HomeMy WebLinkAboutContract 54724-AD21 CSC No.54724-AD21
Addendum No. 21
Statement of Work
This Addendum No. 21 - Statement of Work (SOW) is made as of this 27th day of May, 2022,
under the terms and conditions established in the MASTER PROFESSIONAL SERVICES
AGREEMENT between the City of Fort Worth ("City") and AdaStaff("Vendor"),the same being
Fort Worth City Secretary Contract(CSC)No. 54724 (the "Master Agreement" or"MSA").
This Statement of Work is made for the following purposes, consistent with the services defined
in the Master Agreement: Providing temporary staffing services to the City of Fort Worth for the
positions listed below. In particular, Vendor shall perform those functions identified below in the
Scope of Services, as such services are more fully detailed in the MSA.
Section A. Scope of Services & Schedule
Department Requesting Position(s): Transportation and Public Works
Assignment#1
Name of Individual(s) Filling Position (if known): Name of individual unknown at this time
Position Requested (Must be in Exhibit B of the MSA): Skilled Trades Technician 1
# of above Positions Requested: One
Location of Assignment: 309 Hillshire Drive, Haslet, TX 76052
Projected Start and End Dates for Assignment: June 1, 2022 to August 31,2022
Anticipated Total # of Hours: 510 Hours
Hourly Billing Rate (Must be in Exhibit B of the MSA): $23.19
Total Anticipated Cost: $11,826.90
Assignment#2
Name of Individual(s) Filling Position (if known): Name of individual unknown at this time
Position Requested (Must be in Exhibit B of the MSA): Maintenance Worker
# of above Positions Requested: Two
Location of Assignment: 4100 Columbus Trail, Fort Worth, TX 76133
Projected Start and End Dates for Assignment: June 1, 2022 to August 31,2022
Anticipated Total # of Hours: 510 Hours
Hourly Billing Rate (Must be in Exhibit B of the MSA): $17.10
Total Anticipated Cost: $8,721.00
(Use additional pages as required)
Section B. Compensation, Reimbursable Expenses, and Billing Terms: Processing and
payment of fees,including the structure of payments and invoicing thereof, shall be in accordance
with the Master Professional Services Agreement.
The total fee that shall be paid by City to Vendor for these services shall be in accordance with the
Master Service Agreement and, specifically,Exhibit"B"- Price Schedule. In submitting invoices,
Vendor shall reference the appropriate Statement of Work. Further, the Vendor shall separately
list the total amount for fees in which invoices were previously submitted during the then-current
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
annual contract period (either initial term or renewal period) and the total amount of fees for the
entire period, including those amounts being requested under the then-current invoice.
Vendor shall submit invoices for Fees to Traci Akin ,within the Transportation and Public
Works Department and also submit a copy to the Talent Acquisition Manager in the Human
Resources Department, 200 Texas Street,Fort Worth,Texas 76102.
Executed in multiple originals on this the day of 20
CITY OF FORT WORTH, TEXAS: VENDOR:
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By:Dana Burghd off(Jtfn 16,20 14:50 CDT) By: Sue Beets(Jun 8,202211:39 CDT)
Name: Dana Burghdoff Name: Sue Beets
Title: Assistant City Manager Title: Regional VP
Date: Date:
ATTEST: apF FAR APPROVED AS TO FORM
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AND LEGALITY:
By: e11eS GoodallJun 17,202214 r_°° °o�=
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Name: Jannette Goodall �p * °a*d� By.
Title: City Secretary dad °°°°°°°°°° a Name: Jessika Williams
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Title: Assistant City Attorney
RECOMMENDED BY:
By:
Name: William Johnson
Title: Department Director
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.
ChdnieHm.. (A.15,202201:22 CDT)
Christine Hernandez
Talent Acquisition Manager
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX