HomeMy WebLinkAbout063154-A1 - General - Contract - Medline Industries, LPCSC No. 63154-A1
FORT WORTH
FIRST AMENDMENT TO
FORT WORTH CITY SECRETARY CONTRACT NO. 63154
This First Amendment to Fort Worth City Secretary Contract No. 63154 ("First
Amendment") is made by and between the City of Fort Worth ("City"), a Texas home -rule
municipal corporation acting by and through its duly authorized Assistant City Manager, and
Medline Industries, LP ("Vendor"), an Illinois limited partnership acting by and through its duly
authorized representative. City and Vendor are individually referred to as a "Party" and
collectively referred to as the "Parties."
WHEREAS, on April 23, 2025, the Parties entered into an Agreement identified as Fort
Worth City Secretary Contract No. 63154 ("Agreement");
WHEREAS, the Agreement allows for three (3) one-year renewal options; and
WHEREAS, the Parties desire to amend the Agreement to increase the total annual
compensation under the Agreement as authorized by M&C 25-0333.
NOW, THEREFORE, City and Vendor do hereby agree to the following:
I.
AMENDMENT
The Agreement is hereby amended as follows:
The fourth paragraph on the first page of the Agreement is hereby deleted and replaced as
follows:
City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance
with the provisions of this Agreement. Total payment made under this Agreement for the first year,
or any renewal term, by City shall not exceed four hundred thousand dollars ($400,000.00).
Vendor shall not provide any additional items or services or bill for expenses incurred for City not
specified by this Agreement unless City requests and approves in writing the additional costs for
such services. City shall not be liable for any additional expenses of Vendor not specified by this
Agreement unless City first approves such expenses in writing.
II.
ALL OTHER TERMS SHALL REMAIN THE
All terms, provisions, conditions, covenants, and recitals of the Agreement that
are not expressly amended herein shall remain in full force and effect.
III. OFFICIAL RECORD
ELECTRONIC SIGNATURE CITY SECRETARY
FT. WORTH, TX
First Amendment to Fort Worth City Secretary Contract No. 63154 Pagel of 3
This Amendment 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, of a signature, shall be treated as
and shall have the same effect as an original.
[SIGNATURE PAGE FOLLOWS]
[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
First Amendment to Fort Worth City Secretary Contract No. 63154 Page 2 of 3
ACCEPTED AND AGREED:
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By:
Name: William Johnson
Tide: Assistant City Manager
Date: 12/11/2025
By:
O�
Name:
Raymond Hill
Tide:
Interim Fire Chief
ATTEST:
By:
Name: Janette S. Goodall oFcoo°oe
Tide: City Secretary 40,
$
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ePac ¢ za 4S
VENDOR:
By:
Name: Troy Lother
Tide: Sr. Director National Field Sales
By signing 1 acknowledge that I am the person
responsible for the monitoring and
administration of this contract, including
ensuring all performance and reporting
requirements.
By:
Name:
Brenda Ray
Tide:
Fire Purehasmg/EMS Manager
APPROVED AS TO FORM AND
LEGALITY:
By:
Name:
Taylor Paris
Tide:
Sr. Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: 25-0333
Date Approved: 4/222025
Form 1295 Certification No.: 2025-1267929
OFFICIAL RECORD
CITYSECRETARY
FT. WORTH, TX
First Amendment to Fort Worth City Secretary Contract No. 63154 Page 3 of 3
City of Fort Worth, Texas
Mayor and Council Communication
DATE: 04/22/25 M&C FILE NUMBER: M&C 25-0333
LOG NAME: 36COOP OMNIA 2021003157 MEDLINE
SUBJECT
(ALL) Authorize Execution of a Purchase Agreement with Medline Industries, LP Using OMNIA Partners Cooperative Contract No. 2021003157
for Medical Supplies in an Annual Amount Up to $300,000.00 for the Initial Term and Authorize Three One -Year Renewal Options for the Same
Amount for the Fire Department
RECOMMENDATION -
It is recommended that the City Council authorize execution of a purchase agreement with Medline Industries, LP using OMNIA Partners
Cooperative Contract No. 2021003157 for medical supplies in an annual amount up to $300,000.00 for the initial term and authorize three one-
year renewal options for the same amount for the Fire Department.
DISCUSSION:
The purpose of this Mayor and Council Communication (M&C) is to authorize execution of an agreement with Medline Industries, LP for medical
supplies to support emergency medical response activities in the amount up to $300,000.00 for the Fire Department.
COOPERATIVE PURCHASE: State law provides that a local government purchasing an item under a cooperative purchasing agreement
satisfies State laws requiring that the local government seek competitive bids for the purchase of items. Omnia Partners Contracts have been
competitively bid to increase and simplify the purchasing power of local government entities.
University of California published Request for Proposal No. 2018AO, available through Omnia Partners for medical and surgical supplies on
August 15, 2020, August 20, 2020, August 21, 2020, and August 28, 2020. Contract No. 2021003157 was awarded to Medline Industries, LP on
November 3, 2021.
FUNDING: Upon adoption of the Fiscal Year 2025 operating budget for Emergency Medical Services, funding will be available in the Emergency
Medical Services Fund for the Fire Department.
ADMINISTRATIVE CHANGE ORDERS -An administrative change order or increase may be made by the City Manager up to the amount
allowed by relevant law and the Fort Worth City Code and does not require specific City Council approval.
TERM: The initial term of the agreement will begin upon execution and end on November 2, 2026.
RENEWAL TERMS: The agreement may be renewed for three additional one-year terms. This action does not require specific City Council
approval provided that the City Council has appropriated sufficient funds to satisfy the City's obligations during the renewal term.
BUSINESS EQUITY: A Business Equity goal is not assigned when purchasing from an approved purchasing cooperative or public entity.
This agreement will serve ALL COUNCIL DISTRICTS.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that upon approval of the recommendation and adoption of the Fiscal Year 2025 Budget for Emergency Medical
Services by the City Council, funds will be available in the current operating budget, as appropriated, in the Emergency Medical Services
Fund. Prior to an expenditure being incurred, the Fire Department has the responsibility to validate the availability of funds.
Submitted for City Manager's Office by: William Johnson
Originating Business Unit Head:. Jim Davis 6801
Additional Information Contact:
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
Soft
Complefo Nos. 1. 4 and 6 b there are interested parties.
Complete Nos. 1, 2.3. 5, and 6 if Mere are no interested! Parties.
OFFICE USE ONLY
CERTIFICATION OF FILING
Certificate Number:
20251267929
Date Filed:
1 Name of business entity filing form, and Me city, state and country of Me business entity's place
of business.
Medlin Industries, UP
Northfield, IL United States
2
Name of governmental entity or slate agency that is a Parry to the contras for which
being flied.
Fort Worth Fire Department
Me form is
02/11/2025
Date Acknowledged:
3
Provide the identification number used by Me governmental entity or state agency to track or identify the contract, and provide a
description of Me services, goods, or other property to be Provided under the contract
FW036-2021003157
Medical Supplies
4
Name of Interested Parry
City, State, Country(place of business)
Nature of interest
(check applicable)
Controlling
I Intermediary
5
Check only if there is NO Interested Parry. ❑
6
UNSWORN DECLARATION
My name is —
My address is ,—
and my date of birth is —
_a� SOL—, us
(Sveeg (city)
I declare under penalty of perjury Mat Me foregoing is true and correct.
I ecuted in Cook County, stateuf Illinois
Siglatur
(sea) (ap Code) (Counny)
on da 11 daynt February 2025
Imonnl Iwl
agentofmntracengbusnesselrtby
(becierad)
Forms provided by Texas Ethics Commission w .Mhits.state.tz.us Version V4.1.0.5dd2ace2
FORT WORTH.
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: Medline Industries, LP
Subject of the Agreement: First Amendment, CSC 63154-A1
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 ❑ 63154-A1
If so, provide the original contract number and the amendment number.
Is the Contract "Permanent"? *Yes ❑ No
If unsure, see backpage for permanent contract listing.
Is this entire contract Confidential? *Yes ❑ No ® Ifonly speck information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: Expiration Date:
If diereni 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:
1. Katherine Cenicola (Approver)
2. Jannette S. Goodall (Signer)
3. Allison Tidwell (Form Filler)
*Indicates the information is required and if the information is not provided, the contract will be
returned to the department.