HomeMy WebLinkAboutContract 58552-R1CSC No. 58552-R1
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
January 4, 2024
Siddons Martin Emergency Group, LLC
Attn: Jeffrey A. Doran
1362 E. Richey Rd.
Houston Texas,77073
Re: Contract Renewal Notice
Contract No. CSC No. 58552 (the "Contract")
Renewal Term No. 1: December 23, 2023 to December 22, 2024
The above referenced Contract with the City of Fort Worth expires on December 23, 2023
(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 is exercising its right 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. Please return this signed
acknowledgement letter, along with a copy of your quote for charges for the new renewal
term and a current insurance certificate, to the address set forth below, acknowledging
receipt of the Contract Renewal Notice. Failure to provide a signed acknowledgment does
not affect the renewal.
Please log onto PeopleSoft Purchasing at http://fortworthtexas.aov/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,
The City of Fort Worth
Ashley Kadva, Purchasing Supervisor
817-392-2047
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 1 of 2
CITY OF FORT WORTH
By; DanaBurghdoff(Jan ,20242 CST)
Name: Dana Burghdoff
Title: Assistant City Manager
APPROVAL RECOMMENDED:
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Name: Ricardo Salazar
Title: Interim Property Management Director
ATTEST:
By:
Name: Janette Goodall
Title: City Secretary
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Siddons Martin Emergency Group, LLC
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By:
Name: Jeffrey A. Doran
Title: Director — Order Management
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.
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By: Denise Garcia (Jan 4, 202412:20 CST)
Name: Denise Garcia
Title: Purchasing Manager
APPROVED AS TO FORM AND LEGALITY:
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By:
Name: Jessika Williams
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: 22-0977
November 29, 2022
Form 1295 Certification No.: 2023-1104451
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 2 of 2