HomeMy WebLinkAbout065845 - Construction-Related - Contract - Texas Department of Transportation (TxDOT)Docusign Envelope ID: 2BA23BBC-28F3-85C3-8118-41 E72EB33CE2
CCSJ #
0094-05-071
AFA CSJs
0094-05-071
District #
02-FTW
AFA ID
Z00013169
Code Chart 64 #
15000
Project Name
SH 183; at Green Oaks Rd
STATE OF TEXAS § CSC No. 65845
COUNTY OF TRAVIS §
ADVANCE FUNDING AGREEMENT FOR VOLUNTARY
LOCAL GOVERNMENT CONTRIBUTIONS
TO TRANSPORTATION IMPROVEMENT PROJECTS
WITH NO REQUIRED MATCH
ON -SYSTEM
THIS AGREEMENT is made by and between the State of Texas, acting by and through the
Texas Department of Transportation called the "State", and the City of Fort Worth, acting by
and through its duly authorized officials, called the "Local Government". The State and Local
Government shall be collectively referred to as "the parties" hereinafter.
WITNESSETH
WHEREAS, federal law establishes federally funded programs for transportation improvements
to implement its public purposes, and
WHEREAS, Transportation Code, Chapters 201 and 221, authorize the State to lay out,
construct, maintain, and operate a system of streets, roads, and highways that comprise the
State Highway System; and
WHEREAS, Government Code, Chapter 791, and Transportation Code, §201.209 and Chapter
221, authorize the State to contract with municipalities and political subdivisions; and
WHEREAS, the Texas Transportation Commission passed Minute Order Number 116292 and
116073 authorizing the State to undertake and complete a highway improvement generally
described as intersection improvements; and
WHEREAS, the Local Government has requested that the State allow the Local Government to
participate in said improvement by funding that portion of the improvement described as
powder coating on traffic signal elements (Project); and
WHEREAS, the State has determined that such participation is in the best interest of the
citizens of the state;
NOW, THEREFORE, in consideration of the premises and of the mutual covenants and
agreements of the parties, to be by them respectively kept and performed as set forth in this
Agreement, it is agreed as follows:
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 6
AFA VoITIP Revised 04/22/2021
Docusign Envelope ID: 2BA23BBC-28F3-85C3-8118-41 E72EB33CE2
CCSJ #
0094-05-071
AFA CSJs
0094-05-071
District #
02-FTW
AFA ID
Z00013169
Code Chart 64 #
15000
Project Name
SH 183; at Green Oaks Rd
AGREEMENT
Period of the Agreement
This Agreement becomes effective when signed by the last party whose signing makes
the Agreement fully executed. This Agreement shall remain in full force and effect until
the Project has been completed and accepted by all parties or unless terminated as
provided below.
2. Project Funding and Work Responsibilities
A. The State will authorize the performance of only those Project items of work
which the Local Government has requested and has agreed to pay for as
described in Attachment A, Payment Provision and Work Responsibilities
(Attachment A) which is attached to and made a part of this contract. In addition
to identifying those items of work paid for by payments to the State, Attachment
A also specifies those Project items of work that are the responsibility of the
Local Government and will be carried out and completed by the Local
Government, at no cost to the State.
B. At least sixty (60) days prior to the date set for receipt of the construction bids,
the Local Government shall remit its financial share for the State's estimated
construction oversight and construction costs.
C. In the event that the State determines that additional funding by the Local
Government is required at any time during the Project, the State will notify the
Local Government in writing. The Local Government shall make payment to the
State within thirty (30) days from receipt of the State's written notification.
D. Whenever funds are paid by the Local Government to the State under this
Agreement, the Local Government shall remit a check or warrant made payable
to the "Texas Department of Transportation" or may use the State's Automated
Clearing House (ACH) system for electronic transfer of funds in accordance with
instructions provided by TxDOT's Finance Division. The funds shall be deposited
and managed by the State and may only be applied by the State to the Project.
3. Right of Access
If the Local Government is the owner of any part of the Project site, the Local
Government shall permit the State or its authorized representative access to the site to
perform any activities required to execute the work.
4. Adjustments Outside the Project Site
The Local Government will provide for all necessary right of way and utility adjustments
needed for performance of the work on sites not owned or to be acquired by the State.
5. Responsibilities of the Parties
The State and the Local Government agree that neither party is an agent, servant, or
employee of the other party and each party agrees it is responsible for its individual acts
and deeds as well as the acts and deeds of its contractors, employees, representatives,
and agents.
Page 2 of 6
AFA VoITIP Revised 04/22/2021
Docusign Envelope ID: 2BA23BBC-28F3-85C3-8118-41 E72EB33CE2
CCSJ #
0094-05-071
AFA CSJs
0094-05-071
District #
02-FTW
AFA ID
Z00013169
Code Chart 64 #
15000
Project Name
SH 183; at Green Oaks Rd
6. Document and Information Exchange
The Local Government agrees to electronically deliver to the State all general notes,
specifications, contract provision requirements and related documentation in a
Microsoft® Word or similar document. If requested by the State, the Local Government
will use the State's document template. The Local Government shall also provide a
detailed construction time estimate including types of activities and month in the format
required by the State. This requirement applies whether the local government creates
the documents with its own forces or by hiring a consultant or professional provider. At
the request of the State, the Local Government shall submit any information required by
the State in the format directed by the State.
7. Interest
The State will not pay interest on funds provided by the Local Government. Funds
provided by the Local Government will be deposited into, and retained in, the State
Treasury.
8. Inspection and Conduct of Work
Unless otherwise specifically stated in Attachment A, the State will supervise and inspect
all work performed hereunder and provide such engineering inspection and testing
services as may be required to ensure that the Project is accomplished in accordance
with the approved plans and specifications. All correspondence and instructions to the
contractor performing the work will be the sole responsibility of the State. Unless
otherwise specifically stated in Attachment A to this contract, all work will be performed
in accordance with the Standard Specifications for Construction and Maintenance of
Highways, Streets, and Bridges adopted by the State and incorporated in this agreement
by reference, or special specifications approved by the State.
9. Increased Costs
If any existing or future local ordinances, commissioners court orders, rules, policies, or
other directives, including but not limited to outdoor advertising billboards and storm
water drainage facility requirements, are more restrictive than State or Federal
Regulations, or if any other locally proposed changes, including but not limited to plats or
replats, result in increased cost to the department for a highway improvement project,
then any increased costs associated with the ordinances or changes will be paid by the
Local Government. The cost of providing right of way acquired by the State shall mean
the total expenses in acquiring the property interests either through negotiations or
eminent domain proceedings, including but not limited to expenses related to relocation,
removal, and adjustment of eligible utilities.
10. Insurance
If this Agreement authorizes the Local Government or its contractor to perform any work
on State right of way, before beginning work the entity performing the work shall provide
the State with a fully executed copy of the State's Form 1560 Certificate of Insurance
verifying the existence of coverage in the amounts and types specified on the Certificate
of Insurance for all persons and entities working on State right of way. This coverage
shall be maintained until all work on the State right of way is complete. If coverage is not
Page 3 of 6
AFA VoITIP Revised 04/22/2021
Docusign Envelope ID: 2BA23BBC-28F3-85C3-8118-41 E72EB33CE2
CCSJ #
0094-05-071
AFA CSJs
0094-05-071
District #
02-FTW
AFA ID
Z00013169
Code Chart 64 #
15000
Project Name
SH 183; at Green Oaks Rd
maintained, all work on State right of way shall cease immediately, and the State may
recover damages and all costs of completing the work.
11. Project Maintenance
The Local Government shall be responsible for maintenance of locally owned roads and
locally owned facilities after completion of the work. The State shall be responsible for
maintenance of the State highway system after completion of the work if the work was
on the State highway system, unless otherwise provided for in Attachment A or existing
maintenance agreements with the Local Government.
12. Termination
A. This agreement may be terminated in the following manner:
1. By mutual written agreement and consent of both parties;
2. By either party upon the failure of the other party to fulfill the obligations set
forth in this agreement; or
3. By the State if it determines that the performance of the Project is not in the
best interest of the State.
B. If the agreement is terminated in accordance with the above provisions, the Local
Government will be responsible for the payment of Project costs incurred by the
State on behalf of the Local Government up to the time of termination.
C. Upon completion of the Project, the State will perform an audit of the Project
costs. Any funds due to the Local Government, the State, or the Federal
Government will be promptly paid by the owing party.
