HomeMy WebLinkAboutContract 53573-R5CSC No. 53573-R5
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
December 11, 2024
Dataspan Holdings, Inc.
Attn: John J. Bates
1245 Viceroy Drive
DALLAS, TX 75247
Re: Contract Renewal Notice — 511 and Final 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.2ov/purchasin2 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,
Lt/�o,
C oLnti''a� ervices Administrator
(817) 392-8411
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal (ver. 8.19.22 updated 10.28.22) Page 1 of 2
ACCEPTED AND AGREED:
CITY OF FORT WORTH
By: William Johnson (D c 16, 202415:55 CST)
Name: William Johnson
Title: Assistant City Manager
Date: 1 2/16/2024
APPROVAL RECOMMENDED:
CGt�Is�o,�Gc�� tta��l��
By: Christopher Har6er (Dec 12, 2024 08:12 CST)
Name: Christopher Harder, P.E.
Title: Water Department Director
ATTEST:
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Name: Jannette S. Goodall
Title: City Secretary
CONTRACTOR:
Dataspan Holdings, Inc.
By:
Name: khn J. Ba s
Title: Vice President of Operations
Date: 12/11 /2024
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: Patty Wanilson
Title: Contract Services Administrator
APPROVED AS TO FORM AND LEGALITY:
By:
Douglas Black (Dec 12, 202416:13 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
Contract Renewal (ver. 8.19.22 updated 10.28.22) Page 2 of 2
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CERTIFICATE OF INTERESTED PARTIES
Cnnlplrte tuns_ l -d and 6 it tllere are utterested patlies.
Complele Nos. 1. 2. 3. 5. and 6 if thrrr arr. nn ntterested panms.
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
DataSpan Holdrrigs. Inc.
Farmers Branch. TX United States
2 Name of governmental entity or state agency that is a party to the contract for which the form is
being filed.
City of Foil Worth TX
FORM 1295
nt ±
—I
OFFICE USE ONLY
CERTIFICATION OF FILING
Certificate Number:
2019-531427
Date Filed:
0812112019
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 Uninterruptlble Power System
4
Name of Interested Party
5 Check only if there is NO Interested Party. Fq
6 UNSWORN DECLARATION
kty niO11e IS l C i, j J
My address is 6' '�� 1 rit•.,fih'�JY, ( c
,Strtc!!
Nature of interest
City, state, Country (place of business) I (check applicable)
Controlling Intermediary I
and my date of birth is
rX
(city) Is!ate)
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I ilrciar• tindcr penal. -I, o1 pet jury ihnt itte lumtluugl is bon and cnrioci.
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1 a ^TtPi:'r� ELIZABETH C. RICHARD +'i tT�,11" yen,)
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Notary Public, Stale of Texas ' -
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nn,``� Notary ID 131743755
�,_�._ _� Signanir9'of aaihnrizerl agent of contracting business pnitn•
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Forms provided by Teyas Ethics Commission v;w.ur:ethics.state.tx.us Version V1..1..39f8039c