HomeMy WebLinkAboutContract 50597-CA1 DocuSign Envelope ID:B28FC7AO-F226-4C6A-ABEC-89EODDOF3695
CONFIDENTIAL AND PROPRIETARY
PARTIAL ASSIGNMENT OF SOUTHWESTERN HEALTH RESOURCES
INTERESTS IN
MASTER SERVICES AGREEMENT AND CITY SECRETARY
CITY OF FORT WORTH'S CONSENT CONTRACT N0.
This Partial Assignment and Consent to Master Services Agreement (the "Assignment ")
is entered into to be effective as of January 1, 2018 (the "Assignment Effective Date"), by and
between City of Fort Worth, a municipal corporation organized and existing under the laws of the
State of Texas and having its principal place of business at 200 Texas Street, Fort Worth, TX
76102("Employer"),and UT Southwestern Accountable Care Network d/b/a Southwestern Health
Resources Accountable Care Network, a Texas nonprofit corporation, together with any affiliated
entities, having its principal place of business at 612 E. Lamar Blvd., Ste. 700, Arlington, TX
76011 (collectively, "SWHR ACN"), and Texas Health Resources, a Texas nonprofit corporation
("THR"). Employer, SWHR ACN and THR are each a"Party" and together the "Parties."
WHEREAS, the Parties entered into a Master Services Agreement, effective January 1,
2018 (the "Agreement"); and
WHEREAS, SWHR ACN desires to assign its rights and duties contained in Section 2.2,
SWHR ACN Rates for Outpatient Services and Invoicing, in the Agreement by assignment as
provided in Section 8.9, Successors and Assigns, to Texas Health Physicians Group ("THPG"),
a Texas non-profit corporation, that is the affiliate provider (as defined in Section 8.22 of the
Agreement) of all services contained in Section 2.2 of the Agreement.
NOW, THEREFORE,for and in consideration of the mutual promises and covenants set
forth herein, and other good and valuable consideration, the receipt and sufficiency of which are
hereby acknowledged, the Parties agree as follows:
Effective upon the Assignment Effective Date, the parties agree to amend the Agreement
as follows to allow for the Assignment:
1. As provided in Section 8.9, Successors and Assigns, of the
Agreement, SWHR ACN does hereby grant and assign its rights and obligations
contained in Section 2.2, SWHR ACN Rates for Outpatient Services and
,00 Invoicine, of the Agreement to the following affiliate of SWHR ACN: Texas
ago �aHealth Physicians Group (THPG), with THPG continuing to provide all services
Fontained in this section of the Agreement, including contracting for additional
outpatient services,and billing Employer directly for any and all outpatient services
performed by THPG.
2. Unless otherwise defined herein, capitalized terms used in this Assignment have
the same meaning as in the Agreement.
3. All other terms,provisions,conditions,coven I"greement not
expressly amended herein shall remain in full force and effect OFFICIAL RECORD
CITY SECRETARY
I EL WORTH.TX
First Assignment to Master Services Agreement __ Page 1 of 3
DocuSign Envelope ID: B28FC7AO-F226-4C6A-ABEC-89EODDOF3695
CONFIDENTIAL AND PROPRIETARY
IN WITNESS WHEREOF,the Parties have caused this Agreement to be executed by their authorized
representatives effective as of the date set forth above, intending to be legally bound hereby.
UT SOUTHWESTERN ACCOUNTABLE CARE NETWORK D/B/A SOUTHWESTERN HEALTH
RESOURCES ACCOUNTABLE CARE NETWORK(SWHR ACN):
DocuSigned by:
M aYtln aft, Mwa�S
By:
Name: Marinan Williams
Title: Senior Executive Officer, Market Relations
Date: 8/30/2018
TEXAS HEALTH RESOURCES(THR) TEXAS HEALTH RESOURCES(THR)
DocuSigned by: DocuSigned by:
ra."St, 6v" (hV'j
BY: 1, 79C04EO BY: ,FaanFona,�4n�a
NAME: Jeffrey Canose, MD NAME: Ronald R. Long
TITLE: Chief Operating Officer TITLE: EVP, Resource Development
Senior Executive Vice President and Deployment/CFO
DATE: 8/29/2018 DATE: 8'/29/2018
A D�S DS
First Assignment to Master Services Agreement Page 2 of 3
DocuSign Envelope ID: B28FC7AO-F226-4C6A-ABEC-89EODDOF3695
CONFIDENTIAL AND PROPRIETARY
ACCEPTED AND AGREED:
City of Fort Worth CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the
person responsible for the monitoring and
administration of this contract, including
By: ensuring all performance and reporting
4ame. usan Alanis requirements.
Title: Assistant City Manager
Date: � I ( 2j i ��$
By.
Name: ?6 v� ��njt�--
ATTEST: Title: "11e.. c � 4,1q/4,
APPROVED AS TO FORM AND
LEGALITY:
By: _
Na e: Kkd Kdys
Title: City Secretary
e: Jo B. ong
Title: Assistant City Attorney
tx 'CONTRACT AUTHORIZATION:
M&C: NA
Date Approved:
Form 1295 Certification No.: N A
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
First Assignment to Master Services Agreement Page 3 of 3