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HomeMy WebLinkAboutC2006-246 - 6/27/2006 - Approved DEFERMENT AGREEMENT STATE OF TEXAS ~ ~ COUNTY OF NUECES ~ This Agreement is entered into between the City of Corpus Christi, Texas, a Texas home rule municipality, (hereinafter "City") and Southside Ventures, L.P., a Texas lirntted partnership, (hereinafter "Developer"), and pertains to deferral of the required completion of certain improvements required prior to filing the final plat of Foxwood Estates Phase I (the "plat"), which was approved by the Planning Commission on March 8,2006. A copy of the plat is attached and incorporated as Exhibit 1. WHEREAS, the Developer is obligated under Section III, Paragraph H, Subparagraph 5, of the Platting Ordinance to construct seventy-five percent (75%) of the required improvements, before the final plat is endorsed by the City's Director of Engineering Services. Detail construction drawings must be provided by the Developer and approved by the City's Departments of Development Services and Engineering prior to the start of construction WHEREAS, the Developer is seeking to defer, for a period up to one year, the construction of the water, wastewater, paving, and drainage improvements (hereinafter the "deferred improvements"), as shown in Exhibit 2, as required by the City's Platting Ordinance. WHEREAS, the Developer is seeking to have the plat filed immediately with the County Clerk of Nueces County, Texas, before completion of seventy-five percent (75%) of the required improvements as required by Section III, Paragraph H, Subparagraph 5, of the Platting Ordinance: WHEREAS, the Developer will deposit, with the City of Corpus Christi, a letter of credit, drawn on a bank with offices in Corpus Christi, Texas, in the amount of Two Hundred Forty-eight Thousand Nineteen Dollars and 09/100 ($248,019.09), representing 110% of the estimated cost of constructing the deferred improvements, all as shown on the attached cost estimate, which is attached and incorporated as Exhibit 3; WHEREAS, the City Attorney and Director of Finance have approved this transaction; WHEREAS, the Developer has satisfied all other subdivision requirements, park dedications, park dedication deferment agreements, and maintenance agreements and all special covenants have been completed; WHEREAS, the Developer is entering into this Deferment Agreement as required by Section V, Paragraph A Subparagraph 3. b) of the Platting Ordinance; NOW, THEREFORE, for the consideration set forth hereinafter, the City and Developer agree as follows: 2006-246 06/27/06 M2006-189 Page 1 of 6 Southside V entu res .........--...-- 1 Upon Developer's 75% completion of operable water and wastewater to serve each lot within the development, the City shall waive the requirement that construction of the deferred improvements be completed before the final plat is endorsed by the City's Director of Engineering Services and filed for record with the County Clerk of Nueces County and further agrees to allow the Developer to defer construction of the deferred improvements as shown in Exhibit 2, for up to one (1) year from the date of this Deferment Agreement. 2 The Developer shall deposit, with the City of Corpus Christi, a letter of credit, drawn on a bank with offices in Corpus Christi, Texas, in the amount of Two Hundred Forty-eight Thousand Nineteen Dollars and 09/100 ($248,019.09) as shown in Exhibit 4, before the Agreement is approved by Council, for 110% of the estimated cost of constructing the deferred improvements. 3. The Developer shall construct the deferred improvements, in accordance with the City's engineering standards in effect at the time of construction. 4 Upon completion of the deferred improvements within one (1) year from the date of this Agreement, or later time as may be mutually agreed upon, in writing, by both parties. and upon acceptance of the deferred improvements by the City Engineer and upon compliance by the Developer with the remaining terms of the Deferment Agreement. the City Engineer shall: a. Immediately release Developer from the obligations to construct the deferred improvements by mailing a Release Letter to: Southside Ventures, L.P. 6001 Holly Road Corpus Christi, TX 78412 b. Return to the Developer within sixty (60) days of the completion of the construction of the deferred improvements and settlement of the construction costs, any balance remaining of all monies received by the City from the Developer, including any interest earned. 5. If the deferred improvements have not been completed within one (1) year from the date of this Agreement, or if the Developer fails to deposit any increased security as set out below, after notice to the Developer and opportunity to cure as stated in Paragraph 8 below, the City will call the letter of credit and transfer the money received, including any interest earned, to the appropriate City fund and the City may begin completion of the construction of the deferred improvements with any monies received from the Developer, both principal and interest, remaining after completion of construction being refunded by the City to the Developer. If City constructs all or any part of the required improvements, the Developer shall reimburse the City for any additional cost of the deferred improvements, if the sum of money and interest prove inadequate to complete Page 2 of 6 deferred improvements within thirty (30) days after City completes the required Improvements and bills the Developer 6 The City and Developer agree that if the Developer formally vacates the current plat, with approval of the Planning Commission, prior to the deadline for completion of the construction of the deferred improvements, any money received by the City from the Developer remaining on deposit, plus interest earned, will be released and immediately returned to the Developer. 7 If Developer defaults in any of its covenants or obligations under this Deferment 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 thirty (30) days from date of receipt of the letter to cure the default. If the Developer fails to cure the default after receipt of the notice and opportunity to cure, the City Engineer may transfer any monies received and interest earned to the appropriate fund of the City to complete the deferred improvements. In the event there are any monies received by the City from the Developer, plus interest earned, remaining after the City has completed construction of the deferred improvements, the excess monies, both principal and interest, shall be refunded to the Developer, within sixty (60) days of the completion of construction of the water, wastewater, paving, and drainage public Improvements and settlement of construction contracts. 8 The City reserves the right not to issue Certificates of Occupancy for this development until the deferred improvements are installed and accepted by the Director of Engineering Services Department. 9 The Developer agrees that the City, after notice in writing to the Developer and Project Engineer, may accelerate payment or performance or require additional security when the City Engineer determines that the prospect of payment or performance is questionable. 10. The Developer covenants to construct the deferred improvements, and that this covenant shall be a covenant running with the land. 11. The City's Director of Engineering Services, at Developer's expense, shall file of record this Deferment Agreement in the records of Nueces County. 12. No party may assign this Deferment Agreement or any rights under this Agreement without the prior written approval of the other party. 13. Unless otherwise stated herein, any notice required or permitted to be given hereunder shall be in writing and may be given by personal delivery, by fax, or by certified mail, and if given personally, by fax or by certified mail, shall be deemed sufficiently given if addressed to the appropriate party at the address noted above the signature of the party. Any party may, by notice to the other in accord Page 3 of 6 with the provisions of this paragraph, specify a different address or addressee for notice purposes. 14. This Agreement shall be 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 all lawsuits pursuant hereto shall be brought in Nueces County. 15. The Developer further agrees, in compliance with the City of Corpus Christi Ordinance No. 17113, to complete, as part of this Agreement, the Disclosure of Ownership interests form attached to this Agreement as Exhibit 5. 16. This Agreement shall 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 least two original copies have been executed by the Developer, this Agreement shall become effective and binding upon and shall inure to the benefits of the parties and their respective heirs, successors and assigns. Page 4 of 6 EXECUTED in triplicate this/' / ~ day of , " ' t ,2006. By: Southside Ventures, L.P. 6001 H Iy Road corpt(J%!tL PDG Management, L.L.C., General Partner, Patrick H. Nolan, Member THE STATE OF Texas COUNTY OF NVl t /' ) s s s This instrument was acknowledged before me on JUN!::: Z I ,2006, by Patrick Nolan, Member of PDG Management, L.L.C., General Partner of Southside Ventures. L.P. exas .w "",s'; '( Vi E ~ .,; ~.. ,?--\~,. ,~ ./~ l ~.'. \'l,'i "U!J \. I f:Jw':, , ~ 'J>~~' % </l'~ of ~~ \,. ~XP\I'l~~., " ' , )3; - ',,(')\) Page 5 of6 CITY OF CORPUS CHRISTI ("City") P. O. Box 9277 Corpus Christi, Texas 78469 Telephone: (361) 880-3500 Facsimile: (361) 880-3501 A ITEST: By: ~ Armando Chapa . City Secretary By: hA G~~K.N~ c(ty Manager APPROVED AS TO FORM: This ~~~ day of ~n e.. ,2006. ~/~, Gary.. . Smith, Assistant City Attorney For the City Attorney {J] LQ;k:.Jj AUTHOKILL, It, CO!J~Cll . _....0./_"-~ -.-......... .........~ ~fr,l" AW-(rt.... THE STATE OF TEXAS S S COUNTY OF NUECES S This instrument was acknowledged before me on the~daY ol, JI/, 2006, by Geor;ge K. Noe. City,~anager, for the City Of Corp s Christi, a e as municipal cOI'poration, on behalf f the ~orporation. "blLtLl\-' ,l~ tv- /" ; Notaryl'P~blic. State Of Texas 1,1 c5'tl'*,(pu~t) Connie Darks I ~ .;, My Comm sSlon Expires I ").. ~ i ~~ ~ Novembel09 2007 ~ __OF _ Page 6 of6 , < ~. ~ l ~ '669-Ci5 c "C' 'X~_- ~S66-i'~ < i9f :3NOHd 106./../. Sr~3i ',JdC,ljj '..A~ NJ/lOOO~ ':; 901 51JOJ.3/lt1fJ5 l' StJ33N/ :JNj -JNJ 'S3Jr/jOSSr ~ N05)1Nrcu-)j35n7~8 , -j:::~-~~ ~\JLj-L, u ~ _ ~~.~~.~ ~~i~ V); lii!~J~f;<' ~ , ;=~ jEt: I ~'9L~~; !:, c . ;;::J~~ 'j-.d '::ll=i~ q ~-~1I3 h~ l:::tbffi-;' - ii_ .~~'-< 1~!"":,'::;r=~::J ::'~i' ;!jljE ~ ;l~~: . ~\ ! ,~"". ..- "'~~ - ; . _ ,.....~ . "t...",~ ---~- -",,~ ~i ->;- : ::-,,"0' <> .' ~~j~ ."z~ ! ",!n! 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"0:{ - ~ II ./ c::> - "0:{ .~ - ~.~ ~ ~ !Ii \() ~.~ ~ V) ~).... ~ :--- ~. ~~ ~ ~- ~ ~~ ~~ ~~- ~ .J PROPOSED SAN I TAR y/ SEWER MANHOLE LOT 3 BLOCK 2 I I I I I I / I I \~ ~\ o 50 1""'1-- -- 100 , SNOWGOOSE ROAD / ~~--"h IWI ~ II I ~ ~ I ~ ~ I ~ ~ ~ coil ~ ~ ~ ~ - ..... I I I \ I I I I 1\ 1 SAN 1 SIR lilt I ii ..,.. z - ..,.. - ....... I Exhibit 2 \ Page 1 0 6 DEFERRED SANITARY SEWER FOXWOOD ESTATES PHASE I. CORPUS CHRISTI. TEXAS EXISTING fIRE HYDRANT ~ I o ~ I i --- : i \~ \ ~, t; E~SrnG-1 ~ ' fIRE HYDRANT \ ----I I ) -" I / PROPOSED ;0221 X 8 H pvc WA TER' LINt lOT 1 BLOCK 1 PROPOSED JOS' X 8 N /p~C WArl/J ~'lNE PROPOSED FIRE DeAN . .' " GRAND JUliCTION/ DR, SITE L01 t BLOCll.2 LOT 2 BLOC'; 2 ~ :...: - 0'\ \;0,' f I I i I I LOT 3 BLOCI'. '; l.u ~ ~ ~ Q;,,: o 50 100 ~..- \ \ 200 I I-- ~ ~ ~ ::t: '\~ I \~ ~ It w Z ...J a: w .... el . N S~OWGOOSE ROAD I I I I ----' I I I Ii \ \ E X 1ST I NG ~F IRE HyDRANT II \; Ii II Ii IL----- I :r----- I 1\ Exhibit 2 \1 Page 2 of 6 DEFERRED WATER LINE FOXWOOD ESTATES PHASE I. ~nRPUS CHRISTI. TEXAS PROPOSED 85 I X 30 II RCP STORM SEWER, / PROPOSED JUNC T I ON j BOX I \ PROPOSED 125 I X 30" - RCP ST~ PROPOSED JUNCT ION-- BOX ::: C:l LOT 1 :~ BL OCK 1 " ~ ~.~ ~~ C)~ ~V) ~& c::s Ct::, ~ PROP(JSED CURB INLEI GRAND JUNCTION DR. i L__----- PROPOSED CURB I Nt [T SITE LOT 1 BLOCK 2 LOT 2 BLOCK 2 LOl 3 BLOCK. 2 \, \ o 50 r"\..-_- 100 -' PROPOSED 52' X 24" RCP STORM SEWER ~- lit ~ ~ ~ \or) & Ct:: ::: ~ C\J_ :0...; " I.t) ~ ~ ~ ~ ~ SNOWGOOSE ROAD ~ ~ c Q:: ~ Q:: ~ ~ ~ ta:l \ \ I \ -1 I I I 11 -II EXhibit~ Ii ~ Paae 3 of 6 O~~ERRED STORM SEWER FOXWOOO EST A TES PHASE I. CORPUS CHRISTI. TEXAS --- ~/ /~ o C4 'oq: ~ ~ ~ C) ~ ~ ~ C) ~ en \ '"\''- '~-- '~--- '. -- _/ avoy .LYVHY3A3 V"J <l X UJ ~ >-V"J <(w ~~ 0<( . <(~.- oVl-~ O:::WWVl OOV"J~ WO<l::I: O:O:I:U O:~CL. Wx Vl u..o ::J w. 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CL CL 0: >- 0 ~ U Exhibit 2 ~/ /~ o i I -------~ ~ ~ <::> 0:: ~ <::> <::> ~ ~ <::> ~ i I I , I I I I \ \ '" \ '" "--- -- ......~-,-_..- aYOH .LHVHH3A3 ~1~M301S OlSIX3~ ~ I- U o 0 -J -J a:l \ ~ ~ ~ <::) i::: l) ~ ::::> ""-:. ~ ~ ~ ~ ~ ~ -.J ~ tu ~ ..... V) ~ l.t.J V) <:::J ~ Q:: Q ~ -.J ~ l.t.J ~ ..... V) ~ l.t.J ~ ~ Q:: Q N lll/: I- U o 0 -J -J m )ll~M301S olSIX3 W l- IJ) c.f') <:( ~ X ..JVl W ~W I- ~I- lLJ<t . · 01-_- -Vl I- VlWWVl OOc.f')~ WO<:(:c a::O:CU a::~Q.. WX Vl lLO => WlL Q.. o a::: o u II Exhibit 2 II Page 6 of 6 June 7, ::006 Ms. Mary Frances 'J eniente. P.E. Development Services City of Corpus Chnsti PO Box 9277 Corpus Christi, Texas 78469 Dear Ms. Teniente BALUSEK-FRANKSON ENGINEERS-SURVEYORS 308 E. GOODWIN A VENUE VICTORIA, TEXAS 77901 PHONE (361) 578-9956 FAX (361) 573-6991 RE: Job No. 05-310 F oxwood Estates Phase I (Revised 6-7-06) Summarized belo"\', IS an estimate to construct Foxwood Estates, Phase L This estimate is intended for use In preparing a Deferred Agreement so the Final Plat at Foxwood Estates, Phase I can be recorded before all of the project infrastructure is in place. WASTEWATER COLLECTION SYSTEM DESCRlPTION UNIT QUANTITY PRl CE Connect 8" sanitary line to eXIsting manhole 8" Sanitary sewer Ime (Less than 8' deep I 10" Sanitary sewer line ] 4' - 16' deep) Class 0 Embedment (all depths) Sanitary sewer manhole (less than 8' deepi Sanitary sewer manhole (14' . 1 6' deep) Short smgle sanitary sewer serVlce n ~.3.LJ)f!'''.r<l.o.!.b.!lSJf 6;,1 'O~fr!!lc..!sl Ea. 1 . $ 5,500.00 L.F 479. s 20.00 L.F 330. $ 48.58 L.F 809. $ 4.80 Ea. 1. $ 2.835.00 Ea. $ 4,900.00 Ea. 3 $ 475.00 AMOUNT $ 5.500.00 $ 9.580.00 $ 16.005.00 $ 3.883.20 $ 2.835.00 $ 4.900.00 $ 1.425.00 II Exhibit 3 II Page 1 of 4 Job No. 05-310 Foxwood Estates Phase I Corpus Christi, Texas Page 2 DESCRIPTION UNIT QUANTITY PRI CE AMOUNT Long smgle 6" sal11tary sewer service Ea $ 575.00 $ 575.00 Trench Safety L.F 809 $ 1.00 $ 809.00 Sub-Total $ 45.512.20 WATER DISTRIBUTION SYSTEM DESCRIPTION UNIT QUANTITY PRICE AMOUNT 8" - 8" Tapping sleeve & valve Ea 1. $ 3.065.00 $ 3.065.00 8" dia water line L.F 2,018. $ 19.70 $ 39.754.60 8" X 8" X 6" Tee FItting, Ea. '! $ 2.865.00 $ 5.730.00 S" Gate Valve & Fue Hydrant Assembly. 8" X 8" X 8" Tee Fitting Ea , $ 33 5 .00 $ 335.00 j. 8" Gate Valve Ea 5. $ 845.00 $ 4.225.00 Test Riser Assem bly Ea 1. $ 335.00 $ 335.00 Sub-Total $ 53,444.60 STREET & DRAINAGE DESCRIPTION UNIT QUANTITY PRICE AMOUNT Demol1tion L.5 $ 3.500.00 $ 3.500.00 Mobilization L.S $ 2.500.00 $ 2.500.00 Traffic control L.S 1. $ 3.000.00 $ 3.000.00 Excavation (~' 'Y' 3.355 $ 2.60 $ 8.723.00 Sub- Total $ 17 .723.00 II Exhibit 3 II _....,.................~I/j;.. '7 {)/..n..,fr~nr'Cl Page 2 of 4 ---..,'..._,~ Job No. 05-310 F ox wood Estates Phase I Corpus Christi, Te:X.as Page l TYPE B ROADBED STRllCTIJRE (RESIDENTIAL COLLECTOR) DESCRIPTION UNIT QUA1~TITY PRICE AMOUNT Curb & Gutter I F 689 $ 9.50 $ 6.545.50 Sidewalk ~ F 2.834. $ 3.50 $ 9.919.00 8" Lime treated subgrade SY 1,962. $ 3.50 $ 6.867.00 (5% lime based on material weight of 100 Ibsic1 (measured lip to lip of gutter) 9" LIme treated subgrade S.Y 306. $ 4.25 $ 1.300.50 (5% lime based on material weight of 100 Ibsicf (measured lip of gutter to 2' behind curb) 6" Thick Flexible base material S.Y 1,962 $ 8.30 $ 16.284.60 (measured lip to hp of gutter) Prime Coat S.Y 1,962 $ 0.75 $ 1.471.50 Hot Mix AsphaltIc Concrete S.Y 1,962. $ 8.50 $ 16.677.00 Pavement (2" thick J (min 2201bs/sy) Sub- Total $ 59.065.10 DRAINAGE DESCRlPTION UNIT QUANTITY PRlCE AMOUNT Type A Curb Inlet Ea $ 1.925.00 $ 3,850.00 Type A Junction Box Ea , $ 3.125.00 $ 6.250.00 ~. Pipe end protection (Filter Ea S 350.00 $ 350.00 Cloth & Rock: II Exhibit 3 II Paae 3 of 4 (,e"') 1 f\.-~"_",..,......__l-."''''AI{t:. "7 (lk""",fr<;Jnrl( _." '.......'......_'!llIlI!lJ'- .-. _ Job No. 05-310 F oxwood Estates Phase I Corpus Christi, Texas Page 4 DESCRIPT10N UNIT 24" RCP Storm sewer (Class III) L.F 30" RCP Storm se'.ver (Class III) L.F QUANT1TY Please advise if additional information is desired. ,~incerely yours. ~/[d~~~ Registered Professional Engineer Texas Registration No. 22861 n~ 11 OfoxeslOtvlJhasel(6- 7 -06mfranclsl "".III"'''..''-'''~ 527. 434 PRICE $ 35.00 $ 48.00 AMOUNT $ 18,445.00 $ 20.832.00 Sub- Total $ 49.727.00 Total Construction $ 225.471.90 ($225,471.90)(10%) $ 22.547.19 Grand Total -"",'\. --e.oF T~ \\ _-:r,",~ ........:t9.(\\,.. -~' ....... "'. . ..... .... ...... . I, {*/ ..\"* 'I. ~... .................. ..\... ~ ~ A. C. FRANKSON ~ ~..............__......~...~ ',~\ 22861 ..;~t ~.. ~ ~<:).. ":V ~ 'l,o;.;..~GIST~~..~~~ \ ....s8........E.~...,..:- \\'\..!.9NA\.. --- ...,,,-,-' $ 248,019.09 II Exhibit 3 II Page 4 of 4 @FlRsTNAnONALB~ First National Bank 1434 SPort Corpus Christi, Texas 78405 Irrevocable Letter of Credit No: 062306 June 22,2006 BENEFICIARY: City of Corpus Christi POBox 9277 Corpus Christi, Texas 78469-9277 Attn: Director of Engineering Services CUSTOMER: Southside Ventures, L.P. 5749 La Costa Corpus Christi, Texas 78414 Attn: Patrick H Nolan AMOUNT: $248,019.09 EXPIRATION: 6-22-2007 Gentlemen: We hereby establish our irrevocable letter of credit in favor of the City of Corpus Christi for the account of Southside Ventures, LP, acting by and through Patrick H Nolan and Daniel E Caballero, authorizing Beneficiary to draw on First National Bank, Corpus Christi the amount of Two hundred forty eight thousand nineteen dollars and 09/cents ($248,019.09), under Beneficiary's draft bearing the clause "Drawn under First National Bank Irrevocable Letter of Credit No. 062306, dated June 22, 2006" and accompanied by all of the following 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 Southside Ventures, LP has not installed the required Improvements or vacated the plat of Southside Ventures, LP 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. I exhibit.. I 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 June 22,2007, 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 June 22, 2007, unless, at least 90 days prior to June 22, 2007. 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) day 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 undertaking 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, 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 inqUlring 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 lrrevocable 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 III effect Sincerely First National Bank ~~~~~-~* ''-. - //= By: Steve R. Rodriguez ~ (j Branch President ~ CITY OF CORPUS CHRISTI 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" FIRM NAME STREET FIRM Is 1 l\ / C fL, (( l ,: :, t CITY: -~:. I' J (I! . ,S i /"". I Corporation___ 2. Partnership _~_ 3 Sole Owner . C,' , "1: ~-' ~ -4--~- ZIP: ~7 ~~V/ 2- , 4, Association 5 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) k1 IA , 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 .~ /A 3, stIIte 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 /\! / ft- , 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 /v /~+ , Consultant 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: P"TrL It L 1-4. *'-A 1\1 I -; (Type or Print) , ! /7 li Signature of Certifying person_~~/ / Title: (ft~~c.l ~" ti/1l'/ Date: I Ip ~ II -' tJ (P II Exhibit 5 II