HomeMy WebLinkAboutContract 47393-R2 CSC No. 473g3 -RI,
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
September 9,2019
United HealthCare Service, Inc.
185 Asylum Street
Hartford,CT 63146
Re: NOTICE OF CONTRACT RENEWAL
Administrative Services for Group Health Plan—Policy No.905579
Contract No.CSC No.47393(the"Contract")
Renewal Term No.2:January 1,2020—December 31,2020
The above referenced Contract expires on December 31,2019.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.47393 for an additional one year period,which
will begin immediately upon the expiration of the current term and will end on December 31,2020. All other terms and conditions of
CSC No. 47393 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 in Online at www.fortworthtexas.gov/purchasing to insure that your company information is correct and up-to-date for
payment.
If you have any questions concerning this Contract Renewal Notice,please contact me at the telephone number listed below.
Sincerely yours,
Meagan Hailey
Sr.Benefits Analyst
Human Resources Department
817-392-7787
I hereby acknowledge receipt of the Contract Renewal Notice for CSC No.47393 for a one year period ending on December 31,2019.
By: I u( Date: 0
Printed Name and T' le ()
1 J4,
Si afore V I_
CITY OF FORT WORTH: AT S>,
Jay Chapa,Assistant City Manager ary . Kayser,City Secretary
Date:_ 1 �a(0 _l�f M&C No. not re uired
OFFICIA I�ECOR E
7 B. Strong,As ' t City Attorney CITY SECRETARY
NOTICE OF CONTRACT RENEWAL FT il$f'®RT 1�® �'
CSC No.
Administrative Services for Group Health Plan—Policy No. 905579
Contract No. CSC No.47393(the"Contract")
Renewal Term No.2:January 1,2020—Decefter 31,2020
RECOMMENDED BY:
Nathan Gregory,Assistant rector,Human Resources
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.
Nathan Gregory
Name of Employee/Signature
Assistant HR Director
Title
E
j