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HomeMy WebLinkAboutContract 60154-R2CSC No. 60154-R2 CITY OF FORT WORTH CONTRACT RENEWAL NOTICE September 4, 2025 Replica, Inc. Attn: Nick Bowden 3610 W. 951h Street Leawood, KS 66206 Re: Contract Renewal Notice — 2 Renewal Data Platform Access Contract CSC No. 60154 (the "Contract") Original Contract Amount: $95,000.00 Renewal Term No. 2: September, 2025 to August, 2026 The above referenced contract with the City of Fort Worth expires on August 31, 2025. 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 quote for charges for the new renewal term and a 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.aov/purchasing to ensure 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, Kellyp 8, 2025 10:22:45 CDT) Kelly Porter 817-392-7259 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract Renewal Page 1 of 2 CSC No. 60154-R2 ACCEPTED AND AGREED: CITY OF FORT WORTH By: C>� Name: Jesica McEachern Title: Assistant City Manager Date: Sep 12, 2025 APPROVAL RECOMMENDED: By: ^`;q� Name: Lauren Prieur Title: Director, Transportation & Public Works Department F Foit>°��a a ATTEST: 09� PV8 o=p �aan>i aEa 454gb By: Name: Jannette S. Goodall Title: City Secretary CONTRACTOR: A. By: Nicholas Bow en (Sep 4, 202515:28:44 CDT) Name: Nick Bowden Title: CEO Date: Sep 4, 2025 000 1 Contract Renewal 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: 44;",tG a Name: Armond Brvant Title: Transportation Manner APPROVED AS TO FORM AND LEGALITY: By: Douglas Black (Sep 9, 2025 09:57:42 CDT) Name: Douglas. W. Black Title: Sr. Assistant City Attorney AUTHORIZATION: M&C: N/A Date Approved: N/A Form 1295 Certification No.: N/A OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 2 of 2 CS60154-VSRN-Data Platform Access Final Audit Report 2025-09-04 Created: 2025-09-04 By: Andrea Munoz (Andrea. Munoz@fortworthtexas.gov) Status: Canceled / Declined Transaction ID: CBJCHBCAABAAdovhD6aYU64g6w9JlpymNXbZ5L42vGln "CS60154-VSRN-Data Platform Access" History Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) 2025-09-04 - 8:13:09 PM GMT- IP address: 204.10.90.100 Document emailed to Seidi Tovar (Seidi.Tovar@fortworthtexas.gov) for approval 2025-09-04 - 8:24:29 PM GMT Document emailed to nick@replicahq.com for signature 2025-09-04 - 8:24:29 PM GMT Document emailed to Armond Bryant (armond.bryant@fortworthtexas.gov) for signature 2025-09-04 - 8:24:29 PM GMT Email viewed by nick@replicahq.com 2025-09-04 - 8:26:47 PM GMT- IP address: 74.125.215.67 =; Signer nick@replicahq.com entered name at signing as Nicholas Bowden 2025-09-04 - 8:28:42 PM GMT- IP address: 136.32.244.119 =; Document e-signed by Nicholas Bowden (nick@replicahq.com) Signature Date: 2025-09-04 - 8:28:44 PM GMT - Time Source: server- IP address: 136.32.244.119 Email viewed by Seidi Tovar(Seidi.Tovar@fortworthtexas.gov) 2025-09-04 - 8:39:08 PM GMT- IP address: 204.10.90.100 =; Document approved by Seidi Tovar (Seidi.Tovar@fortworthtexas.gov) Approval Date: 2025-09-04 - 8:53:24 PM GMT - Time Source: server- IP address: 204.10.90.100 Email viewed by Armond Bryant (armond.bryant@fortworthtexas.gov) 2025-09-04 - 9:06:37 PM GMT- IP address: 104.47.64.254 =i IcDocument e-signed by Armond Bryant(armond.bryant@fortworthtexas.gov) Signature Date: 2025-09-04 - 9:07:11 PM GMT - Time Source: server- IP address: 204.10.90.100 FORT WORTHS 1 POHeY"Y Adobe Acrobat Sign �-. Document emailed to Donnette Murphy (donnette.murphy@fortworthtexas.gov) for approval 2025-09-04 - 9:07:13 PM GMT �► Document canceled by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) 2025-09-04 - 9:10:01 PM GMT- IP address: 204.10.90.100 FORT WORTHS 1 Powered'y Adobe Acrobat Sign DATE (MM/DD/YYYY) A� " CERTIFICATE OF LIABILITY INSURANCE 8/12/2025 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: Nicole Edmundson HUB International Great Plains, LLC I PHONE FAX , No): 531.242.4411 11516 Miracle Hills Drive (A/C. No. Ext): 402.964.5531 E-MAIL Suite 100 ADDRESS: nicole.edmundson@hubinternational.com Omaha NE 68154 I INSURER(S) AFFORDING COVERAGE NAIC# INSURERA: Hartford Underwriters Insurance Company 30104 INSURED 22993 INSURER B : Hartford Insurance Company of the Southeast 38261 Replica, Inc. 3610 W 95th Street I INSURER C : Certain Underwriters at Lloyd's 15792 Leawood KS 66206 I INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:555594489 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) A X COMMERCIAL GENERAL LIABILITY 91 SBABD1 PN1 8/12/2025 8/12/2026 EACH OCCURRENCE $ 2,000,000 RENTED CLAIMS -MADE � OCCUR PREM SESDAMAGEO(Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 X $0 Deductible PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY ❑ PRO- � JECT LOC PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY 91 SBABD1 PN1 8/12/2025 8/12/2026 COMBINED SINGLE LIMIT $ 2,000,000 (Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY $ AUTOS ONLY AUTOS (Per accident) X HIRED X NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLA LIAB V I OCCUR 91SBABD1PN1 8/12/2025 8/12/2026 EACH OCCURRENCE $1,000,000 EXCESS LIAB H CLAIMS -MADE AGGREGATE $ 1,000,000 DED I X I RETENTION $ in nnn $ B WORKERS COMPENSATION 91 WECAPOYJ3 8/12/2025 8/12/2026 X I PER OTH- STATUTE ER AND EMPLOYERS' LIABILITY Y ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A ❑ (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 C Tech E&O and Cyber Liability ES00240461663 8/12/2025 8/12/2026 $5,000,000 Per Claim $10,000 Ded - E&O Claims Made $5,000,000 Aggregate $5,000 Ded - Cyber Tech E&O Retro Date: 8/12/2018 Cyber Retro Date:None DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers Compensation coverage for monopolistic states is provided separately. Project Name: Transportation Data Platform; Project Number: 104893. The City of Fort Worth and its affiliates, their respective employees and agents, members, managers, officers and owners (and their beneficiaries, if any) are Additional Insured jointly and/or severally regarding any coverage afforded by the General Liability and Hired/Non-Owned Automobile Liability policy, when required by written contract or agreement executed prior to loss per Blanket Additional Insured by Contract Form SL 30 32 06 21. The General Liability and Hired/Non-Owned Automobile Liability insurance shall be primary with respect to any other insurance available to such Additional Insured, and shall not seek contribution from such insurance of the Additional Insured, when required by written agreement executed prior to loss per Business Liability Coverage Form SL 00 00 10 18. Waiver of Subrogation is included in favor of The City of Forth Worth and its affiliates for Workers' Compensation, when required by written contract executed prior to loss. The General Liability, Hired/Non-Owned Auto Liability and Workers' Compensation policies include 30-days' notice of cancellation and 10-days for non-payment of premium to the Certificate Holder. CERTIFICATE HOLDER CANCELLATION 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 200 Texas 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