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HomeMy WebLinkAboutContract 28400-R12 CITY SECRETAW.11 CONTRACT NO. CITY OF FORT WORTH REQUEST TO EXERCISE RENEWAL OPTION 12/29/14 McLaughlin Young Employee Services 4400 Park Road, Suite 3300 Charlotte, North Carolina 28209 Re: REQUEST TO EXERCISE RENEWAL OPTION McLaughlin Young Employee Services Contract No. CSC No. 28400 (the"Contract") Renewal Term No. 12: January 1, 2015 to December 31, 2015 The above referenced Contract will expire on December 31, 2014. Pursuant to the Contract, renewals are at the mutual agreement of the parties. This letter is to inform you that the City requests renewal of CSC No. 12 for an additional one year period, which will begin immediately upon the expiration of the current term and will end on December 31, 2015. All other terms and conditions of CSC No. 12 remain unchanged. Please return your signed agreement letter, along with a copy of your current insurance certificate, to the address set forth below. Please log onto BuySpeed Online at http://fortworthtexas.gov/purchasing to insure that your company information is correct and up-to-date. If you have any questions concerning this Request for Contract Renewal, please contact me at the telephone number listed below. Sincerely yours, Darian Gavin, Contract Compliance Specialist 1000 Throckmorton Street, Fort Worth, Texas 76102 OFFICIAL RE]TX PH: (817) 392-2057, FAX: (817) 392-8440 CITY SECRRT FT. WORTH, 1 es, renew this contract for a one year period ending on December 31,-20-1- 5.. No, do not renew this contract. By: MO 1 a-1\ Ln CAS C.1 C7 C_E�� Date: I Z I 2-11 Printed Name and Title Signat re �QF F�R�► CITY OF FORT WORTH: ST: S V g� a Susan JanisVCity ary J. Ka Ass' ant City Manager x14$ Secreta Date: Li 1 :5 1 I M&C No. RECEIVED JAN 14 A.M. CITY SECRETARYi�) AGREEMENT CONTRACT 140. :A�CU This Agreement is made and entered into on the date indicated below by and between the City of Fort Worth, Texas (City), a home rule municipal corporation, and the McLaughlin Young Group (MYG), owner of ASAP! Products. The primary term of the agreement should be for one (1) year commencing on January 1, 2003 and ending on December 31, 2003. The primary term may be renewed by mutual agreement between the City and MYG for successive one (1) year terms under the same conditions and terms of this agreement, except as set out to the contrary herein. In consideration of the one time payment of Four Thousand and Noll 00 Dollars ($4,000.00) by City, the receipt of which is hereby acknowledged herein, MYG assigns and licenses to City the ASAPI Commercial V2 software and a non-exclusive license in perpetuity for the software utilized in processing ASAPI health surveys. In consideration of the additional payment of Two Thousand Seven Hundred and No/100 Dollars ($2,700.00), the receipt of which is acknowledged herein, MYG grants, conveys and sells its interest in the scanner (NCS OpScan 6, Serial #0601016). MYG conveys the scanner in as in condition. City shall pay MYG Five Hundred Ten and No/100 Dollars ($510.00), which represents the hosting fee payment for City's utilization of ASAP! Products on the internet from February 1, 2003 to April 30, 2003. City is not required to make any fu;Cher pa ertts for on-fine server fees. during the entire term of this agreement, a representative from the City of Fort Worth is granted the Administrative Rights to the ASAP! On-line Server, in order to access the data necessary for analysis, report generation and calculation of payment due MYG. City shall pay to MYG Eight and Noll 00 Dollars ($8:00) for each on-line ASAP! survey completed and One and 16/100 Dollars ($1.16) for each .paper ASAP! survey completed by City employees.during the term of the Agreement. On a monthly.basis City will submit to MYG the total number of the internet and paper surveys completed during the prior month. Monthly payments shall be made by City to MYG no later than the 30t _day after the end of the previous- month. ASAPI Products Agreement Page t f . r Notice to either party shall be in writing, and may be hand-delivered, or sent postage paid by certified or registered mail, return receipt requested. Notice shall be deemed-effective if sent to the parties and addresses designated herein, upon receipt in case of hand delivery, and three (3) days after deposit in the U.S. Mail in case of mailing. The address for City for all notices herein shall be: Richard Hodapp City of Fort Worth Human Resources Department 1000 Throckmorton Fort Worth,Texas 75102-6311 Ph.: 817-871-7770 The address for MYG for all notices herein shall be: Martha O. Ausman Chief Operating Officer McLaughlin Young Group 4400 Park Road, Suite 330 Charlotte, North Carolina 28209 Ph.: 704-529-1428 Fax 704-529-5917 Signed this the c�?) 7_day of Q ' 2003. epa'_O'�' CITY OF FORT WORTH MCLAUGHLIN YOUNG GROUP (MYG) CHARLES BOSWELL Authorized Representative Assistant City Manager AMMM IN APPROVED AS TO FORM AND LEGALITY: JA A. RID LL contract Authorization As ►scant City Attomey Date AW1 Pmducts Agre"nt Page 2 ® DATE(MMIDD/YYYY) AcoRO CERTIFICATE OF LIABILITY INSURANCE 12/29/2014 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 pollcy(les)must 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 NAMEA Cathy Palmer Ascension Benefits s Insurance Solutions PHONE ('704)688-1228 FAX Nol.(704)971-0097 5821 Fairview RoadE-MAILADDRESS.cpalmer@ascensioaina.com Suite 500 INSURERS AFFORDING COVERAGE MAIC p Charlotte NC 28209 INSURER AHartford Casualty Insurance 29424 INSURED McLaughlin Young, Inc. INSURER B: CORPORATE HEALTH INTERNATIONAL, INC dba INSURERC: McLaughlin Young Employee Services INSURER D: 5925 CARNEGIE BLVD #350 INSURER E: CHARLOTTE NC 28209 INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 Master 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. 'LTR NSR ADDLSUBR TYPE OF INSURANCE POLICY NUMBER MMIDDY EFF MWDD POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000' TO RENTffr— X COMMERCIAL GENERAL LIABILITY PREDAMAGEMISESaoccurrence) $ 300,000, A CLAIMS-MADE F7x OCCUR 22SBABC7285 /30/2014 /30/2015 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE E 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG E 2,000,000 X POLICY PRo- LOC $ AUTOMOBILE LIABILITY Ea accident 1 000 000 AAUTO 2SHABC7285 /30/2014 /30/2015 BODILY INJURY(Per person) b p` NY ALL OWNED SCHEDULED BODILY INJURY(Par accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident E UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE E DED RETENTION E $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/D(ECUTIVEF7 N/A E.L EACH ACCIDENT b R/M OFFICEEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE E If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIM IT E DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,H more space Is required) 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 Texas ACCORDANCE WITH THE POLICY PROVISIONS. 1000 Throckmorton St. Fort Worth, TX 76012 AUTHORIZED REPRESENTATIVE Cathy Palmer/RONPAl (�Z'" . '/ / a_a' J ACORD 25(2010/05) p 1988-2010 ACORD CORPORATION. All rights reserved. INS025l9ntrx1F1 M Tho Arf)P l normo nnrl Inn^nm rae lc}orarl mance of Af tlPr1 PF1G300 � 1 DATE(MMIDD/YYYY) ACORU CERTIFICATE OF LIABILITY INSURANCE 12/29/2014 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 be endorsed. If SUBROGATION IS WANED, 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 Cathy Palmer ASCENSION INSURANCE AGENCY PHONE 704688-1265 -FF—AX (704 7 5821 FAIRVIEW RD, STE 500 A/c No Ext': A/C No: 1-0097 ADE-MAILES& cpalmer@ascensionins.com CHARLOTTE NC 28209 INSURERS AFFORDING COVERAGE NAIC0 INSURERA:EVANSTON INSURANCE COMPANY 220 INSURED INSURER B CORPORATE HEALTH INTERNATIONAL, INC. DBA MCLAUGHLIN YOUNG EMPLOYEE SERVICES INSURERC: 5925 CARNEGIE BLVD SUITE 350 INSURERD: CHARLOTTE NC 28209 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INS.LTR TYPE OF INSURANCE POLICY NUMBER MMS Y EFF MPMID Y EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ CO MMERCIALGENERAL LIABILITY PREMISES fEaoccurrence $ CLAIMS-MADE C OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO-JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED ALTOS 1 ALTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB Ld CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WO STATU- OTH- AND EMPLOYERS'LIABILITY YIN Y ANY PROPRIETOR/PARTNER/D(ECUTIVE OFRCER/MEMBER EXCLUDED? [-7E.LEL EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOY $ If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PROFESSIONAL LIAB SM900316 04/30/2014 04/30/2015 $1000000/53000000 $5000 DED RETRO 4/30/93 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) COUNSELING SERVICE 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 TEXAS AUTHORIZED REPRESENTATIVE 1000 THROCKMORTON ST FT WORTH, TX 76102 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD