HomeMy WebLinkAboutContract 60648-A1CSC No. 60648-A1
AMENDMENT NO. I
TO CITY OF FORT WORTH CONTRACT 60648
This Amendment is entered into by and between the City of Fort Worth (hereafter
"City"), and Specialty Fleet Rentals, LLC. ("Vendor"). City and Vendor may be referred to
individually as a Party and collectively as the Parties.
WHEREAS, on December 23, 2023, the Parties entered into City Secretary Contract
60648 for the purchase of Derrick Digging Vehicles and Accessories ("Agreement/Contract");
WHEREAS, the Agreement between the Parties contained a quote from Vendor as
Exhibit A and the Parties now wish to amend the Agreement so that Exhibit A acts as a scope of
services and includes the entire catalog found under TIPS Contract No 200802.
NOW, THEREFORE, the Parties, acting herein by the through their duly authorized
representatives, enter into the following agreement:
1.
AMENDMENTS
1. The following language is now added to the Agreement as the new paragraph 5 following the
compensation provision:
The Parties will engage in multiple transactions to purchase goods and/or services under
this Agreement. For each purchase made pursuant to this Agreement, Vendor must supply a quote
for the subject goods and/or services and the quote must conform with the then -current pricing
under the underlying cooperative agreement. If the City accepts the quote and places an order for
the goods and/or services, that quote shall be considered an addendum to this agreement but is not
required to be filed in the City records. The Parties will maintain all quotes for the 3-year Audit
period included herein.
2. Exhibit A is replaced in its entirety with the catalog of goods and services found under TIPS
Contract No 200802, attached hereto.
2.
ALL OTHER TERMS SHALL REMAIN THE SAME
All other provisions of the Agreement which are not expressly amended herein shall
remain in full force and effect.
3.
ELECTRONIC SIGNATURE
This Amendment may be executed in multiple counterparts, each of which shall be
an original and all of which shall constitute one and the same instrument. A facsimile copy
or computer image, such as a PDF or tiff image, or a signature, shall be treated as and shall
have the same effect as anoriginal.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
ACCEPTED AND AGREED:
CITY OF FORT WORTH:
By:
op��
Name:
Jesica McEachern
Title:
Assistant City Manager
Date:
Aug 2, 2024
APPROVAL RECOMMENDED:
By: LaurenPrieur (Jul25, 202413:40 CDT)
Name: Lauren Prieur
Title: Director, Transportation and Public Works
ATTEST:
By:
Name: Jannette Goodall
Title: City Secretary
Specialty Fleet Rentals, LLC
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By: �GZZ�21yLQ�/li
Name: istin Bateman
Title: President
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.
ate,, C �
By:
Name: Brandon Callicoat
Title: Transportation and Public Works
Superintendent
APPROVED AS TO FORM AND LEGALITY:
By: 9.6, cv
Name: Jessika J. Williams
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: 23-0592
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
EXHIBIT A
Seller's Quote, ScoDe of Services or Purchase Order
TIPS 230802 Heavy Duty and Medium Duty Trucks
and Trailers Specialty Fleet Sales, LLC
TIPS PRICING FORM 1 - GOODS/ITEMS PRICING
TIPS permits Vendors to utilize either or both of the two goods/items pricing proposal options (and sub -options) identified below with the "Discount -Off Catalog" option being much more optimal, usable, and preferred to the "Cost -Plus Markup Option."
Vendor is welcome to propose either or both options, and with either option Vendor is able to update their pricing and add/remove items during the life of the contract. It is Vendor's responsibility to ensure that all items listed, whether by description,
product number, SKU, UPC or other, fall within the scope of this solicitation category. Please read the "Vendor Pricing Submission" portion of the solicitation document before submitting questions about this form to TIPS.
This goods/items pricing proposal method is highly preferred over the "Cost -Plus Markup Method" because it is versatile and allows Vendor to efficiently add and update its goods/items pricing and does not automatically prohibit federal fund purchases.
Vendor is asked in the attribute questions within the eBid System to propose a minimum discount off of their catalog pricing. Any discount from 0% to 100% is an appropriate response. Then, under this pricing proposal method, Vendor is permitted to
provide its "Catalog Pricing" to TIPS in a number of ways, described in Section "A" and Section "B" below. Vendor's minimum discount will always be applied to TIPS "Catalog Pricing" provided herein.
SECTION "A" - Providing "Catalog Pricing" through Line -Item Pricing
If Vendor desires to list the "catalog pricing" of goods/items that you sell by line -item, you are welcome to do so here in Section "A" of Pricing Form 1. You are welcome to modify the columns and column titles as long as TIPS can identify the item's
name and "catalog price." Please note that if you are awarded with this type of pricing submission, you will be able to update the pricing and add/remove items within the catagory as long as you honor any applicable discounts originally proposed.
Specific discounts offered for any brand or item must be honored for the life of the contract.
Product Name
Example 1: Widget A
Example 2: All Acme Product Line
Example 3: All Acme Product Line
Product Name
60' Working Height Bucket Truck-4z2-Used
Palfinger(ETI) ETC35SNT Bucket Truck
Product #
12345AB
see Acme catalog located at
www.Acme.com
Description
gadget part
All Acme products available from
our company
Catalog pricing to be provided upon All Acme products available from
request our company
Product #
70 viscount
(Greater than
Minimum Discount
offered in Attribute
Units description - (each, MSRP or Catalog
Except in Limited
dozen, hour, day, etc) Pricing
Circumstances. See
TIPS Price
each $100.00
15.00% $85.00
see Acme catalog
located at
10.00%
www.Acme.com
Catalog pricing to
be provided upon
10.00%
request
Insert Line -items below this line. You may add cells as needed.
See Specialty Fleet catalog at
www.specialtyfleet.com
bee bpeclany rleet catalog at
www.specialtyfleet.com
Description Units description - (each, dozen, MSRP or Catalog
hour, day, etc) Pricing
60' working height insulated bucket truck each $100,000.00
40' Working Hight Non -Insulated
each
bucket truck
% Discount
(Greater than
Minimum Discount
offered in Attribute TIPS Price
Except in Limited
Circumstances. See
Attribute. )
1.00% $99,000.00
$152,900.00 1.00 % $151,371.00
Palfinger(ETI) ETC35SNT Bucket Truck-4x4
See Specialty Fleet catalog at
4x4, 40' Working Hight Non -insulated
each
$156,900.00
1.00%
$155,331.00
www.specialtyfleet.com
bucket truck
See Specialty Fleet catalog at
42' working height insulated
Palfinger(ETI) ETC371H Bucket Truck
www.specialtyfleet.com
bucket truck
each
$162,500.00
1.00%
$160,875.00
See Specialty Fleet catalog at
42' working height insulated
Palfinger(ETI) ETC371H Bucket Truck-4x4
www.specialtyfleet.com
bucket truck-4x4
each
$165,900.00
1.00%
$164,241.00
See Specialty Fleet catalog at
45' working height insulated
Palfinger(ETI) ETC401H Bucket Truck
www.specialtyfleet.com
bucket truck
each
$162,900.00
1.00%
$160,875.00
See Specialty Fleet catalog at
45' working height material
Palfinger(ETI)ETC401HBucket Truck -4x4
www.specialtyfleet.com
handling insulated bucket truck
each
$167,900.00
1.00%
$166,221.00
See Specialty Fleet catalog at
45' working height insulated
Palfinger(ETI) ETCMH40 Bucket Truck
www.specialtyfleet.com
bucket truck
each
$192,900.00
1.00%
$190,971.00
See Specialty Fleet catalog at
45' working height insulated
Palfinger(ETI) ETCMH40 Bucket Truck-4x4
www.specialtyfleet.com
bucket truck-4x4
each
$199,900.00
1.00%
$197,901.00
See Specialty Fleet catalog at
41' working Hight Non -insulated
Versalift SST36NE Bucket Truck
www.specialtyfleet.com
bucket truck
each
$152,900.00
1.00%
$151,371.00
See Specialty Fleet catalog at
4x4, 41' Working Hight Non -Insulated
Versalift SST36STP Bucket Truck- 4x4
www.specialtyfleet.com
bucket truck
each
$156,900.00
1.00%
