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Home My WebLink About063651-AD3 - General - Contract - 22nd Century Technologies, Inc.CSC No. 63651-AD3 Addendum 3 Statement of Work This Addendum 3 Statement of Work (SO� is made under the terms and conditions established in the MASTER PROFESSIONAL SERVICES AGREEMENT between the City of Fort Worth ("City") and 22nd Century Technologies, Inc. ("Vendor"), the same being Fort Worth City Secretary Contract (CSC) 63651(the "Master Agreement" or "MSA"). This Statement of Work is made for the following purposes, consistent with the services defined in the Master Agreement: Providing temparary staffing services to the City of Fort Worth for the positions listed below. In particular, Vendor shall perform those functions identified below in the Scope of Services, as such services are more fully detailed in the MSA. Section A. Scope of Services & Schedule Department Requesting Position(s): Transportation & Public Works/ Stormwater Management Division Assignment #1 Name of Individual(s) Filling Position (if known): Unknown Position Requested (Must be in Exhibit B of the MSA): ADMINISTRATIVE ASSISTANT # of above Positions Requested: One (1) Projected Start and End Dates for Assignment: Jan. 5, 2026 — August 28, 2026 Anticipated Total # of Hours: 1300 HRS Hourly Billing Rate (Must be in Exhibit B of the MSA): $ 23.40 hourly Total Anticipated Cost: $30,420.00 (SCOPE OF WORK FOR ANTICIPATED POSITION) Individual Tasks —Temp Personnel QA/QC of vendor produced document scans a. Perform quality checking for scanned documents received from vendor, which involves comparing original documents with scans/pdf, and noting errors and documents that need to be corrected. b. Coordinate with other staff and vendor on managing the transfer of documents and scans. 2. Drainage easement research and coordination a. Assess and review archive/historical plats and documents b. Scan/capture easement document c. Data entry of attributes required d. Enter update requests into database for GIS updates e. Perform additional easement research utilizing Tarrant County website and central library location 3. Provide back-up support in contacting customers/residents via email or phone to schedule site investigation meetings for the Stormwater Infrastructure Team 4. Scanning of archived Stormwater drainage and Floodplain documents, comparing to existing documents, other document management and archiving work as assigned. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 5. Report monthly on progress made on scanned document QA/QC, easement data collection, and coordination efforts 6. Additional miscellaneous administrative tasks as needed. Section B. Compensation, Reimbursable Expenses, and Billing Terms: Processing and payment of fees, including the structure of payments and invoicing thereof, shall be in accordance with the Master Professional Services Agreement. The total fee that shall be paid by City to Vendor for these services shall be in accordance with the Master Service Agreement and, specifically, Exhibit "B"- Price Schedule. In submitting invoices, Vendar shall reference the appropriate Statement of Work. Further, the Vendor shall separately list the total amount for fees in which invoices were previously submitted during the then-current annual contract period (either initial term or renewal period) and the total amount of fees for the entire period, including those amounts being requested under the then-current invoice. Vendor shall submit invoices for Fees to Shweta Rao within Transportation &Public Works Department (Shweta.Rao(c�fortworthtexas.�ov) and also submit a copy to the Talent Acquisition Manager in the Human Resources Department, 100 Fort Worth Trail, Fort Worth, Texas 76102. CITY OF FORT WORTH, TEXAS By: �9'��`�� Name: Jesica McEachern Title: Assistant City Manager Date: O1/23/2026 ATTEST: � � .�� By: �, Name: Jannette Goodall Title: City Secretary p O� FORTa�pa q�`" Op.10 ��A *�� * d apa° oeza`ne46 RECOMMENDED BY: /�Q,�..�. %��.:...,,_ B�7:Lauren Prieur (Jan 15, 202611:19:15 CST) Name: Lauren Prieur Title: Department Director VENDOR: a� s� By: Name: Isha Sharma Title: Authorized SOW Signer Date: O1/08/2026 APPROVED AS TO FORM AND LEGALITY: By:��`� �`�I Name: Keanan Matthews Hall Title: Sr. Assistant City Attorney �•i��cyr,».��CK�1:�•� CITY SECRETARY FT. WORTH, TX Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring a11 performance and reporting requirements. l/t'cto� E,tcobealo v�<<o�-,�o� �o.,��,��.z��_��s��s�, Victor Escobedo Talent Acquisition Manager Signature: st��/�� Signature: 0�,�,�.7n a� Email: Stephen.Nichols@fortworthtexas.gov Email: Jennifer.Dyke@fortworthtexas.gov ��RT�OI�TH�� City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name 22nd Century Technologies, Inc Subject of the Agreement: Providing temporary staffing services to the City of Fort Worth M&C Approved by the Council? * Yes ❑ No ✓❑ If so, the M&C must be attachecl to the cont�act. Is this an Amendment to an Existing contract? Yes ❑ No ❑✓ If so, p�ovide the original contract nurnber and the amendment number. Is the Contract "Permanent"? *Yes ❑ No 0 If unsuNe, see back page fo� permanent cont�^act listing. Is this entire contract Confidentiial? *Yes ❑ No ❑✓ Ifonly specific info�mation is Confidential, please list what information is Confidential and the page it is loeated. Effective Date: �/5/26 Expiration Date: s/2s/26 If �different froin 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. *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 nrocessin� 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 �eturned to the department. F�R'� VVURTH� DOCUMENT TITLE: ADMINISTRATIVE ASSISTANT M&C: CPN CSO 63651 DOC #AD3 REMARKS: QA/QC of vendor produced document scans. Provide back-up support in contacting customers/residents via email or phone to schedule site investigation meetings for the Stormwater Infrastructure Team. Scanning of archived Stormwater drainage and Floodplain documents, comparing to existing documents, other document management and archiving work as assigned. Routing and Transmittal Slip TPW Stormwater Manaqement DEPARTMENT 1 2. 3. 4. 5. 6. 7. 8. 9. Isha Sharma isha.sharma@tscti.com Jennifer M. Dyke, Asst Lauren Prieur, Dir. Victor Escobedo Keanan Matthews Hall Jesica McEachern Katherine Cenicola Jannette Goodall Allison Tidwell Vendor- Signature Dir TPW- Initial TPW- Signature HR- Signature Legal- Signature CMO Approver CSO- Signature Form Filler-Upper right corner-first page INITIALS DATE OUT �� O1/08/2026 � O1/14/2026 I �a O1/15/2026 I � O1/15/2026 I KMH O1/15/2026 I KR111 (�111� Ol/23/2026 I cc O1/26/2026 I « au O1/26/2026 I �- O1/26/2026 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 X No RUSH: ❑ Yes X No SAME DAY: ❑ Yes X No NEXT DAY: ❑ Yes X No ROUTING TO CSO: X Yes Action Reauired: ❑ As Requested ❑ For Your Information X Signature/Routing and or Recording ❑ Comment ❑ File ❑ No ❑ Attach Signature, Initial and Notary Tabs Return to: Please call Shweta Rao on ext. 2587 for questions or concerns. Thank you.