HomeMy WebLinkAboutContract 54724-AD28CSC No. 54724-AD28
Addendum No. 28
Statement of Work
This Addendum No. 28 - Statement of Work (SOW) is made as of this 16th day of May, 2023,
under the terms and conditions established in the MASTER PROFESSIONAL SERVICES
AGREEMENT between the City of Fort Worth ("City") and ADASTAFF, INC. ("Vendor"), the
same being Fort Worth City Secretary Contract (CSC) No. 54724 (the "Master Agreement" or
"MSA").
This Statement of Work is made for the following purposes, consistent with the services defined
in the Master Agreement: Providing temporary staffing services to the City of Fort Worth for the
positions listed below. In particular, Vendor shall perform those functions identified below in the
Scope of Services, as such services are more fully detailed in the MSA.
Section A. Scope of Services & Schedule
Department Requesting Position(s): Transportation and Public Works Department- Stormwater
Management — Infrastructure Maintenance. The temp employee will assist in researching
Drainage Easement, scanning, and data entry of results as part of the Easement Program.
Individual Tasks —Temp Personnel
• Assess and review archive/historical plats and documents
• Scan/capture easement document
• Data entry of attributes required
• Enter update requests into database for GIS updates
• Perform additional easement research utilizing Tarrant County website
• Report monthly on progress made on data collection and coordination efforts
Assignment #1
Position Requested (Must be in Exhibit B of the MSA) Administrative Assistant
# of above Positions Requested: One (1) New Temp -Never worked in the Department
Location of Assi ng ment: Public Safety Bldg.-1000 Throckmorton St. Fort Worth, Texas 76102
Projected Start and End Dates for Assignment: May 30, 2023 —August 31, 2023
Anticipated Total # of Hours: 528
Hourly Billing Rate (Must be in Exhibit B of the MSA $23.81
Total Anticipated Cost: $12,571.68
The total fee that shall be paid by City to Vendor for these services shall be in accordance with the
Master Service Agreement and, specifically, Exhibit "B"- Price Schedule. In submitting invoices,
Vendor shall reference the appropriate Statement of Work. Further, the Vendor shall separately
list the total amount for fees in which invoices were previously submitted during the then -current
annual contract period (either initial term or renewal period) and the total amount of fees for the
entire period, including those amounts being requested under the then -current invoice.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Vendor shall submit invoices for Fees to Cannon Henry within the Transportation and
Public Works Department (Cannon.Henry(a)fortworthtexas.2ov)and also submit a copy to
the Talent Acquisition Manager in the Human Resources Department, 200 Texas Street, Fort
Worth, Texas 76102.
Executed in multiple originals on this the 30
CITY OF FORT WORTH, TEXAS
By:-h-.(1A ,3a 2-115-T)
Name: William M. Johnson
Title: Assistant City Manager
Date: May 30, 2023
ATTEST:
Name: Jannette Goodall
Title: City Secretary
RECOMMENDED BY:
By: Ae_�
Name: Lauren Prieur
Title: Department Director
day of May 2023
ADASTAFF, INC:
By:
s 8"&
Name: Sue Beets
Title: Regional Vice -President
Date: May 23, 2023
APPROVED AS TO FORM
AND LEGALITY:
By.
Name: Jessika Williams
Title: Assistant City Attorney
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.
Ann Herrera OA3y 25 2023 17 39 CDT)
Name: Ann Herrera
Interim Talent Acquisition Manager
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORT WORTH
Routing and Transmittal Slip
TPW Stormwater Management
DOCUMENT TITLE: Stormwater Infrastructure Easement
M&C: CPN CSO 54724 DOC #AD28
Remarks: Temp Position -Administrative Tech
Transportation and Public Works Department-Stormwater Management — Infrastructure Maintenance.
The temp employee will assist in researching Drainage Easement, scanning, and data entry of results as
part of the Easement Program.
DEPARTMENT
INITIALS
DATE OUT
1. Sue Beets Regional Vice Pres.
SBeets adastaff.com
Vendor- Signature
:5�
5B
May 23, 2023
2. Jennifer M. Dyke, Asst. Dir
TPW- Initial
9
May 23,2023
3. Lauren Prieur, Dir.
TPW- Signature
Vtn l (
May 23, 2023
4. Ann Herrera
HR- Signature
May 25,2023
5. Jessika Williams
Legal- Signature
May 30,2023
6. William Johnson
CMO
May 30,2023
7. Ron Gonzales
Approver
May 30,2023
8. Jannette Goodall
CSO- Signature
May 30,2023
9. Allison Tidwell
Form Filler
cw
May 30,2023
DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City
Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE
APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review
and take the next steps.
NEEDS TO BE NOTARIZED: ❑ Yes X No
RUSH: ❑ Yes X No SAME DAY: ❑ Yes X No NEXT DAY: ❑ Yes X No
ROUTING TO CSO: X Yes ❑ No
Action Required:
❑ As Requested
❑ For Your Information
X Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signature, Initial and Notary Tabs
FORT WORTH
Routing and Transmittal Slip
TPW Stormwater Management
DOCUMENT TITLE: Stormwater Infrastructure Easement
M&C:
CPN CSO 54724 DOC #AD28
Return to: Please call Cannon Henry at ext. 2587 for pick up when completed. Thank you.