HomeMy WebLinkAbout062766-CO9 - Construction-Related - Contract - McCarthy Building Companies, Inc.CSC No. 62766-009
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
I PROJECT NAME:
ICONTRACT:
ICFA #
ICITY PROJECT #
ICITY SECRETARY CONTRACT #
IFID #
IX#
IFILE #
INSPECTOR:
PROJECT MANAGER
IORIGINAL CONTRACT
I DEVELOPER CONTINGENCY TO DATE
IAMENDMENTS TO DATE
ICREDITS TO DATE
ICONTRACT TO DATE
AMMOUNT OF PROP. DEVELOPER
CONTINGENCY
IREVISED CONTRACT AMOUNT
TOTAL REVISED CONTRACT AMOUNT PER
UNIT
REVISED COST SHARE
TOTAL REVISED CONTRACT
Camp Bowie Improvements Montgomery to University
24-0132 I
104639
62766
30114-0200431-104639-E07685
X-28250
K-3288
Roderick Baker
Andrew Goodman
WATER
Developer
Cost City Cost
$0.00 $3,729,616.00
$0.00 $122,558.34
$0.00 $285,500.00
$0.00 $0.00
$0.00 $4,137,674.34
$0.00 $64,209.67
$0.00 $4,201,884.01
$4,201,884.01
Dev. Cost:
CITY PARTICIPATION:
Phone No:
Phone No:
CONTRACT UNIT
$0.00
$0.00
$0.00
City Cost:
$13, 822, 762.08
CHANGE
ORDER No:
YES
9
2143979308
8173926251
TPW
Developer
Cost City Cost
$0.00 $9,169,041.00
$0.00 $144,171.97
$0.00 $285,500.00
$0.00 $1,255.00
$0.00 $9,597,457.97
$0.00 $23,420.11
$0.00 $9,620,878.08
$9,620,878.08
$13,822,
T62.08
I
I WORKING
� DAYS
0
$0.00
�FFICIAL RECORQ
CITY SECRETARY
FT. WORTH, TX
Revised: 12-17-2018 Page 1
You are directed to make the following changes in the contract documents:
PAY ITEM #
WC#1 Water
W C# 2 W ater
M1 Water
M2 Water
M3 Water
M4 Water
W C# 8 W ater
M1 Water
M2 Water
M3 Water
M4 Water
WC#1 Water
W C# 2 W ater
M1 Water
M2 Water
M3 Water
M4 Water
MS Water
WC#1 Water
WC # 2 Water
WC # 8 Water
M1 Water
M2 Water
M3 Water
M4 Water
CITY BID ITEM # QUANTITY
NA 0.106861416
NA 0.0405822
NA 0.000474186
NA 0.006822598
NA 0.007658048
NA 0.00725686
NA 0.007561348
NA 0.000298829
NA 0.004299503
NA 0.00482604
NA 0.004573245
NA 0.023304012
NA 0.027198267
NA 0.001538479
NA 0.022135684
NA 0.024846472
NA 0.023544861
NA -0.496710773
NA 0.006438478
NA 0.0488685
NA 0.005418106
NA 0.000755248
NA 0.010866447
NA 0.012197194
NA 0.01155838
PAY ITEM #
WC#6
REASONSFOR CHANGE ORDER
GTY BID ITEM # I QUANTITY
NA 0.10035742
UNIT
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
LS
UNIT
LS
Water
ITEM DESCRIPTION
Earthwork & Demo
Concrete Paving & Flatwork
General Conditions
CCIP
Fee
McCarthy Performance and PaymentBond
Underground Utilities
General Conditions
CCIP
Fee
McCarthy Performance and PaymentBond
Earthwork & Demo
Concrete Pavin9 � Flalwork
General Conditions
CCIP
Fee
McCarthy Performance and Payment Bond
Construction Continpency
Earthwork & Demo
Concrete Pavinq & Flatwork
Underground Utitities
General Conditions
CCIP
Fee
