HomeMy WebLinkAboutC2006-015 - 1/17/2006 - Approved
\GREEMENT FOR W,\TERLlNE INFRASTRIJCTURE CONSTRUCTION
STA 1E OF TEXAS ~
COUNTY OF NIECES ~
I'HJS '\GREEMENT s entered into between the City of Corpus Christi, a Texas Home-Rule
\1uniclpal Corporation PO Box 9277, Corpus Christi, Texas 78469-9277, hereinafter called
'Cny' and Brighton Park Baptist Church, a Texas non-profit corporation, whose address is
:;418~irline Road C\lrpus Christi. '\iueces County Texas, hereinafter called
DeveloperIOv,ner'
WHEREAS. Developer/Owner in compliance with the City's Platting Ordinance, proposes
10 recurd the plat Bri~hton Park Baptist Church, Lot L now described as 7 06 acres ofland
dut of Lots 22 and 23 Section 20 of the Flour Bluff and Encinal Farm and Garden Tracts as
recorded in Vol /\ P:tge ,-l1-43, being same 706 acres as described in volume 1834, page
x24 olthe ofticlal recc'rds of Nueces Count\', hereinafter called "Development", Exhibit L
WHEREAS. the ()evt~loper/Owner has a plat approved by the Planning Commission, on
\iovember i (), 2005 and has not initiated the required construction of water line
I nfrasl ructure in accordance with City approved construction plans and specifications;
WHEREAS the Cit) has approved reimbursement appropriations to Developer/Owner of
$47 1.-l628 for the extension of a 12-inch water line per Ordinance 026423 and $10,635.41
for the extensIOn of a ~-inch water Ime per Ordinance 026424.
WHEREAS. the Developer/Owner desires to avoid construction of the required water line
infrastructure and has .;ubmitted a Letter of Credit totaling $57,781.69 for the construction of
the 12-inch and X-inch water lines Exhibit 2
WHEREAS the City has received an application for reimbursement of a 12-inch water line
from the developer oJ the proposed plat, Manhattan Estates Unit 2 and that developer has
agreed to include the LZmstruct10n of the required water line infrastructure not constructed by
De\el'lper/Owner
'lOW THEREFORE. for and IT1 consideration of the mutual covenants herein exchanged to
be kepT and performed the panies do hereby covenant, and agree as follows:
Citv agrees
a to recor d the plat of Brighton Park Baptist Church, Lot 1; and,
b to release the Letter of Credit upon the approval of the application for
reimbUl sement trom the developer of Manhattan Estates Unit 2 for the said
reqUIred water Ime infrastructure
")
Developer/Owner agrees
a elt\ may retain the said $57,781 69 Letter of Credit and call said Letter of
Credit and use It for the constructIon of the required water line infrastructure,
J
m<:nt lor Water Lme Infrastructure ImprO\ements
weh, Lot I
2006-015
01117/06
M2006-01 ()
Brighton Park Baptist Church
"hOll Id [he developer of Manhattan Estates Unit 2 fail to submit and obtain
approve:! of an appl1cation f()r reimbursement for the construction of said
'cqulred water lme infrastructure within one year from date hereof and
b ('!I\ '^ ,II repeal 'lfdinances 026423 and 026424 and reappropriate the
! ennbur sement tundmg to compensate the developer of Manhattan Estates
nn 2 t'lr the constructIon of the reqUIred watel line infrastructure.
rhe Developer "hall deposit with the Cit~ of Corpus Christi, in a form approved by
,he Citvs Dlrector ofFinanclaJ Services. before the Agreement is approved by
Councd a total of Flfty.seven Thousand Seven Hundred Eighty-one Dollars and
-;ixty.nine (ems ($"7.781691. by Letter of Credit for 110010 of the estimated cost of
l:onstruct1Jl~ thl' 12-IJlch and 8-mch water lines
:l tfthe required improvements have not been completed within one (1) year from the
date of this c\greemcnt. the City will transfer the monev received, including any
mterest earned. to the appropriate City fund and the City may begin completion of the
constmctlOn of the I :2-inch and 8-inch water lines with any monies received from the
Developer. both principal and lnterest. remaining after completion of construction
hemg refimded hy the City to the Developer
~ If Developer defaults in any of its covenants or obligations under this Agreement, the
City Engineer will send the Developer and the Project Engineer written notice by
certified mail, return receipt requested, advising Developer of the default and giving
Developer thirt, (J 0) days from date of receipt of the letter to cure the default. If the
Developer fails to cure the det~lUlt after receipt of the notice and opportunity to cure,
the Citv Engineer may transfer any monies received and interest earned to the
appropnate fund oflhe City to complete the 12-inch and 8-inch water lines. In the
event there are ,my monies received by the City from the Developer, plus interest
l~arned. remainlf1g after the City has completed construction of the 12-inch and 8-inch
"vater Imes. lhe excess mOnIes, both principal and interest, shall be refunded to the
Developer. within sixty (60) days of the completion of construction of the 12-inch
and 8-inch \vatn lines and settlement of construction contracts.
') Developer waives and disclaims its rights and mterests In the Transmission and Grid
Main Construction and Reimbursement Agreement and the Distribution Main
ExtenSIon Construction and Reimbursement Agreement approved by Council on
\ugust ,():O(l',
7 The City's Dire,Jor of Engineering Services, at Developer's expense, shall file of
record this Agreement in the records of Nueces County
;.~ \/0 partv may assign this Agreement or any rights under this Agreement without the
prior written approval of the other party
I Unless otherwise stated herem, any notice required or permitted to be given
hereunder shall be Ifl writing and may be given by personal delivery, by fax, or by
certified mail, and if given personally, by tax or by certified mail, shall be deemed
-;.ufficlently given if addressed to the appropriate party at the address noted above the
De\cloper fOwner Agreement for Willer Line Infrdslmcture Improwments
Brighton Park Bapli!'.1 Church, Lot !
Page 2 \" (,
"ignature of the pat1\ \nv pany may. by notice to the other in accord with the
provIsions of this paragraph. specify a different address or addressee for notice
purposes
I ( rhis\greement shall be construed under and m accord with the laws of the State of
rexas and all ohligations of the parties created hereunder are performable in Nueces
County Texas and all lawsuits pursuant hereto shall be brought in Nueces County.
rhh \greement shal be executed In triplicate. all original copies of which shall be
considered one Instrument When all original copies have been executed by the City, and at
ieast two original COpH'S have heen executed by the Developer, this Agreement shall become
effectl\e and bmdmg upon and shall mure to tht., benefits of the parties and their respective
heirs.. ,uccessors and a.,sign.,
'\io party may assign thiS Agreement or any rights under this Agreement without the prior
wntten appro\' al of the other part v
t inles~ otherv.ise stated in thiS Agreement, any notice required or permitted to be given
hereunder shall be III writing and may be given by personal delivery, by fax, or by certified
mati, and if given personally, by fax or by certified mail, shall be deemed sufficiently given
If addressed to the appropriate part V at the address noted above the signature of the party.
'\0\ party may. by not,ce to the other III accord with the provisions of this paragraph, specify
a dIfferent address ,)r addressee for notice purposes
rhls Agreement shall De construed under and in accord with the laws of the State of Texas
and all obligations of the parties created hereunder are performable in Nueces County, Texas,
and al laWSUits pursuant hereto shall be brought in Nueces County.
INDEMNIFICA TION:
DEVELOPER/OWNER, COVENANTS TO FlJLLY INDEMNIFY, SAVE AND HOLD
HARMLESS THE (ITY OF CORPUS CHRISTI, ITS OFFICERS, EMPLOYEES,
AND AGENTS, ("INDEMNITEESIt) AGAINST ANY AND ALL LIABILITY,
DAMAGE, LOSS, CLAIMS, DEMANDS AND ACTIONS OF ANY NATURE
WHATSOEVER ON ACCOllNT OF PERSONAL INJURIES (INCLUDING,
WITHOUT LIMITATION ON THE FOREGOING, WORKERS' COMPENSATION
AND DEATH CLAIMS), OR PROPERTY LOSS OR DAMAGE OF ANY KIND
WHATSOEVER, 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 OF BRIGHTON PARK BAPTIST CHURCH, LOT 1 INCLUDING
THE INJlJRY. LOSS OR DAMAGE CAUSED BY THE SOLE OR CONTRIBUTORY
NEGliGENCE OF THE INDEMNITEES OR ANY OF THEM.
DC\clopcr fOwner Agreement for Water Lmc Infrastfilcture Imprmements
Brighton Park Baptist Churc'h. Lal I
Page i ,)f h
rhe Developer funhel agrees. lT1 compliance \\lth the City of Corpus Christi Ordinance No.
! 7! ! 3 to complete a, pan of this .;\greement, the Disclosure of Ownership interests form
attached to this Agreement as Exhibit 3
Developer fOwncr Agreement fOl Water Lme Infrastructure IrnprO\cmcnts
Brighton Park Baptis1 Chur,-h. LOI I
Page 4 "f 6
.4 ,.,..'
EXE( 'llTE[) IN TRIPLICATE originals. this It.. day oLd4:~
Dr VI !OPER/O\VNF R
BnghJlm Park BaptIst \ 'hurch
, 2006.
STATE OF TEXAS
COU1'.TY OF NUl-CiS
s
~
s
~
fhlS !pstrument was acknowledged before me on I~ I ~ , 2006, by
,:Jc5M~!!,ue... ;xh~~ as Trustee, of Brighton Park Baptist <;>'1urch to do business in Texas,
on behalf of said corporation
'.
.....-'--'
,-,....- . / ~
//~~
Notary Public, State ofT
- ~-i.. j_..
,( 0~X,l1J'~,-:~:
Trufee James Evert)<.'nutz
STATE OF TEXAS ~
COUNTY OF NUFer s ~
... ThIS instrument was acknowledged before me on ~uk~_1 ~ , 2006, by
,ll~_fve,~:.~_, as Trustee. of Brighton Park Baptist Church to do business in Texas,
on behalf of said corp(lration
,-~ .
/-~
:' ~<)
Notary Public, State 0 exas
Developer fOwner Agreement for Water Line Infrastructure Improvements
Brighton Park Baptist Church. Lol ]
Page :' "f ()
\Tn \T
THE CITY OF CORPUS CHRISTI
~\, ().~!
~. '-
\rma ndo Ch~p~ <' Ity ~~~retaf\
/' 4' j' L '--
1"-c-------- "__ .- . ..~~--~----.-,.-.-
'Geo e K Noe, City Manager
'\PPROVED
L(Q~ davof J Cl!,\)~'(,,\-
1006
BY~~~~
A..ssistant CIty \ttome\
STATE OF TEXAS S
~
COUNTY OF '\lUECI S ~ "
rhls instrument was aCknOWI~dged betore me o~~)~~y..o..h~ (j~ 2006, by George
K Noe, City Manager of the City of Corpus C~;ijti, Texas, exas home-rule municipal
corporation, on bebalf of saId corporation / ) " ~
~LL---
'\lotary Public, State of Texas
,s''( Po
o~*' ~ ConnIe Parl<s
~.' C>
. . . cO My CommiSSion Expires
~ .'~
~~0I'iC' November 09, 2007
"
''l' 'l'II{" 01\..;
i ./v~x.
.... ___ AUT"~IUlal
IT r>>u..CIL. _._...JJ.~
f\.
-.-..--........... _...._~
SEctn AlY ({l..--
Dc\ eloper fOwner Agreement for Waler LlIIe Infrastructure Improvements
Bnghton Park Baptist Church. Lot I
Page ( of 6
I
----
:---.
"
'-
.::e :,) ,~
---J 0 c::
Ii [lC ---
---- ,',- -, ,,"",; 0 l.l :::r:
< :---. 0 <1 (,)
W U LL
'-- 0 v- cY r ,"X'
c_
"" L..l~ L
> 'u '( ::i <t
.7 ::>
I L- a ~ '-1
W Z 0 Cl '-'
"" ,- '" '- LL
-- :r: 'T
z <:
:r
-~-
LL
-<I ::i ,-
~ ~' L
"
" (',j
"-I n-:,
~
____a-_
LL
o
0J
f--
W
W
:r
CD
>-
<n-- ~
~o '"
V)O~ Z
"'''' 0
IO(/) _
U"'-
Z :.r: If)
-~~ ~
~~6 ~
<C
u..w
000 <tz
<C<C 0
~r-~ ;;;;:
::lcnz U
-wo O~
~ffi;: ~:=
~-v l:)tn
I.:::) -z
<(w~ C38
UJI(t) 0
m~-z ~
o ww
Z;~v roz
Sz~ j~
0-
2-0 ~Q:
Ol-~ :J
-<{- 00
1->::> Z
<(wm 00
~~..J o..~
-.J <t zu
~~~ ~~
0-11- Z(I)
00:- WZ
-.JWCl 1-0
u..~~ ~u
ow '"
UJV:;I: o::z
i:!iw~ ~<(
z~>- ~ffi
- Z w
u..~<( ~~
woo:: oc>
~~~ ~~
-~~~
'-- ~'
L Z
~~
:;;
~g;r
nO
n7
..:14
'::8 a
I_ ~
~~ -
:;;~ <<
o~ 0
cr::q ~
l1.-..J I-W
VV)<(/J)
t:v:> 4: U::J
~~~~~
:J lXI..;O
0::0 <(-
wO ~
!:l::U(/)O<l
~I-Ol1J~
<(l1.JUJ~U
~~o ~
:;; 0,
cr:: '>-if.Il-
0>--< 0::: V
I--<tUW<(
V'>ro l-r--
~~~ ~ 8
1--0 0::'
<<",
O':wOf-W
OOlJ...w<(
~ >-
OW 00:.'
oc>--(/), W
W<(:J I-
I-V oc;(
4 wz~
:'i:~~<(1.9
<.::ll-..J. Z
Z ~-
-(J}U<>
>--z-
UJ>--~~~
Ul-:::lt-W
WcrOll..O:::
cr::W<w
~ U
WOUJXW
Ia::IWI
1-0.1-. I-
-~';--'1'
~
ZW
W",
:;;Z
W<C
ocr
-u
:::>
00
W~
,
;~
-00
~:
u-
o
>-~
W
"''''
Z:>
-::>
~~
u<C
UZ
<~~
'"
~~-= .-
wz,""
z:::>
o:>~
N:>~
0::>
OU<D
o ::>
0~4
--''''
~:>'"
:zw~
-f---
r4>
,::cr~
~w
U
~zu
-4
<<0
~::>v
u~",
~~<;>
~ ...
DO'
~o...
-0",
r--,",
~~...
.'
c~
"00
0';-1-
W~
~
::ig
V
If,",
ZI.O
",cr,
~ooZ
L<'>lQ
o~-
U I-
~'"
<cWU
uJa::-
~U'"
",<cw
'"
o~
lJ..I <0 ~.~
:--<O~
'" <<
--.JI-
ll.. ~V)
~"'<<
~:L.J~
Cl.1...LL
f-C<l
~o
WZ
04
'"
~w<D
",uz
Z4
~<cr
zzu
w-
::;0>-
w<<'"
<<0:>
=><.?<D
OZZ
w--
<<ZZ
00
~NN
4WW
:2=~
~~~
-:::.:::
-w
'-'--
-1 / W
<, - (') !--
Lw <t
~ uJ Z cr' e. L:..;
uJ ::'!
CY Z
L "
,--
Q
- Z
~ f--
'::r~ Z "
J ill ::>
<t 3: uJ -,
0 L. ,J
,"-0 n: ()
c u cc C L; >
Z J_
<1 lL < -
Cy
"'T
-,
~ ~:.
~
~
~ ::;
"
~ I~
~..........
---...
----
'....
'-
;:-'
"
"'..........,
~z
L..C
."
:) N ~
~gS'~Ocoo(. ~Oa
S3~~~ ".9
.d!HSb'j,-Lb'P'd 7i7-L/dP':;
Ztr/O 3H-L
(ll ""J
/
'':,,'?
.l,
1'"
-". ,~. 'l.l S
Qc
,;
~ c?
'( ",.;;-
"
/.i b
...,; ?
~~I ,..r ,f ;\-. '-'
. ' " .;;c'
"!'~ ,- ~. '"
~.~ tv <)
~.? "
/~to;; ~$~
<- 'v u ^:l
/ " v
~ '" '"
" .. ..
/ ,," "'..,,.
