HomeMy WebLinkAbout063354-A1 - General - Contract - Texas Workforce CommissionDocusign Envelope ID: 5E6C6E25-2D13-4AE4-A4E5-8EEE3C4ECO22
CSC No. 63354-Al
TEXAS WORKFORCE COMMISSION
INFORMATION RELEASE CONTRACT AMENDMENT
INFORMATION RELEASE
TWC Contract
Number
292SEDE082
Amendment
Number
1
Effective Date
Upon date of
last signature
Recipient
Name
City of Fort Worth for the benefit of Fort Worth Police Department
Mailing Address
505 West Feliz Street
City/State/Zip
Fort Worth, TX 76115
Telephone Number
817/392-4244
Remarks
This amendment is contingent on Recipient's acceptance of and compliance with the terms and conditions of this
Information Release Contract Amendment and any referenced attachments.
Amendment Detail
Contract Period
❑ The Contract Period is amended as follows:
® There are no changes to the Contract Period pursuant to this amendment.
General Terms and Conditions
❑ The General Terms and Conditions are amended as follows:
® There are no changes to the General Terms and Conditions pursuant to this amendment.
Attachment A: Statement of Work - Project Obligations
❑ Attachment A: Statement of Work - Project Obligations is amended as follows:
• Updated Attachment A.
® There are no changes to the Statement of Work - Project Obligations pursuant to this amendment.
Contract Amount
® Contract amount is amended as follows:
Contract amount has been increased by $500.00
o Original Contract: June 1, 2025—May 31, 2030: $7,500.00
o Al Increase users from 1-10 $1,500.00 to 11-25 $2,000.00
❑ There are no changes to the contract amount pursuant to this amendment.
Total Amended
Contract Amount
$9,500.00
Information Release Amendment: May 2025
TWC Contract Number: 2925EDE082 - City of Fort Worth
Page I of 2
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Docusign Envelope ID: 5E6C6E25-2D13-4AE4-A4E5-8EEE3C4ECO22
Changes to the Document Other than the Above Categories
® Other: Change of POC to Michael Munday, Program Support Division Admin.
❑ There are no other changes to the document pursuant to this amendment.
Signature Authority
The person signing this contract amendment on behalf of Recipient hereby warrants that he or she has been fully
authorized by the organization to:
• Execute this amendment on behalf of the organization; and
• Validly and legally bind the organization to all the terms, performances, and provisions of this contract
amendment.
Amendment Approval
Amendment Acceptance
Agency: Texas Workforce Commission
Recipient: City of Fort Worth for the benefit of Fort
Worth Police Department
02/12/2026
QW-1-4 02/10/2026
Tom McCarty Date
William M. Johnson Date
Director, Business Operations
Assistant City Manager
CITY OF FORT WORTH INTERNAL ROUTING PROCESS:
Approval Recommended:
By -
Name:
Title-
0'pQm�ao
Daugd Carabajar(Mar 13, 2026 19:47:55 CDT)
Ida-vad Carabajal
Executive Assistant Chief
Approved as to Form and Legality -
Contract Compliance Manager -
By siglung I ackno--xledge that I airy the person
responsible for the mormitoring and administration
of this contract_ i luding ensuring all perfomiance
and reporting requirements.
Ka*ari Agee
Kathryn Agee (Mar 111, 202�10 CDT)
Name- Yathrym Agee
Title: :Senior Management Analyst
Bv:
City Secretary-.
4 o vnu
�FortT�odd°
Name:
-Je 1&-peg Kea n a n M . Hall
p;
0'-4;
Title:
Senior Assistant City Attorney.-oo
a
aaQ�bn�on5�'4
By --
Contract Authorization:
Name- 3annette S. Goodall
M CC:
N/A
Title: Cite Secretary
Information Release Amendment: May 2025
TWC Contract Number: 2925EDE082 - City of Fort Worth
Page 2of2
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORT WORTH.
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: Texas Workforce Commission
Subject of the Agreement: Information release contract amendment to add users up to 25;
users access TWC employment database information; additional $2,000.00 annual cost.
M&C Approved by the Council? * Yes ❑ No 8
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes 8 No ❑ CSC 63354
If so, provide the original contract number and the amendment number.
Is the Contract "Permanent"? *Yes ❑ No 8
If unsure, see back page for permanent contract listing.
Is this entire contract Confidential? *Yes ❑ No 8 If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: June 1, 2025
If different from the approval date.
Expiration Date:
May 31, 2030
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 8 No ❑
Contracts need to be routed for CSO processing in the following order:
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.