HomeMy WebLinkAboutContract 53044-R4CSC No. 53044-R4
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
October 2, 2023
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Attn: Cindy Dickason, Owner
1650 W. Rosedale, Ste 307
Fort Worth, TX 76104
Re: Contract Renewal Notice
Contract No. CSC No. 53044 ("Contract")
Renewal Term No. 4: October 1, 2023 to September 30, 2024
The above -referenced Contract with the City of Fort Worth expires on September 30, 2023
("Expiration Date"). Pursuant to the Contract, the Contract may be renewed by the mutual
agreement of the parties. This letter memorializes the parties' mutual agreement 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.
Please log onto PeopleSoft Purchasing at http://fortworthtexas.a_ ov/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,
'Veronica .ACcazar
Veronica Alcazar
Administrative Assistant
Veronica.Alcazar@fortworthtexas.gov
817-392-4834
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal -53044 -R4 Page 1 of 2
CSC No.
ACCEPTED AND AGREED:
CITY OF FORT WORTH
By:
Name: Fernando Costa
Title: Assistant City Manager
Date: Oct 2, 2023
APPROVAL RECOMMENDED:
By: RobFtllene Jr. (Oct 2, 2023 15:50 CDT)
Name: Robert A. Alldredge, Jr.
Title: Executive Assistant Chief
ATTEST:
By:
Name: Jannette Goodall
Title: City Secretary
PSYCHSCREENING
By:
Name: Cindy Dickason
Title: Owner
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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:
Kelly W,41 (Oct 2� CDT)
Name: Kelly Cleveland
Title: Senior Contract Compliance Specialist
APPROVED AS TO FORM AND
LEGALITY:
By:
Name: Taylor Paris
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: (None Required)
Date Approved:
Form 1295 Certification No.: N/A
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal -53044 -R4 Page 2 of 2