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HomeMy WebLinkAbout061078-A1 - Construction-Related - Contract - Freese and Nichols, Inc.CSC No. 61078-A1 AMENDMENT No . 1 TO CITY SECRETARY CONTRACT No. 61078 WHEREAS, the City of Fort Worth (CITY) and Freese and Nichols, Inc., (ENGINEER) made and entered into City Secretary Contract No. 58759, (the CONTRACT) which was authorized by M&C 24-01 74 on the 27th day of February, 2024 in the amount of $ 1,434,070.00; and WHEREAS, the CONTRACT involves engineering services for the following project: 16-36 Inch Cast Iron Water Main Replacement in Holly -North Side Pump Station, Part 1, CPN 105068; and WHEREAS, it has become necessary to execute Amendment No. 1 to the CONTRACT to include an increased scope of work and revised fee. NOW THEREFORE, CITY and ENGINEER, acting herein by and through their duly authorized representatives, enter into the following agreement, which amends the CONTRACT: 1. Article I of the CONTRACT is amended to include the additional engineering services specified in proposal attached hereto and incorporated herein. The cost to City for the additional design services to be performed by Engineer totals $320,000.00. (Water) 2. Article II of the CONTRACT is amended to provide for an increase in the fee to be paid to Engineer for all work and services performed under the Contract, as amended, so that the total fee paid by the City for all work and services shall be an amount of $1,754,070.00. 3. All other provisions of the Contract, which are not expressly amended herein, shall remain in full force and effect. City of Fort Worth, Texas 16-36 Inch Cast iron Water Main Replacement in Holly -North Side Pump Station, Partl Prof Services Agreement Amendment Template 105068 Revision Date: June 13, 2025 Page 1 of 2 EXECUTED and EFFECTIVE as designated Assistant City Manager. APPROVED: City of Fort Worth AWW11%✓ Dianna Giordano (May 21, 2026 16:36:48 CDT) Jesica McEachern Assistant City Manager DATE: 05/21 /2026 ATTEST: Jannette Goodall City Secretary APPROVAL RECOMMENDED: Chris Harder, P.E. Director, Water Department Contract Compliance Manager: of the date subscribed by the City's ENGINEER Freese and Nichols, Inc. NiChOJ.as Vice President DATE: 05/13/2026 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. Bijay prey , P.E. Project Manager APPROVED AS TO FORM AND LEGALITY: wor- Douglas Black (May 20. 2026 14:44: Douglas W. Black Sr. Assistant City Attorney M&C No.#: 26-0353 M&C Date: May 12, 2026 City of Fort Worth, Texas 16-36 Inch Cast Iron Water Main Replacement in Holly -North Side Pump Station, Partl Prof Services Agreement Amendment Template 105068 Revision Date: June 13, 2025 Page 2 of 2 1 801 Cherry Street, Suite 2800 + Fort Worth, Texas 76102 + 817-735-7300 + FAX 817-735-7491 March 30, 2026 Mr. Bijay Upreti, P.E. Project Manager, Capital Project Delivery City of Fort Worth Water Department 100 Fort Worth Trail Fort Worth, TX 76102 www.freese.com Re: Amendment 1 (Resident Representation) for the Holly-Northside Cast Iron Water Main Replacements, Part 1 City Project No. 105068 Dear Mr. Upreti: Freese and Nichols, Inc. (FNI) is providing this proposal to amend the Engineering Design Services and Construction Services for the Holly-Northside Cast Iron Water Main Replacements (City Project No. 105068). The following fee includes resident construction representation for 20 hours per week. FW Water Inspectors will provide the remaining inspection services. FNI records show that this proposal would serve as Contract Amendment No. 1. A summary of the additional costs is shown below: Item Fee Task 11- Construction Resident Representation (RPR) 20 hr/week $ 320,000 Amendment No. 1 Total $ 320,000 Freese and Nichols, Inc. appreciates this opportunity and we would like to meet with you to discuss these additional services at your convenience. Original Contract Amount $ 1,434,070 Amendment No. 1 $ 320,000 Contract Amount to Date $ 1,754,070 Sincerely, Amanda Johnson, P.E. Associate I Project Manager [FTW24205] T:\1.02 PM\Amendment No. 1 ATTACHMENT A DESIGN SERVICES FOR HOLLY - NORTHSIDE CAST IRON REPLACEMENTS, PART 1 AMENDMENT NO.1 CITY PROJECT NO.: 105068 ATTACHMENT A Scope for Engineering Design Related Services for Water and/or Sanitary Sewer Improvements DESIGN SERVICES FOR HOLLY - NORTHSIDE CAST IRON WATER MAIN REPLACEMENTS, PART 1 AMENDMENT NO.1 CITY PROJECT NO.: 105068 The scope set forth herein defines the work to be performed by the ENGINEER in completing the project. Both the CITY and ENGINEER have attempted to clearly define the work to be performed and address the needs of the Project. Task 1-10 are previously defined under the original contract. The purpose of this amendment is to add additional effort to provide resident project representation for construction in Part 1. WORK TO BE PERFORMED Task 11. Resident Project Representation TASK 11. RESIDENT PROJECT REPRESENTATION. The Engineer will have a part time Resident Project Representative on the Site for approximately 14,655 linear feet of larger diameter water lines (24- to 36-inches). In performing these services, it is understood that FNI does not guarantee the Contractor's performance, nor is FNI responsible for the supervision of the Contractor's operation and employees. FNI shall not be responsible for the means, methods, techniques, sequences, or procedures of construction selected by the Contractor, or any safety precautions and programs relating in any way to the condition of the premises, the work of the Contractor or any Subcontractor. FNI shall not be responsible for the acts or omissions of any person (except its own employees or agents) at the Project site or otherwise performing any of the work of the Project. With the part-time nature of the scope for RPR services, not all Work will be able to be observed at all times. FNI will strive to monitor key points of construction and document other completed work during visits. 11.1. The duties, responsibilities, and the limitations of authority of the Resident Project Representative, and designated assistants, are as follows: Resident Project Representative is Engineer's agent at the site, will act as directed by and under the supervision of Engineer, and will confer with Engineer regarding Resident Project Representative's actions. Resident Project Representative's dealings in matters pertaining to the on -site Work shall in general be with Engineer and Contractor, keeping Client advised, as necessary. Resident Project Representative's dealings with Subcontractors shall only be through or with full knowledge and approval of Contractor. Resident Project Representative shall generally communicate with Client with the knowledge of and under the direction of Engineer. 2. If General Conditions other than FNI's standard are used, the Client agrees to include provisions in the General Conditions that require Contractor to include FNI: (1) as an additional insured and in any waiver of subrogation rights with respect to such liability insurance purchased and maintained by Contractor for City of Fort Worth, Texas Attachment A PMO Release Date: 07.23.2012 Page 1 of 4 ATTACHMENT A DESIGN SERVICES FOR HOLLY - NORTHSIDE CAST IRON REPLACEMENTS, PART 1 AMENDMENT NO.1 CITY PROJECT NO.: 105068 the Project (except workers' compensation and professional liability policies); and (2) as an indemnified party in the Contractor's indemnification provisions where the Client is named as an indemnified party. 11.2. Duties and Responsibilities of Resident Project Representative: 1. Conferences and Meetings: Attend meetings with Contractor, such as preconstruction conferences, progress meetings (up to 28), job conferences and other project -related meetings, and prepare and circulate copies of minutes thereof. 2. Liaison: a. Serve as Engineer's liaison with Contractor, working principally through Contractor's superintendent and assist in understanding the intent of Contract Documents; and assist Engineer in serving as Client's liaison with Contractor when Contractor's operations affect Client's on -site operations. Representative will be onsite part time and will coordinate with the Contractor/Engineer/Client on timing visits to cover necessary work. b. Assist in obtaining from Client additional details or information, when required for proper execution of the Work. 3. Shop Drawings and Samples: a. Record date of receipt of Samples. b. Receive Samples which are furnished at the Site by Contractor, and notify Engineer of availability of Samples for examination. c. Advise Engineer and Contractor of the commencement of any Work requiring a Shop Drawing or Sample if the submittal has not been approved by Engineer. 4. RPR services for an average of 20 hours over 80 weeks is included. 5. Review of Work, Rejection of Defective Work, Inspections and Tests: a. Conduct part time on -site observations of the Work in progress to determine if the Work is in general proceeding in accordance with the Contract Documents. Due to the work being linear in nature, it is possible that work performed by the Contractor will be covered and not viewable during RPR site visits. The Resident Project Representative will strive to time visits for the best opportunities to see the work and review by other means such as photographs, reports, etc. b. Report to Engineer whenever Resident Project Representative believes that any Work will not produce a completed Project that conforms generally to the Contract Documents or will prejudice the integrity of the design concept of the completed Project as a functioning whole as indicated in the Contract Documents, or has been damaged, or does not meet the requirements of any inspection, test or approval required to be made; and advise Engineer of Work the Resident Project Representative believes should be corrected or rejected or should be uncovered for City of Fort Worth, Texas Attachment A PMO Release Date: 08.1.2014 Page 2 of 4 ATTACHMENT A DESIGN SERVICES FOR HOLLY - NORTHSIDE CAST IRON REPLACEMENTS, PART 1 AMENDMENT NO.1 CITY PROJECT NO.: 105068 observation, or requires special testing, inspection or approval. Communication of accidents when not onsite will come from the Contractor or Owner's Inspector. c. Verify that tests, equipment, and systems start-up and operating and maintenance training are conducted in the presence of appropriate personnel, and the Contractor maintains adequate records thereof; and observe record and report to Engineer appropriate details relative to the test procedures and start-ups. d. Accompany visiting inspectors representing public or other agencies having jurisdiction over the Project, record the results of these inspections and report to Engineer. 6. Interpretation of Contract Documents: Report to Engineer when clarifications and interpretations of the Contract Documents are needed and transmit to Contractor clarifications and interpretations as issued by Engineer. 7. Request for Revisions: Consider and evaluate Contractor's suggestions for revisions to Drawings or Specifications and report with Resident Project Representative's recommendations to Engineer. Transmit to Contractor in writing decisions as issued by Engineer. 8. Records: a. Maintain at the job site orderly files for correspondence, reports of job conferences, Shop Drawings and Samples, reproductions of original Contract Documents, including all Work Change Directives, Addenda, Change Orders, Field Orders, Written Amendments, additional Drawings issued subsequent to the execution of the Contract, Engineer's clarifications and interpretations of the Contract Documents, progress reports, submittals and correspondence received from and delivered to Contractor and other Project related documents. 9. Reports: a. Furnish to Engineer periodic site visit reports as required of progress of the work and of Contractor's compliance with the progress schedule and schedule of Shop Drawings and Sample submittals. b. Consult with Engineer in advance of scheduled major tests, inspections or start of important phases of the Work. c. Report immediately to Engineer and Client the occurrence of any accident. When not onsite, maintain a direct line of communication with the Contractor to remain updated on any accidents. 10. Payment Requests: Review Applications for Payment with Contractor for compliance with the established procedure for their submission and forward with recommendations to Client, noting particularly the relationship of the payment requested to the schedule of values, Work completed and materials and equipment at the Site but not incorporated in the Work. City of Fort Worth, Texas Attachment A PMO Release Date: 08.1.2014 Page 3 of 4 ATTACHMENT A DESIGN SERVICES FOR HOLLY - NORTHSIDE CAST IRON REPLACEMENTS, PART 1 AMENDMENT NO.1 CITY PROJECT NO.: 105068 11. Certificates, Maintenance and Operation Manuals: During the course of the Work, verify that certificates, maintenance and operation manuals and other data required to be assembled and furnished by Contractor are applicable to the items actually installed and in accordance with the Contract Documents, and have this material delivered to Engineer for review and forwarding to Client prior to final payment for the Work. 12. Completion: a. Before Engineer issues a Certificate of Substantial Completion, submit to Contractor a list of observed items requiring completion or correction. b. Observe whether Contractor has performed inspections required by laws or regulations, ordinances, codes, or order applicable to the Work, including but not limited to those to be performed by public agencies having jurisdiction over the Work. c. Conduct a final inspection in the company of Engineer, Client and Contractor and prepare a final list of items to be completed or corrected. d. Observe whether all items on final list have been completed or corrected and make recommendations to Engineer concerning acceptance. 11.3 Limitations of Authority of Resident Project Representative: 1. Shall not authorize any deviation from the Contract Documents or substitution of materials or equipment (including "or -equal" items), unless authorized by Engineer. 2. Shall not exceed limitations of Engineer's authority as set forth in Agreement or the Contract Documents. 3. Shall not undertake any of the responsibilities of Contractor, Subcontractor, Suppliers, or Contractor's superintendent. 4. Shall not advise on, issue directions relative to or assume control over any aspect of the means, methods, techniques, sequences, or procedures of construction unless such advice or directions are specifically required by the Contract Documents. 5. Shall not advise on, issue directions regarding or assume control over safety precautions and programs in connection with the Work or any activities or operations of Client or Contractor. 6. Shall not accept shop drawing or sample submittals from anyone other than the Contractor. 7. Shall not participate in specialized field or laboratory tests or inspections conducted by others, except as specifically authorized by Engineer. 8. Materials testing will be performed by others and is not included in this scope of work. City of Fort Worth, Texas Attachment A PMO Release Date: 08.1.2014 Page 4 of 4 d z d� s O y N y Y CO a w m X W 0 W , O O = dC0 J F- U) H z W 2 W U Q J a W z a Q � T WLUO z z W cn O r y W oaa U W O z } J J O 2 rn o 0 0 c o O C N r� O o N a m E m m d e C y O e O a d E a 0 a cn m c O o m O Y O � r M ui M eA N M O y Y � c y O �fj O N r o N O C U r K W w c ° .0 13 0 a m 0 M ua o csr O O M N f. in » r w C m 7 O � c 0 m m 0 J ° N oo N W O io U M F O N a V 0 0 C Vi y� co ° a O ao 0 'n O 0 O 0 � m o y s a 0 C N N N N N CL a m z O N m o a r r z W c O w Q a W m U Y 41 W> 0 > 0. N o z z m W 0 O c`l, in- of W m� d 0 z Y _ y F O O O � C N N 0 E � N a E o a a� � m N m C a O N m m y W N N x o 3 m H N .0 a� a o J m m C c O 003:w LL E r> O U U U QHti City of Fort Worth, Texas Mayor and Council Communication DATE: Tuesday, May 12, 2026 REFERENCE NO.: **M&C 26-0353 LOG NAME: 60NSIDE CASTIRON WMREPLACEPARTI-SYBANDFNI SUBJECT: (CD 2) Authorize Execution of a Contract with S.Y.B. Construction Co., Inc. in the Amount of $19,608,045.85 for 16-36 Inch Cast Iron Water Main Replacement in Holly -North Side Pump Station, Part 1, Authorize Execution of Amendment No. 1, in the Amount of $320,000.00, to an Engineering Agreement with Freese and Nichols, Inc. for the 16-36 Inch Cast Iron Water Main Replacement in Holly -North Side Pump Station Project Part 1 for a Revised Contract Amount of $1,754,070.00, Adopt Resolution Expressing Official Intent to Reimburse Expenditures from Proceeds of Future Debt Project, and Adopt Appropriation Ordinance to Effect a Portion of Water's Contribution to the Fiscal Years 2026-2030 Capital Improvement Program RECOMMENDATION: It is recommended that the City Council: 1. Authorize execution of a contract with S.Y.B. Construction Co., Inc. in the amount of $19,608,045.85 for the 16-36 inch Cast Iron Water Main Replacement in Holly -North Side Pump Station project Part 1; 2. Authorize execution of Amendment No.1, in the amount of $320,000.00, to City Secretary Contract No. 61078, an Engineering Agreement with Freese and Nichols, Inc., for construction support services for the 16-36 inch Cast Iron Water Main Replacement in Holly -North Side Pump Station project Part 1 for a revised contract amount of $1,754,070.00; 3. Adopt the attached resolution expressing official intent to reimburse expenditures with proceeds of future enterprise fund debt for the 16-36-inch Cast Iron Water Main Replacement in Holly -North Side Pump Station Project Part 1; and 4. Adopt the attached appropriation ordinance adjusting estimated appropriations in the Water and Sewer Commercial Paper Fund by decreasing estimated appropriations in the Commercial Paper Project (City Project No. UCMLPR) in the amount of $20,994,394.00 and increasing estimated appropriations in the 16-36 inch Cast Iron Water Main Replacement in Holly -North Side Pump Station project (City Project No. 105068) by the same amount and to effect a portion of Water's contribution to the Fiscal Years 2026-2030 Capital Improvement Program. DISCUSSION: The purpose of this Mayor and Council Communication (M&C) is to authorize execution of a construction contract in the amount of $19,608,045.85 with S.Y.B. Construction Co., Inc. and the execution of Amendment No. 1 in the amount of $320,000.00 to an engineering agreement with Freese and Nichols, Inc. for the 16-36 inch Cast Iron Water Main Replacement in Holly -North Side Pump Station project, Part 1. On February 27, 2024, M&C 24-0174 authorized an engineering agreement with Freese and Nichols, Inc., (City Secretary Contract No. 61078) in the amount of $1,434,070.00 for the preparation of plans and specifications for the 16-36 inch Cast Iron Water Main Replacement in Holly -North Side Pump Station project Part 1. Amendment No. 1 provides for construction management, resident project representative, and construction support services including shop drawings, submittal reviews, change order review, archeological monitoring tracking, and record drawings. The project provides for Water and/or sanitary sewer main replacements as indicated on the following streets and easement: LStreet FromIF To Scope of Work NW 27th Street W Long Avenue Ephriham Avenue Water NW 28th Street Rosen Avenue Hanna Avenue Water Rosen Avenue Northside Pump Station NW 28th Street Water Rock Island Street NW 27th Street NW 28th Street Water NW 27th Street Roosevelt Avenue Pearl Avenue Water/Sewer Pearl Avenue NW 27th Street NW 22r'd Street Water NW 23rd Street Loving Avenue N Calhoun Street Water NW 28th Street Robinson Street Macie Avenue Water N Commerce Street NE 21st Street �i NW 23rd Street Water LNW 22,d Street N Main Street N Commerce Street Water Construction of the project was advertised for bid on January 28, 2026 and February 4, 2026 in the Fort Worth Star -Telegram. On March 19, 2026 the following bids were received: Bidder Amount Contract Time S.Y.B. Construction Co., Inc. $19,608,045.85 850 Calendar Days Jackson Construction Ltd. $25,387,362.00 William J. Schultz, Inc. dba Circle 9$30,838,141.25Construction Company S.J. Louis Construction of Texas, LTD $32,365,000.00 Small Business (SB) Goal - S.Y.B. Construction Co., Inc is in compliance with the small business goal. In addition to the contract amount, $659,420.15 (Water: $592,414.15; Sewer: $67,006.00) is required for project management and inspection and $406,928.00 (Water: $388,469.00; Sewer: $18,459.00) is provided for project contingency. The sanitary sewer component of this project is part of the Water Department's Sanitary Sewer Overflow Initiative Program. Approximately 15,948 linear feet of cast iron water and 200 linear feet of deteriorated sanitary sewer pipe will be removed and replaced as part of this project. It is the practice of the Water Department to appropriate its Capital Improvement Program (CIP) plan throughout the Fiscal Year, instead of within the annual budget ordinance, as projects commence, additional funding needs are identified, and to comply with bond covenants. Available cash within the Water and Sewer portfolio and the City's portfolio along with the appropriation authority authorized under the Callable Commercial Paper Program (CP) will be used to provide interim financing for this project until debt is issued. Once debt associated with this project is sold, bond proceeds will be used to reimburse the Water and Sewer portfolio and the City's portfolio in accordance with the attached Reimbursement Resolution. Funding is available in the Commercial Paper project within the Water & Sewer Commercial Paper Fund for the purpose of funding the 16-36-inch Cast Iron Water Main Replacement in Holly -North Side Pump Station project Part 1. Funding for the 16-36 inch Cast Iron Water Main Replacement Holly -North Side Pump Station, Part 1 project is depicted below: Fund Existing 1 Appropriations Additional Appropriations project Total* W&S Capital Projects -Fund $1,818,180.00 $0.00 $1,818,180.00 56002 J W&S Commercial Paper— Fund $0.00 $20,994,394.00 $20,994,394.00 56026 Project Total $1,818,180.00 $20,994,394.00 $22,812,574.00 *Numbers rounded for presentation purposes. The project is located in COUNCIL DISTRICT 2. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that funds are currently available in the Commercial Paper project within the W&S Commercial Paper Fund, and upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the W&S Commercial Paper Fund for the 16- 36in Cl WM REPL HOLLY-NSPS project to support the execution of the construction contract and engineering agreement amendment. Prior to any expense being incurred, the Water Department has the responsibility of verifying the availability of funds. FUND IDENTIFIERS (FIDs): TO and Department ID FROM ounjProject �Prog ID Budget Reference # Year (Chartfield 2) Fund Department Accoun Project Program ctivity Budget Reference # mount N ID ID Year (Chartfield 2) CERTIFICATIONS: Submitted for City Manager's Office by_ Jesica McEachern (5804) Originating Department Head: Chris Harder (5020) Additional Information Contact: Bijay Upreti (8909) ATTACHMENTS 1. 60NSIDE CASTIRON WMREPLACEPARTI-SYBANDFNI funds avail.docx (CFW Internal) 2. 60NSIDE CASTIRONWMREPLACE PI-SYBANDFNI FID Table (WCF 04.06.26).xlsx (CFW Internal) 3.60NSIDECASTIRONWMREPLACE PARTI-SYBANDFNI.pdf (Public) 4. Commercial Paper Balances 04.06.25.xlsx (CFW Internal) 5. Form 1295 Certificate 101513370-FNI.pdf (CFW Internal) 6. Form 1295 Certificate 101513647-SYB.pdf (CFW Internal) 7. ORD.APP 60NSIDE CASTIRON WMREPLACE PARTI-SYBANDFNI 56026 A026(R4) - JLM.docx (Public) 8. PBS CPN 105068.pdf (CFW Internal) 9. Res.60NSIDE CASTIRON WM REPLACEPI-SYBANDFNI - JLM.docx (Public) O O a U V U U O U ' Q O q O V O U Ati H 0 O V O L% 0.. F^ u U i A O m 011 c3 O [ .-. ..- G ... 3waw� �3r 3aurn, 0 0 Oo 0 0 0 m o 0 0 o Ln o 0 0 0 0 0 0 a 0 Di Ln� 0 L6 0 o 0 o 00 L i 0 6 0 m 0 v 0 + o o m 0 o 0 m 0 m 0 0 m m m m m o LD m 0 o 0 o m v w V' w LO n n m rn in o m rn Ln Ln d' o m m o o m a v Cl oo v 0 m w wm 0 0 v 0 0 0 0 Ol m N n N O - L? N m N v 00 m m r- N �n �-I m N .n- 00 .--I v* N +n V). N .n 0 0 .n +n 14 o in an A4 in �D W lD D1 O1 D1 m O1 Ol O1 m D O D O 0) N N 00 N N O Dl m Ol O1 D1 D1 m m in in0) Ol Ol O1 m m D1 D1 Ol (nD1 D1 m (n Ol m m Dt N N N m m m m m m Ol m M m D1 (n Ol m 00000vaLn 000vaLnz 00 00 m 00 00 00 00 00 00 00 00 00 00 00 ti 0 ti 0 ti 0 ti 0 N 0 ti 0 0 r 0 0 0 0 0 0 0 0 0 0 N 0 o H w o_ oo co 00 ou o0 00 00 00 O 00 00 00 00 00 m 00 00 J O O O O O O O o O o O O O o O O 0 Ln Ln Ln m m m 0 0 m m 0 m m m m m m u O O O O O O O o O o O O O o O O 0 O O� Oa O-It M O O O Oa O-�t M O O w chi m 117 m I� In n In N m M M M In .--I In ci V1 I� m N In M In M 0 ��-I In 0 N O O O 0 0 0 0 0 0 0 0 O O O O O O m v�ry m In M vvvavavv M M M m M M M M vvvvvv M M M M m 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 'o 0 ID 0 il 0 w 0 tD 0 w 0 w 0 w 0 lD 0 w 0 tD 0 N 0 N 0 N 0 N 0 N 0 n 0 0 w 0 0 0 0 0 0 0 0 W 0 0 0 0 0 0 0 N o N O N O N o N O N O N O N O N O N O N O N o N O N O N O N O N O N 0 LD w w W W W W LD W LD W LD lD LO W LD lD lD m -1 N m m m m m e m m m m [n m m m CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 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 Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2026-1439806 Freese and Nichols, Inc Fort Worth, Texas 76102, TX United States Date Filed: 03/30/2026 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. City of Fort Worth Water Department Date Acknowledged: 3 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. 105068 Holly-Northside Cast Iron Water Main Replacements, Part 1-Amendment 1 Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling Intermediary Coltharp, Brian Fort Worth, TX United States X Pence, Bob Fort Worth, TX United States X Payne, Jeff Fort Worth, TX United States X Hatley, Trisha Oklahoma City, OK United States X Brown, Jesica Fort Worth, TX United States X Chambers, Robert Fort Worth, TX United States X Stull, Cory Houston, TX United States X Bennett, David Denver, CO United States X Reedy, Michael Houston, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is Paula Durant and my date of birth is My address is 801 Cherry Street, Suite 2800 Fort Worth TX 1 76102 USA (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Tarrant County, State of Texas on the 30 day of March 2026 (month) (year) / loaze,�.C� Z�)u444Z;& Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V4.1.0.b6ef2aab FORT WORTH. City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Freese and Nichols, Inc. Subject of the Agreement: 16-36 Inch Cast Iron Water Main Replacement in Holly -North Side Pump Station, Part 1 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 0 No ❑ 61078-Al If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes 0 No ❑ 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: 5/12/2026 If different from the approval date. Expiration Date: N/A If applicable. Is a 1295 Form required? * Yes 0 No ❑ *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. 105068 *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.