HomeMy WebLinkAboutContract 60682-CO1Docusign Envelope ID: D5DE477C-0073-44C2-9B6D-EDE783C2AA1E
CSC No. 60682-COl
City of Fort Worth -Senior Consultant, GRC-148243-CR01
Change Request to Statement of Work
Pursuant to SOW # City of Fort Worth -Senior Consultant, GRC-148243 between ePlus Technology, inc. and City of
Fort Worth ("Customer"), both Parties hereby certify, by the signature of an authorized representative, that this
Change Request will amend and be fully incorporated into the existing SOW. This Change Request shall be
governed by TIPS 230105, Contract under CSC 60682.
Change Request Number
Reason for Change Request
Changes to SOW
Schedule Impact
01
Customer has requested additional hours be added to the original SOW
151 hours at $90.00/hour
151 hours added to the schedule
Cost Impact
SOW / Change Request
Services
T&E
Total
Original Value of SOW
$52,455.00
$13,590.00
$66,045.00
$0.00
$0.00
$0.00
$52,455.00
$13,590.00
$66,045.00
Value of Change Request No. 01
New Value of SOW
Purchase Order Issuance (if applicable): Customer shall issue a Purchase Order to ePlus for $13,590.00 or shall
issue an amendment to its original Purchase Order issued under this SOW, for the total amount of $66,045.00.
Except as changed herein, all terms and conditions of the SOW # City of Fort Worth -Senior Consultant, GRC-
148243 remain in full force and effect.
IN WITNESS WHEREOF, the duly authorized representatives of the Parties hereto have caused this Change
Request to be fully executed.
Submitted by:
Acknowledged and Agreed to by:
ePlus Technology, inc.
City of Fort Worth
Authorized
DocuSigned by:
ISf�- S
Authorized�M�C�
Signature
C
Steve Hughes
Di r Post Sales Engineering
4/30/2025
Signature
Dianna Giordano (May 9, 2025 09:31 CDT)
Dianna Giordano
Assistant City Manager
05/09/2025
Printed Name
Printed Name
Title
Title
Date
Date
PO#
ePlus.com I ePlus Technology, inc. 13595 Dulles Technology Drive, Herndon, VA 20171
4/9/2025 City of Fort Worth -Senior Consultant, GRC-148243-CRo1
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX PAGE 1 OF 1
Envelope ID: DD2EEC54-536D-42F9-A80B-A01BDOBF7CC6
City of Fort Worth -Senior Consultant, GRC-148243-CR02
Change Request to Statement of Work
Pursuant to SOW # City of Fort Worth -Senior Consultant, GRC-148243 between ePlus Technology, inc. and City of
Fort Worth ("Customer"), both Parties hereby certify, by the signature of an authorized representative, that this
Change Request will amend and be fully incorporated into the existing SOW. This Change Request shall be
governed by TIPS 230105, Contract under CSC 60682.
Change Request Number
Reason for Change Request
Changes to SOW
Schedule Impact
02
Customer has engaged ePlus for additional hours be added to the
original SOW.
Add 182 hours at $90.00/hour
Add 182 hours added to the schedule
Cost Impact
SOW / Change Request
Services
T&E
Total
Original Value of SOW
$52,455.00
$0.00
$52,455.00
Value of Change Request No. 01
$13,590.00
$0.00
$13,590.00
Value of Change Request No. 02
$16,380.00
$0.00
$16,380.00
New Value of SOW
$82,425.00
$0.00
$82,425.00
Purchase Order Issuance (if applicable): Customer shall issue a Purchase Order to ePlus for $16,380.00 or shall
issue an amendment to its original Purchase Order issued under this SOW, for the total amount of $82,425.00.
Except as changed herein, all terms and conditions of the SOW # City of Fort Worth -Senior Consultant, GRC-
148243 remain in full force and effect.
IN WITNESS WHEREOF, the duly authorized representatives of the Parties hereto have caused this Change
Request to be fully executed.
Submitted by:
ePlus Technology, inc.
Authorized Lsfuu—
Signature
Fnaao rnazr
Printed Name Steve Hughes
Title Di r Post Sales Engineering
Date 4/30/2025
Acknowledged and Agreed to by:
City of Fort Worth
Authorized
Signature Dianna Giordano (May 9, 2025 09:31 CDT)
Printed Name Dianna Giordano
Title
Assistant City Manager
05/09/2025
Date
PO#
ePlus.com I ePlus Technology, inc. 13595 Dulles Technology Drive, Herndon, VA 20171
4/9/2025 City of Fort Worth -Senior Consultant, GRC-148243-CR02 PAGE 1 OF 1
[Executed effective as of the date signed by the Assistant City Manager above.] / [ACCEPTED
AND AGREED:]
CITY OF FORT WORTH INTERNAL ROUTING PROCESS:
Approval Recommended:
By:
Name:
Kevin Gunn
Title:
Director, IT Solutions
Approved as to Form and Legality
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: Robert . 2025 09-15 CDT)
Name: Bobby Lee
Title: Senior Manager, IT Solutions
By: sp� City Secretary: p 144
Name: Hye Won Kim
Title: Assistant City Attorney
By:
�aannnoezASdb
Contract Authorization: Name: Jannette Goodall
M&C: N/A Title: City Secretary
Approved: N/A
1295: N/A
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX