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HomeMy WebLinkAboutC2023-173 - 8/8/2023 - Approved WASTEWATER TRUNK LINE SYSTEM EXTENSION CONSTRUCTION AND REIMBURSEMENT AGREEMENT This Wastewater Trunk Line Extension Construction and Reimbursement Agreement ("Agreement") is entered into between the City of Corpus Christi ("City"), a Texas home-rule municipality, and Grangefield Development, LLC ("Developer/Owner"), a Texas Limited Liability Company. WHEREAS, the Developer/Owner, in compliance with the City's Unified Development Code ("UDC"), has a plat, approved by the Planning Commission on March 23, 2022 to develop a tract of land, to wit approximately 45.523 acres known as Oso Ranch located in Flour bluff and Encinal Farm and Garden Tracts as shown in the attached Exhibit 1, the content of such exhibit being incorporated by reference into this Agreement; WHEREAS, under the UDC, the Developer/Owner is responsible for construction of the Trunk Line ("Wastewater Improvements"); WHEREAS, under the UDC, the Developer/Owner is eligible for reimbursement of the Developer/Owner's costs for the construction of Wastewater Improvements; WHEREAS, it is to the best interest of the City that the Wastewater Improvements be constructed to its ultimate capacity under the City's applicable Master Plan; WHEREAS, Section 8.5.2.E. of the UDC authorizes the acceptance of applications to be eligible for reimbursement in the future when funds become fully available in the Wastewater Trunk System Trust Fund and are appropriated by the City Council; WHEREAS, the Developer/Owner has submitted an application for reimbursement of the costs from the Wastewater Trunk System Trust Fund for installing the Wastewater Improvements, as shown in Exhibit 2, the content of such exhibit being incorporated by reference into this Agreement; WHEREAS, the Wastewater Trunk System Trust Fund does not currently have sufficient funds to fully reimburse Developer/Owner for Wastewater Improvements; and WHEREAS, Developer/Owner may be paid when assets of the Wastewater Trunk System Trust Fund are sufficient, authorized for such purpose, and Developer/Owner has priority per UDC §8.5.2. E. NOW, THEREFORE, in consideration of the mutual promises and covenants contained in this Agreement, the parties do covenant and agree as follows: 1. TRUSTEE LIABILITY. a. The City is executing this agreement as trustee of the Wastewater Trust Fund pursuant to UDC §8.5. The City is acting as trustee to further its governmental functions of providing water and sewer service. Texas Constitution Article 11, Section 3 prohibits the City from becoming a subscriber to the capital of any private corporation or association, or make any appropriation or donation to the same, or in anywise loan its credit. As such, the City's participation as Trustee does not create a loan of its credit. Execution of this agreement constitutes a promise to pay only to the Standard Form Wastewater Trunk System Trust Fund Reimbursement Agreement Approved to legal form BB 4.2.21 Page 1 of 12 SCANNED extent that the assets and future assets of the trust are sufficient for such purpose and it is expressly agreed that any judgment will only be satisfied out of the assets of the trust and not out of the City's assets. The City is excluded from personal liability. b. The Wastewater Sanitary Sewer Trunk Line Trust Fund was established by Ordinance No. 17396 to encouraging the orderly development of subdivisions within and surrounding the City of Corpus Christi, Texas and continues pursuant Texas Local Government Code §395.001(4)(C). The revenue generated for funding and continuation of the Wastewater Sanitary Sewer Trunk Line Trust Fund is subject to legislation of the State of Texas and the City of Corpus Christi. Nothing in this agreement guarantees neither the continuation nor future revenues of the Wastewater Sanitary Sewer Trunk Line Trust Fund. The City is not liable for modification or termination of the Wastewater Sanitary Sewer Trunk Line Trust Fund. The Developer/Owner agrees that any modification or termination of the Wastewater Sanitary Sewer Trunk Line Trust Fund is a legislative action and does not constitute a breach of trust, an act of bad faith, an intentional or reckless indifference to the interest of a beneficiary, or a profit derived by the trustee from a breach of trust. 