HomeMy WebLinkAbout059569-A1 - General - Contract - Qiagen, LLCCSC No. 59569-Al
FIRST AMENDMENT TO FORT WORTH CITY
SECRETARY CONTRACT NO. 59569
This First Amendment to Fort Worth City Secretary Contract No. 59569 ("Agreement")
is entered into by and between Qiagen, LLC. ("Vendor") 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, Buyer and Seller entered into an Agreement identified as Fort Worth City
Secretary Contract No. 59569 beginning June 09, 2023 ("Agreement"). The Agreement provides
for four (4) one-year renewal periods; and
WHEREAS, it is the collective desire of the Parties to amend the Agreement to replace
Exhibit A for the 1 st renewal period.
NOW, THEREFORE, City and Vendor do hereby agree to the following:
I.
AMENDMENT TO AGREEMENT
Qiagen Quote's #260427US02066689WP and 260427US02066700WP, dated April 27, 2026,
is attached to this amendment as Exhibit A, and is incorporated herein for all purposes, and is a
replacement for Exhibit A to the original Agreement.
11.
ALL OTHER TERMS SHALL REMAIN THE SAME
All other provisions of the Agreement, as previously amended, which are not expressly
amended herein shall remain in full force and effect.
in.
ELECTRONIC SIGNATURE
This First 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
an original.
[Signature Page Follows] OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
CSC 59569-A1 Page 1 of 18
ACCEPTED AND AGREED:
CITY OF FORT WORTH
�'�J
B
I—L 9.�._
Y
Name: William Johnson
Title: Assistant City Manager
05/12/2026
APPROVAL RECOMMENDED:
�rn �
By: David Carabajal ay 12, 2026 05:17:21 CDT)
Name: David Carabajal
Title: Executive Assistant Chief
ATTEST:
By:
Name: Jannette Goodall
Title: City Secretary
Seller:
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Qiagen, LLC.
By:
Name: Jo ickert
Title: Director, North America HID Sales
Date: 5/4/26
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.Kathryn Agee (M , 2026 10: 55 CDT)
Name: Kathryn Agee
Title: Senior Management Analyst
APPROVED AS TO FORM AND LEGALITY:
V�
By. Keanan Ma hews Hall (May 4, 2026 12:35:11 CDT)
Name: Keanan M. Hall
Title: Sr. Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: N/A
Date Approved: N/A
1295 Certification No.: N/A
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
CSC 59569-Al Page 2 of 18
EXHIBIT A
Kelly Odom •••••
QIAGEN
Fort Worth Police Department 04/27/2026
3616 E. Lancaster Ave. QIAGEN LLC
Fort Worth, Texas 19300 Germantown Road
76103 Germantown
MD 20874-1415
Customer Number 319749 USA
servicecontracts@qiagen.com
Warren Palisoc
warren.palisoc@giagen.com
Quotation for Service - 260427US02066700WP
Dear Kelly Odom,
We would like to advise you that the Service Agreement for your instrument(s) is expiring shortly. To ensure the
continued performance of your automated application, we suggest to renew this Service Agreement.
Attached to this letter, please find an agreement quotation. For renewal, please return a signed copy of the quotation
together with your purchase order number. The Service Agreement will start upon the date indicated in the agreement
text.
If you have questions, or if you would like more information, please contact us directly or visit us at www.qiagen.com.
We look forward to help you in getting the most from your QIAGEN Instrumentation.
Sincerely,
Your QIAGEN Team
CSC 59569-A1 Page 3 of 18
Page 1 of 5
OIAGEN LLC 119300 Germantown Road I Germantown, MD 20874-14151 US Orders: 800-426-8157 1 Fax: 800-718-2056 1 www.giagen.com
CSC 59569-A1 Page 4 of 18
A
0*000
QIAGEN
Agreement Number 260427US02066700WP
Quote requested by:
Kelly Odom
Fort Worth Police Department
3616 E. Lancaster Ave.
Fort Worth, Texas
76103
Phone:+18173924549
Fax:
kelly.odom@fortworthtexas.gov
Customer Number 319749
This agreement is valid for the following instrument:
Quote Line Item
Quantity
Catalog
Product
List Price
Unit Price
Total
Price
Number
#
[USD]
[USD]
[USD]
09168327
1
9237721
EZ1, Full Agreement
5,767.00
5,767.00
5,767.00
09168328
1
9237721
EZ1, Full Agreement
5,767.00
5,767.00
5,767.00
Quote Total [USD]: 11,534.00
Included Service Agreement Products:
Quote Line Item Number 09168327: EZ1, Full Agreement [Contract duration (in months): 12]
Cat No. Payment List Price [USD] Unit Price [USD] Total Price [USD]
9237721 Annual 5,767.00 5,767.00 5,767.00
Description:
Repair service delivery: onsite
Service response time (repair): 48 hours/2 business days
Periodic inspection/maintenance: yes, 1/agreement year
Inspection/maintenance delivery: onsite
Cost coverage for repair parts: yes, full coverage
Cost coverage for labor: yes, full coverage
Cost coverage for travel: yes, full coverage
Replacement system (Loaner) provision: not applicable
Transportation cost coverage: not applicable
Validity: 06/09/2026 - 06/08/2027
This agreement is valid for the following instrument:
EZ1 Advanced XL, 1-167A1815
Quote Line Item Number 09168328: EZ1, Full Agreement [Contract duration (in months): 12]
Cat No. Payment List Price [USD] Unit Price [USD] Total Price [USD]
9237721 Annual 5,767.00 5,767.00 5,767.00
Description:
Repair service delivery: onsite
Service response time (repair): 48 hours/2 business days
Periodic inspection/maintenance: yes, 1/agreement year
Inspection/maintenance delivery: onsite
Cost coverage for repair parts: yes, full coverage
Cost coverage for labor: yes, full coverage
Cost coverage for travel: yes, full coverage
Replacement system (Loaner) provision: not applicable
Transportation cost coverage: not applicable
Page 2 of 5
CSC 59569-AI Page 5 of 18
* Aft AhAba
•0000
00000
AGEN
Agreement Number 26O427USO2O6670OWP
QIAGEN LLC 119300 Germantown Road I Germantown, MD 20874-14151 US Orders: 800-426-81571 Fax: 800-718-2056 1 www.giagen.com
CSC 59569-A1 Page 6 of 18
A
0*000
QIAGEN
Agreement Number 260427US02066700WP
Validity: 06/09/2026 - 06/08/2027
This agreement is valid for the following instrument:
EZ1 Advanced XL, L139A1107
Invoice As listed under "Payment"
Terms Net 30 Days upon Invoicing
Offer validity Valid From: 04/27/2026
Valid To: 06/30/2026
Your Contact Warren Palisoc
Associate Specialist, Inside Sales Service
warren.palisoc@qiagen.com
We look forward to receiving your order but in the meantime, if you require any further information, please do not
hesitate to contact us.
This offer is expressly made conditional on customer's acceptance of QIAGEN's terms and conditions for sale and/or
service, as applicable, found at Terms and Conditions (giagen.com) (the 'QIAGEN Terms"). Customer's submission of a
purchase order or similar documentation in response to this quotation is considered acceptance by the customer of the
QIAGEN Terms regardless of any additional or different terms or conditions which may be contained within customer's
purchase order, form terms and conditions (including on customer's website), or similar documentation ('Customer
Terms"), all of which are hereby expressly rejected by QIAGEN unless expressly accepted by QIAGEN in writing. In the
event of a conflict between the QIAGEN Terms and any terms expressly set forth on the face of this offer, the terms set
forth on the face of this offer shall prevail. In the event that the parties have duly executed a master purchase or service
agreement covering the products and/or services set forth in this offer, the terms and conditions of such signed
agreement shall prevail over the QIAGEN Terms and Customer Terms.
Page 3 of 5
CSC 59569-AI Page 7 of 18
•0000
00000
AGEN
Agreement Number 26O427USO2O6670OWP
QIAGEN LLC 119300 Germantown Road I Germantown, MD 20874-14151 US Orders: 800-426-81571 Fax: 800-718-2056 1 www.giagen.com
CSC 59569-A1 Page 8 of 18
STATEMENT ON COMPLIANCE WITH EXPORT REGULATIONS
QIAGEN is required by applicable sanctions laws to contractually prohibit the re-export of goods to the Russian Federation and Belarus. Therefore, any delivery of
QIAGEN products is contingent on the customers commitment to comply with said restrictions.
By placing an order for QIAGEN products, you hereby agree not to sell, export or re-export, directly or indirectly, any QIAGEN products to the Russian Federation
or Belarus or for use in the Russian Federation or Belarus-
Any violation of the obligations stated above shall constitute a material breach of an essential element your purchase agreement with QIAGEN, and QIAGEN shall
be entitled to seek appropriate remedies including, but not limited to an immediate termination of the contractual relationship and discontinuation of further deliveries.
ERKLARUNG ZUR EINHALTUNG DER AUSFUHRBESTIMMUNGEN
QIAGEN ist aufgrund geltender Sanktionsgesetze verpflichtet, die Wiederausfuhr von Waren in die Russische Foderation and each Weif3russland vertraglich zu
untersagen. Daher ist jade Lieferung von QIAGEN-Produkten davon abhangig, dass Bich der Kunde verpflichtet, die genannten Deschrankungen einzuhalten.
Mit der Bestellung von QIAGEN-Pmdukten verpflichten Sie Bich, keine QIAGEN-Produkte direkt oder indirekt in die Russische Federation oder nach Weillrussland
oder zur Verwendung in der Russischen Foderabon oder WeiBrussland zu verkaufen, zu exportreren oder zu reexportieren.
Jeder VerstoR gegen die coon genannten Verpflichtungen stellt eine wesentliche Verletzung eines wesentlichen Bestandteils Ihres Kaufvertrags mit QIAGEN dar,
and QIAGEN ist berechtigl, angemessene Abhlfemaf3nahmen zu ergrerfen, ernschlreRlich, aber mcht beschrankt auf eine sofortige Beendigung des
Vertragsverhaltnisses and die Einstellung weiterer Lieferungen.
—eiTA QIAGEN j'au, L111714VW FIJ�1- QIAGEN i'an, (7 QIAGEN I� m�
ERKLA-RING OM OVERHOLDELSE AF EKSPORTREGLER
QIAGEN er i henhold til gaeldende sanklionslove forpligtet tl kontraktligt at forbyde reeksport of varertil Den Russiske Foderation og Hviderusland. Derfor er enhver
levering of QIAGEN-produkter belinget of, at kunden forpligter sig til at overholde disse restriktioner-
Ved at afgive an ordre pa QIAGEN-produkter accepterer du harmed ikke at saalge, eksportere eller reeksportere, direkte oiler indirekte, noggin QIAGEN-produkter
til Den Russiske Federation oiler Hviderusland eller til brug r Den Russiske Foderation eller Hviderusland.
Enhver overtraa_delse of ovennmvnte forpligtelser udgor an vaasentlig overtreadelse of at vaesentligt element r din kobsaflale med QIAGEN, og QIAGEN er berettiget
til at sage passende afhjaelpning, herunder, men ikke begra;nset til, an ojeblikkelig ophaevelse of kontraktforholdet og afbrydelse of yderligere teverancer.
