HomeMy WebLinkAboutContract 45198-A1 CITY SECRETARY
COWRACT NO., -
STATE OF TEXAS §
§ KNOWN ALL BY THESE PRESENTS:
COUNTY OF TARRANT §
FIRST AMENDMENT TO
CITY SECRETARY CONTRACT NO. 45198
CONTRACT FOR EMERGENCY RESPONSE SERVICES
FOR ENVIRONMENTAL HAZARDS
THIS FIRST AMENDMENT to City Secretary Contract No. 45198 (hereinafter
"Amendment") is entered into by and between the City of Fort Worth ("City"), a home-
rule municipality in the State of Texas, acting by and through Fernando Costa, its duly
authorized Assistant City Manager, and The Cleaning Guys, LLC ("Contractor"), acting
through Erick D. McCallum, its duly authorized President. City and Contractor may be
referred to herein individually as a Party, or collectively as the Parties.
WHEREAS, the City and Contractor have entered into that certain agreement identified
as City Secretary Contract No. 45198 (also the "Contract") executed on December 12,
2013 for emergency response services for environmental hazards; and
WHEREAS, that contract had a provision under Article 4 (Term) for one (1) annual
extension in the term of the contract for one (1) year each upon mutual agreement of the
parties; and
WHEREAS, the parties wish to extend the term of the contract for an additional year;
NOW WHEREFORE:
The City and Contractor do hereby agree to extend the term of City Secretary Contract
No. 45198 for one year beginning on December 12, 2014 through December 12, 2015,
with a not-to-exceed amount for the new contract term of $24,999, subject to the
appropriation of sufficient funds by the City Council; and
m Other than as specified in this amendment, no other changes are made to the prices, terms
M and conditions of the contract.
M
M
a
v SIGNATURE PAGE FOLLOWS OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
0
FIRST AMENDMENT TO CONTRACT FOR EMERGENCY RESPONSE SERVICES FOR ENVIRONMENTAL HAZARDS
The Cleaning Guys, LLC Page 1 of 2
SIGNATURE PAGE
FIRST AMENDMENT TO
CITY SECRETARY CONTRACT NO. 45198
CONTRACT FOR EMERGENCY RESPONSE SERVICES
FOR ENVIRONMENTAL HAZARDS
IN WITNESS THEREOF, the parties have executed this contract in triplicate in Fort
Worth, Texas, on the dates written below.
CITY OF FORT WORTH THE CLEANING GUYS, LLC
BY � ��L— BY:"
Fernando Costa Erick D. McCallum
Assistant City Manager President
Dated: 4k 2 /S
RECOMMENDED: WITNESS:
Michael Gge
Assistant PW
APPROVED AS TO FORM
AND LEGALITY:
a!A-�14 NO M&C REQUIRED
Arthur N. Bashor
Assistant City Attorney
ATTEST: Q ° �y
%0 OFFICIAL RECORD
$ =
s CITY SECRETARY
ary J. . °
City Secretary °°�, °�- FT.WORTH$TX
AS
FIRST AMENDMENT TO CONTRACT FOR EMERGENCY RESPONSE SERVICES FOR ENVIRONMENTAL HAZARDS
The Cleaning Guys, LLC Page 2 of 2
CERTIFICATE OF INSURANCE
TO: CITY OF FORT WORTH Date: March 9, 2015
NAME OF PROJECT: Annual Contract for Emergency Response Services for
Environmental Hazards
PROJECT NUMBER: ENV 11-01: ERS
CONTRACTOR: The Cleaning Guys, LLC
Please staple your Acord insurance form to this page.
Your insurance form should list the City of Fort Worth as the additionally insured.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
---1 CLEGLIA OP ID:TS
'4rM
� CERTIFICATE OF LIABILITY INSURANCE D03130ATE IDDI 5
a3r3ar2o15
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
Kilpatrick Insurance PNAMNE Tanis Smith
FAX
Agency, Inc. No Ext):817-731.8771 Alc No: 817-731-0520
2410 Montgomery Street
Ft.Worth,TX 76107 ADDRESS:Tanis@kilpatrickinsurance.com
INSURER(S)AFFORDING COVERAGE NAIC!
INSURERA:Homeland Ins Co of New York A- 34452
INSURED The Cleaning Guys LLC INSURER B:
5255 Teague Road INSURERC:
Fort Worth,TX 76140
INSURER D:
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.
