HomeMy WebLinkAboutContract 46006-A2 Amendment to City Secretary Contract No.46006
CITY SECMAIa( _
l�E`(;�j 2016 EVENT SCHEDULING FORM CONTRACT N0. �� �
MED
4UG22 20161. Reservations. Customer engages Hospital to provide certain screening or examinations to its
CID WF R WOR employees at the Event, Event Date, Event Time,and Event Location provided in the below
GREIARy table. As of the Reservation Date, the parties have confirmed the reservation for the Events
listed in the below table. Pursuant to the Agreement, Hospital has the right to cancel the
Event due to low participation, meaning that the minimum number of participants required
for the screening (as listed in the below table)was not scheduled at least three (3) DAYS
PRIOR TO THE Event Date.
Event Date and Event Minimum Participants
Event Time Event Location Screening Provided at Event per Screening
CITY OF FORT
WORTH ZIPPER
Wellness for BUILDING 275
Life Mobile Monday, October 17, WEST 13TH STREET;
Screening 2016 FORT WORTH,
Event Screening Time:9am-3pm TEXAS 76102 Mammography Screenings 19 Participants
CITY OF FORT
WORTH ZIPPER
Wellness for Tuesday,October 18, BUILDING 275
Life Mobile 2016 WEST 13TH STREET;
Screening Screening Time:9am-3pm FORT WORTH,
Event TEXAS 76102 Mammography Screenings 19 Participants
CITY OF FORT
WORTH ZIPPER
Wellness for Wednesday,October 19, BUILDING 275
Life Mobile 2016 WEST 13TH STREET;
Screening Screening Time:9am-3pm FORT WORTH,
Event TEXAS 76102 Mammography Screenings 19 Participants
WILL ROGERS
MEMORIAL
CENTER,3401
Wellness for Thursday,October 20, WEST LANCASTER
Life Mobile 2016 AVENUE; FORT
Screening Screening Time:9am-3pm WORTH,TEXAS
Event 76107 Mammography Screenings 19 Participants
CITY OF FORT
WORTH ZIPPER
Wellness for BUILDING 275
Life Mobile Friday,October 21, 2016 WEST 13TH STREET;
Screening Screening Time:9am-3pm FORT WORTH,
Event TEXAS 76102 Mammography Screenings 19 Participants
FORT WORTH
POLICE
DEPARTMENT BOB
BOLEN PUBLIC
Wellness for SAFETY COMPLEX
Life Mobile Thursday,October 13, 505 WEST FELIX;
Screening 2016 FORT WORTH,
Event Screening Time:9am-3pm TEXAS 76115 Mammography Screenings 19 Participants
a ECORD ETARY H,TX
All other provisions of the Contract which are not expressly amended herein shall remain in full force
and effect.
Executed in multiples this the day of OMhg2016.
TEX S HEALTH HARRIS METHODIST CITY OF FORT WORTH
TIAL F WqRTH
6
Nam Nam - usan Alanis
Title: V LC-e,- Title:Assistant Ci y Manager
Date: Date: E
APPROVED AS TO FORM AND LEGALITY:
y
Approved As To Form Only:
Terri A. DeSlo ITY AT ORNEY 60 I er" rC%jk^�
ANGIStant General Counsel
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AUGOd !z
igll iy P year,
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OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX