation that are created, published, displayed, or produced in
conjunction with the services provided under this Agreement (collectively, “Work Product”). Further, City
will be the sole and exclusive owner of all copyright, patent, trademark, trade secret and other proprietary
rights in and to the Work Product. Ownership of the Work Product will inure to the benefit of City from
the date of conception, creation or fixation of the Work Product in a tangible medium of expression
(whichever occurs first). Each copyrightable aspect of the Work Product will be considered a "work-made-
for-hire" within the meaning of the Copyright Act of 1976, as amended. If and to the extent such Work
Product, or any part thereof, is not considered a "work-made-for-hire" within the meaning of the Copyright
Act of 1976, as amended, Vendor hereby expressly assigns to City all exclusive right, title and interest in
and to the Work Product, and all copies thereof, and in and to the copyright, patent, trademark, trade secret,
and all other proprietary rights therein, that City may have or obtain, without further consideration, free
from any claim, lien for balance due, or rights of retention thereto on the part of City.
27. Signature Authority. The person signing this Agreement hereby warrants that they have
the legal authority to execute this Agreement on behalf of the respective party, and that such binding
authority has been granted by proper order, resolution, ordinance or other authorization of the entity. This
Agreement and any amendment hereto, may be executed by any authorized representative of Vendor. Each
party is fully entitled to rely on these warranties and representations in entering into this Agreement or any
amendment hereto.
28. Change in Company Name or Ownership. Vendor must notify City’s Purchasing
Manager, in writing, of a company name, ownership, or address change for the purpose of maintaining
updated City records. The president of Vendor or authorized official must sign the letter. A letter indicating
changes in a company name or ownership must be accompanied with supporting legal documentation such
as an updated W-9, documents filed with the state indicating such change, copy of the board of director’s DRAFT
Vendor Services Agreement Page 9 of 14
resolution approving the action, or an executed merger or acquisition agreement. Failure to provide the
specified documentation so may adversely impact future invoice payments.
29. No Boycott of Israel. If Vendor has fewer than 10 employees or this Agreement is for
less than $100,000, this section does not apply. Vendor acknowledges that in accordance with Chapter
2271 of the Texas Government Code, the City is prohibited from entering into a contract with a company
for goods or services unless the contract contains a written verification from the company that it: (1) does
not boycott Israel; and (2) will not boycott Israel during the term of the contract. The terms “boycott Israel”
and “company” has the meanings ascribed to those terms in Section 2271 of the Texas Government Code.
By signing this Agreement, Vendor certifies that Vendor’s signature provides written verification to
the City that Vendor: (1) does not boycott Israel; and (2) will not boycott Israel during the term of
the Agreement.
30. Prohibition on Boycotting Energy Companies. Vendor acknowledges that, in
accordance with Chapter 2274 of the Texas Government Code, as added by Acts 2021, 87th Leg., R.S.,
S.B. 13, § 2, the City is prohibited from entering into a contract for goods or services that has a value of
$100,000 or more that is to be paid wholly or partly from public funds of the City with a company with 10
or more full-time employees unless the contract contains a written verification from the company that it:
(1) does not boycott energy companies; and (2) will not boycott energy companies during the term of the
contract. The terms “boycott energy company” and “company” have the meaning ascribed to those terms
by Chapter 2274 of the Texas Government Code, as added by Acts 2021, 87th Leg., R.S., S.B. 13, § 2. To
the extent that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this
Agreement, Vendor certifies that Vendor’s signature provides written verification to the City that Vendor:
(1) does not boycott energy companies; and (2) will not boycott energy companies during the term of this
Agreement.
31. Prohibition on Discrimination Against Firearm and Ammunition Industries . Vendor
acknowledges that except as otherwise provided by Chapter 2274 of the Texas Government Code, as added
by Acts 2021, 87th Leg., R.S., S.B. 19, § 1, the City is prohibited from entering into a contract for goods or
services that has a value of $100,000 or more that is to be paid wholly or partly from public funds of the
City with a company with 10 or more full-time employees unless the contract contains a written verification
from the company that it: (1) does not have a practice, policy, guidance, or directive that discriminates
against a firearm entity or firearm trade association; and (2) will not discriminate during the term of the
contract against a firearm entity or firearm trade association. The terms “discriminate,” “firearm entity”
and “firearm trade association” have the meaning ascribed to those terms by Chapter 2274 of the Texas
Government Code, as added by Acts 2021, 87th Leg., R.S., S.B. 19, § 1. To the extent that Chapter 2274
of the Government Code is applicable to this Agreement, by signing this Agreement, Vendor certifies that
Vendor’s signature provides written verification to the City that Vendor: (1) does not have a practice, policy,
guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will
not discriminate against a firearm entity or firearm trade association during the term of this Agreement.
32. Electronic Signatures. This Agreement may be executed by electronic signature, which
will be considered as an original signature for all purposes and have the same force and effect as an original
signature. For these purposes, “electronic signature” means electronically scanned and transmitted versions
(e.g. via pdf file or facsimile transmission) of an original signature, or signatures electronically inserted via
software such as Adobe Sign.
33. Entirety of Agreement. This Agreement, including all attachments and exhibits, contains
the entire understanding and agreement between City and Vendor, their assigns and successors in interest,
as to the matters contained herein. Any prior or contemporaneous oral or written agreement is hereby DRAFT
Vendor Services Agreement Page 10 of 14
declared null and void to the extent in conflict with any provision of this Agreement. DRAFT
Vendor Services Agreement Page 11 of 14
IN WITNESS WHEREOF, the parties hereto have executed this Agreement in multiples.
CITY OF FORT WORTH:
By: ___________________________
Name: ________________________
Title: Assistant City Manager
Date: _____________, 20__
APPROVAL RECOMMENDED:
By: ______________________________
Name: ________________________
Title: ________________________
ATTEST:
By: ______________________________
Name: ________________________
Title: City Secretary
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
reporting requirements.
By: ______________________________
Name: ________________________
Title: ________________________
APPROVED AS TO FORM AND LEGALITY:
By: ______________________________
Name: ________________________
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: _________
Form 1295:______________
VENDOR:
___________________, ___
By:
Name: ________________________
Title: ________________________
Date: _____________, 20__
DRAFT
Vendor Services Agreement Page 12 of 14
EXHIBIT A
SCOPE OF SERVICES
__________________________.
DRAFT
Vendor Services Agreement Page 13 of 14
EXHIBIT B
PAYMENT SCHEDULE
__________________________.
DRAFT
Professional Services Agreement
MAXIMUS Consulting Services, Inc., Page 14 of 14
EXHIBIT D
VERIFICATION OF SIGNATURE AUTHORITY
_____________________________
_____________________________
_____________________________
Execution of this Signature Verification Form (“Form”) hereby certifies that the following
individuals and/or positions have the authority to legally bind Vendor and to execute any agreement,
amendment or change order on behalf of Vendor. Such binding authority has been granted by proper order,
resolution, ordinance or other authorization of Vendor. City is fully entitled to rely on the warranty and
representation set forth in this Form in entering into any agreement or amend ment with Vendor. Vendor
will submit an updated Form within ten (10) business days if there are any changes to the signatory
authority. City is entitled to rely on any current executed Form until it receives a revised Form that has been
properly executed by Vendor.
1. Name:
Position:
_______________________________________
Signature
2. Name:
Position:
_______________________________________
Signature
3. Name:
Position:
_______________________________________
Signature
Name:
_______________________________________
Signature of President / CEO
Other Title: ______________________________
Date: ___________________________________
DRAFT
ATTACHMENT G-
DOCUMENT CHECKLIST
Required Documents
Documents Attached?
Yes/No
Answering “No” to the below will result in the bid being
deemed non-responsive.
A completed and signed Bid Submission Signature
Page
A completed Bid Solicitation
A completed and signed Attachment A- Conflict of
Interest Questionnaire
A completed and signed Attachment B-
Bidder's Contact Information
A completed and signed Attachment C-
Questionnaire
A completed Attachment D-
References
A completed and signed Attachment F-
Document Check List
Copies of appraiser’s certifications from either The
Bureau of Certified Auto Appraisers or The American
Society of Certified Auto Appraisers
Signed Addendums Sent Out After the Release of the
Bid, if applicable
Professional Services Agreement
CPR Insurance Group, LLC Page 18 of 19
EXHIBIT D
CONTRACTOR’S BID RESPONSE TO CITY’S RFP No. 0137
Event Description
The City of Fort Worth (City) seeks quotes to finalize an Agreement for Damaged Vehicle Appraisal Services for
city-owned vehicles and non-automotive equipment on an "as-needed" basis for the Property Management
Department.
68%0,66,215(48,5(0(176$1''($'/,1(6
All companies/individuals wishing to do business with the City of Fort Worth must register as a Bidder on the
PeopleSoft Supplier Portal. Please visit
https://www.fortworthtexas.gov/departments/finance/purchasing/register for more information.
Assigned Buyer: Laura Ortiz
Pre-Bid Conference will be held at the Fort Worth City Hall, 200 Texas Street, Development Services Conference
Room, LL 1201, Fort Worth TX, 76102 on Tuesday, May 10, 2022 at 1:00 pm.
Join virtually:
https://fortworthtexas.webex.com/fortworthtexas/j.php?MTID=m6e9006fbe799fbac9e2fce13e43cfe20
Meeting number (access code): 2551 987 8574
Meeting password: nxMY2CpTj35
Join by phone
+1-469-210-7159 United States Toll (Dallas)
Quotes are solicited for furnishing the merchandise, supplies, services and/or equipment set forth. Completed
Quote must submitted via email to FMSPurchasingResponses@fortworthtexas.gov, by the above "Finish Time"
and addressed to the above Buyer and have the bid number and clearly marked on the subject line. Quotes may
also be received in the Purchasing Division, 200 Texas Street, Fort Worth, Texas 76102. Late quotes will not be
considered for award unless bidders are notified otherwise. Quotes may be withdrawn at any time prior to the
official opening by written notification. Quotes may not be altered, amended or withdrawn after the official opening.
The period for acceptance of this proposal will be ______ calendar days (90 calendar days unless a different
period is inserted by the bidder) after opening date.
Solicitation Documents:
Cover Page
Bid Submission Signature Page**
Bid Solicitation**
Part 1 Purchasing Agreement Specifications
Part 2 Scope of Services/Specifications
Attachment A - Conflict of Interest Disclosure Requirement**
Attachment B - Bidder's Contract Information**
Attachment C - Questionnaire**
Attachment D - References Page
Attachment F - Draft Service Agreement
Attachment G - Document Check List**
Signed addendum(s) acknowledging receipt (if applicable)**
**Required to be completed and submitted. See Section 15.0, Part 1 for all required document that need to be
submitted. Failure to submit all items will be grounds for rejection of a bid as non-responsive to the specifications.
&29(53$*(
Invited: PUBLIC EVENT DETAILS
Submit To:City of Fort Worth
FINANCIAL MANAGEMENT SERVICES
FINANCE - Purchasing
200 Texas St. (Lower Level, South)
Fort Worth TX 76102
United States
Email:FMSPurchasingResponses@fortworthtexas.gov
Event ID Page
CFW01-22-0137 1
Event Round Version
11
Event Name
3'2UDamaged Vehicle Appraisal Services
Start Time
05/04/2022 8:00:00 CDT
Finish Time
05/18/2022 8:00:00 CDT
F���r'Wo����
�`�"� BID SUBMISSiON SIGNATURE PAGE
__-- . __
_ ...._-._ _ �
vent ICi Pa e Invited: Pt18LIC �VEN7 dETAILS
c�wo1-zz ois�r �
._._ ... _ _ ----- __,,._
Event Round Versian � Submif To: City of Fari Worth
1 1 FIPJANCIAL MANAGEM�NT SERVICES
_ .. .
—.
Event Name FINANC� - Purchasing
nlam�qea vei���le ��ai:�ai se��,��e� 200 7exas St, (Lower Level, South)
5tart Time Finish i�me Fo� Wor�h �"X 7�142
05_04 2r�zz �;oo:oo cn� 05 is 2ozz a:ao:ao cn�r United Stafes
Er�ail: FMSPurchasingResponses@fnrtworthtexas.gov
The �r�dersigned, by hislher signature, represents that he!she is submitting a binding offer and is authorized to bind
fhe respondent to fully corrtply with the soliciiaiion document contained herein. The Respondent, by submitting and
signing below, acknowledges that hels�e has received and read the entire document packet sections defined abov�
including a!I docc�ments incorporated by raference, and agrees to be bound by the terms therein.
l.egel Campany Name: CPR Insurance Group, LLC
CompanyAddress: 6C0 E. John Carpenter Fwy., Ste. 3fs5
City, State, Zip: Irving, Tx 75062
Vendnr Registration No. VS8801a
Printed Name of Ofticer orAuthorized Representative
Title: Ma�aging Director 1 CFO
Michael Trotter
Signaiure of Officer or Authnrized Representative:
IJate: 5-17-22
Emai! Address; mtrott�r@cprins.com
Phone Number: �97z) 887-3650
Federal Ider�tification Number (�ID): 46-35971 Q1
�
Will agreement be available for Cooperative Agreernent use (see Seotion 6.0 Caoperative Pricing)? Yes X No
Line:1
Description: Qty Unit UnitPrice Total
Appraisal of Compact, Mid-sized & Large Autos
Including up to ¼ ton Pickup Trucks &
Equipment
60.00 EA
Line:2
Description: Qty Unit UnitPrice Total
Appraisal of 1/2 ton to 1-ton Pickup Trucks
and Equipment
30.00 EA
Line:3
Description: Qty Unit UnitPrice Total
Appraisal of above 1-ton Large Trucks and
Equipment
30.00 EA
Total Bid Amount:
%,'62/,&,7$7,21
Invited: PUBLIC EVENT DETAILS
Submit To:City of Fort Worth
FINANCIAL MANAGEMENT SERVICES
FINANCE - Purchasing
200 Texas St. (Lower Level, South)
Fort Worth TX 76102
United States
Email:FMSPurchasingResponses@fortworthtexas.gov
Event ID Page
CFW01-22-0137 3
Event Round Version
11
Event Name
Damaged Vehicle Appraisal Services
Start Time
05/04/2022 8:00:00 CDT
Finish Time
05/18/2022 8:00:00 CDT
$ELGRI ]HUR ZLOOEHLQWHUSUHWHGE\WKH&LW\DVDQRFKDUJH IUHH LWHPDQGWKH&LW\ZLOOQRWH[SHFWWR
SD\IRUWKDWLWHP$ELGRIQRELGRUQRUHVSRQVH VSDFHOHIWEODQN ZLOOEHLQWHUSUHWHGE\WKH&LW\WKDWWKH
2IIHURUGRHVQRWZLVKWRELGRQWKDWLWHP%HDGYLVHGDQRELGRUQRUHVSRQVHPD\EHFRQVLGHUHGDV
QRQUHVSRQVLYHDQGPD\UHVXOWLQGLVTXDOLILFDWLRQRIWKHELG
$110.00 $6,600.00
$110.00 $3,300.00
$400.00 $12,000.00
$21,900.00
PART 1-
PURCHASING AGREEMENT SPECIFICATIONS
1.0 SCOPE
1.1 The City of Fort Worth (City) seeks quotes to finalize an Agreement for damaged vehicle appraisal
services for City-owned vehicles and non-automotive equipment on an “as needed” basis for the
Property Management Department. Prospective responding bidders should ensure they download
all attachments for complete responses and understanding of the agreement the City intends to
award from this solicitation. The successful bidder(s), known hereafter as “Contractor”/“Vendor.”
1.2 This Agreement shall begin on the date stated upon contract execution or award (“Effective Date”)
and shall expire on upcoming September 30th, (“Expiration Date”), unless terminated earlier in
accordance with this Agreement (“Initial Term”). Upon the expiration of the Initial Term, the
Agreement will automatically renew under the same terms and conditions for up to five (5) one-year
renewal periods (October 1 to September 30), unless City or Vendor provides the other party with
notice of non-renewal at least 60 days before the expiration of the Initial Term or renewal period.
However, if funds are not appropriated, the City may cancel the Agreement 30 calendar days after
providing written notification to the Contractor/Vendor.
1.3 The quantities listed on the bid solicitation are only estimates based on previous usage and do not
indicate intent to purchase or guarantee future business. The City is obligated to pay for only those
goods actually ordered by an authorized City employee and then received as required and accepted
or paid by the City.
1.4 Following the award, additional services of the same general category that could have been
encompassed in the award of this Agreement, and that are not already on the Agreement, may be
added.
1.5 Unit price shall include all costs associated including but no limited to delivery, fuel charges, and
freight. No additional charges will be accepted or paid by the City.
1.6 The submission of a bid by the bidder shall be considered evidence of compliance with these
requirements.
1.7 Prices in the bid shall remain firm for the entire term of the agreement.
2.0 DETAILED SCOPE OF SERVICES/SPECIFICATIONS
2.1 The Vendor hereby agrees to provide the City with requirements attached hereto and incorporated
for all purpose’s incident to this Agreement in Part- 2, Scope of Services/Specifications and Exhibit
A of Attachment F more specifically describing the goods to be provided hereunder.
3.0 CHANGE IN COMPANY NAME OR OWNERSHIP
3.1 The Vendor shall notify the City’s Purchasing Manager, in writing, of a company name, ownership,
or address change for the purpose of maintaining updated City records. The president of the
company or authorized official must sign the letter. A letter indicating changes in a company name
or ownership must be accompanied with supporting legal documentation such as an updated W-9,
documents filed with the state indicating such change, copy of the board of director’s resolution
approving the action, or an executed merger or acquisition agreement. Failure to do so may
adversely impact future invoice payments.
4.0 INVOICING REQUIREMENTS
4.1 The City of Fort Worth has begun implementing an automated invoicing system.
4.2 The Vendor shall send invoices electronically to our centralized Accounts Payable department
invoice email address: supplierinvoices@fortworthtexas.gov. This email address is not monitored so
please do not send correspondence to this email address. The sole purpose of the supplier invoices
email address is to receipt and process supplier invoices.
4.3 Please include the following on the subject line of your e-mail: vendor name, invoice number, and
PO number, separated by an underscore (ex: Example, Inc._123456_FW012- 000001234).
4.4 To ensure the system can successfully process your invoice in an expedient manner, please adhere
to the following requirements:
All invoices must be either a PDF or TIFF format.
Image quality must be at least 300 DPI (dots per inch).
Invoices must be sent as an attachment (i.e. no invoice in the body of the email).
One invoice per attachment (includes PDFs). Multiple attachments per email is acceptable but
each invoice must be a separate attachment.
Please do not send handwritten invoices or invoices that contain handwritten notes.
Dot matrix invoice format is not accepted.
The invoice must contain the following information:
Supplier Name and Address;
Remit to Supplier Name and Address, if different;
Applicable City Department business unit# (i.e. FW013)
Complete City of Fort Worth PO number (i.e. the PO number must contain all preceding
zeros);
Invoice number;
Invoice date; and
Invoices should be submitted after delivery of the goods or services.
4.5 To prevent invoice processing delays, please do not send invoices by mail and email and please do
not send the same invoice more than once by email to supplierinvoices@fortworthtexas.gov. To
check on the status of an invoice, please contact the City Department ordering the goods/services
or the Central Accounts Payable Department by email:
ZZ_FIN_AccountsPayable@fortworthtexas.gov.
4.6 If you are unable to send your invoice as outlined above at this time, please send your invoice to our
centralized Accounts Payable department instead of directly to the individual city department. This
will allow the city staff to digitize the invoice for faster processing.
4.7 If electronic invoicing is not possible, you may send your paper invoice to:
City of Fort Worth
Attn: FMS Central Accounts Payable
200 Texas Street
Fort Worth, Texas 76102
The City’s goal is to receive 100% of invoices electronically so that all supplier payments are
processed efficiently. To achieve this goal, we need the Vendor’s support.
4.8 If the Vendor has any questions, please contact the Accounts Payable team at (817) 392- 2451 or
by email to ZZ_FIN_AccountsPayable@fortworthtexas.gov.
5.0 CITY REQUIREMENTS AND RESERVATIONS
5.1 The City will identify the location, City contact, and description of the service request to the
Contractor.
5.2 The City will provide a purchase order number before the commencement of any service.
6.0 COOPERATIVE PURCHASING
6.1 Should other governmental entities decide to participate in this Agreement, Bidders shall indicate in
their bid response whether they agree that all terms, conditions, specifications, and pricing would
apply.
6.2 If the successful Bidder agrees to extend the resulting Agreement to other governmental entities, the
following will apply: Governmental entities within utilizing agreements with the City of Fort Worth will
be eligible, but not obligated, to purchase material/services under this Agreement(s) awarded as a
result of this solicitation. All purchases by governmental entities other than the City of Fort Worth will
be billed directly to that governmental entity and paid by that governmental entity. The City of Fort
Worth will not be responsible for another governmental entity’s debts. Each governmental entity will
order its own material/services as needed.
7.0 INSURANCE REQUIREMENTS
7.1 The Contractor shall carry insurance in the types and amounts for the duration of this contract as
listed in the draft service agreement, Attachment F to this solicitation, and furnish certificates of
insurance along with copies of policy declaration pages and policy endorsements as evidence
thereof.
8.0 CONTRACTOR REQUIREMENTS IN ORDER FOR THE BID TO BE EVALUATED
8.1 The Bidder shall:
8.1.1 Demonstrate its ability to secure and perform the services within the delivery requirements
specified herein.
8.1.2 Have a minimum of two (2) years of experience providing similar services to similar size
government and/or organization.
8.1.3 Be located within 50 miles of City Hall – 200 Texas Street, Fort Worth, Texas 76102.
8.1.4 Have the ability to provide services within 48 hours of service request.
8.1.5 Have and operate a full-time, permanent business address with the ability to be reached
by e-mail and telephone.
9.0 LAWS, REGULATIONS, AND ORDINANCES
9.1 The Vendor shall be responsible for meeting all Federal: laws, ordinances and regulations; State:
laws, ordinance and regulations; County: laws, ordinances and regulations; and City: laws,
ordinances, and regulations for safety of people, environment, and property. This includes, but is not
limited to, all Federal, State, County, and City Agencies, Administrations and Commissions such as
the Environmental Protection Agency (EPA), Occupational Safety and Health Administration
(OSHA), and the Texas Commission on Environmental Quality (TCEQ). In the event any law,
regulation or ordinance becomes effective after the start of this Agreement, the Vendor is required
to comply with new policy. Any mandates requiring the City to comply with new guidelines will also
require the Vendor to comply.
10.0 QUANTITIES
10.1 The quantities listed on the bid solicitation are only estimates based on previous usage and do not
indicate intent to purchase or a guarantee of future business. The City of Fort Worth is obligated to
pay for only those materials and services actually ordered by an authorized City employee and then
received as required and accepted by the City.
11.0 PERFORMANCE
11.1 Failure of the City to insist in any one or more instances upon performance of any of the terms and
conditions of this Agreement shall not be construed as a waiver or relinquishment of the future
performance of any terms and conditions, but the Vendor's obligation with respect to such
performance shall continue in full force and effect.
12.0 COMPLAINTS
12.1 Complaints processed through the City Purchasing Division are to be corrected within fourteen (14)
days of formal notice of complaint. Written response to the Purchasing Division is required. Failure
to properly resolve complaints within the fourteen (14) calendar day time period may result in the
cancellation of the applicable line item(s) in the price agreement.
13.0 METHOD OF AWARD
13.1 Bids will first be evaluated based on bids received from a responsible bidder that presents the best
value to the City. A responsible bidder is defined as a bidder that:
13.1.1 Meets all the requirements listed in Section 8.0, Part 1.
13.1.2 Submits a completed quote packet within the stated time deadline and in accordance with
the specifications.
13.1.3 One who demonstrates his/her ability to successfully deliver the supplies, equipment, or
services being procured.
13.2 Bids that do not receive 50% or more of the total available points, excluding the points for price, will
be deemed non-responsive.
13.3 The following criteria will be used to determine the best value:
13.3.1 Cost of Service – up to 40 points
13.3.2 Bidder’s approach to perform services – up to 25 points
13.3.3 Bidder’s qualifications, certifications and references– up to 20 points
13.3.4 Bidder’s ability to meet the City’s needs– up to 15 points
13.4 In order for the City to receive adequate coverage on its requirements as specified in the solicitation,
the City reserves the right to make multiple awards.
13.5 The City reserves the right to accept or reject in whole or in part any or all bids received and to make
an award on the basis of individual item, combination of items, or overall bid, as it is deemed in the
best interest of the City.
13.6 The City also reserves the right to reject the bid of a bidder who has previously failed to perform
properly or complete on time agreements of a similar nature.
14.0 TENTATIVE SCHEDULE OF EVENTS
RFQt Release Date May 4, 2022 8:00 AM Local Time
Pre-Bid Conference May 10, 2022 1:00 PM Local Time
Deadline for Questions May 11, 2022 5:00 PM Local Time
RFQt Due Date May 18, 2022 8:00 AM Local Time
Recommended Vendor Selection June 2022
15.0 QUOTATIONS
15.1 Bidders shall submit the following items with their quote. Failure to provide all the information will
deem the bid non-responsive:
15.1.1 A completed and signed Bid Submission Signature Page;
15.1.2 A completed and signed Bid Solicitation;
15.1.3 A completed and signed Conflict of Interest Questionnaire, Attachment A;
15.1.4 A completed and signed Bidder’s Contact Information, Attachment B;
15.1.5 A completed and signed Questionnaire, Attachment C;
15.1.6 A completed References Page, Attachment D;
15.1.7 A completed and signed Document Check List, Attachment G;
15.1.8 Copies of appraiser’s certifications from either The Bureau of Certified Auto Appraisers or
The American Society of Certified Auto Appraisers;
15.1.9 Signed Addendum(s) acknowledging receipt;
15.2 Failure to submit the items listed in Section 15.1 will be grounds for rejection of a bid as non-
responsive to the specifications.
16.0 QUESTIONS
16.1 Questions, explanations or clarifications desired by a bidder regarding any part of the RFQt must be
requested in writing from the Purchasing Division no later than May 10, 2022 at 5:00 PM (local time).
Requests must be sent to the following:
16.1.1 Email: FMSPurchasingResponses@fortworthtexas.gov
RFQt 22-0137 ATTENTION: Laura Ortiz
Must be included in the subject line
Please note, if an e-mail confirming receipt of your e-mail is not received within 1 business
day, please contact the City of Fort Worth Purchasing at 817-392-2462.
17.0 RIGHTS OF INVENTIONS MADE UNDER A CONTRACT OR AGREEMENT
17.1 If the Federal award meets the definition of “funding eCFR — Code of Federal Regulations
agreement” under 37 CFR §401.2 (a) and the recipient or subrecipient wishes to enter into a contract
with a small business firm or nonprofit organization regarding the substitution of parties, assignment
or performance of experimental, developmental, or research work under that “funding agreement,”
the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to
Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants,
Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding
agency.
18.0 CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT
18.1 Vendor shall comply with all applicable standards, orders or regulations issued pursuant to the Clean
Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C.
1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of
the Environmental Protection Agency (EPA).
19.0 DEBARTMENT AND SUSPENSION
19.1 Per Executive Orders 12549 and 12689, a contract award (see 2 CFR 180.220) shall not be made
to parties listed on the government-wide exclusions in the System for Award Management (SAM), in
accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR
part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.”
SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by
agencies, as well as parties declared ineligible under statutory or regulatory authority other than
Executive Order 12549.
20.0 BYRD ANTI-LOBBYING AMENDMENT (31 U.S.C. 1352)
20.1 Firms that apply or bid for an award exceeding $100,000.00 must file the required certification. Each
tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any
person or organization for influencing or attempting to influence an officer or employee of any agency,
a member of Congress, officer or employee of Congress, or an employee of a member of Congress
in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C.
1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in
connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to
the non-Federal award.
20.2 Bidders shall provide proof of Byrd Anti-Lobbying Amendment certification filings with their bid, if the
bid exceeds $100,000.00.
21.0 UNIT PRICE ADJUSTMENT
21.1 The unit prices may be adjusted for increases or decreases in Vendor’s cost after completion of each
Agreement year upon written request from the Vendor.
21.2 The Vendor must submit its price adjustment request, in writing, at least 60 days before completion
of each Agreement year. The Vendor shall provide written proof of cost increases with price
adjustment request.
21.3 If the City concludes that the rate increase being requested is exorbitant, the City reserves the right
to adjust the rate request, or reject the rate request in its entirety and allow the Agreement to expire
at the end of the Agreement term. If the City elects not to exercise the renewal option, the Purchasing
Division will issue a new solicitation.
21.4 Prices bid shall remain firm for each one-year term of the Agreement and shall include all associated
freight and delivery costs.
21.5 Prices offered shall be used for bid analysis and for Agreement pricing. In cases of errors in
extensions or totals, the unit prices offered will govern.
21.6 Upon expiration of the Agreement term the successful bidder, agrees to hold over under the terms
and conditions of this Agreement for a reasonable period of time to allow the city to re-bid an
agreement, not to exceed ninety (90) days. Vendor will be reimbursed for this service at the prior
agreement rate(s). Vendor shall remain obligated to the City under all clauses of this Agreement that
expressly or by their nature extends beyond and survives the expiration or termination of this
Agreement.
21.7 Goods and/or services shall not be suspended by the Vendor without a 30-day prior written notice to
the Purchasing Manager.
22.0 RIGHT TO AUDIT
22.1 Vendor agrees that City shall, until the expiration of three (3) years after final payment under the
Agreement, have access to and the right to examine any directly pertinent books, documents, papers
and records of Vendor involving transactions relating to the Agreement. Vendor agrees that City shall
have access during normal working hours to all necessary Vendor facilities and shall be provided
adequate and appropriate workspace in order to conduct audits in compliance with the provisions of
this section. City shall give Vendor reasonable advance notice of intended audits.
PART 2-
SCOPE OF SERVICES/SPECIFICATIONS
The intent of this RFQt is to finalize an Agreement for comprehensive estimate services of body shop repairs and
replacements for damaged City-owned vehicles and equipment that the City is required to repair or sublet to a
contracted vendor for repairs as a result of an accident for the Property Management Department.
1.0 VENDOR RESPONSIBILITIES
1.1 Vendor shall be located within 50 miles of Fort Worth City Hall, 200 Texas Street, Fort Worth, Texas
76102.
1.2 Vendor shall have a minimum of two (2) years of experience providing similar services to similar size
government and/or organizations.
1.3 Vendor shall provide a high-quality vehicle damage appraisal that provides a description of the
damage with detailed picture documentation and actual loss and condition of the vehicle.
1.4 Vendor’s appraisers involved in the damaged vehicle appraisal process shall possess certifications
from either The Bureau of Certified Auto Appraisers or The American Society of Certified Auto
Appraisers to support their knowledge and duties of this agreement. Vendor shall maintain all
certifications and keep current throughout the duration of this agreement and submit copies to the
City with their bid response.
1.5 If the damaged vehicle is already located at a 3rd party repair facility for initial appraisal or
supplemental request and review, Vendor shall be asked to inspect/re-inspect damages.
1.6 Vendor shall designate at least one (1) person as Point of Contact with office phone or cell phone
number and email for accessibility.
1.7 The appraising vendor shall not perform any reports or body work.
1.8 Vendor shall appear on-site ready to provide appraisal services within forty-eight (48) hours of being
requested by appropriate City personnel from City of Fort Worth Property Management Department,
Fleet Division.
1.9 Vendor shall report to Fleet Service Centers to provide appraisal services, Monday through Friday
between 7:30 a.m.– 9:30 p.m. unless expressly authorized by the Fleet Service Center Supervisor(s)
or their designee. Any deviation from this timeframe shall require written approval from the Fleet
Service Center Supervisor(s) or their designee.
1.10 Vendor shall provide the appraisal report of appraisal services performed on City-owned vehicles
and equipment within forty-eight (48) hours.
1.11 Provide all labor, equipment, supplies, transportation, and supervision to perform appraisal services
as requested by the City.
1.12 City of Fort Worth Fleet Service Center locations for appraisal services, but not limited to:
2.4.1 South Side Service Center
4100 Columbus Trail
Fort Worth, TX 76133
2.4.2 Water Service Center
2222 West Daggett
Fort Worth, TX 76102
2.4.3 James Avenue Service Center
5021 James Avenue
Fort Worth, TX 76115
2.4.4 Northside Service Center
301 Hillshire Drive
Fort Worth TX 76131
2.4.5 Brennan Body Shop
2500 Brennan Street
Fort Worth, TX 76106
1.13 Appraisal Reports- Vendor shall email or provide a printed appraisal report generated through current
edition of estimating repair software CCC ONE and Mitchell 1.
1.14 Vendor’s appraisal report provided shall all be quoted on a ‘time and parts’ basis, to the agreed upon
contract rates and itemized to illustrate the cost of each of the following if applicable to the service
or work performed: cost of part(s) to be installed, cost of labor to perform repair and/or installation,
inspection, diagnostic fees; itemized by labor hours except when estimated as a turnkey project/job.
1.15 Vendor shall provide appraisal services and all material required to bring damaged City-owned
vehicles back to their original state. Appraisal services and materials shall include, but are not limited
to:
1.15.1 Spot painting;
1.15.2 Glass repair;
1.15.3 Complete and full body painting;
1.15.4 Restoration;
1.15.5 Mechanical rebuilding;
1.15.6 Frame straightening; and
1.15.7 Original Equipment Manufacturer (OEM) parts unless otherwise approved by City of Fort
Worth personnel handling body shop repairs.
1.16 Vendor’s adherence shall include pictures of the four corners of estimated equipment along with
detailed pictures of noted damages. Images should also include the following:
1.16.1 Vehicle Identification number (VIN);
1.16.2 Vehicles’ license plate;
1.16.3 Vehicle’s mileage;
1.16.4 The production plates.
1.17 Vendor shall email all appraisal reports and associated pictures to the authorized Fleet
Representative upon completion of damage appraisal.
1.18 Vendor shall submit a revised supplemental appraisal report if during the course of the originally
estimated repairs it is noted that additional repairs will be needed.
1.19 When indicating damages are exceeding value, Vendor shall provide a valuation based on actual
cash value (ACV) through Kelly Blue Book (KBB).
2.0 TYPES OF CITY-OWNED VEHICLES AND EQUIPMENT
2.1 Types of City-owned vehicles and equipment may include, but are not limited to:
2.1.1 Compact, mid-sized, and large cars weighing up to 1/4 ton
2.1.2 Pickup trucks and equipment weighing from 1/2 ton to 1-ton
2.1.3 Large trucks and equipment weighing over 1-ton
ATTACHMENT A-
CONFLICT OF INTEREST DISCLOSURE REQUIREMENT
Pursuant to Chapter 176 of the Local Government Code, any person or agent of a person who contracts or seeks to
contract for the sale or purchase of property, goods, or services with a local governmental entity (i.e. The City of Fort
Worth) must disclose in the Questionnaire Forms CIQ (“Questionnaire”) the person’s affiliation or business
relationship that might cause a conflict of interest with the local governmental entity. By law, the Questionnaire must
be filed with the Fort Worth City Secretary no later than seven days after the date the person begins contract
discussions or negotiations with the City, or submits an application or response to a request for proposals or bids,
correspondence, or another writing related to potential agreement with the City. Updated Questionnaires must be
filed in conformance with Chapter 176.
A copy of the Questionnaires Form CIQ is enclosed with submittal documents. The form is also available at - .
If you have any questions about compliance, please consult your own legal counsel. Compliance is the individual
responsibility of each person or agent of a person who is subject to the filing requirement. An offense under Chapter
176 is a Class C misdemeanor.
NOTE: If you are not aware of a Conflict of Interest in any business relationship that you might have with the
City, state Vendor name in the # 1, use N/A in each of the areas on the form. However, a signature is required
in the #7 box in all cases.
Ct7NF,LICT �F [NTE���T t�UE�T1"�J1`�N;l�i�RE
Far ►r�ndar doing'business with local govet'nme,nial enti�y:
This qa�sUonrtafra reflocts changas m�tla to the lawr by, y;�, 23, 84th Lag_, Reg�i�r Session.
7fiis queshonnaire;is baiEig liled in accord�u7ce vriih Cf��pter i7G,.Locat Gov�mment Code, by a vendor wha
has a E�'ussi�ass'reEationsil€p'.as:�defiried by��SaCGo�t� f7,6.0�i��=aj w€tli��ra�lo6a1 govarnm�ta[�eiitity��at�d�;l�a:;
ve�ldor mAets,requiremeiits undar SecUon t76,006(a};
By fatv tltis ques�oitn�ira �tic�si b� Cfed v�nih �te revrords.�dmu�is�ator of tije focai �ovetnmenta�l anliE}re`�ot i�Ce�
tl�bre.iCie 71f3 �usfnass day _aiter the c1�te ihe uandar6ecames��it�are of#a�ts k�atsrequ re �ie;sttttem'ent to t3e::
filed. &aeSecGan:f76:0a6(a•S), Loc.al..GuvernmenE<Code,
A voiidornorninits x�n offense iF'11ie ve�dor kiiowingly=violates Seclion 176:00G, GocA].Gov�r�timent:Code:.q�t:
offanse�unde��tiiis-sacGQii is;.a�misdertie�nor. �
�f�me of vendor.who has a i�usiness reiatianship.wiii� Iocai governmentai �iify,
CpR lnsurance Gra�p, LLC
FC�RM� C,i€�`
[3aEe RacelVed
X� Check ihis box if yorr are iilirtg an upc3ake to a�rreviously filed yuestipnnair�; (7he I�w requfr�s that you f(C.e. an updateci
co3np]eted questionnair.e wit}t:[iie appropria€e (iling auihoriry noi later titan tt�e 7fh busitvess day after 1he�date,on�which
yn.0 :beoarrte aware 4�iat the: orig(na1Ey tiEed questi�nnaire: was incaanp�ete:.nr`lnaccurate;)
Name of focal gov2rnm�e�i� ofticer atia,ui vufiom th'e itiforri�atian is: being disc,los.ecl.
N/A
�1a�ne af Otficer
Deseribe. �ach ernployment nr-oYher business relationship �viih ti�e ipcal:gnvernmer�t af�cer, vr a famiiy. memtier.oi'ihe
officer,as:describedbySection•176'.€�D3(a}(2){A} /�Isodescribeanytarrtilyrefatiqi�shipvviti�.the°Iacalgav�rnt�yenfoiftcer�:
Gomplete s�b��rts A'and B"fo.r each �mpioy�ttent or busirtesg. relationshrp:de:scrif�eci; Attacl� addit�anat p�ges to titis. Form
ClQ as necessary. .
A. ]s the Eoc�l government oificer or a fainily me�ber oi the oificer reaeiving nr 1lkely to receive ta�cabfe Incor�a;
oEher than investment Incorrie, from the venclor?
� Yes � ►�p
B. Is ths yendpr receivi�tg.or Eike,ly ip receive taxa�bleF[ncairie, other th�n 1r�vesiment: inoome, from o.r::aE 1he directinn
a( the Ioc.aC gavernment oftic�r or:a family'�embe� of the oiticerAND the taxable f�come'is not receive'tl:iroin the
local.governmentaf eniity?
� Yes � No
C3escrit�e each employment:or 8us.in�ss refat� onship: tha:f#he vendar nai�ieti:in Seotion =1' m�ntair�s!Ntiih a'cor�tiraiiot� or
oiher business �ntity �rriih r�s�aeci to-whic� ihe lt�r:�t-:gay.,ernm�nt:afiicer;serves as an offja�r or`directnr; or holds an;
ownership�'r�iterest �of one perceni:ar more. � � .
None
QCheck this E�ox it the:�endar has:given tiie Eacal government:oEficer or a ia�ri`rfy �neinber of;the:ofticer ane: or:more gitts
as. describ�.d in Secfion 1.7�,�[ 03(aj{2�(8j, exc3uding gifts deseribe� inc Secilori 176:00�(a=1,j;
' ' — May 17, 2022
Signattire of yendor doing business with lEia govei�nniental.enUty ��e
Fo.rm proyided by 7exas �tl�ics Commissio�l wwiv:ethics.state.t�r.Eis
iievised 1l1f202'f
ATTACHMENT B-
BIDDER CONTACT INFORMATION
Bidder’s Name: ___________________________________________________ _______________
Bidder’s Local Address: ________________________________ ___________________________
Phone: _______________ ______________ Fax: ___________________________ __
Email: ___________________________________________ ________________________
Name of persons to contact when placing an order or billing questions:
Name/Title: _____________________________________________________ ______________
Phone: _______________ ______________ Fax: ___________________________ __
Email: ___________________________________________ ________________________
Name/Title: _____________________________________________________ ______________
Phone: _______________ ______________ Fax: ___________________________ __
Email: ___________________________________________ ________________________
Name/Title: _____________________________________________________ ______________
Phone: _______________ ______________ Fax: ___________________________ __
Email: ___________________________________________ ________________________
CPR Insurance Group, LLC
600 E. John Carpenter Fwy, Suite 365, Irving, Tx 75062
(972) 887-3650 (469) 565-8545
mtrotter@cprins.com
Michael Trotter / Managing Director CFO
(972) 887-3650 (469) 565-8545
mtrotter@cprins.com
Marshall Wilson / Executive VP Physical Damage
(817) 694-6691 (469) 565-8545
mwilson@cprins.com
Les Titus / Managing Director President
(972) 887-3660 (469) 565-8545
ltitus@cprins.com
ATTACHMENT C-
QUESTIONNAIRE
1. How long has your company been in business providing the requested services?
_____________________________________________________________________________________
2. Are you able to provide services within 48 hours of the service request? Yes No- If no please explain
why.
_____________________________________________________________________________________
____________________________________________________________________ _
3. Are you able to provide services, Monday – Friday between 7:30 a.m. – 9:30 p.m. as stated in Section 1,
Part 2? Yes No
_____________________________________________________________________________________
4. Please provide the number of certified personnel you have available to perform the services.
__________________________________________________________________ ___________
5. Please describe the background and qualifications of certified personnel that will be performing the
services, please including the following items:
a. Title
b. Number of years or months performing these services
c. Number of years employed by your company
d. Licenses or certifications held by personnel
6. What is your firm’s plan or approach to perform appraisal services?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
___________________________________ _________
7. Are you able to provide the appraisal report within 48 hours of services being performed? Yes No- If
no please explain why.
_____________________________________________________________________________________
__________________________________________________________ ___________
8. Please describe or provide an example of the report that will be submitted once the appraisal has been
completed.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
9. Is your company located within 50 miles of the City of Fort Worth City Hall (200 Texas Street, Fort Worth,
Texas 76102? (Provide address) Yes No
_____________________________________________________________________________________
_____________________________________________________________________
10. Do you have and operate a full-time, permanent business address with the ability to be reached by email
and telephone? Yes No- If no please explain why.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
9 years
X
X
(817) 694-6691
(See attached)
CPR will contact insured claimaint within 24 hours, complete inspection and return completed
appraisal report and work product within 3-5 business days.
X
See attached
X
X
ATTACHMENT D-
REFERENCES
Bidder’s shall provide the following information with their bid for at least two (2) references of similar size government
and/or organizations for services being requested.
1. Company’s Name:
Name of Contact:
Title of Contact:
Present Address:
City, State, Zip Code:
Telephone No.: Fax No.:
Type of Services Provided:
2. Company’s Name:
Name of Contact:
Title of Contact:
Present Address:
City, State, Zip Code:
Telephone No.: Fax No.:
Type of Services Provided:
3. Company’s Name:
Name of Contact:
Title of Contact:
Present Address:
City, State, Zip Code:
Telephone No.: Fax No.:
Type of Services Provided:
David W. Clark
Selective Insurance Company
Director, Auto Physical Damage
1011 Boulder Springs Drive, Suite 100
Richmond, VA 23225
(804) 422-6180
Auto/Truck/Heavy Equipment damage appraisals
HDI Global Insurance Company
Nick Clancy
Auto Claims Lead
161 North Clark Street - 48th floor
Chicago, IL 60601
(312) 589-6743 (312) 924-0966
Auto damage appraisals and investigations
Primacy Risk Services
John Liberatore
Founder & President
34950 Chardon Rd. #104
Willoughby Hills, OH 44094
(877) 328-9178 x701 (440) 398-8100
Auto damage appraisals and desk reviews
ATTACHMENT E-
NO QUOTE SHEET
(Please complete this form, only if, your firm has chosen not to submit a bid)
Laura Ortiz, Buyer
City of Fort Worth, Purchasing Division
200 Texas Street
Fort Worth, Texas 76102
Fax Number: 817-392-8440
Email Address: FMSPurchasingResponses@fortworthtexas.gov
Please check the items that only apply:
Do not sell the item(s) required.
Cannot be competitive.
Cannot meet the specifications highlighted in the attached Bid.
Cannot provide insurance required.
Cannot provide bonding required.
Cannot comply with indemnification requirements.
Job too large.
Job too small.
Do not wish to do business with the City.
Other reason:
Company Name:
Authorized Officer or Agent Signature:
Telephone: ( ) Fax Number: ( )
City Secretary Contract No. _____________
Vendor Services Agreement Page 1 of 14
ATTACHMENT F – DRAFT VENDOR SERVICES AGREEMENT
_____________________________________________________________________________
This VENDOR SERVICES AGREEMENT (“Agreement”) is made and entered into by and
between the CITY OF FORT WORTH (“City”), a Texas home rule municipal corporation, acting by and
through its duly authorized Assistant City Manager, and [LEGAL NAME OF THE PARTY] (“Vendor”),
a [STATE REGISTERED AND TYPE OF COMPANY] and acting by and through its duly authorized
representative, each individually referred to as a “party” and collectively referred to as the “parties.”
AGREEMENT DOCUMENTS:
The Agreement documents shall include the following:
1. This Vendor Services Agreement;
2. Exhibit A – Scope of Services;
3. Exhibit B – Price Schedule;
4. Exhibit C – City’s RFP No.__________
5. Exhibit D – Contractor’s Bid Response to City’s RFP No.________; and
6. Exhibit E – Verification of Signature Authority Form.
Exhibits A, B, C, D, and E, which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. In the event of any conflict between the terms and conditions of Exhibits A, B,
C, or D and the terms and conditions set forth in the body of this Agreement, the terms and conditions of
this Agreement shall control.
1. Scope of Services. [SIMPLE DESCRIPTION OF SCOPE OF SERVICE] (“Services”),
which are set forth in more detail in Exhibit “A,” attached hereto and incorporated herein for all purposes..
2. Term. This Agreement begins on [MONTH DAY, YEAR] (“Effective Date”) and expires
on [MONTH DAY, YEAR] (“Expiration Date”), unless terminated earlier in accordance with this
Agreement (“Initial Term”). City will have the option, in its sole discretion, to renew this Agreement under
the same terms and conditions, for up to _______ (___) one-year renewal option(s) (each a “Renewal
Term”).
3. Compensation. City will pay Vendor in accordance with the provisions of this Agreement,
including Exhibit “B,” which is attached hereto and incorporated herein for all purposes. Total
compensation under this Agreement will not exceed ____________________ Dollars ($______.__).
Vendor will not perform any additional services or bill for expenses incurred for City not specified by this
Agreement unless City requests and approves in writing the additional costs for such services. City will not
be liable for any additional expenses of Vendor not specified by this Agreement unless City first approves
such expenses in writing.
DRAFT
Vendor Services Agreement Page 2 of 14
4. Termination.
4.1. Written Notice. City or Vendor may terminate this Agreement at any time and for
any reason by providing the other party with 30 days’ written notice of termination.
4.2 Non-appropriation of Funds. In the event no funds or insufficient funds are
appropriated by City in any fiscal period for any payments due hereunder, City will notify Vendor
of such occurrence and this Agreement will terminate on the last day of the fiscal period for which
appropriations were received without penalty or expense to City of any kind whatsoever, except as
to the portions of the payments herein agreed upon for which funds have been appropriated.
4.3 Duties and Obligations of the Parties. In the event that this Agreement is
terminated prior to the Expiration Date, City will pay Vendor for services actually rendered up to
the effective date of termination and Vendor will continue to provide City with services requested
by City and in accordance with this Agreement up to the effective date of termination. Upon
termination of this Agreement for any reason, Vendor will provide City with copies of all
completed or partially completed documents prepared under this Agreement. In the event Vendor
has received access to City Information or data as a requirement to perform services hereunder,
Vendor will return all City provided data to City in a machine readable format or other format
deemed acceptable to City.
5. Disclosure of Conflicts and Confidential Information.
5.1 Disclosure of Conflicts. Vendor hereby warrants to City that Vendor has made full
disclosure in writing of any existing or potential conflicts of interest related to Vendor's services
under this Agreement. In the event that any conflicts of interest arise after the Effective Date of this
Agreement, Vendor hereby agrees immediately to make full disclosure to City in writing.
5.2 Confidential Information. Vendor, for itself and its officers, agents and employees,
agrees that it will treat all information provided to it by City (“City Information”) as confidential
and will not disclose any such information to a third party without the prior written approval of
City.
5.3 Public Information Act. City is a government entity under the laws of the State of
Texas and all documents held or maintained by City are subject to disclosure under the Texas Public
Information Act. In the event there is a request for information marked Confidential or Proprietary,
City will promptly notify Vendor. It will be the responsibility of Vendor to submit reasons objecting
to disclosure. A determination on whether such reasons are sufficient will not be decided by City,
but by the Office of the Attorney General of the State of Texas or by a court of competent
jurisdiction.
5.4 Unauthorized Access. Vendor must store and maintain City Information in a secure
manner and will not allow unauthorized users to access, modify, delete or otherwise corrupt City
Information in any way. Vendor must notify City immediately if the security or integrity of any
City Information has been compromised or is believed to have been compromised, in which event,
Vendor will, in good faith, use all commercially reasonable efforts to cooperate with City in
identifying what information has been accessed by unauthorized means and will fully cooperate
with City to protect such City Information from further unauthorized disclosure.
6. Right to Audit. Vendor agrees that City will, until the expiration of three (3) years after DRAFT
Vendor Services Agreement Page 3 of 14
final payment under this Agreement, or the final conclusion of any audit commenced during the said three
years, have access to and the right to examine at reasonable times any directly pertinent books, documents,
papers and records, including, but not limited to, all electronic records, of Vendor involving transactions
relating to this Agreement at no additional cost to City. Vendor agrees that City will have access during
normal working hours to all necessary Vendor facilities and will be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City will give Vendor
reasonable advance notice of intended audits.
7. Independent Contractor. It is expressly understood and agreed that Vendor will operate
as an independent contractor as to all rights and privileges and work performed under this Agreement, and
not as agent, representative or employee of City. Subject to and in accordance with the conditions and
provisions of this Agreement, Vendor will have the exclusive right to control the details of its operations
and activities and be solely responsible for the acts and omissions of its officers, agents, servants,
employees, Vendors, and subcontractors. Vendor acknowledges that the doctrine of respondeat superior
will not apply as between City, its officers, agents, servants and employees, and Vendor, its officers, agents,
employees, servants, contractors, and subcontractors. Vendor further agrees that nothing herein will be
construed as the creation of a partnership or joint enterprise between City and Vendor. It is further
understood that City will in no way be considered a Co-employer or a Joint employer of Vendor or any
officers, agents, servants, employees, contractors, or subcontractors. Neither Vendor, nor any officers,
agents, servants, employees, contractors, or subcontractors of Vendor will be entitled to any employment
benefits from City. Vendor will be responsible and liable for any and all payment and reporting of taxes on
behalf of itself, and any of its officers, agents, servants, employees, contractors, or contractors.
8. Liability and Indemnification.
8.1 LIABILITY - VENDOR WILL BE LIABLE AND RESPONSIBLE FOR ANY
AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY,
INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER,
WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT
ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL MISCONDUCT OF
VENDOR, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, OR
SUBCONTRACTORS.
8.2 GENERAL INDEMNIFICATION - VENDOR HEREBY COVENANTS AND
AGREES TO INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS,
AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS
OR LAWSUITS OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, FOR
EITHER PROPERTY DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO
VENDOR'S BUSINESS AND ANY RESULTING LOST PROFITS) AND/OR PERSONAL
INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, ARISING OUT OF OR IN
CONNECTION WITH THIS AGREEMENT, TO THE EXTENT CAUSED BY THE
NEGLIGENT ACTS OR OMISSIONS OR MALFEASANCE OF VENDOR, ITS OFFICERS,
AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, OR SUBCONTRACTORS.
8.3 INTELLECTUAL PROPERTY INDEMNIFICATION – Vendor agrees to
defend, settle, or pay, at its own cost and expense, any claim or action against City for
infringement of any patent, copyright, trade mark, trade secret, or similar property right
arising from City’s use of the software and/or documentation in accordance with this
Agreement, it being understood that this agreement to defend, settle or pay will not apply if
City modifies or misuses the software and/or documentation. So long as Vendor bears the DRAFT
Vendor Services Agreement Page 4 of 14
cost and expense of payment for claims or actions against City pursuant to this section,
Vendor will have the right to conduct the defense of any such claim or action and all
negotiations for its settlement or compromise and to settle or compromise any such claim;
however, City will have the right to fully participate in any and all such settlement,
negotiations, or lawsuit as necessary to protect City’s interest, and City agrees to cooperate
with Vendor in doing so. In the event City, for whatever reason, assumes the responsibility
for payment of costs and expenses for any claim or action brought against City for
infringement arising under this Agreement, City will have the sole right to conduct the
defense of any such claim or action and all negotiations for its settlement or compromise and
to settle or compromise any such claim; however, Vendor will fully participate and cooperate
with City in defense of such claim or action. City agrees to give Vendor timely written notice
of any such claim or action, with copies of all papers City may receive relating thereto.
Notwithstanding the foregoing, City’s assumption of payment of costs or expenses will not
eliminate Vendor’s duty to indemnify City under this Agreement. If the software and/or
documentation or any part thereof is held to infringe and the use thereof is enjoined or
restrained or, if as a result of a settlement or compromise, such use is materially adversely
restricted, Vendor will, at its own expense and as City's sole remedy, either: (a) procure for
City the right to continue to use the software and/or documentation; or (b) modify the
software and/or documentation to make it non-infringing, provided that such modification
does not materially adversely affect City's authorized use of the software and/or
documentation; or (c) replace the software and/or documentation with equally suitable,
compatible, and functionally equivalent non-infringing software and/or documentation at no
additional charge to City; or (d) if none of the foregoing alternatives is reasonably available
to Vendor terminate this Agreement, and refund all amounts paid to Vendor by City,
subsequent to which termination City may seek any and all remedies available to City under
law.
9. Assignment and Subcontracting.
9.1 Assignment. Vendor will not assign or subcontract any of its duties, obligations
or rights under this Agreement without the prior written consent of City. If City grants consent to
an assignment, the assignee will execute a written agreement with City and Vendor under which
the assignee agrees to be bound by the duties and obligations of Vendor under this Agreement.
Vendor will be liable for all obligations of Vendor under this Agreement prior to the effective date
of the assignment.
9.2 Subcontract. If City grants consent to a subcontract, the subcontractor will execute
a written agreement with Vendor referencing this Agreement under which subcontractor agrees to
be bound by the duties and obligations of Vendor under this Agreement as such duties and
obligations may apply. Vendor must provide City with a fully executed copy of any such
subcontract.
10. Insurance. Vendor must provide City with certificate(s) of insurance documenting
policies of the following types and minimum coverage limits that are to be in effect prior to commencement
of any Services pursuant to this Agreement:
10.1 Coverage and Limits
(a) Commercial General Liability:
DRAFT
Vendor Services Agreement Page 5 of 14
$1,000,000 - Each Occurrence
$2,000,000 - Aggregate
(b) Automobile Liability:
$1,000,000 - Each occurrence on a combined single limit basis
Coverage will be on any vehicle used by Vendor, or its employees, agents, or
representatives in the course of providing Services under this Agreement. “Any
vehicle” will be any vehicle owned, hired and non-owned.
(c) Worker’s Compensation:
Statutory limits according to the Texas Workers’ Compensation Act or any other
state workers’ compensation laws where the Services are being performed
Employers’ liability
$100,000 - Bodily Injury by accident; each accident/occurrence
$100,000 - Bodily Injury by disease; each employee
$500,000 - Bodily Injury by disease; policy limit
(d) Professional Liability (Errors & Omissions):
$1,000,000 - Each Claim Limit
$1,000,000 - Aggregate Limit
Professional Liability coverage may be provided through an endorsement to the
Commercial General Liability (CGL) policy, or a separate policy specific to
Professional E&O. Either is acceptable if coverage meets all other requirements.
Coverage must be claims-made, and maintained for the duration of the contractual
agreement and for two (2) years following completion of services provided. An
annual certificate of insurance must be submitted to City to evidence coverage.
10.2 General Requirements
(a) The commercial general liability and automobile liability policies must
name City as an additional insured thereon, as its interests may appear. The term
City includes its employees, officers, officials, agents, and volunteers in respect to
the contracted services.
(b) The workers’ compensation policy must include a Waiver of Subrogation
(Right of Recovery) in favor of City.
(c) A minimum of Thirty (30) days’ notice of cancellation or reduction in
limits of coverage must be provided to City. Ten (10) days’ notice will be
acceptable in the event of non-payment of premium. Notice must be sent to the
Risk Manager, City of Fort Worth, 200 Texas Street, Fort Worth, Texas 76102,
with copies to the Fort Worth City Attorney at the same address.
DRAFT
Vendor Services Agreement Page 6 of 14
(d) The insurers for all policies must be licensed and/or approved to do
business in the State of Texas. All insurers must have a minimum rating of A- VII
in the current A.M. Best Key Rating Guide, or have reasonably equivalent financial
strength and solvency to the satisfaction of Risk Management. If the rating is
below that required, written approval of Risk Management is required.
(e) Any failure on the part of City to request required insurance
documentation will not constitute a waiver of the insurance requirement.
(f) Certificates of Insurance evidencing that Vendor has obtained all required
insurance will be delivered to the City prior to Vendor proceeding with any work
pursuant to this Agreement.
11. Compliance with Laws, Ordinances, Rules and Regulations. Vendor agrees that in the
performance of its obligations hereunder, it will comply with all applicable federal, state and local laws,
ordinances, rules and regulations and that any work it produces in connection with this Agreement will also
comply with all applicable federal, state and local laws, ordinances, rules and regulations. If City notifies
Vendor of any violation of such laws, ordinances, rules or regulations, Vendor must immediately desist
from and correct the violation.
12. Non-Discrimination Covenant. Vendor, for itself, its personal representatives, assigns,
contractors, subcontractors, and successors in interest, as part of the consideration herein, agrees that in the
performance of Vendor’s duties and obligations hereunder, it will not discriminate in the treatment or
employment of any individual or group of individuals on any basis prohibited by law. IF ANY CLAIM
ARISES FROM AN ALLEGED VIOLATION OF THIS NON-DISCRIMINATION COVENANT
BY VENDOR, ITS PERSONAL REPRESENTATIVES, ASSIGNS, CONTRACTORS,
SUBCONTRACTORS, OR SUCCESSORS IN INTEREST, VENDOR AGREES TO ASSUME
SUCH LIABILITY AND TO INDEMNIFY AND DEFEND CITY AND HOLD CITY HARMLESS
FROM SUCH CLAIM.
13. Notices. Notices required pursuant to the provisions of this Agreement will be
conclusively determined to have been delivered when (1) hand-delivered to the other party, its agents,
employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the
transmission, or (3) received by the other party by United States Mail, registered, return receipt requested,
addressed as follows:
To CITY:
City of Fort Worth
Attn: Assistant City Manager
200 Texas Street
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654
With copy to Fort Worth City Attorney’s Office at
same address
To VENDOR:
____________________, ____.
________ , Title
___________________
___________________
Facsimile: _______________
14. Solicitation of Employees. Neither City nor Vendor will, during the term of this
Agreement and additionally for a period of one year after its termination, solicit for employment or employ, DRAFT
Vendor Services Agreement Page 7 of 14
whether as employee or independent contractor, any person who is or has been employed by the other
during the term of this Agreement, without the prior written consent of the person's employer.
Notwithstanding the foregoing, this provision will not apply to an employee of either party who responds
to a general solicitation of advertisement of employment by either party.
15. Governmental Powers. It is understood and agreed that by execution of this Agreement,
City does not waive or surrender any of its governmental powers or immunities.
16. No Waiver. The failure of City or Vendor to insist upon the performance of any term or
provision of this Agreement or to exercise any right granted herein does not constitute a waiver of City's or
Vendor’s respective right to insist upon appropriate performance or to assert any such right on any future
occasion.
17. Governing Law / Venue. This Agreement will be construed in accordance with the laws
of the State of Texas. If any action, whether real or asserted, at law or in equity, is brought pursuant to this
Agreement, venue for such action will lie in state courts located in Tarrant County, Texas or the United
States District Court for the Northern District of Texas, Fort Worth Division.
18. Severability. If any provision of this Agreement is held to be invalid, illegal or
unenforceable, the validity, legality and enforceability of the remaining provisions will not in any way be
affected or impaired.
19. Force Majeure. City and Vendor will exercise their best efforts to meet their respective
duties and obligations as set forth in this Agreement, but will not be held liable for any delay or omission
in performance due to force majeure or other causes beyond their reasonable control, including, but not
limited to, compliance with any government law, ordinance, or regulation; acts of God; acts of the public
enemy; fires; strikes; lockouts; natural disasters; wars; riots; epidemics or pandemics ; government action
or inaction; orders of government; material or labor restrictions by any governmental authority;
transportation problems; restraints or prohibitions by any court, board, department, commission, or agency
of the United States or of any States; civil disturbances; other national or regional emergencies; or any other
similar cause not enumerated herein but which is beyond the reasonable control of the Party whose
performance is affected (collectively, “Force Majeure Event”). The performance of any such obligation is
suspended during the period of, and only to the extent of, such prevention or hindrance, provided the
affected Party provides notice of the Force Majeure Event, and an explanation as to how it prevents or
hinders the Party’s performance, as soon as reasonably possible after the occurrence of the Force Majeure
Event, with the reasonableness of such notice to be determined by the City in its sole discretion. The notice
required by this section must be addressed and delivered in accordance with Section 13 of this Agreement.
20. Headings not Controlling. Headings and titles used in this Agreement are for reference
purposes only, will not be deemed a part of this Agreement, and are not intended to define or limit the scope
of any provision of this Agreement.
21. Review of Counsel. The parties acknowledge that each party and its counsel have
reviewed and revised this Agreement and that the normal rules of construction to the effect that any
ambiguities are to be resolved against the drafting party will not be employed in the interpretation of this
Agreement or Exhibits A, B, and C.
22. Amendments / Modifications / Extensions. No amendment, modification, or extension
of this Agreement will be binding upon a party hereto unless set forth in a written instrument, which is
executed by an authorized representative of each party. DRAFT
Vendor Services Agreement Page 8 of 14
23. Counterparts. This Agreement may be executed in one or more counterparts and each
counterpart will, for all purposes, be deemed an original, but all such counterparts will together constitute
one and the same instrument.
24. Warranty of Services. Vendor warrants that its services will be of a high quality and
conform to generally prevailing industry standards. City must give written notice of any breach of this
warranty within thirty (30) days from the date that the services are completed. In such event, at Vendor’s
option, Vendor will either (a) use commercially reasonable efforts to re-perform the services in a manner
that conforms with the warranty, or (b) refund the fees paid by City to Vendor for the nonconforming
services.
25. Immigration Nationality Act. Vendor must verify the identity and employment eligibility
of its employees who perform work under this Agreement, including completing the Employment
Eligibility Verification Form (I-9). Upon request by City, Vendor will provide City with copies of all I-9
forms and supporting eligibility documentation for each employee who performs work under this
Agreement. Vendor must adhere to all Federal and State laws as well as establish appropriate procedures
and controls so that no services will be performed by any Vendor employee who is not legally eligible to
perform such services. VENDOR WILL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM
ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH
BY VENDOR, VENDOR’S EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, OR
AGENTS. City, upon written notice to Vendor, will have the right to immediately terminate this Agreement
for violations of this provision by Vendor.
26. Ownership of Work Product. City will be the sole and exclusive owner of all reports,
work papers, procedures, guides, and documentation that are created, published, displayed, or produced in
conjunction with the services provided under this Agreement (collectively, “Work Product”). Further, City
will be the sole and exclusive owner of all copyright, patent, trademark, trade secret and other proprietary
rights in and to the Work Product. Ownership of the Work Product will inure to the benefit of City from
the date of conception, creation or fixation of the Work Product in a tangible medium of expression
(whichever occurs first). Each copyrightable aspect of the Work Product will be considered a "work-made-
for-hire" within the meaning of the Copyright Act of 1976, as amended. If and to the extent such Work
Product, or any part thereof, is not considered a "work-made-for-hire" within the meaning of the Copyright
Act of 1976, as amended, Vendor hereby expressly assigns to City all exclusive right, title and interest in
and to the Work Product, and all copies thereof, and in and to the copyright, patent, trademark, trade secret,
and all other proprietary rights therein, that City may have or obtain, without further consideration, free
from any claim, lien for balance due, or rights of retention thereto on the part of City.
27. Signature Authority. The person signing this Agreement hereby warrants that they have
the legal authority to execute this Agreement on behalf of the respective party, and that such binding
authority has been granted by proper order, resolution, ordinance or other authorization of the entity. This
Agreement and any amendment hereto, may be executed by any authorized representative of Vendor. Each
party is fully entitled to rely on these warranties and representations in entering into this Agreement or any
amendment hereto.
28. Change in Company Name or Ownership. Vendor must notify City’s Purchasing
Manager, in writing, of a company name, ownership, or address change for the purpose of maintaining
updated City records. The president of Vendor or authorized official must sign the letter. A letter indicating
changes in a company name or ownership must be accompanied with supporting legal documentation such
as an updated W-9, documents filed with the state indicating such change, copy of the board of director’s DRAFT
Vendor Services Agreement Page 9 of 14
resolution approving the action, or an executed merger or acquisition agreement. Failure to provide the
specified documentation so may adversely impact future invoice payments.
29. No Boycott of Israel. If Vendor has fewer than 10 employees or this Agreement is for
less than $100,000, this section does not apply. Vendor acknowledges that in accordance with Chapter
2271 of the Texas Government Code, the City is prohibited from entering into a contract with a company
for goods or services unless the contract contains a written verification from the company that it: (1) does
not boycott Israel; and (2) will not boycott Israel during the term of the contract. The terms “boycott Israel”
and “company” has the meanings ascribed to those terms in Section 2271 of the Texas Government Code.
By signing this Agreement, Vendor certifies that Vendor’s signature provides written verification to
the City that Vendor: (1) does not boycott Israel; and (2) will not boycott Israel during the term of
the Agreement.
30. Prohibition on Boycotting Energy Companies. Vendor acknowledges that, in
accordance with Chapter 2274 of the Texas Government Code, as added by Acts 2021, 87th Leg., R.S.,
S.B. 13, § 2, the City is prohibited from entering into a contract for goods or services that has a value of
$100,000 or more that is to be paid wholly or partly from public funds of the City with a company with 10
or more full-time employees unless the contract contains a written verification from the company that it:
(1) does not boycott energy companies; and (2) will not boycott energy companies during the term of the
contract. The terms “boycott energy company” and “company” have the meaning ascribed to those terms
by Chapter 2274 of the Texas Government Code, as added by Acts 2021, 87th Leg., R.S., S.B. 13, § 2. To
the extent that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this
Agreement, Vendor certifies that Vendor’s signature provides written verification to the City that Vendor:
(1) does not boycott energy companies; and (2) will not boycott energy companies during the term of this
Agreement.
31. Prohibition on Discrimination Against Firearm and Ammunition Industries . Vendor
acknowledges that except as otherwise provided by Chapter 2274 of the Texas Government Code, as added
by Acts 2021, 87th Leg., R.S., S.B. 19, § 1, the City is prohibited from entering into a contract for goods or
services that has a value of $100,000 or more that is to be paid wholly or partly from public funds of the
City with a company with 10 or more full-time employees unless the contract contains a written verification
from the company that it: (1) does not have a practice, policy, guidance, or directive that discriminates
against a firearm entity or firearm trade association; and (2) will not discriminate during the term of the
contract against a firearm entity or firearm trade association. The terms “discriminate,” “firearm entity”
and “firearm trade association” have the meaning ascribed to those terms by Chapter 2274 of the Texas
Government Code, as added by Acts 2021, 87th Leg., R.S., S.B. 19, § 1. To the extent that Chapter 2274
of the Government Code is applicable to this Agreement, by signing this Agreement, Vendor certifies that
Vendor’s signature provides written verification to the City that Vendor: (1) does not have a practice, policy,
guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will
not discriminate against a firearm entity or firearm trade association during the term of this Agreement.
32. Electronic Signatures. This Agreement may be executed by electronic signature, which
will be considered as an original signature for all purposes and have the same force and effect as an original
signature. For these purposes, “electronic signature” means electronically scanned and transmitted versions
(e.g. via pdf file or facsimile transmission) of an original signature, or signatures electronically inserted via
software such as Adobe Sign.
33. Entirety of Agreement. This Agreement, including all attachments and exhibits, contains
the entire understanding and agreement between City and Vendor, their assigns and successors in interest,
as to the matters contained herein. Any prior or contemporaneous oral or written agreement is hereby DRAFT
Vendor Services Agreement Page 10 of 14
declared null and void to the extent in conflict with any provision of this Agreement. DRAFT
Vendor Services Agreement Page 11 of 14
IN WITNESS WHEREOF, the parties hereto have executed this Agreement in multiples.
CITY OF FORT WORTH:
By: ___________________________
Name: ________________________
Title: Assistant City Manager
Date: _____________, 20__
APPROVAL RECOMMENDED:
By: ______________________________
Name: ________________________
Title: ________________________
ATTEST:
By: ______________________________
Name: ________________________
Title: City Secretary
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
reporting requirements.
By: ______________________________
Name: ________________________
Title: ________________________
APPROVED AS TO FORM AND LEGALITY:
By: ______________________________
Name: ________________________
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: _________
Form 1295:______________
VENDOR:
___________________, ___
By:
Name: ________________________
Title: ________________________
Date: _____________, 20__
DRAFT
Vendor Services Agreement Page 12 of 14
EXHIBIT A
SCOPE OF SERVICES
__________________________.
DRAFT
Vendor Services Agreement Page 13 of 14
EXHIBIT B
PAYMENT SCHEDULE
__________________________.
DRAFT
Professional Services Agreement
MAXIMUS Consulting Services, Inc., Page 14 of 14
EXHIBIT D
VERIFICATION OF SIGNATURE AUTHORITY
_____________________________
_____________________________
_____________________________
Execution of this Signature Verification Form (“Form”) hereby certifies that the following
individuals and/or positions have the authority to legally bind Vendor and to execute any agreement,
amendment or change order on behalf of Vendor. Such binding authority has been granted by proper order,
resolution, ordinance or other authorization of Vendor. City is fully entitled to rely on the warranty and
representation set forth in this Form in entering into any agreement or amend ment with Vendor. Vendor
will submit an updated Form within ten (10) business days if there are any changes to the signatory
authority. City is entitled to rely on any current executed Form until it receives a revised Form that has been
properly executed by Vendor.
1. Name:
Position:
_______________________________________
Signature
2. Name:
Position:
_______________________________________
Signature
3. Name:
Position:
_______________________________________
Signature
Name:
_______________________________________
Signature of President / CEO
Other Title: ______________________________
Date: ___________________________________
DRAFT
ATTACHMENT G-
DOCUMENT CHECKLIST
Required Documents
Documents Attached?
Yes/No
Answering “No” to the below will result in the bid being
deemed non-responsive.
A completed and signed Bid Submission Signature
Page
A completed Bid Solicitation
A completed and signed Attachment A- Conflict of
Interest Questionnaire
A completed and signed Attachment B-
Bidder's Contact Information
A completed and signed Attachment C-
Questionnaire
A completed Attachment D-
References
A completed and signed Attachment F-
Document Check List
Copies of appraiser’s certifications from either The
Bureau of Certified Auto Appraisers or The American
Society of Certified Auto Appraisers
Signed Addendums Sent Out After the Release of the
Bid, if applicable
YES
YES
YES
YES
YES
YES
YES
YES
YES
CPR Insurance Group, LLCCPR Insurance Group, LLCCPR Insurance Group, LLCCPR Insurance Group, LLC
City of Fort Worth Invitation to Bid No. CFW01-22-0137
LAURA ORTIZ
BUYER
CITY OF FORT WORTH
CPR Insurance Group, LLC
Page 1 CPR Insurance Group Presentation for City of Fort Worth
TABLE OF CONTENTS
EXECUTIVE SUMMARY ........................................................................................................... TAB 1
CLAIMS ADMINISTRATIVE SERVICES ...................................................................................... TAB 2
MANAGEMENT TEAM AND KEY PERSONNEL ......................................................................... TAB 3
INSURANCE, LICENSES & MINORITY CERITIFCATIONS ………………………………………………….…….TAB 4
BUSINESS REFERENCES …………………………………………………………………………………….………………TAB 5
CONTACT INFORMATION ................................................................................................................... TAB 6
CPR Insurance Group, LLC
Page 2 CPR Insurance Group Presentation for City of Fort Worth
EXECUTIVE SUMMARY
CPR Insurance Group, LLC (“CPR” or the “Company”) is an independent claims administrator
providing innovative claim resolution services within the property and casualty industry. The
Company operates nationwide providing claims management solutions to insurance companies,
program administrators, managing general agencies (“MGA’s”) and risk managers. CPR is
committed to providing immediate resolutions to even the most difficult liability claims with
innovative techniques that have been developed and enhanced for over a decade. These creative
techniques are built on the foundations of honesty and integrity towards indemnifying claimants in
the most efficient manner providing an immediate equitable resolution for both the claimant and
client. The result is a dramatic improvement in the overall profitability of our customers.
According to Price Waterhouse Coopers, the use of claims administrators will becoming increasingly
important as insurers attempt to achieve better efficiencies and value for their customers. In their
annual report on the Top Issues Facing Insurers for 2013, PWC noted:
“…Third-party administrator (TPA) management
Market consolidation and evolving claims practices are continuing to drive the need
for operational effectiveness. This is leading to greater focus on the role and
management of TPAs. TPAs can be effective partners for self-insured corporations or
insurance carriers that do not have the resources to process claims internally…”
A critical components of any independent claims administrator is responsiveness and the ability to
manage risk. At CPR, cost containment is a priority on every claim and we seek to indemnify all
parties in the most expeditious and equitable manner. Our knowledgeable and professional field
adjusters are highly trained in investigative techniques and have significant experience in handling
various types of losses. They are credentialed in assessing property damage and immediately open
all lines of communication with all interested parties to establish rapport. At fault determinations
are made through their field investigations allowing them to secure the proper documentation for
our customers to defend a file when liability truly does not exist. Additionally, our staff has
significant background to determine the severity of an “at fault” loss and extinguish all liability
exposures immediately in the field securing all necessary releases. This approach not only provides
an equitable and ethical indemnification for the claimant but creates a significant savings to our
customer through a reduction in third party fees, attorney’s fees and most importantly reduced
settlements.
CPR Insurance Group, LLC
Page 3 CPR Insurance Group Presentation for City of Fort Worth
THE COMPANY’S MISSION
The mission of CPR Insurance Group, LLC is…
“ to become the premier claims adjusting partner for property and casualty insurance providers
by delivering the highest level of claims administration and cost containment services through a
commitment to the following beliefs:
Honesty and Integrity
Mutual Trust and Respect
Value and Efficiency ”
CPR Insurance Group, LLC
Page 4 CPR Insurance Group Presentation for City of Fort Worth
CLAIMS ADMINISTRATIVE SERVICES
CPR provides claims management and administration services to the commercial property and
casualty industry twenty-four hours a day, seven days a week. These services currently include:
CASUALTY SERVICES VEHICLE SERVICES PROPERTY SERVICES
• Rapid Resolution Program
• Immediate Response
• First Call Settlements
• Scene Investigations
• Mediations/Hearings
• Police Reports
• Recorded Statements
• Bilingual Adjusters
• IMMEDIATE FIELD
RESOLUTIONS for BI and
PD
• Nationwide Network
• Private Auto Appraisal
• Commercial Auto Appraisal
• Heavy Equipment Appraisal
• Motorcycle
• Tractor/Trailer
• ACV Evaluation
• Total Loss Workup
• Salvage Bids
• Catastrophe Services including
CAT Response Teams
• Nationwide Network
• Field Partners
• On-site supervision
• Dedicated Unit
• Credentialed Desk Adjuster
• Personal and Commercial
• Stand Alone Operational
Support
• Catastrophe Services including
CAT Response Teams
BPO (Business Process Outsourcing)
At CPR we have cultivated a group of skilled and credentialed adjusters who understand the best
practices needed to conduct accurate and thorough claims adjusting. Our Business Process
Outsourcing unit is designed to administer responsibilities that are normally an internal system or
service. As a result of these services our clients are able to focus on cost control and allows our
clients the capability of having a single source solution for claims services.
Our complete claims administration service can provide clients with the framework they need for
more thorough support during difficult times. Services include:
• Claims processing from first notice to final closure providing a single TPA solution
• Credentialed adjusters experienced in clients’ respective lines of business
• Claims monitoring and management oversight
• Payment processing
• Best Practices
• Cost Containment
CPR Insurance Group, LLC
Page 5 CPR Insurance Group Presentation for City of Fort Worth
• Web Based Claims System providing up to the minute reporting
• Real Time Financial/Statistical Data Reporting tailored to client specifications
Having CPR as your BPO Partner will enable our clients to offer a level of attention to each claim
that they may not otherwise have afforded. As a result, even in times of pressure and increased
claims volume, our clients’ claims management will maintain the level of quality and effectiveness
they strive to achieve each day. All BPO Services are managed through our Irving, TX office.
CPR Insurance Group, LLC
Page 6 CPR Insurance Group Presentation for City of Fort Worth
MANAGEMENT TEAM AND KEY PERSONNEL
C.F. “LES” TITUS
President and Chief Executive Officer
Les Titus is an insurance claims executive with over 37 years of experience in commercial auto,
personal auto and garage insurance claims management. Les recently managed a claims
department with 110 claims employees handling over 18,000 claims annually. His career experience
includes Deep South Holdings and Southern National Risk Management, a TPA within Deep South,
along with company-side, insurance claims handling experience, including all lines of coverage. He
was a founding partner of Claimcare, a Deep South subsidiary, where he was responsible for the
implementation and management of the program which pioneered the rapid resolution approach
to claims administration. He created a corporate claims manual along with an automated audit and
claims management system to support a $250 million book of commercial lines business that had
fully developed incurred loss and expense ratios of less than 65%. He was also a key member of a
management team that was able to grow a $20 million book of commercial insurance business, with
2 underwriting and claims offices, to over $250 million with 11 underwriting and 5 claims offices.
Les is currently a licensed adjuster in Texas for all lines and holds a current Texas MGA license.
MICHAEL R. TROTTER
Executive Vice President and Chief Financial Officer, CPA
Michael Trotter has over 27 years of experience in the property and casualty insurance industry
directing key financial activities including budgeting, treasury, accounting and operational activities
for national Managing General Agencies and Property Casualty Insurers. He has directed audit
activities and outsourcing activities for the public accounting firms of KPMG LLP and Price
Waterhouse Coopers. Mr. Trotter served as the Chief Financial Officer of Deep South Holdings. He
was a founding partner of Claimcare where he was responsible for the implementation and
management of the program which pioneered the rapid resolution approach to claims
administration. Additionally, he managed all treasury and accounting along with maintaining
agency relationships with banks, insurance carriers and reinsurers. He is responsible for annual
reinsurance renewal, all aspects of financial statement preparation and budgeting processes, annual
tax and financial regulatory filings, and annual audit activities. Mr. Trotter is a Certified Public
Accountant in the state of Texas and a member of the Texas Society of CPA’s.
CPR Insurance Group, LLC
Page 7 CPR Insurance Group Presentation for City of Fort Worth
JORGE LOPEZ
Executive Vice President, Casualty 1997
Jorge Lopez has 17 years of insurance claims practice. Launching his career at Progressive Insurance,
he became an expert in auto, tractor, motorcycle and RV estimation. This invaluable experience
served him well as he went on to manage large volume collision accounts for State Farm,
Progressive, GEICO, Prudential and The Hartford at Frank Kent Auto Group. Mr. Lopez further
broadened his expertise in 2004, when joining Deep South Insurance, where he was instrumental in
the national implementation of a successful rapid resolution unit under Deep South, called
“ClaimCare”. With a “Quick Strike” mindset, his prompt resolution of injury claims effectively
decreased attorney represented files and increased profit for Deep South. Jorge was involved in all
facets of the Deep South organization. He controlled all financial payouts and reporting,
implemented claims SOP’s, hired all field resolution; plus, assisted in training and disciplinary
actions. Jorge has an all-lines Texas Adjuster License.
MARSHALL WILSON
Executive Vice President, Property
Marshall Wilson is a seasoned Property and Casualty Adjuster with a background that is both diverse
and extensive. With a particular familiarity to the Construction, Trucking, Oil and Gas industries, he
brings over 24 years of experience from the fields of Auto Collision Services and Commercial Auto
Insurance. He holds Property and Casualty certifications through Vale National and is ICAR and ASE
Master certified. He is well trained in appraisals for Heavy Equipment, Tractor Trailer, Motorcycle,
RV and Marine. A licensed adjuster in multiple states, Marshall has worked in all facets of the
Collision Industry, starting out as a technician and working his way up into management. He has
managed both Independent and Dealership Collision Facilities.
In 2004, Marshall joined the team of a national Commercial Insurance MGA, where he played a lead
role in helping to establish their Rapid Response team. This unit grew to include a nationwide call
center, 3 claims managers and 24 field reps covering coast to coast territories. Marshall was
responsible for all aspects of Property Damage handling for the unit and served as lead trainer for
field staff- educating new hires on established SOPS and administering continuing education. He
also oversaw CAT team organization and deployment as well as worked side by side in salvage
operations with vendors such as IAA and COPART. Marshall has an all-lines Texas Adjuster License.
CPR Insurance Group, LLC
Page 8 CPR Insurance Group Presentation for City of Fort Worth
INSURANCE, LICENSES AND MINORITY
CERTIFICATIONS
BUSINESS INSURANCE
COVERAGE CARRIER LIMITS
GENERAL LIABILITY CNA INSURANCE COMPANIES $2,000,000
AUTO LIABILITY CNA INSURANCE COMPANIES $1,000,000
WORKERS COMPENSATION CNA INSURANCE COMPANIES $1,000,000
UMBRELLA CNA INSURANCE COMPANIES $5,000,000
ERRORS & OMISSION CLAIM PROFESSIONAL LIABILITY INSURANCE
COMPANY
$5,000,000
CYBER LIABILITY HSB SPECIALTY / SCOTTSDALE INSURANCE
COMPANY
$5,000,000
EPL/CRIME TRAVELERS CASUALTY AND SURETY
COMPANY
$1,000,000
LICENSES AND CERTIFICATIONS
TEXAS DEPARTMENT OF INSURANCE
ALL LINES AGENCY ADJUSTER LICENSE
TEXAS COMPTROLLER OF PUBLIC ACCOUNT
HUB CERTIFICATION
NORTH CENTRAL TEXAS REGIONAL CERTIFICATION AGENCY
MINORITY BUSINESS ENTERPRISE
CPR Insurance Group, LLC
Page 9 CPR Insurance Group Presentation for City of Fort Worth
CPR Insurance Group, LLC
Page 10 CPR Insurance Group Presentation for City of Fort Worth
CPR Insurance Group, LLC
Page 11 CPR Insurance Group Presentation for City of Fort Worth
CPR Insurance Group, LLC
Page 12 CPR Insurance Group Presentation for City of Fort Worth
CPR Insurance Group, LLC
Page 13 CPR Insurance Group Presentation for City of Fort Worth
CPR Insurance Group, LLC
Page 14 CPR Insurance Group Presentation for City of Fort Worth
CPR Insurance Group, LLC
Page 15 CPR Insurance Group Presentation for City of Fort Worth
BUSINESS REFERENCES
David W. Clark
Director, Auto Physical Damage
Selective Insurance Company of America
(804) 422-6180
davidw.clark@slelective.com
Nick Clancy
Auto Claims Lead
HDI Global Insurance Company
(312) 589-6743
nick.clancy@us.hdi.global
John Liberatore
Founder & President
Primacy Risk Services
(877) 328-9178 x701
jliberatore@24x7primacy.com
• Fraud Claims Agreement with G4S Claims Investigations
• Vehicle Salvage Agreement with COPART Auto Auction
• National Subrogation Agreement with SDI Subrogation Division
CPR Insurance Group, LLC
Page 16 CPR Insurance Group Presentation for City of Fort Worth
CONTACT INFORMATION
CORPORATE ADDRESS
CPR INSURANCE GROUP, LLC
600 E. JOHN CARPENTER FWY, STE 365
IRVING, TX 75062
C.F. LES TITUS – President/CEO
ltitus@cprins.com
c. (214) 763-5826
o. (972) 887-3660
MICHAEL R. TROTTER – CFO/ Treasurer
mtrotter@cprins.com
c. (817) 888-1635
O. (972) 887-3650
MARSHALL WILSON – EVP Physical Damage
mwilson@cprins.com
c. (817) 694-6691
JORGE LOPEZ – EVP Casualty
jlopez@cprins.com
c. (682) 558-2278
FILE SUMMARY
INSURED: City of Ft. Worth
Unit #: 2330146
We received and worked an assignment on a 2008 Spartan Pumper Fire Apparatus
VIN: 4S7AU2P9X8C060742. The unit 2330146 belongs to the Insured, which is the City
of Fort Worth. Fact of Loss were not stated prior to this inspection. Upon our inspection,
heavy fire damages were present to the engine compartment, batteries, electrical
system and rear and floor panels of the cab. Heavy fire damages present. Extensive fire
damage to the rear panel and floor panel of the truck. The floor has a crack in it from
the fire. Damages support some type of fire loss. Due to this loss, the unit has sustained
significant cosmetic, structural and mechanical damages. NO UPD was found during
our inspection as this unit was in GOOD condition. Current mileage is 142,291. At this
time, the appraisal of record, for current known damages, stands at $93,345.10. Please
note that this amount does not account for potential supplementation due to hidden
damages yet to be found. These damages would not be fully determined until repairs
have been started and further tear down and inspection completed.
If you have any further questions, please contact us.
Thank you,
Casualty & Property Resolutions (CPR)
600 E. John Carpenter Frwy., Suite 365
Irving, TX 75062
(855) 215-6439
Date: 8/28/2019 08:56 AM
Estimate ID:2330146 CPR 29237
Estimate Version:0
Preliminary
Profile ID:* BASIC
Casualty & Property Resolutions (CPR)
600 E. John Carpenter Fwy Ste. 365, Irving, TX 75062
(855) 215-6439
Fax: (972) 887-3669
*ALL SUPPLEMENT REQUEST MUST BE E-MAILED TO SUPPLEMENT@CPRINS.COM*
Damage Assessed By:CPR Field Adjuster Appraised For: CITY OF FT. WORTH
Classification:Field
********************************NOTICE********************************
THIS IS A DAMAGE ASSESSMENT ONLY, WHICH IS BASED ON DAMAGE VISIBLE OR
CERTAIN AT THE TIME IT WAS WRITTEN. THIS IS NOT AN AUTHORIZATION TO
REPAIR, NOR AN ADMISSION OF LIABILITY! ALL COST OF REPAIRS ARE THE
SOLE RESPONSIBILITY OF THE VEHICLE OWNER, WHO ULTIMATELY MUST
AUTHORIZE ALL WORK TO BE PERFORMED.THE VEHICLE OWNER MAINTAINS THE
RIGHT TO REPAIR THE VEHICLE AT A REPAIR FACILITY OF THEIR CHOICE.
**********************************************************************
CPR SPECIFIES THAT ALL REPAIRS AND/OR PARTS REPLACEMENTS LISTED
HEREIN, BE MADE IN STRICT ACCORDANCE WITH ALL MANUFACTURER'S
SPECIFICATIONS AND GUIDELINES.
