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HomeMy WebLinkAbout065607 - General - Contract - North City Flatlands, LLCDate Received: 8/3/2026 Record Number: PN26-00103 Time Received: 9:38 a.m. City Secretary No.: 65607 PUBLIC PROPERTY EASEMENT ENCROACHMENT LICENSE AGREEMENT TIER II THIS AGREEMENT is made and entered into by and between THE CITY OF FORT WORTH, a home rule municipal corporation of Tarrant County, Texas ("City"), acting by and through its duly authorized City Manager, Assistant City Manager, or Director of the Development Services Department, and North City Flatlands, LLC, a(n) Florida limited liability company ("Licensee"), acting by and through its duly authorized representative. RECITALS WHEREAS, Licensee is the owner of the real property located at 8801, 8825, 8853 North City Drive, Fort Worth, Texas 76177 ("Property"), being more particularly described as, being a tract of land situated in the William McCowen Survey, Abstract No. 999, City of Fort Worth, Tarrant County, Texas being a part of Lot 5, Block 1, North City Addition — East, an Addition to the City of Fort Worth, according to the correction plat recorded in County Clerk's Document Number D223091757, Plat Records, Tarrant County, Texas, a part of that certain tract of land described by deed to North City Flatlands, LLC as recorded in Deed Records, by Instrument Number D223059305 and WHEREAS, the City owns a permanent sewer facility easement (the "Public Property") within the property, dedicated to the City in an easement filed in the Tarrant County Deed Records as Instrument Number D221322450, as depicted on the final plat of the property (FP-22-163), which plat is recorded in the plat records of Tarrant County as Instrument Number D222291180; and WHEREAS, Licensee desires to construct, place, and maintain certain improvements which will encroach in, on, above, or below the Public Property; and WHEREAS, to accommodate the needs of the Licensee, the City will allow the encroachment under the terms and conditions as set forth in this Agreement. NOW, THEREFORE, the City and Licensee agree as follows: OFFICIAL RECORD AGREEMENT CITY SECRETARY 1. FT. WORTH, TX The City, in consideration of the payment by Licensee of the fee set out below and covenants and agreements hereinafter contained to be kept and performed by Tier II Easement Encroachment Agreement Page 1 of 12 Standard Licensee, hereby grants permission to Licensee to encroach in, on, above, or below and occupy a portion of the City's Public Property as described in and at the location shown on Exhibit "A," but only to the extent shown thereon, for the purpose of constructing, installing, and maintaining a wrought iron fence (the "Encroachment"). Upon completion of the Encroachment, Licensee agrees to be responsible for maintaining the Encroachment within the Public Property. Licensee shall not expand or otherwise cause the Encroachment to further infringe in or on the Public Property beyond what is specifically described in Exhibit "A." 2. All construction, installation, maintenance, and operation of the Encroachment and the use or occupancy of the Public Property shall comply with and be performed in strict compliance with this Agreement and with the charter, ordinances, codes, and policies of the City. Prior to the construction or installation of the Encroachment, Licensee shall submit all plans and specifications to the Director of the Development Services Department or duly authorized representative. Licensee shall not commence construction or installation of the Encroachment nor make any use of the Public Property until after the execution of this Agreement. 3. Licensee, at no expense to the City, shall make proper provisions for the relocation and installation of any existing or future utilities affected by such Encroachment and the use and occupancy of the Public Property, including the securing the approval and consent of the appropriate utility companies and agencies of the State of Texas and its political subdivisions. In the event that any installation, reinstallation, relocation, or repair of any existing or future utility or improvements owned by or constructed by or on behalf of the public or at public expense is made more costly by virtue of the construction, maintenance, or existence of the Encroachment and use of Public Property, Licensee shall pay to City an additional amount equal to such additional cost as determined by the Director of Transportation and Public Works, the Director of the Water Department, the Director of the Development Services Department, or their duly authorized representative. 4. Licensee agrees that City may enter and utilize the Public Property at any time for any public purpose, including installing, repairing, replacing, or maintaining improvements to its public facilities or utilities necessary for the health, safety, and welfare of the public. The City shall have no responsibility or liability for any damages related to the Encroachment resulting from the City's use of the Public Property; however, the City shall make reasonable efforts to minimize such damage. 5. Tier II Easement Encroachment Agreement Page 2 of 12 Standard Upon termination of this Agreement, Licensee shall, at the option of and at no expense to the City, remove the Encroachment and restore the Public Property to a condition acceptable to the Director of Transportation and Public Works, the Director of the Water Department, the Director of the Development Services Department or their duly authorized representative. Any such removal of the Encroachment shall be in accordance with then -existing City regulations and policies. It is understood and agreed to by Licensee that if this Agreement terminates and Licensee fails to remove the Encroachment and restore the Public Property, Licensee hereby gives City permission to remove the Encroachment and any supporting structures from the Public Property, to restore the Public Property, and to assess a lien on the Property for the costs expended by the City in taking such actions. 6. In order to defray all costs of inspection and supervision which the City has incurred or will incur as a result of the construction, maintenance, inspection or management of the Encroachment and use of Public Property as provided for by this Agreement, Licensee agrees to pay to City at the time this Agreement is requested an application fee in the sum of One Thousand Twelve Dollars and Fifty Cents ($1012.50). 7. The term of this Agreement shall be for thirty (30) years, commencing on the date this Agreement is executed by City. However, the City may terminate this Agreement upon Licensee's noncompliance with any of the terms of this Agreement. City shall notify Licensee in writing of any such noncompliance and if Licensee does not cure the noncompliance within thirty (30) days of notice from City, the City may terminate this Agreement. However, the City may, at its sole option, allow the Agreement to remain in effect so long as Licensee has taken reasonable measures to cure the noncompliance or is continuing to diligently attempt to remedy the noncompliance. 8. It is further understood and agreed between the parties hereto that the Public Property to be used and encroached upon is held by City as trustee for the public; that City exercises such powers over the Public Property as have been delegated to it by the Constitution of the State of Texas or by the Texas Legislature; and that City cannot contract away its duty and its legislative power to control the Public Property for the use and benefit of the public. It is accordingly agreed that if the governing body of City may at any time during the term hereof determine in its sole discretion to use or cause or permit the Public Property to be used for any other public purpose, including but not being limited to underground, surface, or overhead communication, drainage, sanitary sewerage, transmission of natural gas or electricity, or any other public purpose, whether presently contemplated or not, that the parties agree to negotiate in good faith in order to accommodate both the Encroachment and the public purpose. Tier II Easement Encroachment Agreement Page 3 of 12 Standard 9. LICENSEE COVENANTS AND AGREES TO INDEMNIFY, AND DOES HEREBY INDEMNIFY, HOLD HARMLESS, AND DEFEND CITY, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, AND ELECTED OFFICIALS FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY DAMAGE OR LOSS AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH, DIRECTLY OR INDIRECTLY, THE CONSTRUCTION, MAINTENANCE, OCCUPANCY, USE, EXISTENCE, OR LOCATION OF THE ENCROACHMENT AND USES GRANTED HEREUNDER, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY THE ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, ELECTED OFFICIALS, OR INVITEES OF THE CITY; AND LICENSEE HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR SUCH CLAIMS OR SUITS. LICENSEE SHALL LIKEWISE ASSUME ALL LIABILITY AND RESPONSIBILITY AND SHALL INDEMNIFY CITY FOR ANY AND ALL INJURY OR DAMAGE TO CITY PROPERTY ARISING OUT OF OR IN CONNECTION WITH THE ENCROACHMENTS AND ANY AND ALL ACTS OR OMISSIONS OF LICENSEE, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, OR INVITEES. 10. While this Agreement is in effect, Licensee agrees to furnish City with a Certificate of Insurance naming City as certificate holder as proof that is has secured and paid for a policy of public liability insurance covering all public risks related to the proposed use and occupancy of public property as located and described in Exhibit "A." The amounts of such insurance shall be not less than $1,000,000 with the understanding and agreement by Licensee that such insurance amounts may be revised upward at City's option and that Licensee shall so revise such amounts immediately following notice to Licensee of such requirement. Such insurance policy shall not be canceled or amended without at least thirty (30) days prior written notice to the Building Official of the City. A copy of such Certificate of Insurance is attached as Exhibit "B" and incorporated herein for all purposes. Licensee agrees, binds, and obligates itself and its successors and assigns to maintain and keep in force such public liability insurance at all times during the term of this Agreement and until the removal of the Encroachment and restoration of the Public Property. All insurance coverage required herein shall include coverage of all Licensee's contractors and subcontractors. Tier II Easement Encroachment Agreement Page 4 of 12 Standard 11. Licensee agrees to deposit with the City when this Agreement is executed a sufficient sum of money to be used to pay necessary fees to record this Agreement in the real property records of the county in which the Encroachment is located. After being recorded, the original shall be returned to the City Secretary of the City of Fort Worth. 12. Licensee agrees to comply fully with all applicable federal, state, and local laws, statutes, ordinances, codes, and regulations in connection with the construction, operation, and maintenance of the Encroachment and use of the Public Property. 13. Licensee agrees to pay promptly when due all fees, taxes, or rentals provided for by this Agreement or by any federal, state, or local statute, law, or regulation. 14. Licensee covenants and agrees that it shall operate hereunder as an independent contractor as to all rights and privileges granted hereunder and not as an officer, agent, servant, or employee of City, and Licensee shall have exclusive control of and the exclusive right to control the details of its operations, and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, agents, servants, employees, contractors, subcontractors, licensees, and invitees. The doctrine of respondeat superior shall not apply as between City and Licensee, its officers, agents, servants, employees, contractors, and subcontractors, and nothing herein shall be construed as creating a partnership or joint enterprise between City and Licensee. 15. Licensee agrees and acknowledges that this Agreement is solely for the purpose of permitting Licensee to construct, maintain, and locate the Encroachment over or within the Public Property and is not a conveyance of any right, title, or interest in or to the Public Property, nor is it meant to convey any right to use or occupy property in which a third -party may have an interest. Licensee agrees that it will obtain all necessary permissions before occupying such property. 16. In any action brought by the City for the enforcement of the obligations of the Licensee, City shall be entitled to recover interest and reasonable attorneys' fees. 17. Tier II Easement Encroachment Agreement Page 5 of 12 Standard The parties agree that the duties and obligations contained in Section 5 shall survive the termination of this Agreement. 18. Licensee covenants and agrees that it will not assign all or any of its rights, privileges, or duties under this Agreement without the written approval of the City, and any attempted assignment without such written approval shall be void. In the event Licensee conveys the Property, Licensee may assign all of its rights and obligations under this Agreement to the new owner of the Property, and Licensee shall be deemed released from its duties and obligations hereunder upon City's approval in writing of such assignment, which approval shall not be unreasonably conditioned or withheld. Foreclosure by a secured lender of Licensee or assignment to a secured lender by Licensee in the event of default or otherwise shall not require City approval provided that said lender notifies City in writing within sixty (60) days of such foreclosure or assignment and assumes all of Licensee's rights and obligations hereunder. However, no change of ownership due to foreclosure or assignment to any secured lender of Licensee shall be effective as to City unless and until written notice of such foreclosure or assignment is provided to City. 19. Prior to the end of the term of this Agreement, Licensee may submit a new encroachment application to the City. The City will not unreasonably withhold or delay approval of such application provided that the Encroachment follows the then current City codes and compliance. 20. Any cause of action for breach of this Agreement shall be brought in Tarrant County, Texas. This Agreement shall be governed by the laws of the State of Texas. 21. This Agreement shall be binding upon the parties hereto and their successors and assigns. 22. This Agreement may be executed in multiple counterparts, each of which shall be considered an original, but all of which shall constitute one instrument. Tier II Easement Encroachment Agreement Page 6 of 12 Standard [SIGNATURES APPEAR ON FOLLOWING PAGE] Tier II Easement Encroachment Agreement Page 7 of 12 Standard EXECUTED to be effective on the date signed by the City's Director of Development Services Department City: CITY OF FORT WORTH By: Dalton Harrell (Jul 31, 2026 12:24:49 CDT) D. J. Harrell Director, Development Services Department Date: 07/31/2026 ATTEST: Approved As To Form and Legality Jannette Goodall, Assistant City Attorney City Secretary 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. Kandice Merrick Contract Compliance Manager OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Tier II Easement Encroachment Agreement Page 8 of 12 Standard Licensee: North City Flatlands, LLC a Florida limited liability company i r NaWe-. Ricardo Blas Title: Chief Operating Officer Date: t4 3 0 2v Z IF STATE OF r1 ov icier § COUNTY OF - () e § BEFORE ME, the undersigned authority, a Notary Public in and for the State of Floytd01, on this day personally appeared P-10a4-60 61c s CEO (Title) known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he or she executed the same for the purposes and consideration therein expressed, as the act and deed of Nw4h C+ 1 F 1(vt l cqd , a F t o ,ndc L L B (entity type), and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this 30 day of JL,(2026. "Y.Py Eva V. Suarez -Patron Comm.: HH 769224 �9.:,r�`: Expires: Feb. 25, 2030 Notary Pu is and for the "•,,';rok i;c;. Notary Public - State of Ronda State of F i a r� c Tier II Easement Encroachment Agreement Page 9 of 12 Standard STATE OF TEXAS § COUNTY OF TARRANT § BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared D. J. Harrell, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he executed the same for the purposes and consideration therein expressed, as the act and deed of the City of Fort Worth, and in the capacity therein stated. July GIVEN UNDER MY HAND AND SEAL OF OFFICE this 31 2026. Notary Public in and for the State of Texas day of Audrey Lee Wallaca hey Commisalo�n pit -as Notary911 kD 1328 506258i Tier II Easement Encroachment Agreement Page 10 of 12 Standard EXHIBIT A Depiction and description of the Encroachment Tier II Easement Encroachment Agreement Page 11 of 12 Standard NOT TO SCALE MAPSCO NO. 035F COUNCIL DISTRICT #4 LATITUDE.- 32. 8945027710 & LONGITUDE: -97. 3246471461 OWNER/DEVELOPER: RESIA 5717 LEGACY DRIVE SUITE 250, OFFICE 2045 PLANO, TX 75024 PHONE: (682) 730-6508 CONTACT: CARY FISHER A" c, D U N AWA 550 Bailey Avenue • Suite 400 • Fort Worth, Texas 76107 Tel: 817.335.1121 (TX REG. F-1114) EXHIBIT A VICINITY MAP RESIA - NORTH CITY FLATLANDS NORTH CITY ADDITION LOT 5, BLOCK 1 FORT WORTH, TEXAS AVM54uv Q 00 04 04 04 it o van 'na nuo �oao u eem W I _ In, ■ 1 CCU Q fr'� J 41 ry -' J ! 9Y_ ,, t 1•4' \D 1 ! r J p1k oD f . sSl �,t, ' _ -� �- `! "vzi' •u 2 - ?� � '1' �^, m R 4 tv • a ►i m EXHIBI T ENCROACHMENT A PART OF LOT 5, BLOCK 1 NORTH CITY ADDITION - EAST to o`��orr81'F9�F✓ \ \ 0 120' oo��<Oo 00' R o 'i�,�3610 F<' / \ .O0 \ SCALE FEET Ao y\°jo4 1"= 120' o � is jA 999 q°O A \ \ yO� ° �O0y���9 \ \ OCO ryo •`•'o �o Gyp ^ \ °�?3 oFyq� \ \ S� qsr yq olss ° aqs l2lFO —/ 7 \\ 9''s�r9 \ c°C)"r voG�'Q,C'S'Rf'yo s,� O ,2� 00 OF STEPHEN R. GLOSUP �9°� BEGIINNINNG SUIR 202' " 6 " 05/27/ CITY OF FORT WORTH PUBLIC ACCESS C.C.D. NO. D224049791, D.R.T.C.T C.C.D. NO. = COUNTY CLERKS DOCUMENT NUMBER P.R.T.C.T. = PLAT RECORDS, TARRANT COUNTY, TEXAS D.R.T.C.T. = DEED RECORDS, TARRANT COUNTY, TEXAS DATE: MAY 27, 2026 •oqo,�. ro � � y° r�'�YlygT i� o��,qs sF4p ` CTO EASEMENT POINT OF COMMENCING DUNAWA v 550 Bailey Avenue • Suite 400 • Fort Worth, Texas 76107 Tel: 817.335.1121 TEXAS REGISTERED SURVEYING FIRM NO. 10098100 tO CITY OF FORT WORTH ENCROACHMENT LICENSE AGREEMENT /6 C.C.D. NO. D223051577 D.R.T.C.T. MO SQUARE FEET ENCROACHMENT — ------ A metes and bounds description of even date accompanies this drawing. PAGE 3 OF 5 DUNAWAY JOB NO. B200120.001 EXHIBI T _ ENCROACHMENT A PART OF LOT 5, BLOCK 1 NORTH CITY ADDITION - EAST do, \ \ 0 30, \ \\ �p4,, SCALE FEET 30, \ \--- \ \ S43'08'30"W \ 2.33' POINT OF BEGINNING oj'9'10 N43'08'30"Eo�FFD 12.57' \ / �} n \ S46'51'29'E \ �TO2��0'1SA \ 122.83' T �9>>s - L'Ir \ 440 SQUARE FEET / /\ ENCROACHMENT N46'51'30"W 156.27' \ N4-4'26'22"E \ S45'33'34"E 27.27' \ / 18.01' S46'51'41"E N46'51'29'W \ \ N43 08'8 24' 2.3� \ / %O �L G 125.17' \ 29 66 22"W 1 \ / 0 9N'-33'34"W F j 40-000600. .s a'3o S Tf0.`\18.1 / 1 STEPHEN R. GLOSUP �90j :;.� 5570 P; o gili •oFfSS10, D�SUR��, 05/27/2026 C.C.D. NO. = COUNTY CLERK'S DOCUMENT NUMBER P.R.T.C.T. = PLAT RECORDS, TARRANT COUNTY, TEXAS D.R.T.C.T. = DEED RECORDS, TARRANT COUNTY, TEXAS DATE: MAY 27, 2026 POINT OF COMMENCING DUNAWAY 550 Bailey Avenue • Suite 400 " Fort Worth, Texas 76107 Tel: 817.335.1121 TEXAS REGISTERED SURVEYING FIRM NO. 10098100 <) N Q� QJ Pik. A metes and bounds description of even date accompanies this drawing. PAGE 4 OF 5 DUNAWAY JOB NO. B200120.001 EXHIBI T ENCROA CHMEN T A PART OF LOT 5, BLOCK 1 NORTH CITY ADDITION - EAST PROPERTY DESCRIPTION BEING a tract of land situated in the William McCowen Survey, Abstract No. 999, City of Fort Worth, Tarrant County, Texas, being a part of Lot 5, Block 1, North City Addition — East, an Addition to the City of Fort Worth, according to the correction plat recorded in County Clerk's Document Number D223091757, Plat Records, Tarrant County, Texas, a part of that certain tract of land described by deed to North City Flatlands, LLC, recorded in County Clerk's Document Number D223059305, Deed Records, Tarrant County, Texas, said tract of land being more particularly described by metes and bounds as follows: COMMENCING at a point for the intersection of the north right—of—way line of U.S. Highway 81 and 287 (a variable width right—of—way) and the north right—of—way of Platinum Drive (a 40' width Public Access Easement), the most southerly corner of said Lot 5, Block 1, North City Addition — East; North 46'51'30" West, with the north right—of—way line of said U.S. Highway 81 and 287 and the westerly line of said Lot 5, Block 1, North City Addition — East, a distance of 156.27 to a point; North 43'08'30" East, departing the north right—of—way line of said U.S. Highway 81 and 287, and the westerly line of said Lot 5, Block 1, North City Addition — East, crossing into said Lot 5, Block 1, North City Addition — East, a distance of 12.57 feet to a point for the POINT OF BEGINNING of herein described tract of land; THENCE Continuing across said Lot 5, Block 1, North City Addition — East and with the said Encroachment Easement, the following courses and distances: North 43'08'30" East, a distance of 2.33 feet to a point; South 46'51'29" East, a distance of 122.83 feet to a point; North 43'08'30" East, a distance of 18.24 feet to a point; South 45'33'34" East, a distance of 18.01 feet to a point; North 44'26'22" East, a distance of 27.27 feet to a point; South 46'51'41" East, a distance of 2.33 feet to a point; South 44'26'22" West, a distance of 29.66 feet to a point; North 45'33'34" West, a distance of 17.95 feet to a point; South 43'08'30" West, a distance of 18.19 feet to a point; North 46'51'35" West, a distance of 125.17 feet to the POINT OF BEGINNING and containing a calculated area of 440 square feet or 0.010 acre of land. NOTES: The basis of bearings for this Easement is the Texas Coordinate System of 1983, North Central Zone, 4202, based upon GPS measurements, according to the GPS Reference Network. A drawing of even date accompanies this metes and bounds description. The metes and bounds description contained herein was compiled from information contained in recorded documents and does not reflect the results of an on the ground survey. DUNAWAY JOB NO. B200120.001 PAGE 5 OF 5 OLUPI 1C11 n. VVVZUP Registered Professional Land Surveyor Texas Registration No. 5570 ,\F, �;• TF G � S T fR'•;9 srg@dunaway.com `P•: C13 j! • EXHIBIT May 27, 2026 ' STEPHEN R. GLOSUP A PART OF LOT 5, BLOCK 1 _ DUNAWA y q ,�0 550o NORTH CITY ADDITION -EAST ti..fsst...y S U R 1 550 Bailey Avenue • Suite 400 • Fort Worth, Texas 76107 An Addition to the City of Fort Worth, according to Tel:817.335.1121 the plat recorded In County Clerk's Document Number TEXAS REGISTERED SURVEYING FIRM NO. 10098100 D223091757, Plat Records, Tarrant County, Texas. 695 690 685 680 675 670 665 EXHIBIT - FENCE ENCROACHMENT PROFILE LOT 5, BLOCK 1 NORTH CITY ADDITION - EAST 3- �j o W I 1 Qo W �I-_I _ o f7N V I-W i � BOT)GM/ II U V C9- — Q?ADE OF RWCF 2 . I i I I I I I I I f I I I p i t --- -�- ! - �-'- - - - -- -r4 INIERMEDA7E —' t MASONRY .. POST CALUMIN = GRADE — _ —_ I COLUMN — FOUNDA77ON _ FOUNDA77ON -- ice) - J- 660 -1--! - ] - - EX. 15" SEWER 655 FL = ±651.85 - I- 650 645-+-i--i i- -0+50 0+00 DUNAWA y 550 Bailey Avenue • Suite 400 • Fort Worth, Texas 76107 Tel: 817.335.1121 TEXAS REGISTERED SURVEYING FIRM NO. 10098100 0+50 EX. W SEN FL - ±651 1 +00 1 +50 695 690 685 680 675 670 660 655 650 645 2+ 00 PAGE 1 OF 1 EXHIBIT FENCE ENCROACHMENT PROFILE A PART OF LOT 5, BLOCK 1 NORTH CITY ADDITION - EAST EXHIBIT B Certificate of Insurance Tier II Easement Encroachment Agreement Page 12 of 12 Standard FORT WORTH. City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: North City Flatlands, LLC Subject of the Agreement: Tier II Easement Encroachment 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. Certificate of Insurance Effective Date: Date Director signs If different from the approval date. Expiration Date: 30 years from execution If applicable. Is a 1295 Form required? * Yes ❑ No ED *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.