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HomeMy WebLinkAboutContract 61463DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCS1# 0902-90-296 I AFA ID I Z00008826 AFA CS.Is 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets STATE OF TEXAS COUNTY OF TRAVIS M M Federal Highway Administration: CFDA No. CFDA Title 20.205 Highway Planning and Construction AFA Not Used For Research & Development ADVANCE FUNDING AGREEMENT FOR A TRANSPORTATION ALTERNATIVES SET -ASIDE (TASA) PROGRAM PROJECT MPO-Selected Off -System CSC No. 61463 This Advance Funding Agreement for a Transportation Alternatives Set -Aside (TASA) Program Project ("Agreement") is made between the State of Texas (State), acting through the Texas Department of Transportation, and the City of Fort Worth (Local Government), acting through its duly authorized officials. WITNESSETH WHEREAS, federal law establishes federally funded programs for transportation improvements to implement its public purposes, and WHEREAS, the Texas Transportation Code, Section 201.103 establishes that the State shall design, construct and operate a system of highways in cooperation with local governments, and Section 222.052 authorizes the Texas Transportation Commission to accept contributions from political subdivisions for development and construction of public roads and the state highway system within the political subdivision, and WHEREAS, Federal law, 23 USC §134 and 49 USC §5303, requires that State and Metropolitan Planning Organizations (MPOs) develop transportation plans and programs for urbanized areas of Texas, and WHEREAS, Federal and state laws require local governments to meet certain contract standards relating to the management and administration of State and federal funds, and WHEREAS, the Texas Transportation Commission has codified 43 TAC, Rules 15.50-15.56 that describe federal, state, and local responsibilities for cost participation in highway improvement and other transportation projects, and WHEREAS, the rules and procedures for the Transportation Alternatives Set -Aside Program (TASA) are established in 23 USC §133(h), and 43 Texas Administrative Code, Part 1, Chapter 11, Subchapter G, §§11.400 — 11.418, and WHEREAS, the Local Government prepared and submitted to the State or Metropolitan Planning Organization (MPO) a project nomination package for TASA funding consideration, which is briefly described as Oakland -Miller Safe Streets (Project), and OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development WHEREAS, the Texas Transportation Commission (Commission) passed Minute Order Number 116522 (MO) dated August 16, 2023 awarding funding for TASA projects in the TASA Program Call of the State, including Project, and WHEREAS, the governing body of the Local Government has approved entering into this Agreement by resolution or ordinance dated March 26, 2024, which is attached to and made a part of this Agreement as Attachment C, Resolution or Ordinance. A map showing the Project location appears in Attachment A, Project Location Map, which is attached to and made a part of this Agreement, and NOW, THEREFORE, the State and the Local Government agree as follows: AGREEMENT 1. Period of Agreement and Performance A. Period of Agreement. This Agreement becomes effective when signed by the last party whose signing makes the Agreement fully executed. This Agreement shall remain in effect until terminated as provided below. B. Period of Performance. 1. The Performance Period for each phase of work begins on the date specified in the Federal Project Authorization and Agreement (FPAA) for that phase of work. Local Government may not begin work until issued the State Letter of Authority (SLOA) for that phase of work. 2. The Performance Period for each phase of work ends on the date specified in the FPAA for that phase of work. 2. Scope of Work and Use of Project A. The scope of work for Project consists of retrofitting the existing bike lanes to fully protected bike lanes by using enhanced pavement markings, and other operational improvements to increase safety in accordance with FHWA proven safety countermeasures. Included improvements are bicycle signalization protected intersection, signage and wayfinding for pedestrians and bicyclists, rumble stripes and/or stripes, pedestrian hybrid beacons and lightings. The improvements are on Oakland Boulevard and Miller Avenue from East 1 st Street to 500' south of East Berry Street as shown in Attachment A. B. Any project changes proposed must be submitted in writing by Local Government to State. Substantive changes may also require an amendment to this Agreement and the approval of the FHWA, State, MPO, or the Commission. Any changes undertaken without written approval and amendment of this Agreement may jeopardize not only the federal funding for the changes, but the federal funding of the entire Project. 3. Project Sources and Uses of Funds The total estimated development cost of the Project is shown in Attachment B, Project Budget Estimate and Source of Funds (Attachment B). A. If Local Government will perform any work under this Agreement for which reimbursement will be provided by or through the State, the Local Government must complete training. If federal funds are being used, the training must be completed before federal spending authority is obligated. Training is complete when at least one Page 2 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development individual who is working actively and directly on the Project successfully completes and receives a certificate for the course entitled "Local Government Project Procedures and Qualification for the Texas Department of Transportation" and retains qualification in accordance with applicable TxDOT procedures. Upon request, Local Government shall provide the certificate of qualification to State. The individual who receives the training certificate may be an employee of Local Government or an employee of a firm that has been contracted by Local Government to perform oversight of the Project. State in its discretion may deny reimbursement if Local Government has not continuously designated in writing a qualified individual to work actively on or to directly oversee the Project. B. The total estimated project cost as shown in Attachment B incudes the Local Government's estimated itemized cost of real property, utilities, environmental assessments, construction, and other construction related costs. To be eligible for reimbursement or as in -kind contribution, costs must have been included in the nomination form approved by the Texas Transportation Commission or MPO in consultation with State. Local Government must submit to State evidence of payment for eligible in -kind costs at least once per calendar quarter using the State's In -Kind Match Reporting form. C. State and the Federal Government will not reimburse Local Government for any work performed outside the Performance Period. After federal funds have been obligated, State will send to Local Government a copy of the formal documentation showing the obligation of funds including federal award information. Local Government is responsible for 100 percent of the cost of any work performed under its direction or control before the federal spending authority is formally obligated. D. The Project budget and source of funds estimate based on the budget provided in the application is included in Attachment B. Attachment B shows the percentage and estimated dollar amounts to be contributed to Project by state and local sources, as well as the maximum amount in federal TASA funds assigned by the Commission or MPO in consultation with State. This Agreement may be amended from time to time as required to meet the funding commitments based on revisions to the TASA, FPAA, or other federal documents. E. State will be responsible for securing the federal share of funding required for the development and construction of Project, in an amount not to exceed 80 percent of the actual cost of the work up to the amount of funds approved for Project by the Texas Transportation Commission or MPO in consultation with State. Federal funds will be reimbursed on a cost basis. Project costs incurred prior to issuance of the SLOA are not eligible for reimbursement. F. The Local Government will be responsible for all non-federal or non -State participation costs associated with the Project, unless otherwise provided for in this Agreement or approved otherwise in an amendment to this Agreement. For items of work subject to specified percentage funding, the Local Government shall only in those instances be responsible for all Project costs that are greater than the maximum State and federal participation specified in Attachment B and for overruns in excess of the amount specified in Attachment B to be paid by the Local Government. If the Project was State - selected, the State may apply a portion of any excess program funds to cover all or a portion of any overrun based on criteria provided by 43 Tex. Admin. Code §11.411(d). Page 3 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development G. The budget in Attachment B will clearly state all items subject to fixed price funding, specified percentage funding, and the periodic payment schedule, when periodic payments have been approved by the State. H. When fixed price funding is used, the Local Government is responsible for the fixed price amount specified in Attachment B. Fixed prices are not subject to adjustment unless (1) differing site conditions are encountered; (2) further definition of the Local Government's requested scope of work identifies greatly differing costs from those estimated; (3) work requested by the Local Government is determined to be ineligible for federal participation; or (4) the adjustment is mutually agreed to by the State and the Local Government. I. Following execution of this Agreement, but prior to the performance of any plan review work by State, Local Government will pay to State the amount specified in Attachment B for plan review. At least 60 days prior to the date set for receipt of the construction bids, Local Government shall remit its remaining local match as specified in Attachment B for State's estimated construction oversight and construction cost. J. In the event State determines that additional funding is required by Local Government at any time during Project, State will notify Local Government in writing. Local Government is responsible for the percentage of the authorized Project cost shown in Attachment B and 100 percent of any overruns above the federally authorized amount. Local Government will make payment to State within 30 days from receipt of State's written notification. K. Whenever funds are paid by Local Government to State under this Agreement, Local Government will remit a warrant made payable to the "Texas Department of Transportation". The warrant will be deposited by State and managed by State. Funds may only be applied by State to Project. L. Upon completion of Project, State will perform a final accounting of Project costs. Any funds due to Local Government, State, or the Federal Government will be promptly paid by the owing party. M. In the event Project is not completed, State may seek reimbursement from Local Government of the expended federal funds. Local Government will remit the required funds to State within 60 days from receipt of State's notification. N. If any existing or future local ordinances, commissioners court orders, rules, policies, or other directives, including but not limited to outdoor advertising billboards and storm water drainage facility requirements, are more restrictive than state or federal regulations, or if any other locally proposed changes, including but not limited to plats or re -plats, result in increased costs, then any increased costs associated with the ordinances or changes will be paid by Local Government. The cost of providing right of way acquired by State shall mean the total expenses in acquiring the property interests through negotiations, including, but not limited to, expenses related to relocation, removal, and adjustment of eligible utilities. O. The state auditor may conduct an audit or investigation of any entity receiving funds from the State directly under the Agreement or indirectly through a contract or subcontract under the Agreement. Acceptance of funds directly under the Agreement or indirectly through a contract or subcontract under this Agreement acts as acceptance of the authority of the state auditor, under the direction of the legislative audit committee, Page 4 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development to conduct an audit or investigation in connection with those funds. An entity that is the subject of an audit or investigation must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. P. State will not pay interest on any funds provided by Local Government. Q. State will not execute the contract for the construction of Project until the required funding has been made available by Local Government in accordance with this Agreement. R. Local Government is authorized to submit requests for reimbursement by submitting the original of an itemized invoice in a form and containing all items required by State no more frequently than monthly, and no later than 90 days after costs are incurred. If Local Government submits invoices more than 90 days after the costs are incurred, and if federal funding is reduced as a result, State shall have no responsibility to reimburse Local Government for those costs. S. If Local government is an Economically Disadvantaged County (EDC) and if State has approved adjustments to the standard financing arrangement, this agreement reflects those adjustments. 4. Termination of the Agreement A. This Agreement may be terminated by any of the following conditions: 1. By mutual written consent and agreement of all parties; 2. By any party with 90 days written notice; or 3. By either party, upon the failure of the other party to fulfill the obligations as set forth in this Agreement. Any cost incurred due to such breach of contract shall be paid by the breaching party. B. If the potential termination of this Agreement is due to the failure of Local Government to fulfill its contractual obligations, State will notify Local Government that possible breach of contract has occurred. Local Government should make every effort to remedy the breach within a period mutually agreed upon by both parties. C. The Agreement may be terminated by the State because the parties are not able to execute a mutually agreeable amendment when the costs for Local Government requested items increase significantly due to differing site conditions, determination that Local government requested work is ineligible for federal or state cost participation, or a more thorough definition of the Local Government's proposed work scope identifies greatly differing costs from those estimated. The State will reimburse Local Government remaining funds to the Local Government within ninety (90) days of termination; D. If Local Government withdraws from Project after this Agreement is executed, Local Government shall be responsible for all direct and indirect Project costs as identified by the State's cost accounting system and with 2 CFR Part 200 recapture requirements. E. A project may be eliminated from the program as outlined below. If Project is eliminated for any of these reasons, this Agreement will be appropriately terminated. A project may be eliminated from the program, and this Agreement terminated, if: 1. Local Government fails to satisfy any requirements of the program rules cited in 43 Texas Administrative Code, Part 1, Chapter 11, Subchapter G, §§11.400 — 11.418. Page 5 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development 2. The implementation of Project would involve significant deviation from the activities proposed in the nomination form and approved by the Texas Transportation Commission or MPO in consultation with State. 3. Local Government withdraws from participation in Project. 4. State determines that federal funding may be lost due to Project not being implemented and completed. 5. Funds are not appropriated, in which case this Agreement shall be terminated immediately with no liability to either party. Payment under this Agreement beyond the current fiscal biennium is subject to availability of appropriated funds. 6. A construction contract has not been awarded or construction has not been initiated within three years after the date that the Commission or MPO selected the project or by a letting date determined by the state and agreed to by the Local Government. 7. Local Government fails to attend progress meetings at least twice yearly, as scheduled by State. F. State, at its sole discretion, may terminate this Agreement if State does not receive project invoice from Local Government within 270 days of FPAA. 5. Amendments This Agreement may be amended due to changes in the work, the amount of funding required to complete Project, or the responsibilities of the parties. Such amendment must be made through a mutually agreed upon, written amendment that is executed by the parties. 6. Remedies This Agreement shall not be considered as specifying the exclusive remedy for any agreement default, but all remedies existing at law and in equity may be availed of by either party to this Agreement and shall be cumulative. 7. Utilities Local Government shall be responsible for the adjustment, removal, or relocation of utilities or utility facilities in accordance with applicable State laws, regulations, rules, policies, and procedures, including any cost to State of a delay resulting from Local Government's failure to ensure that utilities or utility facilities are adjusted, removed, or relocated before the scheduled beginning of construction. At the State's discretion, State may reimburse Local Government for minor, incidental utility adjustments that are identified during the preliminary engineering phase if they are eligible for federal reimbursement. Local Government must obtain advance approval for any variance from established procedures. Before a construction contract is let, Local Government shall provide, at State's request, a certification stating that Local Government has completed the adjustment of all utilities that must be adjusted before construction begins. Additional utility work may be required due to unknown conditions discovered during construction. These costs may be eligible for TASA participation if the following conditions are met: (1) the activity is required to complete Project; (2) the cost is incidental to Project; and (3) TASA funding is available. Any change orders must be approved by State prior to incurring any cost for which reimbursement is sought. 8. Environmental Assessment and Mitigation Page 6 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development Development of Project must comply with the National Environmental Policy Act and the National Historic Preservation Act of 1966, which require environmental clearance of federal - aid projects. A. The Local Government is responsible for the identification and assessment of any environmental problems associated with the development of Project. B. Local Government is responsible for the cost of any environmental problem's mitigation and remediation. These costs will not be reimbursed or credited towards Local Government's financial share of Project unless specified in the nomination form and approved by State or MPO in consultation with State. C. Local Government is responsible for providing any public meetings or public hearings required for development of the environmental assessment, including any public hearing requirements that may be necessary when adding a bike lane. D. Before the advertisement for bids, Local Government shall provide to State written documentation from the appropriate regulatory agency or agencies that all environmental clearances have been obtained. 