HomeMy WebLinkAbout059910-CO3 - Construction-Related - Contract - William J. Schultz Inc. dba Circle C ConstructionCSC No. 59910-0O3
FORT WORTH City of Fort Worth
�"�r Change Order Request
Project Name� New Main Street Outfall Storm Drain � City Sec #� 59910 �
Client Praject #(s)� 103666 �
�
Projectl This project will reroute existing storm drain systems and install a new outfall, at 8th st. and Calhoun in preparation for the USACE NoRh Bypass Channel �
Descnption
Contractor�lllilliam J. Schultz� Inc. dba Circle C Construction� Change Order#� 3 � Datel 112712026 �
,
City Project Mgr.� Max Aransen ,P.E. � City Inspector� James Ruiz �
Dept.
Onginal Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
lAmount of Proposed Change Order
Revised Contract Amount
Onginal Funds Available for Change Orders
Remaining FundsAvailable for this CO
TPW
$9,242,595.00
$262,327.00
11.003.227.57
Contract Time
Totals (CD)
$9,242,595.00 365
$262,327.00 153
$9,504,922.00 518
a1,498,305.57
$11,003,227.57 518
$0.00
Addi6onal Funding (if necessary) $1,498,305.57 � � � � $1,498,305.57
CHANGE ORDERS to DATE (INCLUDING THIS ONEJ AS °/a OFORIGINAL CONTRACT 19.05%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $11,553,243.75
JUSTIFICATION (REASONSj FOR CHANGE ORDER
This Change Ortler is foratldifional maferials and associated work that are required due to lhe re-ortlerofthimble malerial for sluice gate resuling In a delay lo the projecl. This change order also
covers additional pipe connections and junction box reworkthat William J Schullz, Inc. tlba Circle C Construction Company needs to perform due to atltlitional untlergrountl utilities encountered in
the field thatwere not identified in the original plans. It also incorporates increased trail quantities, as requested byTarrant Regional Water District (TRWD), to accommodate a wider pedestrian
trail and designated equipmentcrossing paths. Shoring (Item 2) costs were reviewetl againstthe contractor's submitted receipts for manufactured and rented items, which confirm the values
provided. Shoring dewatering (Item 3) was evaluated through detailed labor-hour records, with both equipment and crew time supporting the total cost. The drysidejunction boz modifications
(Item 4) and pipe connection collars (Items 7 and 8) were negotiated between the city and Contractorto a reasonable price. The items forTemporarytrail and fence maintenance (Item 9-0O2),
antl traffic control (Item 35) were existing from previous change orders and thus have ezisting prices. Grass mowing (Item 6) is being paid as a lump sum based on standard rates established in
TxDOT references, making the allowance fairand consistent. Items 6,13, 46, and 9 through 16, covering inlet removals, installations, junction box modifications, RC P installation and removal,
the 24" plug, concrete equipments, placementof rip rap, excavation, sidewalk overrun were directly compared with the original bid item list pricing and proven to be reasonable. For each of the
other majorwork items, we requestetl and reviewed breakdowns of labor and equipment, antl after careful examination and negotiation beiween the contractor and the City, the pricing was fountl
to be reasonable. It is understood and agreed thatthe acceptance of this Change Order bythe contractorconstitutes an accortl and satisfaction and represents payment in full (both time and
money) forall costs arising out of, or incidenfal to, the above Change Order. The ProjectlProgram Manager signing below acknowledges that helshe is the person responsible forthe monitoring
antl atlministration ofthis contract, inclutling ensuring all performance and reporting requirements.
C,aiUac6afs Carpany Name
•P� Ilia,� .. 3�hu � �c. ok•a �� T E�� :;c•��i-. �:i�r
�Ssistant Director (Dept)
..,�:.r..�
Pahicie L. Watlsack (Fab 6, 20261
ATTEST:
Jannette Goodall, City Secretary
n
po� Fopr°�°a
so �ao
°Fa 9ao
Z�o o=d—
p,Q*oo oo,�;
aa4Il nE�Aso4q
Contractor (Name) � Contract
Keegan Jonkers � K�„���°�r
Date Project and Contract Compliance Manager
02/05/2026 --?�•-�•
Date Senior Capital Project Officer
02/06/2026 =�: �'�'—
Date Director, Contracting Department (Dept)
02/06/2026 ��"--
Date AssistantCityManager
02/09/2026
Council Action (if required)
M&C Number � M&C 26-0059 I
Date
02/05/2026
Date
02/05/2026
Date
02/06/2026
Date
02/08/2026
Date
02/16/2026
M&C Date Approved � 111312026�
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Fo r WoarH City of Fort Worth
� Change Order Additions
Project Name � New Main Street Outfall Storm Drain � City Sec # � 59910 �
Client Project # I 103666 I
ConfaGcr w iam J. xhuFz_ Inc_ dka Circk � Cansa�cacn Company PM� Max Aransen, P.E. � Inspector� James Ruiz�
Change Order Submittal #�3 Date L112712026J
[ IItM �ESGRIPIi�iJ
I 6 Uz41.31 U4 24" Storm Abandonment Plug
8 0241.4001 Remove 10' Curb Inlel
� 10 31�s.il�in Unclassified Excavation
4 13 3201 0416 Conc Pvmt Repair, Arterialllndustrial
22 "s"s4y.5001 10' Gurb Inlel
� 35 3471.0001 Traffic control
I 46 y5y9.000a Trail Improvement 6" Concrete
� 9-0O2 Temporary Trail and Fence Maintainance
f
� 1 Thimble Installation
I 2 Shoring
3 Shoring Dewatering
� 4 Dry Side Junction Box Modifications
I 5 Dry Side Junction Box Dewatering
6 Grass Mowing ofArea
� 7 Pipe Connection Gollars on Open Gut
� 8 Pipe connection Collar Engineering
� 9 Modify 6' Junction Box
I 10 Connect to New 48" RCP
11 Remove 15" RCP
12 Install 21" RCP
� 13 Install 12" RCP
4 14 Concrete Equipment Crassing
t 5 Footing for Concrete Trail
� 16 Placement of Rip Rap
f
f
I
l
f
f
I
ADDITIONS
UCYI
irvv
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
TPW
Glty J Unit UnitGost lotal
1.UuuuuuuG EA $4,ouuAl $4,ouu.00
2.0000000d ea $�,5oo.dc $s,uuu.oa
3,500.UUUUUUU CY $35AL "yi�2,�00AU
760.0000000� SY $200.06' $i5z,uuu.0�
2.uuG"u"u"uuu� EA $8,500.0� $17,uuu.00
B.00OOOOOC MO $3,500.0 $29,wu.60
850.uwuuuuZi SF $55.0� $46,75u.00
7.0000000� MO $5,120.00 $35,o4uAU
3.uuuuuuuC� EA $8,585.00 $25,7o�.00
B.00OOOOOC� MO $54,970.00 a43a,760.00
8.uuuuuuu0 MO $30,BC`'J2: �24/,Y1J.85
,.0000000� e,a $�o,�oo.oc $�o,�o�.oa
6.UbbllUUuu MO $19,451.if � io,/11.17
�.0000000G �S $�o,000.oC g�o,uuu.oa
1.uuu""u"uuu"u LS $18,5"[0.2�$18;a[o.25
1.00000000 LS $7,500.00 $7,5uu.00
1.uuuuuuu�i EA $7,504.3( $7,504.30
2.0000000( EA $4,500.00 $y,uuu.00
72.uuuuuuuii LF $75A�
72.0000000(I LF $400.Of $28,ouu.00
16AUOUOuui� LF $4DUA( $ti,vGGAO
960.0000OOO�f SF $110.0( $iu�,ouG.O�
1,126.uuuuuuuu LF $55.0. $62,uvu. 0
40.000OOOOQ CY $250A�$1U,uw.00
Tf�W $1,581,600.57
Change Order Additions Page 2 of 4
Sub Total Additions $1,581,600.57
Fo ��z r Wo�ii City of Fort Worth
—�— Change Order Deletions
Project Name � New Main St2et Oulfall Storm Drain
Client Project # E 103666
CanfaGcr vr i�m 1. xhuFz In_ d6� CiMN � Can=_:r�ci:n Comp�ny
I1 tM Ut�i;iiiP I IUN
41a Slmce Gate Keduction (Ihimble Matenal)
PMI MauAransen,P.E. I
Change Order Submittal # �3
' City Sec # � 59910 �
I,
Inspeclorl James Ruiz �
Date 1I2712026
DELETIONS
UtNi c1ry Unit
i r'vd 1.uuuuUuiiu LS
UmtGost �otai
Ytl;s,ZS$.UU $B,i,LaJ.00
�
�
�
�
�
�
�
� Tf�W
I
I
I
� Sub Total Deletions
Change Order Deletions Page 3 of 4
$83,295.00�
i
I
I
�as,zss.00�
M/SBE Sub
CO #
MISBE for this Change Order
Type of Service Amount for this CO
Previous Change Orders
DATE
10/9/2024
7/25/2025
Total
Total � $0.00
AMOUNT
$25,275.00
$237,052.00
$262,327.00 �
1/21/26, 2:48 PM
CITY COUNCIL AGENDA
Create New From This M&C
DATE: 1/13/2026 REFERENCE
NO..
CODE: C TYPE
**M&C 26-
0059
CONSENT
M&C Review
LOG NAME:
PUBLIC
HEARING:
F� RT'�'�'0 RT I I
-��-
20SW M FW CC NEW MAIN
ST OUTFALL CHANGE
ORDER NO. 3
NO
SUBJECT: (CD 2) Authorize Execution of Change Order No. 3, in the Amount of $1,498,305.57 to the
Construction Agreement with William J. Schultz, Inc. dba Circle C Construction Company,
for the Fort Worth Central City New Main Street Outfall Storm Drain & 8th Street
Project, for a Revised ContractAmount of $11,003,227.57, AdoptAppropriation Ordinances,
and Amend Fiscal Years 2026-2030 Capital Improvement Program
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize execution of Change Order No. 3 in the amount of $1,498,305.57 to the
construction agreement with William J. Schultz, Inc. dba Circle C Construction Company (City
Secretary Contract No. 59910), for the Fort Worth Central City New Main Street Outfall Storm
Drain & 8th Street project (City Project No. 103666), for a revised contract amount of
$11, 003, 227. 57;
2. Adopt the attached appropriation ordinance adjusting estimated receipts and appropriations in
the Drainage Rev Bonds Series 2023 Fund, by increasing estimated receipts and appropriations
in the FWCC New Main St. Outfall & 8 project (City Project No. 103666) in the amount of
$700,000.00 and decreasing estimated receipts and appropriations in the Stormdrain Pipe
Rehab programmable project (City Project No. P00114) by the same amount;
3. Adopt the attached appropriation ordinance adjusting estimated receipts and appropriation in
the Stormwater Rev Bonds 2020 Fund, by increasing estimated receipts and appropriations in
the FWCC New Main St. Outfall & 8 project (City Project No. 103666) in the amount of
$189,079.00 and decreasing estimated receipts and appropriation in the Fort Worth Central
City University project (City project No. 103263) by the same amount; and
4. Amend the Fiscal Years 2026-2030 Capital Improvement Program.
DISCUSSION:
On June 13, 2023 (M&C 23-0473), the City Council authorized a construction contract with William J.
Schultz, Inc. dba Circle C Construction Company in the amount of $9,242,595.00 for the construction
of the Fort Worth Central City (FWCC) New Main Street Outfall Storm Drain & 8th Street project (City
Secretary Contract No. 59910). This contract was subsequently revised by Change Order No. 1
and Change Order 2 as shown in the table below.
This Mayor and Council (M&C) Communication authorizes Change Order No. 3 for additional materials
and labor required to reorder thimble material for the sluice gate, which has resulted in a substantial
delay to the project. This change order also covers additional pipe connections and junction box rework
that Circle C Construction Company needs to perform due to additional underground utilities
encountered in the field that were not identified in the original plans.
It also incorporates increased trail quantities, as requested by Tarrant Regional Water District (TRWD),
to accommodate a wider pedestrian trail and designated equipment crossing paths. If additional
contract days are required, staff will coordinate with the Contractor and memorialize them in a
subsequent change order.
apps.cfw net.org/council_packeUmc_review.asp?ID=34102&councildate=1 /13/2026 1 /5
1/21/26, 2:48 PM M&C Review
The table below is a breakdown of all change orders for this project.
Change
Order
Number
1
2
�3
Chanqe order
Amou nt
$25,275.00
$237,052.00
$1,498,305.57
This M&C
Purpose of Chanqe
Order
Added 128 days in
between the Notice to
Proceed and the United
States Army Corps of
Engineers Package
approval, and turn all
sewer pipes to ductile
iron pipe (DIP).
Added 25 days for the
installation and
maintenance of a
Temporary Pedestrian
Trail.
