HomeMy WebLinkAboutC2006-559 - 12/19/2006 - ApprovedAGREEMENT for
Groundwa~er Consulting and Quality Control/Assurance
This AGREEMENT is between the City of Corpus Christi, Texas, a Texas home-rule
municipal corporation, "CITY", acting through its duly authorized City Manager or designee ("City
Engineer"), and K~einfelder, a Texas corporation or partnership, "LAB", acting through its duly
authorized representative who is :T ~6~1~r G~i ,p s~~-`L`" (Name)
~JRc~r4 (Title), which agree as follows:
, .~ ~v
1. DECLARATIONS "CITY" desires to engage "LAB" to provide services in connection
with City"s project, described as follows: J C Elliott Landfill - Groundwater Monitorinq and Samplinq
(PrQiect 519~1) "PROJECT"
2. SCOPE OF WORK "LAB" shall provide services to the PROJECT in accordance
with the accompanying Scope o# Services and Fee Schedule attached as "Exhibit A" and the Terms and
Conditions to AG~2EEMENT attached as "Exhibit B".
3. FEE The °'CITY" agrees to pay the "LAB" for services provided in accordance with
Exhibit "A", Scope of Services and Fee Schedule under this AGREEMENT, a not to exceed total fee of
$20 440. (in f~ures), (Two Hundred Two Thousand Four Hundred Fortv and nolxx dollars (in
words).
4. CITY'S DISCLOSURE OF HAZARDOUS 8~ TOXIC MATERIALS AND CONDITIONS
AT THE PE~OJECT SITE. "CITY" warrants to "LAB" that to the best of its knowledge, based upon
currently available information, the only hazardous or toxic materials, as defined by the laws and
regulations of the Federal government, the state, and city which exist at the PROJECT SITE are as
follows: fd~ne.
CITY OF Ct~RPt~~ CHRISTI
By: ~ ~ ~ ~
Ronald F. Massey, (Date)
Assistant City Manager
ATTEST:
1~
~f /J~'Yv~n.....7-~~ll~n ~., l L, / 6
Armando Chapa, City Se~'retary ~ (Date)
RECOMNl~NDED:
/
,. ~ r 6
`An I . Escobar, P.E. (Date)
APPROVC~ AS TO FORM:
~~; ~; ~. ~
Legal De rtment (Date)
~ ~ZI;~/~
LAB:
By, tz~ 1l~oG
(SIG E) (Date)
5002 Ambassador Row
(Address)
Corpus Christi TX 78469
(City/State/Zip)
361-854-4774 Fax: 361-854-4924
(Phone/Fax No.)
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530000-1020-12520
2006-559
12/19J06
M2006-427
Page 1 of 1
Kleinfelder
KLEtNFELQER
EXPECT MORE°'
Decernt~er 7, 2Q46
Proposal No. WAC6P296 (Revised)
Attn. Nk. Lawt~nce Mikolajczyk
Assist~# Dit~ctar, Solid Waste Services
City o# Corpus Christi
2525 Hygeia~ - P.~. Box 9277
Corpus Chri~ti, TX 78469- 9277
SUB.~CT: Proposal
Grou~dwal~r Monitoring - 2007 8~ 2008
J.C. ~liott I.andfill
Co~pwrs CF~is#i, Texas
Dear Mr. M~olajczyk:
We a~e ptea~ed to submit tl~-e following proposal fo~ professional environmental services. This
pr~pasal p~sents the sc~e of work for groundwater monitoring, and submission of the
apprapriate monitoring and statistical reports. This proposal was developed based on our
discu~sions, and review of our scope of worklcost during the last fowr year5 of groundwater
moni~ring ~rt the J.C. Elliott Land~ill. We look fon+vard to continue sen-ing the Ciiy in their
hydrt~eolc~gical needs.
If a pc~rtion o~'this proposal does not meet your project needs, or if those needs have cfianged,
Kleir~elder is prepared to cansider appropriate modifications, subject to the standands of care
to wt~ch we adhere as professionais. M~~~~chan es t the qual~'ity of the assessments~ s~
scheduling, and contract terms may result g
welt as adjustment to our fees.
SC{{~'E O~ BASIC SER1/~CES
Task 1: D~ctionl8ack~ound Monitoring and Reporting
Proposed samp~ing at #he site will encompass provisions of the March 200fi changes of the
Mur~ipal ~olid Was#e regulations, the addition of a ~eplacement well at MW-10, and the
anti~pated landfill c{osure in 2Q08. The follawir~ table summarizes the sampling even~ts
plar~ed it~ 2007 to 2008 at the J.C. Elliott LandfilL The schedule accountsfor two completed
bacl~graund monitoring events for unfiltered metals. The schsdule will provide the
reco~nme~ded eight data sets for the updated statis#ical analysis.
p6gp~ROP ! I~tilAC6P296
CopyapM 200d Kleinfekier
Exhibit A
Pa e 1 ~f 7
(~eember
Mr Lawrenee Mikolajczyk
Decerr~ber 7, 2006
Page 2 of 7
8UMMARY OF MONITORING EVENTS
Monita~ing ~vent Descriptiam 2007 3008 Total
Evet~ts
Dete n Monitorin - AI1 We~s X X X 3
Backg~und I~onitoring for Totat X X X X X X ~
Unfilt Is - Ail Wells
Backg~und ' nitoring - MW10 X X X X X X X X 8
Re Iaa~rneM
Kleinfelder w+il conduct Detection and Background Monitoring of 17 monitoring weils an a
semi-~rnnua~ to annual basis in accordance with the cunent Ground Water Sampling and
Anafysis Pl~n (GWSAP). Past experience ir~dicates that it takes approximately 50 to 60 hours
for prrysara~t~n and fieldwark, with a two-person team, to perform each monitoring e~ent. This
incluci~es plau~ning/preparation, mobilization, initial we11 gauging, pump/equipment setup, low-
flow p~,+rgin~, sampling, qu~tity control, decontamination, and waste disposal. Experienced
staff ftom ~r Corpus Christi office will perform the ma}ority of the field tasks; although the
proje~t manager andlor hydrogeologist plan may participate in at least one monitoring event
per year.
Kleiri~elder proposes to continue utilizing AnalySys, Inc. for the primary laboratory and SPL for
the C~ality Assurance iaboratory during this coniract period. Although, depending on possible
GW~AP revisions, additiot~al anafytical laboratories may be considered to accomplish the
desired de~tion limits. The taboratories will fumish prepared sampling jars and ice chests.
The testing will be in accordance with the chain of custody provided with each event, and the
GWSrAP. t.aboratory cost includes their charge for completion a# the TCEQ Groundwater
Eva{uation Checklist form.
Annu~l Groundwater Monitoring Summary Reports wiil be prepared consistent with previaus
form~ts. The report will include summary data tables, groundwater contour maps, field
sampling c~ta sheets, qu~lity control summaries, TCEQ groundwater forms, and laboratary
reports, and an assessment of statistically significant increases.
Kleir~feider will prepare responses or provide additional information to TCEQ, if requested by
the ~+gency.
Task 2: A~e~dments to GWSAP
At th~e corr~tetion of back~round monitoring, it is anticipated that the Ground Water Sampling
and Anal~sis Plan (GWSAP) wiN need to be updated to imptement recent rule changes. The
GWSAP nray need to address issues pertaining to the 2006 regulatory changes such aExhib~ A
p68Q~ROP ! 1NAC6P296 2 Decembet 7 20~ e 2 of 7
~opyApht 200i~ 1GIeiMelder
Mr. L~rrent~e Mikolajczyk
Decert~ber 7, 2006
Rage 3 of 7
quality ass~ance/quality control, analytical parameter/methodology lists, schedufing,
assessment manitoring, and removal of inconsistent provisions.
Kleinf~ider proposes to prepare revisions to the existing GWSAP, as needed and requested
by the Cify ~d submit to TCEQ. Kleinfelder will prepare responses or provided addi~ional
inforrnation to TCEQ, if requested by the agency. At this time we have budgeted 260
prvfe~sional hours to comp{ete this task.
Task ~: Up~ting The Upper Predictlon Limits
Upon completion of the background monitoring for unfiltered metals and for the M1IIW-10
replac~emerrt weU, groundwater data will be statistically evaluated to determine new
back~round values to assess future statistically significant changes. Updating will proceed in
accoe~tlance with the statistical analysis plan used by the landfill #o determine tMe vatues
initiall~. Th`r.~ includes determining the number of results above de#ection for eac~ analyte/well
comt~ation, examining data for trends, examining distributional assumptions, estimating
resut~ for censored data by appropriate means, and calcula#ing the upper prediction limit.
DumpStat 2.1 will be used as the statistical analysis software as specified in the GWSRP.
The resuits of the analysis will be presented to the TCEQ with a request for approval.
Task ~4: V~fication Re-sampling Monitoring
Verifiqtior~ ~e-sampling w~l be performed when heavy metals and volatile organic compounds
have statis~ally significant increases aver background. Over the previous con#ract period
verifi~ation re-sampling has been required in several ins#ances. Assessment monitoring in
seleated u~ls could be required if SSIs are confirmed. The number of wells and analytes
test~d for ~+e,ri~cation and assessment monitoring are subject to the SSI results. These tasks
wifl t~e perf+~rned in accordance with the GWSAP and/or current regulatory practice, and will
be b~ed to the City as an additional cost to the contract via a change order.
Task 5: MYY-10 Replacement
Thesxistir~g monitoring well, MW-10, has persistentiy caused sampling pcoblems due to high
turb~i#y at~i sediment. We have repeatedly attempted to develop this wetl without satisfactory
resu~s. lt ~ likely tMe weA has a screen or casing breach resulting in its poor perfoRnance;
thero#ore wAe propase to replace the well. Prior to plugging and replacing the existing MW-14,
conc~rrent~e should be received in writing from the TCEQ.
Kleir~#elderwill subcontract with an experienced drilling company to abandoNplug the existing
MW 1Q at~ driN/install a new monitoring wefl in accordance with 30 TAC §330.421 and 16
TAG §76.'~Q2. The well boring will be drilled to a depth of 40 feet belaw grade, and subsurface
sartrples c~oltected at least every five feet. The well will consist of 4inch diameter, SCh Exhibit A
068Q~ROP I WAC6P296 3 December , e 3 of 7
CopyMfiyht 2006 Kleinfelder
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Mr. La~+vvrence Mikolajczyk
Decernber 7, 2006
Page 4 of 7
or 80, flush-t~+read, screw~oint PVC with a 15-foot Q.01-inch slotted screen section, 20-40
grade silica s~nd filter pack, 2-foot depth bentonite seal and cementlvolclay graut casing seal.
The sarface will be completed with a 4-foot by 4-faot sucface concfe#e pad with s#ructural steel
rei~fo~ceme~ri, a stainless steel protective coNa~, and four 4 to 6-inch diameter botlards.
lnstat~tion and devetopment will be unde~ the supetvision of a licensed Texas geoscientist or
engineer.
The monitar well will be developed to remove drilling contaminants and help facilitate yield.
Groundwat~r will be purged until pH, conductivity and #emperature values indicate stability.
AII pa~erworic required by the TCE(2 shall be reported within 64 days of completian. This wilt
inclut~e a g0ologic boring log, location map, description of development procedures, Monitor
Well Data ~Sheet (TCEQ-10308) and a Texas Water Well Report.
