HomeMy WebLinkAboutContract 54353-R2 54353-R2
CSC No.
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
September 13, 2022
Gallagher Benefit Services, Inc.
2 Pierce PL
Itasca, IL 60143
Re: NOTICE OF CONTRACT RENEWAL
Compensation Study Consultant
Contract No. CSC No. 54353 (the "Contract")
Renewal Term No. 2: 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.
54353 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. 54353 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.gov/purchasing to insure that your company
information is correct and up-to-date.
If you have any questions concerning this Contract Renewal Notice, please contact me at the telephone number
listed below.
Sincerely,
4 P,&2-Z
Jennifer J. Sierra
Administrative Assistant
Human Resources Department
817-3 92-7751
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
CSCNo------------------------------
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
W Q -, this contract,including ensuring all performance and
By: — reporting requirements.
Name: Jesica McEachern
Title: Assistant City Manager
lfar'old cares
By: Harold Cates(Sep 30,202216:23 CDT)
Name: Harold Cates
APPROVAL RECOMMENDED: Title: Manager of Human Resources
APPROVED AS TO FORM AND LEGALITY:
ZD41�
By: Dianna M.Giordano(Sep 30,202-�/7:09 CDT)
Name: Dianna Giordano
Title: Director of Human Resources By:
Name: JB Strong
ATTEST: Title: Sr Assistant City Attorney
poa4FpRr� CONTRACT AUTHORIZATION:
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�' d M&C: C-54353
By: e e A1.°° °� Date Approved: August 26, 2020
tt S.600dA(0,L 10,202216' CDT) ° O
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Name: Jannette Goodall 0.00 o=p
Title: City Secretary P0' o °°°�
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Gallagher Benefit Services, Inc.
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By:
Name: Ronnie Charles
---------------------------------------------------
Title: National Managing_Director
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
Pagel of 3
ARTHUR J. GALLAGHER & CO.
MEMORANDUM OF INSURANCE
This Memorandum of Insurance ("Memorandum")is produced as a matter of information only to authorized viewers for their internal use only and confers no rights
upon any viewer of the Memorandum. This Memorandum does not amend,extend or alter the coverage described below. Copyright 2005,Arthur J. Gallagher Risk
Management Serviccs,Inc. ("Gall aghcr). Gallagher grants permission to you to view, copy,print and distribute the intormati on found on the Memorandum website
(-Site's provided that the above copyright notice appears on all copies,that use is internal to you or for personal noncommercial informational purposes only,and that
no modification is made to any materials. Any modification,use,reproduction or distribution ofthis Memorandum,the Site or its contents must be first approved by
Gallagher in writing. You will not sufr or permit any unauthorized use of any Gallagher trademark, service mark or logo.This Memorandum,the Site and its contents,
including but not limited to text,graphics,images,sofware,copyrights,trademarks, service marks,logos,and brand names(`Content"),are protected under both United
States and foreign laws,and Gallagher or its affiliated entities retain all right,title and interest in and to the Content, all copies thereof; and all copyrights and other
proprietary rights therein. The information contained herein is as the date referred to above. Gallagher shall be under no obligation to update such information.
DATE: 09/15rZ022
INSURED: Insurance Companies
Arthur J. Gallagher &Co. and its subsidiaries A:ARCH INSURANCE COMPANY
2850 West Golf Road
Rolling Meadows, IL 60008 B: ACE PROPERT AND CASUALTY INSURANCE COMPANY
C: XL INSURANCE AMERICA, INC
D: FEDERAL INSURANCE COMPANY
E: LEXINGTON INS. COMPANY
F: XL SPECIALTY INS. COMPANY
G. UNDERWRITERS AT LLOYDS LONDON
H. INDIA N HARBOR INSURANCE COMPANY
The policies of insurance listed below have been issued to the`INSURED" named above for the policy period indicated Notwith standing any
requirement,term or condition ofany contract or otherdocument with respect to which this Memorandum may be issued or may pertain,the insurance
afforded by the policies described herein is subject to all the term s,exclusion s and condition s of such policies.Limit sshown may have been reduced
by paid claims.
CO. TYPE OF POLICY POLICY POLICY LIMITS
LTR. INSURANCE NUMBER EFFECTIVE EXPIRATION (In USD unless otherwise indicated)
A Commercial General 41GPP4938414 10/01/21 10/01/22 General Aggregate 4,000,000
Liability Products -Comp/Op Agg 4,000,000
Occurrence
Per location Personal and ADV Injury 2,000,000
Aggregate Each Occurrence 2,000,000
Damage to Rented Premises 1,000,000
(Each occurrence)
A Automobile Liability 41CAB4939014 10/01/21 10/01/22 Combined Single Limit 5,000,000
Any Auto 41CAB4938314 Bodily Injury (per person)
Bodily Injury (per accident)
B Excess/Umbrella Liability XOO G46820149 004 10/01/2021 10/01/22 Each Occurrence 25,000,000
Retention: $10,000 Aggregate 25,000,000
A Workers Compensation 41WCI4938114 10/01/21 10/01/22 Workers Comp Limits Statutory
and Employers Liability 44WCI0501914 EL Each Accident 1,000,000
EL Disease Each Employee 1,000,000
EL Disease —Policy Limit 1,000,000
C Property US00112916PR21A 10/01/21 10/01/22 Blanket Bldg. & PP 10,000,000
D Crime/Fidelity Bond J06039418 09/01/22 09/01/23 Single Loss Limit 15,000,000
(Employee Dishonesty)
E Errors &Omissions 015466449 10/01/22 10/01/23 Per Claim and Aggregate 12,000,000
(Primary Policy)
F Errors &Omissions ELU185304-22 10/01/22 10/01/23 Per Claim and Aggregate 10,000,000
(Excess Policy)
G Errors &Omissions FI0121922 10/01/22 10/01/23 Per Claim and Aggregate 15,000,000
(Excess Policy)
H Cyber Liability MTP903416504 05/01/22 1 05/01/23 ILimit of Liability 10,000,000
Description of Operations/Other Information: See ADDITIONAL INFORMATION on the following page.
This Memorandum of Insurance serves solely to list insurance policies, limits and dates of coverage. Any modifications
hereto are not authorized byGallagherorthe Insurance Companies.
Page 2 of 3
ARTHURJ. GALLAGHER& CO.
MEMORANDUM OF INSURANCE
ADDITIONAL INFO RMATIO N
As respects GENERAL LIABILITY POLICY
ADDITIONAL INSURED—MANAGERS OR LESSORS OF PRIMISES
Endorsement Form#CG 20 1104 13 modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
1. Designation ofPremises(Part Leased to You):ANYPREMISES ORPART THEREOF LEASED TO YOU.
2.Name of Person or Organization(Additional In sured):ANYANDALL PERSONS OR ORGANIZATIONS
CONTRACTUALLY REQUIRING ADDITIONAL INSURED STATUS AS THE MANAGEROR LESSOR OF PRIMISES TO
YOU.
3. Additional Premium: INCLUDED
(If no entry appears above,the information required to complete this endorsement willbe shown in the Declarations as applicable to
this endorsement.)
WHO IS AN INSURED (Section II)is amended to include as an insuredthe person or organization shown in the Schedule but only
with respect to liability arising out ofthe ownership,maintenance oruse ofthatpart of the premises leased toyouand shownin the
Schedule and subject tothe following additional exclusions:
This insurance does not apply to:
1. Any"occurrence"which takes place afteryouceaseto be a tenantin that premises.
2. Structural alterations,new construction or demolition operations performed by or on behalf ofthe person or organization shown in
the Schedule.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
We waive any right ofrecovery we may have againstthe person or organization where required by written contractbecause of
payments we make for injury or damage arising outofyour ongoing operations or"yourwork"doneunder a contract with that
person or organization and includedin the"products-completed operations hazard".This waiver applies only where requiredby
written contract.
As respects PROPERTY
This policy insures against"All Risks"ofphysicalloss ordamage,except as excluded,to covered propertywhile on Described
Premises,provided suchphysical loss ordamage occurs duringthe termofthis policy.Coverage is subject to policy deductibles,
terms,conditions and exclusions.Loss Payable clause included for whom Insured has agreedto perwritten contract.
This Memorandum of Insurance serves solely to list insurance policies, limits and dates of coverage. Any modifications
hereto are not authorized by Gallagher or the Insurance Companies.
Page 3 of 3
IlIPOR I'ANT NOTICE
*All other Additional Insureds requests requires Legal approval and issuance of Certificate of Insurance.
*For special requests,such as a WETSIGNATURE,please contact the appropriate team:P&C—Doreen Morris or
Therese Scamardo;E&O—Helen Ponce de Leon or Ryan Sheekley;Cyber—Jeremy Gillespie or Ariel Magrini.
This Memorandum of Insurance serves solely to list insurance policies, limits and dates of coverage. Any modifications
hereto are not authorized by Gallagher or the Insurance Companies.