HomeMy WebLinkAbout064168-T1 - General - Contract - Jake HamptonCSC No. 64168-T1
CITY OF FORT WORTH
CONTRACT TERMINTION NOTICE
February 25, 2026
Jake Hampton
Community Outreach Worker
Attn: Sierra Powe, Administrative Assistant
1105 E. Broadway Ave.
Fort Worth, TX 76104
Re: Contract Termination Notice
Contract No. CSC No. 64168 (the "Contract")
Pursuant to the Contract, the City has the right to terminate the Contract. This letter is to
inform you that the City is exercising its right to terminate the Contract on March 31, 2026. Please
return this signed acknowledgement letter to the address set forth below, acknowledging
receipt of the Contract Termination Notice. Failure to provide a signed acknowledgment
does not affect the termination of the Contract.
If you have any questions concerning this Contract Termination Notice, please contact me
at the telephone number listed below.
Sincerely,
Dominique 'Wagoner
Dominique Wagoner
Contract Compliance Specialist
Dominique.Wa og ner(a),fortworthtexas.gov
817-392-4834
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Termination — CSC 64168 Pagel of 2
ACCEPTED AND AGREED:
CITY OF FORT WORTH
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By: �J
Name: William Johnson
Title: Assistant City Manager
Date: 04/14/2026
APPROVAL RECOMMENDED:
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.
Kath n Agou'-:'
By: KathiYn Agee(el�, 1 :55 CDT)
Name: Kathryn Agee
Title: Senior Management Analyst
APPROVED AS TO FORM
AND LEGALITY:
By: David Carabajal Apr 14, 2026 10:54:14 CDT)
Name: David Carabajal
Title: Executive Assistant Chief
ATTEST:
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By:
Name: Jannette S. Goodall
Title: City Secretary
JAKE HAMPTON
By: 94rL
Name: JakqHampton
Title: Community Outreach Worker
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By:
Name: Keanan M. Hall
Title: Sr. Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: Not Required
Date Approved: N/A
Form 1295 Certification No.: N/A
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Termination — CSC 64168 Page 2 of 2
FORT WORTH.
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: Jake Hampton
Subject of the Agreement:
Contract Termination CSC 64168
M&C Approved by the Council? * Yes ❑ No M
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 "Permanent"? *Yes ❑ No 0
If unsure, see backpage for permanent contract listing.
Is this entire contract Confidential? *Yes ❑ No 0 If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: upon ACM signature
If different from the approval date.
Expiration Date:
If applicable.
Is a 1295 Form required? * Yes ❑ No 21
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number: If applicable.
*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 processing in the followingorder:
rder:
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.