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Home My WebLink About058711-R3A3 - General - Contract - Front Line Mobile Health, PLLCCSC No. 58711-R3A3 THIRD RENEWAL AND THIRD AMENDMENT TO FORT WORTH CITY SECRETARY CONTRACT NO. 58711 This Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 ("Agreement") is entered into by and between FRONT LINE MOBILE HEAL TH, PLLC. ("Vendor"), a professional limited liability company acting by and through its duly authorized representative, and City of Fort Worth ("City"), a Texas home-rule municipal corporation acting by and through its duly authorized Assistant City Manager, each individually referred as a "Party" and collectively as the "Parties." WHEREAS, City and Vendor entered into an Agreement identified as Fort Worth City Secretary Contract No. 58711 ("Agreement") on January 1, 2023, for comprehensive health and wellness services. The Agreement provides for four one-year renewal options; WHEREAS, on June 15, 2023, the Parties amended the Agreement to provide for advanced cardiovascular labs, cancer screenings, and specialty cariology evaluations; WHEREAS, on June 4, 2024, the Parties amended the Agreement to provide for additional services- Esophageal Cancer Screening; WHEREAS, the Parties agree to amend the Agreement by adding the attached updated Exhibit B to reflect updated pricing; WHEREAS, the Parties agree to amend the Agreement by increasing the annual compensation amount by $1,665,000.00 for a new total annual compensation of $3,635,000.00; and WHEREAS, it is the collective desire of the Parties to renew the agreement for the Third renewal option (the "Third Renewal Term"), from January 1, 2026, through December 31, 2026. NOW, THEREFORE, City and Vendor do hereby agree to the following: I. RENEW AL OF AGREEMENT The Agreement, as previously amended, is hereby renewed for an additional renewal term (the "Third Renewal Term") commencing on January 1, 2026, and ending on December 31, 2026, unless terminated earlier in accordance with the Agreement II. AMENDMENT TO AGREEMENT The Agreement is amended as follows: A. The Agreement is hereby amended by adding the attached Payment Schedule to Exhibit B. These added terms do not replace the terms of the Original Agreement, but are cumulative of pricing for services rendered under this Agreement. B. Section Three of the Agreement is amended to be and read as follows: Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 Page 1 of8 3. Compensation. City will pay Vendor in accordance with the provisions of this Agreement, including Exhibit "B," which is attached hereto and incorporated herein for all purposes. Total compensation under this Agreement will not exceed three million six hundred thirty-five thousand dollars ($3,635,000.00). Vendor will not perform any additional 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 will not be liable for any additional expenses of Vendor not specified by this Agreement unless City first approves such expenses in writing. III. ALL OTHER TERMS SHALL REMAIN THE SAME All other provisions of Agreement, as previously amended, which are not expressly amended herein shall remain in full force and effect. IV. ELECTRONIC SIGNATURE This Third Renewal and Third 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, or a signature, shall be treated as and shall have the same effect as anoriginal. [Signature Page Follows] [Remainder of This Page Intentionally Left Blank] Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 Page 2 of 8 ACCEPTED AND AGREED: CITY OF FORT WORTH �'� J� � By: � Name: William Johnson Title: Assistant CiTy Manager Date: 12/19/2025 APPROVAL RECOMMENDED: 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. �CatG��n �qe� gy; Kathryr, agee (de� is, 20�515:26:49 CST) Name: Kathryn Agee Title: Senior Management Analyst � � By: Davi� Carabaja . ec 18, 2025 18:12:07 CST) Name: David Carabajal Title: Assistant Executive Chief ATTEST: � OR¢ p a>�4 F� T �D�d J�1 �/�--�-�---'�� D ou o�ati e c��.��, � o,o ¢�4pgaaa ° By: Name: Jannette S. Goodall Title: City Secretary APPROVED AS TO FORM AND LEGALITY: � ' By: Name: Amarna Muhammad Title: Assistant City Attorney CONTRACT AUTHORIZATION: M&C: 25-1182 Date: 12/09/2025 Form 1295: 2025-1382609 VENDOR: Front Line Mobile Health, PLLC. By: �' ��.�/�. �� Name: Russell Burnham Title: CEO Date: Nq�/ % �_ 'Zt9?h� �FFICIAL RECORD CITY SECRETARY FT. WORTH, TX Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 Page 3 of 8 EXHIBIT B PAYMENT SCHEDULE Existing Firefighters Annual Physical's Per physical price is $896.00 (either long or short term). There are two types of annual physicals for existing Fort Worth Firefighters: Short and Long. They are age-based, so in any given year, a firefighter will get either one or the other. The long physicals are done at age 20, 25, 30, 35, 40, 42, 44, 46, 48, 50+. The short physical consists of: SHORT PHYSICAL FOR FORT WORTH FIREFIGHTERS FOR YEARS IN-BETWEEN LONG PHYSICALS Personalized Risk Assessment Health Questionnaire & Screening Annual Human PerformanceAssessment Physical Examination & Consultation w/ Medical Provider LABORATORY ANALYSIS: • CBC • Lipid Panel • Comprehensive Metabolic Panel • Urinalysis, with microscopic • Uric Acid • Apolipoprotein B • Lipoprotein (a) • HBA1C Vision Screening Body Composition Analysis Audiogram Cardiopulmonary Exercise Test (CPET) Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 Page 4 of 8 The long physical consists of: LONG PHYSICAL FOR FORT WORTH FIREFIGHTERS AT AGES 20, 25, 30, 35, 40, 42, 44, 46, 48, 50+ Personalized Risk Assessment Health Questionnaire & Screening Annual Human Performance Assessment with Organizational Climate Assessment Physical Examination & Consultation w/ Medical Provider LABORATORY ANALYSIS: • CBC • Lipid Panel • Comprehensive Metabolic Panel • Prostate Specific Antigen (male) or CA-125 (female) • Urinalysis, with microscopic • Fecal Occult B�ood • C-Reactive Protein • UricAcid • HBA1C • Apolipoprotein B • Lipoprotein (a) • Free Testosterone with SBG (male) or Estradiol (Female) • Cortisol • TSH (Thyroid) to T4 Vision Screening Body Composition Analysis Audiogram Cardiopulmonary Exercise Test (CPET) Chest Radiograph (X-Ray) Cancer Screening Ultrasound: thyroid, testicular (male onlv). abdomen (liver, �allbladder, pancreas, spleen, Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 Page 5 of 8 Existing EMS Annual Physical's-NON-Grant Per physical price is $650.00 Existing EMS annual physical consists of: EMS ANPIUAL PHYSICAL F�R FdRT W�RTH FIRE �EPARTMENT, N�N-GRANT Personafized R[sk Assessment HeaEth Questionnaire& Screening Annual Human PerformanceAssessrrtent Physi�al Examinatiar� & Consultation wj Medi�al Prouider LABDRATDRY Ah1ALY515: • C 6C • Lipid Pane! • Comprehensive Metaboli� Panel • Urinalysis, with micros�opic • Llric Acid • Apolipoprotein 6 • Lipopratein {a} • H 6A1C Vision S�reening Body Composition Analysis Audiogram Cardiopulrnonary Exercise Test (CPET} Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 Page 6 of 8 Firefighter or EMS -Candidate physical Per physical price is $1,420.00 New Hire consists of: CANDIDATE PHYSICAL - PARTNERSHIP TIER - FORT WORTH FIRE DEPARTMENT MEDICAL EVALUATION OF CANDIDATES Individualized Health Risk Appraisal Medical History Questionnaire & Screening Human Performance Assessment Physical Examination & Consultation w/ Medical Provider w/ range of motion on all extremities and spine Vision test (distance/color/peripheral) Hernia Exam LABORATORY ANALYSIS: • CBC • Lipid Panel • Comprehensive Metabolic Panel • Prostate Specific Antigen (male) or CA-125 (female) • Urinalysis, with microscopic • Fecal Occult Blood • C-Reactive Protein • QuantiFERON Gold (TBTest- Blood) • Coagulation Studies (PT, PTT, INR) • Hepatitis Profile • Drug Screen 11 • Uric Acid • HBA1C • TSH Third Generation • Blood Type (ABO and RH Type) • Tetanus IGG • Measles, Mumps, Rubella (MMR) • Lipoprotein (a) • Heavy Metals • Cholinesterase Audiogram Body Composition Analysis X-Ray- Chest PA/Lat, Cervical, Thoracic, and Lumbar Spines Cardiopulmonary Exercise Test (CPET) Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 Page 7 of 8 2026 EMS Annual Physical's-Grant (approximately 450-600 physicals) Per physical price is $1,800.00 EMS annual physical consists of: EM5 �02G PHY5ICAL - 2�25 F�RT W�RTH GRANT MEUICAL EVALl1ATIaN 4F CAMQIDATES Individt�a�ized Heaitl� Risk Ap�raisal Medical Histary Questionnaire & Screer�i�g Human PerforrrFanceAssessment P�ysical Exarnination & Consultation wJ Medical Provider wJ range of motion or� all extre�nities anc! spi�e Visior� test �cfistance/colar�peripheral} Hernia Exa�n LABORATDRYANALY515: • Complete CBC • Lipid Pa�rel • Compref�er�sive Metabolic Panel • Prostate Specific Antigen (�nale} or CA-i25 tfernale} • Urinalysis;withmic�oscopic � Fecal �ccult Bloo�€ • C-Reacta�e Protein • QuantiFER�N Gotd {TB Test- Blood) � Coaguiation Studies SPT, PTT, IN R} • He�atitis P�afiie • Sick�e Cell Sc3-ee� {Q�tian} • �1f�C,qf3C� � HBAIC • TSH Reflex ta T4 • Blood Ty�e (AB� and RH Ty�e) � Tetanus IGG • I�eas�es, Mumps, Rut�eiia {NlMR} • Lipo�rotein (aJ • Blood Ty�e {AB� and RH Ty�ej � Apoli�api atein B • Hea�y Metais • Testasteror�e F�-ee an�f Total with SBG • [:hoi3nesterase Aur�iogra�r� Body Conz�osition Anaiysis x-Ray-C�est PAJLat, Cer�icai,�ho�acic, and Lumba� S�ines Cardio�u�monary Exer�ise Test (CPET} Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 Page 8 of 8 2027 EMS Annual Physical's-Grant (approximately 450-600 physicals) Per physical price is $1,150.00 EMS annual physical consists of: 24�� FORT WORTH EM5 PERIDQIC PHY5ICAL FROM 2025 GRANT Perso�ial;�ed R;sk Assess»�e��t Health Questionnaire& Sa-eening Annual �Euman Perfarman�e Assessment aviti� Drganizatianal Climate Assessment (Beha�iaral Health Carr►panent} Pliysi�al Examinatian & Consultation wJ Medical Praaider LA843�ATORY ANALYSIS: • Complete CBC • Lipid Panel � Comprehensive Metabolic Panel • Lfrinalysis, with micros�opic • C-f�ea�tive Protein • L1ricAcid • H8A1C • Apalipopratein S • Lipoprotein {a} • TSH {Thyraid} to T-4 � Measles, A'lumps, Ruhella plus Va ri�ella ]mmui�iaation Titers {Part of Job-Related Immunixation componen#} � l�epatitis A8C Profile ;Par# o# Jab-Rela#ed Immunixa#ian �ompnnerrtj � Tetani�sTiter(PartofJob-Relatedlmmunixa#ion�ortepanentj � Quantiferon Gold �Part of Jab-Related Ir�rrEunixation �arrEponent} � HIV S�reening �Qp#ional} �Part of Jnb-Related Imrr�unixation �orrtponent} Visian S�reening Body Compasitian Analysis Ai3diogram Cardiap�3lmonary Exer�ise Tes# {CPETj Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 Page 9 of 8 Fire & EMS Psychological Evaluation Per physical price is $475.00 EMS & Fire Psychological Evaluation consists of: EM5 ar FIRE [ANDIDATE Psychalogical Evaluatian PSYCHC�Li3GICAL�VALi��iiL�r�Ut I.AH[31�ATE5 IncEi�ri�lualize�E Health Risk Appraisai PersonaiiEy F�._�_., ,�� t In�entory Face-to-Face Interview with Psychologist Psychological Narrati�e Repart ❑pinion of Su itabilitv foa Position Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 Page 10 of 8 Police Officer Annual Physical's Per physical price is $896.00 Existing Police officer's annual physical consists of: FORT WORTH POLICE PARTNERSHIP LEVEL LAB TESTS AND PHYSICAL EXAMS Personalized Risk Assessment Health Questionnaire & Screening Annual Human Performance Assessment with Organizational Climate Assessment Physical Examination & Consultation w/ Medical Provider LABORATORY ANALYSIS: • CBC • Lipid Panel • Comprehensive Metabolic Panel • Prostate Specific Antigen (male) or CA-125 (female) • Urinalysis, with microscopic • Fecal Occult Blood • C-Reactive Protein • UricAcid • H BA1C • Apolipoprotein B • Lipoprotein (a) • Free Testosterone with SBG (male) or Estradiol (Female) • Cortisol • TSH (Thyroid) to T4 Vision Screening Body Composition Analysis Audiogram Cardiopulmonary Exercise Test (CPET) Chest Radio�raph (X-Ray) Cancer Screening Ultrasound: thyroid, testicular (male only), abdomen (liver, gallbladder, pancreas, spleen, Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 Page 11 of 8 Police Officer-Candidate physical Per physical price is $546.00 Candidate Police officer's annual consists of: CANDIDATE MEDICAL PHYSICAL FOR FORT WORTH POLICE MEDICAL EVALUATION OF CANDIDATES Individualized Health Risk Appraisal Medical History Questionnaire & Screening Physical Examination & Consultation w/ Medical Provider w/ range of motion on all extremities and spine Vision test (distance/color/peripheral) Hernia Exam LABORATORY ANALYSIS: • Complete CBC • Lipid Panel • Comprehensive Metabolic Panel • Urinalysis, with microscopic • Drug Screen 11 • Uric Acid • HBA1C Audiogram Body Composition Analysis Cardiopulmonary Exercise Test (CPET) Police Officer-Candidate Psychological Evaluation Per Psychological evaluation price is $874.00 Police Candidate Ps� Evaluation consists of: CANDIDATE PSYCHOLOGICAL EVALUATION FOR FORT WORTH POLICE PSYCHOLOGICAL EVALUATION OF CANDIDATES Psychological Evaluation of Candidates to meet Texas TCOLE L-3 Requirements Police Officer-Candidate Sickle Cell Test Per Sickle Cell Test price is $23.00 OTHER CANDIDATE TESTING FOR FORT WORTH POLICE Sickle Cell Lab Testin� OTHER CANDIDATE TESTING FOR FORT WORTH POLICE Sickle Cell Lab Testing Third Renewal and Third Amendment to Fort Worth City Secretary Contract No. 58711 Page 12 of 8 M&C Review CITY COUNCIL AGENDA Create New From This M&C DATE: 12/9/2025 REFERENCE NO.. �*M&C 25- LOG NAME: 1182 CODE: C TYPE Page 1 of 2 Official slte of the City of Fort Worth, Texas ��iRT �r'�'C7RT11 -�''��- 35AMEND AND INCREASE FRONT LINE HEALTH POLICE AND FIRE PUBLIC CONSENT HEARING: NO SUBJECT: (ALL) Authorize Execution of an Amendment to an Agreement with Front Line Mobile Health, PLLC to Increase the Annual Amount by $1,665,000.00 for a New Total Annual Compensation of $3,635,000.00 for Comprehensive Health and Wellness Services for the Police and Fire Departments RECOMMENDATION: It is recommended that the City Council authorize execution of an amendment to an agreement with Front Line Mobile Health, PLLC to increase the annual compensation amount to $3,635,000.00 for comprehensive health and wellness services for the Police and Fire Departments. DISCUSSION: On January 10, 2023, the City Council approved Mayor and Council Communication (M&C) 23-0038 which authorized the execution of an agreement with Front Line Mobile Health, PLLC (Front Line) to provide safety, health, wellness, and suitability evaluations for the Police and Fire Departments in the amount of $1,970,000.00. The City's Police and Fire Departments are expanding to serve nearly 1,000,000 Fort Worth residents. Beginning in 2026, the Fire Department (Fire) estimates an additional $1,365,000.00 will be needed for health and wellness services for firefighters and recently added Emergency Medical Services personnel. The Police Department (Police) projects the need for health examinations for recruits, law enforcement lateral transfers, and current police officers will increase by approximately $300,000.00 annually. This M&C requests authorization to execute a contract amendment to City Secretary Contract 58711, increasing the amount of the contract by $1,665,000.00 for a new total contract amount of $3,635,000.00 annually for Front Line to provide comprehensive health and wellness services for the Police and Fire Departments. Funding is budgeted in the General Operating & Maintenance category in the General Fund and the Emergency Medical Services Fund for the Police and Fire Departments. Except as expressly modified herein, all other terms and conditions of the existing agreement shall remain unchanged and in full force and effect as stated below. ADMINISTRATIVE CHANGE ORDER: 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 as long as sufficient funds have been appropriated. AGREEMENT TERM: The agreement, as amended, shall remain in effect and expire December 31, 2025. RENEWAL OPTION: Two renewal options will remain after the current term expires on December 31, 2025. 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 period unless modified by a subsequent amendment adjusting the contract amount. http://apps.cfwnet.org/council packet/mc review.asp?ID=34042&councildate=l2/9/2025 12/10/2025 M&C Review Page 2 of 2 FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are available in the current operating budget, as previously appropriated, in the General Fund and Emergency Medical Services Fund to support the approval of the above recommendation and contract amendment. Prior to any expenditure being incurred, the Police and Fire Departments have the responsibility to validate the availability of funds. TO �Fund I Department Account Project Program ' Activity I Budget I Reference #' Amount ID ID Year (Chartfield 2) FROM Fund Department Account � Project Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) Submitted for Citv Manaaer's Office bv: William Johnson (5806) Oriqinatinp Department Head: Additional Information Contact: Eddie Garcia (4212) Robert A Alldredge (4131) ATTACHMENTS 35AMEND AND INCREASE FRONT LINE HEALTH POLICE AND FIRE FundsAvail.docx (cFw Internal) FID Table Front Line Mobile Health.xlsx (CFW Internal) Form 1295 2025-1382609.pdf (CFW Internal) http://apps.cfwnet.org/council packet/mc review.asp?ID=34042&councildate=l2/9/2025 12/10/2025 CERTIFICATE OF INTERESTED PARTIES Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. 1 Name of business entiry filing form, and the city, state and country of the business entity's place of business. Front Line Mobile Health, PLLC Georgetown, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. City of Fort Worth Fire and Police Departments FORM 1295 1of1 OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2025-1382609 Date Filed: 10/29/2025 Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. CSC 58711 Police Fire Health and Wellness programs for Fort Worth Police and Fort Worth Fire and EMS Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. ❑ " X 6 UNSWORN DECLARATION My name is � �w�e V �iiii� ��— My address is `` .J / � v� Q��' � � and my date of birth is `�'� / , ��►' `""'� � E.�-t�N , � , 7�, u-5t� . (city) � (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in ' a D�� County, State of / fi�Gt..S , on the �day of QG� , 20� (month) (year) v ��/ � Signature of authorized agent of contra ing business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V4.1.O.f10dOfd8 F4RT ��RTH� City Secretary's Office Contract Routing & Transmittal Slip COntraCtOr'S Name: Front Line Mobile Health PLLC. Subject of the Agreement: Comprehensive health and wellness services M&C Approved by the Council? * Yes 8 No ❑ If so, the M&C must be attached to the cont�act. Is this an Amendment to an Existing contract? Yes 8 No ❑ CSC 587� � If so, provide the original contract number and the a�ne�dinent nuinbe�. Is the Contract "Permanent"? *Yes ❑ No 8 If unsure, see back page, for permane�t contract listing. Is this entire contract Confidential? *Yes ❑ No 0 Ifonly specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: 01 /01 /2026 Expiration Date: 12/31 /2026 If different f�om the approval date. If applicable. Is a 1295 Form required? * Yes 0 No ❑ *If so, please ensure it is attached to the app�oving M&C or attached to the cont�act. Proj ect Number: If applicable. *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes 8 No ❑ Contracts need to be routed for CSO processin� in the followin� order: l. 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.