HomeMy WebLinkAboutContract 46248-R2 RECEIVED �'ro a`�g'1j2
csc No.
FEB , 2019
CITY OFFORT woRr►r CITY OF FORT WORTH
cINSECRETAny CONTRACT RENEWAL NOTICE
December 17,2018
Delta Dental
1130 Sanctuary Parkway
Suite 600
Alpharetta,GA 300009
Re: NOTICE OF CONTRACT RENEWAL
Group Dental Service Contract—Group Numbers 17182&76983
Contract No.CSC No.46248(the"Contract')
Renewal Term No.k.January 1,2019 to December I,2019
The above referenced Contract will expire on December 31,2018.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 CSC No.46248 for an additional one year period,which
will begin immediately upon the expiration of the current term and will end on December 31,2019.All other terms and conditions of
CSC No.46248 remain unchanged.Please return this signed acknowledgement letter,along with a copy of your current insurance
certificate,to the address set forth below,acknowledging receipt of the Notice of Contract Renewal.
Please log onto PeopleSoft Online at btt�,s:ilwww, ortworthtexas.govipurchasina/to insure 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 yours,
Meagan Whitwell
Sr.Benefits Analyst
Human Resources Department
817-392-7787
I hereby knowledge receipt othe Coptract Re ewal Notice for CSC No.46248 for a one year period ending on December 31,2019.
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By: # Date: '
Melissa rton,Vice President Sa es
CITY ORT W TH• ATTEST.
Sus anis,Assistar t City Manager Macy J. ay er C Se etarpU
Date:
M&C N^ not—ggj[gd
RECOMMENDED BY:
Name and Title
OFFICIAL RECORD
1 . Str S_AggstimtCity �TY SECRETARY
FT. WORTH,TX
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.
Name of Employee/Signature
Title
This form is N/A as No City Funds are ciated with this C nt
Printed Name Signature
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX