HomeMy WebLinkAboutContract 53044-R2 53044-R2
CSC No.
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
September 2, 2021
PSYCHSCREENING
Attn: Cindy Dickason
1650 W. Rosedale, Ste 307
Fort Worth, Texas 76104
Re: Contract Renewal Notice
Contract No. CSC No. 53044 (the"Contract")
Renewal Term No. 2: October 1, 2021 to September 30, 2022
The above referenced Contract with the City of Fort Worth expires on September 30, 2020
(the "Expiration Date"). 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 the Contract for an
additional one (1) year period, which will begin immediately after the Expiration Date. All other
terms and conditions of the Contract 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 Contract Renewal Notice. Failure to
provide a signed acknowledgment does not affect the renewal.
Please log onto PeopleSoft Purchasing at hjjjj l+'tc�ij 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,
?\7elly CCeveCind-
Kelly Cleveland
Contract Compliance Specialist
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal CSC 1153044 Page 1 72
CSC No,
ACCEPTED AND AGREED:
CITY OF FORT WORTH CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the
person responsible for the monitoring and
administration of this contract, including
By: i1sk,s J.Chap(SEpYJ, 11-12 ' `CDfl ensuring all performance and reporting
Name: Jesus J. Chapa requirements.
Title: Deputy City Manager
APPROVAL RECOMMENDED:
By: 1646 CDT}
Name: Kelly Cleveland
By: NO Noakes(Sep 21,2021:0:24 CDT) Title: Acting Sr. Contract Compliance
Name: Neil Noakes Specialist
Title: Chief of Police
APPROVED AS TO FORM AND
ATTEST: LEGALITY:
g P 6� - �--
By: By: Taylor P/'s(Sep 20,202',16:13 CDT)
Name: Ron Gonzales Name: Taylor Paris
Title: Acting City Secretary Title: Assistant City Attorney
-Iz5�tF4O�R�n)
�O�° °n°°Y
aD d CONTRACT AUTHORIZATION:
a� 0 M&C: (None Required)
Date Approved:
°
Aa °°°°°°°°°°°° Form 1295 Certification No.: ®N/A
PSYCHSCREENING
By:
Name: Cindy ickaso
Title: Owner �n
Date: ( �
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal CSC#53044 Page 2 of 2