HomeMy WebLinkAbout062707-R1 - Construction-Related - Contract - The Fain Group, Inc.Contract Renewal Page 1 of 2
CITY OF FORT WORTH
CONTRACT RENEWALNOTICE
, 2025
Re:Contract Renewal Notice - 1
st Renewal
2024 Paving Improvements Unit Price Construction
Contract
Contract CSC No. 62707 (the "Contract")
Original Contract Amount: $3,000,000.00
The above-referenced contract with the City of Fort Worth, as renewed and amended,
expires with the expenditure of funds. The funds for the contract have been expended or
programmed. This letter is to inform you that the City has appropriated funding and is exercising
its right to renew the contract for an amount up to $3,000,000.00, which will be effective
immediately upon execution by the designated Assistant City Manager. All other terms and
conditions of the contract, as amended, remain unchanged. Please verify that the original payment,
performance, and maintenance bonds remain active or, if retired, provide updated bonds when you
return this letter. Please sign in the space indicated below and return this document, along with
a copy of your current insurance certificate, to the undersigned.
Please log onto PeopleSoft Purchasing at http://fortworthtexas.gov/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,
Engineering Manager
(817) 392-8021
P.O Box 164308
Fort Worth, TX 76161
The Fain Group, Inc.
Attn: Larry Frazier
Contract Renewal Page 2 of 2
ACCEPTED AND AGREED:
CITY OF FORT WORTH
By:
Name: Jesica McEachern
Title: Assistant City Manager
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.
Date:______
APPROVAL RECOMMENDED:
By:
Name: Fanta Kaba, P.E, PTOE
Title:Sr. Professional Engineer
APPROVED AS TO FORM AND LEGALITY:
By:_________
Name: Lauren Prieur
Title: Director, Transportation & Public Works
Department
By:
Name: Douglas. W. Black
Title: Sr. Assistant City Attorney
ATTEST:
AUTHORIZATION:
M&C: 24-1081
Date Approved: 12/10/2024
By:
Name: Jannette S. Goodall
Title: City Secretary
Form 1295Certification No.:2024-1208292
CONTRACTOR:
Date:
City of Fort Worth,
Mayor and
DATE: 12/10/24
Texas
Council Communication
M&C FILE NUMBER: M&C 24-1081
LOG NAME: 202024 PAVING IMPROVEMENTS UNIT PRICE CONSTRUCTION CONTRACT
SUBJECT
(ALL) Authorize Execution of a Unit Price Contract with The Fain Group, Inc. in the Amount of $3,000,000.00 for Task Order Construction Services
for the Installation of Projects Relating to Paving Improvements at Various Locations (2018 Bond Program)
RECOMMENDATION:
It is recommended that the City Council authorize execution of a unit price contract with The Fain Group, Inc. in the amount of $3,000,000.00 for
task order construction services for installing paving improvements on an as-needed basis, with up to one renewal.
DISCUSSION:
The purpose of this Mayor Council Communication (M&C) is to authorize execution of a unit price contract with The Fain Group, Inc. This contract
will provide construction services on an as-needed (task order) basis for the construction of capital projects relating to paving improvements at
various locations across the City.
The contract amount is capped at $3,000,000.00. This contract may be renewed up to one (1) additional term based on the expiration or complete
programming of contract funds under the same terms, conditions, and unit prices. The project was bid in a low bid format to determine unit prices
to be paid when task orders are issued.
The project was advertised for bid on August 15 and August 22, 2024. On September 12, 2024, the following bid was received:
Bidder Bid Amount
The Fain Group, Inc. $2,364,351.32
The unit prices were compared to those of similar projects and determined to be fair and competitive. Task orders will be paid at the established
unit prices.
Projects initially identified include: The Fort Worth & Western Railroad (FWWR) at Mistletoe Group Quiet Zones railroad crossings project (City
Project No. 101863), the Union Pacific Railroad (UPRR) at Kellis Group Quiet Zones project (City Project No. 101866), and other projects as they
are identified.
These task order contracts will serve current and future capital projects as needed, and a funds availability verification will be performed by
Transportation & Public Works Contract Compliance Managers prior to task order assignment.
The Business Equity Division placed a 13% business equity goal on this solicitation/contract. The Fain Group, Inc., has agreed/committed to utilize
13% business equity subcontractor participation for the scope of work, meeting the City's Business Equity Ordinance. Any changes in
subcontractors will be reviewed by the Business Equity Division.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that funds are available in the current capital budgets, as appropriated, in the 2018 Bond Program Fund and
various capital project funds to support the approval of the recommendation and execution of the contract. Prior to any expenditure being incurred,
the Transportation & Public Works Department has the responsibility to validate the availability of funds.
Submitted for City Manager's Office bk Jesica McEachern 5804
Originating Business Unit Head: Lauren Prieur 6035
Additional Information Contact: Monty Hall 8662
CERTIFICATE OF INTERESTED PARTIES
FORnn 1295
�of�
Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number:
of business. 2024-1208292
The Fain Group, Inc.
Fort Worth, TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 08/30/2024
being filed.
Clty of Fort Worth Date Acknowledged:
g Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
24-0275
minor intersection roadway improvements, curb and gutter, medians, pavement marking and signing, railroad safety
improvements, concrete sidewalk, and curb ramps.
4
Nature ofinterest
Name of Interested Party City, State, Country (place of business) (check applicable)
Controlling Intermediary
The Fain Group, Inc., Larry Frazier Fort Worth, TX United States X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My �ame ;S Larry Frazier , and my date of birth is
My address is 2500 Great Southwest Pkwy. Fort Worth TX 76106 USA
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Execu[ed in Tarrant counry, state of TeXBS , on tne12th day or September 20 24
(month) (year)
S gnatur of authorized agent of contracting business entity
i (Declarant)
Forms provided by Texas Ethics Commission www. thics.state.tx.us Version V4.1.0.48da51f7
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL AUTO ELITE EXTENSION
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
The BUSINESS AUTO COVERAGE FORM is amended to include the following clarifications and extensions of
coverage. With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
A. TEMPORARY SUBSTITUTE AUTO PHYSICAL
DAMAGE
Section I— Covered Autos Paragraph C. Certain
Trailers, Mobile Equipment, and Temporary
Substitute Autos is amended by adding the
following:
If Physical Damage Coverage is provided by this
coverage form for an "auto" you own, the Physical
Damage Coverages provided for that owned
"auto" are extended to any "auto" you do not own
while used with the permission of its owner as a
temporary substitute for the covered "auto" you
own that is out of service because of breakdown,
repair, servicing, "loss" or destruction.
The coverage provided is the same as the
coverage provided for the vehicle being replaced.
B. BLANKET ADDITIONAL INSUREDS
The Who Is An Insured provision under Section II
— Covered Autos Liability Coverage is amended
to include the following as an "insured":
1. Any person or organization whom you have
agreed in a written contract or agreement to
name as an additional "insured" under your
"auto" Policy to provide "bodily injury" or
"property damage" coverage, but only with
respects to liability arising out of the use of a
covered "auto" you own, hire or borrow and
resulting from the acts or omissions by you, any
of your "employees" or agents. The insurance
afforded to such additional "insured" will not be
broader than that which you are required to
provide for such additional "insured" and
applies only to a written contract executed prior
to the "bodily injury" or "property damage" and
is still in force at the time of the "accidenY'.
2. With respect to the insurance afforded to the
additional "insured" described above, the
following is added to Section — C. Limit Of
Insurance Covered Autos Liability
Coverage:
(2) Available under the applicable Limit Of
Insurance for Covered Autos Liability
Coverage shown in the Declarations;
whichever is less.
C. EMPLOYEES AS INSUREDS
The following is added to the Section II — Covered
Autos Liability Coverage, Paragraph A.1. Who Is
An Insured provision:
Any "employee" of yours is an "insured" while using
a covered "auto" you don't own, hire or borrow in
your business or your personal affairs.
D. EMPLOYEE HIRED AUTOS
1. Changes In Covered Autos Liability
Coverage
The following is added to the Who Is An
Insured provision:
An "employee" of yours is an "insured" while
operating an "auto" hired or rented under a
contract or agreement in an "employee's"
name, with your permission, while performing
duties related to the conduct of your business.
2. Changes In General Conditions
Paragraph 5.b. of the Other Insurance in the
Business Auto Coverage Form is amended by
the addition of the following:
For Hired Auto Physical Damage Coverage any
covered "auto" hired or rented by your
"employee" under a contract in an "employee's"
name, with your permission, while performing
duties related to the conduct of your business is
deemed to be a covered "auto" you own.
However, any "auto" that is leased, hired, rented or
borrowed with a driver is not a covered "auto".
E. NEWLY FORMED OR ACQUIRED
ORGANIZATIONS
Section II — Covered Autos Liability Coverage,
A.1. Who Is An Insured is amended by adding the
following:
The most we will pay on behalf of the additional Any organization which you acquire or form after
"insured" is the amount of insurance: the effective date of this Policy in which you
(1) Required by the written contract or maintain ownership or majority interest. However:
agreement described above, or
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(1) Coverage under this provision is afforded only
up to 180 days after you acquire or form the
organization, or to the end of the Policy period,
whichever is earlier.
F. SUBSIDIARIES AS INSUREDS
Section II — Covered Autos Liability Coverage,
A.1. Who Is An Insured is amended by adding the
following:
Any legally incorporated subsidiary in which you
own more than 50% of the voting stock on the
effective date of this Policy. However, "insured"
does not include any subsidiary that is an "insured"
under any other automobile liability Policy or was
an "insured" under such a Policy but for termination
of that Policy or the exhaustion of the Policy's limits
of liability.
G. SUPPLEMENTARY PAYMENTS
Section II — Covered Autos Liability Coverage,
A.2.a. Coverage Extensions, Supplementary
Payments (2) and (4) are replaced by the
following:
(2) Up to $5,000 for
(including bonds
violations) required
we cover. We do
bonds.
the cost of bail bonds
for related traffic law
because of an "accidenY'
not have to furnish these
(4) All reasonable expenses incurred by the
"insured" at our request, including actual loss of
earnings up to $500 a day because of time off
from work.
H. FELLOW EMPLOYEE COVERAGE
In those jurisdictions where, by law, fellow
employees are not entitled to the protection
afforded to the employer by workers compensation
exclusivity rule, or similar protection. The following
provision is added:
Subparagraph 5. of Paragraph B. Exclusions in
Section II — Covered Autos Liability Coverage
does not apply if the "bodily injury" results from the
use of a covered "auto" you own or hire.
I. TOWING AND LABOR
Section III — Physical Damage Coverage, A.2.
Towing And Labor is replaced with the following:
We will pay for Towing And Labor costs incurred,
subject to the following:
a. Up to $100 each time a covered "auto" that is a
private passenger type is disabled; or
b. Up to $500 each time a covered "auto" other
than the private passenger type is disabled.
However, the labor must be performed at the place
of disablement.
J. LOCKSMITH SERVICES
Section III — Physical Damage Coverage, A.4.
Coverage Extensions is amended by adding the
following:
We will pay up to $250 per occurrence for
necessary locksmith services for keys locked inside
a covered private passenger "auto"
deductible is waived for these services.
K. TRANSPORTATION EXPENSES
The
Section III — Physical Damage Coverage, A.4.
Coverage Extensions Subparagraph a.
Transportation Expenses is replaced by the
following:
(1) We will pay up to $75 per day to a maximum of
$2,500 for temporary transportation expense
incurred by you because of the total theft of a
covered "auto" of the private passenger type.
We will pay only for those covered "autos" for
which you carry either Comprehensive or
Specified Cause of Loss Coverage. We will
pay for temporary transportation expenses
incurred during the period beginning 48 hours
after the theft and ending, regardless of the
Policy's expirations, when the covered "auto" is
returned to use or we pay for its "loss".
(2) If the temporary transportation expenses you
incur arise from your rental of an "auto" of the
private passenger type, the most we will pay is
the amount it costs to rent an "auto" of the
private passenger type which is of the same
like, kind and quality as the stolen covered
"auto".
L. ELECTRONIC EQUIPMENT COVERAGE ADDED
LIMITS
All electronic equipment that reproduces, receives
or transmits audio, visual, or data signals in any
one "loss" is $5,000, in addition to the sublimit in
Paragraph C.1.b. of the Limits Of Insurance
provision under Section III — Physical Damage
Coverage.
M. HIRED AUTO PHYSICAL DAMAGE
Section III — Physical Damage Coverage, A.4.
Coverage Extensions is amended by adding the
following: If hired "autos" are covered "autos" for
Liability Coverage, and if Comprehensive, Specified
Causes of Loss, or Collision Coverage is provided
for any "auto" you own, then the Physical Damage
coverages provided are extended to "autos" you
lease, hire, rent or borrow is deemed to be a
covered "auto" you own, subject to the following
limit and deductible:
(1) The most we will pay for loss to any leased,
hired, rented or borrowed "auto" is the lesser of
up to a limit of $100,000, Actual Cash Value or
Cost of Repair, minus the deductible.
(2) The deductible will be equal to the largest
deductible applicable to any owned "auto" for
that coverage.
(3) Subject to the above limit and deductible
provisions, we will provide coverage equal to
the broadest coverage applicable to any
covered "auto" you own.
We will pay up to $1,000, in addition to the limit
above, for Loss Of Use of a hired auto to a
leasing or rental concern for a monetary loss
CA7450(2-22) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 2 of 5
sustained, provided it results from an "accident"
for which you are legally liable.
However, coverage does not apply to any "auto"
leased, hired, rented or borrowed in your Motor
Carrier Operations and any "auto" that is leased,
hired, rented or borrowed with a driver is not a
covered "auto".
N. AUTO LOAN/LEASE GAP COVERAGE
Section III — Physical Damage Coverage
Paragraph A.4. Coverage Extensions is amended
by the addition of the following:
Autos of the private passenger, light or medium
trucks that are loaned or leased for a period of six
months or longer and which have been provided
Physical Damage Coverage is a covered "auto"
under this Policy for which a premium charge has
been made for Comprehensive, Specified Cause of
Loss, or Collision Coverage. We will pay any
unpaid amount due up to a limit of $10,000 on the
lease or loan for a covered "auto", including up to a
maximum of $500 for early termination fees or
penalties, on the lease or loan for a covered "auto",
less:
1. The amount paid under the Policy's Physical
Damage Coverage; and
2. Any:
a. Overdue or any deferred lease/loan
payments at the time of the "loss";
b. Financial penalties imposed under a lease
for excessive use, abnormal wear and tear
or high mileage;
c. Security deposits not returned by the
lessor;
d. Costs for extended warranties, Credit Life
Insurance, Health, Accident or Disability
Insurance purchased with the loan or lease;
and
e. Carry-over balances from previous loans or
leases.
The insurance provided by this Auto Loan/Lease
Gap Coverage is excess over any other collectible
insurance including but not limited to any coverage
provided by or purchased from the lessor or any
financial institution.
O. PERSONAL PROPERTY OF OTHERS
Section III — Physical Damage Coverage, A.4.
Coverage Extensions is amended by adding the
following:
We will pay up to $500 for loss to Personal
Property Of Others in or on your covered "auto" in
the event of a covered "auto" loss.
No deductibles apply to this coverage.
P. PERSONAL EFFECTS COVERAGE
Section III — Physical Damage Coverage, A.4.
Coverage Extensions is amended by adding the
following:
We will pay up to $500 for "loss" to your Personal
Effects not otherwise covered in the Policy or, if you
�
R.
are an individual, the Personal Effects of a family
member, that is in the covered auto at the time of the
"loss".
For the purposes of this extension Personal Effects
means tangible property that is worn or carried by an
insured including portable audio, visual, or electronic
devices. Personal Effects does not include tools,
jewelry, guns, money and securities, or musical
instruments.
EXTRA EXPENSE FOR STOLEN AUTO
Section III — Physical Damage Coverage, A.4.
