HomeMy WebLinkAboutContract 33120-A5 CITY SECRERRY
AMENDMENT No.5
TO CITY SECRETARY CONTRACT No. 33120
WHEREAS, the City of Fort Worth (CITY) and Freese and Nichols, Inc. ,
(ENGINEER) made and entered into City Secretary Contract No. 33120, (the
CONTRACT) which was authorized by M&C #C-21234 on the 101h day of
January, 2006 in the amount of $ 189, 000; and
WHEREAS, the CONTRACT was subsequently revised by: Amendment Number
1 in the amount of $314, 925 which was authorized by M&C #C-22994 on
August 26, 2008; Amendment Number 2 in the amount of $352, 698 which was
authorized by M&C #C-26245 on May 14, 2013 ; Amendment Number 3 in the
amount of $48, 000 as well as additional terms and the addition of an
expiration provision, which was administratively authorized on December
21, 2016; and Amendment Number 4 in the amount of $37, 000 and an
extension of the expiration provision, which was administratively
authorized on October 11, 2017; and
WHEREAS, the CONTRACT involves engineering services for the
following project :
Central Arlington Heights Storm Drain Watershed Planning Study; and
WHEREAS, it has become necessary to execute Amendment No. 5 to the
CONTRACT to amend the expiration provision;
NOW THEREFORE, CITY and ENGINEER, acting herein by and through their
duly authorized representatives, enter into the following agreement,
which amends the CONTRACT:
1 .
The following statement shall control the expiration of this Agreement :
Unless otherwise terminated pursuant to the terms of the original
Agreement, the expiration of this Agreement shall transpire upon the
exhaustion of the funds or completion of the subject matter, whichever
occurs first .
All other statements which conflict with this provision are hereby
repealed.
2 .
All other provisions of the Contract which no expres` ly amended
City of Fort Worth O�R'C'AL R�COR�
Professional Services Agreement Amendment Template
PMO Official Release 8/1/2012 CITY SECRETARY
Page 1 of 2
PT.WORTH,U
herein shall remain in full force and effect .
EXECUTED and EFFECTIVE as of the date subscribed by the City' s designated
Assistant City Manager, below.
APPROVED:
City of Fort Worth ENGINEER
Freese and lvichols, Inc.
Su an Tanis Scott Hub ey, P.E.
Assistant City Manager Associate
DATE: V DATE: h�
����ttAPPROVAL RECOMMENDED:
Va)
Z,-
Dougla4, W. Wiersig, E.
Director, Transportation and Public Works Department
APPROVED AS TO FORM AND LEGALITY: M&C: P/lI�
Date :
Douglas W Black
Sr. Assistant City Attorney
F®R T•� 'F•
ATTEST:
:g
Mai� -kos'e4
City Secretary
?CAS
Contract Compliance Manager:
By signing, I acknowledge that I am the person responsible for the
monitoring and administration of this contract , including ensuring all
performance and reporting requirements .
Jen, fifer ke
Sr. /Planner, TPW B ormwater Division
City of Fort Worth LOFFICIAL"CORD
Professional Services Agreement Amendment Template CiPMO Official Release 8/1/2012 ARPage 2 of 2W
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1011
Complete Nos.1-4 and 6 it 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. 2018-384165
Freese and Nichols,Inc.
Fort Worth,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 07/24/2018
being filed.
City of Fort Worth Date Acknowtle d:
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.
33120 Amd#5
Amendment 45 to Contract No.331201 Central Arlington Heights Storm Drain Watershed Planning Study
Nature of interest
4 Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling intermediary
Coltharp,Brian Fort Worth,TX United States X
Pence,Robert Fort Worth,TX United States X
Gooch,Tom Fort Worth,TX United States X
Milrany,Cindy Fort Worth,TX United States X
Cole,Scott Fort Worth,TX United States X
Nichols,Mike Fon Worth,TX United States X
Johnson,Kevin Dallas,TX United States X
Wolfhope,John Austin,TX United States X
Taylor,Jeff Houston,TX United States X
5 Check only if there is NO Interested Party.
6 UNSWORN DECLARATION
My name is KellyShr1wr and my date of birth Is 01/20/82
My address is 4055 International Plaza,Ste,200 Fort Worth TX Ming USA
(street) (city) (state) (zip code) (country)
I declare under penalty of pedury that the foregoing is true and correct.
Executed in Tarrant Cottrtty,State of Texa on the 2g day Of JuN ,201 .
(month) (year)
Slgnature f au or ed agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711