HomeMy WebLinkAboutContract 54436-R2 CSC No. 54436-R2
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
July 12, 2022
Siddons-Martin Emergency Group, LLC
Attn: Kathryn Williams
1362 E. Richey Rd
Houston, TX 77073
Re: Contract Renewal Notice
Contract No. CSC No. 54436-R2 (the "Contract")
Renewal Term No. 2: September 10, 2022 to September 9, 2023
The above referenced Contract with the City of Fort Worth expires on September 9, 2022
(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 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,
City of Fort Worth, Property Management Department
Lolita Brewer
Sr. Contract Compliance Specialist
(817) 392-6645
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 1 of 2
This Amendment may be executed in multiple counterparts, each of which shall be
an original and all of which shall constitute one and the same instrument.A facsimile copy
or computer image, such as a PDF or tiff image, or a signature, shall be treated as and shall
have the same effect as anoriginal.
ACCEPTED AND AGREED TO BY:
Executed effective as of the date signed by the Assistant City Manager below.
FORT WORTH:
City of Fort Worth Contract Compliance Manager:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
Dwq gig &6� of this contract,including ensuring all performance
By. Dana Burghdoff( 15,20 18ZL' 02 CDT) and reporting requirements.
Name: Dana Burghdoff
Title: Assistant City Manager
By. Alan H.Shuror(Jul 13,2022 09:08 CDT)
Name: Alan Shuror
Approval Recommended: Title: Assistant Director,General Services
Approved as to Form and Legality:
By. Steve obke(Jul 13,20223,2022 0 9:17 CDT)
Name: Steve Cooke
Title: Property Management Director By: Richard A.McCracken(Jul 15,202216:24 CDT)
Name: Richard McCracken
Attest: Title: Assistant City Attorney
Contract Authorization:
M&C: N/A
By; ette S.Goodall(Jul 18,2022 08:)!PCDT) 1295:N/A
Name: Jannette S. Goodall ag4�oRn��a
Title: City Secretary �0 0000000.0046
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Siddons-Martin Emergency Group, LLC
By:
Name: Kathryn Williams
Title: Vice President&General Counsel OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
First Amendment to Fort Worth City Secretary Contract No. 54436 Page 2 of 2