Coverage Extensions is amended by adding the
following:
We will pay up to $1,000 for the expense incurred
returning a stolen covered "auto" to you because of
the total theft of such covered "auto". Coverage
applies only to those covered "autos" for which you
carry Comprehensive or Specified Causes Of Loss
Coverage.
RENTAL REIMBURSEMENT EXPENSES
Section III — Physical Damage Coverage, A.4.
Coverage Extensions is amended by adding the
following:
1. This coverage applies only to a covered "auto" for
which Physical Damage Coverage is provided
on this Policy.
2. We will pay for Rental Reimbursement
Expenses incurred by you for the rental of an
"auto" because of "loss" to a covered "auto".
Payment applies in addition to the otherwise
applicable amount of each coverage you have on
a covered "auto". No deductibles apply to this
coverage.
3. We will pay only for those expenses incurred
during the Policy period beginning 24 hours
after the "loss" and ending, regardless of the
Policy's expiration, with the lesser of the
following number of days
a. The number of days reasonably required to
repair or replace the covered "auto". If "loss" is
caused by theft, this number of days is added
to the number of days it takes to locate the
covered "auto" and return it to you; or
b. 30 days.
4. Our payment is limited to the lesser of the
following amounts:
a. Necessary and actual expenses incurred;
or
b. $75 per day, subject to a$2,250 limit.
5. This coverage does not apply while there are
spare or reserve "autos" available to you for
your operations.
6. If "loss" results from the total theft of a covered
"auto" of the private passenger type, we will
pay under this coverage only that amount of
your Rental Reimbursement Expenses which
is not already provided for under the Physical
Damage — Transportation Expense
CA7450(2-22) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 3 of 5
Coverage Extension included in this
endorsement.
7. Coverage provided by this extension is excess
over any other collectible insurance and/or
endorsement to this Policy.
S. VEHICLE WRAPS COVERAGE
Section III — Physical Damage Coverage, A.4.
Coverage Extensions is amended by adding the
following:
1. This coverage applies only to a covered "auto"
for which Physical Damage Coverage is
provided on this Policy.
2. Vehicle wraps that are damaged are covered at
the lessor of replacement cost or the original
purchase cost of the vehicle wrap, whichever is
less, up to $2,000.
This coverage does not apply to wear and tear.
T. AIRBAG COVERAGE
Section III — Physical Damage Coverage, B.3.a.
Exclusions is amended by adding the following:
If you have purchased Comprehensive or Collision
Coverage under this Policy, the exclusion relating to
mechanical breakdown does not apply to the
accidental discharge of an airbag.
U. NEW VEHICLE REPLACEMENT COST
2. Regardless of the number of covered "autos"
damaged or stolen the maximum deductible
applicable for all "loss" in any one event caused by:
a. Theft or Mischief or Vandalism; or
b. All Perils
c. Collision
Will be equal to two times the highest deductible
applicable to any one covered "auto" on the Policy for
Comprehensive, Specified Causes of Loss or
Collision Coverage. The application of the highest
deductible used to calculate the maximum deductible
will be made regardless of which covered "autos"
were damaged or stolen in the "loss".
W. FULL GLASS COVERAGE
Section III — Physical Damage Coverage, D.
Deductible is amended by the addition of the
following:
If the Comprehensive Coverage applies to the
covered "autos", no Comprehensive Coverage
Deductible applies to the cost of repairing or replacing
damaged glass on the covered "auto(s)".
X. PHYSICAL DAMAGE DEDUCTIBLE — VEHICLE
TRACKING SYSTEM
Section III — Physical Damage D. Deductible is
amended by adding the following:
The following is added to Paragraph C. Limit Of
Insurance of Section III — Physical Damage
Coverage
In the event of a total "loss" to a covered "auto" you
own of the private passenger type or vehicle having a
gross vehicle weight of 20,000 pounds or less, to
which this coverage applies, we will pay to replace Y•
such covered "auto", minus any applicable deductible
shown in the Declarations, at your option:
a. The verifiable new vehicle purchase price you
paid for your damaged vehicle, not including any
insurance or warranties.
b. The purchase price, as negotiated by us, of a
new vehicle of the same make, model, and
equipment, or most similar model available, not
including any furnishings, parts, or equipment not
installed by the manufacturer or their dealership.
c. The market value of your damaged vehicle, not
including any furnishings, parts, or equipment not
installed by the manufacturer or their dealership.
We will not pay for initiation or set up costs associated
with a loans or leases.
For the purposes of this coverage extension a new
covered auto is defined as an "auto" of which you are
the original owner that has not been previously titled
which you purchased less than 180 days prior to the
date of loss.
V. LOSS TO TWO OR MORE COVERED AUTOS
FROM ONE ACCIDENT
Section III — Physical Damage Coverage, D.
Deductible Subparagraph 2. is replaced by the
following:
Comprehensive Coverage Deductible shown in the
Declaration will be reduced by 50% for any "loss"
caused by theft of the vehicle when equipped with a
vehicle tracking device such as a radio tracking
device or a global positioning device and that
device was the method of recovery of the vehicle.
DUTIES IN THE EVENT OF ACCIDENT, CLAIM,
SUIT, OR LOSS
Section IV — Business Auto Conditions, A.2.
Duties In The Event Of Accident, Claim, Suit Or
Loss is amended by adding the following:
Your obligation to notify us promptly of an "accidenY',
claim, "suit" or "loss" is satisfied if you send us the
required notice as soon as practicable after your
Insurance Administrator or anyone else designated by
you to be responsible for insurance matters is notified,
or in any manner made aware, of an "accidenY', claim,
"suiY' or "loss".
Z. WAIVER OF TRANSFER OF RIGHTS OF
RECOVERY
Subparagraph 5. of Paragraph A. Loss Conditions
of Section IV — Business Auto Conditions is
deleted in its entirety and replaced with the following.
Transfer Of Rights Of Recovery Against Others
To Us
If any person or organization to or for whom we
make payment under this Coverage Form has
rights to recover damages from another, those
rights are transferred to us. That person or
organization must do everything necessary to
secure our rights and must do nothing after
"accident" or "loss" to impair them. However, we
waive any right of recovery we may have against
any person, or organization with whom you have a
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written contract, agreement or permit executed
prior to the "loss" that requires a waiver of recovery
for payments made for damages arising out of your
operations done under contract with such person or
organization.
AA. PRIMARY AND NONCONTRIBUTORY — OTHER
INSURANCE CONDITION
Section IV — Business Auto Conditions, B.
General Conditions, 5. Other Insurance c. is
replaced by the following:
This Coverage Form's Covered Autos Liability
Coverage is primary to and will not seek contribution
from any other insurance available to an "insured"
under your Policy provided that:
1. Such "insured" is a Named Insured under such
other insurance; and
2. You have agreed in writing in a contract or
agreement that this insurance would be primary
and would not seek contribution from any other
insurance available to such "insured".
However, coverage does not apply to any "auto"
leased, hired, rented or borrowed in your Motor
Carrier Operations and any "auto" that is leased,
hired, rented or borrowed with a driver is not a
covered "auto".
AB. UNINTENTIONAL FAILURE TO DISCLOSE
EXPOSURES
Section IV — Business Auto Conditions, B.2.
Concealment, Misrepresentation, Or Fraud is
amended by adding the following:
If you unintentionally fail to disclose any exposures
existing at the inception date of this Policy, we will not
deny coverage under this Coverage Form solely
because of such failure to disclose. However, this
provision does not affect our right to collect additional
premium or exercise our right of cancellation or non-
renewal.
AC. MENTAL ANGUISH
Section V— Definitions, C. is replaced by the
following:
"Bodily injury" means bodily injury, sickness or
disease sustained by a person, including mental
anguish or death resulting from bodily injury, sickness
or disease.
AD. LIBERALIZATION
If we revise this endorsement to provide greater
coverage without additional premium charge, we will
automatically provide the additional coverage to all
endorsement holders as of the day the revision is
effective in your state.
