HomeMy WebLinkAboutContract 55581CSC No. 55581
FORT WORTH
CITY OF FORT WORTH
AGREEMENT ADDENDUM
This AGREEMENT ADDENDUM ("Agreement") is entered into by and between Emergency
Ice, Inc. ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule municipality.
The Agreement includes the following documents which shall be construed in the order of
precedence in which they are listed:
L This Agreement;
2. Exhibit A— Vendor's Quote, Scope of Services, and Vendor's Terms and
Conditions;
3. Exhibit B— Conflict of Interest Questionnaire.
Exhibits A and B, which are attached hereto and incorporated herein, are made a part of
this Agreement for all purposes. Vendor agrees to provide City with the services and goods
included in Exhibit A pursuant to the terms and conditions of this Cooperative Purchase
Agreement, including all exhibits thereto.
City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance
with the provisions of this Agreement. Total payment made under this Agreement for the first year
by City shall be in the amount up to Ten Thousand Dollars ($10,000.00). Vendor shall not provide
any additional items or services or bill for expenses incurred for City not specified by this
Agreement unless City requests and approves in writing the additional costs for such services. City
shall not be liable for any additional expenses of Vendor not specified by this Agreement unless
City first approves such expenses in writing.
Vendor agrees that City shall, until the expiration of three (3) years after final payment
under this Agreement, or the final conclusion of any audit commenced during the said three years,
have access to and the right to examine at reasonable times any directly pertinent books,
documents, papers and records, including, but not limited to, all electronic records, of Vendor
involving transactions relating to this Agreement at no additional cost to City. Vendor agrees that
City shall have access during normal working hours to all necessary Vendor facilities and shall be
provided adequate and appropriate work space in order to conduct audits in compliance with the
provisions of this section. City shall give Vendor reasonable advance notice of intended audits.
In compliance with Article 11 § 5 of the Texas Constitution, it is understood and agreed
that all obligations of City hereunder are subject to the availability of funds. If such funds are not
appropriated or become unavailable, City shall have the right to terminate the Agreement except
for those portions of funds which have been appropriated prior to termination.
The City is a governmental entity under the laws of the state of Texas and pursuant to
Chapter 2259 of the Texas Government Code, entitled "Self-Insurance by Governmental Units,"
is self-insured and therefore is not required to purchase insurance. To the extent the Agreement
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
requires City to purchase insurance, City objects to any such provision, the parties agree that any
such requirement shall be null and void and is hereby deleted from the Agreement and shall have
no force or effect. City will provide a letter of self-insured status if requested by Vendor.
Notices required pursuant to the provisions of this Agreement shall be conclusively
determined to have been delivered when (1) hand-delivered to the other party, its agents,
employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of
the transmission, or (3) received by the other party by United States Mail, registered, return receipt
requested, addressed as follows:
To CITY:
City of Fort Worth
Attn: Valerie Washington, Assistant City
Manager
200 Texas Street
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654
To VENDOR:
Emergency Ice
Jason Atkinson, Dir Sales,
8700 Diplomacy Row
Dallas, TX 75247
Facsimile:
With copy to Fort Worth City Attorney's
Office at same address
[SIGNATURE PAGE FOLLOWS]
The undersigned represents and warrants that he or she has the power and authority to execute this
Agreement and bind the respective Vendor.
[Executed effective as of the date signed by the Assistant City Manager below.] /[ACCEPTED
AND AGREED:I
City:
t/aG��ie G��rGti�r�to�r
B Valerie Washington (Apr16, 2 10926 CDT)
Y'
Name: Valerie Washington
Title: Assistant City Manager
Vendor:
By: � .At����
Name. Jason Atkinson
Tltle: Director, Sales
Date: Apr 16, 2021
Date: 4/13/2021
CITY OF FORT WORTH INTERNAL ROUTING PROCESS:
Approval Recommended:
B�. J .s Davis (Apr 15, 202119:09 CDT)
Name: James E. Davis
Title: Fire Chief
Approved as to Form and Legality
� (�...-�=
By:
Name: Taylor Paris
Title: Assistant City Attorney
Contract Authorization:
M&C: N/A
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.
B J inCox(Apr14,202117:5 CDT)
y•
Name: Justin Cox pq'd� pR�� �
Title: Grants Manager pFoF °°°�?���
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City Secretary: ���� o o �
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�� �EXAS�.ap
By:
Name:
Title:
fa� Rovrql�l P. Ganzqles
for Ronald P. Gonzales (Apr 16, 2021 09:52 CDT)
Mary Kayser
City Secretary
OFFICIAL RECORD
CITY SECRETARY
FT. VIIORTH, TX
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METRO 972-988-0577
Merchandiser Agreement for Commercial Accounts
Emergency Ice is pleased to offer our services and products to your company. Please
read all of the points below and then sign and date the agreement.
• Emergency Ice will provide merchandisers with a one-time setup fee of $200.00.
• Additional bags delivered at $4.00 per 201b bag.
• Each business owner is responsible for personal property taxes due to any taxing
agency for merchandisers provided by Emergency Ice.
• Any damages inflicted on the merchandiser due to vandalism, neglect or
unauthorized use will be the responsibility of the customer. Repairs and loss of
product due to these reasons will be assumed by the customer.
• Emergency Ice will assume responsibility for normal repairs and maintenance of
the merchandiser.
• Emergency Ice will provide a thirty (30) day notice for any price adjustments.
• Both parties may terminate this agreement at any time.
CITY OF FORT WORTH 200 TEXAS ST., FORT WORTH 76102
Company Name
VALERIE WASHINGTON
Business owner / manager name (print)
�qGe�ie w�Gri�r��o�r
va�er�ewasn�n�ron(nprie,z ioy:zecoT?
Business owner / manager signature
817-682-2324 / Rene DelRio
On site contact phone number
Company Address/City
A�•Ti7_�i.71i�:7'i1
Emergency Ice employee (print)
� ,�9t����
Em ency Ice employee signature
4-13-2021
Date
1400 Foch St., Ft Worth 76107
On-Site address (if diff from company)
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.
This questionnaire is being filed in accordance with Chapter 176, Local Govemment Code.
by a vendorwho has a business relationship as defined by Section 176.001(1-a) with a local
governmental entity and the vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental
entity not later than the 7th business day after the date the vendor becomes aware of facts
that require the statement to be filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local
Govemment Code.An offense underthis section is a misdemeanor.
Name of vendor who has a business relationship with local governmen�l entity.
Emeraencv Ice
are flling an update to a
nna
FORM CIQ
OFFlCE USE ONLY
Cat? Re�eroe�
(The law requires that you file an updated completed questionnaire with the appropriate filing authority not
later than the 7th business day aker the date on which you became aware that the orginally filed questionnaire was
incomplete or inaccurate.)
Name of local government officer about whom the Informatlon In thls sectlon Is being dlsclosed.
Name of Officer
This section (item 3 including subparts A, B, C, & D) must be completed for each officer with whom the vendor has an
employment or other business relationship as defined by Section 176.001(1-a), Local Gwernment Code. Attach additional
pages to this Form CIQ as necessary.
A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment
income, from the vendor?
�Yes �No
B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the bcal
government officer named in this section AND the taxable income is not received from the local governmental entity?
aYes �No
C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local
government officer serves as an officer or director, or holds an ownership interest of one percent or more?
�Yes �No
D. Describe each employment or business and family relationship with the local governmerrt officer named in this section.
� ����� 4-13-2021
Signatu of vendor do�ng business vr �h �ne guvemmental enbty Cate
Adopted 8/7/2015