HomeMy WebLinkAboutContract 53753-A1R1Docusign Envelope ID: 88512593-0647-465A-AOOC-2E307798F40F CSC No. 53753-Al R1
AMENDMENT NO. 1 RENEWAL NO. 1
TO CITY SECRETARY CONTRACT NO.53753
This Amendment and Renewal is entered into by and between the City of Fort Worth
("City"), a home rule municipality, and Empyrean Benefit Solutions, Inc. ("Vendor"). City
and Vendor may be referred to individually as a Party and collectively as the Parties.
WHEREAS, the Parties entered into City Secretary Contract 53753 for Vendor to
provide City with cloud -based software and services associated with online benefits administration
services (the "Agreement");
WHEREAS, the Parties desire to amend the Agreement in order to: (1) update the
Benefits Administration Fees price schedule found on page 24 of the Agreement and (2) increase
the annual spending authority for the remainder of the Agreement term, including extensions, to
an amount up to $675,000.00, as authorized by Mayor and Council Communication No. 24-1072
(12/ 10/24); and
WHEREAS, the Parties desire to renew the Agreement for its first renewal option,
effective June 1, 2025 to May 31, 2027.
NOW THEREFORE, City and Vendor, acting herein by and through their duly
authorized representatives, agree to the following:
1.
AMENDMENTS
1. The annual spending authority for June 1, 2024 to May 31, 2025, and all remaining
years under the Agreement, is hereby increased to an amount up to $675,000.00.
2. The Benefits Administration Fees table located on page 24 of the Agreement is hereby
deleted in its entirety and replaced with the updated Benefits Administration Fees table,
attached hereto. All other fees under the Agreement will remain the same.
2.
RENEWAL
The Agreement is hereby renewed for its first two-year renewal term from June 1, 2025 to
May 31, 2027.
3.
ALL OTHER TERMS SHALL REMAIN THE SAME
All other provisions of the Agreement which are not expressly amended herein shall
remain in full force and effect.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Docusign Envelope ID: 88512593-0647-465A-AOOC-2E307798F40F
4.
ELECTRONIC SIGNATURE
This Amendment and Renewal may be executed in multiple counterparts, each of
which shall be an original and all of which shall constitute one and the same instrument.
A facsimile copy or computer image, such as a PDF or tiff image, or a signature, shall be
treated as and shall have the same effect as anoriginal.
Docusign Envelope ID: 88512593-0647-465A-AOOC-2E307798F40F
ACCEPTED AND AGREED:
CITY OF FORT WORTH:
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By: Dianna Giordano (Jun 17, 2025 08:12 CDT)
Name: Dianna Giordano
Title: Assistant City Manager
Date:
APPROVAL RECOMMENDED:
Name: Holly Moyer
Title: Interim Human Resources Director
ATTEST: ;oF FORr°�yaa
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By:
Name: Jannette S Goodall
Title: City Secretary
Vendor: Empyrean Benefit Solutions, Inc.
DocuS
F7 igned by:
By:
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Name: Keit Wi son
Title: Chief Client Officer
Date: 6/6/202 5
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: Joanne Hinton
Title: Benefits Manager, Human
Resources
APPROVED AS TO FORM AND LEGALITY:
By:
Name: Jessika Williams
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: M&C 24-1072
1295: 2019-563320
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Docusign Envelope ID: 88512593-0647-465A-AOOC-2E307798F40F
AMENDMENT ONE
TO
THE AGREEMENT
THIS AMENDMENT ONE TO THE AGREEMENT ("Amendment One") is entered into effective as of June 1, 2025, by and between
he City of Forth Worth ("City" or "Client") and Empyrean Benefit Solutions, Inc. ("Empyrean").
WHEREAS, Client and Empyrean are Parties to the Professional Services Agreement (the "PSA"), effective as of January 13,
t020 ("Effective Date") and which incorporates and includes any Statements of Work ("SOW"s), addenda, exhibits, amendments,
�hange Orders, and/or restatements thereto (the "Agreement"); and,
WHEREAS, Client and Empyrean desire to amend the Agreement as provided herein.
NOW, THEREFORE, in consideration of the mutual promises and agreements set forth herein and for other good and valuable
-onsideration, the receipt and sufficiency of which is hereby acknowledged, Client and Empyrean agree as follows:
I. Defined Terms. Capitalized terms used but not defined herein shall have the meanings set forth in the Agreement.
2. Amendments. The Agreement is hereby amended as detailed below:
Section 2.A. of the PSA, "Term", shall be amended and replaced in its entirety as follows:
This Agreement shall commence on the Effective Date and continue through May 31, 2025 (the "Initial Term"). Upon
expiration of the Initial Term, this Agreement shall renew for a 24-month period extending from June 1, 2025, through
May 31, 2027 ("First Extension Term"). The Initial Term and the First Extension Term shall be collectively referred to as
the "Term." The Term shall be hereby deemed to run from the Effective Date through May 31, 2027.
II. The 2nd row of the "Benefits Administration Fees" section of the "Benefits Administration Fees" table, "Fees Per Eligible
Participant' as set forth on page 3 of the SOW shall be amended and replaced in its entirety as follows:
' Ongoing Fees are billed monthly with payment terms as provided for under the Agreement.
-;ty of Fort Worth_ AMD 1 - Renewal 6.1.25