2. PLANS AND SPECIFICATIONS. a. Developer/Owner shall contract with a professional engineer licensed in the State of Texas and acceptable to the City's Development Services Engineer to prepare plans and specifications for the Wastewater Improvements, as shown in the attached Exhibit 3, the content of such exhibit being incorporated by reference into this Agreement, with the following minimum requirements: CONSTRUCTION ITEMS(AS PROVIDED BY OWNER) ITEM ITEM TOTAL VALUE NO. DESCRIPTION UNITS UNIT PRICE QTY OF ITEM ($) 1 MOBILIZATION (5%) LS 1 $61,793.18 $61,793.18 2 BONDS AND INSURANCE (2%) LS 1 $24,717.27 $24,717.27 3 SWPP DEVICES LS 1 $4,500.00 $4,500.00 4 TRAFFIC CONTROL LS 1 $15,000.00 $15,000.00 5 TRENCH SAFETY FOR WASTEWATER LINES LF 1,010 $17.15 $17,321.50 6 TRENCH SAFETY FOR WASTEWATER MANHOLE EA 4 $1,120.00 $4,480.00 7 8"SDR 26 PVC LF 20 $318.00 $6,360.00 8 8" CAP EA 1 $1,620.00 $1,620.00 9 12"SDR 26 PVC LF 20 $414.00 $8,280.00 10 12" CAP EA 1 $1,860.00 $1,860.00 11 24"SDR 26 PVC LF 991 $798.00 $790,818.00 12 24" CAP EA 1 $4,500.00 $4,500.00 13 WASTEWATER MANHOLE EA 3 $49,200.00 $147,600.00 14 WASTEWATER TIE IN EA 1 $18,600.00 $18,600.00 15 PAVEMENT REPAIR- HMAC SF 170 $120.00 $20,400.00 16 WELL POINTS AND ALL REQUIRED DISCHARGE PIPING LF 991 $114.00 $112,974.00 17 EXISTING UTILITY LINE PROTECTION LF 100 $65.50 $6,550.00 Standard Form Wastewater Trunk System Trust Fund Reimbursement Agreement Approved to legal form BB 4.2.21 Page 2 of 12 SUBTOTAL: I $1,247,373.95 10%Contingincies $124,737.40 PROFESSIONAL SERVICES .11.1.11111 ITEM ITEM TOTAL VALUE NO. DESCRIPTION UNITS UNIT PRICE Qom, OF ITEM ($) 1 ENGINEERING AND CONSTRUCTION DRAWINGS LS 1 $107,737.13 $107,737.13 SUBTOTAL: $107,737.13 TOTAL CONSTRUCTION AND PROFESSIONAL FEES: $1,479,848.48 b. The plan must be in compliance with the City's master plans. c. The plans and specifications must comply with the City's Wastewater Standards Detail Sheets and Standard Specifications. d. Before the Developer/Owner starts construction, the plans and specifications must be approved by the City's Development Services Engineer 3. REIMBURSEMENT. a. The cost for the Wastewater Improvements less$97,699.80 lot/acreage fee credit is $1,382,148.68. Subject to the conditions for reimbursement from the Wastewater Trunk Line System Trust Fund and the appropriation of funds, the City will reimburse the developer, the reasonable actual cost of the Wastewater Improvements up to an amount not to exceed $1,382,148.68 as shown in the attached Exhibit 4, the contents of such exhibit being incorporated by reference into this Agreement. b. Subject to the conditions for reimbursement from the Wastewater Trunk Line System Trust Fund per the UDC and this agreement, the City agrees to reimburse the Developer/Owner on a monthly basis upon invoicing for work performed. The submitted invoice shall be deemed administratively complete by the City prior to payment. The reimbursement will be made no later than 30 days from the date of the City's administrative approval of the invoice. Developer/Owner shall submit all required performance bonds and proof of required insurance under the provisions of this Agreement. c. Cost-supporting documentation to be submitted shall include: 1. Summary of Costs and Work Performed on Form provided by the Development Services Department. 2. Contractor and professional services invoices detailing work performed. Standard Form Wastewater Trunk System Trust Fund Reimbursement Agreement Approved to legal form BB 4.2.21 Page 3 of 12 3. The first reimbursement request requires submittal of invoices for work performed. Future disbursements shall provide evidence of payment by the developer/owner through a cancelled check or bank ACH for the previous submittal. The final reimbursement request shall require evidence that all invoices to date have been paid. d. To be eligible for reimbursement, the work must be constructed in a good and workmanlike manner and must have been inspected and accepted by the City. The City agrees to conduct periodic inspections and approve the progress of the work at key points during construction. e. The final 5% of the total contract reimbursement amount will be held as retainage until such time the City issues acceptance of public infrastructure in accordance with Unified Development Code. f. In the event that this Agreement is terminated by the City as a result of an uncured default by the Developer/Owner and at a time when there has been a partial completion and/or partial payment for the improvements, then the City shall only reimburse the Developer/Owner for its costs that were legitimately incurred towards the completion of the improvements that have been inspected and accepted by the City up to the time that the uncured default occurred. 4. PAYMENTS, CREDITS, AND DEFERRED REIMBURSEMENT. a. All payments, credits, priority of reimbursement, and deferred reimbursement shall be made in accordance with UDC§8.5. Developer/Owner understands and agrees that if funds are not available in the Wastewater Trunk System Trust Fund, that reimbursement will not be made until such funds are available, appropriated, and Developer/Owner has priority per UDC §8.5.2. Pursuant UDC §8.5.2. E., priority is determined according to the date the reimbursement agreement is approved by the City Council. b. Payments will not be paid when funds are not available in the Wastewater Trunk System Trust Fund. Payments may be made when monies are available in and appropriated from the Wastewater Trunk System Trust Fund and the Developer/Owner has priority in accordance with UDC §8.5.2. E. c. If the developer is owed funds from the Wastewater Trunk System Trust Fund, the developer will be given credit for lot or acreage fees that are due on subsequent final plats filed with the County Clerk in accordance with UDC §8.5.2. E. The amounts credited will be deducted from the outstanding amounts owed to the developer by the Wastewater Trunk System Trust Fund until the total amount owed has been paid, provided that the lands being platted are within or contiguous to the boundaries of the preliminary plat of the originally developed property, the land will be served by the wastewater trunk line for which the credit was given, and an extension of the trunk line was not required to serve the land. 5. DEVELOPER/OWNER TO COMPLETE IMPROVEMENTS. Developer/Owner shall award a contract and complete the Wastewater Improvements under the approved plans and specifications within 24 months from the date of City Council approval of this agreement. Standard Form Wastewater Trunk System Trust Fund Reimbursement Agreement Approved to legal form BB 4.2.21 Page 4 of 12 6. NOTICES. a. Any notice or other communication required or permitted to be given under this Agreement must be given to the other party in writing at the following address: 1. If to the Developer/Owner: Grangefield Development, LLC P.O. Box 271996 Corpus Christi, Texas 78427 2. If to the City: City of Corpus Christi Attn: Director, Development Services Department 2406 Leopard Street 78401 P. O. Box 9277 Corpus Christi, Texas 78469-9277 with a copy to: City of Corpus Christi Attn: Assistant City Manager, Business Support Services 1201 Leopard Street 78401 P. O. Box 9277 Corpus Christi, Texas 78469-9277 b. Notice must be made by United States Postal Service, First Class mail, certified, return receipt requested, postage prepaid; by a commercial delivery service that provides proof of delivery, delivery prepaid; or by personal delivery. c. Either party may change the address for notices by giving notice of the change under the provisions of this section. 7. REQUIRED CONSTRUCTION. Developer/Owner shall construct the Wastewater Improvements in compliance with the City's UDC, the City's Infrastructure Design Manual, and all local, state and federal laws, codes and regulations, in accordance with the plans and specifications submitted to the City's Development Services Department and reviewed and approved by the City's Development Services Engineer. 8. SITE IMPROVEMENTS. Prior to the start of construction of the Wastewater Improvements, Developer/Owner shall acquire and dedicate to the City the required additional public utility easements ("Easements"), if any, necessary for the completion of the Wastewater Improvements. If any of the property needed for the Easements is owned by a third party and the Developer/Owner is unable to acquire the Easements through reasonable efforts, then the City may use its powers of eminent domain to acquire the Easements. Developer will be responsible for cost of acquisition, payable from the reimbursement agreed to in this agreement. 9. PLATTING FEES. Developer/Owner shall pay to the City the required acreage fees and pro- rata fees as required by the UDC. Standard Form Wastewater Trunk System Trust Fund Reimbursement Agreement Approved to legal form BB 4.2.21 Page 5 of 12 10. TIME IS OF THE ESSENCE. Time is of the essence in the performance of this contract. 11. PROMPT AND GOOD FAITH ACTIONS. The parties shall act promptly and in good faith in performing their duties and obligations under this Agreement. If this Agreement calls for review or inspections by the City, then the City's reviews or inspections must be completed thoroughly and promptly. 12. DEFAULT. The following events shall constitute default: a. Developer/Owner fails to engage a professional engineer for the preparation of plans and specifications by the 10th calendar day after the date of approval of this Agreement by the City Council. b. Developer/Owner's professional engineer fails to submit the plans and specifications to the City's Director of Engineering Services by the 40th calendar day after the date of approval by City Council. c. Developer/Owner fails to award a contract for the construction of the project, according to the approved plans and specifications, by the 70th calendar day after the date of approval by City Council. d. Developer/Owner's contractor does not reasonably pursue construction of the Wastewater Improvements under the approved plans and specifications. e. Developer/Owner's contractor fails to complete construction of the Wastewater Improvements, under the approved plans and specifications as provided in section 4 of this agreement. f. Either the City or the Developer/Owner otherwise fails to comply with its duties or obligations under this Agreement. 13. NOTICE AND CURE. a. In the event of a default by either party under this Agreement, the non-defaulting party shall deliver notice of the default, in writing, to the defaulting party stating, in sufficient detail, the nature of the default and the requirements to cure such default. b. After delivery of the default notice, the defaulting party has 15 business days from the delivery of the default notice ("Cure Period")to cure the default. c. In the event the default is not cured by the defaulting party within the Cure Period, then the non-defaulting party may pursue its remedies in this section. d. Should Developer/Owner fail to perform any obligation or duty of this Agreement, the City shall give notice to Developer/Owner, at the address stated in section 6, of the need to perform the obligation or duty, and should Developer/Owner fail to perform the required obligation or duty within 15 days of receipt of the notice, the City may perform the obligation or duty, charging the cost of such performance to Developer/Owner by reducing the reimbursement amount due Developer/Owner. Standard Form Wastewater Trunk System Trust Fund Reimbursement Agreement Approved to legal form BB 4.2.21 Page 6 of 12 e. In the event of an uncured default by the Developer/Owner, after the appropriate notice and Cure Period, the City has all its common law remedies and the City may: 1. Terminate this Agreement after the required notice and opportunity to cure the default; 2. Refuse to record a related plat or issue any certificate of occupancy for any structure to be served by the project; and/or 3. Perform any obligation or duty of the Developer/Owner under this Agreement and charge the cost of such performance to the Developer/Owner. The Developer/Owner shall pay to the City the reasonable and necessary cost of the performance within 30 days from the date the Developer/Owner receives notice of the cost of performance. In the event the Developer/Owner pays the City under the preceding sentence and is not otherwise in default under this Agreement, then the Agreement shall be considered in effect and no longer in default. f. In the event of an uncured default by the City after the appropriate notice and Cure Period, the Developer/Owner has all its remedies at law or in equity for such default. 14. FORCE MAJEURE. a. The term "force majeure" as employed in this Agreement means and refers to acts of God; strikes, lockouts, or other industrial disturbances; acts of public enemies; insurrections; riots; epidemics; landslides; lightning; earthquakes; fires; hurricanes; storms; floods; washouts; droughts; arrests; civil disturbances; explosions; or other causes not reasonably within the control of the party claiming the inability. b. If, by reason of force majeure, either party is rendered wholly or partially unable to carry out its obligations under this Agreement, then the party claiming force majeure shall give written notice of the full particulars of the force majeure to the other party within ten (10) business days after the occurrence or waive the right to claim it as a justifiable reason for delay. The obligations of the party giving the required notice, to the extent affected by the force majeure, are suspended during the continuance of the inability claimed but for no longer period, and the party shall endeavor to remove or overcome such inability with all reasonable dispatch. 15. THIRD-PARTY BENEFICIARY. Developer/Owner's contracts with the professional engineer for the preparation of the plans and specifications for the construction of the Wastewater Improvements, contracts for testing services, and contracts with the contractor for the construction of the Wastewater Improvements must provide that the City is a third-party beneficiary of each contract. 16. PERFORMANCE AND PAYMENT BONDS. Developer/Owner shall, before beginning the work that is the subject of this Agreement, furnish a performance bond payable to the City of Corpus Christi if the contract is in excess of$100,000 and a payment bond if the contract is in excess of$50,000. Bonds furnished must meet the requirements of Texas Insurance Code 3503, Texas Government Code 2253, and all other applicable laws and regulations. The performance or payment bond must name the City as an obligee. If the Developer/Owner is not Standard Form Wastewater Trunk System Trust Fund Reimbursement Agreement Approved to legal form BB 4.2.21 Page 7 of 12 an obligor, then Developer/Owner shall be named as a joint obligee. The bond must clearly and prominently display on the bond or on an attachment to the bond: (1) the name, mailing address, physical address, and telephone number, including the area code, of the surety company to which any notice of claim should be sent; or (2) the toll-free telephone number maintained by the Texas Department of Insurance under Subchapter B, Chapter 521, Insurance Code, and a statement that the address of the surety company to which any notice of claim should be sent may be obtained from the Texas Department of Insurance by calling the toll-free telephone number. 17. DEDICATION OF WASTEWATER IMPROVEMENTS. Upon completion of the construction, dedication of Wastewater Improvements will be subject to City inspection and approval. 18. WARRANTY. Developer/Owner shall fully warranty the workmanship of and function of the Wastewater Improvements and the construction thereof for a period of one year from and after the date of acceptance of the facilities by the City's Director of Engineering Services. 19. INDEMNIFICATION. Developer/Owner covenants to fully indemnify, save and hold harmless the City of Corpus Christi, its officers, employees, and agents, ("indemnitees") against any and all liability, damage, loss, claims, demands suits and causes of action of any nature whatsoever asserted against or recovered from city on account of injury or damage to person including, without limitation on the foregoing, workers compensation and death claims, or property loss or damage of any other kind whatsoever, to the extent any injury, damage, or loss may be incident to, arise out of, be caused by, or be in any way connected with, either proximately or remotely, wholly or in part, the Developer/Owner's failure to comply with its obligations under this agreement or to provide city wastewater service to the development, including injury, loss, or damage which arise out of or are in any manner connected with, or are claimed to arise out of or be in any manner connected with the construction, installation, existence, operation, use, maintenance, repair, restoration, or removal of the public improvements associated with the development described above, including the injury, loss or damage caused by the sole or contributory negligence of the indemnitees or any of them, regardless of whether the injury, damage, loss, violation, exercise of rights, act, or omission is caused or is claimed to be caused by the contributing or concurrent negligence of indemnitees, or any of them, but not if caused by the sole negligence of indemnitees, or any of them, unmixed with the fault of any other person or entity, and including all expenses of Standard Form Wastewater Trunk System Trust Fund Reimbursement Agreement Approved to legal form BB 4.2.21 Page 8 of 12 litigation, court costs, and attorneys fees, which arise, or are claimed to arise, out of or in connection with the asserted or recovered incident. This indemnity specifically includes all claims, damages, and liabilities of whatever nature, foreseen or unforeseen, under any hazardous substance laws, including but not limited to the following: (a) all fees incurred in defending any action or proceeding brought by a public or private entity and arising from the presence, containment, use, manufacture, handling, creating, storage, treatment, discharge, release or burial on the property or the transportation to or from the property of any hazardous substance. The fees for which the developer/owner shall be responsible under this subparagraph shall include but shall not be limited to the fees charged by (i) attorneys, (ii) environmental consultants, (iii) engineers, (iv) surveyors, and (v) expert witnesses. (b) any costs incurred attributable to (i) the breach of any warranty or representation made by Developer/Owner in this agreement, or (ii) any cleanup, detoxification, remediation, or other type of response action taken with respect to any hazardous substance on or under the property regardless of whether or not that action was mandated by the federal, state or local government. This indemnity shall survive the expiration or earlier termination of the agreement. 20. ASSIGNMENT OF AGREEMENT. This Agreement or any rights under this Agreement may not be assigned by the Developer/Owner to another without the written approval and consent of the City's City Manager. 21. DISCLOSURE OF INTEREST. Developer/Owner agrees, in compliance with the Corpus Christi Code of Ordinance Sec. 2-349, to complete, as part of this Agreement, the Disclosure of Interest form attached to this Agreement as Exhibit 5. 22. CERTIFICATE OF INTERESTED PARTIES. Developer/Owner agrees to comply with Texas Government Code section 2252.908 and complete Form 1295 Certificate of Interested Parties as part of this agreement. Form 1295 requires disclosure of"interested parties" with respect to entities that enter contracts with cities. These interested parties include: Standard Form Wastewater Trunk System Trust Fund Reimbursement Agreement Approved to legal form BB 4.2.21 Page 9 of 12 (1) persons with a "controlling interest" in the entity, which includes: a. an ownership interest or participating interest in a business entity by virtue of units, percentage, shares, stock or otherwise that exceeds 10 percent; b. membership on the board of directors or other governing body of a business entity of which the board or other governing body is composed of not more than 10 members; or c. service as an officer of a business entity that has four or fewer officers, or service one of the four officers most highly compensated bya business entitythat has as g y p more than four officers. (2) a person who actively participates in facilitating a contract or negotiating