HomeMy WebLinkAbout064475-A1 - Construction-Related - Contract - D.R. Horton - Texas, Ltd.Date Received: O1/07/2026 City Secretary Contact No.: 64475-A1
Time Received:
9:35 a.m.
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NUMBER 64475
A COMMUNITY FACILITIES AGREEMENT BETWEEN
THE CITY OF FORT WORTH AND D.R. HORTON — TEXAS, LTD.
This FIRST AMENDMENT TO CITY SECRETARY CONTRACT NUMBER 64475
("First Amendment") is made and entered into by and between the City of Fort Worth, a home-
rule municipal corporation of the State of Texas ("City"), and D.R. Horton — Texas, Ltd., a Texas
limited partnership ("Developer").
WHEREAS, the City and Developer entered into a Community Facilities Agreement for
the construction of public infrastructure Improvements for a project generally described as Lone
Star at Liberty Trails Off-Site Water Main, City Project Number 105846 ("CFA"); and
WHEREAS, on December 9, 2025, the Fort Worth City Council approved M&C 25-1166
authorizing an amendment to the CFA to increase City Participation in an amount up to
$374,363.01 and decreasing developer participation by $325,446.56 to correct an error in the
calculation of the costs between the City and Developer; and
WHEREAS, City and Developer desire to amend the CFA to reflect the revised cost share
for the CFA;
NOW THEREFORE, City and Developer, acting herein by and through their duly
authorized representatives, enter into the following agreement, which amends City Secretary
Contract No. 64475:
1.
The fifth recital of the CFA is amended in its entirety and read as follows:
WHEREAS, the City desires to participate in this Agreement in an amount not to exceed
$1,413,057.41 to enlarge the scope of the Improvements beyond what Developer is responsible for
constructing by oversizing an 8-inch water main to a 24-inch water main as authorized by City
Council through approval of M&C 25-0970 on October 21, 2025 and M&C 25-1166 on December
9, 2025 ("City Participation"); and
2.
The sixth recital of the CFA is amended in its entirety and read as follows:
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NUMBER 64475
A COMMUNITY FACILITIES AGREEMENT BETWEEN
THE CITY OF FORT WORTH AND D.R. H TON — TE�1�S, LTD.
OFFICIAL RECORD
CITY SECRETARY
FT, WORTH, TX
Page 1 of 8
WH REAS, the City Participation includes reimbursement to Developer in amounts not
to exceed $1,227,646.98 for construction costs, $ll5,840.00 for design costs, $4,097.70 for IPRC
plan review fees, $6,151.14 for public bid advertisement costs, and $24,552.94 for material testing
costs. The remaining City Participation in the amount of $34,768.65 shall not be paid to Developer,
but will be used by City to pay for the City's portion of construction inspection service fees,
administrative material testing fees, and water lab testing fees; and
3
Section 37, subsection (a) of the CFA is amended in its entirety to be and be read as follows:
37.
City Participation; Fiscal Funding Limitation.
(a) The City shall reimburse Developer in amounts not to exceed $1,227,646.98 for
construction costs, $115,840.00 for design costs, $4,097.70 for IPRC plan review fees,
$6,151.14 for public bid advertisement costs, and $24,552.94 for material testing costs. For
eligible reimbursable material testing costs, Developer will provide City with an invoice
after the project has been completed and accepted via email to Development Services —
Water Section, Attn: Development Project Coordinator at DSWS@fortworthtexas.gov.
