HomeMy WebLinkAboutContract 53124-R1DocuSign Envelope ID: OOAED87E-B8EO-4117-B82F-2836BBC85D10
CSC No. 53124-R1
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
November 15, 2022
WageWorks, Inc.
c/o Health Equity, Inc.
15 W. Scenic Pointe Drive
Draper, UT 84020
Re: Contract Renewal Notice
Contract No. CSC No. 53124 (the "Contract")
Renewal Term No. 1: January 1, 2023 to December 31, 2023
The above referenced Contract with the City of Fort Worth expired on December 31, 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 quote for charges for the new renewal
term and a 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.goy/purchasing to ensure
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,
Meagan Hailey
HR Benefits Coordinator
817-392-7787
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 1 of 2
DocuSign Envelope ID: OOAED87E-B8EO-4117-B82F-2836BBC85D10
CSC No.
CITY OF FORT WORTH
By:
Name: Jesica McEachern
Title: Assistant City Manager
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Name: Dianna Giordano
Title: Director of Human Resources
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Name: Jannette Goodall
Title: City Secretary
WageWorks, Inc c/o Health Equity, Inc
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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.
By:�,
Name: Joanne Hinton
Title: HR Benefits Manager
APPROVED AS TO FORM AND LEGALITY:
By:
Name: Jessika Williams
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C:
Date Approved:
Form 1295 Certification No.:
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 2 of 2