~~ .f
0' U "
Z If) n:
" 0 0
'"
0 r<J
~ OJ OJ
OJ
CIl (f) ~ ,
0::: ~ If)
Z 0 N < 0
>- ?; x
0 w z
W N f--
CIl > X - -"
0 0
0::: ~ 0 .
~ ::J ~
(f) ~ ---' U
0 r -
Z U w I
Z ~ (L
~ -< ~ 2 <t
...J n:
~ 0 ~ t9
-II II ~ U 00
Exhibit 1 <: .
~ 0 0
0
0 ~
Page 1 of 1
LL
<1
r
/---.IN.'>>!3/1JnOJlJ OIlV.A se
__-1____
(/11"08 ]!Vi7.j/v
"
ISSUER
First Commerce Bank
P O. Box 7669; Corpus Christi, TX 78467
iRECE\VED\
\ j--'-' l
\ JAN 9 3 l006 :
1 : ,
\ L \ i
--- j \
\ ENGINEERING SERVICE~J
Irrevocable Letter of Credit No.: 2005-03
Date: December 16, 2005
BENEFICIARY
City of Corpus Christi
P.O. Box 9277
Corpus Christi, Texas 78469-9277
Attn: Director of Engineering Services
CUSTOMER:
Brighton Park Baptist Church
3418 Airline Rd.
Corpus Christi, Texas 78414
Attn: T. O. Webb & Herbert Fondren
AMOUNT: $57.781.69
EXPIRATION: December 16, 2006
Gentlemen:
We hereby establish our irrevocable letter of credit ("Irrevocable Letter of Credit")
in favor of the City of Corpus Christi ("Beneficiary") for the account of Brighton
Park Baptist Church, acting by and through its members: T. O. Webb & Herbert
rondren ("Customer"), authorizing Beneficiary to draw on First Commerce Bank,
Corpus Christi, Texas ("Issuer") the amount of Fifty Seven Thousand Seven
Hundred Eighty One and 69/100 Dollars ($57,781.69), under Beneficiary's draft
bearing the clause "Drawn under First Commerce Bank, Irrevocable Letter of
Credit No. 2005-03 dated December 16, 2005 and accompanied by all of the
following documents ("Documents"):
(1) The original of this Letter of Credit; and
(2) The sworn affidavit of the City of Corpus Christi's, City Manager, or
his designee, stating the authority of the affiant to make the
affidavit on behalf of Beneficiary and further stating as follows:
"That DEVELOPER, has not installed the required
improvements or vacated the plat of DEVELOPMENT as
required by its Deferral Agreement with the City of Corpus
Christi within the time period allowed"
This Irrevocable Letter of Credit guarantees the obligations of the Customer to the
BenefiCiary as provided in the Deferral Agreement.
Partial drawings are not permitted under this Irrevocable Letter of Credit.
This Irrevocable Letter of Credit is not transferable.
Issuer hereby agrees with Beneficiary that upon presentment on or before 5
o'clock p,m" Corpus Christi, Texas, local time no later than December 16, 2006,
II EXhibi~~
'.
that drafts drawn under and in compliance with the terms of this Irrevocable
Letter of Credit Issuer will duly honor this Irrevocable Letter of Credit.
This Irrevocable Letter of Credit is guaranteed for one year from date of
issuance, it must be automatically extended for additional periods of one
year, and at one year intervals thereafter, until December 16,2006, unless,
at least 90 days prior to December 16, 2006, Beneficiary's City Manager
notifies Issuer in writing by Certified Mail at the above address that
Beneficiary has elected not to renew. Issuer shall send notice of the
automatic extension to the City's Director of Engineering Services thirty
(30) days prior to expiration of the then current Irrevocable Letter of Credit.
Failure to receive the automatic extension or a substitute Irrevocable Letter
of Credit 30 days prior to expiration of the then current Irrevocable Letter of
Credit constitutes a default upon which the then current Irrevocable Letter
of Credit may be called in its entirety, even though not stated above as a
specific event of default.
This Irrevocable Letter of Credit sets forth in full the terms of our undertaking and
such undertakinq must not in any way be modified. amended, or amplified by
reference to any document, instrument or agreement referred to herein or in
which this Irrevocable Letter of Credit is referred to or to which this Irrevocable
Letter of Credit relates, and any such reference is not deemed to incorporate
herein by reference any document, instrument, or agreement Issuer is not a
party to, or bound by the terms of any agreement between Beneficiary and
Customer. Furthermore, Issuer shall honor this Letter of Credit without inquiring
Into the truth of the statements made in the sworn affidavit of Beneficiary which
statements will be considered by Issuer to be determinative, conclusive and final.
This Irrevocable Letter of Credit will be governed by the provisions of the Uniform
Customs and practice for Documentary Credits (1994) Revision, International
Chamber of Commerce Publication No. 500) to the extent not inconsistent with
the laws of the State of Texas and more particularly with the provisions of
Chapter 5 of the Texas Business and Commerce Code currently in effect.
Sincerely
First Commerce Bank
By:
Name: a
Title:P
"
Approveci as to form
City Attorney
City of Corpus Christi
By:
Assistant City Attorney
NAME
Acting Director of Finance
CITY OF CORPUS CHRISTI
DISCLOSURE OF INTERESTS
CIty of Corpus Chnsti Ordinance 17112, as amended, requires all persons or firms seeking to do business with the
CIl\! to provide the followmg information Every question must be answered If the question is not applicable,
answer with "NA'
. '" \ . .
FIRM NAME ~.....l1_j?u '.l}"'! }.'.~~. ...~....'._. L/bL< k })~.'~. /; ~~ 01 ['fie),
-r- t
STREET :t~~jzL,.,~j:;.__ CITY:,L~" Lf,:!. cht<(~T;r;;:z.IP:
FIRM is 1 Curporatlon __ .? PartnershIp 3 Sole Owner
?9Jf"'T
4. Association
5 Ot her
- I
/7, / ~^,-.1-__d. .,. ____, ,._..__ .
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 ~mp"y~ of the City of Corpus Christi having an "ownership interest"
constituting 3% or more of o~n,lship in the above named "firm".
Name 'I \ ~I Job Title and City Department (if known)
~ It.
/ , ,
-:r-
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 Tit~
"-"'- - .. --- - "'--"- t.. --"7---I.!
j. / '
I :
------.---- -f ---.-- j'-'- i
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 I Board, Commission or Committee
~ i
, \
--t~'t+~-/: \
, .I
i__
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)hiS( contract and has an "ownership interest" constituting 3% or
more of the ownership in the abo"t n~me,s1'mnn".
Name 1\ I / Consultant
,/ \
---~-1r-
CERTIFICA TE
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,____ .J_:? _~,f~r.L ___~+~'(71 ~~__J~<_.______ Title: lfiujJe e
(Type or Print)
Signature of Certifying Person_
/
-+--
0>" 1>- '-
,,/ /,
yZ LA__- .
Y'
Date:
j-/Jt -f}6
II Exhibit 3 II
CITY OF CORPUS CHRISTI
DISCLOSURE OF INTERESTS
CliV of Corpus Christi OrdmancE 17112, as amended, requires all persons or firms seeking to do business with the
Clly 10 provide the fOllowmg information Every question must be answered. If the question is not applicable,
answer with "NA'
FIRM NAME R.:; 1t.1l. i .7/.. JV....__~.. r/:nlJ'f/L 51._. (~rc~n_
STREET .t--:::' ._..Ajfl:/vf:..A~1 CITY:__Ccl/U_L_~"-4n'5t:
FIRM is 1 Corporation _ ... 2 PartnershIp 3. Sole Owner
5 Other Q It '" ~_~.A.___ .__._ __.___....___
ZIP:
7f "II </'
4. Association
DISCLOSURE QUESTIONS
It 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 "finn",
Name I Job Title and City Department (if known)
I' . /.
-L&..
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 "finn".
Name Title
.-#~-
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 "finn".
Name Board, Commission or Committee
,!i;!lt.
4. State the names of each emptoyee 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 owne'J'lip in the above named "finn".
Nam~ ~ /fA
Consultant
CERTIFICA TE
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.
.-". ~--r-"'~' . 1
Certifying Person: 1-.164 '1 .-L U ~_ .J.~h.!i.xj tt ._.
Title:
:;; U5 (i;e-
(Type or Print: / l. ./l.., /1
/ M ~:i/~ q--'
S'gnature of Certifying person:_y_""_ l._;~ Dale:
/ - d - {Jb
Exhibit 3