**********************************************************************
Deductible:UNKNOWN
Claim Number:2330146 CPR 29237
Insured:CITY OF FT. WORTH
Mitchell Service:911000
Description:08 SPARTAN PUMPER
VIN:4S7AU2P9X8C060742 License:124 0524 TX
Mileage:142,291
OEM/ALT:A Search Code:B1004299
Color:WHITE
Line Entry Labor Line Item Part Type/Dollar Labor
Item Number Type Operation Description Part Number Amount Units
Special/Manual Entry
1 900500 MCH REMOVE/REPLACE BATTERIES 6@129.11 NAP BAT 7236 A 774.66 *6.0**
2 900500 MCH REMOVE/REPLACE RED BATTERY CABLE 80"SMC 0885 GG5 2VK056 146.40 *2.0**
3 900500 MCH REMOVE/REPLACE BLACK BATTERY CABLE 12"SMC 0885 GG5 1NJ012 16.27 *1.0**
4 900500 MCH REMOVE/REPLACE BLACK BATTERY CABLE 18"SMC 0885 GG5 1SB018 31.48 *1.0**
5 900500 MCH REMOVE/REPLACE BLACK BATTERY CABLE 112"SMC 0885 GG5 1SB112 94.64 *2.0**
6 900500 MCH REMOVE/REPLACE BLACK BATTERY CABLE 45"SMC 0885 GG5 1SJ045 48.30 *2.0**
7 900500 MCH REMOVE/REPLACE BLACK BATTERY CABLE 25"SMC 0885 GG5 1SK025 37.92 *1.0**
8 900500 MCH REMOVE/REPLACE BLACK BATTERY CABLE 53"SMC 0885 GG5 1VB053 55.55 *2.0**
9 900500 MCH REMOVE/REPLACE BLACK BATTERY CABLE 23"SMC GG5 1VJ023 A 41.64 *1.0**
10 900500 MCH REMOVE/REPLACE RED BATTERY CABLE 82"SMC 0885 GG5 2NK082 30.45 *2.0**
11 900500 MCH REMOVE/REPLACE RED BATTERY CABLE 205"SMC 0885 GG5 2SC205 118.58 *3.0**
12 900500 MCH REMOVE/REPLACE RED BATTERY CABLE 215"SMC 0885 GG5 2SL215 167.35 *3.0**
ESTIMATE RECALL NUMBER: 08/28/2019 08:56:24 2330146 CPR 29237
Mitchell Data Version:OEM: AUG_19_V0827
MAPP:AUG_19_V0825 Copyright (C) 1994 - 2019 Mitchell International Page 1 of 5
Software Version:7.1.237 All Rights Reserved
Date: 8/28/2019 08:56 AM
Estimate ID:2330146 CPR 29237
Estimate Version:0
Preliminary
Profile ID:* BASIC
13 900500 MCH REMOVE/REPLACE RED BATTERY CABLE 142"SMC 0960 GG5 1WE142 239.34 *2.0**
14 900500 MCH REMOVE/REPLACE RED BATTERY CABLE 80"SMC 0960 GG5 2WE080 139.04 *2.0**
15 900500 MCH REMOVE/REPLACE BLACK BATTERY CABLE 86"SMC 1569 GG5 1V086 A 141.32 *2.0**
16 900500 MCH REMOVE/REPLACE RED BATTERY CABLE 64"SMC 1569 GG5 2V064 A 149.80 *2.0**
17 900500 MCH REMOVE/REPLACE RED BATTERY CABLE 82"SMC 2528 GG5 2NC082 47.31 *2.0**
18 900500 MCH REMOVE/REPLACE BLACK BATTERY CABLE 85"SMC 0885 GG5 1VB085 82.74 *2.0**
19 900500 MCH REMOVE/REPLACE RED BATTERY CABLE 162"SMC 0960 GG5 2VD162 148.63 *3.0**
20 900500 MCH REMOVE/REPLACE RT BATTERY BOX SMC 0811 GG1 001 A 550.81 *8.0**
21 900500 MCH REMOVE/REPLACE BATTERY MATS 2@14.04 SMC 1745 NN2 002 A 28.08 *INC**
22 900500 MCH REMOVE/REPLACE BATT BOX HOLD DOWN SMC 0689 GG1 001 A 40.39 *INC**
23 900500 MCH REMOVE/REPLACE BATT BOX BOLT 2@0.79 SMC 08130100FH8B A 1.58 *INC**
24 900500 MCH REMOVE/REPLACE BATT BOX BOLT 4@1.01 SMC 08130175FH8B A 4.04 *INC**
25 900500 MCH REMOVE/REPLACE BAT BOX NUT 4@0.35 SMC 0813FLN8B A 1.40 *INC**
26 900500 MCH REMOVE/REPLACE BAT BOX BOLT 4@0.35 SMC06160100FSCB A 1.40 *INC**
27 900500 MCH REMOVE/REPLACE BAT BOX NUT 4@0.27 SMC 0616FLN8B A 1.08 *INC**
28 900500 MCH REMOVE/REPLACE NEGATIVE BATTERY TERMINALS 2@95.92 SMC 1537 GG5 001 A 191.84 *1.0**
29 900500 MCH REMOVE/REPLACE POSITIVE BATTERY TERMINALS 2@86.83 SMC 1537 GG5 002 A 173.66 *1.0**
30 900500 MCH REMOVE/REPLACE BATTERY CONDITIONER SMC 0278 GG1 028 A 1,598.40 *4.0**
31 900500 MCH REMOVE/REPLACE 1/4" MAIL PLUG H STYLE 1800 MIL MI1839 A 2.00 *INC**
32 900500 MCH REMOVE/REPLACE ABS MODULE SMC 0233 GG3 018 A 1,066.68 *6.0**
33 900500 MCH REMOVE/REPLACE FRONT ABS WIRING HARNESS SMC 2171 GG5 003 A 184.56 *1.0**
34 900500 MCH REMOVE/REPLACE REAR ABS WIRING HARNESS SMC 2094 GG5 012 A 199.58 *1.0**
35 900500 MCH REPAIR BLEED BRAKING SYSTEM Existing 0.00 4.0**
36 900500 MCH REMOVE/REPLACE CAB TILT LOCK CABLE SMC 1060 EE1 001 A 127.00 *0.5**
37 900500 MCH REMOVE/REPLACE CAB LOCK DOWNS 2@286.65 SMC 0744 EE1 A 573.30 *1.5**
38 900500 BDY REMOVE/REPLACE FRONT CAB MOUNTS 4@14.49 SMC 0944 EE1 003 A 57.96 *1.0**
39 900500 MCH REMOVE/REPLACE CAB TILT PUMP ASSY SMC 1039 EE1 008 A 1,146.65 *6.5**
40 900500 MCH REMOVE/REPLACE FRONT DISCHARGE HOSE W/COUPLINGS STU SW456200ASSY 398.76 *1.0**
41 900500 MCH REMOVE/REPLACE REAR WARNING LIGHT WIRING HARNESS New 1,220.00 *8.0**
42 900500 MCH REMOVE/REPLACE 4C5C DUEL SEAT 90 DEG FITTINGS 2@14.57 STU G34212 0404 A 29.14 *INC**
43 900500 MCH REMOVE/REPLACE PTO/GENERATOR HOSES 2@91.50 New 183.00 *2.0**
44 900500 MCH REMOVE/REPLACE CARRIER BEARING 0GB 40074 A 113.62 *1.0**
45 900500 MCH REMOVE/REPLACE CARRIER BEARING SUPPORT ASSY SMC 0104 PP1 040 A 83.66 *0.5**
46 900500 MCH REMOVE/REPLACE CROSSMEMBER 5"SMC 2119 CC2 001 283.77 *2.0**
47 900500 MCH REMOVE/REPLACE CROSSMEMBER 3" 2@ 860.88 SMC 2628 CC2 001 A 1,721.76 *4.0**
48 900500 MCH REMOVE/REPLACE CROSSMEMBER GUSSETS 4@120.13 SMC 2084 CC2 004 A 480.52 *0.5**
49 900500 MCH REMOVE/REPLACE CROSSMEMBER GUSSETS 3@115.51 SMC 2619 CC2 006 A 346.53 *0.5**
50 900500 MCH REMOVE/REPLACE CROSSMEMBER GUSSET SMC 2766 CC2 001 A 440.04 *0.5**
51 900500 MCH REMOVE/REPLACE CROSSMEMBER BOLTS 8@0.90 SMC 08130125FH8Y A 7.20 *INC**
52 900500 MCH REMOVE/REPLACE CROSSMEMBER NUTS 8@0.90 SMC 0813FLN8Y A 7.20 *INC**
53 900500 MCH REMOVE/REPLACE BOLT 12@1.05 SMC 08130150FH8Y A 12.60 *INC**
54 900500 MCH REMOVE/REPLACE NUTS 12@0.90 SMC 0813FLN8Y A 10.80 *INC**
55 900500 MCH REMOVE/REPLACE FLANGED BOLT 16@0.55 SMC 08130125FH8Y A 8.80 *INC**
56 900500 MCH REMOVE/REPLACE TOP LOCK NUTS 16@0.55 SMC 0813FLN8Y A 8.80 *INC**
57 900500 MCH REMOVE/REPLACE HEX BOLTS 8@.82 SMC 09120200H8Y A 6.56 *INC**
58 900500 MCH REMOVE/REPLACE FLANGE BOLTS 4@3.51 SMC 10110400FH8Y A 14.04 *INC**
59 900500 MCH REMOVE/REPLACE REAR CAB MOUNT WASHER 8@2.07 SMC 0124 BB1 015 A 16.56 *INC**
60 900500 MCH REMOVE/REPLACE FLAT WASHERS 16@0.39 SMC 09FWSAE8Y A 6.24 *INC**
61 900500 MCH REMOVE/REPLACE FLANGE NUT 8@0.50 SMC 0616FLN8Y A 4.00 *INC**
62 900500 MCH REMOVE/REPLACE FLANGE NUT 8@0.82 SMC 1011FLN8Y A 6.56 *INC**
63 900500 MCH REMOVE/REPLACE LOCK NUT 12@0.48 SMC 0912LN8Z A 5.76 *INC**
64 900500 MCH REMOVE/REPLACE ELECTRICAL BRACKET SMC 2405 NN2 001 A 44.41 *0.5**
65 900500 MCH REMOVE/REPLACE EXHAUST PIPE INSULATION SMC 1864 LL2 001 A 684.08 *1.5**
66 900500 MCH REMOVE/REPLACE EXHAUST PIPE INSULATION SMC 1839 LL2 001 A 334.66 *1.5**
67 900500 MCH REMOVE/REPLACE U BOLT SMC 0174 BB1 013 A 8.38 *INC**
68 900500 MCH REMOVE/REPLACE EXHAUST TUBE SMC 1824 LL2 001 A 367.49 *2.5**
69 900500 MCH REMOVE/REPLACE FLEX TUBE TO MUFFLER SMC 1831 LL2 001 A 911.80 *2.5**
70 900500 MCH REMOVE/REPLACE EXHAUST BELLOWS SMC 1701 LL2 001 A 198.96 *1.0**
71 900500 MCH REMOVE/REPLACE EXHAUST CLAMPS 5@22.42 SMC 10028 3 A 112.10 *INC**
72 900500 MCH REMOVE/REPLACE EXHAUST GASKET 2@60.68 CAT 278 5711 A 121.36 *INC**
73 900500 MCH REMOVE/REPLACE EXHAUST CLAMP 2@72.75 CAT 278 5712 A 145.50 *INC**
74 900500 MCH REMOVE/REPLACE EXHAUST STRAP 2@14.43 CAT 282 8222 A 28.86 *INC**
ESTIMATE RECALL NUMBER: 08/28/2019 08:56:24 2330146 CPR 29237
Mitchell Data Version:OEM: AUG_19_V0827
MAPP:AUG_19_V0825 Copyright (C) 1994 - 2019 Mitchell International Page 2 of 5
Software Version:7.1.237 All Rights Reserved
Date: 8/28/2019 08:56 AM
Estimate ID:2330146 CPR 29237
Estimate Version:0
Preliminary
Profile ID:* BASIC
75 900500 MCH REMOVE/REPLACE EXHAUST OUTLET KIT CAT 294 7310 A 1,379.00 *1.5**
76 900500 MCH REMOVE/REPLACE EXHAUST INLET KIT CAT 294 7301 A 1,343.33 *1.5**
77 900500 MCH REMOVE/REPLACE EXHAUST TUBE CAT 286 1584 A 99.28 *1.0**
78 900500 MCH REMOVE/REPLACE EXHAUST TUBE CAT 286 1585 A 62.06 *1.0**
79 900500 MCH REMOVE/REPLACE EXHAUST ELBOW 2@17.81 CAT 286 5030 A 35.62 *1.0**
80 900500 MCH REMOVE/REPLACE EXHAUST SENSOR KIT CAT 305 3693 A 530.93 *1.5**
81 900500 MCH REMOVE/REPLACE DPF ASSY CAT 295 8694 A 7,755.31 *3.0**
82 900500 MCH REMOVE/REPLACE CHASSIS CONTROL WIRING HARNESS SMC 2581 GG5 A 1,386.41 *8.5**
83 900500 MCH REMOVE/REPLACE CASSIS CAT V MUX WIRING HARNESS SMC 28674 GG5 A 18,300.00 *12.5**
84 900500 MCH REMOVE/REPLACE PUMP PANEL INTERFACE WIRING HARNESS SMC 2895 GG5 A 2,670.62 *8.0**
85 900500 MCH REMOVE/REPLACE PUMP PANEL WIRING HARNESS SMC 2896 GG5 001 A 1,637.79 *4.0**
86 900500 MCH REMOVE/REPLACE AUTO LUBE HOSE 1/4" 4@91.71 LIN 274047A 366.84 *2.0**
87 900500 MCH REMOVE/REPLACE AUTO LUBE MANIFOLD DIVIDER 2@515.27 LIN 619 26648 2 A 1,030.54 *2.0**
88 900500 MCH REMOVE/REPLACE AUTO LUBE STRAIGHT FITTINGS 20@6.33 LIN 244047 A 126.60 *INC**
89 900500 MCH REMOVE/REPLACE AUTO LUBE 90 DEGREE FITTINGS 20@11.47 LIN 244053 A 229.40 *INC**
90 900500 MCH REMOVE/REPLACE AUTO LUBE PUMP ASSY LIN 94423 12 A 2,010.36 *8.0**
91 900500 MCH REMOVE/REPLACE PUSTON DETECTOR 7M LIN 664 85242 5 A 426.00 *0.5**
92 900500 MCH REMOVE/REPLACE HYDRAULIC HOSE C5C 10@6.03 100R5 STU 4C5C A 60.30 *INC**
93 900500 MCH REMOVE/REPLACE DUAL SEAT 90 DEG FITTINGS 2@14.57 STU G34212 0404 A 29.14 *INC**
94 900500 MCH REMOVE/REPLACE TCM MODULE 29558169 O 1,043.66 *4.0**
95 900500 MCH REMOVE/REPLACE TCM LABEL KIT/PROGRAMMING 295223578 O 238.24 *2.5**
96 900500 MCH REMOVE/REPLACE ONAN GEN MANIFOLD CSP A050D699 1,079.29 *4.0**
97 900500 MCH REMOVE/REPLACE ONAN MANIFOLD SOLENOID CSP A046L266 A 51.85 *0.5**
98 900500 MCH REMOVE/REPLACE ONAN MANIFOLD HYDRAULIC VALVE CSP A046L262 A 270.67 *1.0**
99 900500 MCH REPAIR POST REPAIR CHASSIS INSPECTION FUNCTION TES Existing 10.0**
100 900500 MCH REPAIR FIRE PUMP TEST Sublet 427.00 *0.0**
Additional Costs & Materials
101 936004 ADD'L COST Shipping 850.00 *
Special/Manual Entry
102 900500 MCH REMOVE/REPLACE ATF FLUID New 115.85 *INC**
103 900500 BDY REMOVE/INSTALL REAR SEATS AND EQUIPMENT Existing 10.0**r
104 >>FOR REAR WALL ACCESS
105 900500 BDY REMOVE/REPLACE RT REAR WALL PANEL New 2,939.90 *10.0**
106 900500 BDY REMOVE/REPLACE RT REAR WALL DIAMOND PLATE New 979.96 *8.0**
107 900500 BDY REMOVE/REPLACE REAR FLOOR CRACK SECTION New 658.80 *15.0**
* - Judgment Item
r - CEG R&R Time Used For This Labor Operation
Estimate Totals
______________________________________________________________________________________________________________________________
Add'l
Labor Sublet
I.Labor Subtotals Units Rate Amount Amount Totals
Body 44.0 125.00 0.00 0.00 5,500.00 T
Mechanical 183.0 125.00 0.00 427.00 23,302.00 T
Taxable Labor 28,802.00
Labor Summary 227.0 28,802.00
II.Part Replacement Summary Amount
Taxable Parts 63,693.10
Total Replacement Parts Amount 63,693.10
ESTIMATE RECALL NUMBER: 08/28/2019 08:56:24 2330146 CPR 29237
Mitchell Data Version:OEM: AUG_19_V0827
MAPP:AUG_19_V0825 Copyright (C) 1994 - 2019 Mitchell International Page 3 of 5
Software Version:7.1.237 All Rights Reserved
Date: 8/28/2019 08:56 AM
Estimate ID:2330146 CPR 29237
Estimate Version:0
Preliminary
Profile ID:* BASIC
III.Additional Costs Amount
Taxable Costs 850.00
Total Additional Costs 850.00
IV.Adjustments Amount
Customer Responsibility 0.00
I.Total Labor:28,802.00
II.Total Replacement Parts:63,693.10
III.Total Additional Costs:850.00
Gross Total:93,345.10
IV.Total Adjustments:0.00
Net Total:93,345.10
This is a preliminary estimate.
Additional changes to the estimate may be required for the actual repair.
SUPPLEMENTS:
No Supplements will be honored without PRIOR authorization/and or
inspection by CPR or one of its affiliates. Any and all supplement
request must be e-mailed to the named estimator PRIOR to work
being performed and or completed, to be considered for payment.
WHEN SENDING A SUPPLEMENT REQUEST, PLEASE REFERENCE THE CLAIM#
AND THE NAMED ESTIMATOR IN THE SUBJECT LINE OF THE E-MAIL.
RENTAL CAR PROVISIONS:
The need for a rental vehicle and/or extension, will be determined
and authorized by the handling adjuster ONLY. If a rental is deemed
necessary, the length and duration of the rental will be calculated
in accordance with the total estimated labor hours noted on the
original estimate of record. If there is a need to extend the rental
past this allotted time PRIOR approval must be granted by the
handling adjuster.
NOTICE: Vehicles constructed of special metals may require the use of
specialized welding and bonding equipment. Proper measuring and
structural repair systems are a requirement on today's vehicles in
order to accurately accomplish necessary repairs.
ALTERNATE PARTS DISCLAIMER:
IF A QUALITY REPLACEMENT PART (A/M, LKQ, RECOND OR OPT OEM) APPEARS
ON THIS ESTIMATE, IT INDICATES THAT THE ESTIMATE HAS BEEN PREPAIRED
BASED ON THE USE OF ONE OR MORE CRASH PARTS SUPPLIED BY A SOURCE
OTHER THAN THE ORIGINAL MANUFACTURER OF YOUR MOTOR VEHICLE.
WARRANTIES, IF ANY, APPLICABLE TO THESE REPLACEMENT CRASH PARTS ARE
PROVIDED BY THE PART MANUFACTURER OR DISCTIBUTOR, RATHER THAN THE
MANUFACTURER OF THE VEHICLE.