CA7450(2-22) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 5 of 5
COMMERCIAL AUTO
BLANKET ADDITIONAL INSURED - PRIMARY AND NONCONTRIBUTORY -
REQUIRED IN WRITTEN CONTRACT OR AGREEMENT
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies the insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
A. Section II — Covered Autos Liability Coverage, B. With respect to the insurance afforded to these
Item A.1. Who Is An Insured is amended to additional insureds, the following is added to
include as an additional "insured": Paragraph C. Limit Of Insurance of Section II:
1
2.
Any person or organization who you become
obligated to include as an additional insured
under this "auto" Policy, as a result of any
written contract or agreement you enter into,
which requires you to furnish insurance to that
person or organization of the type provided by
this policy but only with respect to "auto" liability
arising out of your ongoing operations or
premises owned by or rented to you.
Any other person or organization you are
required to include as an additional insured
under this "auto" Policy as an additional insured
under a contract or agreement described in
Paragraph 1. above.
The most we will pay on behalf of the additional
insured is the amount of insurance:
1. Required by the contract or agreement
described in Paragraph A.1. or A.2.; or
2. Available under the applicable Limits Of
Insurance shown in the Declarations for: Auto
Liability;
Such person(s) or organization(s) is an additional
insured only with respect to "auto" liability for
"bodily injury", or "property damage" caused, in
whole or in part, by your acts or omissions or the
acts or omissions of those acting on your behalf:
1. In the performance of ongoing operations; or
2. In connection with your premises owned or
rented to you.
However, the insurance afforded to such additional
insured described above:
1. Only applies to the extent permitted by law;
2. Only applies if the contract or agreement is in
effect during the policy period;
3. Only applies if the "bodily injury" or "property
damage" occurs after you and such party have
executed the contract or agreement; and
4. Will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
whichever is less.
This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations.
C. The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary and Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available to
an additional insured under your policy provided
that:
(1) The additional insured is a Named Insured
under such other insurance; and
(2) You have agreed in writing in a contract or
agreement that this insurance would be primary
and would not seek contribution from any other
insurance available to the additional insured.
D. All other terms and conditions of this policy remain
unchanged.
CA7479 (2-22) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 1
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -
AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN
CONSTRUCTION CONTRACT - PRIMARY AND NONCONTRIBUTORY
This endorsement modifies the insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
A. Section II — Who Is An Insured is amended to d
include as an additional insured:
1. Any person or organization for whom you are B.
performing operations when you and such
person or organization have agreed in a written
contract that such person or organization be
added as an additional insured on your policy;
and
2. Any other person or organization you are
required to add as an additional insured under
the contract described in Paragraph 1. above.
Such person(s) or organization(s) is an additional
insured only with respect to liability for "bodily
injury," "property damage" or "personal and
advertising injury" caused, in whole or in part, by:
a. Your acts or omissions; or
b. The acts or omissions of those acting on
your behalf;
in the performance of:
a. your ongoing operations for the additional
insured; or
b. "Your work" for the additional insured and
included in the "products — completed
operations hazard" but only if:
(1) A written contract requires you to
provide such coverage to such
additional insured; and
(2) The coverage form to which this
endorsement is attached provides
coverage for "bodily injury" or "property
damage" included within the "products-
completed operations hazard".
However, the insurance afforded to such additional
insured described above:
a. Only applies to the extent permitted by law;
b. Will not be broader than that which you are
required by the contract to provide for such
additional insured.
c. Only applies if the "bodily injury", "property
damage" or "personal and advertising
injury" takes place subsequent to the
execution of such written contract; and
Only applies while such written contract is
in force.
With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
1. This insurance does not apply to "bodily injury",
"property damage" or "personal and advertising
injury" arising out of the rendering of, or the
failure to render, any professional architectural,
engineering or surveying services including:
a. The preparing, approving, or failing to
prepare or approve, maps, shop drawings,
opinions, reports, surveys, field orders,
change orders or drawings and
specifications; or
b. Supervisory, inspection, architectural,
engineering or surveying activities.
