HomeMy WebLinkAboutContract 46001-A1 CTtY&ECRETAw
COWPACT NO.
ZOIR AMFNQMENT
EVENT SCHEDULING FORM
x, a titian . tl tdmsr engages HQkpltal t4 provide certain screening or altaminhtipr s to Its
employees at the!avant,Event Cake,Event Time,and Event;L"atlon provided.In the below
male, As of the ReServatlon Date, the parties have eQrifirn'ied thio resarvatlon for the Evuot;
listed fn the below table. Rursvant to the Agreement,Hospltal has the,rlght to uncel the Event
due to low partlelpatian,meaning that the minlmurn numlaer of participants required for the.
scraentng(as listed Irn the below table)was not schedulvd At lana three(3)RAYS PRIOR TO THE
EventDate,
Minlroum
Event Data and -event � Screening provided AV partipl{pal'nts.per
Event 'fl to Event Location Event Screening
_. _ . CITY OF FORT �....�..�., _-
Welinesa tow M191109Y,=00-19; WORTH.1000
I Lira Mobile Zo15 THROCKMORMN
i screening Sgrwrting Ttmet Barn> FORT WORTH,
I F.ver,t 41LM _'fUX0 75101 Mklmil ogr4phy screenings 391154.1 pants
Tuesday,Ottobet 29, CITY OF FORT
W.Qlinest.for- 2015 WORT111000
1 Life Mobilo. Ecrooning Time;ftrn THROCKMORTON
krooning apm FORT WORTH,
Event TEXAS 76101 Mammoa rah Rbr�enln t 19 Partlei ahts.._.
_ . .... R _._ .
Wedn0sd6y,Octdbfr CITY OF FORT I ..
Wellness for 2,1;2M5 WORT 1t 1000
Life Mehile RcreanIn&Time.Ram- THROCKMt2Rfi( N
I SuWing Spm FART WORTH, j
I f avpnt TEXAS YC C i Marnmograpby Soresnlrlgs 19 par0cipants.
fihursday,October 22, CITY OF FORT
f
Vdailne�s tot X915, WORTH 1000
Lft M"Ile Sue-c-oing Time;darn- TKROCKMORTON
Sereeniq Apm FORT WORTH; I
} Fvent - - T T, _TEXAS.76101 Y 1 Manrimpgraphy ScreQnirla� 19__ Partieipartts_��
' Frl0y,October. 233 CITY t?F FORT
Welin@ss for Nan WORTH 1090
Ul`Q Mublle Uroaning Time;Rein F THRQGKMQRTON I
;'crvonlnp IPM FORT WORTH,
F r nc
TEXAS 76181 parft'gnt
,
OFFICIAL RECORD
CITY SECRETARY
3
c
MAS FlFALTH HARM M�TNODIST PTY OF F�1f�T WORTH
(yH'0SPT1AL FORT WQA
r
Nim IJSCx;'1 lGlkj\;5
Titiol
a�
Dater
Approved As To Form Only. PAmbtao
0 D As TO FORM LEGALITY:
TbrM A.dei
AU11tant General C,ourml
City Attotuey
Afteed by.,
3
1
a
0 x J. K er i Secretary
NO M&C REQUIRED
i
t
OFFICIAL RECORD
I
CITY SECRETARY I
1 FT.WORTH, TX