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Home My WebLink AboutContract 53279-A1 DocuSign Envelope ID F37DCFEC-4437-4A91-ADF5-C4D09402EC18 CSC No. 53279-A1 FIRST AMENDMENT TO FORT WORTH CITY SECRETARY CONTRACT NUMBER 53279 City of Fort Worth Vendor Services Agreement with Virgin Pulse, Inc. This FIRST AMENDMENT TO FORT WORTH CITY SECRETARY CONTRACT NO. 53279 ("First Amendment") is made and entered into by and between the City of Fort Worth, a home-rule municipal corporation of the State of Texas ("City"), acting by and through its duly authorized Assistant City Manager, and Virgin Pulse, Inc., a Delaware corporation("Vendor"), acting by and through its duly authorized General Counsel. WHEREAS, in December 2019, City and Vendor entered into a City of Fort Worth Vendor Services Agreement, the same being City Secretary Contract Number 53279 ("Contract"); and WHEREAS, Schedule C of the Contract includes Vendor's Order Form identifying various services to be provided or offered by Vendor to members of the City's health benefit plans and indicating the manner in which City will be charged for such services; and WHEREAS, City staff has determined that a relatively small number of members of the health benefit plans would benefit from telephonic assistance in completing their required annual health assessment;and WHEREAS, Vendor is willing and able to provide such services at a rate of$25.00 per completed assessment; and WHEREAS,City and Vendor wish to amend the Contract to replace the Order Form with an updated version that includes this additional service. NOW,THEREFORE, City and Vendor,do hereby covenant and agree as follows: 1. That Fort Worth City Secretary Contract No. 53279 is hereby amended to revise Schedule C by deleting "Order Form: Virgin Pulse Engage" in its entirety and replacing it with a revised Order Form, which is attached hereto and incorporated herein for all purposes as though it were set forth at length. 2. That all other terms and conditions of Fort Worth City Secretary Contract No. 53279 that are not amended herein shall remain in full force and effect throughout the term of the Contract and any subsequent renewals. OFFICIAL RECORD CITY SECRETARY First Amendment to City of Fort Worth Vendor Services Agreement with Virgin Pulse,Inc. FT. WORTH, TX DocuSign Envelope ID F37DCFFC-4437-4A91-ADF5-C4D09402EC18 IN WITNESS WHEREOF, the parties hereto have executed this First Amendment in Fort Worth, Tarrant County, Texas, this 9t1i day of August,2021. CITY OF FORT WORTH VIRGIN PULSE,INC. u5igned by: 7 � F�-` Jesus J.Chapa v 17, 021 17:06 CST) Jesus"Jay" Chapa NAME: Kim Stephan Deputy City Manager TITLE: General Counsel Approved as to Form and Legality: D°°°bigned by: 8B6F139B14614BA__ Assistant General Counsel By: JB Strong(Nov 1 , 02113:40 CST) John B. Strong Assistant City Attorney Original Contract: M&C 19-0236 Amendment: No M&C Required Attest: °�oRT00 �Oaa� p/ 0�o o d ()oo o � 0 By: ` 1 ^ IN � °o° 000°*� Ronald P. Gonzales,Actin City Secretary ��4 rEXp►SoAp g Y n' �nn�000. 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 Toanno Minton By: Joanne Hinton(Nov 17,202110:29 CST) Joanne Hinton, Benefits Manager OFFICIAL RECORD CITY SECRETARY First Amendment to City of Fort Worth Vendor Services Agreement with Virgin Pulse,Inc. FT. WORTH, TX DocuSign Envelope ID: F37DCFEC-4437-4A91-ADF5-C4D09402EC18 Schedule C - Vendor's Agreement Order Form: Virgin Pulse Engage Order Form Prepared for: City of Fort Worth Bill To Address: 200 Texas Street,Fort Worth,TX 76102 Expiration Date: 12/31/2024* Contact Name: Ana Ayala Terrazas Prepared By: Cheryl Phillips Contact Email: ana.ayalaterrazas(c)fortworthtexas.eov Contact Phone: 817-392-8556 This Order Form and all accompanying appendices shall be referred to as the Agreement." The Initial Term of this Agreement will commence on the Effective Date and will expire on the Initial Order End Date. *The Contract shall be executed for a five-year initial term with three(3)one-year options to renew at the City's sole discretion.The Effective Date of this Order Form is the last date it is signed by both parties below. Subscription Services Initial Initial Initial Services Order Order End Order Per Eligible Per Month Minimum Eligible Lives Start Date Term Price Date (mos) PEPM Yrs 1—3$1.95 Platform Fees:Engage— 1/1/2020 12/31/2024 60 Year 4-$2.05 6390 Employees Year 5—$2.15 Platform Fees:Engage— PEPM Employees Year 6-$2.26 1/1/2025 12/31/2027 36 6390 Year 7-$2.37 Option 3 year renewals Year 8—$2.49 PEPM Platform Fees:Engage— 1/1/2020 12/31/2024 60 Yrs 1—3$0.50 1530 Spouses Year 4-$0.53 Year 5—$0.55 Platform Fees:Engage— PEPM Spouses Year 6-$0.58 1/1/2025 12/31/2027 36 1530 Year 7-$0.61 Option 3 year renewals Year 8—$0.64 Live Coaching Fees: PEPM Lifestyle Management- 1/1/2020 12/31/2020 12 6390 Employee Year 1 $2.40 Live Coaching Fees: PEPM Lifestyle Management- 1/1/2020 12/31/2020 12 1530 Spouse Year 1-$0.25 Agreement Between City of Fort Worth and Virgin Pulse,Inc.—Schedule C Page 20 of 40 DocuSign Envelope ID: F37DCFEC-4437-4A91-ADF5-C4D09402EC18 Initial Initial Order Initial Order Per Eligible Per Month Services Start Order End Term Price Minimum Eligible Lives Date Date (mos) Live Coaching Fees: PEPM Yrs 2-3$2.40 Total Health Population- 1/1/2021 12/31/2024 48 6390 Employee Year 4-$2.52 Year 5-$2.65 Live Coaching Fees: PEPM Total Health Population— Year 6-$2.78 1/1/2025 12/31/2027 36 6390 Employee Year 7-$2.92 Option 3 year renewals Year 8-$3.06 Live Coaching Fees: PEPM Yrs 2-3$1.80 Total Health Population- 1/1/2021 12/31/2024 48 1530 Spouse Year 4-$1.89 Year 5-$1.98 Live Coaching Fees: PEPM Total Health Population— Year 6-$2.08 Spouse 1/1/2025 12/31/2027 36 1530 Year 7-$2.19 Option 3 year renewals Year 8-$2.30 PEPM Yrs 1-3$0.30 Financial Wellness-FinFit 1/1/2020 12/31/2024 60 Year 4-$0.32 7920 —Employees and Spouses Year 5—$0.33 PEPM Financial Wellness-FinFit Year 6 $0.35 —Employees and Spouses 1/1/2025 12/31/2027 36 7920 Year 7-$0.36 Option 3 year renewals Year 8—$0.38 Payment Terms and Conditions: 1. The Subscription Services Fees will be invoiced monthly in advance based on the greater of the(a)Minimum Number of Eligible Livesas of Effective Date or(b)the actual number of Eligible Lives on record in Provider's system at the time of invoice. 2. The initial Subscription Services Fees invoice under this Order Form shall be issued on the Initial Order Start Date.Thereafter,the invoices shall be issued monthly following the Initial Order Start Date for the period of the Term. 3. All Subscription Services 4. fees shall be due and payable within thirty(30)days of the date of the invoice. Agreement Between City of Fort Worth and Virgin Pulse,Inc.—Schedule C Page 3 of 40 DocuSign Envelope ID: F37DCFEC-4437-4A91-ADF5-C4D09402EC18 Services Billing Type Per Unit Price Minimum Quantity Implementation Per Unit $0 1 Verified Form Processing- per Form $11.95 0 PCP Data Analytics Incorporated Into Medical a Per Month $1,100 12 and Pharmacy Claims (Claims Integration) Custom Communications Credit Annual Credit ($30,000) 1 Custom Communications Hourly $150 0 Whil LaunchPad Per Unit $0 1 Telephonic Health Per Unit $25.00 per 0 Assessment Completion completion Assistance Payment Terms and Conditions: 1. Implementation fees have been waived for current active clients. 2. One inbound SSO and 5 outbound SSO's included at no additional cost. 3. The Communications Service Credit is annual and expires at the end of each program year.Unused credit cannot be carried over each year;it cannot be applied to non-communication related services(e.g.reporting).It cannot be applied to hard costs like printing of materials or postage for shipping. 4. All Additional Services fees are due and payable within thirty(30)days of the invoice. All other Additional Services fees, including Data Analytics(Claims Integration),Verified Form Processing(PCP),will be invoiced monthly in arrears based on the total number of reports delivered or forms completed during the month. The Parties have caused their duly authorized representatives to execute this Agreement as of the dates set forth below. CLIENT: CITY OF FORT WORTH VIRGIN PULSE,INC. DocuSigned by: By(Signature): // By(Signature): _I -"- Nathan Gregory Name(Printed): b y Name(Printed): Kim ste�utzp an Title: Deputy Director of Human Resources Title: General Counsel Nov 17 2021 8/10/2021 Date: Date: D•�ocuSigned by: IifLr�A� �LrieOstiGGGL �� Agreement Between City of Fort Worth BA and Virgin Pulse,Inc.—Schedule C Assistant General CTJdo(4'of 40