HomeMy WebLinkAbout060065-A2 - Construction-Related - Contract - Texas Department of Transportation (TxDOT)Docusign Envelope ID: DBD3C656-F953-4CBB-87B1-F1 F3COA7C9F2
TxDOT:
CCSJ# 0902-90-229 1 AFA ID 1200004032
AFA CSJs 0902-90-229
District# 02 Code Chart 64# 1S000
Project Name Butler Housing Project
THE STATE OF TEXAS §
THE COUNTY OF TRAVIS §
Federal Highway Administration:
CFDA No. 20.205
CFDA Title Highway Planning and Construction
AFA Not Used For Research & Development
CSC No. 60065-A2
NON -CONSTRUCTION
ADVANCE FUNDING AGREEMENT
For
Surface Transportation Block Grant Program
Off -System
AMENDMENT #2
THIS AMENDMENT is made bar and between the State of Texas, acting through the Texas Department of
Transportation, called the "State", and the City of Fort Worth, acting br and through its duly authorized
officials, called the "Local Government". The State and Local Government shall be collectively referred to
as "the parties" hereinafter.
WITNESSETH
WHEREAS, the parties executed a contract on August 24, 2023 to effectuate their agreement to conduct
a study for the project recommendations regarding the Butler Housing areas; and,
WHEREAS, the parties executed Amendment #1 to the contract cn August 8, 2024 to extend the
termination date due to discovery of the regional impacts of the project; and,
WHEREAS, it has become necessary to amend that contract in order to extend the termination date due to
additional transportation alternatives analysis request;
NOW THEREFORE, in consideration of the premises and of the mutual covenants and agreements of the
parties, the parties do agree as follows:
AGREEMENT
The parties agree that the Agreement is amended as follows:
Article 1, Period of the Agreement, is amended to extend the termination date from August 31,
2025 to December 31, 2025 due to an additional transportation alternatives analysis being
requested from the stakeholders which will impact the final deliverables dates.
2. Attachment A 1, Scope of Work, is deleted in its entirety and replaced with Attachment A2,
Scope of Work, which is attached to and made part of this Amendment. The Task Duration
timelines have been changed due to the additional time needed to complete task related to the
additional transportation alternatives analysis of the project OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
A FAA m e n d Page 1 of 2 Rev. 10/03/2024
Docusign Envelope ID: DBD3C656-F953-4CBB-87B1-F1F3COA7C9F2
TxDOT: I I Federal Highway Administration:
CCSJ # 0902-90-229 1 AFA ID Z00004032 CFDA No. 20.205
AFA CSJs 0902-90-229 I I CFDA Title Highway Planning and Construction
District # 02 Code Chart 64# 115000
Project Name Butler Housing Project I I AFA Not Used For Research & Development
3. Attachment A-2, Scope of Work has been revised to include the missing ITD legal verbiage to
the Scope of Work on this contract.
All other provisions of the original contract are unchanged and remain in full force and effect.
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: Signed by:
F1CDASOFDBSC4B6... Signature F4EA53E1 E514427... Signature
Kenneth Stewart
Typed or Printed Name
Director Contract Services Division
Typed or Printed Title
8/26/2025
Date
Jesica McEachern, Assistant City Manager
Typed or Printed Name
Assistant City Manager
Typed or Printed Title
8/26/2025
Date
AFA Amend Page 2 of 2 Rev. 10/03/2024
Docusign Envelope ID: DBD3C656-F953-4CBB-87B1-F1F3COA7C9F2
TxDOT: I I Federal Highway Administration:
CCSJ # 0902-90-229 AFA ID Z00004032 CFDA No. 20.205
AFA CSJs 0902-90-229 I I CFDA Title Highway Planning and Construction
District # 02 Code Chart 64# 115000
Project Name Butler Housing Project I I AFA Not Used For Research & Development
ATTACHMENT A-2
SCOPE OF WORK
Contractor -Related Entity shall perform its work in accordance with Attachment D, Information
Resources and Security Requirements. A Contractor -Related Entity might create, access,
transmit, store, or use Sensitive TxDOT data in a Contractor -Related Entity Environment.
Contractor shall ensure that Contractor -Related Entity Environments comply with the TxDOT
Low Security Baseline with the Sensitive Overlay.
The local government shall conduct a study of the area bound by Commerce Street on the west,
Belknap Street on the north, Sylvania Avenue/Riverside Drive on the east, and Lancaster
Avenue on the south. However, the core study area for project recommendations is the area
including and connecting to the former Butler Housing area bound by 1-30, 1-35W and US 287.
This project will focus on public engagement, needs assessment, concept plan analysis, and a
final report.
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Picture 1: The core study area (yellow) and peripheral study area (white).
Page 1 of 5
AFA NonConstruction Attachment A-2
Docusign Envelope ID: DBD3C656-F953-4CBB-87B1-F1F3COA7C9F2
TxDOT:
CCSJ # 0902-90-229 AFA ID Z00004032
AFA CSJs 0902-90-229
District # 02 I Code Chart 64# 115000
Federal Highway Administration:
CFDA No. 20.205
CFDA Title Highway Planning and Construction
Project Name I Butler Housing Project I I AFA Not Used For Research & Development
This study is the first phase of work as part of a greater implementation project. This phase
includes transportation/land use analysis and engineering. The land use concept will help the
City and partners better understand what suite of transportation improvements are appropriate
and to understand the highest and best land uses in order to maximize taxable value while also
supporting equitable opportunities in housing and economic development.
PROJECT DURATION
This project is expected take 12 months but the contract duration will be for 18 months.
Task 0 - Proiect Manaaement
The CONSULTANT (team) will manage the work outlined in this scope to ensure efficient and
effective use of the team and City's time and resources. The CONSULTANT will communicate
effectively, coordinate internally and externally as needed, and proactively address issues with
the City's project manager and others as necessary to make progress on the work.
1. Managing the Team
2. Communications and Reporting
3. Schedule
4. Progress Reports and Invoices
5. Sub -Consultant Monitoring and Management
Task 0 — DELIVERABLES:
1. Detailed schedule indicating compliance with the 12-month completion timeframe and all
required items within Tasks 0-5.
2. Monthly invoices and detailed narrative progress reports in accordance with City
requirements.
3. Copies of sub -consultant contracts.
Task 0 — DURATION:
1. 22 month duration
2. Anticipated completion: December 2025
Task 1 - Public/Stakeholder Enaaaement
The CONSULTANT will work with the City an inclusive approach to public and stakeholder
involvement. All outreach should be coordinated with the TPW Outreach Coordinator and the
City of Fort Worth's Communications and Public Engagement Department. The public and
stakeholder participation plan shall include but is not limited to the following:
1. Stakeholder Advisory Committee (SAC) Meetings (Minimum of Six)
2. Public Open Houses (Minimum of Four)
3. Targeted Outreach
Page 2 of 5
AFA NonConstruction Attachment A-2
Docusign Envelope ID: DBD3C656-F953-4CBB-87B1-F1F3COA7C9F2
TxDOT:
CCSJ # 0902-90-229 AFA ID Z00004032
AFA CSJs 0902-90-229
District # 02 I Code Chart 64# 115000
Project Name I Butler Housing Project
4. Project Web Site and Other Methods
Task 1 — DELIVERABLES:
Federal Highway Administration:
CFDA No. 20.205
CFDA Title Highway Planning and Construction
AFA Not Used For Research & Development
1. Public Participation Plan, including a proposed public meeting schedule.
2. Any survey, questionnaires, comment cards, letters, and any other materials with
associated feed back/resu Its provided to the City.
3. Study vision, goals, and objectives
4. Meeting materials including marketing materials, sign -in sheets, exhibits, etc.
5. Meeting summaries of each meeting in Microsoft Word format within five (5) business
days of the meeting date.
6. Content for posting on the project website/page.
Task 1 — DURATION:
1. 20 month duration
2. Anticipated completion: October 2025
Task 2 - Discoverv. Existina/Baseline Conditions, and Needs Assessment
The CONSULTANT (team) will collect any data necessary to evaluate existing transportation,
land use, market, and environmental (natural, built, human) conditions within the project study
area. The data collection will pay particular attention to the use of various multimodal
transportation related items such as pedestrian, transit and bicycle facilities, streetscapes and
street sections, and traffic operations, parking, safety, land use market trends, existing built
form/building types, housing, infill development, adaptive reuse/historic preservation, public
spaces and opportunities for economic development.
Task 2 — DELIVERABLES:
1. Existing/Baseline Conditions and Needs Assessment Report
2. Future Volume Diagrams (as appendices to the report)
3. ArcGIS Urban Model
Task 2 — DURATION:
1. 3 month duration
2. Anticipated completion: May 2025
Task 3 - Concept Plan and Transportation Alternative Analvsis
The CONSULTANT shall prepare draft conceptual plans and alternatives based on the existing
conditions and needs assessment. This concept plan shall identify relevant projects and policies
to improve the transportation network, and supportive land uses. When implemented, the
concept plan should enhance mobility, connectivity, safety, and various multimodal travel
options. It should also support economic development in the area, enhance environmental
Page 3 of 5
AFA NonConstruction Attachment A-2
Docusign Envelope ID: DBD3C656-F953-4CBB-87B1-F1F3COA7C9F2
TxDOT:
CCSJ # 0902-90-229 AFA ID Z00004032
AFA CSJs 0902-90-229
District # 02 I Code Chart 64# 115000
Project Name I Butler Housing Project
Federal Highway Administration:
CFDA No. 20.205
CFDA Title Highway Planning and Construction
AFA Not Used For Research & Development
quality, create a sense of place, and provide for a housing mix that meets the needs and goals
of the community. It is important the land use element be based on the susceptibility to change
analysis and market data completed in Task 2. The land use concept will be the basis for
potential zoning implications for the area, transportation improvements, and potential fiscal
impact to the City. Specific concept elements and supporting analysis should include but not
limited to:
1. Circulation and Connectivity
2. Land Use
3. Housing and Economic Development
4. Environment and Place
Task 3 - DELIVERABLES:
1. Completed concept plan report narrative with graphics and methodology.
2. Visualizations for alternatives.
3. Street grid and access alternatives with a preferred approach, inclusive of ped/bike and
transit.
4. Proposed roadway cross -sections.
5. Catalytic project case study with visuals.
6. Land use plan with draft form code.
7. Fiscal impact analysis, and figures for services, jobs and housing creation.
8. Risk analysis for preferred transportation concept (e.g. utilities, topography, etc.).
9. Any raw traffic data should be included in the appendix.
Task 3 — DURATION:
1. 18 month duration
2. Anticipated completion: August 2025
Task 4 - Enaineerina. Proiect Prioritization. Final Report
The CONSULTANT shall create near, short, medium, and long-term projects, and policy
recommendations that are tailored to the needs of the City, partners, and other stakeholders.
Timeframes for the recommendations and implementation strategies are defined as:
1. Project Selection
2. Engineering Schematic Design
3. Final Report, Project List, and Recommendations
Task 4 — DELIVERABLES:
1. Base maps showing the location, layout, and typical sections for each concept
considered (one high resolution, reproducible digital copy).
2. Schematic layouts for roadway and other relevant concepts.
Page 4 of 5
AFA NonConstruction Attachment A-2
Docusign Envelope ID: DBD3C656-F953-4CBB-87B1-F1F3COA7C9F2
TxDOT: I I Federal Highway Administration:
CCSJ # 0902-90-229 AFA ID Z00004032 CFDA No. 20.205
AFA CSJs 0902-90-229 I I CFDA Title Highway Planning and Construction
District # 02 Code Chart 64# 115000
Project Name Butler Housing Project I I AFA Not Used For Research & Development
3. Executive Summary of the study report with its high resolution, reproducible digital copy,
not to exceed five pages. (Word and PDF format) and a one -page front and back project
brief for elected officials and board members.
4. Form -Based Code text and graphics ready for adoption.
5. Catalytic project implementation marketing brief.
6. Twenty-five (25) Hard Copies in Color of the Final Report, Fifty (50) Hard Copies in
Color of the Executive Summary, and Ten (10) Hard Copies in Color of the Appendices.
Final Report should be in 8.5' X 11' format, perfect binding.
7. All data, graphic, photo, model, and other associated native files. GIS data should be
ESRI compatible and include associated metadata. Preference is a file geodatabase
with any defined domains as well as deliver of process to maintain data.
8. Any additional content deemed necessary by the City.
Task 4 — DURATION:
1. 5 month duration
2. Anticipated completion: December 2025
Page 5 of 5
AFA NonConstruction Attachment A-2
ADVANCE FUNDING AGREEMENT - AMENDMENT NO. 2
CSJ: 0902-90-229
PROJECT NAME: BUTLER HOUSING PROJECT
ADDITIONAL ROUTING SIGNATURES
CITY OF FORT WORTH
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.
Armond Bryant l ,A"'K"87 O—t-
Title: Transportation Manager
Email: armond.bryant@fortworthtexas.gov
APPROVAL RECOMMENDED:
de.w,......Z..IL
BY: Lauren Prieur(Aug 29, 202510:09:46 CDT)
Lauren Prieur, Director
Transportation and Public Works
Email: Lauren.Prieur@fortworthtexas.gov
CONTRACT AUTHORIZATION
M & C : 23-061
Date Approved:08/08/2023
Form 1295: N/A
APPROVED AS TO FORM AND LEGALITY:
BY: Douglas Black (Aup 29, 202518:21:03 CDT)
Douglas W. Black
Senior Assistant City Attorney
Email: douglas.black@fortworthtexas.gov
ATTEST AS TO CITY MANAGER SIGNATURE:
�7 nn
X-at& U- u e�2 oQ FONT Il4d
O o �Y Od
BY: ° a
°o os
Jannette S. Goodall
City Secretary oaoa nEXp54gb
Email:Jannette.Goodall@fortworthtexas.gov
Name of Employee/Signature
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
103807-TXFA-Butler Housing Project
Amendment #2
Final Audit Report 2025-09-03
Created: 2025-08-28
By: Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
Status: Canceled / Declined
Transaction ID: CBJCHBCAABAAnUW-DH-LczGPbkXT IIXi9dtxM5fHHXS
"103807-TXFA-Butler Housing Project Amendment #2" History
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FORT WORTH Powered by
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City of Fort Worth, Texas
Mayor and Council Communication
►4 K-102 ;1I I I =1► lei ►41 34;M ONiE:
LOG NAME: 20BUTLER PLACE STUDY AFA & CONSULTANT CONTRACT
SUBJECT
(CD 8, CD 9 and CD 11) Adopt a Resolution Authorizing the Execution of an Advanced Funding
Agreement with the Texas Department of Transportation in the Total Amount of $2,743,253.00 for
the Butler Housing Project Which Includes the City Participation in the Total Amount of
$743,253.00, Authorize Execution of a Professional Service Agreement with AECOM in the
Amount Up to $2,700,000.00 for the Butler Place Study, Adopt Appropriation Ordinances and
Amend the Fiscal Years 2023-2027 Capital Improvement Program
RECOMMENDATION:
It is recommended that the City Council:
1. Adopt the attached Resolution authorizing execution of the Advance Funding Agreement
(CSJ# 0902-90-229) with the Texas Department of Transportation for Surface Transportation
Block Grant Program - Butler Housing project (City Project No. 103807) in the amount of
$2,743,253.00, with Federal participation in the amount of $2,000,000.00 and city
participation in the amount of $743,253.00;
2. Authorize execution of a professional services agreement with AECOM in the amount up to
$2,700,000.00 for the Butler Place Access-Dev Plan project (City Project No. 103807)
3. Adopt the attached appropriation ordinance adjusting estimated receipts and appropriations
in the General Capital Projects Fund by increasing estimated receipts and appropriations in
Butler Place Access - Dev Plan project (City Project No. 103807) in the amount of $95,000.00
and decreasing estimated receipts and appropriations in the Contract Street Maintenance
programmable project (City Project No. P00020) by the same amount, for additional project
costs.
4. Adopt the attached appropriation ordinance increasing estimated receipts and
appropriations in the Grants Capital Projects Federal Fund in an amount up to $2,500,000.00
for the Butler Place Access-Dev Plan project (City Project No. 103807);
5. Adopt the attached appropriation ordinance increasing estimated receipts and
appropriations in the 2007 CritCap Proj-0O2013A Fund in the amount of $650,803.00, from
available funds, for the Butler Place Access-Dev Plan project (City Project No. 103807);
6. Adopt the attached appropriation ordinance increasing estimated receipts and
appropriations in the 2004 Bond-G02013 Fund in the amount of $80,720.00, from available
funds, for the Butler Place Access-Dev Plan project (City Project No. 103807);
7. Adopt the attached appropriation ordinance adjusting estimated receipts and appropriations
in the General Capital Projects Fund in the amount of $50,000.00 by increasing estimated
receipts and appropriations in the Butler Place Access-Dev Plan project (City Project No.
103807) and by decreasing estimated receipts and appropriations in the Transit Initiatives
programmable project (City Project No. P00129) by the same amount;
8. Adopt the attached appropriation ordinance increasing estimated receipts and
appropriations in the General Capital Projects Fund in the amount of $161,730.00, from
available funds, for the Butler Place Access-Dev Plan project (City Project No. 103807); and
9. Amend the Fiscal Years 2023-2027 Capital Improvement Program.
DISCUSSION:
The City of Fort Worth Transportation and Public Works Department along with the North Central
Texas Council of Governments (NCTCOG) seeks to develop a transportation/land use coordination
regulating plan that generally includes the former Butler Place Public Housing Complex, IM Terrell
Academy, and adjacent area. The study will not only provide transportation and land -use
coordination strategies, but develop projects to enhance access and mobility. The project
outcomes outlined in the scope should further advance the City's urban village program and comply
with comprehensive planning goals.
The purpose of this Mayor and Council Communication (M&C) is to adopt a Resolution authorizing
the City Manager to execute an Advance Funding Agreement (AFA) with the Texas Department of
Transportation (TxDOT). The AFA details the responsibilities of both the City and TxDOT in the
development of the project. This M&C also adopts an appropriation ordinance to accept federal
grant funds for the project. Additionally, this M&C adopts an appropriation ordinance to increase
the General Capital Projects Fund. Finally, this M&C recommends engaging AECOM as the
engineer to perform professional services for this project. The AECOM contract includes an
additional $200k to study traffic circulation in areas of Downtown adjacent to Butler Place. This
additional scope is beyond the federal project scope covered in the TxDOT AFA and is locally
funded. It is included in the AECOM contract because it's interrelated to the Butler study scope.
The project is expected to start in summer 2023 and be completed by late 2024.
Appropriations for the Butler Housing project are as depicted below:
Fund
Existing
Additional
project Total
Funding
Funding
31001
- Grants Capital Projects Federal
$0.00
$2,500,000.00 $2,500,000.00
Fund
30100
- General Capital Projects P00020 1
$0.001
$95,000.00
$95,000.00
34012
- 2007 CritCapProj - CO2013A
$0.00
$650,803.00
$650,803.00
34009
- 2004 Bond - Go2013 1
$0.001
$80,720.00
$80,720.00
30100
-Transit Initiatives P00129 I
$0.001
$50,000.00
$50,000.00
30100
- General Capital Projects 1
$0.001
$161,730.00
$161,730.00
Project
Total 1
$0.001
$3,538,253.00 $3,538,253.00
The Request for Proposals (RFP) was issued on November 4, 2022 and was advertised in the Fort
Worth Star -Telegram on November 7 and on November 14, 2022. On December 1, 2022 the
following response was received:
Ranking Order Proposers
1 JAECOM
AECOM was selected as the successful candidate based on the following criteria: previous
experience, effective planning processes and outcomes, project management/availability of
consultant(s), work quality and references, and additional services, ideas, innovation or products.
The solicitation was widely distributed and the sole proposer was deemed responsive and
qualified by the proposal evaluation committee.
MWWBE OFFICE - This is a federally funded project and a Disadvantaged Business Enterprise
(DBE) goal of 8% was established by TxDOT. AECOM TECHNICAL SERVICES, INC. is in
compliance with the City's Business Equity Ordinance by committing to 8% MWBE participation on
this project. The City's MWBE goal on this project is 8%
Funding for this project was not included in the Fiscal Years 2023-2027 Capital Improvement
Program (CIP) because the project and funding sources were unknown at the time of its
development. This action in this M&C will amend the Fiscal Years 2023-2027 Capital Improvement
Program as approved in connection with Ordinance 25773-09-2022.
Funding is budgeted in the TPW Dept Highway & Streets Department's General Capital Projects,
2007 CritCapProj-0O2013A, 2004 Bond - Go2013 and Grants Capital Projects Federal Funds for
the purpose of funding the Butler Place Access-Dev Plan project.
Approval of a recommendation 1 would adjust appropriations between a programmable project
and convert the Butler Place Access-Dev Plan project (City Project No. 103807) into a static
capital project. This action is needed as future funding for Butler Place Access-Dev Plan project
(City Project No. 103807) is anticipated from other sources and the scope of this project differs
from that of current programmable project.
The Butler Housing Project is located in COUNCIL DISTRICTS 8, 9 and 11.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that funds are currently available in the Unspecified -All Funds
project within the 2007 CritCapProj - CO2013A, 2004 Bond - Go2013 and General Capital
Projects Funds and available in the Transit Initiatives programmable project within the General
Capital Projects Fund and upon approval of the above recommendations and adoption of the
attached appropriation ordinances, funds will be available in the Grants Capital Projects
Federal, 2007 CritCapProj - CO2013A, 2004 Bond - Go2013 and General Capital Projects Funds
for the Butler Place Access - Dev Plan project to support the above recommendations and
execution of the agreements. Prior to an expenditure being incurred, the Transportation and Public
Works Department has the responsibility of verifying the availability of funds.
Submitted for Citv Manaaer's Office bv: William Johnson 5806
Oriainatina Business Unit Head: Lauren Prieur 6035
Additional Information Contact: Monty Hall 8662
Expedited
103807-TXFA-Butler Housing Project
Amendment #2
Final Audit Report 2025-09-08
Created: 2025-09-03
By: Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAwDXEz5_hidmNm7cSCttOujZdmCRJp9Ru
"103807-TXFA-Butler Housing Project Amendment #2" History
Document created by Andrea Munoz (Andrea. M u noz@fortworthtexas.gov)
2025-09-03 - 8:26:36 PM GMT- IP address: 204.10.90.100
Document approval automatically delegated to Cristian Chavez (cristian.chavez@fortworthtexas.gov) by
Katherine Cenicola (katherine.cenicola@fortworthtexas.gov)
2025-09-03 - 8:35:25 PM GMT
Document emailed to Katherine Cenicola (katherine.cenicola@fortworthtexas.gov) for approval
2025-09-03 - 8:35:26 PM GMT
Document emailed to Cristian Chavez (cristian.chavez@fortworthtexas.gov) for approval
2025-09-03 - 8:35:26 PM GMT
'_' i Email viewed by Cristian Chavez (cristian.chavez@fortworthtexas.gov)
2025-09-03 - 9:03:33 PM GMT- IP address: 208.184.124.181
-p Document approved by Cristian Chavez (cristian.chavez@fortworthtexas.gov)
Approval Date: 2025-09-03 - 9:06:04 PM GMT - Time Source: server- IP address: 208.184.124.181
Document signing automatically delegated to Katherine Cenicola (katherine.cenicola@fortworthtexas.gov) by
Jannette Goodall (jannette.goodall@fortworthtexas.gov)
2025-09-03 - 9:06:05 PM GMT
Document signing automatically delegated to Cristian Chavez (cristian.chavez@fortworthtexas.gov) by
Katherine Cenicola(katherine.cenicola@fortworthtexas.gov)
2025-09-03 - 9:06:05 PM GMT
Document emailed to Jannette Goodall(jannette.goodall@fortworthtexas.gov) for signature
2025-09-03 - 9:06:05 PM GMT
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Document emailed to Katherine Cenicola (katherine.cenicola@fortworthtexas.gov) for signature
2025-09-03 - 9:06:05 PM GMT
Document emailed to Cristian Chavez (cristian.chavez@fortworthtexas.gov) for signature
2025-09-03 - 9:06:06 PM GMT
3 Email viewed by Cristian Chavez (cristian.chavez@fortworthtexas.gov)
2025-09-03 - 9:06:20 PM GMT- IP address: 208.184.124.181
�-'ro Document e-signed by Katherine Cenicola(katherine.cenicola@fortworthtexas.gov)
Signature Date: 2025-09-03 - 9:12:12 PM GMT - Time Source: server- IP address: 208.184.124.181
Form filling automatically delegated to Elisa Winterrowd (Elisa.Winterrowd@fortworthtexas.gov) by Allison
Tidwell (allison.tidwell@fortworthtexas.gov)
2025-09-03 - 9:12:13 PM GMT
Document emailed to Allison Tidwell (allison.tidwell@fortworthtexas.gov) for filling
2025-09-03 - 9:12:13 PM GMT
Document emailed to Elisa Winterrowd (Elisa.Winterrowd@fortworthtexas.gov) for filling
2025-09-03 - 9:12:14 PM GMT
o Form filled by Allison Tidwell (allison.tidwell@fortworthtexas.gov)
Form filling Date: 2025-09-08 - 4:10:18 PM GMT - Time Source: server- IP address: 204.10.90.100
0 Agreement completed.
2025-09-08 - 4:10:18 PM GMT
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