HomeMy WebLinkAboutC2016-226 - 5/31/2016 - Approved I '
/4.36,,,,---
4, ; it'� AMENDMENT
,t
CITY OF CORPUS CHRISTI
PURCHASING DIVISION
Y851
Service Agreement No.: SA12-065 Amendment No.: 5 Date: May 11, 2016
Current Agreement Value: $410,886.30
The CITY OF CORPUS CHRISTI, TEXAS, hereinafter referred to as the City, and Express
Employment Professionals, hereinafter referred to as the Contractor, do hereby make and
enter into this Amendment which, together with the Contract and all other duly executed
amendments, constitutes the entire agreement under the above-referenced Service
Agreement between the City and the Contractor.
I.
Contractor agrees to comply with Texas Government Code section 2252.908
and complete Form 1295 "Certificate of Interested Parties" as part of this
amendment.
II.
The contract is hereby extended for an additional twelve-month period. New
effective dates are May 15, 2016 through May 14, 2017.
III.
This amendment increases the current agreement value by an amount not to
exceed $99,000 from $410,886.30 to a total contract amount not to exceed
$509,886.30. Increased value is an estimated projection for extension year
three.
Contractor and the City agree to and shall abide by all terms and conditions of the original
Contract and any amendments to that Contract, to the extent they are not in conflict with
the terms of this Amendment.
AtiVA OCUCOmii S I►a JaolG VA/hstk, e 6a,/,,t, t•,mv
Margot Villarreal Date Kim Baker Date
General Manager Assistant Director of Finance
Express Employment Professionals City of Corpus Christi, Texas
S--2 7-(6 ATTEST: I ' ,(/,� (/L2/va
Approved as to form: ( REBECCA HUERTA
CITY SECR ARY
2016-226 Lt.. ..•3c08:aim
By 5/31/16 030873II
Res. ri COUNCIL- S 3
Assistant City Attorney �, �,'
For City Attorney Express Employment I N DEXED w�!��1
SF .P1.7nav
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
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2016-55133
Express Employment Professionals
Corpus Christi,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 05/13/2016
being filed.
City of Corpus Christi Dat Ack owled ec.d:a
.14?3 I IU
3 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.
SA12-065
Staffing Services
Nature of interest
4
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling I Intermediary
5 Check only if there is NO Interested Party. ❑
6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
E.: .�
Signatu e of authorized agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE
Swgrn to and subscribed before me,by the said p Vit,ffog
?this the 1 Ivt(Aday of q
20 ` W ,to certify which,witness my hand and seal of o ice.
'1�1..sigl P a . A N\t, CCNU Pt)bel C,
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.1021