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Home My WebLink AboutRES 23-035RESOLUTION NO. 23-035 BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF BEAUMONT: THAT the City Manager be and he is hereby authorized to execute an agreement with Evergreen Solutions, LLC of Tallahassee, Florida, to conduct a compensation and classification study in the amount of $52,500.00. The meeting at which this resolution was approved was in all things conducted in strict compliance with the Texas Open Meetings Act, Texas Government Code, Chapter 551. PASSED BY THE CITY COUNCIL of the City of Beaumont this the 24th day of January, 2023. Leo®ems Aird `'ayxz:y�� - Mayor Robin Mouton - 1, O January 27, 2023 ATTN: Dr. Jeff Ling, President Fax: 850-383-1511 Evergreen Solutions, LLC No. of Pages: 12 2878 Remington Green Circle Email: ieff(a-)-consultevergreen.com Tallahassee, FL 32308 kelly(ab-consultevergreen.com RE: Compensation and Classification Study for the City of Beaumont, Texas RFP No. TF1223-09 Dear Vendor: Please be advised that your company has been awarded the referenced contract for the City of Beaumont. The provisions of the agreement are stated in Bid No. TF1223-09. The pricing details of the contract are shown on the following pages. DATE BID AWARDED: January 24, 2023 (Resolution No. 23-035) CONTRACT BEGINS: January 27, 2023 CONTRACT ENDS: April 27, 2023 TERM OF CONTRACT: The City prefers the study to be completed within three (3) months; however, the City is open to four (4) months, but that would be the maximum time allowed, given budget preparations for FY2024. CONTACT PERSON: Chris Catalina, Personnel Director Email: chris.catalina((-beaumonttexas.gov Phone: 409-880-3104 All orders shall be accompanied by a Purchase Order number. The Purchase Order number must appear on all delivery tickets and invoices. Payment by City to Vendor shall be made in accordance with the requirement of Texas Government Code §2251.021. PURCHASING 0 409.880.3720 409.880.3747 PO Box 38271 t, TX 77704 1 Main St. I Suite 315 1 Beaumont, TX 77701 Evergreen Solutions, LLC Award Letter Compensation and Classification Study RFP No. TF1223-09 January 27, 2023 'Page 2 ATTENTION! Additional information is REQUIRED with acceptance of this contract award and MUST be provided before payment will be made. 1. Provided with this letter are two pages with details for compliance with House Bill 1295 (HB1295). 2. Certificate of Insurance - COB Insurance Forms. If you need any further information, please contact the Purchasing Division at (409) 880-3720. Sincerely, Terry Purchasing Manager TW:bd G:\BIDS - DO NOT MOVE OR DELETEI\Pu23\Pu-F-23\TF1223-09—award—BD,docx cc: Chris Catalina, Human Resources Evergreen Solutions, LLC Award Letter Compensation and Classification Study RFP No. TF1223-09 January 27, 2023 Page 3 0 Cast �slur, ropos%,af E,voe,, �T V ,j�een, So, 1k.AJans, LE C izsi p I ezi s e�d, to p If es e n t o u r p r oposed cost to coiriduct a, CorrigArt'll r)jjOt',j 'j C I a sL) if'ic at. i o n St u idy fro r t h e C;ity of B e a L,l MID, nt '", We are,conityiitted "to provid[rig,thO, ("i(Multirig s( rvice5t,u our partlne,rs fo. r a reasoiniable� price. Our-Fin'n is f"ortun.,ate thaxt, otjIr n-ui ir�vriiia,',' ka od' (.,)kir eixpe,,,P�5e5 are re, sor e, s o vee � ca.,, n pas,s t [i, at I si, i ng,.& o o o tj r V rolal,' nro f J xe d C., t 10, C', 0 1-11 0", i) K�s id ri, 111, i f I e d, i r) u Ir if.,j (=,, ta i I ed w o r k, p I a n J n ,Se&i o,n I of i.,) iu ��r P rio pcv a P i $ 52',,j5()O�- tl) il, L", 7-1, i's I i U Si V'O,-, �a, n d i'11C 11� U cl e 5, t r;A. ve I 10,10115ts, rn e a Is a n d -0, a f ringp [,)oriofits�, [rii,J,irocjt icosj;s ((,yiea ee)�O .'al suppiart, and,,,, all otheii out, �.jIlu 1,; (1 r"I S, 1 (,em, vS i IS 'to t he, C i ty to co n d u ctth,,er sst uldy es n,,i ost of thil"e, 07 ICI pr efeirir e d Ill y rin e n t s ch ed, ul, I e I»ijs, as, f ol, I I1,o',ws: <if T� m 2,5,,,% - upc)roi 3 4 2,15", u P o n e:i rin p 0 1111, ai'll (0u c."i k 1�11 T'i, 7' ry) o n r"') rTl p e", 'it 61 at"I �� S "We sire M1 I I li ng t"i n eigotliate the 0 m e i, womp e,,, a nd cast of 0* bmic tasi III cif -a n Y, ifte, o ptlbm that the 011youf Bimumont,wdOes,to Wilervilify-,. E"Vergreen -95,01)"k"Itions fied, eral en,ijplilivy"ef ideril"t i� catic,"11 1'wmbeli" is, 2 18 w 31 3 4 -3" ,, H.",'t .............. ................................... .......... . .. ....... .................................................. . .. . . . . .. .. ......................................................................................................................................... ..... .. .. .. . . . .. .. . . . . . . . . . . . . . .. . . . . .. .. .. .. .. .. .. .. .. .. .. .. .. . .. ................................. . .. .. .. .. .. . `7 fa writs W/ '11011C Page 5; Evergreen Solutions, LLC AwarLetter Compensation and Classification Study RFPNo. TF1223'0S January 27.2O23 U-1 "MEE MN Evergreen Solutions, LLC Award Letter Compensation and Classification Study RFP No. TF1223-09 January 27, 2023 Page 5 ' III" for r i1��lll ,R F rill Ili o n, a nd C I a s III ifi c a t i o 1,III for thly of" e C"tIlwr R,FP Rio, TP 1,223-09 w Ww,w wwWW — wwww wW — w.w.wW ww �I�u�l ;yuw�, I r� 'r : ' , �� In w ri I� � .r .III err , Irr r Ir � �lul�",u y IIII mI�l I nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn �wwwww �nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn.nnnnnnnnnnnnnnnwnnnnnnnnnnnnnnnnnn h �w y� y� III �W I�-�y ro p' Ii ;1 " s W I ii NIw '� e mre w T u„ 'n7 Wfl Rfrlr u III f� � � t 0 ( F �,, I II WHIP ;A J. 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'.. .nn. w„n........................................................ x. nnn^ E - He I-n �I ;,p P WQ r ' a nnlrm-w n nnnnnnnnnnnnnnnnnwnnnnnnnnnnnnnnnnnn" ww� mnwnnnnnwnnnwnnnnnnnnnnn m. Evergreen Solutions, LLC Award Letter Compensation and Classification Study RFP No. TF1223-09 January 27, 2023 Page RESOLUTI2 GN NO 3 030 BE, 111", T ES OLIV, ED BY THE CITY COUNCIL OF T HE, 6 GITY OF BEAUMOW". T 11111111 , 'Ili , M.an ager be and lie, is h.erebly Lj,,,, 1,11ioili'lized totl Ae a n agm, em�Qnt I 11111111ATA, e� U'ty lix W, iIII ffi EI IIVr 'WIIeen Soluitioris, LLC of Talla,',has Flbri`da. to wndii.xA, a coinpe,,risabon, and clas s j f"i caiiIII j'I" o n, si,itu d ly i1ri it h e a rtiiii of u n t Of $ 5 2 11.5 01 01.0,01", In Thet,neeting at which this, resoltifion. was appr)Qlv1ed,,, was,,J`r�, all tbiflgs cQndki,j,c1,,eid "' s t r i ct, c,,®r, rn p I �i a n c* wit`h t h ,lie T e x a si, 0 p e n M e et, I n g s A Te x s G Q. ve m,�lie n,,t, C o d e. C h a p tille r�, PASSED BY THE GAIT Y COkiJNG1 L of`the Gli, o. f Beaumont th is the 24tlh da. I. of" ... Januatry2023,,. ITT MayorR oblf�n Mouton - Evergreen Solutions, LLC Award Letter Compensation and Classification Study RFP No. TF1223-09 January 27, 2023 Page 7 NOTE: THE FOLLOWING TWO PAGES PROVIDE DIRECTION ON SUBMITTING THE REQUIRED HB1295 FORM. THE CITY MUST RECEIVE THIS FORM FOR THIS CONTRACT TO BE CONSIDERED VALID. REQUIREMENTS FOR FINAL EXECUTION OF CONTRACT: Some of the REQUIRED documents for this contract have been submitted, but the following item(s) still has/have not been received. You may NOT commence work on this contact until these item(s) are received and acknowledged by the City of Beaumont: 1) Form 1295 (See additional information below.) House Bill 1295 Compliance In 2015, the Texas Legislature adopted House Bill 1295, which added Section 2252.908 to the Texas Government Code. The law states that a government entity may not enter into certain contracts with a vendor unless the vendor submits a disclosure of interested parties to the government entity. The law applies to contracts that either (1) require action or vote by the governing body of the entity before the contract may be executed, or (2) has a value of at least $1 million. To obtain the form, go to the Ethics Committee website, www.ethics.state.tx.us. From the menu on the left side of the website home page, choose "File Reports Electronically". From the resulting menu, choose "Form 1295 Certificate of Interested Parties Filing". Follow instructions to log in and create the certificate. As instructed, print the resulting certificate, have it notarized, and submit to the City. Certificate must be mailed to: Purchasing Division City of Beaumont P.O. Box 3827 Beaumont, TX 77804-3827 Certificate may also be delivered in person to: Purchasing Division/City Hall City of Beaumont 801 Main Street, Suite 315 Beaumont, TX 77701 Evergreen Solutions, LLC Award Letter Compensation and Classification Study RFP No. TF1223-09 January 27, 2023 Page 8 NOTE: THE IMAGE OF THE PAGE BELOW IS WHAT YOU SUBMITTED WITH YOUR BID PROPOSAL. FOLLOW THE INSTRUCTIONS IN PARAGRAPH 2 AND 3 TO COMPLETE THE AWARD PROCESS. THE CITY MUST RECEIVE THIS FORM FOR THIS CONTRACT TO BE CONSIDERED VALID. ......................................................... d 11,nnn............................... . ........ ...... . ....... R eq U wst "fe r Pmmiplq, s a, P,5 (IRF P) t, OF" a Compens,,atjGin, and Classifica $,tU f OF-theClit' 4113eaiumontjexa�i Y, 0 Ft F P No,, TF 122 3,*1, . .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .......... .. .. ...... ..... .. .. .. .. .. .......... .. ................ . . . ......... . ... . ................... . . . ....................................................................................................................................... . . ........ . .............................................................. ... .. .. .. . .............................................. H8 1295, -- I$ec,'tion 2252II1,,�01,98 o4 the Giov,ernirnen�,,t Code states Ila coritract, th,/ait requiiresi, an ac,,til 9 by the gaivemii�g body oftbe le.,n,''Ry or agency,,,of thea vakile of thle r vo,e co n t ra Ict iu e a 5,Ft o. n e�, m III,, a d a, N I I a, � r a ($,, 1 m GO 0 u 0 m u st p ro v i d le a D isc 10 S Ll il oill; I ntereI ted Partilles Form on thie�, "T'lexas Ethics Co,,,m inission it .III f"We (5i),working, days, aft Jr, thre award, of �co�ntract by,Belaumont Cilly Coil1t,,, tfie.,l awoardled vendor tilijusl. complelit(,a the irif ormatilion�, requested on the Te, x,,,js Et'hics C,olln III,') is S'b III 'Web,"Is, ite'. amd, proVide, tfite ce�rlilificate number 11,10 the Purchas ng i Dep,lit �rtrnem-lIIITemas, E1,111ii Coiliniri ission webs,,�Jle is, onww. eth icr A,,t t1he ho,me, pagIll ol ic* on F'offn 1� 295 Fil ing/, ApIll licaICI , and fol'loiw 01111,iuFa, i ristructims.. Upon cwripIetioln ofI he ogii, 1:fiee wrebsillt,e,, pr*vIda, the co,III rnpf],eteld fdrim and, fffc e c rt tat:e numbertfol the, fol,111,o'Minig PUrchas"in,q e.m.4"ll addreasew, It le r ry. we, I c lr,rLq,)�/, b o.,, a I,] rnf,�� 1") It gx,a s,, g. r,.) V I U, indors''tand, thro roqu iromernt ass stateL4 above anird will co rn- ply with,[,n five (5) working d," a 11 fter the, aw,ard a fclontract, 4y 8011"a"Ilmorill", City columcit" (1 w.111 Jill pa,y Nam01" j26� . I eCmn1W1.—LILM1111/1 J III ............................ .............................. ............. ........................ Pruited Name Form No. COB1 �...... CERTIFICATE OF INSURANCE Edition Date: 12/12/2018 �r Page 1 of 4 This form is for informational purposes only and certifies that policies of insurance listed below have been issued to insured named below and are in force at this time. Notwithstanding any requirements, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, insurance afforded by policies described herein is subject to all terms, exclusions and conditions of such policies. Prior to the beginning of work, the vendor shall obtain the minimum insurance and endorsements specified. Agents must complete the form providing all requested information and submit by fax, U.S. mail or e-mail as requested by the City of Beaumont ("COB"). The endorsements listed below are required as attachments to this certificate; copies of the endorsements are also acceptable. PLEASE ATTACH ALL ENDORSEMENTS TO THIS FORM AND INCLUDE THE MATCHING POLICY NUMBER ON THE ENDORSEMENT. Only City of Beaumont certificates of insurance are acceptable; commercial carriers' certificates are not. This certificate shall be completed by a licensed insurance agent: Name and Address of Agency: Phone: / Name and Address of Insured: Phone: / Prime or Sub -Contractor: Name of Prime Contractor, if different from Insured: City of Beaumont Reference: Project Name: Project Location: Managing Dept.: Project Mgr.: Insurers Affording Coverages: Insurer A Insurer B Insurer C Insurer D V0%r Form No. COB1 P.. CERTIFICATE OF INSURANCE Edition Date:12/12/2018 Page 2 of 4 INSR TYPE OF INSURANCE POLICY POLICY EFF. POLICY EXP. LIMITS OF LIABILITY LTR NO. DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) Commercial General Each Occurrence $ Liability Policy As defined in the Policy, General Aggregate $ does the Policy provide: Completed ❑ Yes ❑ No — Completed Operations/Products Operations/ $ Products Aggregate ❑ Yes ❑ No — Contractual Liability Personal & $ Advertising Injury ❑ Yes ❑ No — Explosion Deductible or Self $ Insured Retention ❑ Yes ❑ No — Collapse ❑ Yes ❑ No — Underground ❑ Yes ❑ No — Contractors / Subcontractors Work ❑ Yes ❑ No — Aggregate Limits per Project Form - CG 2503 0509 or Equivalent ❑ Yes ❑ Yes ❑ No — Additional Insured Form (not construction) - CG 2010 1001 or Equivalent ❑ Yes ❑ Yes ❑ No — Completed Operations Additional Insured Form (construction only) - CG 2037 1001 or Equivalent ❑ Yes ❑ Yes ❑ No — 30 Day Notice of Cancellation Form - CG 2804 1093 or Equivalent ❑ Yes ❑ Yes ❑ No — Waiver of Subrogation Form - CG 2404 0509 or Equivalent ❑ Yes INSR TYPE OF INSURANCE POLICY POLICY EFF. DATE POLICY EXP. LIMITS OF LIABILITY LTR NO. (M M/DD/YYYY) DATE (M M/DD/YYYY) Pollution / Occurrence $ Environmental Impairment Policy Aggregate $ INSR TYPE OF INSURANCE POLICY POLICY EFF. DATE POLICY EXP. LIMITS OF LIABILITY LTR NO. (M M/DD/YYYY) DATE (M M/DD/YYYY) Commercial Auto CSL $ Liability Policy As defined in the Policy, Bodily Injury $ does the Policy provide: (Per Incident) ❑ Yes ❑ No — Any Auto Bodily Injury $ (Per Person) Property $ ❑ Yes ❑ No — All Owned Autos Damage (Per Accident) O Form No. COB1 ..... CERTIFICATE OF INSURANCE Edition Date: 12/12/2018 :. Page 3 of 4 ❑ Yes ❑ No — Non -Owned Autos ❑ Yes ❑ No — Hired Autos ❑ Yes ❑ No — Waiver of Subrogation - CA0444 0410 or Equivalent ❑ Yes ❑ Yes ❑ No — 30 Day Notice of Cancellation - CA0244 or Equivalent ❑ Yes ❑ Yes ❑ No — Additional Insured - CA2048 or Equivalent ❑ Yes ❑ Yes ❑ No INSR TYPE OF INSURANCE POLICY POLICY EFF. POLICY EXP. LIMITS OF LIABILITY LTR NO. DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) Excess Liability Occurrence $ ❑ Umbrella Form Aggregate $ ❑ Excess Liability Follow Form Workers ❑ Statutory Compensation & Employers Liability As defined in the Each Accident $ Policy, does the Policy provide ❑ Yes ❑ No — Waiver of Subrogation - WC420304 Disease - $ Policy Limit ❑ Yes ❑ No — 30 Day Notice of Cancellation - WC420601 Disease - $ Each Employee Is a Builders Risk or $ Installation Insurance Policy provided? ❑ Yes ❑ No ❑ Yes ❑ No — Is the City shown as loss payee/mortgagee? Professional Liability Each Claim $ As defined in the Policy, does the Policy provide: ❑ Yes ❑ No — 30 Day Notice of Cancellation Deductible or $ Retroactive Date: Self Insured Retention O Form No. COB1 ,�, CERTIFICATE OF INSURANCE Edition Date: 12/12/2018 :. . Page 4 of 4 AGENT CERTIFICATION: THIS IS TO CERTIFY TO THE CITY OF BEAUMONT that the insurance policies above are in full force and effect. Name of Insurance Company: Name of Authorized Agent: Company Address: Agent's Address: City: State: Zip: City: State: Zip: Authorized Agent's Phone Number (including Area Code): Original signature of Authorized Agent: X Date: CERTIFICATE HOLDER: City of Beaumont P. O. Box 3827 Beaumont, Texas 77704-3827 DATE ISSUED: AUTHORIZED REPRESENTATIVE SIGNATURE Licensed Insurance Agent Printed Name: Consulti*ng Sem*ces Ator"reement By and Between City of Beaumont, Texas =11 Evergreen Solutions, LLC This Agreement (the "Agreement"), dated as of January 30, 2023, is made by and between Evergreen Solutions, LLC, a Florida corporation ("Evergreen"), and City of Beaumont (the "Client"). WHEREAS., Evergreen Solutions and the Client desire to enter into an agreement whereby Evergreen will provide certain management consulting services for the Client on the terms and conditions hereinafter set forth; and WHEREAS, Evergreen Solutions is willing to provide such management consulting services for the Client. NOW, THEREFORE, the parties hereto agree as follows: 1. Engagement. Evergreen Solutions hereby agrees to provide such management consulting services for the Client as may be reasonably requested by the Client in connection with the Request for Proposals (RFP #TF1223-09) and Proposal submitted by Evergreen Solutions on January 12, 2023. 2. Extent of Services. Evergreen Solutions agrees to perform such services to the best of its ability and in a diligent and conscientious manner and to devote appropriate time, energies and skill to those duties called for hereunder during the term of this Agreement and in connection with the performance of such. duties to act in a manner consistent with the primary objective of completing the engagement. Evergreen Solutions agrees to devote such time as is reasonably required to fulfill its duties hereunder. Throughout the duration of this agreement, Evergreen Solutions will serve as an independent contractor of the Client, as such; Evergreen Solutions will obey all laws relating to federal and state income taxes, Page 1 associated payroll and business taxes, licenses and fees, workers compensation insurance, and all other applicable state and federal laws and regulations. In the successful completion of this engagement, Evergreen. Solutions may utilize subcontractors, but Evergreen. Solutions shall remain completely responsible to the Client for performance under this Agreement. 3. Term. The engagement of the Consultant hereunder by Client shall commence as of the date hereof and shall continue through May 31, 2023, unless earlier terminated, pursuant to Section 5 hereof. 4. Compensation. (a) As compensation for the services contemplated herein and for performance rendered by Evergreen Solutions of its duties and obligations hereunder, the Client shall pay to Evergreen Solutions an aggregate fee equal to $52,500 (the "Consulting Fee"), earned and payable according to the following invoice/payment schedule: 0 25% - upon completion of Tasks I — 2 0 25% - upon completion of Tasks 3 — 4 ® 25% - upon completion of Tasks 5 — 6 0 15 % - upon completion of Tasks 7 — 10 0 10% - upon completion of Task I I (b) The Client's sole obligation shall be to pay Evergreen Solutions the amounts described in Section 4(a) of this Agreement, and the Consultant is not and shall not be deemed an employee of the Client for any purpose. 5. Termination. This Agreement shall be terminated as follows: (a) 30 days after written notice of termination is given by either party at any time after January 30, 2023, provided however, that if the Client shall terminate this Agreement pursuant to this Section 5(a) for any reason other than Consultant's material breach of this Agreement (having given prior notice of, and reasonable opportunity for Consultant to cure, any such breach), Client shall pay to consultant in one lump sum an amount equal to that portion of the aggregate Consulting Fee which has not been paid to Consultant as of the effective date of such termination. (b) On such date as is mutually agreed by the parties in writing. (c) Upon expiration of the Term as set forth in Section 3. If Client elects to terminate for material breach then Client shall pay to consultant in one lump sum an amount equal only to that for which services have been rendered. Upon termination of this Agreement pursuant to this Section 5, except as contemplated by Section 5(a) in the event Client terminates this Agreement in the absence of continuing material breach hereof by Consultant, Consultant shall be entitled to payment of only that portion of the Consulting Fee earned through the effective date of such termination and any portion of the Lump Sum Payment which has not been paid to Consultant as of the effective date of such termination. G. Confidential Information. Evergreen Solutions shall not, at any time during or following expiration or termination of its engagement hereunder (regardless of the manner, reason, time or cause thereof) directly or indirectly disclose or furnish to any person not entitled to receive the same for the immediate benefit of the Client any trade secrets or confidential information as determined by the Client in writing. 7. Covenants. Evergreen Solutions agrees to (a) faithfully and diligently do and perform the acts and duties required in connection with its engagement hereunder, and (b) not engage in any activity which is or likely is contrary to the welfare, interest or benefit of the business now or hereafter conducted by the Client. 8. Binding Effect. This Agreement will inure to the benefit of and shall be binding upon the parties hereto and their respective successors or assigns (whether resulting from any re organization, consolidation or merger of either of the parties or any assignment to a business to which all or substantially all of the assets of either party are sold). 9. Entire .A►.greement. This Agreement, including the aforementioned RFP and proposal, contains the entire agreement and understanding of the parties with respect to the subject matter hereof, supersedes all prior agreements and understandings with respect thereto and cannot be modified, amended, waived or terminated., in whole or in part, except in writing signed by the party to be charged. 10. Notices. All notices required to be given under the terms of this Agreement or which any of the parties desires to give hereunder shall be in writing and personally delivered or sent by registered or certified mail, return receipt requested, or sent by facsimile transmission, addressed as follows: (a.) If to Evergreen Solutions addressed to: Evergreen Solutions, LLC Attention: Dr. Jeff Ling, President 2878 Remington Green Circle Tallahassee, Florida 32308 (b.) If to the Client addressed to: City of Beaumont Attention: Mr. Terry Welch, Purchasing Manager 801 Main Street, Suite 315 Beaumont, Texas 77701 Any party may designate a change of address at any time by giving written notice thereof to the other parties. 