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CONTRACT NO. '
AMENDMENT NO. 1
TO CITY SECRETARY CONTRACT NO. 30145
CONTRACT FOR PROFESSIONAL SERVICES
This Amendment to Contract f Professional Services (the "Amendment") is
made and entered into this"day of 44006, by and between the City of Fort
Worth ("City"), a home-rule municipal corporation situated in Tarrant, Denton and Wise
counties, Texas, acting by and through its duly authorized Assistant City Manager, and
McGriff, Seibels &Williams of Texas, Inc., a Texas corporation, (Broker).
WITNESSETH:
WHEREAS, City and Broker have entered into a certain Contract for Professional
Services, ("the Agreement") effective as of July 7, 2004 ("Effective Date"), same being
City of Fort Worth Secretary Contract ("CSC") No. 30145; and
NOW, THEREFORE, in consideration of the foregoing and mutual covenants and
agreements contained herein and for other good and valuable consideration, the receipt
and sufficiency of which are hereby acknowledged, City and McGriff hereby agree to
amend the Agreement as follows:
I. SCOPE OF SERVICES
Section 1 of CSC No. 30145 is hereby amended to add Section 1.9 to read as follows:
1.9 Broker shall provide consultation services for City in developing bid requests to
secure a Workers' Compensation Preferred Provider Network. Services from
Broker shall include assistance in developing Requests for Quotes in accordance
with the City's process through the Purchasing Department, reviewing bid quotes
and making a recommendation to the City. The objective is to secure a PPN
network that is in compliance with 1-1137 certification requirements and allows for
breakout services related to the administration of Workers' Compensation claims.
2. TERM AND RENEWAL
Section 2 of CSC No. 30145 is hereby amended to read as follows:
2.2 City and Broker both mutually agree to extend the original Contract period as
stipulated by the original Contract under the same terms and conditions for the
period of January 1, 2006 through December 31, 2006.
2.3 This contract provides a one (1)year rate guarantee at a 15% maximum cap.
3. PAYMENT FOR SERVICES
Section 4 of CSC No. 30145 is hereby amended to add Section 4.5 to read as follows:
4.5 The total of all payments and obligations made and incurred by City hereunder,
in consideration for consultation services rendered by Broker in
CONTRACT FOR PROFESSIONAL SERVICE
MCGRIEF, SEIBELS&WILLIAMS -
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requests to secure Workers' Compensation Preferred Provider Network shall not
exceed the amount of Fourteen Thousand Nine Hundred Ninety Nine Dollars and
Ninety Nine cents ($14,999.99) as a Consultation Fee in addition to the Broker
services fee and Excess Workers' Compensation policy premium.
All other terms and conditions of City of Fort Worth City Secretary Contract No.
30145 that are not amended herein cco tinue in full force and effect.
EXECUTED on this day of , a 2006.
ATTEST: CITY OF FORT WORTH
By: �,JA`IQ) � � By:
Marty ndrix Richard Zavala
City Secretary Acting Assistant City Manager
Approval Recommended: McGriff, Seibels & Williams of
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Y Y
Karen Marshall Johnni Fontenot
Human Resources Director Vice President
Approved as to Form and Legality
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Assistant Ci y Attorney
NO M&C REQUIRED
CONTRACT FOR PROFESSIONAL SERVICE
C 2RIEF, SEISELS&WILLIAMS ,,,` ��,
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