the terms of a contract with a governmental entity or state agency, including a broker, intermediary, adviser or attorney for the business entity. Form 1295 must be electronically filed with the Texas Ethics Commission at https://www.ethics.state.tx.us/whatsnew/elf info form1295.htm. The form must then be printed, signed, notarized and filed with the City. For more information, please review the Texas Ethics Commission Rules at https://www.ethics.state.tx.us/legal/ch46.html. 23. CONFLICT OF INTEREST. Developer/Owner agrees to comply with Chapter 176 of the Texas Local Government Code and file Form CIQ with the City Secretary's Office, if required. For more information and to determine if you need to file a Form CIQ, please review the information on the City Secretary's website at http://www.cctexas.com/government/city- secretary/conflict-disclosure/index 24. AUTHORITY. All signatories signing this Agreement warrant and guarantee that they have the authority to act on behalf of the entity represented and make this Agreement binding and enforceable by their signature. 25. EFFECTIVE DATE. This Agreement becomes effective and is binding upon and inures to the benefit of the City and the Developer/Owner and their respective heirs, successors, and assigns from and after the date of final execution by all parties. Remainder of page intentionally left blank; signature page to follow. Standard Form Wastewater Trunk System Trust Fund Reimbursement Agreement Approved to legal form BB 4.2.21 Page 10 of 12 EXECUTED IN ONE ORIGINAL this 0`c.\- day of AkkrsA- , 203. ATTEST: CIT r/ ORPUS • I Retie ca Huerta - J. ' aymond III, AIA, CBO City Secretary Dir: tor sf Development Services Orap Q ._AU I HUKILL. sT ('OWRCI'L...... ... a3 (LK/5b unmet, APPROVED AS TO LEGAL FORM: t-t-(4 PiZz B -l Z3 Buck Brice (Date) Assistant City Attorney For City Attorney Standard Form Wastewater Trunk System Trust Fund Reimbursement Agreement Approved to legal form BB 4.2.21 Page 11 of 12 DEVELOPER/OWNER: Grangefield Development, LLC P.O. Box 271996 Corpus Christi, Texas/78427 By: Ja queline Azali/ President STATE OF TEXAS § COUNTY OF �1J a-cs This instrument was acknowledged before me on (Ji './ tZ- , 20by Jacqueline Azali, President of Grangefield Development, LLC., a Texas Corporation, on behalf of said corporation. r � Notary Publi• --nature Dina Zuyhni-Esquivel c My Commissio°Expres . r 07/23/2024 ID No 129063760 isow Standard Form Wastewater Trunk System Trust Fund Reimbursement Agreement Approved to legal form BB 4.2.21 Page 12 of 12 ‘.0.-'•1• ..,......,—....... —--- "Mil V.--,1 610 =NV'“4=2.216;g:tgr0=01r,•411*ri TrAT=TI[Vf7/4 3.17V ,.., A% jel a-Fa ..........;;:=7.1:: Mr M.3(.... MOM<Well•A.1...,00 M3.1.d.9.0110".gl,t1.20.1,1•11,..14 MO ki..itiff ll..T. .../.1 .V.=, 10Gtle,ON naw'wawa ow••,0.2v aka...atm."Sala woo 1...aal aar Meal' SI_ r in.........a..,..1..., pug „„,,,,,.,„„47 ,........,••••••*1... 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Zox -.3.7-14q/‘ .....-_ R.....w.Aline ast vol-1913 ::CL'''-.111 st a Gey.twee.wet 231**oar sZ Pas_Li4,PsT/t. 7417 Ltal accouM aterterthi hare'4,20toraZ .. . , larta___DIXpaycr kgentifteatinla_______--rbstnber — Enter yr.."TIN in ths=astspneht OM Them purkiec trust rna=h the harm skirt cf%ire 1 to t*Wog,wOholdietc For r .43Logs.thes ts ovo****L3y yo,o-Socia'**CUM melba'OSPAL No***Jvier for a • 1 Pesit3oPt OW_solo orxelarc.T,or disragersare a.-t-y.sec the Pars 1 eistrucnons or page 3.,For overt - - I 1 enetare,o its yoke erratkyor:vent?toolson number kiT•h.g yct do rot have a reenter.sae/row to goer a WI On syaga 3, or Note.t ?to socaiza es.r more than ono name.riaa Tie inarr,:Ctiona for Sri*1 and r*Coil On page 4 lOr 1 E'r134C"A.eS8131"granarnbmr, I ..----•—•1 gunleiriss on whoseni,rnhat to ontry. 1.-, , f I t4 — _,_......... , . _ Gelren_t___________tifiC•titiOlt tinder pener6et or perjury.I canary VW 1 The meter shown an ttaa tont,is rrty rnttct mrpaym•identrficatiot taunter:or I ten rateir42 t:r a iturVer to Di csved't,rt nr41 2 1 arn neat sawed to backup ertthholcur,;because.ta'ri 1 at esenavt from tieciare yresinoir,..ing,or.14 I have nos been trathao thi ru eita:neyurvr Service OM the l ege%tied to bor rrtrthrOiCric ea a revue or a%axe to revert es nuteelo or clivituts.or SO tne IRS ran myarto--,Iv.that!en• no tor•ger TAW to IMO=svtitel=kirtil are 3,,1 cine a U.S.v=an or otter U.S.'Denson roitrinao Devon:end &The r AltA=deb;Weld fin t'jS tOn-r•IT a*nri irdrCuttig tt,..len arr*mem!.!tom FATCA.0eportrno is cornett. 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CV; VY-e for, ..2-21c1se I 111 o us • Reimbursement AgreementApplication J — Development Services Department submit u_Appticubub Oa: +tt-yrsirs,+agrocrwst4c:'_eOA c{.m Mail to:City of Corpus Chrimb De etoprnent 5etvic c 2406 Looparar St.Suite 100 Corpus Christ.Texas 840$ Date- 07/06/2022 Approved Plat Name: Oso Ranch Unit I Type of Public Improvements: Master Plan Wastewater Improvements Ownership and authorized signatories to enter into the agreement: JACQUEUNE AZALI Requested duration of agreement:36_ Months Point of Contact information: Contact Name:JACQUELINE AZALI Contact Number: 361"816-6390 Name of Company Entering into the agreement(L.L.C.; L.P., Inc.)_ Grangefield Development, LLC Address PO Box 271996 City,Corpus Christi State:Texas ZIP: 78427 Phone Number:361-815-8390 The items listed below are required before an application can be processed, 1)pApplication for reimbursement per UDC Section 8.51 or 8.5.2 2) $535.00 application fee for new agreements and addondums 3) fl Planning Commission approved plat (Final or Master Preliminary) 4) Q Cost estimate for project from a registered engineer 5) g Public improvement plans or design memorandum 5) EN Warrantee Deed for the property,associated with the project 7)filf Disclosure of I erest Form8) X Form 1295.a' -9 Form :n Corporate Resolution ;:� Apptica i't's Signature Title C:`y c`C;..1" 4 C`'rst I Fcsrn Nc. 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N X w C a n z • Q Z W M O s v 3 G pZp W O ry M K o 0 n CO O, '~ Na M9 C ,-1 1 ae 0 0 a ¢ 0 C� U z , z' --�, Exhibit 5 cll;-or Corms*CarNl,Teta. City.�� �4 Uepannuiu ul(kaoJupmern Scniee rCl P 0 huu927, ♦ t 1 C Curpu,Chrt.u.Tcxac 7&W9.9277 o 3,40 1 ncrcd ar NOG Lmpard Sunt C7 1 i S L l (C ovary n('1 copra St and Port As I DISCLOSURE OF INTERESTS City of Corpus Christi Ordinance 17112, as amended, requires all persons or firms seeking to do business with the City to provide the following information. Every question must be answered. If the question is not applicable. answer with"NA'. NAME: �ir•C�JNGt FZtt.� bCJc-7��.v�tw� LLC STREET (d 3J'4. 271 ""e CITY: Cr-42"..e. C/r,¢Fsr-c ZIP: 70't"(7 FIRM is- 'corporation 0 Partnership ❑Sole Owner 0 Association 0 Other DISCLOSURE QUESTIONS If additional space is necessary, please use the reverse side of this page or attach separate sheet. 1. State the names of each "employee" of the City of Corpus Christi having an "ownership interest" constituting 3%or more of the ownership in the above named"firm". Name Job Title and City Department(if known) 2. State the names of each "official" of the City of Corpus Christi having an "ownership interest" constituting 3%or more of the ownership in the above named"firm". Name Title NSA 3. State the names of each "board member" of the City of Corpus Christi having an "ownership interest" constituting 3%or more of the ownership in the above named"firm". Name Board,Commission,or Committee ,A 4. State the names of each employee or officer of a"consultant"for the City of Corpus Christi who worked on any matter related to the subject of this contract and has an "ownership interest"constituting 3% or more of the ownership in the above named"firm". Name Consultant Fir% CERTIFICATE I certify that all information provided is true and correct as of the date of this statement, that I have not knowingly withheld disclosure of any information requested, and that supplemental statements will be promptly submitted to the City of Corpus Christi, Texas as changes occur. Certifying Person. /9 f, 7f7, (r MA/, 'rr(!y Title: Vi Cr' (3110 Sr t I'.r;.,,— (Print) Signature of Certifying Person: l7 '( Date: 3 /,'s 11 2 K UI't ILMIs.i'. ''.41U'I)I%NI>ltEVI•I.r.PNCE?T ORDINANCE.WSIL.ISTRA110C APP1 i'u i'I UK.NIc rok'.tr c PLR LEGAL 2:.)11 DLSCLUu 1U.OF INTIxrSTS