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HomeMy WebLinkAbout063609-CO3 - Construction-Related - Contract - Stabile and Winn, Inc.CSC No. 63609-0O3 FORT WORTH; City of Fort Worth Change Order Request Project Name 104315 - 2022 Bond Yr 3 - Contract 14 City Sec # 63609 Client Project #(s) 104315 Project Description Combined Street Paving Improvements, Water and Sanitary Sewer Main Replacements for 2022 Bond Year 3 - Contract 14 Contractor Stabile and Winn, Inc. Change Order # 3 Date 6/24/2026 City Project Mgr. I Gustavo A. Vallejo City Inspector Eric Tinner Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Unit 1: Water Uinit 2: Sewer Unit 3: Paving Unit 4: Storm Totals Contract Time CD 3,991,669.50 1,545,989.00 4,194,365.00 $70,205.00 9,802,228.50 500 $4,478.00 $4,478.00 20 $3.991.669.50 $1.550.467.00 $4.194.365.00 $70.205.00 $9.806.706.50 520 Original Funds Available for Change Orders $119,750.00 Remaining Funds Available for this CO $119,750.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 3.99 0 MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $12,252,785.63 - JUSTIFICATION (REASONS) FOR CHANGE ORDER im IN ACCORDANCE WITH THIS CHANGE ORDER REQUEST, THE CONTRACTOR SHALL: Fumish all labor and materials as outlined in proposed Change Order #3. This change order adds several new pay items required to address unforeseen field conditions encountered during construction, including the inclusion of concrete meter boxes along Fairview St, relocation of an encroaching fence on Watson St, replacement of conflicting guardrail and riprap at Race St & Beach St, revision of POL to MOL Wilkinson St and Lancaster Street due to the presence of concrete pavement under the asphalt, and placement of borrow material near Bomar St to achieve design grade. It will also include the installation of new stormwater pipe and inlet improvements at Watson St and Meadowbrook Dr intersection, abandonment of existing damaged stormwater pipes, and associated pavement restoration required for the new stormwater pipe alignment. It also includes new pay items for the replacement of damaged stormwater pipe and inlets at Anna St and Lancaster Ave intersection, discovered during street excavation, and the replacement of a storm junction box top at Adean St & W Beach St. Time: Staff supports the contractor's request for an additional seventy-five (75) calendar days to complete the additional work and route the change order. Cost: Staff has reviewed the contractor's proposed unit prices and compared them with pricing from recent, comparable projects. Based on this evaluation, the proposed pricing is determined to be fair and reasonable. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Name Contractor Name Contract Signature Date Stabile and Winn. Inc. Jerry Henderson 07/07/2026 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date At(wG 07/20/2026 )w 07/20/2026 Program Manager Date Senior Capital Project Officer Date �n 07/22/2026 f ? 07/23/2026 Assistant Director (Dept) Date Director, Contracting Department Dept Date Pafrtua L w� ,ssF cord 07/28/2026 _ 7• �%..." ^.-,.. 07/28/2026 Assistant City Attorney Date Assistant City Manager Date CDT) D—i- Black (Aw 3. 202613AH�18 08/03/2026 08/ 11 /2026 Council Action if required) np ATTEST: o° G Jannette Goodall, City Secretary oQoa �....... 