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Home My WebLink AboutContract 45592-R1 CSC No. AS5�c CITY OF FORT WORTH CONTRACT RENEWAL NOTICE 5/21/15 Landtec Engineers,LLC. 5450 East Loop 820 South Fort Worth,TX 76119 Re: NOTICE OF CONTRACT RENEWAL Requirements Contract Contract No.CSC No. 45592(the"Contract") Renewal Term No.X:June 11,2015 to June 10,2016 1 Pr, 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. 45592 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. 45592 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 btjp.//f rtworLhtg .as. gy/ urch in to insure that your company information is -p— 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. 45592 for a one year period ending on June 10,2016. M. By: jw Ce PVUJ-jt-- Date: A j ................ Printed Name and Title ... .... (YWIr 'rgnature CITY OF FORT WORTH: AT T: _27AX"4�LL_ Fernando Costa,Assistant Ci Mary J. Kayser,City Secretary FICIAL RECORD Date: (elic OF M&C No,-- C-26764 CrrY—SECRETARY FT.WORTHv TX S C A N N E . ....................................................................... 4� CERTIFICATE OF LIABILITY INSURANCE °A 5/26/20015 15 5/26® 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((es)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 AME•CT Joe A McLaughlin Brunson Insurance Agency, LLP N Bryant 12801 N. Central Expressway PHONE t: (214) 503-1212 FAX No):(214) 503-8899 suite 1710 E-MAIL ADDRESS: Dallas TX 75243 INSURERS AFFORDING COVERAGE NAIL# INSURER A:Phoenix Insurance Com an 25623 INSURED INSURER B:Travelers Casual & Surety Co 19038 Landtec Engineers, LLC INSURER C:Travelers indemnity company 25658 1700 Robert Rd. INSURER D:Travelers Pr22 Casualty Co of Am 25674 Suite 101 Mansfield TX 76063 INSURER E:Hudson Insurance CqMany 25054 INSURER F COVERAGES CERTIFICATE NUMBER:Cert ID 29004 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. r TYPEOFINSURANCE POLICYNUMBER MMMR FF (MMIDOnYM P LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY Y Y PACP7314L961 1/1/2015 1/1/2016 -PREMISES Me occurrence) $ 1,000,000 CLAIMS-MADE 1E OCCUR MED EXP(Any one person) $ 10,000 X X,C,U Coverage PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY 1E PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINULE LIMIT Ea accident $ 1,000,000 A X ANY AUTO Y Y BA1956L10A 6/2/2015 6/2/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ X HIRED AUTOS Ix AUTOS ED Per accident $ C X UMBRELLALIAB OCCUR Y Y CUP8118Y120 1/1/2015 1/1/2016 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 DEO RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- B AND EMPLOYERS'UABIUTY YIN Y UB5240Y710 1/1/2015 1/1/2016 ANY PROPRIETOR/PARTNER/EXECUTNE r1 NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ 1,000,000 Ii yes describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1,000,000 E Professional Liability Y 71990-08 1/5/2015 1/5/2016 Per Claim $ 2,000,000 Annual Aggregate $ 4,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Scheduie,If more space Is required) The claims made professional liability coverage is the total aggregate limit for all claims presented within the policy period and is subject to a deductible. Thirty (30) day notice of cancellation in favor of certificate holder on all policies. City of Fort worth, its officers, employees and servants are named as additional insured on the general, auto and umbrella liability as required by contract. A waiver of subrogation is shown in favor of the additional insured on the workers compensation coverage. 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 Department of Transportation and Public works 1000 Throckmorton Street AUTHORMO REPRESENTATIVE Fort worth TX 76102 ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD