HomeMy WebLinkAboutContract 55805-R1 CSC No. 55805-Rl
CITY OF FORT WORTH
REQUEST TO EXERCISE RENEWAL OPTION
May 17, 2022
Bound Tree Medical LLC
Attn: Shawn Saylor, Chief Financial Officer
5000 Tuttle Crossing Blvd
Dublin, Ohio 43016
Re: Contract Renewal Notice
Contract No. CSC No. 55805 (the "Contract")
Renewal Term No. 1: June 1, 2022 to May 31, 2023
The above referenced Contract with the City of Fort Worth expires on May 31, 2022 (the
"Expiration Date"). Pursuant to the Contract, contract renewals are at the mutual agreement of the
parties. This letter is to inform you that the City is requesting to renew 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.
To agree to renew the Contract for an additional one (1) year period,please sign and
return this request to exercise renewal option, along with a copy of your current insurance
certificate,to the address set forth below.
Please log onto PeopleSoft Purchasing at http://fortworthtexas.gov/purchasing to ensure
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,
Veronica Garcia
Contract Compliance Specialist
Fort Worth Police Department
505 W Felix St
Fort Worth, TX 76115
veronica.garciakfortworthtexa.gov
[SIGNATURE PAGE FOLLOWS] OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
Contract Renewal Page 1 of 2
CSC No.
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
Name: Fernando Costa requirements.
Title: Assistant City Manager
Date: Jun 4, 2022
By: Sasha Kane(Jun 1,202212:29 CDT)
APPROVAL RECOMMENDED: Name: Sasha Kane
Title: Senior Contract Compliance Specialist
APPROVED AS TO FORM AND
By: NeilNoakes(Jun4, 02213:44CDT) LEGALITY:
Name: Neil Noakes
Title: Chief of Police 1
ATTEST: By: J
Nico Arias 1,2022 09:35 CDT)
Name: Nico Arias
Title: Assistant City Attorney
By: JaffietteS.Goodall(Jun6,202207: ST) CONTRACT AUTHORIZATION•
Name: .lannette Goodall po�4nnn M&C:
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BOUND TREE MEDICAL LLC
By: P
Name: Shawn Saylor
Title: Chief Financial Officer
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
Contract Renewal Page 2 of 2