HomeMy WebLinkAboutContract 58578-A3R2Docusign Envelope ID: BOOAAC8B-FEEE-4B65-A6C3-27439DEA6AA1
CSC No. 58578-A3R2
THIRD AMENDMENT AND SECOND RENEWAL TO
CITY OF FORT WORTH CONTRACT NO. 58578
This THIRD AMENDMENT AND SECOND RENEWAL is made and entered into by and
between the CITY OF FORT WORTH, a home -rule municipal corporation of the State of Texas, acting
by and through its duly authorized representative ("City"), and Fulcrum Management Solutions, Inc.
("Vendor").
WHEREAS, City and Vendor entered into an agreement identified as Fort Worth City Secretary
Contract No. 58578 (the "Agreement'), with the initial term from November 29, 2022 to September 30,
2023;
WHEREAS, the parties previously renewed the agreement for a term of October 1, 2023 through
September 30, 2024;
WHEREAS, the parties desire to amend the Agreement to update Exhibit B of the Agreement
and increase the maximum spend to $90,000.00 for the second renewal term;
WHEREAS, the Agreement provides that the term may be renewed for two additional one-year
periods;
WHEREAS, the parties wish to continue their relationship by exercising the second renewal
option beginning October 1, 2024 and to expire September 30, 2025; and
NOW, THEREFORE, City and Vendor agree to amend and to renew and extend the Agreement
as follows:
I. AMENDMENT
City and Vendor hereby agree to amend the Agreement as follows:
Exhibit B of the Agreement is deleted and replaced with the Exhibit B attached to this Third
Amendment and Second Renewal. In accordance with Exhibit B, the maximum spend under the
Agreement is increased to $90,000.00 for any single annual term.
H. RENEWAL
The parties further agree to renew and extend the Agreement for its second renewal term,
effective beginning on October 1, 2024 and ending on September 30, 2025 (2nd Renewal Term). This
shall be the second of two possible one-year renewal periods.
IH.
(1) All terms and conditions of the Agreement that are not expressly amended pursuant to
this First Amendment and First Renewal shall remain in full force and effect.
(2) All terms in this Third Amendment and Second Renewal that are capitalized but not
Third Amendment and Second Renewal to CSC No. 58578 Page 1 of 2
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Docusign Envelope ID: BOOAAC8B-FEEE-4B65-A6C3-27439DEA6AA1
y.
defined shall have the meanings assigned to them in the Agreement.
[Signature Page Follows]
[Executed effective as of the date signed by the Assistant City Manager below.] / [ACCEPTED AND
AGREED:]
City:
By. Revne�e, 25, 2024 15:15 CDT)
Name: Reyne C, Telles
Title: Chief Communications Officer
Date: 10/16/24
Vendor:
�DocuSlgned by: 11''
�W
By. n rR�ew �i
Name:
Title: CFO
Date: October 15, 2024 1 10:19:08 PDT
CITY OF FORT WORTH INTERNAL ROUTING PROCESS:
Approved as to Form and Legality:
By:
Name: Taylor C. Paris
Title: Assistant City Attorney
Contract Authorization:
M&C:
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.
Nlapvafe� Dghw-
MargaretYufour (Oct 24, 2024 12:58 CDT)
By:
Name: Margaret Dufour
Title: Asst Comm/Public Engagement Director
o �F FORT �Ydd
ati8 �9p0
City Secretary:
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paQ� nEoo o"�.o�
CAA.
By:
Name: Jannette S. Goodall
Title: City Secretary
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Third Amendment and Second Renewal to CSC No. 58578 Page 2 of 2
Docusign Envelope ID: BOOAAC8B-FEEE-4B65-A6C3-27439DEA6AA1
4242 ThoughtExchange
Fulcrum Management Solutions Inc. Service Order/Exhibit B
Contact: Anthony Cerami
Phone: +1 6476129437
Email: anthony.cerami@thoughtexchange.com
Customer Information
Bill To: City of Fort Worth
Address: City Hall
200 Texas St, Fort Worth,
Postal/Zip Code: 76102
Texas 76102 United States
Billing Contact Name: Evonia Daniels
Billing Contact Email: evonia.daniels@fortworthtexas.gov
Billing Contact Phone: (817) 392-8184
Ship To (if different than Bill To):
Address:
Postal/Zip Code:
Shipping Contact Name: Evonia Daniels
Shipping Contact Email: evonia.daniels@fortworthtexas.gov
Shipping Contact Phone: (817) 392-8184
Order Details
Order total: $90,000.00 Subscription Start Date: October 1, 2024
Currency: USD Subscription End Date: September 30, 2025
Billing Frequency: All Up -Front
Payment Terms: Net 30 days Automatic Renewal: No
This is not an invoice —do not remit payment until an invoice has been issued.
