Loading...
HomeMy WebLinkAbout063334-AR2 - Construction-Related - Contract - McClendon Construction Company, Inc.City of Fort Worth Construction Allowance Request CSC No. 63334-AR2 City Sec # 63334 Project Namel Keller Hicks Phase 2 -Park Vista to Lauren Way l.,llt,lll l"IUJt,U 103276 :if.lo\�-----------------------------------� D P�o t j�ct Keller Hicks Phase 2 -Park Vis ta to Lauren Way-Roadway, Drainage, U tility, Illumination and Traffic Improvementsescnp I0n ::======================::::-----;:.::.::.::.::.::.::.::.::.::.::..:::;-----�=======::.::.::.-:...-:...-:...-:...-:...� ContractorlMcClendon Construction Company, Inc. CA #._I __ 2 __ _. Da tel 10/9/2025 ::ity Project Mgr.I Mitch Aiton City Inspector! Buddy Phillips UNIT or DEPT Unit I, Ill -CFW Unit II -Water - -Totals Original Contract Amount $9,703,337.45 $910,370.55 $10,613,708.00 Extras to Date $856,825.55 $856,825.55 Credits to Date Current Contract Amount $9 703 337.45 $1 767 196.10 $11 470 533.55 !Amount of Prooosed Allocation 528 500.00 50.00 50.00 50.00 528 500.00 Original Allowance Available to Alloca tion $950,000.00 $50,000.00 :61,000,000.00 Allowance Funds Previously Allocated $39,000.00 $39,000.00 Revised Allowance Balance $882,500.00 $50,000.00 $0.00 $0.00 $932 500.00 JUSTIFICATION (REASONS) FOR CONSTRUCTION ALLOWANCE IN ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST, THE CONTRACT SHALL: The proposed type 2 inlet A2-2 at Road STA 16+20 has a conflict with the existing storm drain. The contractor found that the storm drain is in a different location and proposes that it could build a 1 O' Type 2 Recessed inlet to resolve the conflict. This would allow connecting to the existing storm drain without requiring relocation of franchise utilities. The contractor has proposed to do the 1 O' Type 2 Recessed Inlet for $15,800.00/EA. On this project, the contractor submitted as part of their bid to do 10' Type 2 Inlets for $15,200.00. The extra $600 is to compensate for the increased concrete apron of the recessed inlet. Staff deems the price reasonable. The plans for Sanitary Sewer Line B were missing the 4" sewer services leading from the two manholes to the property line. The contractor has proposed to do the 4" Sewer Services for $6,350.00/EA. On project 100604 Trentman Street, 4" Sewer Services were installed for $9,088.19/EA. Staff deems the price reasonable. It is understood and agreed that the acceptance of this Construction Allowance Request by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Construction Allowance Request. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Com an Name McClendon Construction Company, Inc. lnspectornnspection Supervisor .,._ .. ..... .,,, ,..