11. Miscellaneous. This Agreement: (a) shall be binding upon and inure to the benefit of the parties hereto and their respective successors and permitted assigns; (b) may not (except as provided in Section 9 hereof) be assigned by either party hereto without the prior written consent of the other party (any purported assignment hereof in violation of this provision being null and void); Page 3 (c) tma.y be CXeCllted in, any nuniber of eou,ti,terparls, and, by atly party ott sepaxtate COLufterpaits, cach of "'AtItich as so c:Xccuted atid, delivered shall be deemed. an oi igillial b"ut all ofwhich together shall col'Istitute i A k* 4 one a -rid ttic sa.tirw mstrtin"HAt arid l titsfi,all not be nece,�;,saryiri Inaking proof'ofthi , s, Agt.aiclnt to atty 7 party hereto to produce oraccount f6,r niotv thwi one sucli counterpcirt executed -and delivered 'by sueb party', (d) may be a-men,dett, modified or stipplernented wily by a. wriften 11TATUMClXccutcd, by all ofitte parties hercto- ati,cl, (c) en,�ibodies the etiter e agreetinent and understanding of the Partles heretoinrespect, ofthe transact]"011.9 contemplated liereby and suPersedes all prior agreernent"Is a.rid the pailies 'with (f) Vei'lue ft..)r ajiy dispute arising out ofthis, Agreeniellit sbzll be proper in, Bea,10,1110111", jel"l-brSon coutity, 4'excM. IN Wl', 'NESS WI-11"'.RF01"', tl,),e pwtiies hel-eto h,,ave executed this Agreement as,of the date first above wrl, F3.verareen Solutlons,, LJ11. I? $ ---------- - --------------- Jeff Lin1g, President At of Beeaumont - - - - - - --- - - - - - - - - - --- - - - - --- - ----- - - - - - - - - - --- - - - - Kenneth R. Williams, .y Mariager 2M RESOLUTION NO. 23-035 BE IT RESOLVED BY THE CITY COUNCIL OF THE THAT the City Manager be and he is hereby authorized to execute an agreement with Evergreen Solutions, LLC of Tallahassee, Florida, to conduct a compensation and classification study in the amount of $52,500.00. The meeting at which this resolution was approved was in all things conducted in strict compliance with the Texas Open Meetings Act, Texas Government Code, Chapter 551. PASSED BY THE CITY COUNCIL of the City of Beaumont this the 24th day of January, 2023, Ph. AMEN91L ,q444 a *00"" %UM" tp f4401 EVEF OL-01 M STOI E r � CERTIFICATE LIABILITYDATE INSURANCE ry lii�il:]I�lYY) 1130/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DUES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACT ACT BETWEEN THE ISSUING INSURER( , AUTHORIZED REPRESENTATIVE TATIVE I PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: TANT: If the certificate holder is are ADDITIONAL INSURED, the polioy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require are endorsement. A statement ent on this certificate does not confer Fights to the certificate holder In lieu of such endorsernent(s). PRODUCER a Hub International Florida 1117 Thomasville Load Tallahassee, FL 32303 NTA T [ AME: PHONE FAX I .re, No, E tl. ) 3 -11 1 (e, No), 0 ADDRESS: INSURER AFFORDING COVERAGE NAIG # INSURERA ..Cincinnafl Indemnity o n INSURED INSURER B:Hartford Casualt Insurance Company-,29424 4 Evergreen Solutions, LLC INSURER e . Twin City Fire Insurance Company INSURER D 2373 Remington Green Circle Tallahassee, FL 0 .�... ,�..,.......w..�...�.�...��. w.�.�.. iNDRI=# E ; INSURER F : COVERAGES CEF TIFIC TE 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 TH IS CERTIFICATE MAY BE ISSUED CAR 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. IN R T1fPl= OE INSURANCE ADDL UB t POLICY NUMBER POLIO* EFF POLICY EXPLIE LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F-X] OUR i EP 8660'1 81'1712020 8/1712023 EACH OCCURRENCE 13000,000 DAMAGE T RE TED� PREMISES Ea occurrence 1,000 f00 MED E P LAny one ecsor 0,000 PERSONAL & ADV INJURY 110003000 EN`L, AGGREGATE LIMIT APPLIES PER: POLICY[:] Ypcof L O OTHER: GENERAL AGGREGATE 21000,000 PRODUCT - COMPIOP AGG.... 1000$000 A AUTOMOBILE LIA131LITY A ID' AUTO OWNED SCHEDULED - AUTOS ONLY AUTOS IN ONLY TCL X X EBA0586601 811712022 811712023 COMBINED SINGLE LIMIT 130003000 BODILY INJURY Perperson) BODI LY [NJU RY (Per a ccidenJ PEde�A AGE e accident) A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE ENP0566601 811712020 81171202 EACH OCCURRENCE 23000P AGGREGATE 21000,000 DED RETENTION B WORKERS E# OMPEN ATION AN EMPLOYERS'LIABILITY ANY P OPRIETOWPA T# ERIEXE UTIVE Y { N FFIOFRI MBE EXCLUDED? I {Mandatory n NV ) If fires, describe under DESCRIPTION OF OPP-RATIONS below � A � 21WECABBIMO '1012 12022 '1012 /2023 X PER STATUTE - E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - A EMPLOYEE 11000,000 E.L. DISEASE -POLICY LIMIT 11000,0 C Professional L1ab Professional Liab 21 P 02 364622 21 PG025884622 811712022 8/1712023 8117/2022 811712023 per claim aggregate 2,000,000 23000,000 DES RIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Beaumont and its officers, employees, and elected representatives are listed as additional Insureds for general and auto liability with a waiver of subrogation and coverage being primary & non contributory policy cancellation clause Is 30 days except 10 days for nonpayment of premium CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE City of Beaumont THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED 1N ACC RDAN E WITH THE POLICY PROVISIONS. PO Box 327 Beaumont, TX 7770 -3327 AUIHO# I ED REPRESENTATIVE ACORD 2 201/03) @ 19-201 C D CORPORATION. All rights reserved. The AID name and logo are registered marks of ACID 1 1/2 ,'1 :11Aft Mail - Brenda Dean - Outlook **EXTERNAL** E: City of Beaumont CONTRACT AWARD - Compensation Classification Studer - TF13w0 Jackie Barnes <Jackie@consu1tevergreen.com Mon 1 /3 / 0 3 1: 4 PM To; Brenda Dean <Brenda,Dean@l3eaumontTexas.gov Cc: Kelly Tucker < Kelly@con uItevergreen, om 1 attachments 21 KB Certifi atepdit Good afternoon, Brenda Our C I is attached, please let rye know r if anything else Is needed. Thanks From: Kelly Tucker er Telly@consult vergreen.conn Seat; Monday, January 30, 2023 8:17 AM To. Brenda Dean Brenda.D'an@Beau ontTexas.go c: Jackie Barnes <Ja ckie@consuItevergreen. om>; Jeff Ling <Jeff@ cons Itevergreen.com>; Chris Catalina hriskatalina @Beau r ontTexas.gov , Terry welch Terry.Welch@ Beau r ontTe as.g v , Christine Whittington Chrlstine.Whittington@ beau montte as,gov Subject: City of Bea u mont CONTRACT AWA D -- Compensation & Classification Study - TF1223-0 Importance: e: High Good morning Brenda, Attached is the Form 1295. Jackie Barnes will be sending your a certificate