HomeMy WebLinkAboutC2016-229 - 5/31/2016 - Approved • vUS
o/ i AMENDMENT
7.0'5 =L CITY OF CORPUS CHRISTI
PURCHASING DIVISION
1862
Service Agreement No.: SA12-064 Amendment No.: 5 Date: May 11, 2016
Current Agreement Value: $3,284,680.09
The CITY OF CORPUS CHRISTI, TEXAS, hereinafter referred to as the City, and JAT
Partners LLC, DBA Remedy Intelligent Staffing, 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 $1,236,000 from $3,284,680.09 to a total contract amount not to
exceed $4,520,680.09. 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.
k 5 /3//(e,
L.IP 4 E,6 ttit. Le. LQ . )(e
Penny Rise Date Kim Baker Date
Branch Manage Assistant Director of Finance
JAT Partners LLC, City of Corpus Christi, Texas
DBA Remedy Intelligent Staffing
Approved as to form: ' —Z 7 -,6 i ATTEST: i �--
REBECCA HUERT pp
2016-229 TY SECRETAR (J, DO t Ung«,
By6 5/31/16 31
tir``` Res. 030873 sy CaUNcI .. CJ ... 1 ,
Assistant City Attorney
For City Attorney JAT Partners LLC
, INDEXED SECRETARY
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. 2016-54565
JAT Partners LLC dba Remedy Intelligent Staffing
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 05/12/2016
being filed.
City of Corpus Christi Date Ackn wledged• �✓
(c I(c
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.
SA12-064
Leased Worker Services
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling I Intermediary
5 Check only if there is NO Interested Party.
X
6 AFFIDAVIT ��u��� �� I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
la, AiJRISALYNN BAKLIK v,, f;emmissionExpires-y�
�q�E • 9
trr hhvi/}}Y/// m
Signature uthorized agent f contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE c
Swor to and subscribed before me,by the said •0----(�1
-WAI S� ,this the ) 3 day of I _t a ,
l20 D ,to certify which,witness my hand and seal of office.
R133, c %\v %a' : _�:� 4W 115J� R)1�l �4 tK e, , •
`��5 V�arll Uig rC
SigC:72:7-1\,\ ture of officer admini -\`oath Printed name of officer administers g oath Title of officer administering oath
Forms provided b Texas Ethics Commission www.ethics.state.tx.us Version V1.0.1021