ESTIMATE RECALL NUMBER: 08/28/2019 08:56:24 2330146 CPR 29237
Mitchell Data Version:OEM: AUG_19_V0827
MAPP:AUG_19_V0825 Copyright (C) 1994 - 2019 Mitchell International Page 4 of 5
Software Version:7.1.237 All Rights Reserved
Date: 8/28/2019 08:56 AM
Estimate ID:2330146 CPR 29237
Estimate Version:0
Preliminary
Profile ID:* BASIC
ESTIMATE RECALL NUMBER: 08/28/2019 08:56:24 2330146 CPR 29237
Mitchell Data Version:OEM: AUG_19_V0827
MAPP:AUG_19_V0825 Copyright (C) 1994 - 2019 Mitchell International Page 5 of 5
Software Version:7.1.237 All Rights Reserved
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FILE SUMMARY
INSURED: City of Ft. Worth
Unit #: 5510093
We received and worked an assignment on a 2018 37’ Emergency Response Trailer
VIN: 1H9B43724JT715006. The unit 5510093 belongs to the Insured, which is the City
of Fort Worth. Fact of Loss were not stated prior to this inspection. Upon our inspection,
extensive fire damages were found and noted to the back half interior of the trailer. We
reached out and spoke with Hartstra who is the manufacturer of this trailer. In
agreement with Hartstra, we recommend the rear section of the trailer will need to be
rebuilt down to the structural frame members. The manufacturer is recommending that
once the interior has been removed the aluminum structural members be inspected for
damage before any repairs are started and parts ordered. According to Hartstra, if the
aluminum structural members have been damaged due to the high heat, this trailer may
not be fixable. The is high probability of supplementation once the repair process is
started and tear down is completed. Damages present support some type of fire loss.
Due to this loss, the unit has sustained significant cosmetic, structural and mechanical
damages. The overall condition of this unit was GOOD. At this time, the appraisal of
record, for current known damages, stands at $34,149.62.
If you have any further questions, please contact us.
Thank you,
Casualty & Property Resolutions (CPR)
600 E. John Carpenter Frwy., Suite 365
Irving, TX 75062
(855) 215-6439
Date: 7/24/2020 09:03 AM
Estimate ID:5510093
Estimate Version:0
Preliminary
Profile ID:* BASIC
Casualty & Property Resolutions (CPR)
600 E. John Carpenter Fwy Ste. 365, Irving, TX 75062
(855) 215-6439
*ALL SUPPLEMENT REQUEST MUST BE E-MAILED TO SUPPLEMENT@CPRINS.COM*
Damage Assessed By:CPR Field Adjuster
Classification:Field
********************************NOTICE********************************
THIS IS A DAMAGE ASSESSMENT ONLY, WHICH IS BASED ON DAMAGE VISIBLE OR
CERTAIN AT THE TIME IT WAS WRITTEN. THIS IS NOT AN AUTHORIZATION TO
REPAIR, NOR AN ADMISSION OF LIABILITY! ALL COST OF REPAIRS ARE THE
SOLE RESPONSIBILITY OF THE VEHICLE OWNER, WHO ULTIMATELY MUST
AUTHORIZE ALL WORK TO BE PERFORMED.THE VEHICLE OWNER MAINTAINS THE
RIGHT TO REPAIR THE VEHICLE AT A REPAIR FACILITY OF THEIR CHOICE.
**********************************************************************
CPR SPECIFIES THAT ALL REPAIRS AND/OR PARTS REPLACEMENTS LISTED
HEREIN, BE MADE IN STRICT ACCORDANCE WITH ALL MANUFACTURER'S
SPECIFICATIONS AND GUIDELINES.
**********************************************************************
Deductible:UNKNOWN
Claim Number:5510093
Insured:CITY OF FT. WORTH
Mitchell Service:911000
Description:18 37' EMERGENCY RESPONSE TRAILER
VIN:1H9B43724JT715006
OEM/ALT:A Search Code:B1004299
Color:WHITE
Line Entry Labor Line Item Part Type/Dollar Labor
Item Number Type Operation Description Part Number Amount Units
Special/Manual Entry
1 900500 BDY REMOVE/INSTALL REMOVE ALL REAR INTERIOR COMPONENTS -Existing 80.0**
2 >>CABINETS, SHELVES, ELECTRICAL COMPONENTS
3 >>INTERIOR FLOORING, WALL PANELS, CEILING PANELS
4 900500 MCH REPAIR INSPECT AND TEST ALL INTERIOR WIRING FOR FIREExisting 10.0**
5 900500 BDY REPAIR INSPECT ALL ALUMINUM SUPPORT STRUCTURE ME Existing 8.0**
6 >>ONCE ALL INTERIOR
7 900500 BDY REMOVE/INSTALL REAR FOLD DOWN DOOR/RAMP Existing 4.5**
8 900500 BDY REMOVE/REPLACE DISC O TILE RUBBER FLOORING New 750.00 *12.0**
9 900500 BDY REMOVE/REPLACE DISC O TILE RUBBER LOWER WALL COATING New 650.00 *10.5**
10 900500 BDY REMOVE/REPLACE ROADSIDE ALUMINUM WALL SKIN New 1,250.00 *14.0**
11 900500 BDY REMOVE/REPLACE ALUMINUM CABLE RUN ROADSIDE New 495.00 *6.0**
12 900500 BDY REMOVE/REPLACE CURBSIDE ALUMINUM WALL SKIN New 1,250.00 *14.0**
13 900500 BDY REMOVE/REPLACE ALUMINUM CABLE RUN CURBSIDE New 495.00 *6.0**
ESTIMATE RECALL NUMBER: 07/24/2020 08:24:20 5510093
Mitchell Data Version:OEM: JUL_20_V0721
MAPP:JUL_20_V0719 Copyright (C) 1994 - 2020 Mitchell International Page 1 of 3
Software Version:7.1.238 All Rights Reserved
Date: 7/24/2020 09:03 AM
Estimate ID:5510093
Estimate Version:0
Preliminary
Profile ID:* BASIC
14 900500 BDY REMOVE/REPLACE INTERIOR ROOF ALUMINUM SKIN New 1,650.00 *18.0**
15 900500 BDY REMOVE/REPLACE E-TRACK MOUNTING FOR WALLS 6@19.99 New 119.94 *4.0**
16 900500 BDY REMOVE/REPLACE INTERIOR 3-COMPARTMENT STORAGE CABINETS 2 New 1,132.00 *3.0**
17 900500 BDY REMOVE/REPLACE ALUMINUM FOLD DOWN DESKS 4@339.99 New 1,359.96 *4.0**
18 900500 BDY REMOVE/REPLACE FLAT - SCREEN WALL MOUNT HARDWARE 2@56.99 New 113.98 *2.5**
19 900500 BDY REMOVE/REPLACE INTERIOR LED MONITORS 2@199.98 New 399.96 *2.0**
20 900500 BDY REMOVE/REPLACE 15000 BTU HVAC ROOF UNITS 2@954.52 New 1,909.04 *8.0**
21 >>WELDED TO ROOF PANELS
22 900500 BDY REMOVE/REPLACE INTERIOR FLUSH MOUNT LED SHOP LIGHTING 2@17 New 340.00 *3.0**
23 900500 BDY REMOVE/REPLACE EMERGENCY 2 WAY HANDHELD RADIOS 4@313.06 New 1,252.24 *1.0**
24 900500 BDY REPAIR CLEAN AND REFRESH FRONT BATHROOM, AND GALExisting 4.0**
25 >>REMOVE SMOKE AND SOOT DEBRIS
26 900500 BDY REPAIR CLEAN FRONT CURBSIDE ENTRY DOOR Existing 2.0**
27 >>REMOVE SMOKE AND SOOT DEBRIS
28 900500 BDY REPAIR CLEAN EXTERIOR WALL ABOVE FRONT ENTRY DOOExisting 2.0**
29 >>REMOVE SMOKE AND SOOT DEBRIS
30 900500 BDY REMOVE/REPLACE MISC HARDWARE New 75.00 *0.0**
Additional Costs & Materials
31 936007 ADD'L COST Shop Materials 150.00 *
* - Judgment Item
Estimate Totals
______________________________________________________________________________________________________________________________
Add'l
Labor Sublet
I.Labor Subtotals Units Rate Amount Amount Totals
Body 208.5 95.00 0.00 0.00 19,807.50 T
Mechanical 10.0 95.00 0.00 0.00 950.00 T
Taxable Labor 20,757.50
Labor Summary 218.5 20,757.50
II.Part Replacement Summary Amount
Taxable Parts 13,242.12
Total Replacement Parts Amount 13,242.12
III.Additional Costs Amount
Taxable Costs 150.00
Total Additional Costs 150.00
IV.Adjustments Amount
Customer Responsibility 0.00
I.Total Labor:20,757.50
II.Total Replacement Parts:13,242.12
III.Total Additional Costs:150.00
Gross Total:34,149.62
IV.Total Adjustments:0.00
Net Total:34,149.62
This is a preliminary estimate.
Additional changes to the estimate may be required for the actual repair.
ESTIMATE RECALL NUMBER: 07/24/2020 08:24:20 5510093
Mitchell Data Version:OEM: JUL_20_V0721
MAPP:JUL_20_V0719 Copyright (C) 1994 - 2020 Mitchell International Page 2 of 3
Software Version:7.1.238 All Rights Reserved
Date: 7/24/2020 09:03 AM
Estimate ID:5510093
Estimate Version:0
Preliminary
Profile ID:* BASIC
SUPPLEMENTS:
No Supplements will be honored without PRIOR authorization/and or
inspection by CPR or one of its affiliates. Any and all supplement
request must be e-mailed to the named estimator PRIOR to work
being performed and or completed, to be considered for payment.
WHEN SENDING A SUPPLEMENT REQUEST, PLEASE REFERENCE THE CLAIM#
AND THE NAMED ESTIMATOR IN THE SUBJECT LINE OF THE E-MAIL.
RENTAL CAR PROVISIONS:
The need for a rental vehicle and/or extension, will be determined
and authorized by the handling adjuster ONLY. If a rental is deemed
necessary, the length and duration of the rental will be calculated
in accordance with the total estimated labor hours noted on the
original estimate of record. If there is a need to extend the rental
past this allotted time PRIOR approval must be granted by the
handling adjuster.
NOTICE: Vehicles constructed of special metals may require the use of
specialized welding and bonding equipment. Proper measuring and
structural repair systems are a requirement on today's vehicles in
order to accurately accomplish necessary repairs.
ALTERNATE PARTS DISCLAIMER:
IF A QUALITY REPLACEMENT PART (A/M, LKQ, RECOND OR OPT OEM) APPEARS
ON THIS ESTIMATE, IT INDICATES THAT THE ESTIMATE HAS BEEN PREPAIRED
BASED ON THE USE OF ONE OR MORE CRASH PARTS SUPPLIED BY A SOURCE
OTHER THAN THE ORIGINAL MANUFACTURER OF YOUR MOTOR VEHICLE.
WARRANTIES, IF ANY, APPLICABLE TO THESE REPLACEMENT CRASH PARTS ARE
PROVIDED BY THE PART MANUFACTURER OR DISCTIBUTOR, RATHER THAN THE
MANUFACTURER OF THE VEHICLE.
ESTIMATE RECALL NUMBER: 07/24/2020 08:24:20 5510093
Mitchell Data Version:OEM: JUL_20_V0721
MAPP:JUL_20_V0719 Copyright (C) 1994 - 2020 Mitchell International Page 3 of 3
Software Version:7.1.238 All Rights Reserved
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TIRE AND L�AD��IG INFORMAT��fi ,
�
The 4vc�r�ht of the �:arg� shaulc! never eti�ee�
E ib�JS Kg ar 3a39 Lbs. �
� TIRE SiIE C�Lfl T1RE PR€SSU� 8� ��g M
FRONT 2151�5� ] 7, � 'H' ��S KF}A : :23 �SI �IA111i�1 PDR �
REA�R ��SjT�F�17_5 'H' 848 KPA ! ��3 P5� ��iT14lU�1 �
�Flfp�lAAY10�
� � rr���,7 �'�'' s�nR KvA ? 1�3 QSI �
?_ ]. .�
pA�E: DY�
MA�dUFACTI�REa �Y -''' ' T1�tE 11.5 x 6.75
�7 �2�`,1U{1 LC� r'�l�ir.� K � ��
R n w� k�; f 4 Q(? i l L�� PER A?{L� 1NIZ' ��15,
FILE SUMMARY
INSURED: City of Ft. Worth
Unit #: 2170550
We received and worked an assignment on a 2019 Chevrolet Tahoe Police 4D UTV
VIN: 1GNLCDEC8KR363571 which belongs to the City of Ft. Worth. Facts of Loss were
not stated prior to this inspection. Upon our inspection, heavy collision damages were
present to the left front corner and frame areas of the vehicle. Severe collision and inner
structure damages present. Damages support some type of collision loss. Due to this
loss, the unit has sustained significant cosmetic, structural and mechanical damages.
NO UPD was found during our inspection as this unit was in GOOD condition. Current
mileage is 45,354. At this time, the appraisal of record, for current known damages,
stands at $23,526.34. Please note that this amount does not account for potential
supplementation due to hidden damages yet to be found. These damages would not be
fully determined until taken to a repair facility for a complete tear down, so a more
thorough inspection could be completed. At this time, we are recommending that this
unit be deemed a total as the result of this loss. This recommendation is due to the
appraisal of record exceeding 52% of NADA Clean Retail value. This recommendation
is also due to this unit requiring a full frame replacement.
If you have any further questions, please contact us.
Thank you,
Casualty & Property Resolutions (CPR)
600 E. John Carpenter Frwy., Suite 365
Irving, TX 75062
(855) 215-6439
Date: 2/22/2022 02:15 PM
Estimate ID:2170550
Estimate Version:0
Preliminary
Profile ID:* DFW
Quote ID: 101078866
Casualty & Property Resolutions (CPR)
600 E. John Carpenter Fwy Ste. 365, Irving, TX 75062
(855) 215-6439
*ALL SUPPLEMENT REQUEST MUST BE E-MAILED TO SUPPLEMENT@CPRINS.COM*
Damage Assessed By:CPR Field Adjuster
Classification:Field
********************************NOTICE********************************
THIS IS A DAMAGE ASSESSMENT ONLY, WHICH IS BASED ON DAMAGE VISIBLE OR
CERTAIN AT THE TIME IT WAS WRITTEN. THIS IS NOT AN AUTHORIZATION TO
REPAIR, NOR AN ADMISSION OF LIABILITY! ALL COST OF REPAIRS ARE THE
SOLE RESPONSIBILITY OF THE VEHICLE OWNER, WHO ULTIMATELY MUST
AUTHORIZE ALL WORK TO BE PERFORMED.THE VEHICLE OWNER MAINTAINS THE
RIGHT TO REPAIR THE VEHICLE AT A REPAIR FACILITY OF THEIR CHOICE.
**********************************************************************
CPR SPECIFIES THAT ALL REPAIRS AND/OR PARTS REPLACEMENTS LISTED
HEREIN, BE MADE IN STRICT ACCORDANCE WITH ALL MANUFACTURER'S
SPECIFICATIONS AND GUIDELINES.
**********************************************************************
Deductible:UNKNOWN
Claim Number:2170550
Insured:City of Ft. Worth
Mitchell Service:911675
Description:2019 Chevrolet Tahoe LS
Body Style:4D Ut Drive Train:5.3L Inj 8 Cyl 2WD
VIN:1GNLCDEC8KR363571 License:141 5764 TX
Mileage:45,354
OEM/ALT:O Search Code:B1004299
Color:BLACK/WHITE
Options:PASSENGER AIRBAG, POWER DRIVER SEAT, POWER LOCK, POWER WINDOW, POWER STEERING
REAR WINDOW DEFOGGER, AIR CONDITION, CRUISE CONTROL, TILT STEERING COLUMN
AM/FM STEREO, DRIVER AIRBAG, HEATED EXTERIOR MIRROR, REAR (DUAL-ZONE) AC
POWER PASSENGER SEAT, FRONT SIDE AIRBAG WITH HEAD PROTECTION
ANTI-LOCK BRAKE SYS., TRACTION CONTROL, RUNNING BOARDS, ALUM/ALLOY WHEELS
REARVIEW CAMERA, REMOTE IGNITION, TIRE INFLATION/PRESSURE MONITOR
ANTI-THEFT SYSTEM, AUXILIARY INPUT, BLUETOOTH WIRELESS CONNECTIVITY
LEATHER STEERING WHEEL, SATELLITE RADIO, CD PLAYER, TOW HITCH RECEIVER
POWER ADJUSTABLE EXTERIOR MIRROR, PRIVACY GLASS, AUTO AIR CONDITION
FIRST ROW BUCKET SEAT, TELEMATIC SYSTEMS, THIRD ROW SEAT
REAR HEATING, VENTILATION & AIR CONDITIONING, CLOTH SEAT, SIDE AIRBAGS
AUTOMATIC HEADLIGHTS, SECOND ROW SIDE AIRBAG WITH HEAD PROTECTION, MP3 PLAYER
DAYTIME RUNNING LIGHTS, DRIVER SEAT WITH POWER LUMBAR SUPPORT
ELECTRONIC PARKING AID, ELECTRONIC STABILITY CONTROL
FRONT SEATS WITH POWER LUMBAR SUPPORT, KEYLESS ENTRY SYSTEM
LIMITED SLIP DIFFERENTIAL, RAIN SENSING WIPERS, REAR BENCH SEAT
STEERING WHEEL AUDIO CONTROLS
ESTIMATE RECALL NUMBER: 02/18/2022 15:23:13 2170550
Mitchell Data Version:OEM: FEB_22_V0217
Copyright (C) 1994 - 2022 Mitchell International Page 1 of 6
Software Version:7.1.242 All Rights Reserved
Date: 2/22/2022 02:15 PM
Estimate ID:2170550
Estimate Version:0
Preliminary
Profile ID:* DFW
Quote ID: 101078866
Line Entry Labor Line Item Part Type/Dollar Labor
Item Number Type Operation Description Part Number Amount Units
Special/Manual Entry
1 900500 BDY REMOVE/INSTALL FRONT PUSH BUMPER Existing 3.0**r
Front Bumper
2 BDY OVERHAUL Frt Bumper Cover Assy 1.1 #
3 100788 BDY REMOVE/REPLACE Frt Bumper Cover 84408068 649.95 INC #
4 REF REFINISH Frt Bumper Cover C 2.6
5 >>LT MOUNT HOLES RIPPED
Front Lamps
6 101501 BDY REMOVE/REPLACE L Frt Combination Lamp Assembly 84582597 1,299.95 INC #
7 BDY CHECK/ADJUST Headlamps 0.4
Front Fender
8 100641 BDY REMOVE/REPLACE L Fender Panel 84216909 840.00 3.2 #
9 REF REFINISH L Fender Outside C 2.5
10 REF REFINISH L Add To Edge Fender C 1.2
11 100648 BDY REMOVE/REPLACE L Fender Insulator 84342552 22.26 INC #
12 101602 BDY REMOVE/REPLACE L Fender Liner 22806316 109.12 INC
Air Bag System
13 102065 MCH REMOVE/REPLACE R Air Bag Side Curtain Module -M 84652224 858.00 0.8 #
14 BDY REMOVE/INSTALL Roof Headliner INC #
15 102066 MCH REMOVE/REPLACE L Air Bag Side Curtain Module -M 84246084 866.58 0.8 #
16 102477 MCH REMOVE/REPLACE R Frt Air Bag Side Impact Sensor -M 13518264 205.42 0.3 #
17 BDY REMOVE/INSTALL R Frt Door Trim Panel 0.4
18 102478 MCH REMOVE/REPLACE L Frt Air Bag Side Impact Sensor -M 13518264 205.42 INC #
19 BDY REMOVE/INSTALL L Frt Door Trim Panel INC
20 102483 MCH REMOVE/REPLACE R Rear Air Bag Side Impact Sensor -M 26671010 102.70 0.3 #
21 BDY REMOVE/INSTALL R Rear Door Trim Panel 0.4
22 102484 MCH REMOVE/REPLACE L Rear Air Bag Side Impact Sensor -M 26671010 102.70 0.3 #
23 BDY REMOVE/INSTALL L Rear Door Trim Panel 0.4
24 101272 MCH REMOVE/REPLACE Air Bag Module-Drivers Seat -M 23425293 866.58 0.4 #
Frame
25 100951 FRM REMOVE/REPLACE Frame Assembly -F 84135724 3,933.70 27.3
Wheel
26 102813 BDY REMOVE/REPLACE Wheel 20942019 271.52 0.3
Special/Manual Entry
27 900500 BDY REMOVE/REPLACE LT FRONT TIRE ** QUAL REPL PART 131.00 *0.0**
28 900500 MCH REMOVE/REPLACE MOUNT & BALANCE LT FRONT WHEEL Sublet 15.00 *0.0**
29 900500 MCH REMOVE/REPLACE WHEEL ALIGNMENT Sublet 89.95 *0.0**
Front Suspension
30 MCH REMOVE/REPLACE L Frt Susp Components One Side -M 2.2
31 DOES NOT INCLUDE ALIGNMENT
32 102679 MCH REMOVE/REPLACE L Upr Frt Susp Control Arm Assy -M 84628487 209.72 INC #
33 102345 MCH REMOVE/REPLACE L Lwr Frt Susp Control Arm Assy -M 84114505 321.04 INC #
34 101756 MCH REMOVE/REPLACE L Frt Susp Strut -M 23275423 173.63 INC #
Rocker/Pillars/Floor
35 100180 BDY REMOVE/REPLACE L Section W/Shield Post & Hinge Pillar 7.3 #
36 REF REFINISH L Windshield Post & Hinge Pillar C 1.0
37 101123 BDY REMOVE/REPLACE L Door Opening Frame 23262162 1,004.98 INC #
38 101074 BDY REMOVE/REPLACE L Cowl/Dash Hinge Pillar Reinf 84411063 326.67 3.0
39 101022 BDY REMOVE/INSTALL L Running Board Assy 0.6
Additional Operations
40 931128 MCH REPAIR Post Repair Scan Existing 1.0*
41 >>RESET AIR BAG CODES
Rocker/Pillars/Floor
42 101016 BDY REMOVE/INSTALL L Frt Scuff Plate INC
43 100522 BDY REMOVE/INSTALL L Upr Ctr Pillar Trim Panel Existing INC #r
44 100524 BDY REMOVE/INSTALL L Lwr Ctr Pillar Trim Panel Existing INC #r
ESTIMATE RECALL NUMBER: 02/18/2022 15:23:13 2170550
Mitchell Data Version:OEM: FEB_22_V0217
Copyright (C) 1994 - 2022 Mitchell International Page 2 of 6
Software Version:7.1.242 All Rights Reserved
Date: 2/22/2022 02:15 PM
Estimate ID:2170550
Estimate Version:0
Preliminary
Profile ID:* DFW
Quote ID: 101078866
45 100538 BDY REMOVE/INSTALL L Frt Door Opening Weatherstrip Existing 0.5 r
Front Seat
46 102117 BDY REMOVE/REPLACE Driver Side Seat Back Cover 84549921 376.33
Seat Belts
47 102825 BDY REMOVE/REPLACE R Frt Seat Belt 19356270 163.59 0.3 #
48 102826 BDY REMOVE/REPLACE L Frt Seat Belt 19356264 98.80 0.3 #
49 102588 BDY REMOVE/REPLACE R Frt Seat Belt Pretensioner 19356268 164.65 0.2 #
50 BDY REMOVE/INSTALL R Ctr Seat Assy 0.3
51 102589 BDY REMOVE/REPLACE L Frt Seat Belt Pretensioner 19356262 98.80 0.2 #
52 BDY REMOVE/INSTALL L Ctr Seat Assy 0.3
53 102827 BDY REMOVE/REPLACE R Rear Seat Belt 84600071 109.04 0.3 #
54 102828 BDY REMOVE/REPLACE L Rear Seat Belt 84600079 109.04 0.3 #
Front Door
55 100553 BDY REMOVE/REPLACE L Frt Door Shell 84348726 1,260.00 5.1 #
56 MCH REMOVE/REPLACE L Frt Add To R&I/R&R Side Air Bag Sensor 0.3
57 REF REFINISH L Frt Door Outside C 2.3
58 REF REFINISH L Frt Add For Jambs & Interior C 1.0
Special/Manual Entry
59 900500 MCH REPAIR TRANSFER DOOR LED Existing 2.0**
Front Door
60 100562 BDY REMOVE/INSTALL L Frt Rear View Mirror INC #
61 100138 BDY REMOVE/REPLACE L Frt Otr Door Belt Moulding 84291967 148.65 INC #
62 100120 BDY REMOVE/REPLACE L Frt Door Outside Handle 13534897 45.79 INC #
63 REF REFINISH L Frt Otr Handle C 0.5
64 100121 BDY REMOVE/REPLACE L Frt Door Bezel 22929464 17.17 INC #
65 100125 BDY REMOVE/REPLACE R Frt Door Handle Cover 22929412 17.62 0.3 #
66 100069 BDY REMOVE/REPLACE L Frt Upr Door Hinge 13581569 98.61 0.3 #
67 REF REFINISH L Frt Upr Hinge C 0.5
68 BDY REMOVE/INSTALL L Frt Door Assembly INC #
69 100071 BDY REMOVE/REPLACE L Frt Lwr Door Hinge 13581568 104.29 0.3 #
70 REF REFINISH L Frt Lwr Hinge C 0.5
71 100081 BDY REMOVE/INSTALL L Frt Door Weatherstrip Existing INC r
72 101893 GLS REMOVE/INSTALL L Frt Door Glass Weatherstrip Existing INC r
73 100083 BDY REMOVE/INSTALL L Frt Door Weatherstrip Existing INC r
74 100085 BDY REMOVE/INSTALL L Frt Lwr Door Seal Existing INC r
75 100123 GLS REMOVE/INSTALL L Frt Door Moveable Glass Existing INC r
76 100088 BDY REMOVE/INSTALL L Frt Door Rear Sash Existing INC #r
77 100054 BDY REMOVE/INSTALL L Frt Door Power Glass Regulator Existing INC #r
Roof
78 102687 BDY REMOVE/REPLACE Roof Headliner 84140990 1,500.67 3.6 #
Special/Manual Entry
79 900500 MCH REMOVE/INSTALL CENTER POLICE DIVIDER Existing 6.5**r
80 900500 MCH REMOVE/INSTALL CENTER POLICE CONSOLE Existing 6.5**r
Additional Costs & Materials
81 936012 ADD'L COST Hazardous Waste Disposal 5.00 *
82 936014 ADD'L COST Flex Additive 8.00 *
Additional Operations
83 933006 FRM ADD'L OPR Frame/Rack Set Up 2.5*
84 933035 FRM ADD'L OPR Unibody Pull 4.0*
85 >>SQUARE LT SIDE STRUCTURE
86 REF ADD'L OPR Clear Coat 2.9
87 933005 BDY ADD'L OPR Restore Corrosion Protection 10.00 *0.3*
88 933018 REF ADD'L OPR Mask For Overspray 10.00 *0.3*
Special/Manual Entry
89 900500 BDY REMOVE/REPLACE LT DOOR GRAPHICS Sublet 75.00 *0.0**
Additional Costs & Materials
90 ADD'L COST Paint/Materials 540.00 *
ESTIMATE RECALL NUMBER: 02/18/2022 15:23:13 2170550
Mitchell Data Version:OEM: FEB_22_V0217
Copyright (C) 1994 - 2022 Mitchell International Page 3 of 6
Software Version:7.1.242 All Rights Reserved
Date: 2/22/2022 02:15 PM
Estimate ID:2170550
Estimate Version:0
Preliminary
Profile ID:* DFW
Quote ID: 101078866
* - Judgment Item
# - Labor Note Applies
C - Included in Clear Coat Calc
r - CEG R&R Time Used For This Labor Operation
Estimate Totals
______________________________________________________________________________________________________________________________
Add'l
Labor Sublet
I.Labor Subtotals Units Rate Amount Amount Totals
Body 32.7 48.00 10.00 0.00 1,579.60 T
Refinish 15.3 48.00 10.00 0.00 744.40 T
Frame 33.8 48.00 0.00 0.00 1,622.40 T
Mechanical 21.4 95.00 0.00 0.00 2,033.00 T
Taxable Labor 5,979.40
Labor Summary 103.2 5,979.40
II.Part Replacement Summary Amount
Taxable Parts 16,993.94
Total Replacement Parts Amount 16,993.94
III.Additional Costs Amount
Taxable Costs 553.00
Total Additional Costs 553.00
Paint Material Method: Rates
Init Rate = 36.00 , Init Max Hours = 99.9, Addl Rate = 0.00
IV.Adjustments Amount
Customer Responsibility 0.00
I.Total Labor:5,979.40
II.Total Replacement Parts:16,993.94
III.Total Additional Costs:553.00
Gross Total:23,526.34
IV.Total Adjustments:0.00
Net Total:23,526.34
THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF REPLACEMENT PARTS
SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE.
WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE
MANUFACTURER OR DISTRIBUTOR OF THESE PARTS RATHER THAN THE MANUFACTURER
OF YOUR VEHICLE.
This is a preliminary estimate.
Additional changes to the estimate may be required for the actual repair.
SUPPLEMENTS:
No Supplements will be honored without PRIOR authorization/and or
inspection by CPR or one of its affiliates. Any and all supplement
request must be e-mailed to the named estimator PRIOR to work
ESTIMATE RECALL NUMBER: 02/18/2022 15:23:13 2170550
Mitchell Data Version:OEM: FEB_22_V0217
Copyright (C) 1994 - 2022 Mitchell International Page 4 of 6
Software Version:7.1.242 All Rights Reserved
Date: 2/22/2022 02:15 PM
Estimate ID:2170550
Estimate Version:0
Preliminary
Profile ID:* DFW
Quote ID: 101078866
being performed and or completed, to be considered for payment.
WHEN SENDING A SUPPLEMENT REQUEST, PLEASE REFERENCE THE REFERENCE THE
CLAIM# AND THE NAMED ESTIMATOR IN THE SUBJECT LINE OF THE E-MAIL.
RENTAL CAR PROVISIONS:
The need for a rental vehicle and/or extension, will be determined
and authorized by the handling adjuster ONLY. If a rental is deemed
necessary, the length and duration of the rental will be calculated
in accordance with the total estimated labor hours noted on the
original estimate of record. If there is a need to extend the rental
past this allotted time PRIOR approval must be granted by the
handling adjuster.
NOTICE: Vehicles constructed of special metals may require the use of
specialized welding and bonding equipment. Proper measuring and
structural repair systems are a requirement on today's vehicles in
order to accurately accomplish necessary repairs.
ALTERNATE PARTS DISCLAIMER:
IF A QUALITY REPLACEMENT PART (A/M, LKQ, RECOND OR OPT OEM) APPEARS
ON THIS ESTIMATE, IT INDICATES THAT THE ESTIMATE HAS BEEN PREPAIRED
BASED ON THE USE OF ONE OR MORE CRASH PARTS SUPPLIED BY A SOURCE
OTHER THAN THE ORIGINAL MANUFACTURER OF YOUR MOTOR VEHICLE.
WARRANTIES, IF ANY, APPLICABLE TO THESE REPLACEMENT CRASH PARTS ARE
PROVIDED BY THE PART MANUFACTURER OR DISCTIBUTOR, RATHER THAN THE
MANUFACTURER OF THE VEHICLE.
THIS NOTICE IS REQUIRED BY LAW. IT DOES NOT CONSTITUTE AN ADMISSION OF
LIABILITY BY (CPR) CASUALTY AND PROPERTY RESOLUTIONS INSURANCE GROUP
LLC. REQUIRED NOTICE TO INSURANCE CLAIMANTS FOR MOTOR VEHICLE
REPAIRS.
By law, you have the right to select where your motor vehicle is
repaired and the parts used for repairs. However, an insurance company
is not required to pay more than a reasonable amount for such repairs
and parts. Your statutory rights regarding motor vehicle repairs are
explained in the copy of the insurance code §§1952.301 to 1952.307,
printed on the reverse side of this notice or attached to this notice.
If the costs of repairing your vehicle are to be paid under an
insurance policy issued by us, the nature of the coverage is stated in
more detail in the applicable
policy. For detailed information regarding the insurance policy,
contact:
Casualty and Property Resolutions
ESTIMATE RECALL NUMBER: 02/18/2022 15:23:13 2170550
Mitchell Data Version:OEM: FEB_22_V0217
Copyright (C) 1994 - 2022 Mitchell International Page 5 of 6
Software Version:7.1.242 All Rights Reserved
Date: 2/22/2022 02:15 PM
Estimate ID:2170550
Estimate Version:0
Preliminary
Profile ID:* DFW
Quote ID: 101078866
600 E. John Carpenter Fwy, Ste 365
Irving TX. 75062
Direct: 469-647-5660
Fax:469-647-5692
www.cprins.com
For questions about your statutory rights regarding motor vehicle
repairs under the Insurance Code §§1952.301 to 1952.307, contact the
Texas Department of Insurance. You may write to the Consumer
Protection Division at P.O. Box 149091, Austin, TX 78714-9091, call
1-800-252-3439, fax 1-512-475-1771, e-mail
ConsumerProtection@tdi.state.tx.us, or visit the Department online at
http://www.tdi.state.tx.us.
LA LEY REQUIERE ESTE AVISO, PERO NO CONSTITUYE ADMISIÓN DE
RESPONSABILIDAD CIVIL DE LA COMPAÑÍA ASEGURADORA.
ESTIMATE RECALL NUMBER: 02/18/2022 15:23:13 2170550
Mitchell Data Version:OEM: FEB_22_V0217
Copyright (C) 1994 - 2022 Mitchell International Page 6 of 6
Software Version:7.1.242 All Rights Reserved
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J.D. POWER
Vehicle Information
Vehicle:
Region:
Period:
VIN:
Mileage:
2019 Chevrolet Tahoe Utility 4D Police 5.3L V8
Southwestern
February 18, 2022
1GNLCDEC8KR363511
45,354
J.D. POWER Used Cars/Trucks Values
Base
Monthly
Trade-In
Rough
Average
Clean
$37,650
$39, 550
$41,125
Clean Retail $44,550
Selected Options
Collision Avoidance System [VIN Precision+]
Lane Departure Warning [VIN Precision+]
Fixed Running Boards
Driver Alert Pkg. [VIN Precision+]
Towing/Camper Pkg
Mileage Adj.
N/A
N/A
N/A
N/A
zi,sizozz
Option Adj. Adjusted Value
'�:��
�,:��
',:��
$900
Trade-In/Loan
N/A
N/A
$50
$400
$350
$38,450
$40,350
$41,925
$45,450
Retail
N/A
N/A
$50
$450
$400
J. D. Pov�er U�d CarGui de a�mes no re�ons bi I iry or I i abi I ity for any errors or omi �ons or any revi sons or additions made by anyone on this report. �021 J. D.Pov�er
Page 1 of 1
City Secretary Contract No. _____________
Vendor Services Agreement
CPR Insurance Group, LLC Page 19 of 19
EXHIBIT E
VERIFICATION OF SIGNATURE AUTHORITY
CPR INSURANCE GROUP, LLC
600 E. JOHN CARPENTER FREEWAY STE. 365
IRVING, TX 75062
Execution of this Signature Verification Form (“Form”) hereby certifies that the following
individuals and/or positions have the authority to legally bind Vendor and to execute any agreement,
amendment or change order on behalf of Vendor. Such binding authority has been granted by proper order,
resolution, ordinance or other authorization of Vendor. City is fully entitled to rely on the warranty and
representation set forth in this Form in entering into any agreement or amendment with Vendor. Vendor
will submit an updated Form within ten (10) business days if there are any changes to the signatory
authority. City is entitled to rely on any current executed Form until it receives a revised Form that has been
properly executed by Vendor.
1.Name:
Position:
_______________________________________
Signature
2.Name:
Position:
_______________________________________
Signature
3.Name:
Position:
_______________________________________
Signature
Name:
_______________________________________
Signature of President / CEO
Other Title: ______________________________
Date: ___________________________________
Michael Trotter (Jul 5, 2022 09:39 CDT)
Michael Trotter
Michael Trotter (Jul 5, 2022 09:39 CDT)
Michael Trotter
Michael Trotter (Jul 5, 2022 09:39 CDT)
Michael Trotter
Michael Trotter (Jul 5, 2022 09:39 CDT)
Michael Trotter
Managing Director / CFO
07/05/2022
Clessie F. Titus
President
Marshall Wilson
Executive V.P.
Jorge Lopez
Executive V.P.