9. Compliance with Accessibility Standards All parties to this Agreement shall ensure that the plans for and the construction of all projects subject to this Agreement are in compliance with standards issued or approved by the Texas Department of Licensing and Regulation (TDLR) as meeting or consistent with minimum accessibility requirements of the Americans with Disabilities Act (P.L. 101-336) (ADA). 10. Architectural and Engineering Services A. Architectural and engineering services for preliminary engineering will be provided by the Local Government. In procuring professional services, the parties to this Agreement must comply with federal requirements cited in 23 CFR Part 172 if Project is federally funded and Local Government will be seeking reimbursement for these services or if these services will be used as in -kind contributions; and with Texas Government Code Subchapter 2254.A., in all cases. Professional services contracts for federally funded projects must conform to federal requirements. B. The architectural contract documents shall be developed in accordance with the standards of the American Institute of Architects, the U.S. Secretary of the Interior's Standards for Historic Preservation Projects, Standards and Guidelines for Archeology and Historic Preservation, the National Register Bulletin Number 36: Guidelines for Evaluating and Registering Historical Archeological Sites and in consultation with the State Historic Preservation Officer, as applicable. The engineering plans shall be developed in accordance with State's applicable Standard Specifications for Construction and Maintenance of Highways, Streets and Bridges and the two American Association of State Highway and Transportation Officials' ("AASHTO") publications, "A Policy on Geometric Design of Highways and Streets" and "Guide for the Development of Bicycle Facilities," as applicable. All design criteria for bicycle and pedestrian bridges must comply with TxDOT's Bridge Design Manual and AASHTO's Load and Resistance Factor Design (LRFD) Guide Specifications for the Design of Pedestrian Bridges (latest edition) as applicable. All contract procurement procedures and documents must adhere to the applicable requirements established in the Standard Specifications for Construction and Maintenance of Highways, Streets and Bridges. The use of other systems of specifications shall be approved by State in writing in advance. Page 7 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development C. When architectural and engineering services are provided by or through Local Government, Local Government shall submit any plans it has completed to State for review and approval on an agreed upon schedule. Local Government may also submit the plans to State for review any time prior to completion. Local Government shall make the necessary revisions determined by State. Local Government will not let the construction contract until all required plans have received State approval. D. When architectural and engineering services are provided by or through State, then the State is responsible for the delivery and performance of any required architectural or preliminary engineering work. Local Government may review and comment on the work, including any proposed changes to the scope of work, as required to accomplish Project purposes. State will cooperate with Local Government in accomplishing these Project purposes to the degree permitted by state and federal law. 11. Construction Responsibilities A. The State shall advertise for construction bids, issue bid proposals, receive and tabulate the bids, and award and administer the contract for construction of Project. Administration of the contract includes the responsibility for construction engineering and for issuance of any change orders, supplemental agreements, amendments, or additional work orders that may become necessary subsequent to the award of the construction contract. To ensure federal funding eligibility, projects must be authorized by State prior to advertising for construction. B. All contract letting and award procedures must be approved by State prior to letting and award of the construction contract, whether the construction contract is awarded by State or by Local Government. C. All contract change order review and approval procedures must be approved by State prior to start of construction. D. If the Local Government is the responsible party, the State must review and approve change orders. E. Upon completion of Project, the party constructing Project will issue and sign a "Notification of Completion" acknowledging Project's construction completion. F. For federally funded contracts, the parties to this Agreement will comply with federal construction requirements provided in 23 CFR Parts 633 and 635, and shall include the latest version of Form "FHWA-1273" in the contract bidding documents. If force account work will be performed, a finding of cost effectiveness shall be made in compliance with 23 CFR Subpart 635.13. G. Any field changes, supplemental agreements, or revisions to the design plans that may occur after the construction contract is awarded will be mutually agreed to by State and Local Government prior to authorizing the contractor to perform the work. Prior to completion of Project, the party responsible for construction will notify the other party to this Agreement of the anticipated completion date. All parties will be afforded the opportunity to assist in the final review of the construction services performed by the contractor. 12. Project Maintenance A. Upon completion of Project, Local Government will be responsible for maintaining the completed facility for public use. The property shall be maintained and operated for the purpose for which it was approved and funded for a period commensurate with the Page 8 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development federal investment or State rules, whichever is greater. Should Local Government at any time after Project completion decide it can no longer maintain and operate Project for its intended purpose, Local Government shall consult with State and the FHWA as to the disposal or alternate uses, consistent with Project's original intent. State may require Local Government to return the federal funds in accordance with 2 CFR Part 200 federal recapture requirements. Should Local Government consider conveying the property, State and FHWA must be notified prior to the sale, transfer, or disposal of any property that received federal funds. Written concurrence of approval for the transaction, detailing any required recapture, must be obtained from FHWA prior to the transaction. Advance notice from Local Government of their intended action must be submitted to State for an FHWA review a minimum of 90 days prior to any action being taken by Local Government. Local Government shall be held responsible for reimbursement of all federal funds used or a portion of those funds based on a pro-rata amount, considering the original percentage of federal funds provided and the time elapsed from Project completion date. This same percentage of reimbursement also applies to any amount of profit that may be derived from the conveyance of the property, as applicable. B. Any manufacturer warranties extended to Local Government as a result of Project shall remain in the name of Local Government. State shall not be responsible for honoring any warranties under this Agreement. C. Should Local Government derive any income from the development and operation of Project, a portion of the proceeds sufficient for the maintenance and upkeep of the property shall be set aside for future maintenance. A project income report shall be submitted to State on a quarterly basis. Monies set aside according to this provision shall be expended using accounting procedures and with the property management standards established in 2 CFR Part 200. D. Should any historic properties be included in or affected by this federally funded Project, the historic integrity of the property and any contributing features must continue to be preserved regardless of any approved changes that may occur throughout the life of Project. 13. Right of Way and Real Property Acquisition A. Right of way and real property acquisition shall be the responsibility of Local Government. Title to right of way and other related real property must be acceptable to State before funds may be expended for the improvement of the right of way or real property. B. If Local Government is the owner of any part of Project site under this Agreement, Local Government shall permit State or its authorized representative access to occupy the site to perform all activities required to execute the work. C. Local Government will comply with and assume the costs for compliance with all the requirements of Title II and Title III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, 42 USC §4601 et seq., including those provisions relating to incidental expenses incurred by the property owners in conveying the real property to Local Government, and benefits applicable to the relocation of any displaced person as defined in 49 CFR §24.2(g). Documentation to support such Page 9 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development compliance must be maintained and made available to State and its representatives for review and inspection. D. Local Government shall assume all costs and perform all work necessary to obtain needed evidence of title or right of use to the real property required for development of Project. Evidence of title or right of use shall be acquired in the name of (1) State, if the real property is to be made part of the State Highway System, or (2) Local Government, if the real property is not to be made part of the State Highway System. The evidence of title or rights shall be acceptable to State, and be free and clear of all encroachments. Local Government shall secure and provide easements and any needed rights of entry over any other land needed to develop Project according to the approved Project plans. Local Government shall be responsible for securing any additional real property required for completion of Project. E. Local Government shall prepare real property maps, property descriptions, and other data as needed to properly describe the real property and submit them to State for approval prior to Local Government acquiring the real property. Tracings of the maps shall be retained by Local Government for a permanent record. F. Local Government shall determine property values for each real property parcel to be purchased with federal funds using methods acceptable to State and shall submit to State a tabulation of the values so determined, signed by the appropriate Local Government representative. The tabulations must list the parcel numbers, ownership, acreage, and recommended compensation. The tabulation must be accompanied by an explanation to support the estimated values, together with a copy of the documentation and reports used in calculating each parcel's value. Expenses incurred by Local Government in performing this work may be eligible for reimbursement after Local Government has received written authorization by State to proceed with determination of real property values. State will review the data submitted and will base its reimbursement for parcel acquisitions on these in determining the fair market values. Local Government will not be reimbursed for right-of-way costs on state -selected projects. G. For State -selected TASA projects, Local Government shall not use eminent domain or condemnation to acquire real property for this TASA Project. H. Reimbursement for real property costs will be made to Local Government for real property purchased in an amount not to exceed 80 percent of the cost of the real property purchased in accordance with the terms and provisions of this Agreement. Reimbursement will be in an amount not to exceed 80 percent of State's predetermined fair market value of each parcel, or the net cost thereof, whichever is less. In addition, reimbursement will be made to Local Government for necessary payments to appraisers for expenses incurred in order to assure good title. Local Government will not be reimbursed for right-of-way costs on state -selected projects. I. Local Government and current property owner are responsible for any costs associated with the relocation of displaced persons and personal property as well as incidental expenses incurred in acquiring property to implement Project. State will not pay any of these costs. J. If Project requires the use of real property to which Local Government will not hold title, a separate agreement between the owners of the real property and Local Government must be executed prior to execution of this Agreement. The separate agreement between Local Government and the current property owner must establish that Project will be dedicated for public use for a period of time not less than ten years after project Page 10 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development completion and commensurate with the federal investment. For State -selected projects, this is outlined in 43 Tex. Admin. Code §11.417. The separate agreement must define the responsibilities of the parties as to the use of the real property and operation and maintenance of Project after completion. The separate agreement must be approved by State prior to its execution and a copy of the executed separate agreement shall be provided to State. K. Local Government shall execute individually or produce a legal document as necessary to provide for Project's continued use from the date of completion, and agrees to cause the same to be recorded in the land records of the appropriate jurisdiction. L. Local governments receiving federal funds must comply with 23 CFR Part 710 and 49 CFR Part 24, and with the procedures provided in Chapter 6 of the State's Local Government Project Policy Manual. Local Government agrees to monitor Project to ensure: (1) continued use of the property for approved activities, and (2) the repayment of the Federal funds, as appropriate. Local Government agrees to the review of their Project accounts and site visits by State during the development of Project at any time. Upon Project completion, State will continue to perform periodic visits to confirm Project's continued use and upkeep. M. Before the advertisement for bids, Local Government shall provide a certification to State that all real property has been acquired. 14. Insurance A. Should this Agreement authorize Local Government or its contractor to perform any work on State right of way, before beginning work, the entity performing the work shall provide State with a fully executed copy of State's Form 1560 Certificate of Insurance verifying the existence of coverage in the amounts and types specified on the Certificate of Insurance for all persons and entities working on State right of way. This coverage shall be maintained until all work on State right of way is complete. If coverage is not maintained, all work on State right of way shall cease immediately, and State may recover damages and all costs of completing the work. B. For projects including buildings, Local Government agrees to insure the building according to Department specifications and further agrees to name the Federal Government as a "Loss Payee" should the building be destroyed. 15. Notices, Invoices, Payments, and Project Inquiries All notices to either party shall be delivered personally or sent by certified or U.S. mail, postage prepaid, addressed to that party at the following address: Local Government: City of Forth Worth ATTN: Assistant City Manager 200 Texas Street Fort Worth, TX 76102 State: Texas Department of Transportation ATTN: Director of Contract Services 125 E. 11 th Street Austin, TX 78701 All notices shall be deemed given on the date delivered in person or deposited in the mail, unless otherwise provided by this agreement. Either party may change the above address by sending written notice of the change to the other party. Either party may request in writing that Page 11 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development notices shall be delivered personally or by certified U.S. mail, and that request shall be carried out by the other party. Invoicing, payment, and project inquiries must be sent to the following email address, which the State may change by sending written notice of the change to the Local Government: ftw—district-invoices@txdot.gov All invoicing, payment, and project inquiries must include the following information: County: Tarrant Local Government: City of Fort Worth CSJ No.: 0902-90-296 Project Name: Oakland -Miller Safe Streets Highway or Roadway: Miller Avenue 16. Legal Construction In case one or more of the provisions contained in this Agreement shall for any reason be held invalid, illegal, or unenforceable in any respect, such invalidity, illegality, or unenforceability shall not affect any other provisions and this Agreement shall be construed as if it did not contain the invalid, illegal, or unenforceable provision. 17. Responsibilities of the Parties Neither party is an agent, servant, or employee of the other party and each party is responsible for its individual acts and deeds as well as the acts and deeds of its contractors, employees, representatives, and agents. 18. Ownership of Documents Upon completion or termination of this Agreement, all documents prepared by State shall remain the property of State. All data prepared under this Agreement shall be made available to State without restriction or limitation on their further use. All documents produced or approved or otherwise created by Local Government shall be transmitted to State in the form of photocopy reproduction on a monthly basis as required by State. The originals shall remain the property of Local Government. 19. Document and Information Exchange Local Government agrees to electronically deliver to State all general notes, specifications, contract provision requirements, and related documentation in a Microsoft Word or similar format. If requested by State, Local Government will use State's document template. Local Government shall also provide a detailed construction time estimate, including types of activities and month in which the activity will be completed, in the format required by State. This requirement applies whether Local Government creates the documents with its own forces or by hiring a consultant or professional provider. At the request of State, Local Government shall submit any information required by State in the format directed by State. Page 12 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development 20. Compliance with Laws The parties shall comply with all federal, state, and local laws, statutes, ordinances, rules and regulations, and the orders and decrees of any courts or administrative bodies or tribunals in any manner affecting the performance of this agreement. When required, Local Government shall furnish State with satisfactory proof of this compliance. 21. Sole Agreement This Agreement constitutes the sole and only agreement between the parties and supersedes any prior understandings or written or oral agreements respecting the Agreement's subject matter. 22. Cost Principles In order to be reimbursed with federal funds, the parties shall comply with the Cost Principles established in 2 CFR Part 200 that specify that all reimbursed costs are allowable, reasonable, and allocable to Project. 23. Procurement and Property Management Standards The parties to this Agreement shall adhere to the procurement and property management standards established in 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, and to the Texas Uniform Grant Management Standards. The State must pre -approve the Local Government's procurement procedures for purchases to be eligible for state or federal funds. 24. Inspection of Books and Records The parties to this Agreement shall maintain all books, documents, papers, accounting records, and other documentation relating to costs incurred under this Agreement and shall make such materials available to the State, the Local Government, and, if federally funded, the FHWA and the U.S. Office of the Inspector General or their duly authorized representatives for review and inspection at its office during the Agreement period and for seven (7) years from the date of final reimbursement by FHWA under this Agreement or until any impending litigation or claims are resolved. Additionally, the State, the Local Government, and the FHWA and their duly authorized representatives shall have access to all the governmental records that are directly applicable to this Agreement for the purpose of making audits, examinations, excerpts, and transcriptions. 25. Civil Rights Compliance The parties to this Agreement are responsible for the following: A. Compliance with Reaulations: Both parties will comply with the Acts and the Regulations relative to Nondiscrimination in Federally -assisted programs of the U.S. Department of Transportation (USDOT), the Federal Highway Administration (FHWA), as they may be amended from time to time, which are herein incorporated by reference and made part of this Agreement. B. Nondiscrimination: The Local Government, with regard to the work performed by it during the Agreement, will not discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors, including procurement of materials and leases of equipment. The Local Government will not participate directly or indirectly in the discrimination prohibited by the Acts and the Regulations, including Page 13 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development employment practices when the Agreement covers any activity, project, or program set forth in Appendix B of 49 CFR Part 21. C. Solicitations for Subcontracts, Includina Procurement of Materials and Eauipment: In all solicitations either by competitive bidding or negotiation made by the Local Government for work to be performed under a subcontract, including procurement of materials or leases of equipment, each potential subcontractor or supplier will be notified by the Local Government of the Local Government's obligations under this Agreement and the Acts and Regulations relative to Nondiscrimination on the grounds of race, color, or national origin. D. Information and Reports: The Local Government will provide all information and reports required by the Acts, the Regulations, and directives issued pursuant thereto, and will permit access to its books, records, accounts, other sources of information, and facilities as may be determined by the State or the FHWA to be pertinent to ascertain compliance with such Acts, Regulations or directives. Where any information required of the Local Government is in the exclusive possession of another who fails or refuses to furnish this information, the Local Government will so certify to the State or the FHWA, as appropriate, and will set forth what efforts it has made to obtain the information. E. Sanctions for Noncompliance: In the event of the Local Government's noncompliance with the Nondiscrimination provisions of this Agreement, the State will impose such contract sanctions as it or the FHWA may determine to be appropriate, including, but not limited to: 1. withholding of payments to the Local Government under the Agreement until the Local Government complies and/or 2. cancelling, terminating, or suspending of the Agreement, in whole or in part. F. Incorporation of Provisions: The Local Government will include the provisions of paragraphs (A) through (F) in every subcontract, including procurement of materials and leases of equipment, unless exempt by the Acts, the Regulations and directives issued pursuant thereto. The Local Government will take such action with respect to any subcontract or procurement as the State or the FHWA may direct as a means of enforcing such provisions including sanctions for noncompliance. Provided, that if the Local Government becomes involved in, or is threatened with, litigation with a subcontractor or supplier because of such direction, the Local Government may request the State to enter into such litigation to protect the interests of the State. In addition, the Local Government may request the United States to enter into such litigation to protect the interests of the United States. 26. Pertinent Non -Discrimination Authorities During the performance of this Agreement, each party, for itself, its assignees, and successors in interest agree to comply with the following nondiscrimination statutes and authorities; including but not limited to: A. Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252), (pro- hibits discrimination on the basis of race, color, national origin); and 49 CFR Part 21. B. The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C. § 4601), (prohibits unfair treatment of persons displaced or whose property has been acquired because of federal or federal -aid programs and projects). Page 14 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development C. Federal -Aid Highway Act of 1973, (23 U.S.C. § 324 et seq.), as amended, (prohibits discrimination on the basis of sex). D. Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 et seq.) as amended, (prohibits discrimination on the basis of disability); and 49 CFR Part 27. E. The Age Discrimination Act of 1975, as amended, (42 U.S.C. § 6101 et seq.), (prohibits discrimination on the basis of age). F. Airport and Airway Improvement Act of 1982, (49 U.S.C. Chapter 471, Section 47123), as amended, (prohibits discrimination based on race, creed, color, national origin, or sex). G. The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage and applicability of Title VI of the Civil Rights Act of 1964, The Age Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973, by expanding the definition of the terms "programs or activities" to include all of the programs or activities of the federal -aid recipients, subrecipients and contractors, whether such programs or activities are federally funded or not). H. Titles II and III of the Americans with Disabilities Act, which prohibits discrimination on the basis of disability in the operation of public entities, public and private transportation systems, places of public accommodation, and certain testing entities (42 U.S.C. §§ 12131-12189) as implemented by Department of Transportation regulations at 49 C.F.R. Parts 37 and 38. I. The Federal Aviation Administration's Nondiscrimination statute (49 U.S.C. § 47123) (prohibits discrimination on the basis of race, color, national origin, and sex). J. Executive Order 12898, Federal Actions to Address Environmental Justice in Minority Populations and Low -Income Populations, which ensures nondiscrimination against minority populations by discouraging programs, policies, and activities with disproportionately high and adverse human health or environmental effects on minority and low-income populations. K. Executive Order 13166, Improving Access to Services for Persons with Limited English Proficiency, and resulting agency guidance, national origin discrimination includes discrimination because of limited English proficiency (LEP). To ensure compliance with Title VI, the parties must take reasonable steps to ensure that LEP persons have meaningful access to the programs (70 Fed. Reg. at 74087 to 74100). L. Title IX of the Education Amendments of 1972, as amended, which prohibits the parties from discriminating because of sex in education programs or activities (20 U.S.C. 1681 et seq.). 27. Disadvantaged Business Enterprise Program Requirements A. The parties shall comply with the Disadvantaged Business Enterprise ("DBE") Program requirements established in 49 CFR Part 26. B. Local Government shall adopt, in its totality, State's federally approved DBE program. C. Local Government shall set an appropriate DBE goal consistent with State's DBE guidelines and in consideration of Local market, project size, and nature of the goods or services to be acquired. Local Government shall have final decision -making authority regarding the DBE goal and shall be responsible for documenting its actions. D. Local Government shall follow all other parts of State's DBE program referenced in TxDOT Form 2395, Memorandum of Understanding Regarding the Adoption of the Texas Department of Transportation's Federally -Approved Disadvantaged Business Page 15 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development Enterprise by Entity, and attachments found at web address: htto-Hfto.dot.state.tx.us/pub/txdot-info/boWdbe/mou/mou attachments.odf. E. Local Government shall not discriminate on the basis of race, color, national origin, or sex in the award and performance of any DOT -assisted contract or in the administration of its DBE program or the requirements of 49 CFR Part 26. Local Government shall take all necessary and reasonable steps under 49 CFR Part 26 to ensure non- discrimination in award and administration of DOT -assisted contracts. State's DBE program, as required by 49 CFR Part 26 and as approved by DOT, is incorporated by reference in this Agreement. Implementation of this program is a legal obligation and failure to carry out its terms shall be treated as a violation of this Agreement. Upon notification to Local Government of its failure to carry out its approved program, State may impose sanctions as provided for under 49 CFR Part 26 and may, in appropriate cases, refer the matter for enforcement under 18 USC 1001 and the Program Fraud Civil Remedies Act of 1986 (31 USC § 3801 et seq.). F. Each contract Local Government signs with a contractor (and each subcontract the prime contractor signs with a subcontractor) must include the following assurance: "The contractor, sub -recipient, or sub -contractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 49 CFR Part 26 in the award and administration of DOT -assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this agreement, which may result in the termination of this agreement or such other remedy as the recipient deems appropriate." 28. Debarment Certifications The parties are prohibited from making any award at any tier to any party that is debarred or suspended or otherwise excluded from or ineligible for participation in Federal Assistance Programs under Executive Order 12549, "Debarment and Suspension." By executing this Agreement, Local Government certifies that it and its principals are not currently debarred, suspended, or otherwise excluded from or ineligible for participation in Federal Assistance Programs under Executive Order 12549, and further certifies that it will not do business with any party, to include principals, that is currently debarred, suspended, or otherwise excluded from or ineligible for participation in Federal Assistance Programs under Executive Order 12549. The parties to this Agreement shall require any party to a contract, subcontract, or purchase order awarded under this Agreement to certify its eligibility to receive federal funds and, when requested by State, to furnish a copy of the certification. If state funds are used, the parties are prohibited from making any award to any party that is debarred under the Texas Administrative Code, Title 34, Part 1, Chapter 20, Subchapter G, Rule §20.585 and the Texas Administrative Code, Title 43, Part 1, Chapter 9, Subchapter G. 29. Lobbying Certification In executing this Agreement, each signatory certifies to the best of that signatory's knowledge and belief, that: A. No federal appropriated funds have been paid or will be paid by or on behalf of the parties to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of Congress, an officer or employee of Congress, or an Page 16 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development employee of a Member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. B. If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with federal contracts, grants, loans, or cooperative agreements, the signatory for Local Government shall complete and submit the federal Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. C. The parties shall require that the language of this certification be included in the award documents for all sub -awards at all tiers (including subcontracts, sub -grants, and contracts under grants, loans, and cooperative agreements) and all sub -recipients shall certify and disclose accordingly. Submission of this certification is a prerequisite imposed by 31 USC §1352 for making or entering into this transaction. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. 30. Federal Funding Accountability and Transparency Act Requirements A. Any recipient of funds under this agreement agrees to comply with the Federal Funding Accountability and Transparency Act (FFATA) and implementing regulations at 2 CFR Part 170, including Appendix A. This agreement is subject to the following award terms: httD://www.aao.aov/fdsys/Dka/FR-2010-09-14/Ddf/2010-22705.Ddf and httD://www.aoo.aov/fdsys/Dka/FR-2010-09-14/Ddf/2010-22706. Ddf. B. Local Government agrees that it shall: 1. Obtain and provide to State a System for Award Management (SAM) number (Federal Acquisition Regulation (FAR) Subpart 4.11) if this award provides more than $25,000 in Federal funding. The SAM number may be obtained by visiting the SAM website whose address is: https://sam.gov/SAM/pages/public/index.jsf 2. Obtain and provide to State a Data Universal Numbering System (DUNS) number, a unique nine -character number that allows the federal government to track the distribution of federal money. The DUNS number may be requested free of charge for all businesses and entities required to do so by visiting the Dun & Bradstreet on-line registration website httr)://fedaov.dnb.com/webform; and 3. Report the total compensation and names of its top five executives to State if: a. More than 80 percent of annual gross revenues are from the Federal government, and those revenues are greater than $25,000,000; and b. The compensation information is not already available through reporting to the U.S. Securities and Exchange Commission. 31. Single Audit Report A. The parties shall comply with the requirements of the Single Audit Act of 1984, P.L. 98- 502, ensuring that the single audit report includes the coverage stipulated in 2 CFR Part 200. Page 17 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ# 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development B. If threshold expenditures of $750,000 or more are met during the fiscal year, the Local Government must submit a Single Audit Report and Management Letter (if applicable) to TxDOT's Compliance Division, 125 East 11th Street, Austin, TX 78701 or contact TxDOT's Compliance Division at singleaudits(a)txdot.aov. . C. If expenditures are less than the threshold during Local Government's fiscal year, Local Government must submit a statement to TxDOT's Compliance Division as follows: We did not meet the $ expenditure threshold and therefore, are not required to have a single audit performed for FY D. For each year Project remains open for federal funding expenditures, Local Government will be responsible for filing a report or statement as described above. The required annual filing shall extend throughout the life of the agreement, unless otherwise amended or Project has been formally closed out and no charges have been incurred within the current fiscal year. 32. Signatory Warranty Each signatory warrants that the signatory has necessary authority to execute this agreement on behalf of the entity represented. Each party is signing this agreement on the date stated under that party's signature. THE STATE OF TEXAS THE LOCAL GOVERNMENT DocuSigned by:DocuSigned by: 55tl� V� t {�, skwa f I .1�SiCa ttl fw" F1CDA80FDB8C4B6... Signature `—F4EA53DE514427... Signature Kenneth Stewart Jesica McEachern Typed or Printed Name Typed or Printed Name Director of Contract Services Assistant City Manager Typed or Printed Title Typed or Printed Title 5/8/2024 5/8/2024 Date Date Page 18 of 18 AFA TASA Rev. 11 /06/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: Federal Highway Administration: CCSJ # 0902-90-296 I AFA ID I Z00008826 I I CFDA No. 20.205 AFA CSJs 0902-90-296 I I CFDA Title Highway Planning and Construction District # 02 I Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets I I AFA Not Used For Research & Development ATTACHMENT A PROJECT LOCATION MAP CSJ 0902-90-296 Oakland and Miller Safe Street Project Bike Lane Improvements Page 1 of 1 AFA TASA Attachment A 4/18/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCs! # 0902-90-296 1 AFA ID I Z00008826 AFA CS1s 0902-90-296 District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction AFA Not Used For Research & Development ATTACHMENT B PROJECT ESTIMATE AND SOURCE OF FUNDS LG Performs PE Work or Hires Consultant / LG Lets Proiect for Construction Description of Project Costs to be Incurred Planning/Maps/Education/Non-CST Preliminary Engineering Environmental Cost Right of Way Utilities Construction Cost $2,500,000 Construction Engineering Cost $0.00 Eligible In -Kind $0.00 Contribution Value Total Construction Value (sum of construction cost and in -kind value) Work by LG Subtotal Preliminary Engineering' Environmental Cost' Right of Way' Utilities2 Construction Cost2 $ Eligible In -Kind $ Contribution Value Total Construction Value (sum of construction cost and in -kind value) Work by State Subtotal AFA TASA Total Project Federal Participation State Participation Local Government Cost Estimate Includes percentage for TDC Includes authorized Participation apportionment on projects where EDC amounts Includes authorized applicable EDC reduction % Cost % Cost % Cost $0 0% $0 0% $0 0% $0 $316,866 0% $0 0% $0 100% $316,866 $40,000 0% $0 0% $0 100% $40,000 $1 0% $0 0% $0 100% $1 $1 0% $0 0% $0 100% $1 $2,500,000 80% $2,000,000 0% $2,856,868 $2,000,000 $0 20% $500,000 $0 $856,868 $0 0% $0 0% $0 0% $0 $0 0% $0 0% $0 0% $0 $0 0% $0 0% $0 0% $0 $0 0% $0 0% $0 0% $0 $0 0% $0 0% $0 0% $0 $0 $0 $0 $0 Page 1 of 2 Attachment B 4/18/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: I Federal Highway Administration: CCS1 # 0902-90-296 1 AFA ID I Z00008826 CFDA No. 20.205 AFA CSJs 0902-90-296 I CFDA Title Highway Planning and Construction District # 02 Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets I AFA Not Used For Research & Development Direct and Indirect State Costs Incurred for Review, Inspection, Administration & Description of Total Project Federal Participation State Participation Project Costs to be Incurred Cost Estimate Includes percentage for TDC Includes authorized apportionment on projects where EDC amount applicable Preliminary Engineering' Environmental Cost' Right of Way' Utilities' Construction Direct State Costs Subtotal Indirect State Cost TOTAL PARTICIPATION In -kind Contribution Credit Applied TOTAL REMAINING PARTICIPATION AFTER IN -KIND CONTRIBUTION % Cost % Cost $35,710 0% $0 0% $0 $35,709 0% $0 0% $0 $1 0% $0 0% $0 $1 0% $0 0% $0 $71,422 0% $0 0% $0 $142,843 0% $0 0% $0 $131,416 $0 100% $131,416 $3,131,127 $2,000,000 $131,416 Local Government (LG) Participation Includes authorized EDC reduction % Cost 100% $35,710 100% $35,709 100% $1 100% $1 100% $71,422 100% $142,843 $0 $999,711 0% $0 $999,711 ■ The estimated total participation by Local Government is $999,711.00, plus 100% of overruns. ■ Total estimated payment by Local Government to State is $142.843.00. ■ 'Local Government's first payment of $71,421.00 is due to State within 30 days from execution of this contract. ■ 2 Local Government's second payment of $71,422.00 is due to State within 60 days prior to the Construction contract being advertised for bids. ■ 'if ROW is to be acquired by State, Local Government's share of property cost will be due prior to acquisition. ■ The local match must be 20% or greater and may include eligible in -kind contributions, EDC adjustments, or TDCs if authorized as part of project selection. ■ Transportation Development Credits (TDC) are being utilized in place of the Local Government's participation in the amount of 0.00. ■ This is an estimate; the final amount of Local Government participation will be based on actual costs. ■ Maximum federal TASA funds available for Project are $2.000,000.00. AFA TASA Page 2 of 2 Attachment B 4/18/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: CCSJ # 0902-90-296 I AFA ID I Z00008826 AFA CSJs 0902-90-296 District # 02 I Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets Federal Highway Administration: CFDA No. 20.205 CFDA Title Highway Planning and Construction ATTACHMENT C AFA Not Used For Research & Development RESOLUTION OF LOCAL GOVERNMENT A RimuNG" NO, 5919-43.2024 A RESOLT)TION AUTHORIZING AN ADVANCE FUNDING AGREEM1F_NT WITIF TBE TEXAS DEPARTMENT OF TRANSPORTATION HN T`rt AMOUNT OF 53,13J,127.00, OF WHXCFI FEDERAL PARTICIPATION r8 S2,000,0130.0D, STATE P ALRTICIPAT ION IS5131,416.00 AND CITY OFYGAT WORTIJ PARTIICIPATION IS 9999,J711.00 PLUS ANY COST OVETtipru (S FOR CONSTRUCTION OF SAFETY AND 0FEIRAT14)YAL li.W1P1t0v9MXN'rS ATOAKLAND & M]LLER SAIVEL STREETS 1P RO 90- (C117Y l"1{WXIC_T NO. 144m), WHRRRAS, fedcrel law estalalishes federally funded programs for trmisportailon improvements to impJamant its public Purpose; and WB EREAS, the Texas Transportation Code, Section 201.103 establishes that the State MLall dess�In, consintel and ape.rate a systern ofhioways Ord toads ih caopetatiotl with local governments, and Section 222.052 authorizw the Texas DepartnEeM of Transportation Commission to accept contributions from political subdivisions for development arld construction of publics rands within poliitieal subdivision3; and WFrEREAS, a MusterAgivement between the City ofForLWorth(Lora I-Governmerx") aad the State of Texas acting through the Texas Departmanl of Tra n spormti an ("State") ltus been adopted artd startas #lle gener83 terms and conditions for transparswion projects developed through this Advance FuudingAgreemant (AFA); and [tVH F",A$. Federal law, 23 USC §134 gnd 49 USC §5503, required that Statc and Metropolitan Planning Organitatious (MEpos) d"Q-14?p transpO teOrr plans and pr4ftfam$ #Or grlaaniaed aIoas of Taxaa; and WTiLAXAS, fudtral and State laws raquirc loUl goverr,merttr, to meet rcrtaid eoliLWL standards relating tc th u m8nagotnnnt and adm,15iOratiOn of State and fedzrAl funds; end WHEREAS, rhG Texas Teninspottation CUrtGaniSSiplY has coddled 43 T&C, Rule 15.50-15.56 that describe federal, State., and local lespottisibilities for cost pwi6pation itl highway Empravement and Other rraOSp4rtation projects; and WHEREAS. the rules and procedures for the Transportation Altelaiatives Set- Aside Pmgram (TASA) are esiahlished in23 USC §133(h), and 43 Texas AdmiaistrAllve Code, Part 1, Chaplet 11, Svbcho91er G, §§11.400 - 11.419; and Page 1 of 2 AFA TASA Attachment C 4/18/2023 DocuSign Envelope ID: 4A484F44-8ECE-4EED-B8DD-A8BAFOA13A24 TxDOT: Federal Highway Administration: CCU # 0902-90-296 I AFA ID I Z00008826 I I CFDA No. 20.205 AFA CSJs 0902-90-296 I I CFDA Title Highway Planning and Construction District # 02 I Code Chart 64# 115000 Project Name Oakland -Miller Safe Streets I I AFA Not Used For Research & Development VHEREAS,the LocM Government prepared and submitted to the State or[ufeteopolhun Planiiixp, {}r trizatigr7 (MPO) 6 projeor rxofuiaation pockagc for TASA funding cartsiderat[on, whiclr is briatly dcsorlbcd as Oakland -Miller Safe Straus (Prvjret); and 1VU$f+ EAS, theTcxasTranspormtion Commission (Commi:isicn)pas,scd Min ulecider Number [16522 (MO) dabW August 16, 2023 awarding fundi0& forTASA pmjacts in the TASA Prograw Call of the State, including Project; NOW THEREFOR , BE IT RE OLViED BY THE CITY COUNCIL OF rfHE CITY OF FORT WORTH, TOAT: 'rho City Manager, or their designee, is authorised [o ex"Lue 4n Advance kunding Agreomsnt with the Texas Department of Trans portniou hk the total tsthna[od amount of $1,131.127.00 with federal participation in the amount of $23[}001004.00, star& participation in the amount S131,415.00 and city part[cipation inthr. nslimttted amount of $994,711,00 plus any cost overruns for construction of safely and operation al 1mprovemants at OalLtand & Miller Safe Sfreety, Project {City Project No- 104S03}_ Adapted [his 26hdap of Mwai 3024, ATTEST: i Janette $. Goodell CAty Seemrae y Page 2 of 2 AFA TASA Attachment C 4/18/2023 ADVANCE FUNDING AGREEMENT CSJ: 0902-90-296 PROJECT NAME: Oakland -Miller Safe Streets ADDITIONAL ROUTING SIGNATURES CITY OF FORT WORTH Contract Compliance Manager: Bereket Birhane 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. Iskal Shrestha Name of Employee/Signature Title: Project Manager Email: bereket.birhane@fortworthtexas.gov APPROVAL RECOMMENDED: BY: Lauren Prieur(May 22, 202412:52 CDT) Lauren Prieur, Director Transportation and Public Works Department Email: lauren.prieur@fortworthtexas.gov CONTRACT AUTHORIZATION M&C: 24-0241 Date Approved: 03/26/24 Form 1295: N/A APPROVED AS TO FORM AND LEGALITY: fj� BY: Douglas Black (May 24, 202410:47 CDT) Douglas W. Black Senior Assistant City Attorney Email: douglas.black@fortworthtexas.gov ATTEST AS TO CITY MANAGER SIGNATURE: ?" BY: P� Jannette S. Goodall City Secretary Email: Jannette.Goodall@fortworthtexas.gov City of Fort Worth, Texas Mayor and Council Communication DATE: 03/26/24 M&C FILE NUMBER: M&C 24-0241 LOG NAME: 20AFA WITH TXDOT FOR OAKLAND & MILLER SAFE STREETS PROJECT SUBJECT (CD 5 and CD 11) Adopt Resolution Authorizing Execution of an Advance Funding Agreement with the Texas Department of Transportation in the Amount of $3,131,127.00, with Federal Participation in the Amount of $2,000,000.00, State Participation in the Amount of $131,416.00, and Local Participation in the Amount of $999,711.00 Plus any Cost Overruns for the Safety and Operational Improvements at Oakland & Miller Safe Streets Project, Adopt Appropriation Ordinance and Amend the Fiscal Years 2024-2028 Capital Improvement Program RECOMMENDATION: It is recommended that the City Council: 1. Adopt the attached resolution authorizing execution of an Advance Funding Agreement with the Texas Department of Transportation in the Amount of $3,131,127.00, of which $2,000,000.00 is Federal participation, $131,416.00 is State participation, and $999,711.00 plus any cost overruns is the required City of Fort Worth participation for the Safety and Operational Improvements at Oakland & Miller Safe Streets project (City Project No, 104803); 2. Adopt the attached appropriation ordinance increasing estimated receipts and appropriations in the Grant Cap Projects Federal Fund, subject to receipt of the grant, in the amount of $2,500,000.00, of which $2,000,000.00 is Federal funding and $500,000.00 is City funding, transferred from the 2022 Bond Program Fund, for the safety and operational improvements at the Oakland & Miller Safe Streets project (City Project No. 104803); 3. Adopt the attached appropriation ordinance adjusting appropriations in the 2022 Bond Program Fund in the amount of $1,000,000.00 by increasing appropriations in the Oakland & Miller Safe Streets project (City Project No. 104803) and decreasing appropriations in the Bicycle Facilities programmable project (City Project No. P90021) by the same amount; and 4. Amend the Fiscal Year 2024-2028 Capital Improvement Program. DISCUSSION: The Texas Transportation Commission (Commission) passed Minute Order (MO) Number 116522 dated August 16, 2023, awarding funding for Transportation Altemative Set -Aside (fASA) projects in the TASA Program Call of the State, including the Safety and Operational Improvements at the Oakland & Miller Safe Streets project. This scope of the project includes protected bike lanes, enhanced pavement markings, pedestrian hybrid beacons (PNB) signals, signal modifications for protected intersection and bike signals, curb ramp replacements, and street lighting improvements. The project aims to improve safety by increasing visibility and separation for bicyclists and pedestrians and encouraging equitable mobility facilities. This project has federal funding for construction improvements. The project is scheduled for construction in the fall of 2026. The City of Fort Worth is responsible for funding engineering, right-of-way (ROW) acquisition, environmental studies, utility relocations, project management services for this project, and a minimum of twenty percent of the construction cost. The City of Fort Worth projected let date is November 2025. The funding appropriated by this Mayor & Council Communication (M&C) will be used for design, right-of-way acquisition, utilities, and project management of the project. The Advance Funding Agreement (AFA) will require Fort Worth to fund cost overruns. At the end of the project, the asset will remain with the City of Fort Worth. The table below summarizes the AFAfunding amounts: Total AFA Funding Amounts for the Safety and Operational Improvements at Oakland & Miller Safe Streets project (City Project No. 104803) Fund Federal State Local Total 34027 —2022 Bond $ 999,711.00 $ 999,711.00 Program Fund Unappropriated State $ 131,416.00 $ 131,416.00 Costs I31001— Grants Cap $ 2,000,000.00 $ 2,000,000.00' Project Federal Fund — Federal Participation Total $ 2,000,000.00 $ 131,416.00 $ 999,711.00 $ 3,131,127.00 The following table summarizes the available funding for the project: Fund Existing Funding Additional Funding Project Total 34027-2022 Bond $1,000,00.00 $1,000,000.00 Fund 31001 —Grants Cap $2,500,000.00 $2,500,000.00 Projects Federal Fund Total $1,000,000.00 $2,500,000.00 $3,500,000.00 Funding is budgeted in the Transportation Public Works (TPW) Department Highway & Streets Departments 2022 Bond Program Fund to fund the Oakland & Miller Safe Streets Bike Improvement project, as appropriated. Approval of recommendation 3 will disconnect this project from the existing programmable funding in the project and turn it into a static project. This project is included in the 2022 Bond Program. The City's Extendable Commercial Paper (ECP) (M&C 22-0607; Ordinance 25675-08-2022) provides liquidity to support the appropriation. Available resources will be used to make interim progress payments until the debt is issued. Once debt associated with a project is sold, debt proceeds will reimburse the interim financing source in accordance with the statement expressing official Intent to Reimburse that was adopted as part of the ordinance canvassing the bond election (Ordinance 25515-05-2022). Funding for the grant portion of the project was not included in the Fiscal Years 2024-2028 Capital Improvement Program because grant funding is appropriated at the time of the grant award. The action in the M&C will amend the Fiscal Years 2024-2028 Capital Improvement Program as approved in connection with Ordinance 26453-09-2023. The project is located in COUNCIL DISTRICTS 5 & 11. A Form 1295 is not required because: This contract will be with a governmental entity, state agency or public institution of higher education: Texas Department of Transportation FISCAL INFORMATION ! CERTIFICATION: The Director of Finance certifies that upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the current capital budget, as appropriated, in the Grants Cap Projects Federal Fund and the 2022 Bond Program Fund. The Transportation and Public Works Department (and Financial Management Services) will be responsible for the collection and deposit of funds due to the City. Prior to any expenditure being incurred, the Transportation and Public Works Department has the responsibility to validate the availability of funds. This is a State Advance Funding Agreement/reimbursement grant. Submitted for Citv Manaaer's Office bv: Jesica McEachem 5804 Oriainatina Business Unit Head; Lauren Prieur 6035 Additional Information Contact: Monty Hall 8662 Mayor & Council Map j CPN 104803 FORT WORTH, Bike Lane Improvements Oakland & Muller Safe Street Project 4 8 / r— _ r °sF �� - � rc ", � ,..; ` .� ,q t :tom '1- � _• � -. r r c- c t Gateway I tkbaf ryj Oakland T ndY.�415 rt 7 w r t +aN 77 `r ° ` a t_r x .3 �� Li r icinity <C. k I Project Extent 1 r Fort Worth City Limits N / } i J yy ,. } �'r�✓: - - 3 9 i-. -. Data Source: CFW GIS, NearMap 2022 Map generatedOctober 2623 i Amy LaMar.TpW Business Suppart Services -- Did PI-i, 5 1 wrs s-V�!e S © . ,`f� � kites 19 .e• •- ,... ""� l s .a a� - w eg`'.,,��,.�r "+T��"e-a s..,:lr µ,�,ijrt � ,.ii :,, � .:. �v ...;,. A Resolution NO. 5919-03-2024 A RESOLUTION AUTHORIZING AN ADVANCE FUNDING AGREEMENT WITH THE TEXAS DEPARTMENT OF TRANSPORTATION IN THE AMOUNT OF $3,131,127.00, OF WHICH FEDERAL PARTICIPATION IS $2,000,000.00, STATE PARTICIPATION IS $131,416.00 AND CITY OF FORT WORTH PARTICIPATION IS $999,711.00 PLUS ANY COST OVERRUNS FOR CONSTRUCTION OF SAFETY AND OPERATIONAL IMPROVEMENTS AT OAKLAND & MILLER SAFTE STREETS PROJECT (CITY PROJECT NO. 104803). WHEREAS, federal law establishes federally funded programs for transportation improvements to implement its public purpose; and WHEREAS, the Texas Transportation Code, Section 201.103 establishes that the State shall design, construct and operate a system of highways and roads in cooperation with local governments, and Section 222.052 authorizes the Texas Department of Transportation Commission to accept contributions from political subdivisions for development and construction of public roads within political subdivisions; and WHEREAS, aMaster Agreement between the City of Fort Worth ("Focal Government") and the State of Texas acting through the Texas Department of Transportation ("State") has been adopted and states the general terms and conditions for transportation projects developed through this Advance Funding Agreement (AFA); and WHEREAS, Federal law, 23 USC §134 and 49 USC §5303, requires that State and Metropolitan Planning Organizations (MPOs) develop transportation plans and programs for urbanized areas of Texas; and WHEREAS, federal and State laws require local governments to meet certain contract standards relating to the management and administration of State and federal funds; and WHEREAS, the Texas Transportation Commission has codified 43 TAC, Rules 15.50-15.56 that describe federal, State, and local responsibilities for cost participation in highway improvement and other transportation projects; and WHEREAS, the rules and procedures for the Transportation Alternatives Set- Aside Program (TASA) are established in 23 USC § 133(h), and 43 Texas Administrative Code, Part 1, Chapter 11, Subchapter G, § § 11.400 — 11.418; and WHEREAS, the Local Government prepared and submitted to the State or Metropolitan Planning Organization (MPO) aproject nomination package for TASA funding consideration, which is briefly described as Oakland -Miller Safe Streets (Project); and WHEREAS, the Texas Transportation Commission (Commission) passed Minute Order Number 116522 (MO) dated August 16, 2023 awarding funding for TASA projects in the TASA Program Call of the State, including Project; NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FORT WORTH, THAT: The City Manager, or their designee, is authorized to execute an Advance Funding Agreement with the Texas Department of Transportation in the total estimated amount of $3,131,127.00 with federal participation in the amount of $2,000,000.00, state participation in the amount $131,416.00 and city participation in the estimated amount of $999,711.00 plus any cost overruns for construction of safety and operational improvements at Oakland & Miller Safe Streets Project (City Project No. 104803). Adopted this 261h day of March 2024. Aoio ATTEST: °o�®� 4; ®0. 00 p Jannette S. Goodall o° pa 4 City Secretary �� 000000"000 " a�ao X t �� 104803-TXFA-ADVANCE FUNDING AGREEMENT FOR OAKLAND BLVD. AND MILLER AVE. SAFE STREET Final Audit Report 2024-05-13 Created: 2024-05-09 By: Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAAjzkYZVnZrMkyloNz5-OdjeyeVpyuIW61 "104803-TXFA-ADVANCE FUNDING AGREEMENT FOR OAKL AND BLVD. AND MILLER AVE. SAFE STREET" History Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) 2024-05-09 - 6:48:22 PM GMT- IP address: 204.10.90.100 Document emailed to Iskal Shrestha (Iskal.Shrestha@fortworthtexas.gov) for signature 2024-05-09 - 6:51:43 PM GMT Email viewed by Iskal Shrestha (Iskal.Shrestha@fortworthtexas.gov) 2024-05-09 - 8:46:40 PM GMT- IP address: 204.10.90.100 Document e-signed by Iskal Shrestha (Iskal.Shrestha@fortworthtexas.gov) Signature Date: 2024-05-09 - 8:47:33 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Alexandra Ripley (alexandra.ripley@fortworthtexas.gov) for filling 2024-05-09 - 8:47:35 PM GMT Email viewed by Alexandra Ripley (alexandra.ripley@fortworthtexas.gov) 2024-05-13 - 6:38:44 PM GMT- IP address: 204.10.90.100 f,. Form filled by Alexandra Ripley (alexandra.ripley@fortworthtexas.gov) Form filling Date: 2024-05-13 - 6:49:30 PM GMT - Time Source: server- IP address: 204.10.90.100 Agreement completed. 2024-05-13 - 6:49:30 PM GMT FoRTWORTH, I P—e'b' Adobe Acrobat Sign FORT WORTH:: Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: ADVANCE FUNDING AGREEMENT FOR OAKLAND BLVD. AND MILLER AVE. SAFE STREET M&C: 24-0241 CPN: 104803 CSO: DOC#: 1 Date: 04/17/2024 To: Name Department Initials Date Out 1. Iskal Shrestha TPW - signatures May 9, 2024 2. Alex Ripley TPW- review AR X-0 May 13, 2024 3. Chad Allen TPW - review Avvvd via Aeiloft. ID 1055. 4, Lissette Acevedo TPW - review 5. Lauren Prieur TPW - signature W-- May 22, 2024 6. Doug Black Legal - signature DB OF May 24, 2024 7. Jesica McEachern CMO — N/A 8. Jannette Goodall CSO - signature Rom- May 28, 2024 9. TPW Contracts TPW 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 ❑No RUSH: []YES ®No SAME DAY: ❑YES ❑No NEXT DAY: ❑YES ❑No ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContractsn,FortWorthTexas.Lov at ext. 7254 for pick up when completed.