13. Notices
All notices to either party by the other required under this agreement shall be delivered
personally or sent by certified or U.S. mail, postage prepaid or sent by electronic mail,
(electronic notice being permitted to the extent permitted by law but only after a separate
written consent of the parties), addressed to such party at the following addresses:
Local Government:
City of Fort Worth
ATTN: Assistant City Manager
100 Fort Worth Trail
Fort Worth, TX 76102
State:
Texas Department of Transportation
ATTN: Director of Contract Services
125 E. 11th Street
Austin, TX 78701
All notices shall be deemed given on the date so delivered or so deposited in the mail,
unless otherwise provided in this agreement. Either party may change the above
address by sending written notice of the change to the other party. Either party may
request in writing that such notices shall be delivered personally or by certified U.S. mail
and such request shall be honored and carried out by the other party.
Page 4 of 6
AFA VoITIP Revised 04/22/2021
Docusign Envelope ID: 2BA23BBC-28F3-85C3-8118-41 E72EB33CE2
CCSJ #
0094-05-071
AFA CSJs
0094-05-071
District #
02-FTW
AFA ID
Z00013169
Code Chart 64 #
15000
Project Name
SH 183; at Green Oaks Rd
14. Sole Agreement
In the event the terms of the agreement are in conflict with the provisions of any other
existing agreements between the Local Government and the State, the latest agreement
shall take precedence over the other agreements in matters related to the Project.
15. Successors and Assigns
The State and the Local Government each binds itself, its successors, executors,
assigns, and administrators to the other party to this agreement and to the successors,
executors, assigns, and administrators of such other party in respect to all covenants of
this agreement.
16. Amendments
By mutual written consent of the parties, this agreement may be amended in writing prior
to its expiration.
17. State Auditor
Pursuant to Texas Government Code § 2262.154, the state auditor may conduct an
audit or investigation of any entity receiving funds from the state directly under the
contract or indirectly through a subcontract under the contract. Acceptance of funds
directly under the contract or indirectly through a subcontract under this contract acts as
acceptance of the authority of the state auditor, under the direction of the legislative
audit committee, to conduct an audit or investigation in connection with those funds. An
entity that is the subject of an audit or investigation must provide the state auditor with
access to any information the state auditor considers relevant to the investigation or
audit.
18. Signatory Warranty
Each signatory warrants that the signatory has necessary authority to execute this
Agreement on behalf of the entity represented.
Page 50f6
AFA VoITIP Revised 04/22/2021
Docusign Envelope ID: 2BA23BBC-28F3-85C3-8118-41E72EB33CE2
CCSJ #
0094-05-071
AFA CSJs
0094-05-071
District #
02-FTW
AFA ID
Z00013169
Code Chart 64 #
15000
Project Name
SH 183; at Green Oaks Rd
THIS AGREEMENT IS EXECUTED by the State and the Local Government.
THE STATE OF TEXAS
THE LOCAL GOVERNMENT
Signed by: Signed by:
gr re411... 11g lre4427...
David Salazar
Typed or Printed Name
District Engineer
Typed or Printed Title
9/3/2026
Date
Jesica McEachern
Typed or Printed Name
Assistant City Manager
Typed or Printed Title
8/31/2026
Date
Page 6 of 6
AFA VoITI P Revised 04/22/2021
Docusign Envelope ID: 2BA23BBC-28F3-85C3-8118-41 E72EB33CE2
CCSJ #
0094-05-071
AFA CSJs
0094-05-071
District #
02-FTW
AFA ID
Z00013169
Code Chart 64 #
15000
Project Name
SH 183; at Green Oaks Rd
ATTACHMENT A
PAYMENT PROVISION AND WORK RESPONSIBILITIES
Per the Prime Advance Funding Agreement (AFA), the State will complete the project to
improve traffic signals, install flashing yellow arrow for northbound and southbound movements,
and safety lighting at intersection of State Highway 183 at Green Oaks Road.
The Local Government has requested to participate in the improvement described as:
Install powder coating, TRAFFIC BLACK (RAL 9017) in color, for traffic signal pole, traffic signal
arms, and pedestrian pole at the intersection of SH 183/Alta Mere Drive and Green Oaks Road.
No new poles are being installed with this Voluntary AFA.
The Local Government will contribute 100% in the amount of $11,978.00 plus any cost
overruns.
The Local Government will have no work responsibilities. The State will perform and manage
all work for the project. Any changes, additions, or deletions to the Project will be at the State's
sole discretion. The Local Government understands any future equipment repairs or
replacements will be done so with TxDOT standard products.
Page 1 of 1
AFA VoITIP Attachment A
Texas
Department
of Transportation
FOR STATE USE ONLY
Deposit Fund 6 (06991-3767) Project Charge: 02-76-0094-05-071
ADVANCE PAYMENT
Highway SH 183 CSJ 0094-05-071
County Tarrant Project No. STP 2B23(143)HES
Limits 0.1 mile South of Green Oaks Rd to 0.1 mile North of Green Oaks Road
Description Intersection Improvement
Type of Agreement AFA
Requested By Shelia Jenkins
Section TP&D
Date September 8, 2026
Entity Name City of Fort Worth
Entity Code 15000
Reason & Amount of Funds Requested
Right of Way
❑
$
0.00
Preliminary Engineering
❑
$
0.00
Preliminary Engineering Overrun
❑
$
0.00
Preletting
❑
$
0.00
Construction
❑
$
11,978.00
Construction Overrun
❑
$
0.00
Total
$
11,978.00
To be Filled in by Outside Entity
Amount Submitted
Check #
Date Submitted
PLEASE RETURN THIS COMPLETED FORM WITH PAYMENT
To be Filled in by TxDOT After Receipt
Amount Received
Date Received
Name of Employee
(who received and
processed deposit)
ADDITIONAL ROUTING SIGNATURES
CITY OF FORT WORTH
ADVANCE FUNDING AGREEMENT CSJ: 0094-05-071
PROJECT NAME: SH 183 and Green Oaks Intersection
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.
Chad Allen /LQGvo. Name of Employee/Signature
Title: Engineering Manager
Email: Chad.Allen@fortworthtexas.gov
APPROVAL RECOMMENDED:
BY: Lauren Prieur (Sep 21, 2026 09:47:28 CDT)
Lauren Prieur, Director
Transportation and Public Works Department
Email: Lauren.Prieur@fortworthtexas.gov
CONTRACT AUTHORIZATION
M&C: N/A
Date Approved: N/A
Form 1295: N/A
APPROVED AS TO FORM AND LEGALITY:
BY: Douglas Black (Sep 22, 2026 1042:05 CDT)
Douglas W. Black
Senior Assistant City Attorney
Email: douglas.black@fortworthtexas.gov
ATTEST AS TO CITY MANAGER SIGNATURE:
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BY• G9p�
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Jannette S. Goodall °o+
City Secretary
Email: Jannette.Goodall@fortworthtexas.gov
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORT WORTH®
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE: Voluntary Advance Funding Agreement with
TxDOT for SH 183 and Green Oaks
Intersection, Powder Coating of Traffic Signal
and Pedestrian Poles
M&C:
CPN: 103640 CSC:
DOC#:
Date:
To:
Name
Department
Initials
Date Out
1.
Philip Trinh
TPW - review
-27'
09/11/2026
2.
Crystal Greene
TPW - review
09/11/2026
3.
Chad Allen
TPW - signature
7haA„P„
09/14/2026
4.
Lissette Acevedo
TPW - review
09/15/2026
5.
Patricia Wadsack
TPW - review
PL W
09/18/2026
6.
Lauren Prieur
TPW - signature
LaeP Prieur
09/21/2026
7.
Doug Black
Legal - signature
oolas Black
09/22/2026
8.
Jannette Goodall
CSO - signature
netteGoodall
09/22/2026
9.
TPW Contracts
TPW
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
ROUTING TO CSO
SAME DAY: ❑YES No
®YES ❑No
Action Required:
❑ As Requested
❑ For Your Information
❑ Signature/Routing and or Recording
❑ Comment
❑ File
NEXT DAY: EYES No
❑ Attach Signature, Initial and Notary Tabs
Return To: Please notify TPWContracts(a,fortworthtexas.gov for pickup when complete. Call ext. 7233 or ext.
8363 with questions. Thank you!
CONSTRUCTION CONTRACT ROUTING & TRANSMITTAL SLIP I E%f0l-I3-2024, nidhm
FORT WORTH®
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: Texas Department of Transportation (TxDOT)
Subject of the Agreement: Voluntary Advance Funding Agreement with TxDOT for SH 183
and Green Oaks Intersection, Powder Coating of Traffic Signal and Pedestrian Poles
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 O 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: date of last signature
If different from the approval date.
Expiration Date:
If applicable.
Is a 1295 Form required? * Yes ❑ No 8
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number: If applicable. 103640
*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.