VERKLARING BETREFFENDE DE NALEVING VAN EXPORTVOORSCHRIFTEN
QIAGEN is door de toopasselijke sanctiewetgeving verplicht om de wedemitvoer van goederen near de Russische Federatie an wit-Rusland contraclueel to
verbieden. Daarom is olke levering van QIAGEN-producten afhankelijk van de toezegging van de klant om zich aan daze beporkingen to houden.
Door het plaatsen van een bestelling voor QIAGEN producten stemt u er hierbij mee in geen QIAGEN producten direct of indirect to verkopen, exporteren of
herexporteren naar de Russische Federatie of Wit Rusland of voor gebrurk in de Russische Federate of Wit Rusland.
Elko schending van do hierboven vermalde verplichtingen vormt sen wezenlijke schending van eon essentieel element van uw aankoopovereenkomst met QIAGEN,
an QIAGEN heeft het recht om passende rachtsmiddelen aan to wenden, met inbegrip van, maar niet beperkt tot, onmiddellijke beeindiging van de contractuele
relatie on stopzethng van verdere leveringen-
LAUSUNTO VIENTISAANNOSTEN NOUDATTAMISESTA
Sovellettavien pakotelakien mukaan QIAGENrn on sopimuksin kiellettava tavaroidenjalleenvienti Venajan federaatioonja Valko-Venajalle. Taman vuoksi QIAGENin
tuotteiden loimittaminen edellyttaa, etta asiakas sitouluu noudattamoan mainittuja rajoituksia-
Tilaamalla QIAGENin tuotteita asiakas sitoutuu taten clemaan myymatta, viomatta tar jalleenviematta suoraan tar valilirsesti QIAGENin tuotterta Venajan
federaatioon tai Valko-Venajalle tai kaytettevaksi Venajan federaatiosss tai Valko-Venajalla.
Edella mainittujen velvoitteiden rikkominen merkitsee QIAGENin kanssa tekernasi ostosopimuksen olennarsen osan olennaista rikkomista, ja QIAGENilla on oikeus
hakea asianmukaisia korjaustoimenpitela, mukaan lukien, motto ei rajoittuan, sopimussuhteen valiton irtisanominen ja uusien toimitusten keskeyttaminen-
DECLARATION DE CONFORMITEA LAREGLEMENTATION SUR L'EXPORTATION
QIAGEN est toms, par les lois sur les sanctions applicables, d'interdire contractuollement la reexportalion de marchandises vers to Federation de Russia at la
Brelorussio. Par consequent, toute livrarson de produits QIAGEN est subordonnee a I'ongagement du client a respecter cesdites restrictions.
En passant commande de produits QIAGEN, vows vous engagez par la presente a ne pas vendre, exporter ou reexporter, directement ou indirectement, des
produits QIAGEN vers la Federation de Russia on la Bielorussre ou an vue d'une utilisation dans A Federation de Russia on la Bielorussie-
Toute violation des obligations enoncees ci-dessus constituera one violation materielle d'un element essential de votre contrat d'achat avec QIAGEN, at QIAGEN
sera an drort de demander les reparations appropriees, y compris, mais sans s'y limiter, to resiliation immediate de to relation contractuelle at ('interruption des
livraisons ulterieures.
DICHIARAZIONE DI CONFORMITAALLE NORME SULUESPORTAZIONE
QIAGEN a tenuta, in base alie leggi sulle sanzioni applicabili, a vietare contrattualmente la riesportazione di merci nella Federazione Russa a in Bielorussia- Pertanto,
qualsiasi consegna or prodotti QIAGEN a subordinata all'impegno del cliente a nspettare tali restrizioni.
Effeltuando on ordine per r prodotti QIAGEN, ii cliente accetha di non verdere, esportare o riesportare, direttamente o indiretemente, alcun prodotto QIAGEN nella
Federazione Russa o in Bielorussia o per I'uso nella Federazione Russa a in Bielorussia-
Qualsiasi vielazione degli obbligN di cui supra costituira una violazione sostanziale di un elemento essenziale del vostrD contratto di acquisto con QIAGEN, e
QIAGEN avra it dirdto di cercare rimedi appropriati, Ira cui, ma non solo, la risoluzione immediate del rapporto contrattuale a l'interruzione di ulteriori consegne.
QIAGEN(J7., zap} l l}. Ci�i U^7Jb— ^tneuGi ] *T1 za � fit h tip a'ti€�Z, QIAGEN [-0.
�3�T-IVU, QIAGEN [] 7 ilni# L C iJ-- �- t lt-6 i
al1ZC QIAGEN ua& T,
�a2�1CeLfa. :9�±e QIAGEN �C1y% x�flJtal fity zap ctdFx�tal}. QIAGENfJ,l&�jOJ&patU i4�14J 07�
11t tLtatflta5%S7za]zaG7 Li`-:
ERKUERING OM OVERHOLDELSE AV EKSPORTBESTEMMELSER
QIAGEN or palagt av gjeldende sanksjonslover a kontraktsfeste forbud mot reeksport av varer til Den russiske federasjon og Belarus. Derfor er enhver levering av
QIAGEN-produkter befinget av at kundon forplikter sag til a overholde nevnte restriksjoner
Ved a legge inn an bestilling pa QIAGEN-produkter samtykker du herved i a ikke selge, eksportere older reeksportere, direkte oiler indirekte, QIAGEN-produkter til
Den russiske federasjon eller Hviterussland oiler til brisk i Den russiske federasjon oiler Hvgerussland.
Ethvert brudd pa forpliktelsene nevnt ovenfcr vil utgjore et brudd pa kjopekontraktenrned QIAGEN, og QIAGEN forbeholder seg retten til a worksette rimelige
tiltak, inkludert, men ikke begrenset til, on umiddelbar oppsigelss av kjopekontraktenog stans av videre leveranser.
OSWIADCZENIE O ZGODNOSCI Z PRZEPISAMI EKSPORTOWYMI
Na mocy obowigzujacych przepisow dotyczgcych sankcji firma QIAGEN jest zobowiazana do umownego zakazu reeksportu towaniw do Federacji Rosyjskiej i do
Biatomsi. Dlatego kazda dostawa produkldw firmy QIAGEN jest uzalezniona od zobowiazania Klienta do przestrzegania wspomnianych ograniczen.
Sktadajac zamowienie na produkty firrny QIAGEN, Klient nimejszym zgadza sip me sprzedawac, me eksportowac am No reeksportowac, bezposrednio lub posredmo,
zadnych produktow firmy QIAGEN do Federacji Rosyjskiej lub do na Biatomsi ani do uzytku w Federacji Rosyjskiej lob w Bialorusi.
Niezastosowanie sip do powyzszych zobowipzan bgdzie stanowic razace naruszenie istotnego elementu umowy zakupu zawartej przez Klienta z firma QIAGEN,
a firma QIAGEN bgdzis uprawniona do zastosowania odpowiednich srodkow zaradczych, w tyrn migdzy innymi do natychmiastowego rozwigzania stosunku
umownego i zaprzestania dalszych dostaw_
DECLARAIyAO DE CONFORMIDADE COM AS NORMAS DE EXPORTArAO
A QIAGEN a obrigada pelas leis de sanpoes aplicaveis a proibir contratualmente a reexportapao de mercadorias para a Federapao Russa a Bielorrussia. Desta
forma, qualquer entrega de produtos QIAGEN depende do compromisso do cliente em cumprir corn as restrigoes
Au efetuar uma encomenda de produtos QIAGEN, o cliente concorda ern nao vender, exportar ou reexportar, direta ou indiretamente, quaisquer produtos QIAGEN
para a Fedorapao Russa ou BielorrUssia ou para uhlizagao na Federapao Russa ou Bielorrossia.
Qualquer violapao dal obrigagoes acima referidas constituira uma violapao material de um elementu essential do seu acordo de compra com a QIAGEN, e a
QIAGEN tera o direito de procurer solugoes adequadas, incluindo, mas nao se limitanda a, uma rescisao imediata da relageo contralual e a intermpgao de outras
entregas_
DECLARAQAO DE CONFORMIDADE COM AS NORMAS DE EXPORTAr,Ao
A QIAGEN e obngada pelas leis do sangoes aplicaveis a proibir contratualmente a reexportapao de mercadonas para a Federapao Russa o Bolarus. Porlanto,
qualquer entrega do produtos da QIAGEN depende do compromisso do cliente em cumprir com tais restngbas.
Ao fazer um pedido de produtos da QIAGEN'., o cliente concorda em nee vender, exportar on reexportar, direly on indiretamenle, quaisquer produtos da QIAGEN
para a Federapao Russa ou B'ielorrussia ou para use na Federapao Russa ou Bielorrussia.
Qualquer violapao das obrigagoes declaradas acima consfituira uma violapao material de um elernento assencial de son contrato de compra com a QIAGEN, e a
QIAGEN tern o direito de buscar solugoes apropriadas, incluindo, mas nao se fimitando a uma rescisao imediata da relacao contratual a lnterrupgac de outms
entregas.
DECLARACIQN SOME EL CUMPLIMIENTO DE LA NORMATIVA EN MATERIA DE EXPORTACi6N
QIAGEN ester obligada por las leyes de sanciones aplicables a prohibir contractualmente la reexportacbri de mercanefas a la Federacidn Rusia y Bielorrusia_ Por
to tanto, cualquier entrega de productos QIAGEN depende del cornpromiso del cliente de cumplir con las restricciones_
Al realizar un pedido de productos QIAGEN, el cliente acepta no vender, exportar o reexportar, directa o indirectamente, hingun producto QIAGEN a la Federation
Rusia o Bielorrusia o para su use an la Federation Rusia o Bielorrusia.
I Cualquier violation de las obligaciones estableadas anteriormente constituira on incumplimiento material de un elemento esencial de so acuerdo de compra con
QIAGEN, y QIAGEN tendril derecho a buscar solucitnes adecuadas, inciuyendo, pero sin limitarse a, la termination inmediata de la relaci6n contractual y la
interrupeion de futuras entregas_
UTTALANDE OM EFTERLEVNADAV EXPORTBESTAMMELSER
QIAGEN maste enligt gallande sankttonslagar forbjuda aterexport av varor till Ryska federationen och Vitryssland. Darfur ar all leverans av QIAGEN-produkter
beroende av kundens atagande att falja dessa restrikhoner
Genom att lagga en bestallning pa QIAGEN-produkter samtycker du harmed till att inte salja, expartera eller aterexportera, dirett eller indimkl, nagra QIAGEN-
produkter till Ryska federationen eller Vitryssland eller far anvandning i Ryska foderationen eller Vitryssland_
Varje overtradelse av de skyldigheter sum angel ovan kommer att utgora ett brottmot en del av ditt kdpeavtal mod QIAGEN, och QIAGEN har der ratt att soka
lampliga atgarder inklusive, men into begransat fill, an amedelbar uppsagning av avtalsforhallandet och avbrytande av yttedigare leveranser.
iHRACAT DOZEN LEMELERWE UYUM BEYANI
QIAGEN, yurudukteki yaptirrm yasalan geregi Rusya Federasyonu ve Belams'a mallarin yeniden ihracatim sozle§meyle yasaklamakla yukumludur Bu nedenle,
QIAGEN urunlerinin her turlu teslimati, mu§terilerin soz konusu kisrtlarnalara uyma taahhudune baghdrr.
QIAGEN urunleri igin siparip vererek, herhangi bir QIAGEN urununu dogrudan veya dolayh clarak Rusya Federasyonu veya Belams'a satmarnayr, ihrag etmemeyi
veya yeniden ihrag etmemeyi ya der Rusya Federasyonu veya Belarus'ta kullanmamayr kabul etmi� olursunuz
Yukanda belirtilen yukumluluklerin herhangi bir Wkilde ihlali, QIAGEN lie satin alma sdzlegmenizin temel bir unsurunun unemli bir thlah anlamina gelecektir ve
QIAGEN, sozle§me ili§kisinin derhal feshi ve sonraki teslimabann durdurulmasr dahil ancak bunlada smidr omamak uzere uygun pozumleri arama hakkena sahip
clacakhr_
00000
00000
00000
QIAGEN
04/27/2026
Kelly Odom QIAGEN LLC
Fort Worth Police Department 19300 Germantown Road
Germantown
3616 E. Lancaster Ave.
MD 20874-1415
Fort Worth, Texas USA
76103 servicecontracts@qiagen.com
Customer Number 319749
Warren Palisoc
warren.palisoc@giagen.com
Quotation for Service - 260427US02066689WP
Dear Kelly Odom,
We would like to advise you that the Service Agreement for your instrument(s) is expiring shortly. To ensure the
continued performance of your automated application, we suggest to renew this Service Agreement.
Attached to this letter, please find an agreement quotation. For renewal, please return a signed copy of the quotation
together with your purchase order number. The Service Agreement will start upon the date indicated in the agreement
text.
If you have questions, or if you would like more information, please contact us directly or visit us at www.qiagen.com.
We look forward to help you in getting the most from your QIAGEN Instrumentation.
Sincerely,
Your QIAGEN Team
CSC 59569-A1 Page 11 of
18
ok Oft Ab oft I*
•0000
Page 1 of 5
�QLA0GEN
OIAGEN LLC 119300 Germantown Road I Germantown, MD 20874-14151 US Orders: 800-426-8157 1 Fax: 800-718-2056 1 www.giagen.com
CSC 59569-A1 Page 12 of
18
0*000
QIAGEN
Agreement Number 260427US02066689WP
Quote requested by:
Kelly Odom
Fort Worth Police Department
3616 E. Lancaster Ave.
Fort Worth, Texas
76103
Phone:+18173924549
Fax:
kelly.odom@fortworthtexas.gov
Customer Number 319749
Coverage for SN P0126031 F is set for a fourteen (14)-month period, from April 9, 2026 through June 8, 2027, per the
client's request to align the end date with their other QIAGEN instruments.
This agreement is valid for the following instrument:
Quote Line Item
Quantity
Catalog
Product
List Price
Unit Price
Total
Price
Number
#
[USD]
[USD]
[USD]
09168321
1
9245924
EZ2 Connect Fx, Full Agreement
7,117.00
8,303.17
8,303.17
Quote Total [USD]: 8,303.17
Included Service Agreement Products:
Quote Line Item Number 09168321: EZ2 Connect Fx, Full Agreement [Contract duration (in months): 14]
Cat No. Payment List Price [USD] Unit Price [USD] Total Price [USD]
9245924 Annual 7,117.00 8,303.17 8,303.17
Description:
Repair service delivery: on -site
Service response time (repair): 2 business days
Periodic inspection/maintenance: yes, 1/agreement year
Inspection/maintenance delivery: on -site
Cost coverage for repair parts: yes, full coverage
Cost coverage for labor: yes, full coverage
Cost coverage for travel: yes, full coverage
Replacement system (Loaner) provision: not applicable
Transportation cost coverage: not applicable
Remote Service*: yes
Ongoing LIS Integration support is also included with Full Agreement with the purchase of QIAGEN LIS Standard
Integration product. LIS Integration support includes remote support related to connectivity issues of the instrument to
customer's LIS solution post LIS integration. It does not include support for customer's LIS software or if customer had
their instrument integrated by any other entity besides QIAGEN.
Remote Service includes:
-Remote unlock of accounts (independent from QlAsphere; requires SW 1.2 or higher)
- Remore error analysis when connected to QlAsphere
*Requires active connection to QlAsphere cloud. Proactive remote monitoring of instrument is not available.
Validity: 04/09/2026 - 06/08/2027
This agreement is valid for the following instrument:
EZ2 Connect Fx, P0126031 F
CSC 59569-A1 Page 13 of
18
0*000
QIAGEN
Agreement Number 26O427US02O66689WP
Page 2 of 5
QIAGEN LLC 119300 Germantown Road I Germantown, MD 20874-14151 US Orders: 800-426-8157 1 Fax: 800-718-2056 1 www.giagen.com
CSC 59569-A1 Page 14 of
18
A
0*000
QIAGEN
Agreement Number 260427US02066689WP
Invoice As listed under "Payment"
Terms Net 30 Days upon Invoicing
Offer validity Valid From: 04/08/2026
Valid To: 05/30/2026
Your Contact Warren Palisoc
Associate Specialist, Inside Sales Service
warren.palisoc@giagen.com
We look forward to receiving your order but in the meantime, if you require any further information, please do not
hesitate to contact us.
