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Home My WebLink About054515-R1 - General - Contract - Five Star Sterilizer Services, LLC (3)CSC No. 54515-Rl CITY OF FORT WORTH CONTRACT RENEW AL NOTICE October 30, 2025 Five Star Sterilizer Services, LLC Attn: Thomas Gilliam, Owner 5005 County Road 7500 Lubbock, Texas 79424 Re: Contract Renewal Notice Preventative Maintenance, Repairs, Consumables and Replacement Pai1s of the Consolidated Sterilizer System City Secretary Contract No. 545 t 5 (the "Contract") Renewal Term No. 1: October 1, 2025, to September 30, 2026 The above referenced Contract with the City of Fort Worth expires on September 30, 2025 (the "Expiration Date"). Pursuant to the 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 (I) year period, which will begin immediately after the Expiration Date. All other tenns 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.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. Contract Renewal Sincerely, '°"�w�� Patty Jean Wilson Contract Services Administrator 817-392-8411 Page I of2 CITY OF FORT WORTH By: em-.&_) Name: Jesica McEachern Title: Assistant City Manager Date: 11/05/2025 APPROVAL RECOMMENDED: Chris Harder ] 3y: Chris Harder (Nov 4, 2025 06:34:10 CST) Name: Christopher I larder, P.E. Titlc: Water Department Director ATTEST: �}. � By: UName: Jannctte Goodall Title: City Secretary Five Star Sterilizer Services, LLC / / '1 By: , l� , /'/JP?,_/,//,_/ ,. Name: thomas Gilliam Title: Owner Contract Renewal CONTRACT COMPLIANCE MANAGER: By signing I acknowkdge that I am the pcrson responsible for the monitoring and administration of this contract, including ensuring all perfonnance and reporting requirements. By: Name: :��Wk� Title: Contract Services Administrator APPROVED AS TO FORM AND LEGALITY: By: Douglas Black (Nov 4, 202513:39:05 CST) Name: Douglas W. Olack Title: Senior Assistant City Attorney CONTRACT AUTHORIZATION: M&C: NIA Date Approved: ____ _ Form 1295 Certification No.: ----- Page 2 of2 s�>�� ,, � � �f( FIVE STAR STERILIZER SERVICES Name / Address FIVE S'1'AR STERILIZER SERVICES LLC EStII�Y�ate 5412 112TH S"I'REET LUBBOCK, TX 79424 Date Estimate # Phone # 806-787-1855 10/3 I/2025 1763 Fax # E-mail thomas.fivestarCyahoo.com City of Fort Worth W1ter Department Laboratory Services 26U0 South Cast Loop 820 Fort Worth, TX 76140 Item Description Qty Cost Total Contract Services PM CONSOLIDATED SSR 3A PB 2 3,200.00 6,400A0 4 PM'S A YL'AR INCLUDES LABOR AND TRAVEL M-F / 8-5 CXCLUDING HOLIDAYS I 0% OFF PM PAR7'S PM includes Amp out Boilers , Blow da�vn Boilers Check for leaks Wipe do��n outside units during inspection Check press�u•e and temp for Calibration on each unit Replace / Rebuild valves and daors , safety valves , traps , checks valves per Manuflcture reconunendation Contract Services GENERAL BOILER STAND ALONE 54 KW 480 1 1,800.Q0 1,800.00 VOLT Ezemption Ce►-titicate on File 0.00% 0.00 We look for�vard to the opportunity of warking �vith you. .�.Ota� $8,200.00 Customer Signature 'oRo� CERTIFICATE OF LIABILITY 1NSURANCE DATE (MM1DD/YYYY) 12I6/2024 THIS C�RTIFICA7E IS ISSUEQ AS A MATTER OF INFORMATION ONI.Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFfCATE DOES NOT AFFIRMATIVELY OR HEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CON7RACT B�TWEEN THE ISSUING IN5URER(5�, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND 7HE CERTIFICATE HOLOER, IMPORTANT: If the certiffcate holder is an ADbITIONAI. INSURED, the policy(iesj must have ADDITIONAL INSURED provislons or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditlons of the policy, certain poilcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsement(s). PRODUCER ANCO Insurance PO Box 3889 Bryan TX 77805 INSUREO Five Star Sterilizer Services, LLC 5412 112th Street Lubbock TX 79424 FIVESTA-02 S) AFFORDING COVERAGE Casualry Co Insurance Comuanv 97s-77 COVERAGES CERTIFICATE NUMBER:626475577 REVISION NUMBER: 7HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS7ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTYNTHSTANDING ANY REQUIREMEN7, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VNTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICI�S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN RE�UCED BY PAID CLAIMS. INSR 7ypE OF INSl1RANCE ADDL U0R ppLICY NUMBER �� IC�Y pFF M DICY EXP LIMITS TR A X COMMERCIALGENERALLIABILITY GL1127542 1213l2024 121312025 EACtIOCCURRENCE 51,000,000 CIAIMS-MADE � OCCUR PREMI ES rerce 5100,004 MEU EXP (M one person) S PERSON/1L 8 ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPUES PER GENERAL AGGREGATE 32,000,000 %� POLICY � jE�0. � LOC PRODUCiS • COMP/OP AGG 52,000,000 O7HER. S C AU70M001LEUAe1LIrY CA2863287 12l3I2024 12f3/2025 COMBINEDSINGLELIMIT s�,000,000 Ea i M ANYAUTO BODILY INJURY (Per person) S ONMED SCHEDULEO BODILY INJURY (Per accidenl) S AUTOS ONLY AUTOS HIREO NONOWNED PROPERNDAMAGE 5 X AUTOS ONLY X AUTOS ONLY SPai ac nt S A X UMBREUA uAB X OCCUR XS237728 12/3/2024 12/3/2025 EnCH OCCURRENCE S 1,00O,OOD E7(CESS LIAB CIAIMS-MADE AGGREGATE $1,000,000 DED RETEN710N S g B wORKERS COMPENSATION 0001261627 12f312024 12/3I2025 X P7AT TE OTH• AND EMPLOYERS' L.IABILJTY ANYPROPRIETOR/PARTNERIEXECUTNE Y r N El. EACHACCIDENT ;1,00O,OOD OFFICERIMEMBEREXCLUOED9 � N!A (Mendatory In NH) E.L DISEASE • fl+EMPLOYEE S 1,000,000 Hyn s, dascr�be uWer DESCRIPTION OF OPERl�TIONS 6elav E L. DISEASE - POLICY LIMIT S 1,OQO,OQO DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101, Addltlonal Rom�rtcs Seh�tlulo, may be �ttach�d H more space Is requlrod) HOLDER SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 9E DELIVERED IN City of Fort Worth Water & Waslewater Central Laboretory ACCORDANCE WITH 7HE POLICY PROVISIONS. 2600 SE Loop 820 Fort Worth TX 76140 AUTHORIZEP REPRE9ENTATIVE USA � 1988-2015 ACORD CORPQRATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD F�ORTWORTHo City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Five Star Sterlizer Services, LLC Subject of the Ag�'eement: Vendor will provide Preventative Maintenance, Repairs, Consumables and Replacement Parts for the Consolidated Sterilizer System M&C Approved by the Council? * Yes ❑ No � If so, the M&C marst be attached to the corrtrnct. Is this an Amendment to an Existing contract? Yes ❑ No 8 54515-R1 If so, provide the o��iginal cont��act nz�mber and the amendment numbe��. Is the Contract "Permanent"? *Yes ❑ No � If z�f�st�re, see back page for permanent contrnct listing. Is this entire contract Confidential? YYes ❑ No � If only specific info��mation is Co»fidential, please list N�hat infor»�ation is Cortfidentinl and the pnge it is located. Effective Date: 10-1-2025 If different fi•om the approval date. Expiration Date: 9-30-2026 If applicable. Is a 1295 Form required? * Yes ❑ No B *If so, �lease enszu•e it is attached to the approving M&C o�� attached to the conh•act. Project Number: Ifapplicable. *Did you include a Text field on the contract to add the City Secretaty Contract (CSC) number? Yes 8 No ❑ Contracts need to be routed for CSO processing in the following order: 1. Katherine Cenicola (Approver) 2. Jannette S. Goodall (Signer) 3. Allison Tidwell (Form Filler) "Indicates the information is reqa�i��ed and if the information is not provided, the conh�act tinill be retz��•ned to the department.