The remaining City Participation in the amount of $34,768.65 shall not be paid to
Developer but will be used by City to pay for the City's portion of construction inspection
service fees, administrative material testing fees, and water lab testing fees. During
construction of the Improvements, Developer will receive applications for payment from
Developer's contractors. Developer shall verify that each application for payment is due
and payable under the construction contracts between Developer and the contractors and
that the Improvements that are the subject of the application for payment have been
constructed. Developer shall submit payment requests to the City, in the form of an invoice,
no more frequently than 90 days to obtain reimbursement of the City Participation (each a
"Payment Request"). Each Payment Request shall be delivered to the City utilizing the
City's eBuilder software application and the spreadsheet approved by the City. Each
Payment Requested submitted by Developer shall be accompanied with proof that: (1)
Developer has paid the contractors for the amount included in the Payment Request; and
(2) an aff"idavit and lien release from the contractors indicating that Developer has paid the
contractors in full for the amount included in each Payment Request and the contractors
have paid all subcontractors and material suppliers in full. Developer must register as a
vendor of the City in order for the City Participation to be paid to Developer. The cost of
any charge orders must be agreed upon in writing by the parties and the party or parties
bene�tting from the change order must pay the costs as outlined in the written change order
signed by the parties. The City Participation for construction costs was calculated as
follows:
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NUMBER 64475 Page 2 of 8
A COMMUNITY FACILITIES AGREEMENT BETWEEN
THE CITY OF FORT WORTH AND D.R. H TON — TE�1�S, LTD.
Proiect Item Infocma[ion
Bidlist I Descnp�on
I 1 0_'31.1106 16" Pressure Plue
� 2 02d1.1109 24" Pressure Plue
I 3 02d1.1115 d"-1_'"PressurePlue
I 4 3305.0109 I'rench Safen�
I 5 330�.0110 tiRlin�lfarkers
I 6 330'.1003 _'0" Casme B�' Open Cut
I 7 3305.1007 i_'" Casme B�' Open Cut
I 8 3311.0001 Ducdle Iron Ul'ater Frttings e•� Restramt
I 9 3311.0241 8" �Yarer P�pe
I 10 3311.0_'S1 8" DIP l�l'ater
I 11 3311.0�1-11 1'.. ll'ater P�pe
I 12 3311 D511 16" lFater P�pe (Reshained Jomts)
I 13 3311.0631 29" lFater Pipe
14 3311.0611 '_4" R'ater P�pe (Restrained Jo�nts)
15 3311.0618 29" ll'ater P�pe. CLSbi BacYSll (Restramed ]oints)
I 16 3311.0653 '_4" DIP Ul'ater (Restrained Jants)
I 17 3311.0001 Fire Hcdrant
I 18 3312.0108 Comectio¢ to Eustine _'4" llater �Sain
I 19 331'_.1005 4" Combinanon e1u Cahr Asxmbb' for Ul'ater
ISpecifica¢on Secdon Vo. I Cmt�f IBid Quannn�
UNIT I: WATER IMPROVEMENTS
0_' �11 I3 EA 1
0_' 41 13 EA 2
0_' 41 13 EA 5
3+ OS 30 LF 6191
33 0' _'6 LS 8
33 0' _'_' LF 20
33 OS _'_' LF 20
33 11 11 TON 13
331110.33111_' LF 243
3i 11 10 LF 30
331110.33111? LF 153
331110.33111? LF 166
+31110.331112.331113.33 LF 3203
11 1l
331110.33111_'.331I13.33 LF 2356
11 14
331110.33111_'.331113.33 LF 10
11 1�1
i. 11 10 LF 30
3+ 1_' a0 EA 2
3312?5 EA 1
33 1'_ 30 EA 4
20 33 L' 3003 8" Crate Fake
21 331 ] 3003 1_'" Crate Falce
22 3312.3006 16" Crate Falce u�; Vault
23 33123008 '_S" Cn[e Falce µ�- Vault
24 331?.6003 8" Blmv Off Vahr
25 313 ±.010] hied�� Stone Rprap. �outed
26 9999.00OOti¢classiSedEua�zdon
27 9999.0001 Sta6iLzed Coaswcho¢ Entrance
28 9999.000_' Silt Fence
29 9999.0003 Stoce O��erflow� Swcnue
30 9999.00OS Inlet Protection
31 9999.00Oi 18" RCP Class G
32 9999.0006 Remo�x Section of Ec. Fence and Replace �vrth Gate
IDe�rloper Cost (_'7.6°�e)
33 1? _'0 EA 3
33 1_' 20 EA 3
33 11 ?0 EA 1
3i L 20 EA 5
3i 1? 60 EA 2
31 37 00 SY 12
99 99 99 CY 3598
99 99 99 SY 110
99 99 99 LF 3691
99 99 99 EA 4
99 99 99 EA 1
99 99 99 LF 288
99 99 99 EA 2
TOTAL UNIT I: VlATER IMPROVEMENTS
If�167998A2 I Gn�Cost(?2.1°e)
�i
B�dders Roposal
i:nrt Pnce I B�d Value
53.+68.00 51.368.00
$2.428.00 54.856.00
$816.00 5�1.080.00
51.00 56.191.00
$206.00 S1.N8.00
$239.00 5�.780.00
$465.00 59.300.00
$9,729.00 S1?6.�77.00
$118.00 S_'8.673.00
$140.00 Sa.?00.00
$147.00 S_'2.491.00
$161.00 S_'6.726.00
$125.00 i100.375.00
$215.00 5506.530.00
$792.00 57.920.00
$412.00 Sl? 360.00
$10,873.00 S_'1.736.00
$6,081.00 56.081.00
$24,767.00 599.068.00
$2.597.00 57.791.00
$4.172.00 SS?.516.00
$25,101.00 S_'S.101.00
$43,820.00 S_'19.100.00
$20,064.00 130.L8.00
$182.00 f2.1B-t.00
$14.00 550.3P_.DO
517.00 51.870.00
$2.00 57.382.00
$1.650.00 56.600.00
$150.00 5150.00
$79.00 S2_'.i5�.D0
$2.409.00 5�.818.00
51.695,645.00
Sl?27.616.98
Section 39 of the CFA is amended in its entirety to be and read as set forth in Exhibit A of
this First Amendment, which is attached hereto and incorporated herein by reference.
5.
a. All other provisions of the CFA, which are not expressly amended herein, shall remain
in full force and effect.
b. All terms in this First Amendment that are capitalized but not defined shall have the
meanings ascribed to those terms in the CFA.
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NUMBER 64475 Page 3 of 8
A COMMUNITY FACILITIES AGREEMENT BETWEEN
THE CITY OF FORT WORTH AND D.R. H TON - TE�1�S, LTD.
IN TESTIMONY WHEREOF, the City and Developer have executed this instrument by
their duly authorized representatives to be effective on the date signed by the City's Assistant City
Manager.
CITY OF FORT WORTH
,�
Jesica McEachern
Assistant City Manager
O1/06/2026
Date:
DEVELOPER
D.R. Horton — Texas, Ltd.
_ '��
Justin Bosworth
Assistant Vice President
O1/05/2026
Date:
Recommended by:
�NIc� c��o1��
Dwayne Hollars
Sr. Contract Compliance Specialist
Development Services
Approved as to Form & Legality:
,
;'� � � ��/ =� � �
.- <
ContNact Compliance ManageN:
By signing, I acknowledge that I am the
person responsible for the monitoring and
administration of this contract, including all
performance and reporting requirements.
Kandice Merrick
Contract Manager
Jessika Williams
Assistant City Attorney
M&C No. 25-1166
Form 1295: 2025-1305258
�n�n
ATTEST: pO� F�Rr``a�d
a''° ��.id
�o
P�a*o�* �
�\�tic-z�s� � J b$--�-'� ddp� nEXAsoa
C
Jannette S. Goodall
City Secretary
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NUMBER 64475 Page 4 of 8
A COMMUNITY FACILITIES AGREEMENT BETWEEN
THE CITY OF FORT WORTH AND D.R. HORTON — TEXAS, LTD.
Exhibit A
39.
Cost Summary Sheet
Project Name: Lone Star at Liberty Trails Off-Site Water Main
CFA No. 25-0162
Items
A. Water and Sewer Construction
1. Water Construction
2. Sewer Construction
Water and Se�r Construction Total
IPRC No. 24-0193 Ciry Project No.105846
Developer's Cost City's Cost Total Cost
B. TPW Construction
1.a Street Paving
1.b Street Paving - Adjustment for Paving by Tarrant County
2. Storm Drain
3. Street Lights Installed by Developer
4. Signals
TPW Construction Cost Total
Total Construction Cost (excluding the fees)
Estimated Construction Fees:
C. Construction Inspection Service Fee
D. Administrative Material Testing Service Fee
E. Material Testing Cost Contingency
F. IPRC Plan Review Fees
G. Public Bid Advertisement Cost
H. Water Testing Lab Fee
I. Design Services
Total Estimated Construction Fees:
TOTAL PROJECT COST
Financial Guarantee
Bond = 100%
$ 467,998.02 $ 1,227,646.98 $ 1,695,645.00
$ - $ - $ -
$ 467,998.02 $ 1,227,646.98 $ 1,695,645.00
$ - $ - $ -
$ - $ - $ -
$ - $ - $ -
$ - $ - $ -
$ - $ - $ -
$ - $ - $ -
$ 467,998.02 $1,227,646.98 $ 1,695,645.00
$
$
$
$
$
$
$
$
$
I$
11,643.75 $ 30,543.75 $ 42,187.50
1,331.15 $ 3,491.85 $ 4,823.00
- $ 24,552.94 $ 24,552.94
1,562.11 $ 4,097.70 $ 5,659.81
2,344.91 $ 6,151.14 $ 8,496.05
279.45 $ 733.05 $ 1,012.50
44,160.00 $ 115,840.00 $ 160,000.00
61,321.37 $ 185,410.43 $ 246,731.80
529,319.39 $1,413,057.41 $ 1,942,376.80
Amoun t
467,998.02 X
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NUMBER 64475 Page 5 of 8
A COMMUNITY FACILITIES AGREEMENT BETWEEN
THE CITY OF FORT WORTH AND D.R HORTON — TEXAS, LTD.
�ITY ��IUMCIL �ICENDA
Create t�Jew From This MS,�
[}ATE; 1�P9�2�}25 REFER.Ei�CE
tJ �3..
CODE; C TYPE:
��Ml�� �� IL�� h�A�N1E;
1166
C.r`I �r a � i:r �:1 [''r r. :Y ::. � �:� .'rs:fl'. I er.e!�
Fo�r��i�ri�
��
�OLONE �T�R LIBERTY
TF�A,I LS CF,�4 AM E N[]M�hIT
PUBLIC
�[�N�E�JT HEARING: ��
SUBJE�CT: (ETJ NearCD 1Q},�utharize Ex.ecution af Firs[An�endn�ent ta a CQnimt�nity Facilities
�greement with D.F�. Ht�RTO�J - TE3CA�S, LTD., Increasing �ity ParticipaCi�n irr an ,4mount
Up tc� �3�4.3�3.Q1 and Qecreasin€� D�evel�per Partici�ati�n f�y $325,�46.�� far the
Camrnunity Fa�cilities A�re�ment-L�ne �tarat Lil�erty Trail Proje�t; AUth�ori�e a 1�Vaive�+�f
th� C�rnrnunity Facilities A,gre�enient Amendment Fee, and �,dc�pt,4�pr�priatian
U��inane� [�a Effect a Pa�tiart of W�ters ��ontril�uti�n [o the Fiacal Y'e�rs 20�6-
2030 �ap�tal Impro�+erner�t �'rogran�
RE��lr+IN1E�![]C�TIOM:
It is r�ecomm�nd�d that th� �aty �aun�c:il=
1, ,4u�horize execution of th� First Arnendment to a�ammunity Facilities Agreement v�rith D,�.