This offer is expressly made conditional on customer's acceptance of QIAGEN's terms and conditions for sale and/or
service, as applicable, found at Terms and Conditions (giagen.com) (the'QIAGEN Terms"). Customer's submission of a
purchase order or similar documentation in response to this quotation is considered acceptance by the customer of the
QIAGEN Terms regardless of any additional or different terms or conditions which may be contained within customer's
purchase order, form terms and conditions (including on customer's website), or similar documentation ('Customer
Terms"), all of which are hereby expressly rejected by QIAGEN unless expressly accepted by QIAGEN in writing. In the
event of a conflict between the QIAGEN Terms and any terms expressly set forth on the face of this offer, the terms set
forth on the face of this offer shall prevail. In the event that the parties have duly executed a master purchase or service
agreement covering the products and/or services set forth in this offer, the terms and conditions of such signed
agreement shall prevail over the QIAGEN Terms and Customer Terms.
CSC 59569-A1 Page 15 of
18
0*000
QIAGEN
Agreement Number 26O427US02O66689WP
Page 3 of 5
QIAGEN LLC 119300 Germantown Road I Germantown, MD 20874-14151 US Orders: 800-426-8157 1 Fax: 800-718-2056 1 www.giagen.com
CSC 59569-A1 Page 16 of
18
STATEMENT ON COMPLIANCE WITH EXPORT REGULATIONS
QIAGEN is required by applicable sanctions laws to contractually prohibit the re-export of goods to the Russian Federation and Belarus. Therefore, any delivery of
QIAGEN products is contingent on the customers commitment to comply with said restrictions.
By placing an order for QIAGEN products, you hereby agree not to sell, export or re-export, directly or indirectly, any QIAGEN products to the Russian Federation
or Belarus or for use in the Russian Federation or Belarus-
Any violation of the obligations stated above shall constitute a material breach of an essential element your purchase agreement with QIAGEN, and QIAGEN shall
be entitled to seek appropriate remedies including, but not limited to an immediate termination of the contractual relationship and discontinuation of further deliveries.
ERKLARUNG ZUR EINHALTUNG DER AUSFUHRBESTIMMUNGEN
QIAGEN ist aufgrund geltender Sanktionsgesetze verpflichtet, die Wiederausfuhr von Waren in die Russische Foderation and each Weif3russland vertraglich zu
untersagen. Daher ist jade Lieferung von QIAGEN-Produkten davon abhangig, dass Bich der Kunde verpflichtet, die genannten Deschrankungen einzuhalten.
Mit der Bestellung von QIAGEN-Pmdukten verpflichten Sie Bich, keine QIAGEN-Produkte direkt oder indirekt in die Russische Federation oder nach Weillrussland
oder zur Verwendung in der Russischen Foderabon oder WeiBrussland zu verkaufen, zu exportreren oder zu reexportieren.
Jeder VerstoR gegen die coon genannten Verpflichtungen stellt eine wesentliche Verletzung eines wesentlichen Bestandteils Ihres Kaufvertrags mit QIAGEN dar,
and QIAGEN ist berechtigl, angemessene Abhlfemaf3nahmen zu ergrerfen, ernschlreRlich, aber mcht beschrankt auf eine sofortige Beendigung des
Vertragsverhaltnisses and die Einstellung weiterer Lieferungen.
—eiTA QIAGEN j'au, L111714VW FIJ�1- QIAGEN i'an, (7 QIAGEN I� m�
ERKLA-RING OM OVERHOLDELSE AF EKSPORTREGLER
QIAGEN er i henhold til gaeldende sanklionslove forpligtet tl kontraktligt at forbyde reeksport of varertil Den Russiske Foderation og Hviderusland. Derfor er enhver
levering of QIAGEN-produkter belinget of, at kunden forpligter sig til at overholde disse restriktioner-
Ved at afgive an ordre pa QIAGEN-produkter accepterer du harmed ikke at saalge, eksportere eller reeksportere, direkte oiler indirekte, noggin QIAGEN-produkter
til Den Russiske Federation oiler Hviderusland eller til brug r Den Russiske Foderation eller Hviderusland.
Enhver overtraa_delse of ovennmvnte forpligtelser udgor an vaasentlig overtreadelse of at vaesentligt element r din kobsaflale med QIAGEN, og QIAGEN er berettiget
til at sage passende afhjaelpning, herunder, men ikke begra;nset til, an ojeblikkelig ophaevelse of kontraktforholdet og afbrydelse of yderligere teverancer.
VERKLARING BETREFFENDE DE NALEVING VAN EXPORTVOORSCHRIFTEN
QIAGEN is door de toopasselijke sanctiewetgeving verplicht om de wedemitvoer van goederen near de Russische Federatie an wit-Rusland contraclueel to
verbieden. Daarom is olke levering van QIAGEN-producten afhankelijk van de toezegging van de klant om zich aan daze beporkingen to houden.
Door het plaatsen van een bestelling voor QIAGEN producten stemt u er hierbij mee in geen QIAGEN producten direct of indirect to verkopen, exporteren of
herexporteren naar de Russische Federatie of Wit Rusland of voor gebrurk in de Russische Federate of Wit Rusland.
Elko schending van do hierboven vermalde verplichtingen vormt sen wezenlijke schending van eon essentieel element van uw aankoopovereenkomst met QIAGEN,
an QIAGEN heeft het recht om passende rachtsmiddelen aan to wenden, met inbegrip van, maar niet beperkt tot, onmiddellijke beeindiging van de contractuele
relatie on stopzethng van verdere leveringen-
LAUSUNTO VIENTISAANNOSTEN NOUDATTAMISESTA
Sovellettavien pakotelakien mukaan QIAGENrn on sopimuksin kiellettava tavaroidenjalleenvienti Venajan federaatioonja Valko-Venajalle. Taman vuoksi QIAGENin
tuotteiden loimittaminen edellyttaa, etta asiakas sitouluu noudattamoan mainittuja rajoituksia-
Tilaamalla QIAGENin tuotteita asiakas sitoutuu taten clemaan myymatta, viomatta tar jalleenviematta suoraan tar valilirsesti QIAGENin tuotterta Venajan
federaatioon tai Valko-Venajalle tai kaytettevaksi Venajan federaatiosss tai Valko-Venajalla.
Edella mainittujen velvoitteiden rikkominen merkitsee QIAGENin kanssa tekernasi ostosopimuksen olennarsen osan olennaista rikkomista, ja QIAGENilla on oikeus
hakea asianmukaisia korjaustoimenpitela, mukaan lukien, motto ei rajoittuan, sopimussuhteen valiton irtisanominen ja uusien toimitusten keskeyttaminen-
DECLARATION DE CONFORMITEA LAREGLEMENTATION SUR L'EXPORTATION
QIAGEN est toms, par les lois sur les sanctions applicables, d'interdire contractuollement la reexportalion de marchandises vers to Federation de Russia at la
Brelorussio. Par consequent, toute livrarson de produits QIAGEN est subordonnee a I'ongagement du client a respecter cesdites restrictions.
En passant commande de produits QIAGEN, vows vous engagez par la presente a ne pas vendre, exporter ou reexporter, directement ou indirectement, des
produits QIAGEN vers la Federation de Russia on la Bielorussre ou an vue d'une utilisation dans A Federation de Russia on la Bielorussie-
Toute violation des obligations enoncees ci-dessus constituera one violation materielle d'un element essential de votre contrat d'achat avec QIAGEN, at QIAGEN
sera an drort de demander les reparations appropriees, y compris, mais sans s'y limiter, to resiliation immediate de to relation contractuelle at ('interruption des
livraisons ulterieures.
DICHIARAZIONE DI CONFORMITAALLE NORME SULUESPORTAZIONE
QIAGEN a tenuta, in base alie leggi sulle sanzioni applicabili, a vietare contrattualmente la riesportazione di merci nella Federazione Russa a in Bielorussia- Pertanto,
qualsiasi consegna or prodotti QIAGEN a subordinata all'impegno del cliente a nspettare tali restrizioni.
Effeltuando on ordine per r prodotti QIAGEN, ii cliente accetha di non verdere, esportare o riesportare, direttamente o indiretemente, alcun prodotto QIAGEN nella
Federazione Russa o in Bielorussia o per I'uso nella Federazione Russa a in Bielorussia-
Qualsiasi vielazione degli obbligN di cui supra costituira una violazione sostanziale di un elemento essenziale del vostrD contratto di acquisto con QIAGEN, e
QIAGEN avra it dirdto di cercare rimedi appropriati, Ira cui, ma non solo, la risoluzione immediate del rapporto contrattuale a l'interruzione di ulteriori consegne.
QIAGEN(J7., zap} l l}. Ci�i U^7Jb— ^tneuGi ] *T1 za � fit h tip a'ti€�Z, QIAGEN [-0.
�3�T-IVU, QIAGEN [] 7 ilni# L C iJ-- �- t lt-6 i
al1ZC QIAGEN ua& T,
�a2�1CeLfa. :9�±e QIAGEN �C1y% x�flJtal fity zap ctdFx�tal}. QIAGENfJ,l&�jOJ&patU i4�14J 07�
11t tLtatflta5%S7za]zaG7 Li`-:
ERKUERING OM OVERHOLDELSE AV EKSPORTBESTEMMELSER
QIAGEN or palagt av gjeldende sanksjonslover a kontraktsfeste forbud mot reeksport av varer til Den russiske federasjon og Belarus. Derfor er enhver levering av
QIAGEN-produkter befinget av at kundon forplikter sag til a overholde nevnte restriksjoner
Ved a legge inn an bestilling pa QIAGEN-produkter samtykker du herved i a ikke selge, eksportere older reeksportere, direkte oiler indirekte, QIAGEN-produkter til
Den russiske federasjon eller Hviterussland oiler til brisk i Den russiske federasjon oiler Hvgerussland.
Ethvert brudd pa forpliktelsene nevnt ovenfcr vil utgjore et brudd pa kjopekontraktenrned QIAGEN, og QIAGEN forbeholder seg retten til a worksette rimelige
tiltak, inkludert, men ikke begrenset til, on umiddelbar oppsigelss av kjopekontraktenog stans av videre leveranser.
OSWIADCZENIE O ZGODNOSCI Z PRZEPISAMI EKSPORTOWYMI
Na mocy obowigzujacych przepisow dotyczgcych sankcji firma QIAGEN jest zobowiazana do umownego zakazu reeksportu towaniw do Federacji Rosyjskiej i do
Biatomsi. Dlatego kazda dostawa produkldw firmy QIAGEN jest uzalezniona od zobowiazania Klienta do przestrzegania wspomnianych ograniczen.
Sktadajac zamowienie na produkty firrny QIAGEN, Klient nimejszym zgadza sip me sprzedawac, me eksportowac am No reeksportowac, bezposrednio lub posredmo,
zadnych produktow firmy QIAGEN do Federacji Rosyjskiej lub do na Biatomsi ani do uzytku w Federacji Rosyjskiej lob w Bialorusi.
