HomeMy WebLinkAboutC2016-228 - 5/31/2016 - Approved ��ZIS V"
AMENDMENT
PENT
v VY CITY OF CORPUS CHRISTI
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Q,, PURCHASING DIVISION
1852
Service Agreement No.: SA12-061 Amendment No.: 23 Date: May 11, 2016
Current Agreement Value: $12,395,078.42
The CITY OF CORPUS CHRISTI, TEXAS, hereinafter referred to as the City, and Unique
Employment Services 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 $5,222,000.00 from $12,395,078.42 to a total contract amount not to
exceed $17,617,078.42. 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.
�! S /c:57L /i "EctkAA ce.t, ue
G. ry B ..ford Date Kim Baker Date
esi.irt/CEO Assistant Director of Finance
Unique Employment Services City of Corpus Christi, Texas
Approved as to form: $-2 7`16 ATTEST: 2 tX.
REBECCA HUERTA
A/wA 2016-228 SECRETARV„s b3o8-1 3
By 5/31/16
Assistant City Attorney Res. 030873 it COUNCIL G1:.1.a<. ._,,,_
ForCityAttorney Unique Employment Services
INDEXED slyn
•
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. 2016-57180
Unique Employment Services
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 05/17/2016
being filed.
City of Corpus Christi Date Ackn wledged: -
. a9
3 Provide the identification number used by the governmental entity or state agency to track or identify the c ntrac ,and provide a
description of the services,goods,or other property to be provided under the contract.
SA12-061
Leased Workers
Nature of interest
4
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party. ❑
6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above s .closure is true and correct.
()InkEVELYN W.DESROSIERS
My commission
xPkeli
Aprs17
ignature of authorize agent of cont .cting business entity
AFFIX NOTARY STAMP/SEAL ABOVE
r-6Sworn to and subscribed before me,by the said(--1/112/s 'N j zo R N ,this the I 1 day of NL
20 )(p ,to certify which,witness my hand and seal of office.
9--kteLiA c)2.A . c
�Je I c�,u D9S,(1)Sle-43. CL2AK,
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