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HomeMy WebLinkAboutContract 46079-R1 CSC No. CITY OF FORT WORTH CONTRACT RENEWAL NOTICE 6/5/15 UWS, Inc. P.O. Box 516 Trion, GA 30753 Re: NOTICE OF CONTRACT RENEWAL Water Meter Testing and Repair Services Contract No.CSC No. 46079(the"Contract") Renewal Term No. 1: August 1, 2015 to July 31,2016 The above referenced Contract will expire on July 31, 2015. 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 CSC No. 46079 for an additional one year period, which will begin immediately upon the expiration of the current term and will end on July 31, 2016. All other terms and conditions of CSC No. 46079 remain unchanged. Please return this signed acknowledgement letter, along with a copy of your current insurance certificate, to the address set forth below, acknowledging receipt of the Notice of Contract Renewal. Please log onto BuySpeed Online at http://fortworthtexas.y-ov/purchasing to insure 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 yours, Darian Gavin, Contract Compliance Specialist FMS, Purchasing Division 817-392-2057 -Direct 817-392-8440 -Fax I hereby acknowledge receipt of the Contract Renewal Notice for CSC No. 46079 for a one year period ending on July 31, 2016. By: Zc� aS44S re-a; MA r Date: In 8 ot5 Printed Nam d Title F C_> 00 o h 4 m 8 XQ "C Sig ature °M G CITY OF FORT WORTH: A EST: ° S Fernando Costa,Assistant City Manager Mary J. Kayser,City Secretary Date: G 1 G /1!T RECORD M&C No. P-1 1681 CITY 3ECRETARY FTI 91 RTHI TX AC40R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMPDO/YYYY) 6/8/2015 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 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: Cynthia Morgan Flegal Insurance PHONE . (706)857-5552 NCN :(706)857-7165 23 Georgia Avenue ADDRESS:cindymorgan®f legalinsurance.com P. O. Box 469 INSURER(S)AFFORDING COVERAGE NAIC 8 Summerville GA 30747 INSURERA:FRANKENMUTH 13986 INSURED INSURER B: TJWS INC INSURER C: PO BOX 516 INSURER D: INSURER E: TRION GA 30753-0516 INSURERF: COVERAGES CERTIFICATE NUMBER:KASTER 15-16 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 POLFCV EXP LIMITS POLICY NUMBER X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE Ex—I OCCUR DAMAGE TO RENTED $ 500,000 PREMISES Ea occurrence) X CPP9312990 4/4/2015 4/4/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO � JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: Employment Practices Liab $ 100,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident A X ANY AUTO BODILY INJURY(Per person) $ AOWNED SCHEDULED AUTOS AUTOS X BA 9312890 4/4/2015 4/4/2016 BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per acc dent Underinsured motorist $ X UMBRELLA LAS OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAR L]CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTION$ 10,000 1 ICPP9312890 4/4/2015 4/4/2016 $ WORKERS COMPENSATION SPR TAT TE ETH AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ 500,000 A (FFICERIMEMBER Mandato In NH EXCLUDED? WC 9312890 4/4/2015 4/4/2016 ( N ) E.L.DISEASE-EA EMPLOYE $ 500,000 M yea,describe under DESCRIPTION OF OPERATIONS below I I L.DISEASE-POLICY LIMIT 1$ 500 000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) This document is issued as a matter of information only and confers no rights upon the document holder. This document does not amend, extend, or alter the coverage, terms, exclusions, conditions, or other provisions afforded by the policies referenced herein. City of Fort Worth is addditional insured on the general liability & umbrella with respects to blanket additional insured, along with additional insured on the business auto. Waiver of subrogation. is included on the Workers, Compensation, general liability & umbrella policies along with 30 day notice cancellation having 10 day notice for non-pay. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Worth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1000 Throckmorton Street ACCORDANCE WITH THE POLICY PROVISIONS. Fort Worth, Tx 76102-6311 AUTHORIZED REPRESENTATIVE Cynthia Morgan/CINDYM -��� '`y`z"r ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025/2ouni i