$155,331.00
See Specialty Fleet catalog at
41' working Hight Non -insulated
Versalift STP36SNE Bucket Truck
www.specialtyfleet.com
bucket truck
each
$176,900.00
1.00%
$175,131.00
See Specialty Fleet catalog at
4x4, 41' Working Hight Non -Insulated
Versalift STP36NE Bucket Truck- 4x4
www.specialtyfleet.com
bucket truck
each
$179,900.00
1.00%
$178,101.00
See Specialty Fleet catalog at
40' working Hight Non -insulated
Versalift STP40NE Bucket Truck
www.specialtyfleet.com
bucket truck
each
$225,000.00
1.00%
$223,641.00
See Specialty Fleet catalog at
45' working height insulated
Versalift SST40 Bucket Truck
www.specialtyfleet.com
bucket truck
each
$162,900.00
1.00%
$160,875.00
See Specialty Fleet catalog at
45' working height insulated
Versalift SST40 Bucket Truck-4x4
www.specialtyfleet.com
bucket truck-4x4
each
$167,900.00
1.00%
$166,221.00
See Specialty Fleet catalog at
4x4, 45' working height material
Versalift VST40-MH Bucket Truck-4x4
www.specialtyfleet.com
handling insulated bucket truck
each
$167,900.00
1.00%
$166,221.00
See Specialty Fleet catalog at
52' working Height material
Versalift VST47 Bucket Truck
www.specialtyfleet.com
handling insulated bucket truck
each
$209,900.00
1.00%
$207,801.00
See Specialty Fleet catalog at
PT1040 Pole Trailer
www.specialtyfleet.com
40' Extendable Pole Trailer
each
$28,950.00
1.00%
$28,660.50
See Specialty Fleet catalog at
PT1047 Pole Trailer
www.specialtyfleet.com
47' Extendable Pole Trailer
each
$29,950.00
1.00%
$29,650.50
See Specialty Fleet catalog at
MPT-40 Pole Trailer
www.specialtyfleet.com
40' Extendable Pole Trailer
each
$26,900.00
1.00%
$26,680.50
See Specialty Fleet catalog at
RT60
www.specialtyfleet.com
6,0001b Hydraulic Reel Trailer
each
$11,950.00
1.00%
$11,830.50
See Specialty Fleet catalog at
RT85
www.specialtyfleet.com
8,50001b Hydraulic Reel Trailer
each
$14,950.00
1.00%
$10,791.00
See Specialty Fleet catalog at
Terex C4047 Digger Derrick
www.specialtyfleet.com
47'Digger Derreck
each
$275,900.00
1.00%
$273,141.00
See Specialty Fleet catalog at
Terex C4047 Digger Derrick-4x4
www.specialtyfleet.com
4x4, 47 Digger Derrick
each
$295,900.00
1.00%
$292,941.00
See Specialty Fleet catalog at
Terex C6060 Digger Derrick
www.specialtyfleet.com
60' Digger Derrick
each
$425,000.00
1.00%
$420,750.00
See Specialty Fleet catalog at
Terex C6060 Digger Derrick 6x6
www.specialtyfleet.com
6x6, 60' Digger Derrick
each
$449,900.00
1.00%
$445,401.00
Terex TC55-MH Bucket Truck
See Specialty Fleet catalog at
60' Working Height Insulated Bucket
$253,341.00
www.specialtyfleet.com
Truck
each
$255,900.00
1.00%
Terex TC55-MH Bucket Truck-4x4
See Specialty Fleet catalog at
4x4, 60' Working Height Insulated
$273,141.00
www.specialtyfleet.com
Bucket Truck
each
$275,900.00
1.00%
See Specialty Fleet catalog at
45' working height insulated
Terex LT40 Bucket Truck
www.specialtyfleet.com
bucket truck
each
$162,900.00
1.00%
$160,875.00
See Specialty Fleet catalog at 4x4, 45' working height insulated
Terex LT40 Bucket Truck-4x4
www.specialtyfleet.com bucket truck each $167,900.00 1.00% $166,221.00
Terex LTM40 Bucket Truck See Specialty Fleet catalog at 45' working height material
www.specialtyfleet.com handling insulated bucket truck each $192,900.00 1.00% $190,971.00
Terex LTM40 Bucket Truck-4x4 See Specialty Fleet catalog at 4x4, 45' working height material
www.specialtyfleet.com handling insulated bucket truck each $199,900.00 1.00% $197,901.00
See Specialty Fleet catalog at
40' working height non -insulated
ETI ETC35SNT Bucket Truck 4x4 (Monthly Rental)
www.specialtyfleet.com
bucket truck-4x4
each
$3,250.00
1.00%
$3,217.50
See Specialty Fleet catalog at
45' working height insulated
ETI ETC40IH Bucket Truck 4x4 (Monthly Rental)
www.specialtyfleet.com
bucket truck-4x4
each
$3,350.00
1.00%
$3,316.50
See Specialty Fleet catalog at
45' working height insulated
ETI ETCMH40 Bucket Truck 4x4 (Monthly Rental)
www.specialtyfleet.com
bucket truck-4x4
each
$3,900.00
1.00%
$3,861.00
See Specialty Fleet catalog at
40' working height non -insulated
Versalift SST36 Bucket Truck 4x4(Monthly Rental)
www.specialtyfleet.com
bucket truck-4x4
each
$3,250.00
1.00%
$3,217.50
See Specialty Fleet catalog at
40' working height non -insulated
Versalift STP36NE Cable Placer Bucket Truck(Monthly Rental
www.specialtyfleet.com
bucket truck-4x4
each
$4,100.00
1.00%
$4,059.00
See Specialty Fleet catalog at
45' working height insulated
Versalift SST40 Bucket Truck 4x4 (Monthly Rental)
www.specialtyfleet.com
bucket truck-4x4
each
$3,250.00
1.00%
$3,217.50
See Specialty Fleet catalog at
45' working height insulated
Versalift VST40-MH Bucket Truck 4x4 (Monthly Rental)
www.specialtyfleet.com
bucket truck-4x4
each
$3,500.00
1.00%
$3,465.00
See Specialty Fleet catalog at
52' working height insulated
Versalift VST47-MH Bucket Truck 4x4 (Monthly Rental)
www.specialtyfleet.com
bucket truck-4x4
each
$4,700.00
1.00%
$4,653.00
See Specialty Fleet catalog at
57' working height insulated
Versalift VST52-MH Bucket Truck 4x4(Monthly Rental)
www.specialtyfleet.com
bucket truck-4x4
each
$5,100.00
1.00%
$5,049.00
60' Working Height Bucket Truck(Monthly Rental)-4x4-Palfinger,
See Specialty Fleet catalog at
60' working height insulated
Terex, ETI, Versalift
www.specialtyfleet.com
bucket truck-4x4
each
$5,650.00
1.00%
$5,593.50
60' Working Height Bucket Truck(Monthly Rental)-Palfinger,
See Specialty Fleet catalog at
60' working height insulated
Terex, ETI, Versalift
www.specialtyfleet.com
bucket truck-4x2
each
$5,350.00
1.00%
$5,296.50
See Specialty Fleet catalog at
47' Sheave Height Digger Derrick-
47' Digger Derrick-4x4-Altec, Terex, Versalift
www.specialtyfleet.com
4x4
each
$5,650.00
1.00%
$5,593.50
See Specialty Fleet catalog at
47' Sheave Height Digger Derrick-
47' Digger Derrick(Monthly Rental)-Altec, Terex, Versalift
www.specialtyfleet.com
4x2
each
$5,350.00
1.00%
$5,296.50
See Specialty Fleet catalog at
60' Sheave Height Digger Derrick-
60' Digger Derrick-6x6(Monithy Rental)-Altec, Terex, Versalift
www.specialtyfleet.com
6x6
each
$7,350.00
1.00%
$7,276.50
See Specialty Fleet catalog at
Backyard Digger Derrick/Bucket Truck(Monthly Rental)
www.specialtyfleet.com
Backyard Digger Derrick/Bucket
each
$5,600.00
1.00%
$5,544.00
See Specialty Fleet catalog at
40' Extendable Pole Pole Trailer
www.specialtyfleet.com
40' Extendable Pole Trailer
each
$1,750.00
1.00%
$1,732.50
See Specialty Fleet catalog at
6,5001b Hydrualic Reel Trailer
www.specialtyfleet.com
6,5001b Hydraulic Reel Trailer
each
$1,000.00
1.00%
$990.00
See Specialty Fleet catalog at
800 Gal Vac Trailer
www.specialtyfleet.com
800 Gal Vac Trailer
each
$4,850.00
1.00%
$4,801.00
See Specialty Fleet catalog at
6x125plicingTrailer
www.specialtyfleet.com
6x12Splicing Trailer
each
$1,750.00
1.00%
$1,732.00
Delivery Charge
www.specialtyfleet.com
I Delivery
each
$500.00
0.00%1
$500.00
bee Specialty Reet catalog at
Pick Up Charge
www.specialtyfleet.com
Pick Up
I
each
$500.00
0.00%
$500.00
Vendor may insert additional cells as needed.
