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Home My WebLink AboutRes 18-06 WA Approving a bid with Box Insurance WESTLAKE ACADEMY RESOLUTION NO. 18-06 A RESOLUTION OF THE WESTLAKE ACADEMY BOARD OF TRUSTEES AWARDING THE BID FOR PROPERTY/CASUALTY INSURANCE PRODUCTS AND SERVICES TO BOX INSURANCE AGENCY FOR FY 2018-2019. WHEREAS, Westlake Academy desires to maintain a comprehensive risk management program for the protection of its property, students, employees, elected officials,and stakeholders; and, WHEREAS, the leaders of Westlake Academy desire to exercise exceptional levels of stewardship with all financial resources; and, WHEREAS, the Board of Trustees finds that the passage of this Resolution is in the best interest of the citizens of Westlake as well as the students, their parents, and faculty of Westlake Academy. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF TRUSTEES OF WESTLAKE ACADEMY: SECTION 1: that the Board of Trustees of Westlake Academy does hereby award the recommended bid for property/casualty insurance products and services to Box Insurance Agency for FY 18-19,attached hereto as Exhibit "A";and further authorize the Superintendent or designee to execute this agreement. SECTION 2: that, all matters stated in the Recitals hereinabove are found to be true and correct and are incorporated herein by reference as if copied in their entirety. SECTION 3: If any portion of this Resolution shall, for any reason, be declared invalid by any court of competent jurisdiction, such invalidity shall not affect the remaining provisions hereof and the Council hereby determines that it would have adopted this Resolution without the invalid provision. Resolution WA 18-06 Page 1 of 3 SECTION 4: That this resolution shall become effective from and after its date of passage. PASSED AND APPROVED ON THIS 15TH DAY OF AUGUST 2018. ATTEST: Laura Wheat, President Ahc- Kelp EdwArAs, Town Secretary Nomas E. Brymer, Su/erinte dent APPROVED AS TO FORM: Janet S. Bubert or L. Stanton Lowry, School Attorney Resolution WA 18-06 Page 2 of 3 Exhibit "A" Recommended Bid — Box Insurance Coverage Expiring Premium Renewal Premium Commercial Property-Travelers * $ 79,545 $ 83,071 (Total Value @45,240,040) (Total value @47,803,178) General Liability—Utica ** $ 13,737 $ 14,147 Business Auto -Utica $ 2,498 $ 3,966 Crime -Utica $2,670 $ 2,727 Umbrella($5,000,000)—Utica *** $ 6,856 $ 6,925 Workers Compensation -Travelers $23,679 $27,954 Student Accident Policy-QBE $ 4,480 $ 5,596 International Travel—Ace **** $ 2,000.00 $ 2,000.00 Total $135,465.00 $1469386.00 Resolution WA 18-06 Page 3 of 3 ♦ BOX INSURANCE AGENCY August 15, 2018 Westlake Academy In accordance with Chapter 2270,Texas Government Code, a governmental entity may not enter into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1)does not boycott Israel; and (2)will not boycott Israel during the term of the contract. The signatory executing this contract on behalf of company verifies that the company does not boycott Israel and will not boycott Israel during the term of this contract. Adam Sysw da Box Insurance Agency 1200 S. Main Street, Suite 1600 I Grapevine, TX 76051 I Phone: 817-865-1801 www.boxinsurance.com CERTIFICATE OF INTERESTED PARTIES nn Q {�� FORM 1295 1?1S 1 )-IJIv 1of1 Complete Nos. 1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2018-392470 Box Insurance Agency Grapevine, TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 08/15/2018 being filed. Westlake Academy Date Acknowledged: 08/02/2019 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the services,goods,or other property to be provided under the contract. RFP 18-001 Property and Casualty Insurance Nature of interest 4 Name of Interested Party City,State,Country(place of business) (check applicable) Controlling Intermediary Westlake Academy Westlake,TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is , and my date of birth is_ My address is , (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of ,on the day of ,20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2018-392470 Box Insurance Agency Grapevine,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 08/15/2018 being filed. Westlake Academy Date Acknowledged: 08/02/2019 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the services,goods,or other property to be provided under the contract. RFP 18-001 Property and Casualty Insurance 4 Nature of interest Name of Interested Party City,State,Country(place of business) (check applicable) Controlling I Intermediary Westlake Academy Westlake,TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is Adam Syswerda and my date of birth is My address is 1200 S. Main St. Suite 1600 Grapevine TX 76051 USA • (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Tarrant County, State of Texas ,on the 5 day of August 20 19 (month) (year) Signature of agent of contractingbusiness entity 9 (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711