This exclusion applies even if the claims against
any insured allege negligence or other wrongdoing
in the supervision, hiring, employment, training or
monitoring of others by that insured, if the
"occurrence" which caused the "bodily injury" or
"property damage", or the offense which caused
the "personal and advertising injury", involved the
rendering of, or the failure to render, any
professional architectural, engineering or surveying
services.
2. There is no coverage for the additional insured
for "bodily injury", "property damage" or
"personal and advertising injury" arising out of
the sole negligence of the additional insured or
by those acting on the behalf of the additional
insured.
However, if a written contract requires you to
defend or indemnify the additional insured for
its sole negligence, then the coverage for the
additional insured shall conform to what is
required in such written contract.
3. This insurance does not apply to "bodily injury",
"property damage" or "personal and advertising
injury" arising out of any premises or work for
which the additional insured is specifically listed
as an additional insured on another
endorsement attached to this coverage form.
CG7650(10-13) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 2
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:
The most we will pay on behalf of the additional
insured is the amount of insurance:
1. Required by the contract described in
Paragraph A.1.; 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.
D. The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary and Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available to
an additional insured under your policy provided
that:
(1) The additional insured is a Named Insured
under such other insurance; and
(2) You have agreed in writing in a contract that
this insurance would be primary and would not
seek contribution from any other insurance
available to the additional insured.
E. All other terms and conditions of this policy remain
unchanged.
CG7650(10-13) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 2 of 2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AMENDMENT — AGGREGATE LIMITS OF INSURANCE (PER PROJECT)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
The General Aggregate Limit under LIMITS OF INSURANCE (Section III) applies separately to each of your projects
away from premises owned by or rented to you.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Form CG7429 (Ed. 11-98) Copyright, Insurance Services Office, Inc., 1984
0
X
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WORKERS' COMPENSATION INSURANCE
WORKERS' COMPENSATION AND WC 4Z O3 O4 B
EMPLOYERS LIABILITY POLICY Agent copy
TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because Texas is shown in item 3.A. of the
Information Page.
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, but this waiver applies only with respect to bodily injury
arising out of the operations described in the schedule where you are required by a written contract to obtain this waiver
from us.
This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
The premium for this endorsement is shown in the Schedule.
Schedule
1. ( ) Specific Waiver
Name of person or organization
(X) Blanket Waiver
Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.
2. Operations: All Texas operations
3. Premium:
The premium charge for this endorsement shall be 2.00 percent of the premium developed on payroll in connection
with work performed for the above person(s) or organization(s) arising out of the operations described.
4. Advance Premium: Included, see Information Page
This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below.
(The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.)
This endorsement, effective on 2/1/25 at 12:01 a.m. standard time, forms a part of:
Policy no. 0002073049 of Texas Mutual Insurance Company effective on 2/1/25
Issued to: THE FAIN GROUP INC
NCCI Carrier Code: 29939
This is not a bill
.�lY�.� ��
Authorized representative
1 /29/25
PO Box 12058, Austin, TX 78711-2058
1 of 1 texasmutual.com �(800) 859-5995 � Fax (800) 359-0650 WC 42 03 04 B
FORT�ORTH�
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: The Fain Group, Inc.
Subject of the Agreement: 2024 Pavina Improvements Unit Price Construction Contract - Renewal #1 Notice
M&C Approved by the Council? * Yes 8 No ❑
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes ❑ No 8
If so, provide the original contract number and the amendment nuinber.
Is the Contract "Permanent"? *Yes 8 No ❑
If unsure, see back page for permanent contract listing.
Is this entire contract Confidential? *Yes ❑ No � If only specific information is
Confidential, please list what information is Confidential and the page it is located.
1295 Form is attached (page 5) per the comment below and a current insurance certificate will be attached toward the end of the document.
Please redact both from the CSO website.
Effective Date:
If different from the approval date.
Expiration Date:
If applicable.
Is a 1295 Form required? * Yes 8 No ❑
'�If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number: If applicable.
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes � No ❑
Contracts need to be routed for CSO processing in the followin o�
1. Katherine Cenicola (Approver)
2. Jannette S. Goodall (Signer)
3. Allison Tidwell (Form Filler)
*Indicates the information is required and if the information is not provided, the contract will be
returned to the department.