4' M&C Number 26-0537 M&C Date Approved 6/23/2026 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORT WORTH City of Fort Worth -`t_ Change Order Additions Project Name 104315 - 2022 Bond Yr 3 - Contract 14 City Sec # 63609 Client Project # 104315 Contractor Stabile and Winn, Inc. PM Gustavo A. Vallejo Inspector Eric Tinner Change Order Submittal # 0 Date 6124/2026 ADDITIONS ty unit UnitCost Total �.Zrface Milling mt ater 73 9999.0015 Concrete Meter Boxes Unit 1: Water 6 EA T375.00 57 9999.0018 Additional Construction Staking Unit 3: Paving 1 LS 1,500.00 58 3231.0111 4' Chain Link, Steel Unit 3: Paving 1 EA 800.00 59 0241.0800 Remove Rip Rap Unit 3: Paving 16 SY 45.00 60 3137.0101 Concrete RipRap Unit 3: Paving 16 SY 315.00 61 0241.0550 emove Guardrail UnitPaving 135 LF $10.00 62 9999.0016 Guard Railw oo en Post mt aving 100.0 L 95.00 63 9999.0017 Guard Rail Terminal End Section Unit 3: Paving 2.0 EA 1,650.00 64 3123.0103 orrow by Plan Unit 3: Paving 195.0 CY 22. 5 1 0241.0401 Remove Concrete Drive Unit 4: torm 45.00 F 7.50 2 0241.1000 Remove Conc Pvmt Unit 4: form 90.00 Y 25.00 4 0241.3017 Remove 30" Storm Line Unit 4: Storm 115.00 LF 560.00 7 3201.0614 Conc Pvmt Repair, Residential Unit 4: Storm 100.00 SY $240.00 8 3213.0401 6" Concrete Driveway Unit 4: Storm 45.00 SF 25.00 11 3341.0302 30" RCP, Class III Unit 4: Storm 197.00 LF 225.00 13 3301.0012 Post -CCTV Inspection of Storm Drain Unit 4: Storm 237.00 LF S25 00 14 3305.0109 Trench Safety Unit 4: Storm 177.00 LF 1.00 15 3305.0206 Imported Embedmen Backfll, Acceptable Backfll Unit 4: Storm 72.00 CY 555.00 17 0241.3015 Remove 24" Storm Line Unit 4: Storm 15.00 LF T6000 18 0241.4001 Remove Inlet Unit 4: Storm 1.00 EA $3,000.00 19 0241.3104 24" Storm Abandonment Plug Unit 4: Storm 2.00 EA $977.50 20 3339.1101 5' Manhole Unit 4: Storm 2.00 EA 17,600.00 21 9999.0018 Connection to Existing 24" RCP Unit 4: Storm 2.00 EA 1,100.00 22 9999.0019 Connection to Existing 30" RCP Unit 4: Storm 4.00 EA $1,450.00 23 3341.0205 24" RCP CL III Unit 4: Storm 16.00 LF 220.00 24 3349.8001 Type II -10' Curb Inlet Unit 4: Storm 1.00 EA 29,150.00 25 0241.1300 Remove Curb & Gutter Unit 4: Storm 51.00 LF P0.00 26 3216.0101 one Curb& Gutter nd : Norm 1.0 LF $90.00 27 0241.1700 1 Pavement Pulverization mt torm 3 .00 Y 18. 5 28 32 1.060 em-Lime @ 32 LBISY URt7_St_o_rm 6.00 TN 500.00 29 3212.0303 3" Type D HMAC Paving Unit 4: torm 374.00 Y 79.50 30 9999.0020 Addition l Construction Staking Unit 4: Storm 1.00 LS T2800.00 31 0171.0102 As -built Survey Unit4: torm 1.00 L 1,450.00 32 3741.0001 Traffic Control Unit 4: form 2.50 M 9,350.00 33 3211.0112 6" Flexible base, Type A, R-1 Unit 4: Storm 175.00 SY $45.00 34 3123.0101 Unclassified Excavation by Plan Unit 4: Storm 30.00 Y 55.00 35 9999.0021 Specified Remobi ization Unit 4: Storm 1.00 LS 22,642.50 36 3201.0400 Temporary Asphalt Repair Unit torm 110.00 LF 55.00 37 3349.5001 10' Curb Inlet Unit 4: Storm 1.00 EA 11,200.00 38 9999.0022 5' Curb Inlet Unit 4: Storm 1.00 EA 10,350.00 39 3341.0201 21" RCP Class III Unit 4: Storm 40.00 LF $201.00 40 9999.0023 Special Pre -TV -Anna Unit 4: Storm 1.00 LS $i,tzb.uu 41 9999.0024 CTB for Paving Subgrade - Limits of Ditch Unit 4: Storm 20.00 CY 85.00 42 0241.3001 Storm Line Grouting Unit 4: Storm 55.00 CY 644.00 43 9999.0025 Rem & Rep 4'x4' Junction Box Top Unit 4: Storm 1.0 EA 10,500.00 Unit 1: Water $31,286.00 Uinit 2: Sewer $0.00 Unit 3: Paving $26,548.75 Unit 4: Storm $360,347.50 Sub TotalAdditions 418,182.2 Change Order Additions Page 2 of 3 FoN� a'rH City of Fort Worth Change Order Deletions Project Name 104315 - 2022 Bond Yr 3 - Contract 14 