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Home My WebLink About063282-R1 - General - Contract - Teleflex, LLCcsc No. 63282-R1 CITY OF FORT WORTH CONTRACT RENEWAL NOTICE March 5, 2026 Teleflex, LLC Attn: Shante Demary, Sr. Director Commercial Operations 3015 Carrington Mill Boulevard Morrisville, NC 27560 Re: Contract Renewal Notice Fort Worth City Secretary Contract No. 63282 ("Contract") First Renewal Term: May 15, 2026 to May 14, 2027 The above-referenced Contract with the City of Fort Worth expires on May 14, 2026 ("Expiration Date"). This letter is to inform you that the City wishes to exercise its renewal option for a First 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 http://fortworthtexas.�ov/purchasin� 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, .�Cim6er .�lllen Kimber Allen Sr. Contract Compliance Specialist Kimberlv.Allen(a�fortworthtexas. �ov 817-392-6443 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract Renewal — CSC 63282-R1 Page 1 of 2 CSC No. ACCEPTED AND AGREED: CITY OF FORT WORTH �J� � By: � Name: William Johnson Title: Assistant City Manager Date: 03/09/2026 APPROVAL RECOMMENDED: i�� By: Name: Raymond Hill Title: Interim Fire Chief 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: Brenda Ray Title: Fire/EMS Purchasing Manager APPROVED AS TO FORM AND LEGALITY: A 1 1 E�71 . 9°n 4F FORT Il°a �s°� �� addo P°!' g9�10 9, P*°�*� By: C��#A, A � a°an nezA5a4 Name: Jannette S. Goodall Title: City Secretary TELEFLEX,LLC By: Name: S ante Dema Title: Sr. Director Commercial Operations Date: 03/06/2026 G� `�� B : � Y Name: Taylor Paris Title: Sr. Assistant City Attorney CONTRACT AUTHORIZATION: M&C: 25-0331 Date Approved: 4/22/2025 Form 1295 Certification No.: 2024-1246941 QFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract Renewal — CSC 63282-R1 Page 2 of 2 M&C Review Official site of the City of Fort Worth, Texas A CITY COUNCIL AGEND ��T-� �� Create New From This M&C DATE: 4/22/2025 REFERENCE NO.: **M&C 25-0331 LOG NAME: CODE: P TYPE: CONSENT PUBLIC HEARING: Page 1 of 2 36TELEFLEX SOLE SOURCE NO SUBJECT: (ALL) Authorize the Purchase of the Arrow EZ-10 Intraosseous Vascular Access System and Related Components from Teleflex, LLC, in an Amount Up to $400,000.00 Annually, Using a Sole Source Contract for the Fire Department RECOMMENDATION: It is recommended that the City Council authorize the purchase of the Arrow EZ-10 Intraosseous Vascular Access System and related components from Teleflex, LLC, in an amount up to $400,000.00 annually and allow four one-year renewals, using a Sole Source Contract for the Fire Department. DISCUSSION: This Mayor and Council Communication (M&C) is to authorize the purchase of Arrow EZ-10 Intraosseous Vascular Access System and related components. This system supports patients with difficult vascular access, providing immediate access via the intraosseous route for cases that are emergent, urgent, or medically necessary, such as cardiac, shock, respiratory, and neurologic cases. It provides a reliable bridge until longer term vascular access can be established. This contract is necessary to support the July 1, 2025 transition of Emergency Medical Services (EMS) to the Fire Department. Teleflex, LLC is the sole source equipment manufacturer and vendor of the Arrow EZ-10 Intraosseous Vascular Access System, and the City Attorney's office has approved an exemption to the competitive bidding requirements under chapter 252 of the Texas Government Code. The maximum amount allowed under this agreement will be $400,000.00 annually. 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. DVIN-BE: A waiver of the goal for Business Equity subcontracting requirements was requested, and approved by the DVIN, in accordance with the applicable Ordinance, because the waiver request is based on the sole source information provided. 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 TERMS: Upon City Council approval, this agreement shall begin upon execution and expire one year from that date, with four one-year renewal options. This project is located in 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. http://apps.cfwnet.org/council�acket/mc review.asp?ID=33193&councildate=4/22/2025 5/14/2025 M&C Review Page 2 of 2 TO Fund Department Account Project Program Activity Budget Reference # Amount ID ID ! Year (Chartfield 2) I FROM Fund Department Account Project ', Program ; Activity � Budget Reference # Amount ID ID ', , Year (Chartfield 2) Submitted for Citv Manaqer's Office bv: Oripinatinp Department Head: Additional Information Contact: William Johnson () Jim Davis (6801) ATTACHMENTS 25-Tele-FY25 (SS TELEFLEX)Waiver-NS.pdf (CFW Internal) Exepemption Sole Souce Re Teleflex LLC 12 3 24 br- QUESTIONS.docx (CFW Internal) Form 1295 Certificate 101300564 (1).pdf (CFW Internal) http://apps.cfwnet.org/council�acket/mc review.asp?ID=33193&councildate=4/22/2025 5/14/2025 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 entity filing form, and the ciry, state and country of the business entity's place of business. Teleflex LLC Morrisville, NC 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 FORM 129'rJ 1of1 OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2024-1246941 Date Filed: 12/09/2024 Date Acknowledged: g 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. 75-6000528 EMS Supplies 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 6 UNSWORN DECLARATION ❑X My nlme IS Shante' Demary Sr. Director Commercial Operations N/A My address is (street) I declare under penalty of perjury that the foregoing is true and correct. Executed in Wake County, State of NC , on the 24 day of 01 (month ) 01 /24/2025 Signature of au orized agent of contracting business entity (Declarant) , and my date of birth is (city) (state) (zip code) (country) 20 25 (year) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V4.1.0.5dd2ace2 F�RT��RTHo City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Teleflex, LLC Subject of the Agreement: Contract Renewal Notice for First Renewal, CSC 63282-R1 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 "PermanenY'? *Yes ❑ No 0 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: 5/15/26 Expiration Date: 5/14/27 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. Proj ect 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 processin� in the followin� 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.