Product Details
Engagement360 2.00
Discount
One -Time
Discount
• Exchanges (for up to 7 Leaders)
• Surveys (for up to 7 Leaders)
• Access to Customer Success, Events and Resources and Product Support
• Administrative Controls
• AI Advisor and Article
• Analytics and Data Visualization
• Contact Box, Customisable Branding and Domain Limiting
• Expanded Survey Question Comparison
• Engagement Templates and Data Download
• Integrations - Calendar and Participant Invitation
• Machine Moderation, Multilingual Participation, and Participation Groups
• Rooms
• Survey Branching with Drilldown, Survey Topics, and Templates
• Unique Participation Link and Access Codes
• Up to 100 survey questions per Engagement
• Data analyst role with Anonymous mode (does not include PII) and
Confidential mode (does Include Pit)
• Filter results by imported demographic data (must use confidential setting &
unique links)
Multiple Workspace discount
$126,000.00
-$31,500.00
-$4,500.00
FULCRUM CONFEDENT AL 1990 Suite E, Columbia Avenue, PO BOX 2260, Rossland, BC VOG 1YO Page 1
800-361-9027 1 thoughtexchange.com
Docusign Envelope ID: BOOAAC8B-FEEE-4B65-A6C3-27439DEA6AA1
±P' ThoughtExchange
Services Description can be found at: htti)s:Hthoucihtexchanae.com/services-description/
Purchase Order Information
Is a Purchase Order (PO) required? Yes ❑ No ❑
Is the licensee exempt from sales and use tax? Yes ❑ No ❑
Customer Purchasing Contact Email:
Any purchasing or vendor registration documents can be directed to accounts(@..thouahtexchanae.com
Terms and Conditions
The services described in this order are governed by the Subscription Terms found at:
httDs://thouahtexchanae.com/subscription-terms
Order Special Terms
Notwithstanding anything to the contrary in the Subscription Terms (including Section 7.2), your subscription shall
terminate on the Subscription End Date indicated on this Order Form and shall not automatically renew.
Acceptance
Please indicate your acceptance of this agreement (including the attachments) by signing below and returning this
Service Order to us. By signing you represent that you are authorized to agree to this agreement on behalf of the
undersigned organization.
City of Fort Worth
By: Reyne e s (Oct 25, 2024 15:15 CDT)
Reyne Telles
Print Name Above
Chief Communications Officer
Title
10/25/2024
Date
Fulcrum Management Solutions Inc.
I
DocuSlgned by:
By:
Andrew Oh
Print Name Above
CFO
Title
October 15, 2024 1 10:19:08 PDT
Date
FULCRUM CONFIDENTIAL 1990 Suite E, Columbia Avenue, PO BOX 2260, Rossland, BC VOG IYO Page 2
800-361-9027 1 thoughtexchange.com
DocuSign°
Certificate Of Completion
Envelope Id: BOOAACBBFEEE4B65A6C327439DEA6AA1
Status: Completed
Subject: Complete with Docusign: ThoughtExchange Order Form —City of Fort Worth Communications
Dept 2024-...
Source Envelope:
Document Pages: 4 Signatures: 2
Envelope Originator:
Certificate Pages: 2 Initials: 0
Martin Levy
AutoNav: Enabled
Suite E, 1990 Columbia Ave PO Box 2260
Envelopeld Stamping: Enabled
Rossland, BC VOG 1Y0
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
martin.levy@thoughtexchange.com
IP Address: 24.86.60.19
Record Tracking
Status: Original Holder: Martin Levy Location: DocuSign
10/1112024 5:03:06 PM martin.levy@thoughtexchange.com
Signer Events Signature Timestamp
Andrew Oh M uS'°"°" "Y Sent: 10/15/2024 10:18:02 AM
andrew.oh@thoughtexchange.com I ow Viewed: 10/15/2024 10:18:52 AM
CFO °617UM2+7,FF." Signed: 10/15/2024 10:19:08 AM
Fulcrum Management Solutions Ltd.
Security Level: Email, Account Authentication Signature Adoption: Pre -selected Style
(None) Using IP Address: 24.87.62.120
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Matt DeBock I COPIED Sent: 10/15/2024 10:18:04 AM
matt.debock@thoughtexchange.com
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events
Signature
Timestamp
Notary Events
Signature
Timestamp
Envelope Summary Events
Status
Timestamps
Envelope Sent
Hashed/Encrypted
10/11/2024 5:07:17 PM
Envelope Updated
Security Checked
10/15/2024 9:52:35 AM
Envelope Updated
Security Checked
10/16/2024 9:52:35 AM
Certified Delivered
Security Checked
10/15/2024 10:18:52 AM
Signing Complete
Security Checked
10/15/2024 10:19:08 AM
Completed
Security Checked
10/15/2024 10:19:08 AM
Payment Events Status Timestamps