HomeMy WebLinkAboutContract 42902-R3 PSC
CCN CTNO N0.�
C CITY OF FORT WORTH
REQUEST TO EXERCISE RENEWAL OPTION
I Wegber 4,2017
Tarrant County Hospital District
d/b/a JPS Health Network
P.O. Box 916046
Fort Worth,TX 76191
Re: REQUEST TO EXERCISE THIRD RENEWAL OPTION
Agreement for Sexual Assault Examination Services
Contract No. CSC No.42902 as Amended by CSC No.42902-AI (the"Contract")
Renewal Term: October 1,2017 to September 30,2019
The above referenced Contract expired on September 30, 2017. Pursuant to the Contract, renewals are at
the mutual agreement of the parties. This letter is to confirm that the Parties desire to renew CSC No.42902
as Amended by CSC No. 42902-A1 for an additional two-year period,which begins on October 1, 2017,
and will end on September 30, 2019. All other terms and conditions of CSC No. 42902 as Amended by
CSC No. 42902-A1 remain unchanged.
Please sign and return three(3)signed copies of agreement letter,along with a copy of your current
insurance certificate,to the address set forth below.
If you have any questions concerning this Request for Contract Renewal,please contact me at the telephone
number listed below.
Sincerely yours,
Tiffany L.Moore
City of Fort Worth Police Department
Bob Bolen Public Safely Complex
505 West Felix Street
Fort Worth,Texas 76115
PHONE: 817-392-4223
JL Yes, renew this contract for a two year period ending on September 30,2019.
No,do not renew this contract.
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
Executed on this the I'll day of ,2019
CITY OF FORT WORTH: TARRANT COUNTY HOSPITAL
DISTRICT d/b/a JPS HEALT NETWORK
By: By:
Valerie R. Washington
Assistant City Manager Name: Sharon R.Clark
Date: y I116 Title: Executive Vice President&CFO
Date: 7
APPROVAL RECOMMENDED:
By: ,,—j 4-C,
Chief Joel F.Fitzgerald
Chief of Police
ATTE
ORT
By:- ,•; .0�
Nt y a 's
City Secre a i=
Contract Authorization: 7' 7xA5
M&C: C-25082
Date: August 2,2011
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.
r�
Nam . Sgt'J.M. Bayer.'
Title: Sergeant,Sex Crimes Unit
LOIFFICLAM RECORD
eCa ARY