HomeMy WebLinkAboutContract 52883-R5CITY OF FORT WORTH REQUEST TO EXERCISE RENEW AL omoN
One Call Concepts Inc.
Attn; Adam Franco
Address� 7233 Parkway Drive. Suite 210
Hanover, MD 21076-1391
July 8, 2024
Re: Contract Re ewal Notice -5 Renewal
Contract No. CSC No. 51883
Renewal Tenn: July 01, 2024 to July 01, 2025
Renewal Amomit: S�S.080.00
CSC no. 52883-RS
Toe above referenced Contract with the City of Fort Worth expires on July I, 2024 (the
.. Expiration D te . This letter is to inform you that the City is eitcrcising its right to renew the
contract for its 1st term in an amount up to $28,080.00 which will be effective immediately after
the Expiration Date. All othe:r terms md conditions of the co tract remain unchanged. Plule 11p
d re the aeco d page of thu t tter, alo g with a copy or yo r current In urance
certificate, to tbe lllldenlped.
Please log onto PeopleSoft Purchasing at http://fortworthtexru.gov/purchasmg to ensure
that your company information is correct and up-to-date.
If you have any questions concerning this Conttact Renewal Notice, please contact me at
the telephone IUJJIU>a' li.sted below.
Conttacl Renewal
Sincerely,
Regina Jones
Contract Compliance Specialist
817-392-2698
Pagel orz
ACCEPTED AND AGREED:
CITY OF FORT WORTR
�,,.,.J.C..__ By. Name: Fernando Costa Title: istaot City Manager
APP ROY AL RECOMMENDED:
Cb.tirto12het Hard.etBy: Christopher Harder (Jul 101 202414:02 CDT) Name: Cbrl Harder Title: Water Di.rector
ATI'EST:
By. r;,.� ame: Jannette Goodall Title: City Secretary
By._""""�--.._ _____ _Name: Adam Fnnco Title: Director of Opcr tioo
Contract ltc:newal
CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that ram lhc person respo11S1ble for the monitoring andadministration oft.his contract, including ensuring all perfo:rmancc and reportingrequiremcnla.
By. �p,,,u Name: Regina Jon Title: Contract Compliance Specialist
APPROVED AS TO FORM AND LEGALITY:
By. Douglas Black (Jul 11, 202414:35 CDT) Name: Doug Black Title: Sr. Assistant City Attorney
CONTRACT AUTHORIZATION: M&C: Date Approved:
Form 1295 Certification No: 2020-o23439
Pagel or2
CE�TI�i�ATE OF 1N7ERESTED PARTI�S� FORM �.Z9�J
. i ar z
• fJFFlGE USE ONLY
Goir•plale Nos 1• 4 and e if Ihrre are Interested parues. ��}�T'1FICATiON OP FIE-�NG
Cam�eta N45. i, 2, 3, 5, and b i� U►ere at@�r�o lnterested pa�e�,
1 Name ot buslness enttty flllny form, nnd the clty, state and country of tha buslt►ess entity's p[eca �O a�t�3g �°��
nt bu5lness,
pne Gall Goncepcs. Inc. �� pp�d:
Hanover,,Np Ul�i�d StateS bS128l2024
z ma o povernm�ntai enUty or.acan aqency mat � x partY �a t. e tonuaat tor wh c e orm is
batng flled, Date Acicnowledyed:
Ciry of �or1 Worth
3 pTpvide the Idanitifcadon numbe� u�ed by the governrncntal erttlry or.stat� aggncy to Irick or ldentfty ihe contract, and provlde ♦
description of tfiu �rrvtces, gtsnd�, or o[he/ property to be p[Avlded Utldei dle canbaat,
L7M F7W
Cfnud based Ticic�t Man�gemenr•servir.�s,
�iatura fl} irltwoat .
y Clty, Stbte� Cauniry (pi�ce ai busirlP�} (ch�G1c tppikeblej
Natne cf Intetestod Party . . . Convnfttn9 IRt�rmedlar
Hanov�r ln��..b�nenls, )nc..
Nanaver, MD Unit�d 6tales �
• }ianovei, M(3 Ur�ited�S[ate� x
Florenzo, Dan
f�iscal�way, NJ united 5tac$� X
H41zer.. James -
poriland, OR �nitesi 5�at�s X
, P1anUa�a. Fra.nk .
41anaVer, MC� United Sta�es X
� Parks, i3r�ra
Lc+tham� Th�im� 8aton. Ftouge; i.:A Unit�ri �tates x.
- � 1A/au�tal�sx� Wl .uni�ed St�te� X
S�hnvdt; Connie .
'-�lanovet� MD United Srate� �
f�udda. KeItY
hlai�Ver� MD United St�tea K
hfofi. Tom
Wiahila. K5 United S1�tes �
.J�s{el� Qa1�m
Wauwatasa;lM Unil�ti States X �
R�terson. Raody � �
Bumsvilf�, MN United S'tates x
F�anco, Adam -
�orms p�ovided by Tex�.s Et�sics Cotr�mission w��:Fu��w,�.».�>�-•--
— VersionY�.:1.3a6ual/U
C�RTIFICATE 4F INTERES7EA PARTIES Fow�+ 1295
zor�
Complete Nos. t� 4�nu 5 it there.are inc�rested �art►es. UFFlE� USE QN4,Y .
completa t�tcs.1, �, 3, 5, and 6 It thare sre na intrresced parties. CERTIFICATION OF FILINC�
1 Name ot buslness entky flllnd tn�m, and the clty, �tate and aountry �af th� bvslna�� enttt�s placa Ceitiflcaio Number:
of busines+�. 2020-6?.3439
C>ne Ct�II Concepis, InG.
Hanover, M D Uniled States �� FJ��'
2 Name dt qovtmmen►n en �71 v� aWce aqency 1 dt a a parry to the contract fot bv Ic the.farm s ���Z020
belnq ffled.
City of Fo�t Wotth nate Acitnawled{��d:
� Provfde the Idendflcadott number ueed by .tha govemment�l Qntity 9i Ytite aqc�ncy tn tracK o► Idaritlfy ih� co�tr�ct� and pro:vide a►
descrlptian at ihe �enrlc�s, pabdy, or other, prupatty ta bd plovlded und�r the conlraM, .
I.TM FTW •
Claud bra�ad 7i�ketManaq�►�enl senrices. -
. . . ' Natun al Intarest
'� � Name ot Inte�ested P�r'ty . Clky, 5tate, Ccunri}r (pu�r� ot huslnass) (cltatk aQpl�cab#e)
- ` Cantrnlllh9 Ifl�ermsd
5 CBeck oniy H there ls NQ tnurelted P�rty. � �.
A UN5WORN �CLARATION .
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1 derJar£ unde� p�nalry ai perjury ft��i !he lnrego�ng ig tn�e and corzect .�
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