HomeMy WebLinkAbout061376-R2 - General - Contract - Siddons-Martin Emergency Group LLCCSC No. 61376-R2
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
November 6, 2025
Siddons-Martin Emergency Group LLC
Attn: Jeffrey A. Doran, Director — Procurement Contracts
1362 E. Richey Road
Houston, TX 77073
Re: Contract Renewal Notice
Fort Worth City Secretary Contract No. 61376 ("Contract")
Second Renewal Term: December 1, 2025 to November 30, 2026
The above -referenced Contract with the City of Fort Worth expires on November 30, 2025
("Expiration Date"). This letter is to inform you that the City wishes to exercise its renewal option
for a Second Renewal Term, which will begin immediately after the Expiration Date as outlined
above. All other terms and conditions of the Contract remain unchanged.
Please return this signed acknowledgment letter, along with a current copy of your
insurance certificate reflecting the City of Fort Worth as the Holder, to the email address set
forth below acknowledging receipt of the Contract Renewal Notice.
Please log onto PeopleSoft Purchasing at httb://fortworthtexas.2ov/burchasin2 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,
Ximber .Allen
Kimber Allen
Sr. Contract Compliance Specialist
Kimberly.Allena,fortworthtexas. izov
817-392-6443
Contract Renewal — CSC 61376-R2 Page 1 of 2
11-06-2025
City Secretary’s Office
Contract Routing & Transmittal Slip
*Indicates the information is required and if the information is not provided, the contract will be
returned to the department.
Contractor’s Name:
Subject of the Agreement:
M&C Approved by the Council? *Yes No
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes No
If so, provide the original contract number and the amendment number.
Is the Contract “Permanent”? *Yes No
If unsure, see back page for permanent contract listing.
Is this entire contract Confidential?*Yes No If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: Expiration Date:
If different from the approval date. If applicable.
Is a 1295 Form required?* Yes No
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number:If applicable.
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes No
Contracts need to be routed for CSO processing in the following order:
(Approver)
Jannette S. Goodall (Signer)
Allison Tidwell (Form Filler)