of insurance if she hasn't already. Let rune know if you will be sending an agreement to us or if you grant one of ours to be sera. Thanks. We are looking forward to working with the City. Kelly Tucker P of Marketing From: Brenda Dean Brenda,Dean@-BeaumontTe as.g v Seat: Friday, January 27, 2023 4:36 PM To: Jeff Ling J, consultevergreen,com>; Kelly Tucker <Kelty consultevergreen.corm c: Chris Catalina <Chris.CataIina60 Beau montTe as.g v f Terry Welch T rry. Teich P Beau montTexas.g v ; Christine Whittington ristin. llhl gton aumonttexas.ggy> go Subject: F: City of Beaumont CONTRACT AWARD - Compensation & Classification Study - TF12 3-0 Importance: High Please PRINT ATTACHMENT(AWARD LETTE Co{ T ACT and keep on file for contract & invoicing references. h ttps://ou flook.office, com/mail/InboxIld/AAM kA DY4 NjZiZDM L "QMWQtI1 GYzNylhNj LWMy0T x T T 1 MQBGAAAAAAD1 °o ynn B96 R pDm..F 1/ Mail - Brenda Doan - Outlook 4 Please forward this email to those who will be needing to verify charges to the City, t assure we are being billed correctly before payments are made. Please he reminded that we encourage you to keep a full set of the i I FP specifications with your award letter, as the specs serve as your contract as well. The specs have specific information for numerous items which must be honored, as well as City contact information; Thank you, (9) -1747 Fig. Cihj of Beaumont Klixhimihig DIVI&I011 Please makea,note of m - new mail address and changgyour records rdin l ., . Brenda. Dean 0 ' umo xas,goy The information con faine d in this transm ission may contain privilege d and confr"dontiai informalierr. 11 is intend d only for the use of the person(s) nafned above. If you are not the into nded re cipie nt, you are hereby notified that any revie w, dis erninalion, disfrib Lion or duplleallon of this CommUni' alien Is strictly rohibited. If you are not the iMendad recipient, please contact the sender by reply email and destroy all copies of the original message. This is an eternal e-mail and not from the City of Beaumont. Please validate this e-mail before responding to or opening/Clicking on any request from this external source. If you suspect this i*s a malicious a - mall - 'i.e. Phi h*In/Spoofing - please chick the Phi h Alert button i n your email to report it, ht(ps:ltoutlo k.office.corn/mail/inbox ld/AA k D 4NjZi DMOLTQ cM1 f Yf lhNjAzL1I My TU T T l M B AAAAAAD1 °o2FynnB pDm.,. 1 1131 / 3, 10,11 AM Mall - Brenda Dean - Outlook e: **EXTERNAL** : City of Beaumont CONTRACT AWARD - Compensation & Classification Study - T 12 3-09 Brenda Dear <Brenda.Dean@BeaumontTexas.gov Tu 1310 10:09 Alva To; Jackie Barnes ,d ie c@consu1tev r reen,com Leanne Denton <Leanne. ento n@beau onttexas, ov Received. Thank you. I will pass it along to Leanne Denton who is over the insurance program. If she has any questions, she Will be in touch with you. C't-11 d hy oJ'Beatanota Brenda DeAll 9) 880,1747 Fax 11. . Bay. P Please male a rote of Lny new email address and c ang rour record ccordingly: Brenda.Dean@BeaumontTexas.gov The information contained in this transmission may contain privileged and confidential information. It Is Intended only for the use of the person(s) nerved above. if you are not the intended recipient, you are hereby notified that any reviaw, disseminaflon, distribution or duplication of this communication is strictly prohlbited. If you are not the infended recipient, pleas contact the sender y reply email and destroy all copies of the original Message. From: Jackie Barnes <Jackie@consultevergreen.com Sent. Ronda, January 30, 2023 :3 PM To: Brenda Dean Brend .Dean@Be umontTex s. ov Edell} Tucker 11Y@ ons 1 ev r re , om Subject: "EXTERNAL" BE: City of Beaumont CONTRACT AWARD - Compensation &c Classification Study - TF1 3- 09 Good afternoon, Brenda Our C01 is attached, please let me know if anything else is needed. Thanks From: Kelly Tucker er Kelly@ onsultev rgreen. or Sent: Monday, January 30, 2023 8:17 AM To: Brenda Dean Brenda.Dearn@BeaumontTexas. ov : Ja ckie Barns <Jai ie@ o ultever reen. om>; Jeff U ng <Jeff @ co ns u Iteve r ree . o m >- Chris Catalina kris.Catalina@Bea urno tTexas.gov ; Term Welch <Terry.Welch@Be u m ontTe as. ov , Christine Whitt ngton risti ne.Wh itti ngto n @ beaumonttexas.goo Subject* City of Beaumont CONTRACT AWARD - Compensation &c Classification Study - TF . B--B9 Importance; High https://oullook-office.com/t-n a 1 I/sntito f1d1AAMkADY4 1j i C MOLTQxMWQtN GYzNyl h NjAzLWMyOTUxNTA4ZTc I MQBGAAAAAAD18%2F rnnB 96R p... 1/ 1131 /2 , 1 :11 AI D Good morning Brenda, Nail - Brenda Dears - outlook Attached is the Form 1295. Jackie Barnes will be sending you a certificate of insurance if she hasn't already. Let me know if you will be sending are agreement to us or if your want one of ours to be sent, Thanks. 1e are looking forward to working with the City. Kelly Tucker VP of Marketing eting From: Brenda Dean ren a.Dean P ea mo tTex s.g p Sent Friday, January 27, PM To: Jeff Ung <J eff @ cons u lte ergree mcorn >; Kelly Tucker Kel I onsuItever Teen. com> Chris Catalina <Chr s ta I i na @)Beau nno tTo ca ,gg ; Terror Welch <Terry.Welch .g v>; Christine Whittington Christine.Whitingt n b a n nttexars.g Subject: E# City of Beaumont CONTRACT AWARD - Compensation & Classification Study - TF1- Importance: High Please PRINT ATTACHMENT (AWARD LETTE .ICO TI ACT) and keep on file for contract & invoicing references,. Please forward this email to those who will be needing to verify charges to the City, t assure we are being billed correctly before payments are made. Please be reminded that we encourage you to keep a full set of the bid/RFP specifications with your award letter, as the specs serve as your contract as well. The specs have specific information for numerous erouitems which must be honored, as well as City contact information. Clay Of Beaumont urch-Iming Dhols-1011 (40 80.374 Fax 11. a Box ) 2 Please make a note of my, new email address and changt our records ordingly: ren .I ean�beaum nfr .goer The information contained in this transmission may contain privileged and confidential information. it is intended only for the use of the person(s) named above. ffyou are not the intended reeipr'ent, you are hereby notified that any review, dissominaflon, distribution or duplication of this communication is strictly prohibited. ffye u are roof the inton dod recipient, please contact the sender by reply email and dostroy all copies of the origin at m essag e. This is an external e-mail and not from the City of Beaumont, Please validate this e-mail before responding to or Opening/Clicking on any request from this external source. If you suspect this i Malicious a -mail - i.e. Phis inn/Spoofing - please click the PhisPhish Alert button in your el it t report it. htt :lloutlool . fl`i . m/r ail/ e tit m /idI MkADY4NI i Df1 OLT MW tNGYzN lhNj LWMyO "UxNT T l M D1 �o2Fynn p,,. I2 [I" - __ l- - 0 - u CERTIFICATE of INSURANCE Form No. G BI Edition bate: 1 /1 /201 Page I of This form is for informational purposes only and certifies that policies of insurance listed below have been issued to insured named below and are in force at this time. Notwithstanding any requirements, term or condition of any contract or ether document with respect to which this certificate may be issued or may pertain, insurance afforded by policies described herein is subject to all terms, exclusions and conditions of such policies. Prior to the beginning of work, the vendor shall obtain the minimum insurance and endorsements specified. Agents must complete the form providing all requested information action and submit by fax, U.S. mail or e-mail as requested by the city of Beaumont ("COB"), The endorsements listed below are required as attachments to this certificate; copies of the endorsements are also acceptable, PLEASE ATTACH ALL ENDORSEMENTS To THIS FORM AND INCLUDE THE MATCHING POLICY NUMBER IEER N THE ENDORSEMENT. Only City of Beaumont certificates of insurance are acceptable} commercial carriers' certificates are not. This certificate shall be completed by a licensed insurance an: Name a and Address of Agency: HUB I n terational 1117 Thomasville ville Rd Tallahassee FL 3230 City of BeaumontReference: Project Name; Phone* i1111 Pro aect Location: Name and Address of Insured: Managing Crept.:. Evergreen s lotions LLc 2878 Remington Green Circle Tallahasse FL 32308 Project Mgr.: Phone: 850 . / - 1 1 Insurers Affording coves Prime or Sub -Contractor?: n a Name of Prime Contractor, if different from Insured: Cincinnati Indemnity Company Insurer Hartford Casualty Insurance C6mpany Insurer E Twin City Fire Insurance Company Insurer C Insurer D Form No. COB1 CERTIFICATE OF INSURANCE Edition Date: 1 /1 1 01 uIaj NL Page 2 of TYPE : : I NSU RANC E.:.:.: PO ,LI f ..:': ::. POLICY FI=�::%::.. ' :: '.: POLICY-EXP. ... ::..:... ' :.:::: LIMITS OF LIABILITY :.:.::.DATE O....:.::. :. '.:.:DATE ..(IY I .::. ...' .' DD ! .. A Commercial General NP 5 - 7-2 - 7-23 EachOccurrence LiabilityPolio6601 As defined in the Policy, does the Policy General Aggregate $2,000,000 provide: 0 Yes V No Completed Operations/Products Completed Operations/ $2,0001000 Products Aggregate El Yes No Contractual Liability PIr ena�Advrtling 006 'nju� 0 Yes M No Explosion Deductible or Self Insured Retention Yes 2 No Collapse 0 Yes M No Underground 0 Yes Ra No Contractors / Subcontractors Work 0 Yes M No — Aggregate Limits per Project Form - GG 2503 0509 or Equivalent E3 Yes Yes El N — Additional Insured Form (not construction) - CG 20101001 or Equivalent W Yes 0 Yes P No — Completed Operations Additional Insured Form (construction only) - CG2037 1001 or0 Yes ..Equivalent Yes 11 No ^ 30 Day Notice of Cancellation Form - CG 2804 1093 or Equivalent El Yes El Yes D No — Wier of Subrogation Form - CG 2404 0509 or Equivalent (0 Yes INSR . . TYPE OF INSURANCE POLICY '. POLICY EFF. DATE POLICY E IS. LIMITS OF LIABILITY :LTR . , : N.O. {f /DDIYYYY) . DATE (IU M/DDNYYY Pollution Occurrence $ v i r ant l Environmental �r��r �y +� Impairment R Aggregate -INSR ' TYP E.0 F INSURANCE POL}IICY .. ' POLICY EFF. DATE : POLICY E �P. DATE ( 1DDlYYYY LIMIT'S F �}. D+ LIABILITY Commercial Alto EBA058 08-17-201 -23 CSL $ 10 Liability Policy 6601 As defined in the Poly, doesthe Policy Bodily In Injury � rov�de, Per Incident) 0 Yes W N — Any Auto Bodily Injury $ Per Person Property El Yes ® No — All Owned Autos Damage Per Accident Form No. COBI C CERTIFICATE of INSURANCE Edition Date: 12/12/2018 MUMMMMEMM Page 3 of 4 ❑ Yes ❑ N — Non -Owned Autos ❑ Yes ❑ No — Hired Autos A ❑ Yes ❑ No — Waiver of Subrogation - CA044 4 0410 er Eq u 1va lent 12 Yes IR Yes ❑ No 30 Day Notice of Cancellation - CA0244 or Equivalent ❑ Yes ❑ Yes ❑ No Additional Insured - CA2048 or Equivalent [0 Yes ❑ Yes Ga No — iS 90 INSR TYPE OF. INSURANCE POLICY. POLICY EFF. POLICY EXP. LIMITS of LTF -. :. ]ATE DATE LIABILITY (I I IIDDNYYY) (MMIDDI YYY)::. . Excess Liability ❑ Umbrella Form ❑ Excessi...lbllkt Follow Fora ENP 6601 -17-2 - 7-23 Occurrence � 0 ' ' t Aggregae �, � Workers 211 ECA _2 -22 1 -24-23 52 Statutory Compensation & B81MO Employers Liability As defined in the Each Accident $1,000,000 Policy, does the policy provide tO Yes ❑ No Waiver of Subrogation - WC420304 Disease - $110001000 Polio i Li, t Yes ❑ No — 30 Day Notice of Cancellation - WC420601 Disease - Each Employee $ 1 )0001000 Is a Builders Risk or Installation Insurance Policy provided? ❑ Yes ❑ No ❑ Yes ❑ No — Is the City shown as loss payee/mortgagee? C Professional Liability 21 PG02 - 7-22 - 7-23 Each Clain $2,000,000 s defined in the 5884622 Policy, does the Policy revile: ❑ Yes ❑ No — 30 Day Notice of Cancellation Deductible or $10,000 Retroactive Date. -17- 005 Self insured Retention Form No. GOBI C V~ qw- 15 CERTIFICATE OF INSURANCE Edition Date. 12/12/2018 T Page 4 of4 OL AGENT CERTIFICATION: THIS IS TO CERTIFY TO THE CITE' OF B AUM NT that the insurance policies above are in full force and effect. Name of Insurance Company: Nerve of Authorized Agent: HUB International l la uela B. Stokes Com pa ny Address. Agent's Address. 