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Home My WebLink About064122-R1 - General - Contract - Ergon Asphalt & Emulsion, Inc.CSC No. 64122-R1 CITY OF FORT W TH REQUEST TO EXERCISE RENEWAL OPTION September 28, 2026 Ergon Asphalt & Emulsions, Inc Patrick J. Coyle, Regional Sales Manager 11612 RM 2244, Bldg #4, Suite #250 Austin, TX 78738 Re: Contract Renewal Notice Contract No. 64122 ("Contract") Renewal Term No. 1: October 3, 2026, to September 30, 2027 The above -referenced Contract with the City of Fort Worth expires on October 3, 2026 ("Expiration Date"). Pursuant to the Contract, renewals are at the mutual agreement of the parties. This letter is to inform you that the City is requesting to renew the Contract for an additional period, which will begin immediately after the Expiration Date. All other terms and conditions of the Contract remain unchanged. To agree to renew the Contract for an additional one-year period, please sign and return this request to exercise renewal option, along with a copy of your current insurance certificate, to the address set forth below. Please log onto PeopleSoft Purchasing at http://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, C Blakely Cab no (Sep 29, 2026 09:13:42 CDT) Blakely Cabano Administrative Services Manager blakely.cabano @fortworthtexas.gov 817-392-8114 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract 64122-R1 Page 1 of 2 CSC No. 64122-R1 ACCEPTED AND AGREED: CITY OF FORT WORTH By. GPEQ) Name: Jesica McEachern Title: Assistant City Manager Date: 10/06/2026 APPROVAL RECOMMENDED: By: Lauren Prieur (Oct 1,202607:45:15 CDT) Name: Lauren Prieur Title: Director, TPW ATTEST: aaq� c FOHT�Q9-Idd Ot dad* Qa 000°*�G � .+x.3 aaaa nezasga By: Name: Jannette S. Goodall Title: City Secretary Ergon Asphalt & Emulsions, Inc. TaMck 7 Co4e By: Patrick J Coyle (Sep 29, 202 9:11:49 CDT) Name: Patrick J Coyle Title: Regional Sales Manager Date: 09/29/2026 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: Blakely baC no (Sep 29, 2026 09:13:42 CDT) Name: Blakely Cabano Title: Administrative Services Manager APPROVED AS TO FORM AND LEGALITY: By: ^' Name: Amarna Muhammad Title: Assistant City Attorney CONTRACT AUTHORIZATION: M&C: N/A Form 1295 Certification No.: 2026-1517512 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract 64122-R1 Page 2 of 2 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2026-1517512 Ergon Asphalt & Emulsions, Inc. Austin, TX United States Date Filed: 09/17/2026 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 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. F2025175 Annual Contract for Emulsions 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. ❑ X 6 UNSWORN DECLARATION My name is Lisa Chavez and my date of birth is My address is 11612 RM 2244, Bldg. 1, Ste. 250 Austin TX 78738 , USA (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Travis County, State of Texas , on the 17th day of September 20 26 (month) (year) Signature of authorized agent of co racting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V4.1.0.4a4bf2cb 9/28/26, 11:55 AM it3� CW�h�fJj -\ •tiJ ll Contract Detail (� Return to Listing 66 Supplier Registration Tarrant County eProcurement Contract Information Active Contract Term Title Annual Contract for Emulsions Description Renewal 1 Description Start Date 10/01/2026 Contract Number F2025175 End Date 09/30/2027 Type (COOP) Tarrant County Solicitation Notes Department Bid F2025175 Contract Amount $141,693.43 Status Active Purchase Type Annual (Annual, Semi -Annual, or One -Time) CO-OP (Yes, No) Yes Purchasing Contact Mikaylah Darby Solicitation includes Yes unconditional 30 -day cancellation clause available to both parties (Yes, No, N/A) Terms in solicitation Yes and vendor response take precedence over any agreements between County and Vendor (Yes, No, N/A) Supplier Information Supplier Name Ergon Asphalt & Emulsions, Inc. Supplier Description Ergon Asphalt & Emulsions, Inc. is one of the largest asphalt marketers in North America. We market paving asphalts, and manufacture and market a wide variety of asphalt products. Organization Type C Corporation Legal Name Date Business Formed 09/24/1982 Formation State Mississippi Website https://ergon.com Available Renewal Options Renewal Number Description Renewal2 Renewal2 Attachment List File Name CO #145889 F2025175.pdf [View] CO147070-Emulsions-Renewal_26-27.pdf [View] General/Corporate Address Address Post Office Box 1639 Jackson, MS 39215-1639 Phone (601) 933-3000 Fax Contact Name Email lisa.chavez@ergon.com Description CO #145889 F2025175 Award CO147070-Emu Isions-Renewal_26-27 Login Duration Interval 1 Year(s) https://tarrantcountytx.ionwave.net/PublicContractDetail.aspx?e=WKuevee2vNjFSs3aYQG-YvNMQ2hM0WeOgKUMsNWzb8m4u4—umT2YInwytirxI0n... 1/1 FORT WORTH® City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Ergon Asphalt & Emulsion, Inc Subject of the Agreement: Contract 64122 Renewal 1 for emulsion. 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 0 No 0 CSC 64122 If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes ❑ No 0 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: 10/03/2026 If different from the approval date. Expiration Date: 09/30/2027 If applicable. Is a 1295 Form required? * Yes 0 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 0 No 0 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.