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HomeMy WebLinkAboutContract 53677-R3-U CSC No. 53677-R3 CITY OF FORT WORTH CONTRACT RENEWAL NOTICE September 13, 2022 Public Sector Personnel Consultants,Inc. 2824 North Power Road, Ste. 113-486 Mesa,AZ 85215 Re: NOTICE OF CONTRACT RENEWAL Process and Procedures Management Consultant Contract No. CSC No. 53677 (the "Contract") Renewal Term No. 3: October 1, 2022 to September 30, 2023 The above referenced Contract will expire on September 30, 2022. Pursuant to the Contract, contract renewals are at the sole option of the City. This letter is to inform you that the City is exercising its right to renew CSC No. 53677 for an additional one year period,which will be effective as of October 1,2022 and will end on September 30, 2023. All other terms and conditions of CSC No. 53677 remain unchanged. Please return this signed acknowledgement letter, along with a copy of your current insurance certificate, to the address set forth below, acknowledging receipt of the Notice of Contract Renewal. Please log onto PeopleSoft Purchasing at http://fortworthtexas.g_ov/purchasing to insure that your company information is correct and up-to-date. If you have any questions concerning this Contract Renewal Notice, please contact me at the telephone number listed below. Sincerely, tolmz�> Jennifer J. Sierra Administrative Assistant Human Resources Department 817-392-7751 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX CSC No. ACCEPTED AND AGREED: CITY OF FORT WORTH CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and By: reporting requirements. Name: Jesica McEachern Title: Assistant City Manager h`ay"Catgf By: Harold Cates(Sep 30,202210:53 CDT) Name: Harold Cates APPROVAL RECOMMENDED: Title: Manager of Human Resources APPROVED AS TO FORM AND LEGALITY: n4 �irrNr7a r By: Dianna M Giordano(S p30202211:04 CDT) Name: Dianna Giordano Title: Director of Human Resources By: Name: JB Strong ATTEST: Title: Sr Assistant City Attorney CONTRACT AUTHORIZATION: '5' M&C: C-53677 By: ,a etteS.Goodall(Oct5,202209: DT) Date Approved: January 6, 2020 Name: Jannette Goodall ��p4�n�� Title: City Secretary �� °FoRr 4 �d 0000 0 0. d� 80 ° 10 *'1 T °O000000° ,c7 an nEXA`-ooAp Public Sector Personnel Consultants,Inc. By: Name: Title: ` OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX �-� OP ID: LE CERTIFICATE OF LIABILITY INSURANCE DATE(M5/20 os1o1za 2 2z THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pol€cy(€es) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lora Erickson,G.I.C.,C.R.M. BUSmess Insurance Services PHONE 6a2-953-310a FAQ,Ne;602-953-3229 arc PO Box 30388 No. o Exe Phoenix,AZ 85046 EMAIL uii aoLcom Lora Erickson ADDRESS:gnc linc@aol.com PUBLI-1 CU5TOMERID . INSURERS)AFFORDING COVERAGE NAIC N INSURED Public Sector Personnel INsURERA;United States Liability Ins Co Consultants Inc. 2824 N Power Rd.#113-486 INSURER B: Mesa,AZ 85215 INSURER C INSURER D INSURER E ENSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE 30= POLICY NUMBER MMIDDYrYEYYY MMlD�Y� LIMITS LTR GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO RENTEL) $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any ace person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOP AGG $ 1-7 POLICY PE° LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accldent) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (PERACCIDENT) $ NON-OWNED AUTOS $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORYLIMITS ER ANY PROPRIETOWPARTNERIEXECUTIVE❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBFR EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ p Professional SP1563943F 0810412022 0810412023 Per Occr. 1,000,00 Liability Per Agg. 2,000,00 DESCRIP71ON OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Addlllonal Remarks Schedule,if more space Is required) *45 day notice of cancell tion wi h,a 10 da n tice of cancellation f r non a ment of�ppremium.Po icv is Calms Mace, 2,500 Deductible applies.Subject to tfie terms,conditions and exclusions of the policy. CERTIFICATE HOLDER CANCELLATION CITYFO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Fort Worth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS. 1000 Throckmorton Street Fort Worth,TX 76102 AUTHORIZED REPRESENTATIVE @ 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD ACQRa� TE CERTIFICATE OF LIABILITY INSURANCE DA 05/24/2022YYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions ofthe policy,certain policies may require an endorsement.A statement on this certificate does not confer rights tothe certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: TREVOR RETTKE Trevor Rettke(884727E) PHONE FAX 3200 N Hayden Rd#200 (A/C,NO,ExT):480-994-1946 (A/C,NO):480-994-3139 E-MAIL Scottsdale AZ 85251-6652 ADDRESS: trettke@farmersagent.com INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Truck Insurance Exchange 21709 INSURERB: Farmers Insurance Exchange 21652 PUBLIC SECTOR PERSONNEL INSURERC: Mid Century Insurance Company 21687 CONSULTANTS, INC. INSURER D: 2824 N POWER RD, STE 113-486 INSURER E: MESA AZ 85215 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS ISTO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDTL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS-MADE /� OCCUR PREMISES(Ea Occurrence) $ 1,000,000 MED EXP(Any one person) $ 10,000 A Y N 601977762 06/01/2022 06/01/2023 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY ❑ PROJECT ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) 2,000,000 ANYAUTO BODILY INJURY(Per person) $ OWNEDAUTOS SCHEDULED BODILY INJURY(Per accident)$ A ONLY AUTOS N 601977762 06/01/2022 06/01/2023 X HIREDAUTOS X NON-OWNED PROPERTY DAMAGE $ ON LY AUTOS ON LY (Per accident) UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER TOTHER $ AND EMPLOYERS'LIABILITY STATUTE ANY PROPRIETOR/PARTNER/ Y/N E.L.EACH ACCIDENT $ EXECUTIVE OFFICER/MEMBER N/A EXCLUDED?(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE Ifyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 8704 E NORA ST, MESA,AZ 85207 CERTIFICATE HOLDER CANCELLATION CITY OF FT WORTH SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1000 TH ROCKMORTON ST DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FORT 41CIRTH TX 76102 AUTHORIZED REPRESENTATIVE TYe vor Re, Oe ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION.All Rights Reserved 31-1769 11-15 The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY NUMBER: 601977762 17239 1st Edition FARMERS INSURANCE ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM BUSINESSOWNERS COVERAGE FORM APARTMENTOWNERS LIABILITY COVERAGE FORM CONDOMINIUM LIABILITY COVERAGE FORM SCHEDULE Name Of Additional Insured Location(s)Of Covered Operations Person(s)Or Organization(s) CITY OF FT WORTH Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. The following is added to Paragraph C.Who Is An Insured of the applicable Coverage Form: Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only with respect to liability for"bodily injury", "property damage"or"personal and advertising injury"caused,in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insured(s)at the location(s)designated above. However: a. The insurance afforded to such additional insured only applies to the extent permitted bylaw;and b. If coverage provided to the additional insured is required by a contractor agreement,the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds,the following additional exclusions apply: This insurance does not apply to"bodily injury"or"property damage"occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project(other than service,maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed;or 2. That portion of"your work"out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Paragraph D. Liability And Medical Expenses Limits Of Insurance of the applicable Coverage Form: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement;or 2. Available under the applicable Limits Of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits Of Insurance shown in the Declarations. This endorsement is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all the terms of the policy. J7239-ED1 02-19 1 ncludescopyrighted material of Insurance Services Office,Inc.,with its permission. Page of 937239 J7239101 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/29/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: CopperPoint Insurance Companies CopperPoint Insurance Companies a/cNNo Ext: 602.631.2300or866.284.2694 a//c,No: 602.631.2599 3030 N. 3rd Street E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Phoenix AZ 85012-3068 INSURERA: COPPERPOINT GENERAL INSURANCE COMPAN 13043 INSURED INSURER B: Public Sector Personnel Consultants Inc INSURER C: 2824 N Power Road INSURER D 7 #113-486 INSURER E7 Mesa AZ 85215 INSURERF: COVERAGES CERTIFICATE NUMBER: 941 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE 1:1OCCUR PREMISES (E.occu".nce) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICYEl PRO LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODI LY I NJU RY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS Per accident L $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X SPER TATUTE OERH AND EMPLOYERS'LIABILITY A OFFICER/MEMBER EXCLUDED?ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ N/A X 1012391 02/01/2022 02/01/2023 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 8810 - AZ - CLERICAL OFFICE EMPLOYEES-N.O.C. This waiver of subrogation is effective only with respect to the Certificate Holder for the project described herein, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Worth ACCORDANCE WITH THE POLICY PROVISIONS. 1000 Throckmorton Street AUTHORIZED REPRESENTATIVE Fort Worth TX 76102 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC#: ,a`oRo ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Public Sector Personnel Consultants Inc POLICY NUMBER 2824 N Power Road 1012391 #113-486 CARRIER NAIC CODE Mesa,AZ 85215 COPPERPOINT GENERAL INSURANCE COMPANY 13043 EFFECTIVE DATE: 02/01/2022-02/01/2023 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NU MBER: 25 FORM TITLE: Certificate of Liability Insurance and shall not benefit any other person or organization. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. This waiver of Subrogation is as to the entities listed below. This Waiver does not waive or in any way limit our lien rights under ARS 23 - 1023. ACORD 101 (2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD