HomeMy WebLinkAbout063154-R1 - General - Contract - Medline Industries, LPCSC No. 63154-R1
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
February 23, 2026
Medline Industries, LP
Attn: Chris Powers, VP of Government Markets
3 Lakes Drive
Northfield, IL 60093
Re: Contract Renewal Notice
Fort Worth City Secretary Contract No. 63154 ("Contract")
First Renewal Term: April 23, 2026 to April 22, 2027
The above -referenced Contract with the City of Fort Worth expires on April 22, 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.goy/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,
Ximber .Allen
Kimber Allen
Sr. Contract Compliance Specialist
Kimberly.Allengfortworthtexas. gov
817-392-6443
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal — CSC 63154-R1 Page 1 of 2
CSC No.
ACCEPTED AND AGREED:
CITY OF FORT WORTH
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By: J
Name: William Johnson
Title: Assistant City Manager
Date: 03/13/2026
APPROVAL RECOMMENDED:
By:
Name: Raymond Hill
Title: Interim Fire Chief
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By:
Name: Jannette S. Goodall
Title: City Secretary
MEDLINE INDUSTRIES, LP
By:
Name: Troy Lother
Title: Senior Director
Date: 03/02/2026
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: 4�1
Name: Brenda Ray
Title: Fire/EMS Purchasing Manager
APPROVED AS TO FORM AND
LEGALITY:
By:
Name
Title:
Taylor Paris
Sr. Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: 25-0333
Date Approved: 4/22/25
Form 1295 Certification No.: 2025-1267929
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal — CSC 63154-RI Page 2 of 2
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 b�, William Johnson
Originating Business Unit Head: Jim Davis 6801
Additional Information Contact:
CERTIFICATE OF INTERESTED PARTIES
FORM J.295
1of1
Complete Nos. 1- 4 and 6 if there are interested parties.
OFFICE USE ONLY
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
CERTIFICATION OF FILING
Certificate Number:
1
Name of business entity filing form, and the city, state and country of the business entity's place
of business.
2025-1267929
Medline Industries, LP
Northfield, IL United States
Date Filed:
02/11/2025
2
Name of governmental entity or state agency that is a party to the contract for which the form is
being filed.
Fort Worth Fire Department
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.
FW036-2021003157
Medical Supplies
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Intermediary
5
Check only if there is NO Interested Party.
X
6
UNSWORN DECLARATION
My name is Chris Powers and my date of birth is
My address is 3 Lakes Drive, Northfield, IL , 60093 US
(street) (city) (state) (zip code) (country)
declare under penalty of perjury that the foregoing is true and correct.
Executed in Cook County, State of Illinois on the 11 day of February 20 25
(month) (year)
Signature of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.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: Contract Renewal Notice for First Renewal, CSC 63154-Rl
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: 4/23/26
If different from the approval date.
Expiration Date: 4/22/27
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 followingorder:
rder:
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.