Additional materials and
labor for sluice
gate. Additional
underground utilities
encountered in the field,
and incorporates
increased trail quantities,
as requested by TRW D.
Appropriations for the FWCC New Main St. Outfall & 8 project are depicted below:
Fund Existinq Appropriations project Total
Appropriations Increase/Decrease
52002-
Stormwater
Capital Project
52007-
Stormwater
Rev Bonds
2020
52008 —
Drainage Rev
Bonds Series
2023
52009-
Stormwater
Commercial
Paper
Total
$2,151,052.00
295,118.37
Date and
Authorization
Type
October 09, 2024
Administratively
July 25, 2025
M&C 25-0554
� ��
9,917,668.00
$12,363,838.37
$0.00 $2,151,052.00
189,079.00
700,00.00
� ��
484,197.37
700,000.00
9,917,668.00
$889,079.00 $13,252,917.37
A portion of funding for Change Order 3 is available within the Fort Worth Central City New Main Street
Outfall Storm Drain & 8th Street project itself. However, additional funds are needed to cover the full
cost, and the funds will be pulled from the Stormdrain Pipe Rehab project City Project No. P00114,
which is used to fund storm drain pipe rehabilitation projects, and the Fort Worth Central City University
apps.cfw net.org/council_packeUmc_review.asp?ID=34102&councildate=1 /13/2026 2/5
1/21/26, 2:48 PM
M&C Review
project (City Project No. 103263) within the Stormwater Capital Projects Fund and 2020 Bond Funds,
respectively, as detailed in the budget summaries below:
Fund
52002-
Stormwater
Capital
Project
52007-
Stormwater
Rev Bonds
2020
52008 —
Drainage Rev
Bonds Series
2023
Total
Fund
30104-
Developer
Contribution
52002-
Stormwater
Capital Project
Existinq Appropriations project Total
Appropriations Increase/Decrease
$9,701,661.37
50, 517.34
3,271,964.66
$13,024,143.37
Existinq
Appropriations
$120,233.40
... 11
52007-
Stormwater Rev
Bonds 2020
Total
255,135.00
$376,034.40
�o.00 �g, 701, 661.37
� ��
($700,000.00)
($700,000.00)
Appropriations
Increase/Decrease
$0.00
1 11'
(189,079.00)
($189,079.00)
50,517.34
2,571,964.66
$12,324,143.37
Project Total
$120,233.40
666.00
66,056.00
$186,955.40
The entirety of the $9,242,595.00 original contract, the $100,000.00 material testing fee (to be
performed by a geotechnical testing firm), and the $255,453.00 inspection fee (to be performed by an
inspection firm) are considered Fort Worth Central City related work, which is eligible for funding
reimbursement from Tax Increment Reinvestment Zone No. 9(Trinity River Vision TIF) pursuant to the
Trinity River Vision Authority (TRVA) Project Plan.
Having met its $26.6 million commitment to the TRVAProject, the Tarrant Regional Water District
(TRWD) will reimburse the City's yearly expenses for this contract at the end of each Fiscal Year, up to
the total amount of $9,598,048.00, in accordance with the provisions of the executed Interlocal
Agreement between the City and the TRWD (City Secretary Contract No. 43425). This is confirmed
with the executed reimbursement letter dated June 12, 2023.
Staff will record monthly receivables for reimbursable expenses, and the FWCC Program Manager in
the FW Lab Department will collect the full reimbursement from TRWD at the end of each fiscal year.
Since the City has exhausted the share of the local program budget allocated to Stormwater
infrastructure relocation, the additional $1,498,305.57 in costs associated with Change Order No. 3 will
not be included in the annual reimbursement process between the City and the TRWD. Rather, costs
for this change order will be eligible for reimbursement directly from future Trinity River Vision TIF
revenue after prior commitments of the TIF have been satisfied. Once reimbursement for this project is
apps.cfw net.org/council_packeUmc_review.asp?ID=34102&councildate=1 /13/2026 3/5
1/21/26, 2:48 PM
M&C Review
received, the funds will be used to reimburse the Stormwater Utility. This future reimbursement of
$1,498,305.57 will be documented in a reimbursement letter between the City and TRWD upon
approval of this M&C.
Funding for this Change Order will amend the Fiscal Years 2026-2030 Capital Improvement Program.
Funding is budgeted in the Drainage Rev Bonds Series 2023 and Stormwater Rev Bonds 2020 Funds
for the TPW Department for the purpose of funding the Fort Worth Central City New Main Street Outfall
Storm Drain & 8th Street project.
This project is located in COUNCIL DISTRICT 2.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that funds are currently available in the Stormdrain Pipe Rehab
project within the Drainage Rev Bonds Series 2023 Fund, and in FWCC University project within the
Stormwater Rev Bonds 2020 Fund and in the FWCC New Main St Outfall & 8 project within the
Stormwater Capital Projects Fund and upon approval of the above recommendations and adoption of
the attached appropriation ordinances, funds will be available in the Drainage Rev Bonds 2023,
Stormwater Rev Bonds 2020 Funds for the FWCC New Main St Outfall & 8 project to support the
execution of the amendment. Prior to an expenditure being incurred, the Transportation and Public
Works Department has the responsibility of verifying the availability of funds.
TO
� Fund Department Account Project
ID I ID
FROM
Fund Department Account � Project
ID ID
Submitted for City Manaaer's Office bv;
Originating Department Head:
Additional Information Contact:
ATTACHMENTS
Program Activity Budget
Year
Program Activity Budget
Year
Reference #
(Chartfield 2)
Reference #
(Charifield 2)
Jesica McEachern (5804)
Lauren Prieur (6035)
Thanaa Maksimos (2485)
Amount
Amount
20SWM FWCC NEW MAIN ST OUTFALL CHANGE ORDER NO. 3 funds avail.docx
(CFW Internal)
20SWM Main st. CO 3 FID TABLE.xlsx (CFW Internal)
Change Order 3 1295 Form.pdf (CFW Internal)
Circle C SAM.png (CFW Internal)
M&C Map_CPN103262_103666_FWCC_MainStOutfall.pdf (Public)
ORD.APP_20SWM FWCC NEW MAIN ST OUTFALL CHANGE ORDER NO.
3_52007_A026(R3).docx (Public)
apps.cfw net.org/council_packeUmc_review.asp?ID=34102&councildate=1 /13/2026 4/5
1/21/26, 2:48 PM
M&C Review
ORD.APP_20SWM FWCC NEW MAIN ST OUTFALL CHANGE ORDER NO.
3_52008_A026(R2).docx (Public)
apps.cfw net.org/council_packeUmc_review.asp?ID=34102&councildate=1 /13/2026 5/5
Cixcle C Cc�nstructic�n Com�a�y
New Main Street Outfall Change Order Four
Item No.
Additions
1
2
3
4
7
8
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
Description
Thimb[e Material
Thimble Installation
Shoring
Shoring Dewatering
Dry Side lunction Box Modifications
Dry Side Junction Box Dewatering
TemporaryTrail and Fence Maintenance
Grass Mowing of Area
Pipe Connection Collars on Open Cut
Pipe Connection Collar Engineering
3471.0001 Traffic Control
Remove 10' Inlet
Install 10' Inlet
Modify 6' Junction Box
Connectto New48" RCP
Remove 15" RCP
Install2l" RCP
Install 12" RCP
24" Plug
Concrete Equipment Crossing
Footing for Concrete Trait
Placement of Rip Rap
Additional Unclassified Excavation
Concrete Street quantiry Overrun
Sidewalk Overrun
X �- �� �� �-�
1 S
Keegan Jonkers
Quantity Unit
1
3
8
8
1
6
7
1
1
1
8
2
2
1
2
72
72
16
1
960
1128
40
3500
760
850
LS
EA
MO
MO
EA
MO
MO
LS
LS
LS
MO
EA
EA
EA
EA
LF
LF
LF
EA
SF
LF
CY
CY
SY
SF
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Total
11/6/2025
Total
(83,295.00)
25,755.00
439,760.Q0
247,913.85
70,700.00
116,711.17
35,840.00
10,OQ0.00
18,926.25
7,500.00
28,000.00
3, 000.00
17, 000.00
7, 504.30
9,000.00
5,400.00
28, 800.00
6,400.00
4,500.00
105,600.00
62, Q40.00
10, 000.00
122, 500.00
152, 000.00
46, 750. 00
$ 1,498,305.57
Please include a written acceptance of the headwall with repairs noted. Replacement will not be an option.
Cost
(83,295.00) $
8,585.00 $
54,970.00 $
30,989.23 $
70,700.00 $
19,451.86 $
5,120.00 $
10,000.00 $
18,926.25 $
7,500.00 $
3,500.00 $
1,500.00 $
8,5�0.00 $
7,504.30 $
4,500.00 $
75.00 $
40Q.00 $
400.00 $
4,500.00 $
110.00 $
55.00 $
250.Q0 $
35.00 $
200.00 $
55.00 $
500 VG7�S1' 1R:lM�vtIs1,1. A�'I:Ni3�, t�[ )R'I' 1Y/(�R7'}I. "]'1'sX�1S 76140
817-293-18G3 }'AX 817-293-1957
103666 New Main St Outfall Construction
Change Order 3
Interim Agreement Report
Created: 2026-02-04
By: Cindy Sengathith (cindy.sengathith@fortworthtexas.gov)
Status: Out for Signature
Transaction ID: CBJCHBCAABAA4RKWCv8TC3F98CaxFyiBCXjDWmYsV7LN
Agreement History
2026-02-16
Agreement history is the list of the events that have impacted the status of the agreement prior to the final signature. A final audit report will
be generated when the agreement is complete.
"103666 New Main St Outfall Construction Change Order 3" Hist
ory
Document created by Cindy Sengathith (cindy.sengathith@fortworthtexas.gov)
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Acrvba# 5ign
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Routing and Transmittal Slip
Transportation & Public Works Department
DOCUMENT TITLE: New Main St. Outfall Construction Change
Order 3 Request
M&C: 26-0059 CPN: 103666
Date:
To:
1
2.
3.
4.
5.
6.
7.
g.
9.
10.
11.
12.
13.
Name
Keegan Jonkers
k.jonkers@circlecconstruction.com
James Ruiz
Max Aransen
Thanaa H. Maksimos
Lissette Acevedo
Patricia Wadsack
Lauren Prieur
Doug Black
Jesica McEachern
Katherine Cenicola
Jannette Goodall
Allison Tidwell
Tpw_SW_Contract
CSO: 59910
Department
DOC#:
Initials Date Out
Contractor
KJ
TPW - Inspector �
TPW - Project Manager IA4
TPW — Program Manager TM
� �,,
TPW — Sr. CPO �
TPW — Assistant Director ��'w'
TPW - Director ,�v
Legal - Assistant City Attorney �
CMO — Assistant City Manager �
CSO — City Secretary ���'
CSO — City Secretary �
CSO — City Secretary ./,L_
TPW Stormwater
02/05/2026
02/05/2026
02/05/2026
02/06/2026
02/06/2026
02/06/2026
02/08/2026
02/09/2026
02/16/2026
02/17/2026
02/17/2026
02/17/2026
CC: Program Manager — Thanaa Maksimos, Sr. CPO — Lissette Acevedo, TPW BSPAP Recon
Team — Cindy Sengathith
DOCUMENTS FOR C1TY 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 �No
RUSH: ❑YES �No SAME DAY: ❑YES �No
ROUTING TO CSO: �YES ❑No
Action Reauired:
❑ As Requested
❑ For Your Information
� Signature/Routing and or Recording
❑ Comment
❑ File
NEXT DAY: ❑YES �No
❑ Attach Signature, Initial and Notary Tabs
Return to: tpw sw contracts a fortworthtexas.gov Ca11817-229-3283 with questions. Thank you!
Fa�T �o�TH�}
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name:
William J. Schultz, Inc. dba Circle C Construction Company
Subject of the Agreement: To include additional materials and labor required to reorder thimble
material for the sluice gate, resulting in a substantial delay to the project. Also covers additional pipe
connections and junction box rework that William J. Schultz, Inc. dba Circle C Construction Company
needs to perform due to additional underground utilities encountered in the field that were not
identitied in the original plans.
M&C Approved by the Council? * Yes 0 No ❑
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes ❑ No 0
If �so, provide the original contract number and the amendment number.
Is the Contract "PermanenY'? *Yes 0 No ❑
If �unsure, see back page for permanent contract listing.
CSC No. 59910
Is this entire contract Confidential? *Yes ❑ No X❑ If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: 6/13/2023
If different f�om the approval date.
Expiration Date:
If applicable.
Is a 1295 Form required? * Yes 0 No ❑
*If so, please ensu�e it is attached to the approving M&C or attached to the cont�act.
Proj ect Number: If applicable. 103666
*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.