HomeMy WebLinkAboutContract 49885-R2 CSC No.49885-R2
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
November 16, 2021
Roach Howard Smith & Barton
8750 N. Central Expressway, Suite 500
Dallas TX 75231
Re: Contract Renewal Notice
Contract No. CSC No. 49885 (the" Contract")
Renewal Term No.2: October 11,2021 through October 10, 2022
The above referenced Contract with the City of Fort Worth expired on October 10, 2021 the ("Expiration Date").
Pursuant to the Contract, contract renewals are at the sole option of the City. This letter is to inform you that the City
requests renewal of the Contract for an additional one(1)year period,which will begin immediately after the
Expiration Date.All other terms and conditions of the Contract 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 Contract Renewal Notice.
To ensure that your company information is correct and up-to-date, please log onto PeopleSoft Purchasing at
https://www.fogwoghtexas.gov/departments/finance/purchasing
If you have any questions concerning this Contract Renewal Notice, please contact me at the telephone number
listed below.
Sincerely,
Chris Lam
Workers' Compensation Manager
Christopher.lam(a�fortworthtexas.gov
(817)392-6398
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
ACCEPTED AND AGREED:
CITY OF FORT WORTH, TEXAS CONTRACT COMLIANCE 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.
By;Jesus J.Chapa ov 1 ,2021 09:41 CST) By; �- zzi
Jay Chapa Chris Lam
Assistant City Manager Workers' Compensation Manager
Date: Nov 17, 2021 Date: 11/16/21
APPROVAL RECOMMENDED: ATTEST:
By: By: Jl.�t-uvw�c� Aa OR
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Mark J. Bart,- Ron Gonzales 4y F '°o�p�d�
Assistant Human Resources Director City Secretary P Po° oO.
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APPROVED AS TO FORM AND LEGALITY: ����000000 oop
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By;JB Strong(Nov 1 02109:40 CST)
John Strong
Assistant City Attorney
Date: Nov 17, 2021
VENDOR:
Roach Howard Smith & Barton
By:
Name: Allison Nixon
Title: Assistant Vice President OFFICIAL RECORD
CITY SECRETARY
Date: 11/16/21 FT. WORTH, TX