McCarthy Performance and PaYment Bond
TPW
ITEM DESCRIPTION
Traffic Control � �
CFW Unit Price
NA •
NA •
NA •
NA •
NA •
NA •
NA �
NA �
NA �
NA •
NA •
NA •
NA •
NA •
NA •
NA •
NA •
NA •
NA •
NA •
NA •
NA •
NA •
NA •
NA ,
Water
UNITPRICE DeveloperCost CiryCost TOTAL
113,000.00 $ - $ 12,075.34 $ 12,075.34
300,000.00 $ - $ 12,174.66 $ 12,174.66
521,736.00 $ - $ 247.40 $ 247.40
71,799.00 g - $ 489.85 $ 489.85
259,399.00 g _ $ �,g86.49 $ 1,986.49
29,736.00 $ - $ 215.79 $ 215.79
2,021,088.00 $ _ $ 15,282.15 $ 15,282.15
521,736.00 $ _ $ 155.91 $ 155.91
71,799.00 $ _ $ 308.70 $ 308.70
259,399.00 $ _ $ 1251.87 $ 1.251.87
29,736.00 $ _ $ 135.99 $ 135.99
2,021,088.00 $ _ $ 47,099.46 $ 47,099.46
300,000.00 $ - $ 8,159.48 $ 8,159.48
521,736.00 $ _ $ 802.68 $ 802.68
71,799.00 $ _ $ 1,589.32 $ 1.589.32
259,399.00 $ _ $ 6,445.15 $ 6,445.15
29,736.00 $ _ $ 700.13 $ 700.13
177,601.00 $ _ $ (88,216.33) $ (88,216.33)
2,021,088.00 $ _ $ 13,012.73 $ 13,012.73
300,000.00 $ _ $ 14,660.55 $ 14,660.55
2,021,088.00 $ _ $ 10.950.47 $ 10.950.47
521,736.00 $ _ $ 394.04 $ 394.04
71,799.00 $ _ $ 78020 $ 780.20
259,399.00 $ _ $ 3,163.94 $ 3,163.94
29,736.00 $ _ $ 343.70 $ 343.70
$0.00 E64.209.67 $64,209.67
CFW NA Price I U P3 367 E I Develop�er Cost I 34 011 I 234� OA11
TPW 0.00 E23.420.77 $23,420.77
Revised: 12-17-2018 Page 2
���, ��',,,�„� 02/09/2026
Andrew Goodman
IPRC Project Manager
RECOMMENDED:
(Consulting Engineer)
Bv: 1 �, �.��, -�� ���ti�,� � �� ' �� �� oare: 01 /20/2026
Name: Madeline White PE
r;t,e: Project Manager
APPROVAL RECOMMENDED:
CFW - Water Department
By�'u6� �/�r�ez P�'
Name: Suby Varughese
r�t�e: Engineering Manager
RECOMMENDED:
TPW
Bv� .i�.....7,.:.Y,_
�a�,e� �. �rao ,� � ,� � ,
r,ame: Lauren Prieur
Tit�e: 02/10/2026
M&C Number:
M&C Date Approved:
APPROVED: APPROVED:
(Developer) (Contractor)
BY. TravisRieff =Aa1 ,.,ono Date: 0��23�ZO26 By. Mark Valdez z0F0 216 „oaoo -Ma'� oa,e:1/22/2026
Name: Travis Rieff Name: Mark Valdez
T;,,e: VP - Development T;t,e: Prolect Manaqer
APPROVED:
CFW - Assistant City Manager
�ate: 02/10/2026 By:���-� -, �ate: 02/18/2026
Name: Jesica McEachern
r;tie: Assistant City Manager
pof FoqT9�pd
'J.o° �y00
0�'e
sA0
ATTEST °o��:°
pa°° nEoosab
Date: 02/10/2026 ��,, � �;
Bv:(1 Date: 02/18/2026
Name: Jannette S. Goodall
Title: City Secretary
N/A
N/A
APPROVED AS TO FORM AND LEGALITY:
CFW - Assistant City Attorney
� ;, ' /i i �> ;
gv. , .
Name: Richard McCracken
Title:
Date:
* Contract Compliance Manager (Project Manager):
By signing I acknowledge that I am the person responsible
forthe monitoring and administration ofthis contract,
and ensuring all performance and reporting requirements.
There are NO City Funds associated with this Contract
� There are City Funds associated with this Contract
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Revised: 12-17-2018 Page 3
M�CARTHY
CREATED BY:
McCarthy Building Companies Inc. Project: 002259.000 - Camp Bowie
3400 North Central Expressway Suite 500 3230 Camp Bowie Blvd,
Richardson, Texas 75082 Fort Worth, Texas 76107
Phone: (972)991-5500
� � �
Prime Contract Change Order #022: CE #CO - 22 - CO 22 - Amon Carter
Curb and Gutter
TO: FROM: McCarthy Building Companies Inc
DATE CREATED: 8/07/2025
CONTRACT STATUS: Draft REVISION:
SCHEDULE IMPACT: 0 days
CONTRACT FOR: 1:CAMP BOWIE BOULEVARD ROADWAY TOTAL AMOUNT:
IMPROVEMENTS (MONTGOMERY STREET
TO UNIVERSITY DRIVE)
12851 Manchester Rd
Saint Louis, Missouri 63131-1802
Mark Valdez (McCarthy Building Companies
Inc)
0
$27,189.53
DESCRIPTION:
CE #CO - 22 - CO 22 - Amon Carter Curb and Gutter
This Change Order covers additional labor, equipment, and materials for the removal and reinstallation of 194LF of
curb and gutter between Amon Carter Driveway and Will Rogers. McCarthy to follow previously agreed upon rate of $125/LF for demolition, disposal,
earthwork, and replacement (reference CO 07).
ATTACHMENTS:
CO 07 - Phase 1- Curb and Gutter.pdf
POTENTIAL CHANGE ORDERS IN THIS CHANGE ORDER:
I PCO # Title
I 021 I CE #CO - 22 - CO 22 - Amon Carter Curb and Gutter
I
CHANGE ORDER LINE ITEMS:
PCO # 021 : CE #CO - 22 - CO 22 - Amon Carter Curb and Gutter
I# Cost Code
I31000-31000.0000.00.00 - WC #1 - EW &
� DEMO WC #1 - Earthwork and Demo
I2 &2F� -32130.0100.00.00 - WC #2 - CONC PV WC #2 - Concrete
I 3 01800-01800.0810.00.00 - COST OF RISK CCIP
(GL)
I01800-01800.0820.00.00 - BUILDER'S RISK
4 INSUR Builder's Risk
I5 01900-01900.0910.00.00 - INITIAL MARKUP Fee
I 6 01700-01700.0730.00.00 - PERF & PAYMENT P& P Bond
BOND
I
I
Schedule Impact
0 days
Total:
Description
Type
Subcontracts
Subcontracts
Material
Material
Fee
Material
PCCO #022
Amount
$27,189.53
$27,189.53
Amount
$12,075.34
$12,174.66
$489.85
Subtotal
Grand Total
$247.40
$1,986.49
$215.79
$27,189.53
$27,189.53
McCarthy Building Companies Inc. page 1 of 2 Printed On: 8/7/2025 05:13 PM
The original (Contract Sum)
Net change by previously authorized Change Orders
The contract sum prior to this Change Order was
The contract sum would be changed by this Change Order in the amount of
The new contract sum including this Change Order will be
The contract time will not be changed by this Change Order by 0 days.
Crescent Property Services LLC
3230 Camp Bowie Blvd, Suite 500
Fort Worth, TX 76107
Digitally signed by Travis Rieff
�M C=US, E=Trieff@crescentcom,
T rav i s R i eff °-°fes�e°, Rea' Es`a,e "°
OU-VP Developmem, CN=Travis
Riefl
Date� 2025A9.30 10:55:58-05'00'
SIGNATURE DATE
Treble0ak
4849 Greenville Avenue. Suite 100
Dallas, TX 75206
nai�se�a v snooee
- ga::dQ�reblxoTkcom,
Josh Goad �'�re^�=o�k � �.���o=^
09 aB i� os�eo�o
SIGNATURE
PCCO #022
$12,898,656.00
$836,475.30 ��
$13,735,131.30 $�s3e�-��
$27,189.53
$13,762,320.83 �",��� ','��
McCarthy Building Companies Inc
12851 Manchester Rd
Saint Louis, Missouri 63131-1802
Digitalty signed by Mark Valdez
DN: C=US,
M a r k V a l d e z E=MAValdez@McCarthy com,
0="McCarthy Building Comapnies, Inc",
CN=Mark Valdez
Date� 2025.0929 16:1827-05'00'
DATE SIGNATURE DATE
McCarthy Building Companies Inc. page 2 of 2 Printed On: 8/7/2025 05:13 PM
_ �
McCarthy Building Companies Inc.
3400 North Central Expressway Suite 500
Richardson, Texas 75082
Phone: (972)991-5500
PCCO #023
Project: 002259.000 - Camp Bowie
3230 Camp Bowie Blvd,
Fort Worth, Texas 76107
Prime Contract Change Order #023: CE #CO - 23 - CO 23 - Kimbell
Museum 8" Fireline
TO: FROM: McCarthy Building Companies Inc
DATE CREATED: 8/07/2025
CREATED BY:
CONTRACT STATUS: Draft REVISION:
SCHEDULE IMPACT: 0 days
CONTRACT FOR: 1:CAMP BOWIE BOULEVARD ROADWAY TOTAL AMOUNT:
IMPROVEMENTS (MONTGOMERY STREET
TO UNIVERSITY DRIVE)
12851 Manchester Rd
Saint Louis, Missouri 63131-1802
Mark Valdez (McCarthy Building Companies
Inc)
0
$17,134.62
DESCRIPTION:
CE #CO - 23 - CO 23 - Kimbell Museum 8" Fireline
This Change Order covers the additional labor, equipment, and materials necessary to perform an added 8" tie-in at the Kimbell Museum. The revised
scope requires cutting into the newly installed waterline to install a 12" tee and completing a full utility tie-in to the existing 8" fireline.
ATTACHMENTS:
POTENTIAL CHANGE ORDERS IN THIS CHANGE ORDER:
I PCO # Title Schedule Impact Amount
I 023 CE #CO - 23 - CO 23 - Kimbell Museum 8" Fireline $17,134.62
I Total: $17,134.62
CHANGE ORDER LINE ITEMS:
PCO # 023 : CE #CO - 23 - CO 23 - Kimbell Museum 8" Fireline
I# Cost Code
I � 3300033000.0000.00.00 - WC #8 -
UNDRGND UTIL
I 2 01800-01800.0810.00.00 - COST OF RISK
(GL)
I 3 01800-01500.0820.00.00-BUILDER'SRISK
INSUR
I4 01900-01900.0910.00.00 - INITIAL MARKUP
I 5 01700-01700.0730.00.00 - PERF 8� PAYMENT
BOND
Description
I
I
The original (Contract Sum)
Net change by previously authorized Change Orders
The contract sum prior to this Change Order was
The contract sum would be changed by this Change Order in the amount of
The new contract sum including this Change Order will be
The contract time will not be changed by this Change Order by 0 days.
Type
Subcontracts
Material
Amount
$15,282.15
$308.70
Material $155.91
Fee $1,251.87
Material $135.99
Subtotal: $17,134.62
Grand Total: $17,134.62
$12, 898,656.00
$863,664.83 Q��.,�T
$13,762,320.83 ��3e-a�a-�5
$17,134.62
$13,779,455.45 $93�5Ge�
McCarthy Building Companies Inc. page 1 of 2 Printed On: 8/7/2025 06:03 PM
Crescent Property Services LLC Treble0ak
3230 Camp Bowie Blvd, Suite 500 4849 Greenville Avenue, Suite 100
Fort Worth, TX 76107 Dallas, TX 75206
Digi�ally signed by Trdvi6 RiBff Dig�tally sigred by Josh Goad
DN�. C=US. E=Trie��@crescen� com, DN. C=uS,
Travis RieffO=CrBScen�RealEstateLLCOU=VP Josh GoadE=oshcoad��hebleoakcom.
Development, CN=Travis Rieff O-" frableoak, LLC", CN=Josn Goad
Dale: 2025.09.30 10:5632-OS'00' oa�e:2o25.09 30 09 4852-OS'o0'
SIGNATURE DATE SIGNATURE
PCCO #023
McCarthy Building Companies Inc
12851 Manchester Rd
Saint Louis, Missouri 63131-1802
Digitally signed by Mark Valdez
DN: C=US,
Mark Valdez o=MM� aa�n BMildngtCom pnies,
Inc", CN=Mark Valdez
Date� 2025.0929 16:19:38-OS'00'
DATE SIGNATURE DATE
McCarthy Building Companies Inc. page 2 of 2 Printed On: 8/7/2025 06:03 PM
���
Project Name
Project No:
Camp Bowie
002259.000
OWNER CHANGE ORDER
O.C.O. # 024
DATE: September 09, 2025
DESCRIPTION OF THE PROPOSED CHANGE:
CO 24 - Phase 2 Stakeholder Access
SCOPE:
This Change Order includes additional labor, equipment, and materials required to provide stakeholder access
during Phase 2 of construction. Please see attached access plan.
Pricing Details:
Description
WC 1 - Earthwork & Demolition
WC 2 - Paving & Flatwork
WC 6 - Traffic Control
M4 - P & P Bond
M5 - Contingency
M2 - CCIP
Builder's Risk
M3 - Fee
Amount
47,099.46
8,159.48
23,420.11
700.13
-88,216.33
1,589.32
802.68
6,445.15
Net Amount This Proposed Change
0.00
Net Change in Calendar Days Due to This Proposed Change 0 days
Attached is an itemized quotation for changes in the Contract sum and/or time on subject Project as described herein. This
document, when fully executed, as accepted, shall constitute authorization to proceed with the work described herein. Due
to schedule impact, this work may be performed prior to approval of the formal Change Order. The Owner agrees that
McCarthy Building Companies, Inc. will be reimbursed monthly for the cost of this work as completed, whether or not the
Change Order has been fully executed.
McCarthy Building Companies Inc Treble0ak Crescent Property Services LLC
12851 Manchester Rd 4849 Greenville Avenue, Suite 100 3230 Camp Bowie Blvd, Suite 500
Saint Louis, Missouri 63131-1802 ballas, TX 75206 Fort Worth, TX 76107
DlgRelly signetl by Travls Riaff
DiNlullyuSgnedbqMarkValtlez p ��Qoso �N G=US,E=Trleff@cresoen�com.
MarkValdezo- a ge�M��a��,r�om �.LL��.,� o-�,e=oa�,Rea�E�a,e��.
a,�aa=a� P=� Travis Rieff o�-�Poa�a�oPme��.�N-r,a��=
Josh Goad o- R�a�r
BY: oa�a�ozsoszs,szoa4-osoo BY: �,.�_�..,, BY: oa�ez�zsos3o,,3aa,-osoo
9/9/2025
DATE: DATE: DATE:
�I��A�T�IY
PROJECT NAME: Camp Bowie
PROJECT NO.: oo225s.000
OWNER CHANGE ORDER
O.C.O. # 024
DATE: September 09, 2025
The Contract for the above-referenced project ("Contract") is hereby revised by the following items:
Changes associated CO 24 - Phase 2 Stakeholder Access.
PCI Description
00059 CO 24 - Phase 2 Stakeholder Access
The Original Contract Value was:
Sum of changes by prior Change Orders:
The Contract Value prior to this Change Order was:
The Contract Value will be changed by this Change Order in the amount of:
The new Contract Value including this Change Order will be:
Amount
0.00
12,898,656.00
880,799.45
13,779,455.45
0.00
13,779,455.45
The Contract duration will be changed by: 0 Days
�I��A�T�IY
OWNER CHANGE ORDER
O.C.O. # CO 25
DATE: September, 23 2025
Project Name
Project No:
Camp Bowie
002259.000
DESCRIPTION OF THE PROPOSED CHANGE:
CO 25 - Utility Re-Designs
SCOPE:
This Change Order includes additional labor, equipment, and materials required for the following:
• Demolition and replacement of sidewalk, ADA Ramps, and curb/gutter for the sewer line re-design
• Credit and Additions for Sewer line re-design at Montgomery and Clifton (quotes attached).
• Additional fire hydrant removal at Van Cliburn
• Credits for W-3 abandon/grout in place
• Additional Fittings for W-1 tie-in at Will Rogers
• Rework caused by CoFW water group
Pricing Details:
Companv Name
Description
WC 1 - Earthwork & Demolition
WC #2 - CONC PV & FW
Performance & Payment Bond
Builders Risk
Fee
Cost of Risk
WC #8 - Sewer Credits at Montgomery
WC #8 - Sewer line design change at Clifton
WC #8 - Additional Fire Hydrant Removal
WC #8 - W-3 Grout in place Credits
WC #8 - W-1 Will Rogers Tie-in
WC #8 - CoFW Rework - Valves not properly shut-
off
Net Amount This Proposed Change
Net Change in Calendar Days Due to This Proposed Change
Amount
13,012.73
14,660.55
343.70
394.04
3,163.94
780.20
-75,502.00
64,819.75
1,290.00
-1,487.75
12,526.98
9,303.49
43,305.63
Days
Attached is an itemized quotation for changes in the Contract sum and/or time on subject Project as described herein. This
document, when fully executed, as accepted, shall constitute authorization to proceed with the work described herein. Due
to schedule impact, this work may be performed prior to approval of the formal Change Order. The Owner agrees that
McCarthy Building Companies. will be reimbursed monthly for the cost of this work as completed, whether or not the Change
Order has been fully executed. If the "Net Change in Calendar Days Due to This Proposed Change" is blank the schedule
impact will be evaluated at a later date.
McCarthy Building Companies
Printed on: 11/18/2025 11:23:21 AM Page 1 of 2
McCarthy Building Companies
12851 Manchester Rd.
St. Louis, MO 63131
Digit911y signetl by Ma�k Valocz
Mark Valdez °" ° °S E MA�a'e":M"a""`°m
0 MCCar�M1yBUIdngComaonos.lnc',
CN Markvadez
Da�e 2025 11 9 11 39 39 06'00'
Treble0ak
4849 Greenville Avenue, Suste 160
�allas. TX 752p6
Josh Goad x, e
SIGNATURE DATE SIGNATURE
DATE
Crescent Praperty Services LLC
3230 Camp Bowie Blvd, Suite 540
Fort Warth, TX 761 D7
�igitally signed by Travis Rieii
oN c-use rreu��.esoenccom,
Travis Rieff ° 0fe500°�R°a�E=�a�°��° °�_�P
�evelopmen� CN—Travis FIeH
U3�B: 2�25.12.16 1 ] 41:37-06'00'
SIGNATURE DATE
CRE Note: CFW
approved on 12/16/25
Printed on 11/18/2025 11:23:21 AM
Page 2 of 2
���
PROJECT NAME: Camp Bowie
PROJECT NO.: 002259.000
TITLE:
CO 25 - Utility Design Changes
OWNER CHANGE ORDER
O.C.O.#CO25
DATE: September, 23 2025
NOTES:
This Change Order includes additional labor, equipment, and materials required for the following:
• Demolition and replacement of sidewalk, ADA Ramps, and curb/gutter for the sewer line re-design
• Credit and Additions for Sewer line re-design at Montgomery and Clifton (quotes attached).
• Additional fire hydrant removal at Van Cliburn
• Credits for W-3 abandon/grout in place
• Additional Fittings for W-1 tie-in at Will Rogers
• Rework caused by CoFW water group
PCI Description
00060 CO 25 - Utility Re-Designs
The Original Contract Value was:
Sum of changes by prior Change Orders:
The Contract Value prior to this Change Order was:
The Contract Value will be changed by this Change Order in the amount of:
The new Contract Value including this Change Order will be:
The Contract duration will be changed by:
The revised Substantial Completion date as of this Change Order is:
Amount
43,305.63
12,898,656.00
880,799.45
13,779,455.45
43,305.63
13,822,761.08
0 Days
May 26, 2026
Printed on: 11 /18/2025 11:28:00 AM Page 1 of 2
F�RT ��RTH�
City Secretary's Office
Contract Routing & Transmittal Slip
Conti'aCtor'S Name: McCarthy Building Companies
SUbJeCt Of tlle f�greerilerit: Change Order#9 includes PCC0022 through PCC0025
includes curb and qutter work,addition fire line and hydrant chanqes, and access chanqes. See attachments for more
details.
M&C Approved by the Council? * Yes ❑ No ■
If �so, the M&C rnust be attached to the contract.
Is this an Amendment to an Existing contract? Yes 0 No ❑ 62766, 62766-A1,62766-A2
If �so, provide the o�iginal cont�act numhe� and the amendment numhe�.
Is the Contract "PermanenY'? *Yes 0 No ❑
If �unsure, see hack page fo� pe�rnanent cont�act listing.
Is this entire contract Confidential? �Yes ❑ No 0 If only specific information is
Confidential, please list what info�mation is Confidential and the page it is located.
Effective Date: Expiration Date: �/25�202�
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 oN attached to the contract.
Proj ect Number: If applicable. 104639
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes 0 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 requiv�ed and if the information is not pv�ovided, the contv�act will be
returned to the department.