Niezastosowanie sip do powyzszych zobowipzan bgdzie stanowic razace naruszenie istotnego elementu umowy zakupu zawartej przez Klienta z firma QIAGEN,
a firma QIAGEN bgdzis uprawniona do zastosowania odpowiednich srodkow zaradczych, w tyrn migdzy innymi do natychmiastowego rozwigzania stosunku
umownego i zaprzestania dalszych dostaw_
DECLARAIyAO DE CONFORMIDADE COM AS NORMAS DE EXPORTArAO
A QIAGEN a obrigada pelas leis de sanpoes aplicaveis a proibir contratualmente a reexportapao de mercadorias para a Federapao Russa a Bielorrussia. Desta
forma, qualquer entrega de produtos QIAGEN depende do compromisso do cliente em cumprir corn as restrigoes
Au efetuar uma encomenda de produtos QIAGEN, o cliente concorda ern nao vender, exportar ou reexportar, direta ou indiretamente, quaisquer produtos QIAGEN
para a Fedorapao Russa ou BielorrUssia ou para uhlizagao na Federapao Russa ou Bielorrossia.
Qualquer violapao dal obrigagoes acima referidas constituira uma violapao material de um elementu essential do seu acordo de compra com a QIAGEN, e a
QIAGEN tera o direito de procurer solugoes adequadas, incluindo, mas nao se limitanda a, uma rescisao imediata da relageo contralual e a intermpgao de outras
entregas_
DECLARAQAO DE CONFORMIDADE COM AS NORMAS DE EXPORTAr,Ao
A QIAGEN e obngada pelas leis do sangoes aplicaveis a proibir contratualmente a reexportapao de mercadonas para a Federapao Russa o Bolarus. Porlanto,
qualquer entrega do produtos da QIAGEN depende do compromisso do cliente em cumprir com tais restngbas.
Ao fazer um pedido de produtos da QIAGEN'., o cliente concorda em nee vender, exportar on reexportar, direly on indiretamenle, quaisquer produtos da QIAGEN
para a Federapao Russa ou B'ielorrussia ou para use na Federapao Russa ou Bielorrussia.
Qualquer violapao das obrigagoes declaradas acima consfituira uma violapao material de um elernento assencial de son contrato de compra com a QIAGEN, e a
QIAGEN tern o direito de buscar solugoes apropriadas, incluindo, mas nao se fimitando a uma rescisao imediata da relacao contratual a lnterrupgac de outms
entregas.
DECLARACIQN SOME EL CUMPLIMIENTO DE LA NORMATIVA EN MATERIA DE EXPORTACi6N
QIAGEN ester obligada por las leyes de sanciones aplicables a prohibir contractualmente la reexportacbri de mercanefas a la Federacidn Rusia y Bielorrusia_ Por
to tanto, cualquier entrega de productos QIAGEN depende del cornpromiso del cliente de cumplir con las restricciones_
Al realizar un pedido de productos QIAGEN, el cliente acepta no vender, exportar o reexportar, directa o indirectamente, hingun producto QIAGEN a la Federation
Rusia o Bielorrusia o para su use an la Federation Rusia o Bielorrusia.
I Cualquier violation de las obligaciones estableadas anteriormente constituira on incumplimiento material de un elemento esencial de so acuerdo de compra con
QIAGEN, y QIAGEN tendril derecho a buscar solucitnes adecuadas, inciuyendo, pero sin limitarse a, la termination inmediata de la relaci6n contractual y la
interrupeion de futuras entregas_
UTTALANDE OM EFTERLEVNADAV EXPORTBESTAMMELSER
QIAGEN maste enligt gallande sankttonslagar forbjuda aterexport av varor till Ryska federationen och Vitryssland. Darfur ar all leverans av QIAGEN-produkter
beroende av kundens atagande att falja dessa restrikhoner
Genom att lagga en bestallning pa QIAGEN-produkter samtycker du harmed till att inte salja, expartera eller aterexportera, dirett eller indimkl, nagra QIAGEN-
produkter till Ryska federationen eller Vitryssland eller far anvandning i Ryska foderationen eller Vitryssland_
Varje overtradelse av de skyldigheter sum angel ovan kommer att utgora ett brottmot en del av ditt kdpeavtal mod QIAGEN, och QIAGEN har der ratt att soka
lampliga atgarder inklusive, men into begransat fill, an amedelbar uppsagning av avtalsforhallandet och avbrytande av yttedigare leveranser.
iHRACAT DOZEN LEMELERWE UYUM BEYANI
QIAGEN, yurudukteki yaptirrm yasalan geregi Rusya Federasyonu ve Belams'a mallarin yeniden ihracatim sozle§meyle yasaklamakla yukumludur Bu nedenle,
QIAGEN urunlerinin her turlu teslimati, mu§terilerin soz konusu kisrtlarnalara uyma taahhudune baghdrr.
QIAGEN urunleri igin siparip vererek, herhangi bir QIAGEN urununu dogrudan veya dolayh clarak Rusya Federasyonu veya Belams'a satmarnayr, ihrag etmemeyi
veya yeniden ihrag etmemeyi ya der Rusya Federasyonu veya Belarus'ta kullanmamayr kabul etmi� olursunuz
Yukanda belirtilen yukumluluklerin herhangi bir Wkilde ihlali, QIAGEN lie satin alma sdzlegmenizin temel bir unsurunun unemli bir thlah anlamina gelecektir ve
QIAGEN, sozle§me ili§kisinin derhal feshi ve sonraki teslimabann durdurulmasr dahil ancak bunlada smidr omamak uzere uygun pozumleri arama hakkena sahip
clacakhr_
FORT WORTH.
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: Qiagen, LLC
Subject of the Agreement: Amendment 1 to replace exhibit A
M&C Approved by the Council? * Yes ❑ No M
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes 0 No ❑ 59569
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 ❑ 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.