HomeMy WebLinkAboutContract 58705-R1DocuSign Envelope ID: 802AAB8C-A756-4AD6-8AD6-3521C1EB1D1D
CSC No. 58705-R1
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
May 23, 2024
Northern Safety Co., Inc.
Attn: Mike Borrelli
Address: 232 Industrial Park Drive.
Frankfort, NY 13340
Re: Contract Renewal Notice
Contract No. CSC No. 58705 (the "Contract')
Renewal Term No. 1: 3/31/2024 to 4/l/2025
The above referenced Contract with the City of Fort Worth expires on 3/31/2024 (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.;zov/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,
Regina Jones
Contract Compliance Specialist
817-392-2698
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 1 of 2
DocuSign Envelope ID: 802AAB8C-A756-4AD6-8AD6-3521C1EB1D1D
CITY OF FORT WORTH
By:
Name: Fernando Costa
Title: Assistant City Manager
By:
Christopher Harber (May 24, 202410:41 CDT)
Name: Chris Harder
Title: Water Director
ATTEST: a. FORT 114
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By:
Name: Jannette Goodall
Title: City Secretary
Northern Safety Co., Inc.
DocuSigned by:
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B P : I .A.YYYt, bA.dAAA A, 5/23/2024
N pi e6aniia.Unchman
Title: Director of Sales Operations
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: Regi a Jones
Title: Contract Compliance Specialis
APPROVED AS TO FORM AND LEGALITY:
By:
Name: Jessika Williams
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: 23-0582
Date Approved: 6/27/2023
Form 1295 Certification No.: 2023-1026479
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 2 of 2
City of Fort Worth, Texas
Mayor and Council Communication
DATE: 06/27/23 M&C FILE NUMBER: M&C 23-0582
LOG NAME: 13PAMEND NORTHERN SAFETY CO. INC MRO FMS HO
SUBJECT
(ALL) Authorize Increase to Cooperative Agreement with Northern Safety Co. Inc in the Amount of $88,500.00 for a New Total Annual Amount of
$188,500.00 for Facilities Maintenance, Repair, and Operational Supplies and Services for the Water Department
RECOMMENDATION:
It is recommended that the City Council authorize an increase to the Cooperative Agreement with Northern Safety Co. Inc in
the amount of $88,500.00 for a new total annual amount of $188,500.00 for facilities maintenance, repair, and operational supplies and services
for the Water Department.
11 &10111*4 [0] kqF
On January 9, 2023, the City of Fort Worth entered into an agreement with Northern Safety Co. Inc under Omnia Cooperative Agreement, No.
R192007, in an amount up to $100,000.00.
The increased spending with Northern Safety Co. Inc is being requested by the Water Department. This contract would be used to purchase
personal protective equipment, tools, minor equipment, and other miscellaneous materials utilized on the day-to-day operations of Field Ops.
Purchasing requests that City Council authorize an increase to the above -described contract by $88,500.00 to accommodate this increased, and
necessary, spending. The new total annual amount of the agreement would be $188,500.00.
AGREEMENT TERM - The current agreement term is from April 1, 2023, to March 31, 2024. Upon the expiration of the current term, the City will
have two (2) options to renew the agreement.
ADMINISTRATIVE CHANGE ORDER - An administrative change order or increase may be made by the City Manager up to the amount allowed
by relevant law and the Fort Worth City Code and does not require specific City Council approval as long as sufficient funds have been
appropriated.
COOPERATIVE PURCHASE - State law provides that a local government purchasing an item under a Cooperative Purchasing Agreement
satisfies state laws requiring that the local government seek competitive bids for purchase of the item.
DVIN-BE: A Business Equity Goal is not assigned when purchasing from an approved purchasing cooperative or public entity.
Funding is budgeted in the Operating Supplies account of the Water Department's rollup within the Water & Sewer Fund.
The Cooperative Agreement serves ALL COUNCIL DISTRICTS.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that upon approval of the recommendation, funds are available in the current operating budget, as previously
appropriated, in the Water & Sewer Fund. Prior to an expenditure being incurred, the Water Department has the responsibility to validate the
availability of funds.
Submitted for Citv Manaaer's Office bv: Reginald Zeno
8517
Dana Burghdoff
8918
Oriainatina Business Unit Head: Reginald Zeno
8517
Christopher Harder
5020
Additional Information Contact: Jo Gunn
8525
Heather Oakes
8354
CERTIFICATE OF INTERESTED PARTIES FORM 1295
1of1
i
Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. 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. 2023-1026479
Northern Safety Co, Inc
Frankfort, NY United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 05/26/2023
being filed.
City of Forth Worth 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.
# R192007
the Maintenance, Repair, and Operational Supplies and Services
Nature of interest
4
Name of Interested Party City, State, Country (place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party. ❑
X
6 UNSWORN DECLARATION I CG
My name is e VCA CCA and my date of birth is
My address is �(1G�u i��c� �[,l �1 r + V( (�%C✓1k ��� ,� L� (� > U
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
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Executed in i�c r County, State of h'' G0 . on the day of I -�� l/7� 20AL.
(man th} (year)
A,- -7� 4 0J-
Signature of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.a18ea2ca