1117 Thomasville Road 1117 Thomasville Road City: Tallahassee State: Zip. City. Tallahassee state. Zip. FL 32303 FL 32303 Authorized Agent's Phone Number (including Area Code): Original signature of Authorized Agent: 850-386-1111 X 714UUM,& C�Ad�- Date:2-1-23 CERTIFICATE HOLDER: City of Beaumont P. 0. Box 3827 Beaumont, ont, Texas 777 -8827 DATE ISSUED.2-1-23 AUTHORIZED REPRESENTATIVE SIGNATURE Licensed Insurance Agent Printed Name: ManuelManuela Stokes W2 23t 1 :4 AM Mail - Leanne Denton - Outlook E. **EXTERNAL** E, INSURANCE FORM Jackie Barnes c ie@core 1t v r r n.cor Thar 0 10:44 AM To: Leanne Denton Le nne.Denton@bea onttox s. ov ; Kelly Tucker <Kelly@consultevergreen.com Cc: Terry welch < Terry. etch@ BeaumontT a . Good morning. Leanne,, It's attached. Also, we will not be working wilth any local subs. Please let nee know if anything else is needed. Thanks From: Leanne Denton Leanne.Denton@beau monttexa .gov Sent: Wednesday, February 1,. 2023 5:10 PM To: Jackie Barnes act io@ on ltevergreen.cor ; Kelly Tucker <Ke11y@consu1tevergreen.com Cc: Terry Welch Terr .Welch@ ea mo tTe . o Subject: e; "EXTERNAL" AL E: INSURANCE FORM Good afternoon, Thank you for sending that over. Please see attached as we are requiring a few edits (highlighted) to be made to show that the 0-day notice of cancellation is included per the contract. Also, as you are based in Florida, will you be wording with local sub contractors? Thank you, Lean4,i& Dwtoiv Purchasing Assistant City of Beaumont 801 plain Street, Suite 315 40 - 0- 7 0 The information contained In this transmission may contain privileged and confidential information. It Is Intended onlyfdr the use of the person(s) named above, t y u are trot tine inter) d d r ciplent, your are hereby notified thot any review, di seminaHon, dis(rib u tion or dup icod n of thIs c6mmunl allon Is strictly pr hibited. If you are riot the 16teWed recipient, please contact the ,sender by reply ern 6il and destroy all copies of the original message, htt ;1/ utl .offi .curt /malI/Inbo tid/AAl 1 1 Y2 xNWF CLWZI UtNGE iI!MTJILWU4MD YWY2YTlJ I Bl #L i u % B... 1/3 1 1 3r, 1,.4 AM Mail - Leanne Denton - utloo From: Jackle Barnes <Jackie@ consultever reen o Sent: Wednesday, February 1, 2023 3:10 PM To: Leanne Denton <Leanne.Denton.heafumonttexas.g v ; Kelly Tucker er <K 11y@ ons Itevergreenxor Kelly Tucker K IIfflco sultevergreen.corn Subject: "EXTERNAL" : INSURANCE FORM Good afternoon Leanne, The COB1 and C01 is attached Please let nee know if anything else 1s needed. Thanks ....... ... ...... ..... ........... .... ... ....................... ... ....... ....... ..... ............. ....... .... _....... From: Leanne Denton <Leannei entor� a�hea rr�onttexas.g v Seat; Tuesday,, January 1, 2023 12:23 PM To: Jackie Barnes <Jac� le.@consult verge en. orn ; Kelly Tucker <Kell r@consultevergreen. o Subject: E; INSURANCE F11 Importance: High Good morning,, Thank you for sending the A ord showing insurance but it is required in our co. tract to have the CO S. (attached) to be completed by your insurance agent, It needs to reflect what is on the Acrd and we need to be listed as additionally insured, have waiver of subrogation and -day notice of cancellation. If you have any questions or concerns, please do not hesitate to contact nee. Thank you, [� e,nto-v Purchasing Assistant City of Beaumont 801 Hain Street, Suite 315 409-880-3720 The tnformatron contained in this transmIsslon may contain privileged and confidential Information. It 1s intended only for the use of the person(s) armed above. If your are riot the intended recipient, you are hereby no tified that any review, di5ser motion, distribution or duplicatio n of this co m munkation Is ,strictly proh1bited. If your are not the Intended recipient, please contact the .sender by reply email and destroy aII copies of the original roan r essoge. https://outlook.office365.com/ma 11/in b/i d/AAQkAG MzY2Mx 1 FkLWI M2 UN GEOZ 111 MTJILWU4 MDAzYWY2YTU4ZQAQAMB RK4 RxtLFr ukc% ... / CERTIFICATE OF INTERESTED PARTIES FORM1295 IOU Complete plus. I - 4 and 6 If there are interested perdes. OFFICE USE ONLY Complete loos. Is 21 3, 5, and 6 If there acre no Interested parties. CERTIFICATION OF FILING I Name of business entity filing form, and the city, state and country of the business entity's place Certificate umber: of business. 0 3-9 716 Evergreen Solutions, LLC Tallahassee, FL United States Cate Filed: Name of govemmonta entity or state agency that Is a party to the contract for which the form Is /3 /2023 being filed, City of Beaumont Date Ae now[ dged; Provide the Identification number used by the governmental entity or state agency to tracts or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. Rig #T123-09 Compensation and Classification Study Nature of Interest Name of Interested Party it�State+ Country (place of business) (chock applicable) Controlling71ntermediag. Check only if them is NO Interested Party. UNSWORN DECLARATION Tti My name Is f WV and any date of birth Is Y address i -�a.�& tra (city) (state) (zip code) (country) I declare gander ty of perjury that the foregoing is true and correct. 0 Executedin2 Co n V. Stete t f , on the n , (month) ar Signature of authfized abfnt of Vracting business entity (Declarant) Farms provided by Texas E011CS Commission wwwfeth1 s.stateAxtus Version V3.5.1.3acHbW