HomeMy WebLinkAboutContract 58711-R2CSC No. 58711-R2
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
September 30, 2024
Front Line Mobile Health, PLLC
Attn: Russell A. Burnham, CEO
6517 N. Lakewood Dr.
Georgetown, TX 78633
Re: Contract Renewal Notice
Contract No. 58711 ("Contract")
Renewal Term No. 2: January 01, 2025 to December 31, 2025
The above -referenced Contract with the City of Fort Worth expires on December 31, 2024
("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 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 httn://fortworthtexas.aov/purchasing to ensure
that your company information is correct and up-to-date.
If you have any questions concerning this Contract Renewal Notice, please email me at the
email address listed below.
Sincerely,
Katva Flores
Sr. Admin Assistant
Katya.Flores (&fortworthtexas.2ov
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 1 of 2
ACCEPTED AND AGREED:
CITY OF FORT WORTH
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Bypana Burghdoff (Oct 2024 A15 CDT)
Name: Dana Burandoff
Title: Assistant Citv Manager
Date: Oct 8, 2024
APPROVAL RECOMMENDED:
By James Davis (Oct 8, 202413:46 CDT)
Name: Jim Davis
Title: Fire Chief
ATTEST:
By:
Name: Jannette Goodall
Title: Citv Secretary
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Front Line Mobile He JILLC
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Name: Russell A. Burnham
Title: Chief Executive Officer
Date: 1-7-0 )-�p
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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: Brenda Rav
Title: Fire Purchasing Manager
APPROVED AS TO FORM AND LEGALITY:
By:4.d. P d
Name: Andrea Phillips
Title: Assistant Citv Attornev
CONTRACT AUTHORIZATION:
M&C: 23-0038
Date Approved: 01/10/2023
Form 1295 Certification No.: 2022-965191
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 2 of 2