�� Proaram Manaaer [Qe,;,4�· Assistant Director (Dept) � L Patricia L. Wadsack (Oct 29, 2025 16:55:04 CDT) Assistant City Attorney :._�m=.,•= ATTEST: r'� Jannette Goodall, City Secretary Contractor Name Contractor Si nature Justin Blair Date 10/24/202: Date 10/24/202: Date 10/29/2025 Date 10/31/202: .Tustin Blair Justin Blair {Oct 22, 202515:18:18 CDT) Project and Contract Compliance Manager . . Mitchell Aiton {Oct 22, 202514:56:18 CDT) Senior Caoltal Proiect Officer �ll.1r- Director, Contracting Department (Dept) A.���wwn Assistant City Manager � Construction Allowance SUMMARY Page 1 of 4 Date 10/22/202� Date 10/22/2025 Date 10/28/2025 Date 10/30/2025 Date 11/05/2025 FORT WORTH , City of Fort Worth � Construction Allowance Additions Project Name Keller Hicks Phase 2- Park Vista to Lauren Wa ity Sec #� Client Project # 103276 Contractor McClendon Construction Company, Inc. PM Mitch Aiton Inspector Buddy Phillips Construction Allowance Submittal # � ate � ADDITIONS Construction Allowance Additions Page 2 of 4 FORT WORTH. City of Fort Worth ��—� Construction Allowance Value Project Name Keller Hicks Phase 2- Park Vista to Lauren Wa City Sec #� Client Project # 103276 Contractor McClendon Construction Company, Inc. PM Mitch Aiton Inspector Buddy Phillips Construction Allowance Submittal # � Date � CONSTRUCTION ALLOWANCE VALUE BEING USED ITEM DESCRIPTION Qty Unit Unit Cost Total I-16 9999.0000 Construction Allowance 0.030000 LS $950,000.00 $28,500.00 Construction Allowance Value 3of4 MISBE for this Construction Allowance Request M/SBE Sub Tvae of Service Amount for this CAR N/A I N/A I N/A Total � $0.00 Previous Construction Allowance Requests CAR # DATE AMOUNT 1 8/26/2025 $39,000.00 Total $39,000.00 Construction Allowance MSBE Data Page 4 of 4 � 0000-� s�Nawanox�r�i �vx�is �iaavxs aHv'NouvNi�m�i `al���in'a�vnuvxa'�K�nva QdO�I S�TJiH �IH'T'i�7T _ o aQaoo �z° i., �� ., _ _ � C7 �. ry8o _ a� _ Y ��, i� 3 = 3�z � � a�6� m� ; '� a �° z _��v ��, , a �oa,� �� r ° x � �� w N � �'.:3 �� o��a�o N�o �"� �, � z w a d> Qrx ¢w� am3 p� V'^w>z� �na'° u�e W ; Y O _ J'r' Qa d+" O� {z��l 3 rz o oz� o W�o o zm � .� ; x:7 C7Q �3� o _ ¢ a d ZWd - „ory z o 'z _ oaw�, 3� x -=:���� P� ¢ > H P. Ov� C�'.-1 OF" \ Z �,.03 pz w '� w� o °` a Qa =P?'•E=' z --- v � c4 q�U ,�p '7""��.,� _ p w z o daO� �EQ m x ''�E o �- - �;Z W H G�`'O � ° W� � �° � � � � ��;_"' o�m o � m � � � - 3 ¢ z., �q �qh W `` y�J z u" o � m � - � ., oo. Ja � �`�'°� � _ _ =w � Z, �� zC7 �� W= a�W W F °W� �aFa=� a � �. .� a u�i - a _ 'J � ��'' W� QQ'z o WV uo� oo-Qa '^zw�� � ry o - F' w d F'Q '�d �6'Z � n LLZ wa .. u a do �--_Qazopa_ � c� _ c � 0 F" O� WF 0,�',Z xl w_ oN_W��ram� m� ^' � cG a.a. x� F"a'W �i i ��g�sasaa=YWmo°���N� = W cc _'� v, � I I ��a>so � JW`oaa �m � :i O ZU � 0.1 m � P I I „ w�a�°u w°� - w � z�3S � N aa44 I I I �'aOuw�Un�UvoOa?v� N�z�aOa _ ••..-_- __'.t_F�..,_� zw � � LL � 3 I__I z F" �Z� N � OS+b 'b'1S 3NIlH�l`dW � � � a OS+b 't11S 3NIlH�1VW £b��i� _,� as Qy--� � c �� I [E'e[L=1�3 � � � s � � 1 � �� � o � � � I / �1 0 z z � (y r � Z� o I w oa - � _ Q � l 7 � a� � � S C'[ I C- _ l i . O E w - L I � £['iiC lj .[Z J �u't Q d:ltf ��0£ '151X3 Ol � \ W - W� d> � dJtl .t[ 'dOtld 1J3NNOJ B9.�I� - �j 45 0� �� p � I J'_^ O o I �11tl15NI ^, p _ a I Q I O w � bb'Sl+b V15 + VJ , I LO'H[L = l93 a H� a' � y a G 6 � = I � � _ �� � � � � � g � � _ � , � . � � p � �� I - ° � � � � � '. '. - S a Il��o o � � V _ _ w � I I -��Fou i u� m I n>on � � � - � W'^zN i�o J o I o�o� i� d= � �� � oo�ox s oaP sa•c�c =�d os � � _ Y I ����� �' � z / i bE'L[L = d01 OI'L[L = l�3 � - _ � I � _ U O ioxaa r � 1��.i _ i ........ �^rS OE'ii[--lj.OE � I � L9'EiL � lj �[Z nV \ o i oa � 3 1 Jo- � � �`< J _ � ' 1 S � "� � I\ II \� � o, �v � \ I � I ¢ � J � � ��II z � ; N � Q � k � � .� � ......... � W I -- _- Z I � c } _ � I � FO I <O�I II 1N �I, I _ r� �, ��`�� �� � �% � o J l ,- Q /' � '"� � i,7 � r�'. r �� �'-\� L � �y � / .. � � � '� � f �i O IJ"�� - ^J V O � _ �� � �i� � , � N `� J bl' �u ;�a._ "l t � ?I �� � i i i l � � � �" � I i � I X09 NOI1JNf1f 3HVf105 �b �1�l1H15NO� b9'SZ+f V15 � _____ � inn I 000�n � oa� I 06'9[L = d01 LB'0[[- = lj .OE LO'ZIL = lj .[Z Eo'EtL = lj .[Z 1J3NNOJ X09 NOLLJNfIf 3llVf105 �b 1Jl1N15NOJ bZ'8£+Z V15 ercic = �i as E6'9[L = l93 £6'0[L = �j OS 6S5[L = l�3 I I LLUN B9'OiL = �1 OS ' I � e'^`o OG'S[L = l93 I Ilj�o�Nl ���N ; aa� oi>ii� � ssocc-=�a o�oo? i I d�il ��oE'lslx3 0l d�U ��oE �n'o[t = �j as d.,� �1J3NNOJ oo>v� ab'1�0� 313H�NOJ-t EE'S[L = l`J3 11V15NI b5+bb+l V15 �I � o b£'OiL- � li �OE � se'o�c �� �az I d�a os 'isxa oi d�b .[z 'doaa i�3NNo� nvisNi 90'ZE+t tl15 ZZ'0[C = li ��OE � 8]11 ,bx,0i O11J3NN0] 50'9tG = l93 dJU .OE NI938 P °LL ZO'80+[ 'V15 Pll�on � ol¢olo aKw . w Oa�>t�`iiI w�vti �I rl �I �I I qw..x, .,. wr�n w «...,:��e.. �ro..:.-°ot'.�'w r.10do"�d�'S°�"kS.°'o`��:`:"w�o w ns �a :.•��attro.+m .. �+x�ammn � � � U V i O N C � m 0 0 � m :� : � � 1' b.,�.; .. m'a'. co Q m O � ^ U >O W < u� �o I I I I ��a s N m OS Qia i� wo � a� ~ I I I I ��� a InQK �m � H rcw m� u U U N O Q a So a+ m o tJ o (Nj � Z � O i Z - � w o � � W d m � � � � W - Z J Z i � �m VU 3 1 No u o � m e 3 z rc� W - me � jrc O m 1 Q� ��G J Q �a� a � � mLL _ ��aao o�'nQ rcU W ��p��n K U p N� � U w 6 0 V N O � \ � -�aW oo a i�won \ W �oz��n iw o �' oan aza$o� �s tl U � � �w U � p� Z n N N O N � oZw�oa�w wo m O�Ov��(J UW � w O N¢ N 2 a S t amoy��aw �� z �aac�.�cmm �a �i � i Z O H Q i J F z � K Li � l I j m U � � I � s�� u' ouu I ��� pao N� I ' u Z � W '_�f` y�jw�3 w rca�" � � ig�iaa I�I wZ m0 N� KN ao U rc m \ I � a in � N a a m ZF m � w � � N N�� o_ 2 N p a�a o � .! o��x� z3ina m Z O � (J N .9 ,8 � � VI � r K Q U N � ¢ Q a a a in J Q H � 9 8 � W � F — � Q ? � L''� N ti m �� W a �o � �' m� � � N � I I z 4 I � F �� I 0 m F � C I - � JJ a � a � � U �� �m mi 0 o�w :sw ��J��JJ I I� 53Rltln m �„g � N r I I a o I m Z 0 �~ U p I m w u � c� N I ap Q ��� � a � m m m N O m m Q• 0 � Y N � _8 � � .9-? m _8 I �i w i� z� J a a� J � Q O � m � Q i aN rcrc o� U CI 00 Om rcrc mm NIW Y „9-,l. 8 „8 Q �U� ��N�r VI y m a oiQmow ISwNUZ ¢¢mO�z �n..aow I I � I/ I I i V ia�-,vi m Q w UU 0 �UF � � r�NV�y 6�Q p awp M a� NNy�Y ai "O I I I I I � I I— � I I m � � a rc 3 � ] N I I _L 310N 335 .0„ 131N1 !0 H1d30 e8 � � . � L � i v m 0 i w � � � � o Q � � Q � m m .�-.� � � •i � N � Q m � .l-.Z Sf1N�W ..Q. � � � U � K m I,6-.l Sf1NlW „0. I �i � � � U � � a m � Q � � Q m s � a � u U 3 O � J w o � � a Z 4 o r � a w N o�'�" a e a i a�v' >r wo c� rc i��-.� �a • a m - W Z w �� �.�.. 2� p V m p� .� U w � �` N w � o Z w Q y3j � C la/1 a� M �� � x a� � o� i � a C � a z 3 a V rc � a w V N � C a o a c�-i� a n m �n �� � in. - W zz a m� mw ao ��oo � w� wa '^04 y"i uii o Nm u a z€ '�a a wo4 ay" mc� ? W W a4 wo Qo � � c'� i � � o'�" �o ? "'oo m�o� i �a �� oN �o �o �z�a h� o a�n c��.�,w � m ��a °°�w n �a� i� Na �m� a� W so x'a � � d•i 2N OG2 V Q� Qo �� c�-i � rc c�-ioi o0 o�u�� aa\ i �n �� �a zoa$�w o cin ��n � o ai o� irc o w o w? � fni �'u�i z Wo z��.,'^ k' i�z� �o�+� rca��i��i rc"� woca.� � � � ar a o� � sz �uia� ci�oa in �na Ga aa'am � iz� iz� rc x m a� � s rc �$p., �i� a�mi oox o�.,� a aF � zm s� w-�a -�a � s��i� a�o a i� � ai.�o a� �rcu'o � a s� 4» �".,o w5"a �n� � s�u 3 i 400 �oo i _ H n a in �a n m rn � 7 � .Z-,l Sf1NIW „0. ol � Y � � Q m �f .0-.l �^ :.o I � � N � I _ Q � m � .�f_.� 1 � � 0 N m a `� a N � a a a m " � � � .11 � = i(I 'I � N j � a m ` aw� � o ,_, �� 3 �aUl�/Z� O a Z N a o W U H i� � maZw ` cn ozo� � a I I � 2Q6U a R 0] W�WpK O] " .4-.l e �n �o �3 N N � a � N � a a' a v' U1 w aa �a m� aa m -- �- ����• o` o00 __o_o;� „• - � IF�1 I a a � � � � I ' � •' ' � � rcrcs~aass� � "'���ttzwa � v oawp�w"'s a � i �pzo���a N U �nvi jJ ' 'a � uai a a 33uiu� � mu o033 rcw m mmmm��>j� � � ,4 Sf1NIW „0, Li �L � � a m � o_ Z � � 0 a a �' U 2 O Jj • � �I � L�'.- i ..•...:. � � J N � Q m .I y=, I I•'I � � N d' Q m I `_I � N � �� � � � N K .0-.� a m � � � O � � N a N w �-' ¢ Q a m� ••\\\ � \ ��� �� ' . ��� 1 ••♦• 1 `\ 1Q310N xei �x `� a N�Y1 e-,l �� 2 2 o n � oa4 oi��w � ���si oa�o - a w�'=vi"io s J"' Y� N� N � Z m ��m=m 3 00 � � O � o m � cn ; � , ¢ � m I.o�-.z I � � 0000-� s�Nawanox�r�i �vx�is �iaavxs aHv'NouvNi�m�i `al���in'a�vnuvxa'�K�nva QdO�I S�TJiH �IH'T'i�7T � p� i�Fw� Nc om r o � 'Y' � ��QzzrFio���z� oa � �3; - Q ,�8`0 0 -so oQ gQ� ��� C^ - _ � �z '� - do �6�z�z°w�aw�i_= o�rx _� I�� _- p zW Q 3 '�� 'Z Ol- q n a opw WOw��zua�m� � w� �z � a k' V �� [ra r,� z NOQ ��auy Jw° Z - w �-1 dJ Q� Q WW K"3 �� �a ���wOaoFwY �rc � C - H �q Q Q aYoio iQ aa� ` " ���� ��� � � q �' o D C7Q � ��� a�Q�Nzi�z�G�";�oo�� ���w ?�= ,- o - �' � x pv� W�.,dj ��wF-� _ � DOo3 � w a" ooiro"maz��z����ra�a �'x 9Ps`''��, w z __ v �� yaF v� mr�OC� � O �LL Z a o° wzQz�a wzoa���� � w6 J =: o �- �� z wri �CO "'1'So�.,z ' � o Wvl u, o�z3ww � o°�G�ww�����w oww �' � w - 3¢ zti � �wqZ � � � w ° �_��¢`��w�~�o��z����azw zoo � �`�� � � H O� 'T'� x�Z'2' � W'r. J `'�owa°z�o°��z;����=Oo=r� �rz „� _ ' � � O F"P�.. 7.�1 P..'�2'C7 0 1 >mQ JQ x.� oozm ua� �..., a u� R w� �a W FO W zW � n LLZ a�Q�=�°�a��� ���"offi�soa xa° � v° _ c � H oH WH wF-�� � N� z�O��o�oo�m��w�-�.�r ` W N _ v� za. 06 � > gda��z�WaW c a � O ,-�i�Q �> x� � � ��o °' apoaN�=oa�oawo�w � � � �v � � w �O`�� `�=�zGa°uaz�Qa� � �Ewwa=°a�o�o°�Ez'" m�NzF�o�,� -�'" zw Q � � " QQ44 � �u�r�oz¢�onna¢m~LLz'�a�o0aw0"' ..4? � � � W � 3 � d Fuuarc � - �r. _ __'.t_r�.�_ F" i � ' I II /jll � -- I YI o Q - Q I� `z� r -~ I - � P � , , , , , , , , , , � Z u_ �inx�u�i owu�w � � � ry i Z �rin I a,. --_ __ ' _ ' _ _ � wF'� I � � � ', , , _ > . . z�tuo y , � Z @Ja , . . , I � W a �a°�sw ' , � 2j ', , ', uwe�„ I I i. - , , � zxa� � I ��I ¢' o� - � - - - V x o a u �- �� I. I ��I II rt� _ W� u �,, ', , ', ', Fw�o I� "Q I n J =� I4 I �l-� � � i �� o � o � �� l; F+ � � I � `� a w , , , , , � � � I II TI il II I� � ___ I' - ' - ___7 � o 0 i I � , I. I I I . , I . I. , � �' I � �i �, „ „ „ � , � I � j I 'r I I'I ' i , I rti � ; -- � � ee j �r �II�I ii � ' � �� � i� ° � �� �I I i0 � -- � �I � i��_� ` Q � �� .. � � _ �_��I�� � � , , � , , - wF I. J I W i l I ' '______ '_- _ I II W � I I �zl . _ �� Y �+ � I �� x � , , . . � � . , , , ' r z__ -_ oa I , � � a .. I�I �z _ __ r� - .. �accoc - wia'aoad � II ' E�'ts9 = ino y ao � �i �. =� HWSS'tlld �9'415 -- -- v�-�,3�viz :1Jntl15NOJ II�, � 8 3NIl t13M35 AtItl11Ntl5 II m .8 'dOild ON3 [E'90+E V15 80'L69 = lj 55 0 I_ M I'��, IL - Z U _ 09'LOL � l93 m � J p 6.50' � w � ,, I � _ N o 3 ', ', � - � p ^ I � Y i � I � , I I K i I ,�� � � � o x ', F �y � I a ' 80'S69 = lf SS t I lo il 'I �I __-- Z o ', ', � � _ � ? N bb'90L = l'J3 �,, I = I�Q'_ _I_- _ _ ' '__._ I ' go ��,��, -- �� �I � � �� —� _ �'� �'� wo io I — t � y = - �� _ „ I 3 °1 , , 80'E69 55 0 a o - a oZ O a I 3 "' a — �� L w � + li � _ , � + � Ir �'� Lb'SOL � l`J3 ry � -��i I W II � I - - _� _ , -� x I � �ot+� O� � 8 ��rv°� � wU' 2J u�i J .0 'u rF'6"z�w � III W ` ` / oo � J W x I \ aONa�zw I � I I � _ Zb'b�L � WIU'dOHd � Si'[69 - 1f10 �J I I z L['[fi9 � NI �J '� HW55'tl10 ,b'O15 A �/ OOu' ,� �1Jf1tl15NOJ si��69 = lf SS � b0'Z5+[ V15 £ � a � �; 86'EOL = l'J3 ry i ,. z� F x I u� . II OO+I� F I I �I � I i^ � ' `� R I Q �� , � W _ 1 6E'b�L = WIH 'dONd E I w II I y LE'ZOL = WIU '151X3 � m i U w dw l6'069-y � I�- I I� i I � z ��~- N N J HW55 151X3 ` O1 1J3NNOJ �� v w _ ,rc 9 3NIl H3M35 AHVLNV$ I~.r, I � I mw e y�� a Y O pQ „8'dONd NI938 � I uZ � I 3 I�I I ' w � � aw I � �"' �i�z Q 6 d� HWSS'Ydtlb'Vl�'151X3 06'�69-1j 55 0$ �x � I Y IW��� -� �= _� - jOlN3W15f1'OViIOfVW ' .n I �Q aQ - i I , _ D�zp ' � 00�"VIS Sb'ZOL=I`J3+r �w I ^ rF� �� O� �- �-=c� _�_�� ~R =i =�� - , , ,:' ; ,:�ww�Nr N �LL � - '-� - � � _ �� w> � . � o.o � x� � �I � �����a�o o �c�T�ow o m � , p ����__ , � _ _ -----; � � � a�oQ�o�� w- _- _ _- � � , � �m�����e� , �� L _ , �� � i � w_ � � I, I i , , �. i 6 �+ i � - i � _ � I�I I� i � S wwe .a�i .n�� w•.rwei w a...e ae.lea r. . �v. � dvuaaeue���wf-�m�:v"� _ _ _ _ _ HS �O��zcw � .n en �+ppWmm� � J Fo�� �o��r��, Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Keller Hicks Ph 2 CA #2 M&C: N/A CPN: 103276 Date: 9/25/2025 � � � � � � � � : � � � Name Mitch Aiton Justin Blair Buddy Phillips - Inspector Raul Lopez Lissette Acevedo Patricia L Wadsack Lauren Prieur Doug Black Jesica McEachern Jannette Goodall TPW Contracts CSO: 63334 Department Initials TPW - Signature "�`` M/ McClendon - Signature JB �� TPW - Signature �_ddy�,,,,,F� TP W - Signature � � TPW - Signature � TPW - Signature p(�� TPW - Signature ° Legal - Signature po��,a=a,a�k CMO - Signature � CSO - Si�nature DOC#: N/A Date Out 10/22/25 10/22/25 10/24/25 10/24/25 10/28/25 10/29/25 10/30/25 10/31/25 11/05/25 11/06/25 CC: Program Manager, Sr. CPO, TPW BSPAP Recon Team, TPW Records Room, TPW Contracts 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, Jay will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES �No RUSH: ❑YES �No SAME DAY: ❑YES �No ROUTING TO CSO: �YES ❑No NEXT DAY: ❑YES �No Action Required: ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested � For Your Information � Signature/Routing and or Recording � Comment ❑ File Return To: Please notify TPWContracts(u�fortworthtexas.gov for pickup when complete. Call ext. 7233 or ext. 8363 with questions. Thank you! F�RT ��RTH�} City Secretary's Office Contract Routing & Transmittal Slip ContraCtor's Name: McClendon Construction Company, Inc. Subject of the Agreement: Please see justification on construction allowance. M&C Approved by the Council? * Yes ❑ No 8 If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes ❑ No 8 If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes 8 No ❑ If unsure, see back page for permanent contract listing. Is this entire contract Confidential? XYes ❑ No 8 If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: If�different from lhe approval dale. Expiration Date: If applicable. Is a 1295 Form required? * Yes ❑ No � *If so, please ensure it is attached to the approving M&C or attached to the contract. Proj ect Number: If applicable. 103276 *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes 8 No ❑ Contracts need to be routed for CSO processin� in the following order: 1. Katherine Cenicola (Approver) 2. Jannette S. Goodall (Signer) 3. Allison Tidwell (Form Filler) *Indicates the infor7nation is required and if the information is nol provided, the contract will be returned to the department.