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HomeMy WebLinkAbout065774 - Construction-Related - Contract - Mercantile Partners, L.P.Date Received: 9/2/2026 Time Received: 11:16 a.m. Permit No.: SWFMA-26-0031 City Secretary No.: 65774 STORMWATER FACILITY MAINTENANCE AGREEMENT THIS AGREEMENT, made and entered into this 2nd day of September 2026, by and between MERCANTILE PARTNERS, L.P., acting by and through Brian Randolph, its duly authorized President, hereinafter referred to as "Landowner", and the City of Fort Worth, hereinafter referred to as "City". WITNESSETH WHEREAS, the Landowner is the owner of certain real property described as being a 0.466 acre tract of land situated in the David Odum Survey, Abstract No. 1184, City of Fort Worth, Tarrant County, Texas and being all of Lot 1, Block C, of Mercantile Center Addition, an Additon to the City of Fort Worth, Tarrant County, Texas, according to the plat recorded in Cabinet B, Slide 1730, Plat Records, Tarrant County, Texas, and being all of a tract of land described by deed recorded in Volume 11752, Page 207, Document No. D194222506, Deed Records, Tarrant County, Texas, hereinafter called the "Property"; WHEREAS, the Landowner is proceeding to build on and develop the Property according to the Site Plan/Subdivision Plan known as 7 -Eleven hereinafter called the "Plan", which is expressly made a part hereof, as approved or to be approved by the City and the Landowner provides for management of storm water within the confines of the Property; and; WHEREAS, the City and the Landowner, and their successors and assigns, agree that the health, safety and welfare of the residents of the City of Fort Worth, Texas require that on -site Stormwater Management Facilities be constructed and maintained on a portion of the Property; and OFFICIAL RECORD CITY SECRETARY STORMWATER FACILITY MAINTENANCE AGREEMENT 1 Standard FT. WORTH, TX WHEREAS, the City requires that on -site Stormwater Management Facilities ("Facility") as shown on the Plan be constructed and adequately maintained by the Landowner, its successors and assigns, the location and dimensions of which is shown and more particularly described by metes and bounds in the attached Exhibit "A" ("Facility Property"); and NOW, THEREFORE, in consideration of the foregoing premises, the mutual covenants contained herein, and the following terms and conditions, the parties hereto agree as follows: 1. The Landowner, its successors and assigns, shall adequately construct and maintain the on -site Stormwater Management Facility ("Facility") at no expense to the City of Fort Worth in accordance with the design specifications for the Facility, attached as Exhibit "B", and the current standards then in force and effect in the City of Fort Worth and with the Operations and Maintenance Plan attached to this Agreement as Exhibit "C". The Stormwater Facility includes all pipes, channels or other conveyances built to convey Stormwater to the facility, as well as all structures, improvements, and vegetation provided to control the quantity and quality of the Stormwater. Adequate maintenance is herein defined as good working condition so that these facilities are performing their design functions. The Stormwater Structural Control Maintenance Checklists, attached to this Agreement as Exhibit "D", are to be used to establish what good working condition is acceptable to the City. 2. The Landowner, its successors and assigns, shall inspect the Facility and submit an inspection report to the City annually. The purpose of the inspection is to ensure safe and proper functioning of the Facility. The inspection shall cover the entire Facility, berms, outlet structure, pond areas, access roads, etc. Components of the Facility, which need maintenance or replacement to perform their design function, shall be noted in the inspection report along with the corrective actions to be taken. STORMWATER FACILITY MAINTENANCE AGREEMENT 2 Standard 3. The Landowner, its successors and assigns, hereby grant permission to the City, its authorized agents and employees, to enter upon the Property and to inspect the Facility Property whenever the City deems necessary. The purpose of inspection is to follow-up on reported deficiencies and/or to respond to citizen complaints. The City shall provide the Landowner, its successors and assigns, copies of the inspection findings and a directive to commence with the repairs if necessary. 4. In the event the Landowner, its successors and assigns, fail to maintain the Facility in good working condition as specified herein, the City, its authorized agents and employees, may enter upon the Facility Property and take whatever steps necessary to correct deficiencies identified in the inspection report and to charge the costs of such repairs to the Landowner, its successors and assigns. It is expressly understood and agreed that the City is under no obligation to routinely maintain or repair said Facility, and in no event shall this Agreement be construed to impose any such obligation on the City, such obligation is Landowner's. 5. The Landowner, its successors and assigns, will perform the work necessary to keep the Facility in good working order as appropriate. In the event the City pursuant to this Agreement, performs work of any nature, or expends any funds in performance of said work for labor, use of equipment, supplies, materials, and the like, the Landowner, its successors and assigns, shall reimburse the City upon demand, within thirty (30) days of receipt thereof for all actual costs incurred by the City hereunder. In the event that Landowner or its successors or assigns fail to pay the City for the costs incurred under this section, the City shall impress a lien for the costs of such work upon other lots owned by the Landowner. Such lien shall be perfected by filing in the office of the County Clerk of Tarrant County, Texas an affidavit identifying the property to be charged with such lien, stating the amount thereof, and making reference to this Agreement. 6. This Agreement imposes no liability of any kind whatsoever on the City. THE LANDOWNER AGREES TO HOLD THE CITY HARMLESS FROM STORMWATER FACILITY MAINTENANCE AGREEMENT 3 Standard ANY LIABILITY IN THE EVENT THE FACILITY FAILS TO OPERATE PROPERLY. LANDOWNER COVENANT AND AGREE AND DOES HEREBY INDEMNIFY, HOLD HARMLESS AND DEFEND THE CITY OF FORT WORTH, ITS AGENTS, SERVANTS AND EMPLOYEES FROM AND AGAINST ALL COSTS, EXPENSES, LOSSES, DAMAGES, CLAIMS OR CAUSES OF ACTION WHATSOEVER ARISING, OR WHICH MIGHT ARISE, FROM THE FAILURE OF LANDOWNER OR ANY FUTURE OWNERS OF THE ABOVE FACILITY PROPERTY TO MAINTAIN THE FACILITY, INCLUDING, BUT NOT LIMITED TO THE BED AND BANKS OF THE DETENTION POND; ANY DAMAGES CAUSED TO PERSON OR PROPERTY DUE TO (1) FLOODING OF THE POND AND ITS BANKS, (2) SLOPE FAILURE OF THE BANKS OF THE POND, OR (3) FAILURE OF THE POND OR ITS BANKS TO OPERATE IN A MANNER CONSISTENT WITH CITY OF FORT WORTH CRITERIA TO PERFORM ANY OTHER DUTIES OR OBLIGATIONS HEREUNDER. 7. Landowner covenants and agrees that no habitable building shall be erected within the boundaries of the Property in which the Facility is located as outlined on Exhibit "A" but this paragraph shall not preclude construction of other improvements within the boundaries of the Property in which the Facility is located, which do not impede drainage. Landowner covenants and agrees' that no habitable building shall be erected on the above property abutting such boundaries of the Property in which is Facility is located, which shall have a finished floor at an elevation less than two feet above the maximum depth of water in the detention pond which would occur during a 100 -year frequency flood. 