HomeMy WebLinkAboutContract 54388-A1CSC No. 54388-A1
FIRST AMENDMENT
TO THE TRUSTED SUPPLIER SERVICES ORDER FORM
BETWEEN ACCOLADE, INC. AND CITY OF FORT WORTH,
CITY SECRETARY CONTRACT NUMBER 54388
This "First Amendment" is to the TRUSTED SUPPLIER SERVICES ORDER FORM FOR VIRTA HEALTH SERVICES ("Order Form"),
City Secretary Contract number 54388, that is part of the BUSINESS SERVICES AGREEMENT (the ("BSA"), dated June 30,
2020, by and between Accolade, Inc. ("Accolade") and City of Fort Worth ("Customer"). Accolade and Customer are each
a"Party" and collectively referred to as the "Parties." Capitalized terms used but not defined herein shall have the
respective meanings ascribed thereto in the BSA. Section references herein, if any, shall refer to Section references in the
BSA.
WHEREAS, Customer wishes to add additional Virta Health Trusted Supplier Services:
NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the
Parties hereby agree to amend the BSA as follows:
1. The following new Virta Health Trusted Supplier Services shall be added to the Services Ordered Grid in the Order
Form:
❑X Diabetes Management
0 Obesity Treatment
$79 PPPM
2. The following shall be added to Appendix A(Services Description) of the Order Form:
Diabetes
Management
Obesity
Treatment
Monitor and control blood sugar, provide behavioral counseling & nudges to reversal
Deliver clinically significant weight loss for patients struggling with obesity. For patients with
BMI>30.
Includes:
Medical Nutritional Therapy— Full Reversal MNT
Remote Monitoring — Ketones and Weight
Behavioral Coaching - Intensive Human & App-Based Coachi
3. This First Amendment shall be deemed executed as of the last date of execution by the Parties hereto. Except as
amended hereby and by any prior amendments to the BSA, the original BSA shall remain in full force and effect in
accordance with the terms thereof. In the event of a conflict between the terms of this First Amendment and the
BSA, the terms of this First Amendment will govern.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
IN WITNESS WHEREOF, the Parties hereto, by their duly authorized representatives, have executed this First Amendment.
CUSTOMER:
City of Fort Worth
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Name: Jesus Chapa
Title: Assistant City Manager
�ate: APr 28, 2021
Approval Recommended:
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B\/� Nathan6regory;Apr 6.202113�.06CDi1
� Nathan Gregory
Name:
Interim Directorof Human Resources
Title:
Attest:
By: ` U I/ �' 0
Name: Mary Kayser
Title: City Secretary
ACCOLADE:
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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.
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B�/; '�o��r,�H��r,tor„nprze,zaziizz�coi��
Name: �oanne Hinton
T�tie: Benefits Manager
Approved as to Form and Legality:
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Name: John B. Strong
Title: Assistant City Attorney
Contract Authorization:
M&C:
Accolade, Inc.
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B�/; Rajeev5inph (Apr76, O�l OS S3 PDT;
Name: Rajeev Singh
Title: CEO
�ate: Apr 26, 2021
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX