HomeMy WebLinkAboutContract 46035-R1 CSC No. 46035 —
CITY OF FORT WORTH.
CONTRACT RENEWAL NOTICE
December 15,2017 6, 5 6 7 89
1
Unum Life Insurance Company of America
2211 Congress Street RFC
Portland, ME 04122
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Re: NOTICE OF CONTRACT RENEWAL
Group Long Term Disability Benefits—Policy 631800
Contract No.CSC No,46035(the"Contract") 8 8 L 9 5
Renewal Term No. l: January 1,2018 to December 31,2018
The above referenced Contract will expire on December 31,2017. 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.46035 for an additional one year period,which
will begin immediately upon the expiration of the current term and will end on December 31,2418.All other terms and conditions of
CSC No.46035 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:l%fortwortlitexas.gov/purchasing 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,
Margaret Wise,Assistant Director of Human Resources
817-392-8058-Direct
817-392-2624-Fax
I hereby acknowledge ece t of the Contract Renewal Notice for CSC No.46435 for a one year period ending on December 31,2418.
By: rt U1f�f. u' 9 l l'_� (t �f 1 tc Date:
Printed Name and Title ,
Signature
V-ORT.
CI TY FORT WORTH: ATTEST:
S an lanis,Assistant City Manager ary .Ka r ity Secretary;
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Date: 0 B M&C No. 26886
RECOMMENDED BY: e and T' e �-k-�)tgiam- ®c TO FORM AND LEGALITY:
OFFICIAL RECORD -A-Y Arco NEY
CITY SECRETARY
FT.WORTH,TX
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
W&4L / l W
Name of Employee/Signature
Title
This form is N/A as No City Funds are associated with this Contract
Joanne Hinton / !M—
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Printed Name Signature