HomeMy WebLinkAboutContract 53795-R2 CSC No. 53795-R2
CITY OF FORT WORTH
REQUEST TO EXERCISE RENEWAL OPTION
October 11, 2021
ADS, LLC.
Attn: Joseph J Goustin
340 The Bridge Street Suite 204
Huntsville,AL 35806
Re: Contract Renewal Notice—2nd Renewal
Sole Source—OEM Accusonic Flow Meter System Re-Certification Service and Parts
Contract No. CSC No. 53795
Renewal Term: October 1, 2021 to September 30, 2022
Renewal Amount: $60,000.00
The above referenced Contract with the City of Fort Worth expires on September 30,
2021(the"Expiration Date). This letter is to inform you that the City is exercising its right to renew
the contract for its 2nd term in an amount up to $60,000.00, which will be effective immediately
after the Expiration Date.All other terms and conditions of the contract remain unchanged. Please
sign and return the second page of this letter, along with a copy of your current insurance
certificate,to the undersigned.
Please log onto PeopleSoft Purchasing at http://fortworthtexas.gov/purchasing 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,
Shatabya Bergland
Contract Compliance Specialist
817-392-4940
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 1 of 2
ACCEPTED AND AGREED:
CITY OF FORT WORTH CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the
person responsible for the monitoring and
nmA, L4Z4 1r administration of this contract, including
By: Dana Burghdoff(06t 15,20 120:00 CDT) ensuring all performance and reporting
Name: Dana Burghdoff requirements.
Title: Assistant City Manager
By:
APPROVAL RECOMMENDED: Name: Shatabya Bergland
Title: Contract Compliance Specialist
V% APPROVED AS TO FORM AND
By: Christopher H rder(Oct 13,202107:42 CDT) LEGALITY:
Name: Chris Harder
Title: Water Director ����/�y
Del
ATTEST: By: DBlack(Oct 14,202113:00 CDT)
Name: Doug Black
By: Title: Assistant City Attorney
Name: Ronald Gonzales
Title: Acting City Secretary �J RI* CONTRACT AUTHORIZATION:
000 �0p0d M&C: N/A
~O 0Date Approved: N/A
0
O
�vo o d
%� *°°00000000000 Form 1295 Certification No.:
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ADS LLC
.70,IG.dGI�7GOG�I�/`I �I,I�TGI
By: Joseph 4 Goustin Asst Tres(Oct 11,202118:18 CDT)
Name: Joseph J. Goustin
Title: Assistant Treasurer
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 2 of 2