SECTION "B" - Alternative Methods of Providing "Catalog Pricing"
Description of Alternative Method of Vendor's Selection of Alternative
Alternative Method of Providing Catalog Providing Catalog I Method of Providing Catalog -
If Vendor already has "Catalog Pricing"
documents or files compiled, Vendor may place "X" in this cell if "Catalog
1. Catalog Pricing is Included in Proposal check the cell to the right and include a
Pricing is included in Proposal" is
note directing TIPS to please view those Vendor's selection.
If Vendor already has "Catalog Pricing"
published at an online location, Vendor
may check the cell to the right and include
the link to their online "Catalog Pricing."
If a login is required to access the
"Catalog Pricing" located at that link,
please provide that login information in
the neighboring cell. (Ex. X — Please see
"Catalog Pricing" at www.tips-usa.com,
login information is Username: TIPS
Password: 123456.) Please note that if
you are awarded with this type of pricing
submission, you will be able to update the
online pricing and add/remove items
2. Link to Catalog Pricing within this category as long as you honor
any applicable discounts originally
proposed.
If applicable, provide login
infomration to online "Catalog
www.Specialtvfleet.com Pricing" link
3. Vendor Shall Provide "Catalog Pricing" Upon Request
If Vendor does not have comprehensive
"Catalog Pricing" documents or links
readily available, Vendor may check the
cell to the right ensuring that such
required "Catalog Pricing" will be
provided to TIPS upon request. Per the
following example, this option is viable
but may slow down the TIPS Sale process
as follows. (Ex. Vendor is awarded and is
making its first TIPS Sale to Sunny ISD,
Sunny ISD sends its TIPS PO to TIPS for
pricing compliance review. TIPS will
then request that Vendor provide
documentation of "Catalog Pricing" for
the line items included in the PO before
TIPS can process the PO and send to
Vendor for fulfillment.) Please note that
if you are awarded with this type of
pricing submission, you will always be
able to provide the most current pricing
for each item within this category but you
will still be required to honor any
applicable discounts originally proposed.
Place "X" in this cell if Vendor agrees
to provide "Catalog Pricing" upon
a-,,,,, TIPS.
Option 2 - Cost -Plus Markup Method
This goods/items pricing proposal method is not recommended because many TIPS Members are prohibited from utilizing Vendors with a Cost -Plus Markup Pricing submission, especially when using federal funds.
If Vendor desires to utilize this method,
Vendor may enter its maximum markup
percentage the cell provided to the right.
Please note that this is a maximum
percentage and you may always have a
lesser markup on a TIPS Sale. You will
be required to provide proof of cost to
TIPS for every item sold under the TIPS
Contract. (Ex. Vendor is awarded and is
making its first TIPS Sale to Sunny ISD,
Sunny ISD sends its TIPS PO to TIPS for
pricing compliance review. TIPS will then
Cost -Plus Markup Method request that Vendor provide Vendor's Percentaue Markup:
documentation of Vendor's cost for the
line items included in the PO before TIPS
can process the PO and send to Vendor
for fulfillment.) Please note that if you are
awarded with this type of pricing
submission, you will always be able to
provide the most current cost for each
item within this category but you will not
be permitted to sell it to TIPS Members
Place Vendor's proposed
for a greater markup than what Vendor
percentage markup in this cell if
provides herein.
utilizing the "Cost -Plus Markup
Method.
Vendor cannot be listed as federally
City of Fort Worth, Texas
Mayor and Council Communication
DATE: 06/27/23 M&C FILE NUMBER: M&C 23-0592
LOG NAME: 13PCOOP TIPS 200802 SPECIALTY VEHICLE RENTAL EC TPW
SUBJECT
(ALL) Authorize Execution of an Agreement with Specialty Fleet Sales and Rentals, LLC. Using The Interlocal Purchasing System Contract
Number 200802 for an Annual Amount Up to $150,000.00 for the Purchase of Derrick Digging Vehicles and Accessories and Authorize One, One -
Year Renewal Option for Up to $187,000.00 for the Transportation and Public Works Department
RECOMMENDATION:
It is recommended the City Council authorize execution of an agreement with Specialty Fleet Sales and Rentals, LLC. using The Interlocal
Purchasing System Contract Number 200802 for an annual amount up to $150,000.00 for the purchase of derrick digging vehicles and
accessories and authorize one, one-year renewal option for up to $187,000.00 for the Transportation and Public Works Department.
DISCUSSION:
The Transportation and Public Works Department (TPW) approached the Purchasing Division to finalize an annual agreement with Specialty Fleet
Sales and Rentals, LLC., under The Interlocal Purchasing System (TIPS) contract 200802 Heavy Duty and Medium Duty Trucks and Trailers on an
as -needed basis. This cooperative agreement has a term through October 31, 2023, with one option to renew for an additional one-year term. The
Transportation and Public Works Department will use the agreement with Specialty Fleet, LLC. for the purchase of derrick digging vehicles and
accessories.
The annual amount allowed under this agreement will be up to $150,000.00, with one one-year option to renew at $187,000.00. However, the
actual amount used will be based on the need of the department and the available budget. Funding is budgeted in the TPW Dept Highway &
Streets Department's General Capital Projects Fund for the purpose of funding the FY 23 PayGo MMA & Steel Poles project, as appropriated.
State law provides that a local government purchasing an item under a cooperative purchase agreement satisfies any state law requiring that the
local government seek competitive bids for the purchase of the item. TIPS contracts are competitively bid to increase and simplify the purchasing
power of government entities across the State of Texas.
ADMINISTRATIVE CHANGE ORDERS - In addition, an administrative change order or increase may be made by the City Manager up to the
amount allowed by relevant law and the Fort Worth City Code and does not require specific City Council approval.
RENEWAL OPTIONS — The Agreement may be renewed in accordance with the terms and conditions of TIPS Contract No. 200802, which has an
initial term through October 31, 2023, with the option to renew for one additional one-year period through October 31, 2024.
A M/WBE goal is not assigned when purchasing from an approved purchasing cooperative or public entity
This project will serve ALL COUNCIL DISTRICTS.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that funds are available in the current capital budget, as previously appropriated, in the General Capital Projects
Fund for the FY 23 PayGo MMA & Steel Poles project to support the approval of the above recommendation and execution of the agreement. Prior
to any expenditure being incurred, the Transportation and Public Works Department has the responsibility to validate the availability of funds.
Submitted for Citv Manaaer's Office bv: Reginald Zeno 8517
William Johnson 5806
Oriainatina Business Unit Head: Reginald Zeno 8517
Lauren Prieur 6035
Additional Information Contact: Jo Ann Gunn 8525
Eugene Chandler 2057
FORT WORTH.
Routing and Transmittal Slip
Transuortation & Public Works Department
DOCUMENT TITLE: Specialty Fleet Rentals, LLC.
For: 1 ST Amendment
M&C: 23-0592 CPN:
Date:
To:
Name
1 •
Brandon Callicoat
2.
Anna Benavides
3.
Martin Phillips
4.
Lauren Prieur
5.
Jessika Williams
6.
Jesica McEachern
7•
Ronald Gonzales
8-
Jannette Goodall
9.
Allison Tidwell
10
Tabitha Giddings
11
12
13
14
CSO: 60648
Department
Initials
TPW-Signature
TPW-Signature
TPW- InitialsP
TPW- Signature
Legal- Signature
ACM- Signature
CSO — Initial
K�
CSO-Signature
G J-a
CSO-Assign CSC
,:-
TPW-Admin
DOC#:
Date Out
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