HomeMy WebLinkAboutContract 58068-A1 DocuSign Envelope ID:6EA71139F-98113-4DF5-8FCF-I3EFE7D1F11AB CSC No.58068-A1
TTMOBILE
FOR GOVERNMENT
FUNDING DOCUMENT FOR T-MOBILE PRODUCTS&SERVICES(GSA Contract)
09/09/2022
Kathryn Agee-Dow
IT Solutions—Senior Contract Compliance Specialist
City of Fort Worth
200 Texas St, Fort Worth,TX 76102
Kathryn.agee-dow@fortworthtexas.gov
Attn:T-Mobile USA, Inc.:
The following T-Mobile Billing Account Number(s)listed below and all applicable T-Mobile lines of service on these accounts
will move all existing lines to and are eligible to purchase new T-Mobile products and services under the GSA Schedule
Contract No.47QTCA22DO08N with T-Mobile("T-Mobile GSA Contract").
T-Mobile Billing Account Numbers:951636338,974749947
1 hereby certify that:(1)the information provided herein is true and accurate as of the date of this funding document;(2) 1
am an authorized purchaser for City of Fort Worth("Customer");(3)Customer is electing to move all existing T-Mobile lines
of service under the referenced T-Mobile Billing Account Numbers from their existing T-Mobile contract(s)to the T-Mobile
GSA Contract;(4)all orders placed by Customer will be in accordance with and subject to the pricing,terms and conditions
under the T-Mobile GSA Contract;and (5)T-Mobile is authorized to invoice in arrears the total dollar amount for services
and equipment ordered by an authorized purchaser for Customer.
Furthermore, I certify:(1) Customer shall pay charges incurred for the period of time the lines of service are active with T-
Mobile and until written notice of cancellation is provided to T-Mobile by Customer;and (2) Customer acknowledges and
understands that T-Mobile will not automatically terminate lines of service until written notice of cancellation is received
by T-Mobile. Customer agrees to pay T-Mobile for all fees and charges for services and equipment received up to the
effective date of cancellation.
If there is a change in the above certifications or information,it is the responsibility of Customer to provide prompt written
notification to T-Mobile to the following address:
T-Mobile USA, Inc.
12920 S.E.38th Street
Bellevue,WA 98006
ATTN:Vice President,T-Mobile for Government
With an email copy to: Legal Government Contracts@t-mobile.com
•Vd•.Nk—
Signed by Authorized Customer Representative:ya[eFLoWashinetun(De 5.202214:30c5Tl
Name&Title: Valerie Washington Assistant City Manager
Customer Name.CITY OF FORT WORTH OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
T
CLM 1318068 CSCA CS 09092022
DocuSign Envelope ID:6EA71139F-981B-4DF5-8FCF-BEFE7D1F11AB
TTMOBILE
FOR GOVERNMENT
FUNDING DOCUMENT FOR T-MOBILE PRODUCTS&SERVICES(Migration from Sprint—GSA Contract)
09/09/2022
Kathryn Agee-Dow
IT Solutions—Senior Contract Compliance Specialist
City of Fort Worth
200 Texas St, Fort Worth,TX 76102
Kathryn.agee-dow@fortworthtexas.gov
Attn:T-Mobile USA, Inc.:
The following Sprint Billing Account Number(s) listed below and all applicable Sprint lines of service on these accounts will
move all existing lines to and are eligible to purchase new T-Mobile products and services under the GSA Schedule Contract
No.47QTCA22DO08N with T-Mobile("T-Mobile GSA Contract").
Sprint Billing Account Numbers:S378078608,S251949502,S762485118
I hereby certify that:(1)the information provided herein is true and accurate as of the date of this funding document; (2) 1
am an authorized purchaser for City of Fort Worth ("Customer"); (3) Customer is electing to move all existing Sprint lines
of service under the referenced Sprint Billing Account Numbers from their existing Sprint contract(s)to the T-Mobile GSA
Contract;(4)all orders placed by Customer will be in accordance with and subject to the pricing,terms and conditions under
the T-Mobile GSA Contract; and (5) T-Mobile is authorized to invoice in arrears the total dollar amount for services and
equipment ordered by an authorized purchaser for Customer.
Furthermore, I certify: (1) Customer shall pay charges incurred for the period of time the lines of service are active with T-
Mobile and until written notice of cancellation is provided to T-Mobile by Customer; and (2) Customer acknowledges and
understands that T-Mobile will not automatically terminate lines of service until written notice of cancellation is received
by T-Mobile. Customer agrees to pay T-Mobile for all fees and charges for services and equipment received up to the
effective date of cancellation.
If there is a change in the above certifications or information,it is the responsibility of Customer to provide prompt written
notification to T-Mobile to the following address:
T-Mobile USA,Inc.
12920 S.E. 38th Street
Bellevue,WA 98006
ATTN:Vice President,T-Mobile for Government
With an email copy to: Legal Government Contracts@t-mobile.com
•Vd•.Nk—
Signed by Authorized Customer Representative:VaiefioWashiaetua(Dec 5.202214:30 CST
Name&Title:Yalierie Washington Assistant City Manager
Customer Name: CITY OF FORT WORTH
T
CLM 1318068 CSCA CS 09092022
DocuSign Envelope ID:6EA71B9F-981B-4DF5-8FCF-BEFE7D1F11AB
[Executed effective as of the date signed by the Assistant City Manager below.] / [ACCEPTED
AND AGREED:]
City: T-Mobile
.Ydo.•W D..Slgn.d by:
By: Valedg Washington(Dec 5,202214:30CST) By: EP—Vr*s
Name: Valerie Washington Name. PeeF-Vargas
Title: Assistant City Manager Title: Director, Public sector
Date: Dec 5, 2022 Date: 11/16/2022
Docu5lgnM by:
T-Mobile Legal Approved:
CITY OF FORT WORTH INTERNAL ROUTING PROCESS:
Approval Recommended: Contract Compliance Manager:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
of this contract,including ensuring all
By: performance and reporting requirements.
Name: Kevin Gunn
Title: Director,IT Solutions �I
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By: Cynthi yree(Nov 28,202211:12 CST)
Approved as to Form and Legality: Name: Cynthia Tyree
Title: Assistant Director-IT Finance
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By: City Secretary: o=° o=$
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Name: Taylor Paris ?p o° o°
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Title: Assistant City Attorney a44 nEapSbpp
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By: JannetteS.Goodall(Dec6,202208:38CST)
Contract Authorization: Name: Jannette Goodall
M&C: NA Title: City Secretary
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX