HomeMy WebLinkAboutContract 45593-R1 CSC No. 46
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CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
5/21/15
Globe Engineers
17819 Davenport Road, STE 240
Dallas,TX 75252
Re: NOTICE OF CONTRACT RENEWAL
Requirements Contract
Contract No. CSC No. 45593 (the"Contract")
Renewal Term No.;e: June 11,2015 to June 10,2.016
1 D(5
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. 45593 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. 45593 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://fortwor_thhtexas g(
go— gEqhasing 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. 45593 for a one year period ending on June
10,2016.
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By: Date: P:� 2-a
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Printed Name and Title
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S it ture
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CITY OF FORT WORTH: ATTEST: S
Fernando Costa,Assistant City Ma Mary J. Kayser,City Secretary
OFFICIAL RECORD
Date: ah C'h S 7_WYMCRETA, RY M&C No.— C- (>° 64
FT.WOR,m, TX S
......... CANNED
CERTIFICATE OF LIABILITY INSURANC E rM
05/0812015 .
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 SUBOGATION 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 Cif
The Risk Specialty Group LLC PHONE I,,-(713)552-1900 F^y r±°1713)513-5411
4801 Woodway Drive E 12gEss- Handers rlsks eciait rrocep.ccom
Suite 300 East INSURERS I AFFORDING COMCRAPE wuc•
Houston TX 77056 INSURER A: RLI Insurance Company_
INSURED
Globe Engineers,Inc. INSURER C:
17819 Davenport Rd INSURER D:
Suite 240 INS RER
Dallas TX 75252 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.
INSR ADDLSUBR POLICY EFF POLICY EXP ............
L TYPE OF INSURANCE POLICY NUMBER MM LIMITS
GENERAL LIABILITY EACH C7C'CURRENCE s$1,000.000
A X COMMERCIAL GENERAL LIABILITY ~M °�
I DAMAGE'7 YRENTED 1000000
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CLAIMS-MADE XX OCCUR PSB0003345 05/05/2015 05!05/2016 I MED,EY P JAny one person) 10,000
PERSOrd�-,L C ADV INJURY 5$1,000,000
GENER,>L.Au�3REGATE $2,000,000
GEN`L AGGREGATE LIMIT APPLIES PER: PRODUCTS-,OMP/OP AGG 2 000 000
POLICY X PRO LOC S
AUTOMOBILE LIABILITY COMBINED:SINGLE LIMIT 2$110001000
A ANY AUTO BODILY INJURY(Per person) $
ALL NE SCHEDULED �Y(Per accident) $
PSB0003345 05/05!2015 05!05!2016 DILY,i"eJU
NON-OWNED PROPEPTY DAMAGE $
X HIRED AUTOS X AUTOS accilftiu.
X UMBRELLA LIAR X 11 OCCUR EACH 0_, ULp3ENCE 2 000 000
/I, EXCESS LJAB CLAIMS-MADE PSE0001962 0510512015 0510512016 AGGREGATE 2 000 000
DED I X I RETENTION 10 000 _
WORKERS COMPENSATION X N1::57A U OTH-
AND EMPLOYERS'LIABILITY _Mi
ANY PROPRIETORRARTNER/EXECUTIV YIN Et_ L A(-H A ,GIDENT 1 000 000
• OFFICERIMEMBER EXCLUDED? NIA PSW0002905 0510512015 0510512016
(Mandatory In NH) A§.E-,F.A EMPLOYEE $1 000 000
If yes,describe under
DESCRIPTION F P RATI N w _ E.L.DISL ASE POLICY LIMIT 1$11000,000
Professional Liability Each Claim Limit $1,000,000
• "claims made" RDP0020043 05/0512015 0510512016 Aggregate Limit $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if 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
ACCORDANCE WITH THE POLICY PRO)INMONS,
AUTHORIZED REPRESENTATIVE <CC>
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