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HomeMy WebLinkAbout062257-R1 - Construction-Related - Contract - Nortex Concrete Lift & Stabilization, Inc.CSC No. 62257-Rl CITY OF FORT WORTH CONTRACT RENEWAL NOTICE May 5, 2026 Nortex Concrete Lift & Stabilization, Inc. Attention: David Simpson 201 NW 261h St Fort Worth, Texas 76164 Re: Contract Renewal Notice —1 Renewal Pavement Leveling Service Unit Price Contract Contract CSC No. 62257 Original Contract Amount: $1,000,000.00 The above referenced contract with the City of Fort Worth, as renewed, expires with the expenditure of funds. The funds for the contract have been expended or programmed. The contract allows for two additional renewals, upon expiration of contract funds, with a maximum total contract time of five years from the initial Effective Date. This letter is to inform you that the City has appropriated funding and is exercising its right to renew the contract in the original contract amount, which will be effective upon execution by the designated Assistant City Manager. All other terms and conditions of the contract, remain unchanged. Please verify that the original payment, performance and maintenance bonds remain active or if retired, provide updated bonds when you return this letter. Please sign in the space indicated below and return this document, along with a copy of your current insurance certificate, to the undersigned. Please log onto PeopleSoft Purchasing at htip://fortworthtexas.gov/purchasing to ensure that your company information is correct and up-to-date. If you have any questions concerning this Contract Renewal Notice, please contact me at the telephone number listed below. Sincerely, 7_e�g1-er-i ArL:,3a Zelalem Arega (May 12, 2026 14:57:15 CDT) Zelalem Arega Engineering Manager (817) 392-8117 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract Renewal Page 1 of 2 CSC No. 62257-Rl ACCEPTED AND AGREED: CITY OF FORT WORTH By: Name: Title: Jesica McEachern Assistant City Manager Date: 05/25/2026 APPROVAL RECOMMENDED: 0�4..�..�. %��..,,L By: Lauren Prieur (May 14, 2026 16:57:48 CDT) Name: Lauren Prieur Title: Director, Transportation & Public Works Department ATTEST: By: Name: Title: Jannette S. Goodall City Secretary CONTRACTOR: 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. By: Tarigul Islam y 6, 2026 10:13:29 CDT) Name: Tariqul Islam Title: Graduate Engineer APPROVED AS TO FORM AND LEGALITY: Woe - By: Douglas Black (May 20, 2026 14:39:45 CDT) Name: Douglas. W. Black Title: Sr. Assistant City Attorney 4EF°p>°^a AUTHORIZATION: oo.,o,o e, oq a M&C: 24-0902 Date Approved: 10-15-2024 By: T auri� �'i-n�oi Name: David Simpson Title: CFO/SEC 05/06/2026 Date: Form 1295 Certification No.: 2024-1196521 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract Renewal Page 2 of 2 M&C Review Page 1 of 2 CITY COUNCIL AGENDA Create New From This M&C DATE: CODE: 10/15/2024 REFERENCE **M&C 24- LOG NAME: NO.: 0902 C TYPE: CONSENT PUBLIC HEARING: Official site of the City of Fort Worth, Texas Fly RTWO RT II 20PAVEMENT LEVELING SERVICE UNIT PRICE CONTRACT NO SUBJECT: (ALL) Authorize Execution of a Unit Price Contract with Nortex Concrete Lift and Stabilization, Inc., in an Amount Not to Exceed $1,000,000.00 for Task Order Construction Services Related to Pavement Leveling Service Projects at Various Locations with Two Renewals for the Same Amount RECOMMENDATION: It is recommended that the City Council authorize execution of a unit price contract with Nortex Concrete Lift and Stabilization, Inc., in an amount not to exceed $1,000,000.00 for task order construction services related to pavement leveling service projects at various locations in the City, with up to two renewals for the same amount. DISCUSSION: This contract will provide construction services on an as -needed (task order) basis for pavement leveling service projects throughout the City. The pavement leveling service projects include slab lifting, soil densification, and joint grinding of concrete pavements. The contract amount is capped at $1,000,000.00. The contract may be renewed two additional times for the same amount. The project was bid in a low bid format to determine unit prices to be paid when task orders are issued under the citywide pavement leveling service unit price projects. This project was advertised for bid on July 11, 2024, and July 18, 2024, in the Fort Worth Star - Telegram. On August 8, 2024, the following bids were received: Bidder Amount Nortex Concrete Lift and Stabilization, Inc. $759,699.10 Kaitlin Kent Enterprises, Inc. $857,338.15 This task order contract will serve current and future capital projects as needed, and a funds availability verification will be performed by the Transportation & Public Works Contract Compliance Managers prior to task order assignment. M/WBE OFFICE — Business Equity placed a 13.73\% business equity goal on this project. Nortex Concrete Lift & Stabilization, Inc., is committing to 1.97\% MWBE participation. Good Faith Effort (GFE) with supporting documentation was submitted, which is in accordance with the City's Business Equity Ordinance. Any changes in subcontractors will be reviewed by the Business Equity Division. This unit price contract is located in ALL COUNCIL DISTRICTS. FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are available in the current capital budgets, as previously appropriated, in the various capital improvement program funds to support the recommendations and execution of the contract. Prior to any expenditure being incurred, the Transportation & Public Works Department has the responsibility to validate the availability of funds. http://apps.cfwnet.org/council_packet/mc review.asp?ID=32608&councildate=10/15/2024 10/16/2024 M&C Review Page 2 of 2 TO Fund Department Account Project Program Activity Budget Reference # Amount ID ID Year Chartfield 2) FROM Fund Department Account Project Program Activity Budget Reference # Amount ID I ID I I Year (Chartfield 2) Submitted for City Manager's Office by: Originating Department Head: Additional Information Contact: ATTACHMENTS Jesica McEachern (5804) Lauren Prieur (6035) Monty Hall (8662) Contract Compliance Memorandum.pdf (CFW Internal) FID Table - Task Order Contract.XLSX (CFW Internal) Form 1295 Nortex.pdf (CFW Internal) SAM Search Report Nortex Concrete Lift and Stabilization Inc..pdf (CFW Internal) http://apps.cfwnet.org/council_packet/mc review.asp?ID=32608&councildate=l0/15/2024 10/16/2024 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos. 1 - 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 it there are no interested parties. CERTIFICATION OF FILING Certificate Number: 202.4-1196521 1 Name of business entity filing form, and the city, state and country of the business entity s place of business.. Nortex Concrete Lift & Stabilization, Inc. Fort Worth, TX United States Date Filed: 08/0512024 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, TX 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. 24-0247 Pavement Leveling Services Unit Price Contract 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is and my date of birth is My address is 2—Qk iAVftZL-TtA �(1( 4�, Un-A. (street) (city) (slate) (zip code) (country) i declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of on the yday of �— , 204r____1. {rtj th) (year) Signature of auth ori 06d agent o contracting business entity (Declarant) Forms provided by Texas Ethics Commission www,ethics.state.tx.us Version V4.1.0.48da51f7 /COMMERCIAL GENERAL LIABILITY- OCCURRENCE AXI)I V :� SCHEDULE OF FORMS & ENDORSEMENTS Policyholder Notices and Policy Forms Form Number and Edition Date POLICYHOLDER NOTICE AXIS 105 0316 SERVICE OF SUIT AXIS 106 0415 POLICYHOLDER NOTICE - ECONOMIC AND TRADE SANCTIONS AXIS 906 0316 TEXAS NOTICE AXIS TX 901 0420 POLICYHOLDER DISCLOSURE - NOTICE OF TERRORISM INSURANCE COVERAGE - TRIA DECLINED TRIA DECLINED DISCLOSURE COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG 0001 0413 COMMON POLICY CONDITIONS IL 0017 1198 Endorsements Form Number and Edition Date CONTROLLED SUBSTANCE EXCLUSION ENDORSEMENT AXIS 1011960 0519 PER- AND POLYFLUOROALKYL SUBSTANCES (PFAS) EXCLUSION AXIS 1012886 0821 HUMAN TRAFFICKING EXCLUSION ENDORSEMENT AXIS 1013128 0422 BIOMETRIC INFORMATION EXCLUSION AXIS 1013198 0423 EMPLOYEE BENEFITS LIABILITY COVERAGE CG 0435 1207 PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION CG 2001 1219 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION CG 2010 1219 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS CG 2037 1219 EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA -RELATED LIABILITY - LIMITED BODILY INJURY EXCEPTION NOT INCLUDED CG 2107 0514 EXCLUSION - UNMANNED AIRCRAFT CG 2109 0615 EXCLUSION - DESIGNATED PROFESSIONAL SERVICES CG 2116 0413 COMMUNICABLE DISEASE EXCLUSION CG 2132 0509 EXCLUSION - DESIGNATED WORK CG 2134 0187 EMPLOYMENT -RELATED PRACTICES EXCLUSION CG 2147 1207 EXCLUSION - DESIGNATED ONGOING OPERATIONS CG 2153 0196 EXCLUSION - DESIGNATED OPERATIONS COVERED BY A CONSOLIDATED (WRAP-UP) INSURANCE PROGRAM CG 2154 0196 TOTAL POLLUTION EXCLUSION WITH A BUILDING HEATING, COOLING AND DEHUMIDIFYING EQUIPMENT EXCEPTION AND A HOSTILE FIRE EXCEPTION CG 2165 1204 FUNGI OR BACTERIA EXCLUSION CG 2167 1204 P-001-001785767-01 -" � COMMERCIAL GENERAL LIABILITY- OCCURRENCE L:-�:AxiS EXCLUSION - CONTRACTORS - PROFESSIONAL LIABILITY CG 2279 0413 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US CG 2404 1219 AMENDMENT OF INSURED CONTRACT DEFINITION CG 2426 0413 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD FORM) IL 0021 0908 AMENDMENT TO INSURING AGREEMENTS ENDORSEMENT SI 0001 0915 AMENDMENT AGGREGATE LIMITS OF INSURANCE (PER PROJECT AND TOTAL POLICY AGGREGATE) SI 106 0915 DEDUCTIBLE LIABILITY INSURANCE SI 107 0521 OPERATIONS EXCLUSION - RESIDENTIAL WORK SI 114 0915 EXCLUSION - PUNITIVE OR EXEMPLARY DAMAGES SI 121 0915 COMPOSITE RATE SI 128 1220 TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHY (TSE) EXCLUSION SI 140 0915 MINIMUM EARNED PREMIUM ENDORSEMENT SI 191 0422 WARRANTY OF SUBCONTRACTOR LIMITS - AGG'D DEDUCTIBLE AMENDED SI 196 0915 LIMITED ADVICE OF CANCELLATION PROVIDED VIA EMAIL TO ENTITIES OTHER THAN THE FIRST NAMED INSURED SI 216 0915 AMENDMENT OF DEFINITION OF EMPLOYEE SI 218 0915 AMENDMENT OF DEFINITION OF PERSONAL AND ADVERTISING SI 219 0915 AMENDMENT TO BREACH OF CONTRACT EXCLUSION SI 220 0915 AMENDMENT TO INFRINGEMENT OF COPYRIGHT, PATENT, TRADEMARK OR TRADE SECRET EXCLUSION SI 221 0915 ASBESTOS EXCLUSION SI 222 0121 CROSS SUITS EXCLUSION SI 223 0121 EIFS EXCLUSION SI 224 0121 HABITATIONAL EXCLUSION SI 225 0915 LEAD EXCLUSION SI 226 0121 PREMIUM AUDIT - ADVANCE MINIMUM AND DEPOSIT PREMIUM ENDORSEMENT SI 227 0121 REPRESENTATIONS AND WARRANTIES ENDORSEMENT SI 228 0121 SILICA EXCLUSION SI 229 0121 TERRORISM EXCLUSION SI 230 0915 EXPOSURE BASIS DEFINITIONS ENDORSEMENT SI 250 0121 P-001-001785767-01 POLICY NUMBER: P00100178576701 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations Any person or organization where the Named Insured has agreed in a written contract or agreement to name as an additional insured provided that the contract or agreement was executed prior to the loss or occurrence. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 C Insurance Services Office, Inc., 2018 CG 20 10 12 19 POLICY NUMBER: P00100178576701 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed O erations Any person or organization where the Named Insured has agreed in a written contract or agreement to name as an additional insured provided that the contract or agreement was executed prior to the loss or occurrence. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: P00100178576701 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization you have agreed to waive any right of recovery against in a written contract or agreement executed prior to the loss or occurrence. Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: P00100178576701 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: P00100178576701 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization you have agreed to waive any right of recovery against in a written contract or agreement executed prior to the loss or occurrence. Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 9 Insurance Services Office, Inc., 2018 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 03 04 B (Ed. 6-14) TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule The premium for this endorsement is shown in the Schedule. Schedule 1. (❑) Specific Waiver Name of person or organization (0) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: TEXAS OPERATIONS ONLY 3. Premium: The premium charge for this endorsement shall be 2 percent of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Advance Premium: This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10-01-2025 Policy No.WTX 5086650 00 Endorsement No. Insured NORTEX Concrete Li.£t and Stabilization, Ina- Premium $ INCL . Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 42 03 04 B (Ed. 6-14) © Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. INSURED FORT WORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Pavement Leveling Service Unit Price Contract— First Renewal M&C: 24-0902 CPN: CSO: 62257 DOC#: Date: To: Name Department Initials Date Out 1. Seidi Tovar TPW - initial s r 05/11/26 2. David Simpson - Contractor Vendor - Signature 05/06/26 3. Tariqul Islam - PM TPW - Signature Tullslam 05/06/26 4. Zelalem Arega- PgM TPW - Signature 05/12/26 5. Mary Hanna — Sr. Capital Officer TPW - initial 05/12/26 6. Patricia Wadsack TPW AD TPW - initial 05/14/2026 7. Lauren Prieur TPW - Signature Aer Pr-105/14/26 8. Doug Black Legal -Signature Dou las Black 05/20/26 9. Jesica McEachern CMO -Signature CM 05/25/26 10. Jannette Goodall CSO - Signature netteGootlall 05/26/2026 11. Donnette Murphy Risk - initial o - 05/05/26 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, Jay will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: []YES ®No SAME DAY: ❑YES ❑No NEXT DAY: ❑YES ❑No ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: Please notify TPWContracts(a fortworthtexas.Mov for pickup when complete. Call ext. 7233 or ext. 8363 with questions. Thank you! FORT WORTH. City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Nortex Concrete Lift & Stabilization, Inc. Subject of the Agreement: Renewal No. 1 to CSC No. 62257, a Contract for Task Order Construction Services Related to Pavement Leveling Service Projects at Various Locations M&C Approved by the Council? * Yes 8 No ❑ If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes ❑ No 8 If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes 8 No ❑ If unsure, see back page for permanent contract listing. Is this entire contract Confidential? *Yes ❑ No 8 If only specific information is Confidential, please list what information is Confidential and the page it is located. 1295 Form & COI (pages 7-18) Effective Date: Expiration Date: If different from the approval date. If applicable. Is a 1295 Form required? * Yes 8 No ❑ *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 8 No ❑ Contracts need to be routed for CSO processing in the following 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.