City Sec # 63609 Client Project # 104315 Contractor Stabile and Winn, Inc. PM Gustavo A. Vallejo Inspector E c Tinner Change Order Submittal # Date 6/2412026 DELETIONS Change Order Deletions Page 3 of 3 FORT WORTH: MAYOR AND COUNCIL COMMUNICATION 7.5.4 2022 BOND YEAR 3 CONTRACT 14 CO3 - STABILE DATE: 06/23/26 M&C FILE NUMBER: M&C 26-0537 DEPARTMENT: TRANSPORTATION PUBLIC WORKS SUBJECT (CD 8 and CD 11) Authorize Execution of Change Order No. 3 in the Amount of $386,896.25, and the Addition of 75 Calendar Days to the Construction Contract with Stabile & Winn, Inc. for the 2022 Bond Year 3 - Contract 14 Project for a Revised Contract Amount of $10,193,602.75, Adopt Appropriation Ordinance, and Amend the Fiscal Years 2026-2030 Capital Improvement Program (2022 Bond Program) RECOMMENDATION It is recommended that the City Council: 1. Authorize execution of Change Order No. 3 in the amount of $386,896.25 and the addition of 75 calendar days to City Secretary Contract No. 63609 with Stabile & Winn, Inc. for the 2022 Bond Year 3 - Contract 14 project (City Project No. 104315) for a revised contract amount of $10,193,602.75; 2. Adopt the attached appropriation ordinance adjusting estimated receipts and appropriations in the Stormwater Capital Projects Fund, by increasing estimated receipts and appropriations in the 2022 Bond Year 3 - Contract 14 project (City Project No. 104315) in the amount of $450,000.00, and decreasing estimated receipts and appropriations in the Stormdrain Pipe Rehab programmable project (City Project No. P00114) by the same amount; and 3. Amend the Fiscal Years 2026-2030 Capital Improvement Program. DISCUSSION The purpose of this Mayor and Council Communication (M&C) is to authorize execution of Change Order No. 3 in the amount of $386,896.25, and the addition of 75 calendar days to City Secretary Contract No. 63609. On June 24, 2025, M&C 25-0590 awarded the City Secretary Contract No. 63609 in the amount of $9,802,228.50 to Stabile & Winn, Inc., for the construction of the 2022 Bond Year 3 - Contract 14 project (City Project No. 104315). Two subsequent change orders revised the contract. Change Order No. 1, in the amount of $4,478.00 and an additional 15 calendar days (administratively authorized December 4, 2025) added new pay items for the realignment and extension of the sanitary sewer line on Race Street to capture existing service and provided for the substitution of polyvinyl chloride (PVC) sanitary sewer services with ductile iron pipe (DIP) sewer services on West Beach 1of12 FORT WORTH: Street. Change Order No. 2, in an amount of net zero dollars (administratively authorized February 8, 2026), provided an additional 5 calendar days and added items to replace the planned lime stabilization with cement stabilization due to laboratory testing that identified a plasticity index lower than that required by city standards for lime on Fairview Street and Karnes Street. This Change Order No. 3 will add new pay items for the installation of new stormwater pipe and inlet improvements at Watson Street and Meadowbrook Drive intersection, abandonment of existing damaged stormwater pipes, and associated pavement restoration required for the new stormwater pipe alignment. This change order will include new pay items for the replacement of damaged stormwater pipe and inlets at Anna Street and Lancaster Avenue intersection, discovered during street excavation. This change order will also include new pay items for the relocation of an existing chain link fence on Watson Street to accommodate the sidewalk installation, as well as replace an existing guardrail and concrete riprap in conflict with the proposed curb and gutter improvements at Race Street and Beach Street intersection. This change order provides the necessary funding to cover the cost associated with this additional scope of work. Transportation and Public Works' paving share of the change order is $26,548.75, and Stormwater's share is $360,347.50. In addition, $89,652.50 is being appropriated to cover contingency, project management, inspection, and material testing for the added Stormwater scope. Staff recommends the use of the project contingency, already appropriated in the project, to fund the paving portion of this change order. Staff has reviewed and verified the quantities for the additional work under this Change Order No. 3. Additionally, to complete the work, the contract will be extended by 75 calendar days. The following table summarizes previous contract actions and change orders: Construction Contract M&C Date Amount Original Contract Amount 24-0590 06/24/2025 $9,802,228.50 Change Order No. 1 Administrative 12/04/2025 $4,478.00 Change Order No. 2 Administrative 02/08/2026 $0.00 Change Order No. 3 This M&C 06/23/2026 $386,896.25 Revised Contract Amount $10,193,602.75 Funding is currently available in the Stormwater Capital Projects Fund within the Stormdrain Pipe Rehab programmable project and in the 2022 Bond Program Fund for the Transportation and Public Works Department for the purpose of funding the 2022 Bond Year 3 - Contract 14 project. 2of12 FORT WORTH: Appropriations for the 2022 Bond Year 3 - Contract 14 project are as depicted below: Fund Existing Funding Additional Funding Project Total 2022 Bond Program - Fund 34027 $5,398,180.00 $0.00 $5,398,180.00 Stormwater Capital Projects - Fund 52002 $87,205.00 $450,000.00 $537,205.00 WAS Capital Projects - Fund 56002 $6,568,928.00 $0.00 $6,568,928.00 Project Total $12,054,313.00 $450,000.00 $12,504,313.00 Funding for Change Order No. 3 was not included in the FY2026-2030 Capital Improvement Program. Additional funding in the amount of $450,000.00 is required to advance the extra work required by Change Order. The action in this M&C will amend the FY2026-2030 Capital Improvement Program as approved in connection with Ordinance 27979-09-2025. This project is included in the 2022 Bond Program. The City's Extendable Commercial Paper (ECP) (M&C 22-0607; Ordinance 25675-08-2022) provides liquidity to support the appropriation. Available resources will be used to actually make any interim progress payments until debt is issued. Once debt associated with a project is sold, debt proceeds will reimburse the interim financing source in accordance with the statement expressing official Intent to Reimburse that was adopted as part of the ordinance canvassing the bond election (Ordinance 25515-05-2022). This project is located in COUNCIL DISTRICTS 8 and 11. This contract requires a Form 1295. FISCAL INFORMATIONICERTIFICATION The Director of Finance certifies that funds are available in the Stormdrain Pipe Rehab programmable project within the Stormwater Capital Projects Fund and in the 2022 Bond Year 3 - Contract 14 project within the 2022 Bond Program Fund and upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the Stormwater Capital Projects Fund and the 2022 Bond Program Fund for the 2022 Bond Year 