HomeMy WebLinkAboutContract 50597-R1DocuSign Envelope ID: D16A9FC7-9FC0-4525-AE39-B1C56BF72577
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
February 12, 2021
Texas Health Physician Group
612 E. Lamar Blvd., Ste 700
Arlington, TX 76011
Re: NOTICE OF CONTRACT RENEWAL
Clinic Fees for Services at City Health Centers
Contract No. CSC No. 50597 (the "Contract")
Renewal Term No. 1: January 1, 2021 — December 31, 2021
CSC NO. 50597-R1
The above referenced Contract expired on December 31, 2020. Pursuant to the Contract, contract renewals are at the sole oprion of the
City. This letter is to inform you that the City is exercising its right to renew CSC No. 50597 for an addirional one-year period, which
will begin immediately upon the e�pirarion of the current term and will end on December 31, 2021. All other terms and conditions of
CSC No. 50597 will 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 Norice, please contact me at the telephone number listed below.
Sincerely yours,
Meagan Hailey
Benefits Coordinator
Human Resources Department
817-392-7787
I hereby acknowledge receipt of the Contract Renewal Notice for CSC No. 50597 for a one-year period ending on December 31,2021.
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Steven Abramson Rick Mcwhorter
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OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
DocuSign Envelope ID: D16A9FC7-9FC0-4525-AE39-B1C56BF72577
CSC NO.
NOTICE OF CONTRACT RENEWAL
Administration of City Health Centers
Contract No. CSC No. 50597 (the "Contract")
Renewal Term No. 1: January 1, 2021 - December 31, 2021
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By; ��sus �. cnapa ��un z�, zozi io:ss c�r� By;
Jesus J. Chapa winjie Miao
Name: Name:
Title: Assistant City Manager Title: sEVP, cxo
6/22/2021 � 1:18 PM PDT
Date:
J u n 29, 2021 �ate:
Approval Recommended: Contract Compliance Manager:
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gy: Naman�regory��un 3,zo���4:o8�or� By signing I acknowledge that I am the person
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Name: of this contract, including ensuring all performance
AssistantDirectorofHumanResources and reporting requirements.
Title:
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B�/: JoanneHinton(Jun23,202113:52CDT)
Approved as to Form and Legality: Name: Joanne Hinton
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Name: JB Sti"OCIg CitySecretary: ��g o-+Id
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M&C: C-28386 Name: Mary Kayser
Title: City Secretary
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX