HomeMy WebLinkAboutContract 58606-R1CSC No. 58606-R1
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
September 28, 2023
WTR, Inc.
Attn: Leslie Irvan
3246 N. Interstate 35 E.
Lancaster, TX 75134
Re: Contract Renewal Notice
Contract No. 58606 (the "Contract")
Renewal Term No. 1: December 16, 2023 to December 15, 2024
The above referenced Contract with the City of Fort Worth expires on December 15, 2023
(the "Expiration Date"). 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 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. 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 Contract Renewal Notice. Failure to
provide a signed acknowledgment does not affect the 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,
.Andrea 7rejo
City of Fort Worth — Property Management
Andrea Trejo
817.392.5048
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page l of
CSC No.
ACCEPTED AND AGREED:
CITY OF FORT WORTH
balm evgh6AC
By: Dana Burghdoff (Oct , 02314:t6 CDT)
Name: Dana Burghdoff
Title: Assistant City Manager
APPROVAL RECOMMENDED:
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 (CO2,2023 11:51 CDT)
Name: Denise Garcia
Title: Purchasing Manager
APPROVED AS TO FORM AND
By: LEGALITY:
Name: Ricky Salazar
Title: Interim Property Management Director
b4440R �
ATTEST: � on F �� �°�aaa By:
0ta o.,d Name: Kevin Anders
(� t *o
000 00 o ° Title: Assistant City Attorney
By: CONTRACT AUTHORIZATION:
Name: Jannette S. Goodall M&C: 22-0540
Title: City Secretary
Form 1295 Certification No.: 22-930501
WTR, Inc.
By:
Nam esfie Irvan
Title: General Manager
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Paget oft
a DATE (MMIDDIYYYY)
,Corm CERTIFICATE OF LIABILITY INSURANCE
�_. 812812023
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($), 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).
CONTPRODUCER NAME: Nick Alexander _
Unity Insurance Partners PRONE 972-388-7072 uAC,No):972-231-8291
3930 Dallas Parkway EAMCA L ._Exd -
Plano TX 75093 ADDRESS: bhunt unity-ip.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Colony Insurance Company 39993
INSUREDVJrRINC0.01 INSURERB: StarStone National Ins. CO. _ 25496
V TR, Inc INSURER C : AmTrust North American, Inc. 15954
3246 N 1-35 E --
Lancaster TX 75134 INSURER 0 :
1 INSURER E :
INSURER F
COVERAGES CERTIFICATE NUMBER:668123834 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 I IADDL SUERII POLICY EFF I POLICY EXP LIMITS
LTR TYPE OF INSURANCE a3w Wvn l POLICY NUMBER 1MMfDDlYYYY] IMMfDDNYYY)
A COMMERCIALGENERAL LIABILITY GPa829578 9/1912023 9/1912024 EACH OCCURRENCE I$1,00Q,Doo
DAMAGE TO
CLAIMS -MADE IF_V7 OCCUR PREMISES Es occurrence $ 100,000
MED EXP (Any one person) _ $ 5,000
Y PERSONAL & ADV INJURY $1,000.000
GEkI'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
dEO LOC PRODUCTS-COMPIOPAGG $2,000,000
POLICY ❑
OTHER: $
I COMBINED SINGLE LIMIT $
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
X UMBRELLA LIAB OCCUR
EXCESS LIAR HCLAIMS-MADE
DIED I RETENTION$
I WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANYPROPRIE:TOPJPARTNER/EXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Garagekespers liability
CSX00049867P-01
KVVC13D1935
NIA
GP8629578
(Ea accident)
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident) $
PROPERTY DAMAGE
$
Per accident)
$
911912023 9/19/2024
EACHOCCURRENCE
51,000,000
AGGREGATE
$1,000,000
I$
1211712122
12117121123 I STATUTE I 1 ER'
F.L. EACH ACCIDENT
$ 1,000,000 _
i
E.L. DISEASE - EA EMPLOYEE $1,000,000
E.L. DISEASE -POLICY LIMIT
$1,000,000
9119/2023
9119/2024 PerVLNcle
750,000
Comp
2,000,000
III COlhuon
2,000,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Garage Keepers Legal Coverage:
$750,000 Per Vehicle
$2,000,000 Comp Aggregate
$2,000,000 Collusion Aggregate
G1512-0709 Waiver of Subrogation - Blanket
Garagekeepers Coverage applies on a Legal Liability basis
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.
4144 Columbus Trail
5021 James Ave. AUTHORIZED REPRESENTATIVE
Fort Worth, TX 76133
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