HomeMy WebLinkAbout063319-A1R1 - General - Contract - 410 Medical, Inc.CSC No. 63319-A1 R1
FIRST AMENDMENT AND FIRST RENEWAL TO
CITY OF FORT WORTH CONTRACT NO. 63319
This FIRST AMENDMENT AND FIRST RENEWAL ("First Amendment and First
Renewal") is made and entered into by and between the CITY OF FORT WORTH, a home -rule
municipal corporation of the State of Texas, acting by and through its duly authorized representative
("City"), and 410 MEDICAL, INC. ("Vendor").
WHEREAS, the parties entered into an agreement to provide medical infusers, the same being
City Secretary Contract Number 63319 ("Agreement"); and
WHEREAS, the Agreement provides that the term may be renewed for an unspecified number
of renewals of an unspecified term;
WHEREAS, the parties desire to amend the Agreement to clarify the number of renewals and
their associated term and, accordingly, add 5 additional one-year renewal options;
WHEREAS, the parties wish to continue their relationship by exercising the first renewal option
beginning July 2, 2026 and to expire July 1, 2027;
WHEREAS, the Parties further agree to amend Exhibit D of the Agreement to reflect an increase
in the Vendor's unit prices; and
WHEREAS, the amount authorized by the Contract shall remain an amount not to exceed
$50,000.00.
NOW, THEREFORE, the parties agree to amend and to renew and extend the Agreement as
follows:
OFFICIAL RECORD
I. AMENDMENT
CITY SECRETARY
City and Vendor hereby agree to amend the Agreement as follows: FT. WORTH, TX
Exhibit D of the Agreement is amended to include the updated pricing as listed in the attached
Exhibit D.
Section 3, entitled "Term", of the Agreement is hereby amended to read as follows:
The Agreement shall begin on the date signed by the Buyer's signatory ("Effective Date") and
shall expire on July 1, 2026 ("Expiration Date"), unless terminated earlier in accordance with this
Agreement ("Initial Term"). Upon mutual written agreement, after the expiration of the Initial Term, the
Parties may renew this Agreement for up to five one-year renewal terms under the same terms and
conditions, unless otherwise modified by the Parties in writing.
II. RENEWAL
The parties further agree to renew and extend the Agreement for its first renewal term, effective
First Amendment and First Renewal to CSC No. 63319 Pagel of 3
beginning on July 2, 2026 and ending on July 1, 2027 (First Renewal Term). This shall be the 1 of 5
one-year renewal periods.
(1) All terms and conditions of the Agreement that are not expressly amended pursuant to
this First Amendment and First Renewal shall remain in full force and effect.
(2) All terms in this first Amendment and first Renewal that are capitalized but not defined
shall have the meanings assigned to them in the Agreement.
[Executed effective as of the date signed by the Assistant City Manager below.] / [ACCEPTED AND
AGREED:]
City:
By: zJIL 9,,�.
Name: William Johnson
Title: Assistant City Manager
Date: 07/31 /2026
Vendor: 410 Medical Inc.
By: X GA�
Name: Kvle Chenet
Title: CEO
Date: July 21, 2026
CITY OF FORT WORTH INTERNAL ROUTING PROCESS:
Approval Recommended:
By:
Name
Title:
Raymond Hill
Interim Fire Chief
Approved as to Form and Legality:
By:
Name: Taylor Paris
Title: Senior Assistant City Attorney
Contract Authorization:
M&C: N/A
First Amendment and First Renewal to CSC No. 63319
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.
AW
By:
Name: Brenda Ray
Title: Fire/EMS Purchasing Manager
City Secretary:
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By:
Name:
Title:
Jannette S. Goodall
City Secretary
OFFICIAL RECORD
CITY SECRETARY Page 2 of 3
FT. WORTH, TX
First Amendment and First Renewal to CSC No. 63319 Page 3 of 3
Exhibit D
Fort Worth Fire Department
Attn: Brenda Ray
505 W. Felix St
Fort Worth, TX 76115
15 July 2026
Thank you for considering LifeFlow for your organization. We are pleased to provide a quotation for your
review.
Product # I Description
List Price
UOM
Cases
Ordered
Preferred
Price
Total Price
FG5005G
LifeFlow PLUS Blood &
Fluid Infuser (Full kit)
$2,020.00
Case
(5 devices)
1
$1045.00
$ 1045.00
SHIP
Ground Shipping, Flat Rate
$ 22.00
Case
1
$ 22.00
$ 22.00
Quote valid for 90 days Total
$ 1067.00
Other Terms:
• Customer responsible for shipping charges.
• May provide Fed Ex / UPS Account information in lieu of flat rate shipping.
• Expedited shipping is available at customer request/expense.
• Please provide Tax Exemption certificate if applicable
• Payment terms are net 30 days.
• Pricing is confidential to Customer and will not be shared with any other entity.
• Volume discounts are available and may be discussed based on commitment or demonstrated
order history.
Please let us know if you have any questions. We look forward to hearing from you.
Quotation Provided by:
David Crosby, Director, Public Safety & Fed Gov
dcrosby_k410medical.com
919-763-4963
410 Medical 168 TW Alexander Dr. Research Triangle Park, NC 27709 1 infog410medical.com
MK-0052.1 Rev A
FORT WORTH.
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: 410 MEDICAL, INC.
Subject of the Agreement: CSC 63319 Amendment 1 and Renewal 1 for 410 MEDICAL, INC.
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 ❑ 63319
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: 07/02/2026
If different from the approval date.
Expiration Date: 07/01 /2027
If applicable.
Is a 1295 Form required? * Yes ❑ No 21
*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.