8. This Agreement shall be recorded among the land records of Tarrant County, Texas, shall constitute a covenant running with the land, and shall be binding on the Landowner, its administrators, executors, assigns, heirs and any other successors in interests, including any property owner's association. STORMWATER FACILITY MAINTENANCE AGREEMENT 4 Standard Executed this 2nd day of September 2026. CITY OF FORT WORTH Jesica McEachern Assistant City Manager City of Fort Worth Date: 09/02/2026 Approved as to Form and Legality: M. /Cevrn 4nde-s, 1/ M. Kevin Anders, II (Aug 28, 2026 09:10:48 CDT) M. Kevin Anders, II Assistant City Attorney II City Attorney's Office Date: 08/28/2026 4pOnn HT��CO ATTEST: l.g PV8 o=d ?aan nEoa.s�p Jannette S. Goodall City Secretary Date: 09/02/2026 LANDOWNER MERCANTILE PARTNERS, L.P. a Texas limited liability partnership By: MERCANTILE CORPORATION OF FORT WORTH a Texas coiore its artne By: Brian Randolph Its: President Date: 9-27,Z"v 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 Planning Manager Date: 08/28/2026 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX STORMWATER FACILITY MAINTENANCE AGREEMENT 5 Standard STATE OF TEXAS § COUNTY OF TARRANT § This instrument was acknowledged before me on September 2, 2026 _ by Jesica McEachern, Assistant City Manager of the City of Fort Worth, on behalf of the City of Fort Worth. G)MyComm.FXP. KATHLEEN BRADFORD Notary PublicSTATE OF TNotary I.D. 1Apr. 12, 2027 LANDOWNER Notary Public, State of Texas STATE OF _1Xas § COUNTY OF 1 rranl `t § BEFORE ME, the undersigned authority, a Notary Public in and for the State of on this day personally appeared Brian Randolph, President, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same for the purposes and consideration therein expressed, as the act and deed of MERCANTILE PARTNERS, L.P., a Texas limited liability company and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this d %--r day of d U 7L , 2026. Notary State of T2 Ka5 `o��.rn��/�` PAULA CASTANEDA Public, _::� _ Notary Public, State of Texas ��°•., ,.'t Comm. Expires 09-18-2028 �'l�;,°;,,``� Notary ID 126663582 STORMWATER FACILITY MAINTENANCE AGREEMENT 6 Standard EXHIBIT "A" LEGAL DESCRIPTION STORMWATER FACILITY MAINTENANCE AGREEMENT Standard EXHIBIT A LAND DESCRIPTION Being a 0.466 acre tract of land situated in the David Odum Survey, Abstract Number 1184, City of Fort Worth, Tarrant County, Texas, and being all of Lot 1, Block C, of Mercantile Center Addition, an Addition to the City of Fort Worth , Tarrant County, Texas, according to the Plat recorded in Cabinet B, Slide 1730, Plat Records of Tarrant County, Texas (P.R.T.C.T.), and being all of a tract of land described to Mercantile Partners, LP, by the Deed recorded in Volume 11752, Page 207, Deed Records of Tarrant County, Texas (D.R.T.C.T.), and being more particularly described by metes and bounds as follows: COMMENCING at a 3/4 inch rebar found on the east line of said Lot 1, Block C and on the westerly right—of—way line of Aquarius Drive (a 60 —foot right—of—way); THENCE South 00 degrees 36 minutes 14 seconds East, along the east line of said Lot 1, Block C and the westerly right—of—way line of said Aquarius Drive, a distance of 104.81 feet to the POINT OF BEGINNING; THENCE South 00 degrees 36 minutes 14 seconds East, continuing along the east line of said Lot 1, Block C and the westerly right—of—way line of said Aquarius Drive, a distance of 198.68 feet to a point for corner for the beginning of a non —tangent curve to the right through a central angle of 90 degrees 26 minutes 41 seconds, having a radius of 90.00 feet, and a chord bearing South 44 degrees 35 minutes 34 seconds West, a distance of 127.77 feet, from which a 3/4 inch rebar found bears South 13 degrees 33 minutes 46 seconds East, a distance of 0.43 feet; THENCE continuing along the east line of said Lot 1, Block C and the westerly right—of—way line of said Aquarius Drive and along said curve, an arc distance of 142.07 to a 5/8 inch rebar with cap stamped "TRAVERSE LS PROP COR" at the intersection of the westerly right—of—way line of said Aquarius Drive and the northerly right—of—way line of Meacham Boulevard (a variable width right—of—way) for the beginning of a tangent curve to the right through a central angle of 01 degree 49 minutes 52 seconds, having a radius of 1,803.47 feet, a chord bearing of North 89 degrees 17 minutes 42 seconds West, a distance of 57.63 feet; THENCE along the south line of said Lot 1, Block C and the northerly right—of—way line of said Meacham Boulevard and along said curve, an arc distance of 57.63 to a point for corner; THENCE departing the south line of said Lot 1, Block C and the northerly right—of—way line of said Meacham Boulevard, over and across said Lot 1, Block C, the following courses and distances: North 01 degree 05 minutes 53 seconds West, a distance of 66.40 feet to a point for corner at the beginning of a tangent curve to the right through a central angle of 90 degrees 31 minutes 19 seconds, having a radius of 27.00 feet, and a chord bearing North 44 degrees 09 minutes 47 seconds East, a distance of 38.36 feet; Along said curve, an arc distance of 42.66 to a point for corner; North 89 degrees 25 minutes 26 seconds East, a distance of 9.21 feet to a point for corner; North 00 degrees 34 minutes 34 seconds West, a distance of 3.00 feet to a point for corner; North 89 degrees 25 minutes 26 seconds East, a distance of 15.00 feet to a point for corner; South 00 degrees 34 minutes 34 seconds East, a distance of 3.00 feet to a point for corner; EXHIBIT "A" DRAINAGE AND DETENTION EASEMENT LOT 1, BLOCK C, MERCANTILE CENTER ADDITION DAVID ODUM SURVEY, ABSTRACT NO. 1184 CITY OF FORT WORTH, TARRANT COUNTY, TEXAS JOB No. TR-623-25 DRAWN BY: BAS DATE: 2026-04-29 SCALE: 1 "=60' No Cole Carpenter TEXAS RPLS NO. 6892 1OF4 4 LAMD SM DaC dLC Surveying I Construction Staling I Platting 359 Lake Park Road Lewisville, TX 75057 T: 469.784.9321 W: TraverseLandSurveying.com Texas Firm No. 10194631 EXHIBIT A LAND DESCRIPTION North 89 degrees 25 minutes 26 seconds East, a distance of 14.92 feet to a point for corner at the beginning of a tangent curve to the left through a central angle of 89 degrees 58 minutes 41 seconds, having a radius of 43.00 feet, and a chord bearing North 44 degrees 26 minutes 06 seconds East, a distance of 60.80 feet; Along said curve, an arc distance of 67.53 to a point for corner; North 00 degrees 33 minutes 14 seconds West, a distance of 150.83 feet to a point for corner; North 89 degrees 23 minutes 46 seconds East, a distance of 39.55 feet to the POINT OF BEGINNING and containing 0.466 acres (20,309 square feet) of land, more or less. EXHIBIT "A" DRAINAGE AND DETENTION EASEMENT LOT 1, BLOCK C, MERCANTILE CENTER ADDITION DAVID ODUM SURVEY, ABSTRACT NO. 1184 CITY OF FORT WORTH, TARRANT COUNTY, TEXAS JOB No. TR-623-25 DRAWN BY: BAS DATE: 2026-04-29 SCALE: 1 "=60' Cole Carpenter TEXAS RPLS NO. 6892 2 of 4 dG°QaD SU Da9 dLC Surveying I Conshtxtion Staling I Platting 359 Lake Park Road Lewisville, TX 75057 T: 469.784.9321 W: TraverseLandSurveying.com Texas Firm No. 10194631 