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Home My WebLink About063282-A1 - General - Contract - Teleflex LLCCSC No. 63282-Al FIRST AMENDMENT TO FORT WORTH CITY SECRETARY CONTRACT NO. 63282 This First Amendment to Fort Worth City Secretary Contract No. 63282 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 Teleflex LLC ("Vendor"), a Delaware limited liability company 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 May 15, 2025, the Parties entered into an Agreement identified as Fort Worth City Secretary Contract No. 63282 ("Agreement"); WHEREAS, the Agreement allows for up to four (4) one-year renewal options at the City's sole discretion; WHEREAS, the Parties intend to renew the Agreement for its First Renewal with a term of May 15, 2026 to May 14, 2027; and WHEREAS, it is the collective desire of the Parties to amend the Agreement to update Exhibit B due to updated pricing. NOW, THEREFORE, City and Vendor do hereby agree to the following: I. AMENDMENT The Agreement is hereby amended to update Exhibit B, Payment Schedule, to reflect a price decrease for certain items as reflected in Exhibit B-1 attached hereto and incorporated herein by reference for all purposes. More specifically, as shown in Exhibit B-1, schedule 1 reflects the price as found in Exhibit B of the Agreement. Schedule 2 shows the updated price for the indicated items, as modified by this amendment and agreed to by the parties. II. ALL OTHER TERMS SHALL REMAIN THE SAME All terms and conditions of the Agreement that are not expressly amended herein shall remain in full force and effect. III. ELECTRONIC SIGNATURE 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] OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX First Amendment to Fort Worth City Secretary Contract No. 63282 Page 1 of 3 ACCEPTED AND AGREED: CITY OF FORT WORTH � J By: IL Name: William Johnson Title: Assistant City Manager Date: 04/29/2026 APPROVAL RECOMMENDED: By: Name: Raymond Hill Title: Interim Fire Chief ATTEST: pad pop>°�ca , (\ J acagxaga4` By: Name: Jannette S. Goodall Title: City Secretary VENDOR: TELEFLEX LLC By: Name: Shante' Dem Title: Sr. Director Commercial Operations Date: 04/28/2026 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� 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: 25-0331 Date Approved: 4/22/2025 Form 1295 Certification No.: 2024-1246941 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX First Amendment to Fort Worth City Secretary Contract No. 63282 Page 2 of 3 EXHIBIT B-1 Schedule l Item Description Pricing T-PODR T-PODRESPONDER PELVIC STABILIZATION DEV 80.00 MAD300 MAD Nasal without Syringe 150.00 Schedule 2 Item Description Pricing T-PODR T-PODRESPONDER PELVIC STABILIZATION DEV 65.00 MAD300 MAD Nasal without Syringe 130.00 First Amendment to Fort Worth City Secretary Contract No. 63282 Page 3 of 3 M&C Review Page 1 of 2 A CITY COUNCIL AGEND Create New From This M&C DATE: 4/22/2025 REFERENCE NO.: **M&C 25-0331 LOG NAME: CODE: P TYPE: CONSENT PUBLIC HEARING: Official site of the City of Fort Worth, Texas FORT WORTH 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.cf\vnet.org/council_packet/mc_review.asp?ID=33193&councildate=4/22/2025 5/14/2025 M&C Review Page 2 of 2 Fund Department Account Project Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) FROM Fund Department Account Project Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) Submitted for City Manager's Office by: William Johnson () Originating Department Head: Jim Davis (6801) Additional Information Contact: 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.cf\vnet.org/council_packet/mc_review.asp?ID=33193&councildate=4/22/2025 5/14/2025 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 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. 2024-1246941 Teleflex LLC Morrisville, NC United States Date Filed: 12/09/2024 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 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 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 Shante' Demary Sr. Director Commercial Operations My name is ,and my date of birth is N/A My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Fake County, State of NC on the 24 day of 01 20 25 (month) (year) 01/24/2025 Signature of 'a-ultiorized 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: Teleflex LLC Subject of the Agreement: First Amendment CSC 63282-Al M&C Approved by the Council? * Yes 0 No ❑ If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes 0 No ❑ 63282-Al If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes ❑ No 0 If unsure, see backpage for permanent contract listing. Is this entire contract Confidential? *Yes ❑ No 0 If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: If different from the approval date. Expiration Date: If applicable. Is a 1295 Form required? * Yes 0 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 0 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.