HomeMy WebLinkAboutContract 57558-R1CSC No. 57558-R1
CITY OF FORT WORTH
REQUEST TO EXERCISE RENEWAL OPTION
February 16, 2023
A& G Piping INC
3124 Wichita Ct
Fort Worth, TX 76140
ATTN: Bobby Grimes
Re: Contract Renewal Notice
Contract No. CSC No.57558 (the "Contract")
Renewal Term No. 1: May 11, 2023 to May 10, 2Q24
The above referenced Contract with the City of Fort Worth expires on May 10, 2023 (the
"Expiration Date"). Pursuant to the Contract, contract renewals are at the mutual agreement of the
parties. This letter is to inform you that the City is requesting to renew the Contract for an
additional one (1) year period, which will begin immediately after the Expiration Date. All other
terms and conditions of the Contract remain unchanged.
To agree to renew the Contract for an additional one (1) year period, please ,sign and
return this request to exercise renewal option, along with a copy of your current insurance
certificate, to the address set forth below.
Please log onto PeopleSoft Purchasing at http:/ifortworthtexas.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,
Brandy George
Property Management Department
900 Monroe Street, 4th floor, Suite 402
Fort Worth, Texas 76102
817-392-6649
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 1. of 2
CSC No.
ACCEPTED AND AGREED:
CITY OF FORT WORTH
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BY: Dana Burghdoff(Fe 24,202 1:22 CST)
Name: Dana Burghdoff
Title: Assistant City Manager
APPROVAL RECOMMENDED:
By: 14-I'A oz
Name: Steve Cooke
Title: Director, Property Management
Department
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ATTEST`
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By:
Name: Jannette Goodall
Title: City Secretary
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to
Name�-B-615by Grimes
Title: President
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: Denise Garcia (Feb 02320:13 CST)
Name Denise Garcia:
Title: Purchasing Manager, Property
Management Department
APPROVED AS TO FORM AND
LEGALITY:
By: Ac
Name: Jeremy Anato Mensah
Title: Assistant City Attorney I
CONTRACT AUTHORIZATION:
M&C: 22-0331
Date Approved: 5/10/2022
1295 Form Number: NIA
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 2 of 2
ACCOR" CERTIFICATE 4F LIABILITY INSURANCE
DAT211712023 Y)
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(les) 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 Ileu of such endorsement(s).
PRODUCER
Frost Insurance Agency, Inc.
P.O. Box 33528
Fort Worth TX 76162
NpME;C Ashley Kennedy
PHONE FAX
817-420-5700 arc No : 817-420-5750
nooRlEss: ashley.kennedy0frostinsurance.com
INSURi AFFORDING COVERAGE
NAIC #
INSURER A: Employers Mutual Casualty Co
21415
INSURED A&GPI-1
A & G Piping Inc
dba A & G Services
iNsui B : Emoasoo Insurance Co
21407
iNsuRERc : Texas Mutual Insurance Co.
22945
INSURER D : Columbia Casualty
31127
3124 Wichita Court
Fort Worth TX 76140
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUM811i 1S4A4?ARi1 RFVISIr ld Nl lull •
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.
IN.TR
I
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
MM/DPOLI CY i
MMfUD EXP
NM
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 1K OCCUR
lDS6105
10/1/2022
10/1/2023
EACH OCCURRENCE
$1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 500,000
MED i (Any one person)
$10,000
X
Broad Farm
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY [X] PECOT- LOC
GENERALAGGREGATE
$2,000,000
PRODUCTS -COMPIOPAGG
$2,000,000
EmployeeBenefits
$1,000,000
OTHER:
B
AUTOMOBILE
LIABILITY
1E5fi105
1011/2022
1011/2023
COMBINED SINGLE LIMIT
Ea accident
$1,000,000
HODILY INJURY (Per person)
$
X
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
X
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
$
A
X
UMBRELLA LIAB
X
OCCUR
1J56105
1011/2022
1011/2023
EACH OCCURRENCE
$5,000,000
AGGREGATE
$ 5,000,000
EXCESS LIAB
CLAIMS -MADE
DIED X RETENTION $ in non
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
ANYPROPRIETORIPARTNERIEXECUTIVE F7N
OFFICERIMEMBER EXCLUDE
NIA
0001276444
1OM12022
10/1/2023
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
DISEASE - EA EMPLOYEE
$ 1,000,000
(Mandatory In NiE.L.
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE- POLICY LIMIT
$ 1,000,000
A
A
D
Installation Floater
LeasedlRented Equip
ProUPollLlablliiy
1056105
1056105
C5091a64366
10/1/2022
1Oil 12022
10/1/2022
10/1/2023
10/1/2023
10/1/2023
Installation Foater
LeasedlRenled Equip
ProflPollLiability
500,000
150,GOO
5,000,000
DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
Contract No. CSC ND.57558
CERTIFICATE HOLDER CANCFLLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Worth
900 Monroe Street, 4th floor, Suite 402
AUTHORIZED REPRESENTATIVE ,
Fort Worth TX 76102
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