LTR TYPE OF INSURANCE POLICY NUMBER MIp MMIDD LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,00
CLAIMSnADEOCCUR X 793-00-29-70-0000 01H8/2015 011188016 PREMISES Ea occurrence $ 100,00
$2,500 Ded MED EXP(Any one person) $ 5,00
PERSONAL&ADV INJURY $ 5,000,00
GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,00
]POLICY T jEa 7 LOC PRODUCTS-COMP/OPAGG $ 5,000,00
OTHER $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO BODILY INJURY(Per person) $
�
OS OWNED ��ED BODILY INJURY(Per accident) $
HIRED AUTOS
NON-OWNED PROPERTY DAMAGE $
AUTOS (Per accident)
UMBRELLA UAS OCCUR EACH OCCURRENCE $
EXCESS LUtB Ld CLAIMS-MADE AGGREGATE $
DED I I RETENTION $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LU1BILrrY Y f N STATUTE ER
ANY PROPRIETORIPARTNEWEXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N!A
(MandatoryIn NH) FETDISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E .DISEASE-POLICY LIMIT $
A Pollution Liab. 793-00-29-70-0000 01!188015 01/188016 Agg. 5,000,00
A Professional Llab. 793-00-29-70-0000 Each Occ. 5,000,00
DESCRIPTION of OPERATIONS r LOCATIONS I VEHICLES (ACORD 101,Addtdonal Remarks Schedule,may be attached If mon space Is required)
Project: ENV 11-01: ERS
City of Fort Worth are added as additional insured regarding the general
liability pol
CERTIFICATE HOLDER CANCELLATION
CITFW-2
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
of Fort worth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City ACCORDANCE WITH THE POLICY PROVISIONS.
1000 Throckmorton Street
Fort Worth,TX 76102 AUTHORIZED REPRESENTATIVE
`-" A41--Z�
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
Policy Number: 793-00-29-70-0000
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION - FORM I
This endorsement only modifies coverage provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
CONTRACTORS ENVIRONMENTAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
Any person or organization for which the Named Insured has agreed to
provide insurance prior to loss as provided by this policy but only to
the scope of insurance agreed to by the Named Insured.
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
A. SECTION II -WHO IS AN INSURED is amended to include as an insured the person or organization
shown in the SCHEDULE above, but only with respect to liability arising out of your ongoing operations
performed for that insured.
B. With respect to the insurance afforded to these additional insureds,the following exclusion is added:
2. Exclusions
This insurance does not apply to bodily injury, property damage or environmental damage
occurring after:
(a) All work, including materials, parts or equipment furnished in connection with such work,
on the project (other than service, maintenance or repairs) to be performed by or on
behalf of the additional insured(s) at the site of the covered operations has been
completed; or
(b) That portion of your work out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or
subcontractor engaged in performing operations for a principal as a part of the same
project.
All other terms and conditions remain the same.
OBENV GE 301 (02 11) Includes copyrighted material of Insurance Services Office, Inc. 1 of 1
Copyright 2011,OneBeecon Insurance Group LLC
&INSURED
CONTRACTOR COMPLIANCE WITH
WORKERS' COMPENSATION LAW
Pursuant to V.T.C.A. Labor Code §406.96 (2000), as amended, Contractor certifies that
it provides workers' compensation insurance coverage for all of its employees employed
on City of Fort Worth Department of Transportation and City of Fort Worth Project No.
ENV 11-01: ERS.
CONTRACTOR
The Cleaning Guys, LLC
By:
Name: Lp-L)eA &I(- ( F4LLt-)fyL
Title: b D ca rr)WT -PR OPAja&2—
Date: 3 •as
STATE OF TEXAS §
COUNTY OF TARRANT §
Before me, the undersigned authority, on this day personally appeared
/y1C< /A/ ,%1 , known to me to be the person whose name is subscribed to the
foregoing instrument, and acknowledged to me that he executed the same as the act
and deed of The Cleaning Guys, LLC for the purposes and consideration therein
expressed and in the capacity therein stated.
Given Under My Hand and Seal of Office this day of 20 IS,–
,t
r...r-RDAY
• 'Alc ry Public in and for�theStjate
.� rEXAS Texas
rr Mar.23,2015
, ,:,
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX