HomeMy WebLinkAbout058961-A3R3 - General - Contract - Brightview Landscape Services, Inc.CSC No. 58961-A3R3
THIRD AMENDMENT AND THIRD RENEWAL OF CITY SECRETARY CONTRACT
NO. 58961, A NON-EXCLUSIVE MOW NG AND GROUNDS MAINTENANCE
SERVICES AGREEMENT BETWEEN THE CITY OF FORT W TH AND
BRIGHTVIEW LANDSCAPE SERVICES, INC.
This TffiRD AMENDMENT AND THIRD RENEWAL OF CITY SECRETARY
CONTRACT NUMBER 58961 ("Third Amendment and Third Renewal") is made and entered
into by and between the CITY OF FORT W TH ("City"), a home-rule municipal
corporation of the State of Texas, acting by and through its duly authorized Assistant City
Manager, and BRIGHTVIEW LANDSCAPE SERVICES, INC. ("Contractor"), a Texas
corporation, acting by and through its duly authorized representative.
WHEREAS, the City and Contractor entered into a non-exclusive mowing and grounds
maintenance services agreement, City Secretary Contract Number 58961 ("Agreement");
WHEREAS, the Agreement provides for a primary term of one year, with five (5)
subsequent one-year renewal options;
WHEREAS, the parties exercised the first amendment and first renewal ("First
Amendment and First Renewal"), effective beginning on December 1, 2023; the Amendment to
the Agreement increased the unit prices by 3.5% on all locations in Exhibit B;
WHEREAS, the parties exercised the second amendment and second renewal ("Second
Amendment and Second Renewal"), effective beginning on December 1, 2024; the Amendment
to the Agreement updated the billing address for City Hall;
WHEREAS, the parties desire to exercise the third one-year renewal term ("Third
Renewal Term"), effective beginning on December 1, 2025;
WHEREAS, Contractor requested a unit price increase of 3.0% for wark that it performs
at certain locations throughout the City;
WHEREAS, the Contractor desires to provide certain on-call mowing and grounds
maintenance services far the City in accordance with the terms of the Agreement and this Third
Amendment and Third Renewal; and
NOW, THEREFORE, in consideration of the mutual covenants and promises set forth
herein and other good and valuable consideration, the sufficiency of which is hereby
acknowledged, the City and Contractor agree to renew and amend the Agreement as follows:
I.
The City and Contractor hereby agree to renew the Agreement for the Third Renewal
Term, effective beginning on December 1, 2025 and expiring on November 30, 2026 ("Third
Amendment and Third Renewal").
�FFICIAL RECORD
CITY SECRETARY
Third Amendment and Third Renewal of CSC 58961 FT. WORTH� Ti( 1 of 7
II.
All unit prices in Exhibit B of the Agreement are hereby amended to increase the pricing
by 3.0% for all locations listed below:
58961- 58961- 58961- 58961-
Original A1R1 A3R3 Original A1R1 A3R3 Original 58961- 58961-
West District B�d - 7 Pricing Pricing Bid - 14- Pricing - Pricing - Bid - 21- A1 R1 A3R3
Location �ay - 7-Day - 7-Day Day Unit 14-Day 14-Day Day Unit Pricing - Pricing -
Unit Unit Unit Price Unit Unit Price 21-Day 21-Day
Price price Price Price Price Unit Price Unit Price
First Flight $241.22 $249.66 $257.15 N/A
Park
Hulen Pocket
Park $173.36 $179.43 $184.81 N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A
N/A
R.D. Evans $231.15 $239.24 $246.42 N/A N/A N/A N/A N/A N/A
CC
Ridglea $202.25 $209.33 $215.61 N/A N/A N/A N/A N/A N/A
Library
Thomas $231.15 $239.24 $246.42 N/A N/A N/A N/A N/A N/A
Place CC
Como CC $346.72 $358.86 $369.62 N/A N/A N/A N/A N/A N/A
Anderson
Campbell N/A N/A N/A $462.29 $478.47 $492.82 $462.29 $478.47 $492.82
Park
Arrow S Park N/A N/A N/A $807.00 $835.25 $860.30 $807.00 $835.25 $860.30
Cahoba N/A
Walking Trail
Camp Joy N/A
Park
Casino Beach N/A
(Green)
N/A
N/A
N/A
N/A $1,271.28 $1,315.77 $1,355.25 $1,271.28 $1,315.77 $1,355.25
N/A $577.86 $598.09 $616.03 $577.86 $598.09 $616.03
N/A $1,386.88 $1,435.42 $1,478.48 $1,386.88 $1,435.42 $1,478.48
Third Amendment and Third Renewal of CSC 58961 2 of 7
Casino Beach
(Red)
Chuck Silcox
Park
City View
Park
Como Park
Crestwood
Park
Eastgate Park
Ed K Collett
Park
Falcon Ridge
Park
George
Markos Park
Goodman
Park
Lake Como
Park
Leonard Park
Linwood Park
Malaga Park
Marina Park
Marion
Sansom Park
Meadows
West Park
Monticello
Park
Morris Berney
Park
Mosque Point
Park
N/A N/A N/A $1,155.70 $1,196.15 $1,232.03 $1,155.70 $1,196.15 $1,232.03
►_ ►_
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A N/A
N/A N/A
N/A N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A $1,849.11 $1,913.83 $1,971.24 $1,849.11 $1,913.83 $1,971.24
N/A $346.72 $358.86 $369.62 $346.72 $358.86 $369.62
N/A $288.95 $299.06 $308.04 $288.95 $299.06 $308.04
N/A $202.25 $209.33 $215.61 $202.25 $209.33 $215.61
N/A $202.25 $209.33 $215.61 $202.25 $209.33 $215.61
N/A $577.86 $598.09 $616.03 $577.86 $598.09 $616.03
N/A $462.30 $478.48 $492.83 $462.30 $478.48 $492.83
N/A $1,040.16 $1,076.57 $1,108.86 $1,040.16 $1,076.57 $1,108.86
N/A N/A $173.36 $179.43 $184.81 $173.36 $179.43 $184.81
N/A N/A $924.56 $956.92 $985.63 $924.56 $956.92 $985.63
N/A N/A $462.29 $478.47 $492.82 $462.29 $478.47 $492.82
N/A N/A $346.72 $358.86 $369.62 $346.72 $358.86 $369.62
N/A N/A $173.36 $179.43 $184.81 $173.36 $179.43 $184.81
N/A N/A $577.86 $598.09 $616.03 $577.86 $598.09 $616.03
N/A N/A $1,271.28 $1,315.77 $1,355.25 $1,271.28 $1,315.77 $1,355.25
N/A N/A $404.48 $418.64 $431.20 $404.48 $418.64 $431.20
N/A N/A $346.72 $358.86 $369.62 $346.72 $358.86 $369.62
N/A N/A $288.95 $299.06 $308.04 $288.95 $299.06 $308.04
N/A N/A $202.26 $209.34 $215.62 $202.26 $209.34 $215.62
Third Amendment and Third Renewal of CSC 58961 3 of 7
Oakmont
Park
Oakmont
Linear Park
Ridglea Hills
Park
Ridglea
Library Park
River Bend
Park
Rockwood
Park
Settlement
Plaza Park
Sunset Park
Thorny Ridge
Park
Tim Watson
Park
Walnut Creek
Park
Western Hills
Park
Westwind
Park
Wright-
Tarleton Park
Z-Boaz South
Park
Windswept
Circle Park
Plover Circle
Park
Vinca Circle
Park
Island View
Park
Wildwood
Park
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A $1,849.11 $1,913.83 $1,971.24 $1,849.11 $1,913.83 $1,971.24
N/A $231.15 $239.24 $246.42 $231.15 $239.24 $246.42
N/A $231.14 $239.23 $246.41 $231.14 $239.23 $246.41
N/A $173.36 $179.43 $184.81 $173.36 $179.43 $184.81
N/A $1,386.88 $1,435.42 $1,478.48 $1,386.88 $1,435.42 $1,478.48
N/A $1,155.69 $1,196.14 $1,232.02 $1,155.69 $1,196.14 $1,232.02
N/A $577.87 $598.10 $616.04 $577.87 $598.10 $616.04
N/A $462.29 $478.47 $492.82 $462.29 $478.47 $492.82
N/A $231.15 $239.24 $246.42 $231.15 $239.24 $246.42
N/A $462.29 $478.47 $492.82 $462.29 $478.47 $492.82
N/A N/A N/A $288.95 $299.06 $308.04 $288.95 $299.06 $308.04
N/A N/A N/A $577.86 $598.09 $616.03 $577.86 $598.09 $616.03
N/A N/A N/A $173.36 $179.43 $184.81 $173.36 $179.43 $184.81
N/A N/A N/A $173.36 $179.43 $184.81 $173.36 $179.43 $184.81
N/A
N/A
N/A
N/A
N/A
N/A
N/A N/A $2,311.43 $2,392.33 $2,464.10 $2,311.43 $2,392.33 $2,464.10
N/A N/A $231.15 $239.24 $246.42 $231.15 $239.24 $246.42
N/A N/A $346.72 $358.86 $369.62 $346.72 $358.86 $369.62
N/A N/A $462.29 $478.47 $492.82 $462.29 $478.47 $492.82
N/A N/A $288.95 $299.06 $308.04 $288.95 $299.06 $308.04
N/A N/A $346.72 $358.86 $369.62 $346.72 $358.86 $369.62
Third Amendment and Third Renewal of CSC 58961 4 of 7
Freemons
Park
South
District
Location
Seminary
South
Southwest
Regional
Library
Victory
Forest CC
Firestation
CC
Highland
Hills Park CC
Southwest
Park CC
Worth
Heights
Wedgewoo
d Library
N/A N/A N/A $231.15 $239.24 $246.42 $231.15 $239.24 $246.42
Original 58961- 58961- 58961- 58961- 58961- 58961-
Bid - 7- A1 R1 A3R3 Original A1 R1 A3R3 Original A1 R1 A3R3
Day Pricing Pricing Bid - 14- Pricing - Pricing - Bid - 21- pricing - Pricing -
Unit ' 7-Day - 7-Day Day Unit 14-Day 14-Day Day Unit 21-Day 21-Day
Price Unit Unit Price Unit Unit Price Unit Price Unit Price
Price Price Price Price
$231. $231.1 $239.2 $247.6
15 $239.24 $246.42 5 4 1 N/A N/A N/A
$231. $231.1 $239.2 $247.6 N/A N/A N/A
15 $239.24 $246.42 5 4 1
$346. $346.7 $358.8 $371.4 N/A N/A N/A
72 $358.86 $369.62 2 6 2
N/A N/A N/A �231.1 $239.2 $247.6 $231.1 $239.24 $246.42
5 4 1 5
N/A N/A N/A �1,155. $1,196. $1,238. $1,155
70 15 01 70
N/A N/A N/A $809.0 $837.3 $866.6 $809.0
0 2 2 0
N/A N/A N/A �231.1 $239.2 $247.6 $231.1
5 4 1 5
N/A N/A N/A �202.2 $209.3 $216.6 $202.2
5 3 6 5
Category Description
Irrigation
2 Technician (Basic
Repairs)
2 Licensed Irrigator
(Advanced Repairs)
Third Amendment and Third Renewal of CSC 58961
$1,196.
15
$837.32
$239.24
$209.33
Original 58961- 58961-
Unit Qty Bid - Unit A1 R1 A3R3
Price Pricing - Pricing -
Unit Price Unit Price
HR 100 $65.00 $67.28 $69.29
HR 100
$75.00 $77.63 $79.95
5of7
$1,232.0
3
$862.43
$246.42
$215.61
2 � Irrigation Parts EA 1 N/A
(Mark-up over cost)
Litter Picku
30.00°/a 30.00%
3 p EA 100 $160.00 $165.60 $170.57
4
5
5
5
5
5
5.1
Service (per 1.0 Acre)
On-Call Mowing EA 100 $65.00
(per 1.0 Acre)
Planting Bed HR 100 $55.00
Maintenance
Trimming Shrubs HR 50 $55.00
Mulch Application HR 50 $55.00
Chemical
Application FT Q 20,000 $0.25
(Fertilizer/Pre-Post)
Fire Ant Control HR 50 $55.00
Bed
Materials/Chemicals EA 1 N/A
(Mark-up over cost)
III.
$67.28 $69.29
$56.93 $58.63
$56.93 $58.63
$56.93 $58.63
$0.26 $0.27
$56.93 $58.63
30.00% 30.00%
1. All other terms and conditions of the Agreement remain in full force and effect
except as specifically set forth in this Third Amendment and Third Renewal.
2. All terms of this Third Amendment and Third Renewal that are capitalized but not
defined herein have the meanings assigned to them in the Agreement.
Third Amendment and Third Renewal of CSC 58961 6 of 7
IN WITNESS WHEREOF, the City and Contractor have executed this Third
Amendment and Third Renewal to be effective on December 1, 2025.
CITY OF FORT WORTH
BRIGHTVIEW
LANDSCAPE SERVICES, INC.
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B[J� �an, H, rghdoH J- 9, JO�G I" I' �� _SI',
J
Dana Burghdoff
Assistant City Manager
Recommended:
i�"� �
Dave Lewis, Director
Park & Recreation Department
9.��r�n'�
Jocl McKnight (Jan 5, 2026ll:14:48 CST)
Joel W. McKnight, Assistant Director
Park & Recreation Department
APPROVED AS TO FORM AND LEGALITY:
%�1��✓�
Hye Won Kim
Assistant City Attorney a
a
4FORT n�a
o OFo°° °o !Y dA
PA � � d
ATTEST: °'-'� �p-'°
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aoIlIl nE4pg64�
L
Jannette S. Goodall
City Secretary
M&C: 23-0004 (January 10, 2023)
Form 1295: Exempt
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.
�y„�,�Q , (���
c/
Debarah J. Branch
District Superintendent
Corev M�Cort
BV C reyMCCOM1Jai[,L02u1c.Z,y�.q1CST�
J
Corey McCort
Regional Vice President
�FFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Third Amendment and Third Renewal of CSC 58961 7 of 7
12/19/25, 3:24 PM
ACITY COUNCIL AGEND
Create New From This M&C
F�1RT�'�'URTH
-��
REFERENCE **M&C 23- 13P ITB 22-0208 GROUNDS
DATE: 1/10/2023 NO.: 0004 LOG NAME: MAINTENANCE SOUTH&WEST
DISTRICT MC PARD
CODE: P TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: (CD 2, CD 3, CD 6, CD 7, CD 8 and CD 9/Future CD 11) Authorize Execution of Non-
Exclusive Purchase Agreements with Lawn Patrol Service, Inc, SRH Landscapes, LLC,
Brightview Landscape Services, Inc and Scott Landscape Maintenance for Grounds
Maintenance for the South and West Districts for the Park and Recreation Department in a
Combined Annual Amount Not to Exceed $1,100,000.00 for the Initial Term and Authorize
Five One-Year Renewal Options for the Same Amount
RECOMMENDATION:
It is recommended that the City Council authorize execution of non-exclusive purchase agreements
with Lawn Patrol Service, Inc, SRH Landscapes, LLC, Brightview Landscape Services, Inc and Scott
Landscape Maintenance for grounds maintenance for the South and West districts for the Park and
Recreation Department in a combined annual amount not to exceed $1,100,000.00 for the initial term
and authorize five one-year renewal options for the same amount.
DISCUSSION:
The Park & Recreation Department approached the Purchasing Division to procure an annual
agreement for grounds maintenance for the City's South and West districts. These services will be
used to provide mowing, trimming shrubs, mulch application, fire ant control and irrigation services to
City parks and facilities. In order to procure these services, staff issued Invitation to Bid (ITB) No. 22-
0208. The ITB consisted of detailed specifications listing the locations, frequency, quality, and type of
grounds maintenance to be perFormed. The ITB was advertised in the Fort Worth Star-Telegram on
August 31, 2022, September 7, 2022, September 14, 2022 and September 21, 2022. The City
received nine (9) responses.
Leon's Landscape Services, LLC was deemed non-responsive due to not submitting all documentation
required.
An evaluation panel consisting of representatives of the Park and Recreation and Property
Management departments reviewed and scored the remaining submittals using Best Value criteria.
The individuals scores were averaged for each criteria and the final scores are listed in the table
below.
Bidders
Lawn Patrol Service, Inc.
SRH Landscapes LLC
Brightview Landscape Services Inc
Scott Landscape Maintenance
Prestige Worldwide Services, LLC
GI-Mow
M&C Review
Evaluation Criteria
a b c d Total Score
21.00 12.67 6.00 35.00
19.83 10.67 5.33 20.29
19.83 11.33 5.67 18.78
19.83 12.00 5.67 17.78
17.50 10.00 5.00 22.23
17.50 10.67 5.00 0.00
74.67
56.12
55.61
55.28
54.73
33.17
apps.cfwnet.org/cou ncil_packet/mc_review.asp? I D=30632&cou ncildate=1 /10/2023 1/3
12/19/25, 3:24 PM
L.A.T.E. dba Superior Landcare
Abescape Group, LLC
Best Value Criteria:
M&C Review
17.50 10.00 4.33
17.50 8.67 4.33
Bidder did not meet
X technical points;
therefore, cost was not
evaluated.
Bidder did not meet
X technical points;
therefore, cost was not
evaluated.
a. Bidder's qualifications and references related to the scope of work
b. Bidder's ability to meet the City needs
c. Bidder's availability of resources (equipment,
personnel)
d. Cost of Service
L.A.T.E., LLC dba Superior Landcare and Abescape Group, LLC did not score at least 50\% or more
of the total available points for technical criteria and, therefore, were not qualified to receive pricing
points.
After evaluation, the panel concluded that Lawn Patrol Service, Inc, SRH Landscapes, LLC,
Brightview Landscape Services, Inc and Scott Landscape Maintenance presented the best value to
the City. Therefore, the panel recommends that Council authorize non-exclusive agreements with
Lawn Patrol Service, Inc, SRH Landscapes, LLC, Brightview Landscape Services, Inc and Scott
Landscape Maintenance. No guarantee was made that a specific amount of services would be
purchased. Staff certifies that the recommended vendors bid met specifications.
FUNDING: The maximum amount allowed under this agreement will be $1,100,000.00, however
the actual amount used will be based on the need of the department and available budget. Funding is
budgeted in the City Mowing account within the Park and Recreation department General Fund, as
appropriated.
DVIN-BE: A waiver of the goal for Business Equity subcontracting requirement is approved by the
DVIN-BE, in accordance with the Business Equity Ordinance, because the purchase of goods or
services is from sources where subcontracting or supplier opportunities are negligible.
AGREEMENT TERMS: Upon City Council approval, this agreement shall begin upon execution and
expire on upcoming November 30th.
RENEWAL TERMS: This agreement may be renewed for five additional, one-year terms. This action
does not require specific City Council approval provided that the City Council has appropriated
sufficient funds to satisfy the City's obligations during the renewal term.
ADMINISTRATIVE CHANGE ORDER: 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 as long as sufficient funds have been appropriated.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that upon approval of the above recommendation, funds are
available in the current operating budget, as previously appropriated, in the General Fund. Prior to
any expenditure being incurred, the Park & Recreation Department has the responsibility to validate
the availability of funds.
BQN\\
TO
Fund Department Account Project � Program Activity Budget Reference # Amount
ID ID Year (Chartfield 2)
apps.cfwnet.org/cou ncil_packet/mc_review.asp? I D=30632&cou ncildate=1 /10/2023 2/3
12/19/25, 3:24 PM M&C Review
FROM
Fund Department Account Project Program Activity Budget Reference # Amount
ID ID Year �(Chartfield 2)
Submitted for City Manaqer's Office by:
Originating Department Head:
Additional Information Contact:
Reginald Zeno (8517)
Jesica McEachern (5804)
Reginald Zeno (8517)
Dave Lewis (5717)
Anthony Rousseau (8338)
Maria Canoura (2526)
ATTACHMENTS
.(Dept.) City-wide Mowing Waiver of Business Equity Goal -WN[102764],pdf (CFW Internal)
13P ITB 22-0208 GROUNDS MAINTENANCE SOUTH&WEST DISTRICT MC PARD funds availabilitv.pdf (CFW
Internal)
BrightView 1295.pdf (CFW Internal)
BU080- FID TABLE.xlsx (CFW Internal)
LPS Form 1295 Certificate.pdf (CFW Internal)
SAMs Report BriahtView-Entitvinfo-20221213-112711.pdf (CFW Internal)
SAMs Report Lawn Patrol Service Inc-not found.pdf (CFW Internal)
SAMs Report Scott Landscape Maintenance-not found.pdf (CFW Internal)
SAMs SRH Landscapes LLC-not found.pdf (CFW Internal)
Scott Landscape Form 1295.pdf (CFW Internal)
SRH Form 1295 Certificate 100987876-1 - Executed.pdf (CFW Internal)
apps.cfwnet.org/cou ncil_packet/mc_review.asp? I D=30632&cou ncildate=1 /10/2023 3/3
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1 of 1
Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number:
of business.
Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is
being filed. Date Acknowledged:
g Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
Nature ofinterest
4
Name of Interested Party City, State, Country (place of business) (check applicable)
Controlling Intermediary
BriqhtView Landscape is EXEMPT from this filir�q as we are publicly Traded.
5 Check only if there is NO Interested Party. ❑
g UNSWORN DECLARATION
Nly name is Mike Murphy ,
My address is $49 E DallaS Rd SouthlakP
(street) (city)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in Tal"1'allt County, State of TX
and my date of birth is
, TX , 76092 , Tarrant
(state) (zip code) (country)
, on the � 3 day of December , 20 22
(month) (year)
/ �
Signature of auN'f�Ciz�nt of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.191b5cdc
F�RT��RTHo
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: BRIGHTVIEW LANDSCAPE SERVICES, INC.
Subject of the Agreement: THIRDAMENDMENTAND THIRD RENEWAL OF CITYSECRETARY
CONTRACT N0. 58961, A NON-EXCLUSIVE MOWING AND GROUNDS MAINTENANCE
SERVICES AGREEMENT BETWEEN THE CITY OF FORT WORTH AND
BRIGHTVIEW LANDSCAPE SERVICES, INC.
M&C Approved by the Council? * Yes ❑✓ No ❑
If �so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes ❑✓ No ❑ 58961-A3R3
If �so, provide the original contract number and the amendment number.
Is the Contract "PermanenY'? *Yes ❑ No 0
If �unsure, see back page for permanent contract listing.
Is this entire contract Confidential? *Yes ❑ No ❑✓ If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: 12/1/2025 Expiration Date: 11/30/2026
If different from the approval 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. N/A
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes ❑✓ 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.