HomeMy WebLinkAboutContract 53086-R2Docusign Envelope ID: C9815547-2E25-4495-B8A8-401 EA36AOB7B
Ct),Wd'- No.. 53086-R2
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
June 3, 2025
Occupational Health Centers of the Southwest, P.A.,
DBA Concentra Medical Centers
Attn: Robert G. Hassett, DO, MPH
President, Treasurer & Secretary
Re: Contract Renewal Notice
Contract No. CSC No. 53086 (the "Contract")
Renewal Term No. 2: January 1, 2026 to December 31, 2026
The above referenced Contract with the City of Fort Worth expires on December 31, 2025
(the "Expiration Date"). Pursuant to the 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 quote for charges for the new renewal term and a 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 http://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 contact me at
the telephone number listed below.
Sincerely,
Fr&rtl L. 'Ro-c e
Erin Roden,
Sr. Contract Compliance Specialist
817-392-7455
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 1 of 2
Docusign Envelope ID: C9815547-2E25-4495-B8A8-401 EA36A01376
CSC No.
ACCEPTED AND AGREED:
CITY OF FORT WO TH
By: Dianna Giordano (Jul 11, 202511:27 CDT)
Name: Dianna Giordano
Title: Assistant City Manager
Date: 07/11 /2025
APPROVAL RECOMMENDED:
By:
Name: Holly Moyer
Title: Interim Assistant Director, Human Resources
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ATTEST: o F ��o
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By: l/Jl
Name: Jannette Goodall
Title: City Secretary
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: Peter Bernard
Title: Safety Manager, Human Resources
APPROVED AS TO FORM AND LEGALITY:
By:
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Name: Jessika Williams
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: 19-0238; 25-0352
Date Approved: 10/15/19; 4/22/25
Form 1295 Certification No.: N/A
VENDOR: CONCENTRA MEDICAL CENTERS
By: Fd by:
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Name: Robert 6.143 nett, DO, MPH
Title: President, Treasurer & Secretary
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Page 2 of 2