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HomeMy WebLinkAboutContract 45590-R1 CSC N o. CITY OF FORT WORTH CONTRACT RENEWAL NOTICE 5/21/15 Fugro Consultants, Inc. 2517 East Loop 820 North Fort Worth,TX 76118 Re: NOTICE OF CONTRACT RENEWAL Requirements Contract Contract No.CSC No.45590(the"Contract") Renewal Term No. :June 11,2015 to June 10,2016 �V re, The above referenced Contract will expire on June 10, 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. 45590 for an additional one year period,which will begin immediately upon the expiration of the current term and will end on June 10, 2016.All other terms and conditions of CSC No.45590 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 b-ti /Ltgg o htexas.&Yoy/ urchasming 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. 45590 for a one year perio une 10,2016. 000000 King Cook, P.E. vice President/Bran.ch, Manager May 22, 2 5 By: Date: 00 Printed Name a itle rn 9 C-) M ;2 Signature M CITY OF F RT WORTH: AT EST: C= Fernando Costa,Assistant City Manager Mary J.Kayser,City Secretary Date: M&C No..-,-,.— C-26764 SCANNED 9 AC 1IREY CERTIFICATE OF LIABILITY INSURANCE DATE(MM °"Y") 7/1/2015 6/24/2014 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(ies)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 LOCKTON COMPANIES 5847 SAN FELIPE,SUITE 320 Arc pool: Ext a FAX HOUSTON TX 77057 E-MAIL Arc No): 866-260-353$ INSURER A: Liberty Mutual Fire Insurance Company 23035 INSURED Fugro Consultants,Inc. INSURER B: Lloyd's/Liberty lnt'I/IR UW 1365452 Fort E.Lip 76 North INSURER c: Libe Insurance Co ration 42404 Fort Worth TX 76118 INSURER INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 12499009 REVISION NUMBER: X=XX 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. MTR TYPE OF INSURANCE DD POLICY NUMBER Y EFF UC M D� LIMITS • X COMMERCIAL GENERAL LIABILITY y y T732_641-005066-034 7/1/2014 7/1/2015 EACH OCCURRENCE 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMI E o,W,;21 , 100.000 MED EXP(Any one person) s 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 UCY X JJEECCT L PRODUCTS-COMP/OP AGG $ 2.000.000 ......OTHER $ • AUTOMOBILE LIAgaITY y y AS2-641-005066-024 7/1/2014 7/1/2015 (Ea MBINEeD SINGLE LIMIT $ 2,000,000 X ANYppAUTO BODILY INJURY(Per ) $ XXXXXXX AUTOS"E° AU70SU D BODILY INJURY(Per accident$ � �XXXX HIRED AUTOS AUTOS PROPERTY DAMAGE $ XXXXXXX $ XXXXXXX $ UMBRELLA LIAR X OCCUR y y LMF,Sil52A&B 7/1/2014 7/1/2015 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAR X CLAIMS-MADE AGGREGATE $ 5 000 000 DED I RETENTION$ $ XXXXXXX WORKERS COMPENSATION C AND EMPLOYERS'LIABILITY YIN y WA7-641)-005066-Oti4 7!1/2014 7/1/2015 X STATUTE oTH-PR ANY RZOPMETORIPAR7NEREXECUTIVE 7❑7 N/A E.L.EB,c49 AcciDEPe7 $ 1,000,000 OFFICE MBER EXCLUDED? lr (11.nd."In NH) E.L.DISEASE-EA EMPLOYEE 1 OOO OOO DESCRIPTION OF r RATIONS Swbrd E.L.DISEASE-POLICY LIMIT It 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,may be attached N more space Is required) All policies ir�lude a blanket notice of cancellation to certificate holders endorsement providing for(30)(ays°advance noHoe if the policy is cancelled by the company other dtan for nonpayrtnt of premium,(10)days'notice if the policy is cancelled for nonpayment of psetnitun.Notice is to certificate holders with mailing addresses on file with t11e agent or dre company.7 he endorsearerrt does not Provide or notice of cancellation if the named insured re nests cancellation. The Workers'Compensatiatt/EL policy includes l onggsshare&}1 Workers'Compeesation Act Coverage Endorsement Per foam#WC000106A and CYuter Continental Shelf Lands Act Coaemge Endorsement per form#WC000109B All Policios(Except Workers'Compensatrrr.EL)contain a special endorsement with"Prrimery and noocon.butory"°wording. CERTIFICATE HOLDER CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12409009 AUTHORIZED REPRESENTATIVE City of Fort Worth,its officers,employees and servants.Department of Engineering s Contract Administration Attn:Andy Anderson P.E., 1000 Throckmorton Fort Worth TX 6102 treat !. ACORD 25(2014/01) 81988-2014 ACORD CORPORATIOW.All rights reserved The ACORD name and logo are registered marks of ACORD All Policies(Except Workers' Compensation/EL) include a blanket automatic additional insured endorsement [provision] that confers additional insured status to the certificate holder only if there is a written contract between the named insured and the certificate holder that requires the named insured to name the certificate holder as an additional insured. In the absence of such a contractual obligation on the part of the named insured, the certificate holder is not an additional insured under the policy. All Policies include a blanket automatic waiver of subrogation endorsement [provision] that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it. In the absence of such a contractual obligation on the part of the named insured, the waiver of subrogation feature does not apply. Miscellaneous Attachment :M486171 Master ID: 1365452,Certificate ID: 12409009 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 6/30/2015 6/25/2014 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:H the certificate holder is an ADDITIONAL INSURED,the policy(res)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 LOCKTON COMPANIES NA E: 5847 SAN FELIPE,SUITE 320 -MONE Arc N®Erd: A/c No HOUSTON TX 77057 E-MAIL 866-260-3538 : INSURER A: I.eXiTl an Insurance Cam at] 19437 INSURED Fugro Consultants,Inc. INSURER 13: A.F.Beazlev 2623/623 52666 1365454 2517 E.Loop 820 North Fort Worth TX 76118 INSURER C IN RER D: INSURER N COVERAGES CERTIFICATE NUMBER: 12395866 REVISION NUMBER: Kxx 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE RSD POLICY NUMBER M D M D LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEXXXX CLAI OCCUR NOT APPLICABLE?• DAMAGE TO RENTED PREMI ESE rc n $ XXX.X.XXX MED EXP An one n I XXXXXXX PERSONAL&ADV INJURY $ XXX.XXXX P GEWL AGGREGATE LIMIT APPLIES PER: IGENERAL AGGREGATE $ XXXXXXX P OL Y JPER4 LOC PRODUCTS-COMPIOP AGG $ XXXXXXX OTHER $ AUTOMOBILE LIABILITY EOMBINED SINGLE LIMIT $ XXXXXXX ANY AUTO NOT APPLICABLE BODILY INJURY(Per ) $ XXXXXXX AUTTOS NED H AUTOSD4ILED BODILY INJURY(Per accident $ XXXXXXX NON OWNED PROPER Y AMAGE $ XXXXXXX HIRED AUTOS AUTOS r a n UMBRELLA U AB OCCUR EACH OCCURRENCE $ XXX�CXXX EXCESS LIAR CLAIMS-MAD NOT PLICABI.E AGGREGATE $ XXXXXXX DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS!LIABILITY YIN PER OTH- 1�0T APPLICABLE $ XXXXXXX ANY PRQPRBET'QRlFAnTNE GtTr6VE ❑ NIA E.L.EACH ACCIDENT OFFICE ER EXC0.UDE:D? V��-�y�y (ku fin nn'1 E.L.DISEASE-EA EMPLOYEE XXXXXXX ffm DE:aCRItTT60N QF OPERAT10NS bbd E.L.DISEASE-POLICY LIMIT XXXXXXX A Professional Liab-1ncl, N N 01543$063 6/30/2014 6/30/2015 Each Claim$1,000,000 B I Contractors Pollution GLOPRI401253 6/30/2014 6/30/2015 Agggregate$5,000,000 SIR Per Claim 82,500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aftwh ACORD 101,Additional Remadus Schedule,may be attached H more Space In required) The Professional Liability includes a blanket notice of cancellation to certificate holders endorsement,providing tar(30)days'advance notice if the policy is cancelled by the company other for nonpayment of @premium,(10)days`notice if the policy is cancelled for nonpayment of premium.Notice is sent,to certificate holders with mariling addresses on rile with the agent or the company.Aire endorsement does not provide for notice of cancellation if the named insured requests cancellation.City of Fort Worth-CMET contract 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. 12395866 AUTHORIZED REPRESENTATIVE City of Fort Worth Attn:Andy Anderson Engineerinngg -Construction 1000 Throcckmorton Street Fort Worth TX 76102 ACORD 25(2014/01) ©1988-2014 ACORD CORPORATI All rights reserved The ACORD name and logo are registered marks of ACORD