HomeMy WebLinkAboutC2016-227 - 5/31/2016 - Approved ,
CP0us olzi
el AMENDMENT
'. CITY OF CORPUS CHRISTI
7'77-; PURCHASING DIVISION
1
Service Agreement No.: SA12-063 Amendment No.: 23 Date: May 11, 2016
Current Agreement Value: $6,323,555.95
The CITY OF CORPUS CHRISTI, TEXAS, hereinafter referred to as the City, and
Advance'd Temporaries, Inc., 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 $2,500,000 from $6,323,555.95 to a total contract amount not to
exceed $8,823,555.95. 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.
,- _ - 9 B.R.,,,, A,kdit
, 4Felisha Mo Date Kim Baker Date
Vice President Assistant Director of Finance
Advance'd Temporaries, Inc. City of Corpus Christi, Texas
Approved as to form: S�Z 7-16
( Ise,_ilatOCX,e"- IfiTTEST:
'L.t.t4A-
RFrIPrrti HUERTA1337-71),2j
2016-227 tETARY . Cf1UkIL�1
—61/1/04 &14:66 5/31/16
By` Res. 030873 a i !MGIC
Assistant City Attorney Advance'd Temporaries Inc. —
e� For City Attorney INDEXED SECRfTAI? ('
•
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. 2016-55469
Advance'd Temporaries
Corpus Christi,TX United States Date Flied:
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 oat Acknowledg t
It lq
3 Provide the Identification number used by the governmental entity or state agency to track or identify the ontract,and provide a
description of the services,goods,or other property to be provided under the contract.
SA12-063
TEMPORARY PERSONNEL
Nature of Interest
4 Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling ! Intermediary
6 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.
to kgt, KRISTI LOVE HOLDER
a xi MY COMMISSION LXPIRES --
tN24,2Q17 i./�
xkr{ Ap Signatu •.'ihorized agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE j Ha--ti A
Sworn to and subscribed before me,by the said ■ .. " A • 1��Ce
Is the ! day of
20 t ,to certify which,witness my hand and seal of office.
4r 46. lOthA tidriah Title of office administering oath
gnature of officer administering oath Printed name of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Version V1.0.1021