HomeMy WebLinkAboutContract 53573-R4CSC No. 53573-R4
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
November 30, 2023
Dataspan Holdings, Inc.
Attn: John J. Bates
1245 Viceroy Drive
DALLAS, TX 75247
Re: Contract Renewal Notice — 41h Renewal
Preventative Maintenance on Three Phase Uninterruptible Power Systems
Contract CSC No. 53573
Original Contract Amount: $150,000.00
The above referenced contract with the City of Fort Worth, as renewed, expires with the
expenditure of funds. The funds for the contract have been expended or programmed. This letter
is to inform you that the City has appropriated funding and is exercising its right to renew the
contract in the original contract amount, which will be effective upon execution by the designated
Assistant City Manager. All other terms and conditions of the contract remain unchanged. Please
verify that the original payment, performance and maintenance bonds remain active or if retired,
provide updated bonds when you return this letter. Please sign in the space indicated below and
return this document, along with a copy of your current insurance certificate, to the
undersigned.
Please log onto PeopleSoft Purchasing at http://fortworthtexas.eov/nurchasine_, to ensure
that your company information is correct and up-to-date.
If you have any questions concerning this Contract Renewal Notice, please contact me at
the telephone number listed below.
Sincerely,
U'—
Contra e ices Ad rat
(817) 392-8411
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal (ver. S.19.22 updated 10.28 22) Page 1 of 2
ACCEPTED AND AGREED:
CITY OF FORT WORTH
oana L3w,,a%dahc
By: Dana BurEhdoff (Dec 1, 023 19:11 CST)
Name: Dana Burghdoff
Title: Assistant City Manager
Date:
APPROVAL RECOMMENDED:
clue xa"Kder
By: chni Harder(N- 30, 202314:07 CST)
Name: Christopher Harder, P.E.
Title: Water Department Director
ATTEST: ann
4F FORTw$
pF o�-Id
C—g d
PVo oSd
By: ll A
IlIlIlp nEXP5c4
Name: Jannette S. Goodall
Title: City Secretary
CONTRACTOR:
Dataspan Holdings, Inc.
By: A 9-11 3
Oiln
Name: J. BateTitle:ce President of Operations
Date: 11 b 0 /ZC23
Contract Renewal (ver. 8.19.22 updated 10.28.22)
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.
a
ti
By:
Name: atty Jea on
Title: Contract Services Administrator
APPROVED AS TO FORM AND LEGALITY:
JQC�
By: DRI—k (D— 1 2023 15:43 CST)
Name: Douglas. W. Black
Title: Sr. Assistant City Attorney
AUTHORIZATION:
M&C: 19-0369
Date Approved: 12/10/2019
Form 1295 Certification No: 2019-531427
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 2 of 2
Page I of "2-
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CERTIFICATE OF INTERESTED PARTIES
FORM 1295
intl
Complete Nos. l - -t Zind 6 it there are wlr rested patties.
OFFICE USE ONLY ,
Complete Nos. 1. 2. 3. 5. ants r, it thrm are nn n+trrr.,tecl Karnes.
CERTIFICATION OF FILING
1 Name of business entity filing form, and the city, state and country of the business entity's place
Certificate Number:
of business.
2019-531427
DataSpan Holdings. Inc.
Farmers Branch. TX United States
Date Filed:
�1 Name of governmental entity or state agency that is a party to the contract for which the form is
08121/2019
being filed.
(;try of Fort Worth TX
Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify
the contract. and provide a
description of the services, goods, or other property to be provided under the contract.
19-0119
Technology - UPS Liebert Phase Uninterrupuble Pov+rer System
4
Name of Interested Party
i (t•: i�U tl• , 1.C.
• J
5 Check only if there is NO Interested Party.
6 UNSWORN DECLARATION
.,•1y nallte is (fl
Myarlrlres515 U, 1—i /{ir._� !)',=JY, L.. C
#rt:cn
Nature of interest
City. State, Country (place of business) (check applicable)
` ^{� Controlling Intermediary
Vwz-
and my date of birth is + ( �• '+ J
ti r)L Iff I j -t
f L
(city) (crtte) (7!p rotle) Iron -try}
I dorlarr• unccr ocnnl[y of neliury Ihat the ft:taununl is Unr• and CntlF i 1.
---C:nunty. Slate of _. ! �hc4.1 on thr 11 ,l flay of j• ( 20�.
lilt,,
) ...—
t-PiZo ELIZABETH C. RICHARD 't"nth' jea')
-N°�- ••'c ¢Notary Public, Strlte of Texas
Comm. Expires 10-01-2022
nnr`Notary ID 1317A3755 1 �++t"~v I
Signmury'of auihnrized a0ent of contracting husn,ces Nnuty
Forms provided by Texas Ethics Commission +rrvMr:ethics.State. tx.us Version V1..1..39MO39c