3- Contract 14 project to support the above recommendations and execution of the change order. Prior to any expenditure being incurred, the Transportation & Public Works Department has the responsibility to validate the availability of funds. SUBMITTED FOR CITY MANAGER'S OFFICE BY: Jesica L. McEachern, # 5804 3of12 FORT WORTH: ORIGINATING BUSINESS UNIT HEAD: Lauren Prieur, # 6035 ADDITIONAL INFORMATION CONTACT: Monty Hall, # 8662 ATTACHMENTS 1. MSC Map CPN 104315 NS 2022 Bond Yr 3 Co 14-2026 [7.5.4.1 -1 page] 2. ORD APP 2022 BOND YEAR 3 CONTRACT 14 CO3 STABILE 52002 A026 R2 [7.5.4.2 - 2 pages] 3. CONFIDENTIAL - Stabile & Winn SAM.gov Search 05.21.2026 [7.5.4.3 - 2 pages] 4. CONFIDENTIAL - Form 1295 Certificate CO-3 104315 [7.5.4.4 -1 page] 5. CONFIDENTIAL - 2022 BOND YEAR 3 CONTRACT 14 CO3 STABILE FID TABLE [7.5.4.5 - 1 page] 6. CONFIDENTIAL - 2022 BOND YEAR 3 CONTRACT 14 CO3 STABILE funds avail [7.5.4.6 -1 page] 4of12 104315-CNCO-2022 Bond Yr 3 Contract 14 — Change Order #3 Interim Agreement Report Created: 2026-07-07 By: Andrea Munoz (Andrea. Munoz@fortworthtexas.gov) Status: Out for Signature Transaction ID: CBJCHBCAABAA9g2zcOL6VzMZwGpJ-tyc2rVeibPUKmK8 Agreement History 2026-07-23 Agreement history is the list of the events that have impacted the status of the agreement prior to the final signature. A final audit report will be generated when the agreement is complete. 104315-CNCO-2022 Bond Yr 3 Contract 14 — Change Order #3 " History ,_i Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) 2026-07-07 - 3:56:34 PM GMT- IP address: 204.10.90.100 Document emailed to Ann Estes (ann.estes@fortworthtexas.gov) for filling 2026-07-07 - 4:27:28 PM GMT Document emailed to Jerry Henderrson (ferry@stabilewinn.com) for signature 2026-07-07 - 4:27:29 PM GMT c; Document emailed to Eric Tinner(Eric.Tinner@fortworthtexas.gov) for signature 2026-07-07 - 4:27:29 PM GMT Li Email viewed by Eric Tinner(Eric.Tinner@fortworthtexas.gov) 2026-07-07 - 4:29:07 PM GMT- IP address: 107.77.201.211 ii Email viewed by Ann Estes (ann.estes@fortworthtexas.gov) 2026-07-07 - 4:40:52 PM GMT- IP address: 104.47.65.254 � 6 Form filled by Ann Estes (ann.estes@fortworthtexas.gov) Form filling Date: 2026-07-07 - 4:44:28 PM GMT - Time Source: server- IP address: 204.10.90.100 - Signature Appearance Selected: TYPE t Email viewed by Jerry Henderrson (ferry@stabilewinn.com) 2026-07-07 - 6:15:44 PM GMT- IP address: 12.89.161.150 FoRTWORTH.. I P`edl:y Adobe Acrobat Sign 5 Document e-signed by Jerry Henderrson (ferry@stabilewinn.com) Signature Date: 2026-07-07 - 6:26:37 PM GMT - Time Source: server- IP address: 12.89.161.150 - Signature Appearance Selected: IMAGE i Email viewed by Eric Tinner(Eric.Tinner@fortworthtexas.gov) 2026-07-14 - 12:55:17 PM GMT- IP address: 166.205.58.8 fiJ Email viewed by Eric Tinner (Eric.Tinner@fortworthtexas.gov) 2026-07-15 - 1:32:23 PM GMT- IP address: 166.205.58.18 Email viewed by Eric Tinner(Eric.Tinner@fortworthtexas.gov) 2026-07-17 - 1:23:36 PM GMT- IP address: 166.205.54.25 Email viewed by Eric Tinner(Eric.Tinner@fortworthtexas.gov) 2026-07-20 - 10:59:37 AM GMT- IP address: 204.10.90.90 Document e-signed by Eric Tinner (Eric.Tinner@fortworthtexas.gov) Signature Date: 2026-07-20 - 11:00:43 AM GMT - Time Source: server- IP address: 204.10.90.90 - Signature Appearance Selected: MOBILE —IMAGE Document emailed to Marc Cantrell (Marc.Cantrell@fortworthtexas.gov) for signature 2026-07-20 - 11:00:47 AM GMT i.- Document emailed to Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) for signature 2026-07-20 - 11:00:47 AM GMT Email viewed by Marc Cantrell (Marc.Cantrell@fortworthtexas.gov) 2026-07-20 - 12:09:12 PM GMT- IP address: 166.205.54.34 C�r'6 Document e-signed by Marc Cantrell (Marc.Cantrell@fortworthtexas.gov) Signature Date: 2026-07-20 - 12:48:56 PM GMT - Time Source: server- IP address: 204.10.91.100 - Signature Appearance Selected: IMAGE Email viewed by Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) 2026-07-20 - 1:12:43 PM GMT- IP address: 208.184.124.181 Document e-signed by Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) Signature Date: 2026-07-20 - 1:13:30 PM GMT - Time Source: server- IP address: 208.184.124.181 - Signature Appearance Selected: DRAW Document emailed to thang.sum@fortworthtexas.gov for filling 2026-07-20 - 1:13:33 PM GMT I Email viewed by thang.sum@fortworthtexas.gov 2026-07-20 - 1:15:32 PM GMT- IP address: 104.47.65.254 o Signer thang.sum@fortworthtexas.gov entered name at signing as Thang Sum 2026-07-20 - 1:17:28 PM GMT- IP address: 204.10.90.100 FoRTWORTH. I ""wily Adobe Acrobat Sign Form filled by Thang Sum (thang.sum@fortworthtexas.gov) Form filling Date: 2026-07-20 - 1:17:30 PM GMT - Time Source: server- IP address: 204.10.90.100 - Signature Appearance Selected: TYPE Document emailed to Gregory Robbins (Gregory.Robbins@fortworthtexas.gov) for signature 2026-07-20 - 1:17:34 PM GMT Document e-signed by Gregory Robbins (Gregory.Robbins@fortworthtexas.gov) Signature Date: 2026-07-22 - 11:31:01 PM GMT - Time Source: server- IP address: 204.10.90.100 - Signature Appearance Selected: IMAGE L Document emailed to Mary Hanna (Mary.Han na@fortworthtexas.gov) for signature 2026-07-22 - 11:31:05 PM GMT Li Email viewed by Mary Hanna (Mary.Hanna@fortworthtexas.gov) 2026-07-23 - 1:41:43 PM GMT- IP address: 104.47.64.254 FoRTWORTH. I "I'lelly Adobe Acrobat Sign FORTWORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: 2022 Bond Yr 3 Contract 14 — Change Order #3 M&C: 26-0537 CPN: 104315 CSO: 63609 DOC#: Date: 07/06/2026 To: Name Department Initials Date Out 1. Ann Estes TPW - initial A0 ' 07/07/2026 2. Jerry Henderson Contractor - signature 07/07/2026 3. Eric Tamer TPW - signatures 07/20/2026 4. Marc Cantrell TPW - signature n/(,C, 07/20/2026 5. Gustavo Vallejo TPW - signature Gustavo oVa„eO 07/20/2026 6. Thang Sum Water- initial SS 07/20/2026 7 Greg Robbins TPW - signature 07/22/2026 8 Mary Hanna TPW - signature my 07/23/2026 9 Patricia Wadsack TPW - signature PLW 07/28/2026 10. Lauren Prieur TPW - signature xx9 ,e, P 07/28/2026 11. Doug Black Legal - signature A; 08/03/2026 12. Jesica McEachern CMO - signature CA 08/11/2026 13. Jannette Goodall CSO - signature netteGoodall 08/17/2026 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: TPWContracts kFortWorthTexas.gov at ext. 7233 for pick up when completed. Thank you! FORT WORTH City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Stabile and Winn, Inc. Subject of the Agreement: Change Order No. 3 to CSC No 63609, a Contract for the 2022 Bond Year 3 - Contract 14 Project M&C Approved by the Council? * Yes ■ 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. Effective Date: If different from the approval date. Expiration Date: If applicable. Is a 1295 Form required? * Yes ■ No Q *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. 104315 *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 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.