HORTON - TE�AS, LTD.r increasing City paiticipatian in an amounk up k� $374r363.01 and
decreasing developer paiticipation by $3�5,445,56 For the Corrimunily� Facilities Agreement-
Lone �t�r� at Liberty Tr�ail pr�oject (�ity Project Nc�. 1055�6)r
�, Aukhorize a v,�aiuer oFthe �omrn�uniky Facilities,4greement amendr�rent Fee� and
.�, Adopt the attached appropriation �rdin�nce adjusking e�timated receipts �nd appr�apri�tion;
in the '�'Jater �. �ewer Reuenue �and Ser�ie� �0�� Fund by incre�sing a�propr�iakiflns in the
�ommuniL}r Facilitie� Agreemenk Bu�:ket project {City Pro�ect No. �00001� in the amo�unt af
$374�364,Q0 and decreasing eskimated re�eipt� and appropriatians in the Unspecifies� All-
Fun�d� prajec:t (�ity �roje�k I�o, UNSPE�� by the vam� arnaunt far the purpave �Ffunding the
C�mmuniky Facilities Agreemenk-Lone �kar ak Lib�ity Trail proje�t �City Pr�ject No. 105t�46)
and t� Effect a Poition af Y�dater's C�ontiibuk�on to the Fiscal Yea��s 2�26-t�3Cs C�pital
Imprssvement Pragrarn
IUE.'Dll���[�72A
[�n Qetol�er �1, 2(}25; �1a�}or �nd �ouncil ��,rnmur�icatior� �fiAB��� 2�-Q�7Q, the �ik��r Co�ncil auth�riz�d
tfire exect�tion e�f a C�on7munit�� Facilities Agreement t�FA� w°ith D.R. HORTQhI - TEXA�, LTD., with
�Gity participatian on �e an�ount up t� $1,�81,8�5.97 f�r tfire L+�ne �tar at Lil��rty Trai1 pr�oje�ct and
appropriated (�nds fe�r th� proj��t. Th� percentages +calc�lated in the cast s�are t�l�l�e were incarrect.
The',�`ater D�partrnent is reques[ing t� arnen�d the �F,� k�o irrereas�; th� �it�+'s parti+cipatian in an
arn�ot�nt �up t+� $374,3�3.01 to the Gi[��'s share fe�r ttre water irnprQu�ments and associated cans#n��ti�n
inspecti�rn senwyce fees, administrative mac��ial testin�g s�rvicef�e�s, arrd �rater testint� lal� fe�s.. Ttae
�City's eorat�ngency will als� incr�ase by �43,iG1.56.
The fcallaw�in� ta;�le sh�ws th� �cost sharing breakd+�wr� forthe praject l�etw�n all parti�s=
Publ�lc la•n��ro+remen#s
�U4'ater
��onkingency
�A. ��nstructi�n Inspection Fee
�B_ Adn�in �laterial Testinq Fee
��_'�hrater LaL� Teskinq Fees
Deueloper City Crst Tokal Cost
C�st
�467,�9�.02 $1,�27,6�G.9�8 ��1,69�,645_OU
�a.Q{] �184,1d7.�� S'184,1�T_{]5
�11,64�.7� �3Q,��3.�� �42,18�.��
��1,�31.1� �3,491.�� �4,823_0�
5279.4� �733.G�� $1,0�12_�CI�
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NUMBER 64475 Page 6 of 8
A COMMUNITY FACILITIES AGREEMENT BETWEEN
THE CITY OF FORT WORTH AND D.R HORTON — TEXAS, LTD.
D_ f'��ken�l T�stinq ��oertinqencv �e�st $0.0� $24,���.94 $24,���_94�
1. [�esi�n Services �44,�IE0.0{l �11�,84D.00 ��16[l,0[l0_[l0�
�.Publi�BidAdvertisement �2,3A-�.9�I �6,1�1.14 $8,496_05�
3. IPR� Fees �1,�62.1 �I S4,Q97.70 ��,6�9_81�
����I Costts $529,379,39 $1,597,204.46 52,126,��3.85�
� Num]�ers rouna�ed for presen[ati�n purposes.
FUnding is budgete€� in the Unspecified �.II-Funds Project within th� V4rater 8� S�wer Rev�nue B�nd
��ri�s �Q2� Fund far the purpos� of fundirwg th� �FA-Lone Stara[ Libert,r Trl project.
F�iry� Existin� Aciclitioi7al Pr�jec#
Appropriati�i�s A��pr�pria#i�ii� Tot�1A
�' & � Re�� Bt�nds �eries 2U2�-�6�J22 ��1;222,84�_�0� SO_00 �1,2�2_8�2.00
V4' &� R��� B�nds Series 2�J22 - Fui7d 56020 ��_�]0 ��74,36�_00 �3�4_3G�.O�I
Pfoject T�#al 51,��2,8d2.�0 $374,'fi4.�Q $1,�97.20fi3O�
By approval e�f this �1&�, [he Cit�,r Go�ncil finds that th� waiv�r s�f th� �e�mrnuni[y facilitie� agreement
amendrner�t fee serues a pul�lic purpr�se f�ecause the arnendm�nt allovrs the City to reimburs� the
De+�elaper far a p�rti�n of the Ci[ys sl��re af the �c�sts f�r the project and the praject is f�r the d�sign
and canatruc[iun +�f pul�lic infrastructure that ��rill ;�e owned �nd rnainta�ined by ttr� Gity. Tt3e Gity
Ca�ncil furthe�fln�ds that ad�quate ear�kractual eontral� a��: �in plac� t�o carry out such pu:�lic purpase.
Th�is pra�ect is in th� ETJ near C[� 'i4_
FI5�,4L INFC�RNIATICiM.��ERTIFICAT[�F�:
The air�ctar+�f Financ� +c�r�iFes that funds a�e �urrently availaf�le in the lJnspecified All-Funds praject
within the',�'&� Reu Ban�s �enea 2�22 Fund, and up�an appr�val af the ataav� recomn�end�tians and
adoptian of [he att,ached apprapriatian ardinanee, funds will be availaf�le in the',�'S�S Rev Bands
�eri�s �a2� fun�d far the �F�-Lan� �tar at Lih�rt�r Tri project tc� st�ppor[ the execution of contracc
arnendrnent. Pri�r [o �rw e�cperrditure t��in� incurred, the Wat�r D�epar[menX has the respansi��ility of
verif�}ing �a� availal�ilit�r of funds.
T�D
Fund Depaetrt��ent Accaunt Project Pr�gram Activiry - 8udget R�f�rence #
ID ID Year �Chantfield 2j
FRGM
Fund Department Account Project Program Actiwity Budg+�t � Reference #
ID I� Year ��harxfield 2j
Submitted for �C ity Ma'�a+�er°s Dffi�e by: Jesiea McEach�rn {�8Q4j
Orinin�tiu�n []eaar€m�nt Head:
Additianal Infarrrration C�ntact:
�I�ris Hard�r [502t�j
Suby'4'arg�hese ��af}9)
Melissa Hams �;ao�a�
A�T,4C H M E �lTS
1?55 Fmmi - f7R Hnrtnn - 11-19-:�4 n� {^Fk�+ Irrternal]
� LG�JE STl=.R L4BERTY TRAIL� C�A AMEN[JMEhdT FIQ Tab�e [�h1CF 11 _12.2�i_xlMx {�Fw Intemal}
Amaunt
Amount
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NUMBER 64475 Page 7 of 8
A COMMUNITY FACILITIES AGREEMENT BETWEEN
THE CITY OF FORT WORTH AND D.R HORTON — TEXAS, LTD.
6GLClNE STAR LIBERT'f TRAIL� CFA r+�JIENOMEFdT Fundt+'�ail3l�ilitv.docx {CFW Intemafi
Laree Star at Libertv Traits til3fater Main 1a.31.�5_pdf (Pubiic}
f�RD_A�P k026fR31 - 60LONE STAR LIBERTY TRAILS CFA AMENDMENT.docx {PuWio)
P6S CPM1I 1D5495.�df (CFW Incemal}
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NUMBER 64475 Page 8 of 8
A COMMUNITY FACILITIES AGREEMENT BETWEEN
THE CITY OF FORT WORTH AND D.R HORTON — TEXAS, LTD.
FORT ��RTH�
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: D.R. Horton — Texas, Ltd.
Subject of the Agreement: cFA Amendment
M&C Approved by the Council? * Yes 8 No ❑
If �so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes 8 No ❑ 64475
If so, provide the original contract number and the amendment number.
Is the Contract "PermanenY'? *Yes 8 No ❑
If �unsure, see back page for pernianent contract listing.
Is this entire contract Confidential? *Yes ❑ No 8 If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: Expiration Date:
If different from the approval date. If applicable.
Is a 1295 Form required? * Yes 8 No ❑
*If �so, please ensure it is attached to the approving M&C or attached to the contract.
Proj ect Number: If applicable. 105846
*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 followin� order:
1. Katherine Cenicola (Approver)
2. Jannette S. Goodall (Signer)
3. Allison Tidwell (Form Filler)
*Indicates the information is required and if the information is not provided, the contract will be
returned to the department.