EXHIBIT A z Ill iH Ln co OLARI SITE MEACHAM 5/8" REBAR FOUND VICINITY MAP (c.M) NOT TO SCALE �r\\J\D 0000 g4 -> VOL iErctin VOLUME PG. PAGE INST. NO. INSTRUMENT NUMBER BINET CABINET SL. SLIDE C.M. CONTROWNG MONUMENT • FOUND MONUMENT O POINT FOR CORNER ---- PROPERTY LINE - - - EXISTING EASEMENT LINE SUBJECT BOUNDARY POINT OF 0MMENCING 3/4" REBAR FOUND (C.M.) n N w /.5' DRAINAGE & UIILIIY EASEMENT CAB. B, SL. 1730 P. R.T. C.T. o L8—' 5/8" REBAR SET WITH CAP "TRAVERSE LS PROP COR" LOT 1, BLOCK C MERCANTILE CENTER ADDITION CAB. B, SL. 1730 P.R.T. C. T. MERCANTILE PARTNERS, LP "LAND DESCRIPTION #6" VOL. 11752, PG. 207 D.R.T.C.T. L2- \.L4 00 O f) 0 0 z L7 S00' 36' 14"E 04.81' U Q (0 Ia- Q o V1 = 2 o w 1 w J m O ' v � M O" Q O O � POINT FOR CORNER: 3/4" REBAR FOUND DE S 13°33'46" E - 0.43' DRAINAGE AND DETENTION EASEMENT 0.466 Acres 20,309 SQ. ET. J C6 C5 5/8" REBAR SET WITI- CAP "TRAVERSE LS PROP COR" MEACHAM BOULEVARD (VARIABLE WIDTH PUBLIC RIGHT-OOF-WAY) *SEE LINE AND CURVE TABLE ON PAGE 4 EXHIBIT "A" DRAINAGE AND DETENTION EASEMENT LOT 1, BLOCK C, MERCANTILE CENTER ADDITION DAVID ODUM SURVEY, ABSTRACT NO. 1184 CITY OF FORT WORTH, TARRANT COUNTY, TEXAS JOB No. TR-623-25 DRAWN BY: BAS DATE: 2026-04-29 SCALE: 1 "=60' 5/8" REBAR SET WITH CAP "IRAVLRSL LS PROP COR" The Basis of Bearings is from the Texas State Plane Coordinate System, NAD83, North Central Zone as derived from GPS observations using the Allterra RTK Network and adjusted to surface using a surface scale factor of 1.00015271. Cole Carpenter TEXAS RPLS NO. 6892 3 OF 4 O nn �nnn @1[0 ARSU O PX dLC Surveying I Cons uclion Staling I Platting 359 Lake Park Road Lewisville, TX 75057 T: 469.784.9321 W: TraverseLandSurveying.com Texas Firm No. 10194631 EXHIBIT A Line Data Table Line # Distance Bearing L1 66.40' N01'05'53"W L2 9.21' N8925'26"E L3 3.00' N0034'34"W L4 15.00' N8925'26"E L5 3.00' S0034'34"E L6 14.92' N8925'26"E L7 39.55' N8923'46"E L8 6.11' N8046'50"W Curve Data Table Curve # Arc Radius Delta Chord Bearing Chord Cl 142.07' 90.00' 090'26'41" S4435'34"W 127.77' C2 57.63' 1803.47' 001'49'52" N89'17'42"W 57.63' C3 42.66' 27.00' 090'31'19" N44'09'47"E 38.36' C4 67.53' 43.00' 089'58'41" N44'26'06"E 60.80' C6 28.42' 277.45' 00552'09" N83'47'47"W 28.41' EXHIBIT "A" DRAINAGE AND DETENTION EASEMENT LOT 1, BLOCK C, MERCANTILE CENTER ADDITION DAVID ODUM SURVEY, ABSTRACT NO. 1184 CITY OF FORT WORTH, TARRANT COUNTY, TEXAS JOB No. TR-623-25 DRAWN BY: BAS DATE: 2026-04-29 SCALE: 1 "=60' Cole Carpenter TEXAS RPLS NO. 6892 4OF4 @La1E 9M DH(9 dLC Surveying I Construcion Staking I Platting 359 Lake Park Road Lewisville, TX 75057 T: 469.784.9321 W: TraverseLandSurveying.com Texas Firm No. 10194631 EXHIBIT "B" DESIGN PLAN AND SPECIFICATIONS STORMWATER FACILITY MAINTENANCE AGREEMENT Standard 4 2$2_ � NORTH FREEWAY ��� E3: 89 • . .. - es PAS K- �m� ���- - ' A �.8 II 4 /tii _ I • I ?r✓ �@I II ro � '{ � � I ° n � ...r--;� .,�..�� _ tea.. _ _ - _ _- �_� II AfNH S111Nb`fA7tl suN no`°°° �1. ,r"S a -u v y QQ S O N i � -18> Z Z 5 A F ₹ `T1 l7 n o 8 8 8 8 s 8 . 8 s 8 s 8 8 3� 1° 88 88 85 88 88 88 88 88 kk ka 88 88 88 n. 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"a_a a. U �4 S, H CQ gssg asp m ss ft ;;ii s3, 3g" c ' 2 _ 1 'F,m � 3n�na snnronav �"' j$" 7 ELEVEN a Rod as " H w a NORTH FREEWAY o 5 f° Jm�"6Am `® g g8.g� CITY OF FORT WORTH 4 v v TARRANT COUNTY, TEXAS 76131 g a seas `� THIS IS MEANT TO REPRESENT AN EXAMPLE OF CIRCUMSTANCES AND TO BE USED AS A REFERENCE ONLY. PROJECT SPECIFIC CIRCUMSTANCES WILL LIKELY RESULT IN LANGUAGE CHANGES WITHIN THE DOCUMENT. Exhibit "C" CITY OF FORT WORTH DRAINAGE CHANNEL FACILITY OPERATION AND MAINTENANCE PLAN The only responsibility the City of Fort Worth has in the operation and maintenance of this Facility is inspection. General Maintenance Procedures The structural and functional integrity of the Facility shall be maintained at all times by removing and preventing drainage interference, obstructions, blockages, or other adverse effects into, through, or out of the system. Periodic silt removal shall occur when standing water conditions occur or the pond's storage volume is reduced by more than 10%. Silt shall be removed and the pond/basin returned to original lines and grades shown on the approved engineering plans. In addition, corrective measures are required any time a basin does not drain completely within 72 hours of cessation of inflow. NO STANDING WATER IS ALLOWED in basins designed for dry detention purposes. Accumulated litter, sediment, and debris shall be removed every 6 months or as necessary to maintain proper operation of the basin. Disposal shall be in accordance with federal, state and local regulations. Detention facilities shall be mowed monthly between the months of April and October or anytime vegetation exceeds 12 -inches in height. To prevent debris from entering and clogging the downstream storm sewer system a wire mesh screen or similar screening device shall be installed over the outlet until final acceptance. 4. PREVENTIVE MAINTENANCE/INSPECTION Visual inspections of all components will be conducted every 6 months. A log shall be kept of maintenance actions, and inspections. The log should document the condition of the detention system's primary components, mowing, and silt, litter and debris removal dates. Document aeration of the basin bottoms and replanting to prevent the sealing of the basin bottom. Written maintenance and repair records shall be maintained by the party or parties signing the attached Agreement and shall be provided to the City upon request. DRAINAGE CHANNEL MAINTENANCE AGREEMENT THIS IS MEANT TO REPRESENT AN EXAMPLE OF CIRCUMSTANCES AND TO BE USED AS A REFERENCE ONLY. PROJECT SPECIFIC CIRCUMSTANCES WILL LIKELY RESULT IN LANGUAGE CHANGES WITHIN THE DOCUMENT. Exhibit "D" Drainage Channel Structural Maintenance CHECKLIST FREQUENT INSPECTION DATE REPAIRS REQUIRED REPAIRS MADE NOTES Mowing Remove Trash and debris Inspect irrigation system operation Remove grass clippings Violations Noted MINOR INSPECTION Condition of Channel Amount of silt in pond Amount of silt in flume Amount of ponded water Amount of wetland vegetation Location of Erosion Percent of vegetation Condition of trash guard Location of Erosion MAJOR INSPECTIONS Condition of Storm Water Quality Structure Type of Storm Water Quality Structure Structure type and Condition Condition of Rip -Rap Condition of filtration DRAINAGE CHANNEL MAINTENANCE AGREEMENT 10 THIS IS MEANT TO REPRESENT AN EXAMPLE OF CIRCUMSTANCES AND TO BE USED AS A REFERENCE ONLY. PROJECT SPECIFIC CIRCUMSTANCES WILL LIKELY RESULT IN LANGUAGE CHANGES WITHIN THE DOCUMENT. system Berm or Embankment Settlement Location of erosion Evidence of Animals Evidence of Aquatic life Condition of Aeration Foundation DRAINAGE CHANNEL MAINTENANCE AGREEMENT 11 FORT WORTH® City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Mercantile Partners, L.P. Subject of the Agreement: New SWFMA needed for new construction M&C Approved by the Council? * Yes ❑ No II 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 0 No ❑ If unsure, see back page 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: If different from the approval date. Expiration Date: If applicable. Is a 1295 Form required? * Yes ❑ No *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. SWFMA-26-0031 *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes 0 No O 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.