ADC~TION~L SERVICES
The f~ll~w~g services are not inciuded in the Basic Services and will be considered as
Addi~ona! ~+ervices, i# required or requested:
• Meet~ngslinterviews other than thase described in the Basic Senrices.
. The services of specialt~r subconsultants or other special outside seroices other than
tho~e desc~ibed in Bask Services.
• Outside services cost associated with replacement bladder pumps, if required.
• Surveyi~g points on the monitoring well
. Any other services not specificaily included in Basic Services.
DELfVER~LES
Fou€ signAd, bound copi~s of each Annual Groundwater Monitoring Summary Report, and
Sta~tical Ar~alysis Report will be p~epared. In addition, we wiil submit analytical and field data
for fach rr~-nitoring ever~t in the TCEQ electronic format. Additional correspondenoe and
repats will be submitted as required.
Exhibit A
Ofi8QlPROP / iNAC6P296 a oec.emee~ e 4 of 7
Gopy~ipht 2006 Kteir-#elder
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Ntr. La~ence Mikolajczyk
Decernber 7, 2006
Page 5 of 7
COMPENS/4TiON
Kleinf~ider ~!oposes to pe~#orm the Basic Services on a Tir~ and Materials basis. This
amourd wili not be exceeded without prio~ approvaL The CGent and Kleinfetde~ may
subsequent~y agree in writing to provide for additional sen~ices to be rendered under this
agreert~ent #~ additional, negotiated compensation.
UNIT FEES
Desc~i tio~ Uni~ Rabe
H dr e~ ist, P.G. hr $105.~0
Pro'ect Nt~r- e~, P.G. hr $125.04
Geol ist / Environmental Scientist hr $85•00
Enviranrnantal Technician hr ~45.00
Orafter hr $45.00
Vendor f-Il~rku Su ties/E ui ent 9~0 '1594+
Labora# Maricu Ana4 Sis 8 SPL % 10°~6
Reimbu~ble Expenses Markup
Travel ~a ~ 0°~
Exhibit A
osan~oP i w~csP2ss 5 °~'b° ~, e 5 of 7
Copyeijht 200~ lClelnfekJer
Mr. Lav~renc~ Mikolajczyk
December 7, 2006
Page 6 of 7
ESTiMATED COST
Des~iptic~n ~ _
, No. of
Sampling
Events Esfimated
Coat Total_
Tasl~ 1: D~tctlon/Back r~und N~nitorin
~ Pro}~ct Ma~agementlField ~ Office Labor
! De ion $ Badc round - All Welis
Proj#ict M~gement/Field ~ Office labor
Ba rou~+d - MW-10
i
6
2
14,500.00
3,200.00
87,000.00
6,400.00
E ` er~- ~tental Su iieg
La to 007 Detection 8 Back round
Latadratory {2008 Detection & Background - Post ,
Closture
Labprato 007 8~ 2008 E~ck round Metals
La ato 14 Re lace~nent Badc round
Tas~t 1: S~rto#al _ __ _ 8
2
1
3
5
8 2,000.00
14,000:00
12,000.00
2,040.00
1,200.00 16,000.04
28 OOD.Ot3
12,000.00
6,OOt'1.00
6,000.00
~161,400.Of1
--- -----~
Ta~t 2: U~da~s to GWl~AP - ~17,120.00
, --
~
~ Ta~c 3: t~dating B~ckgrou~d Statistical ~
AnaA~ sis _ __ ~1T,12fl.00
Ta~ 4: Ww!ifica~on Moni~rin ell '~ ~ 7~.~
Ta~k ~: MW-10 PIu9g~g/ReRtacement ~
Deti~fo~nt _,_ ~~~.~
T~ri [T~ 1. 2. 8~ 3 fof ~ 2-Year Period~ __ ~~~~~-~
LIMIT"AT{Q~tiS
Serv~es pravided by Kleinfelder wip be consistent with the engineering standards prevaiting at
the ti~e ar~d in the area that the work is performed; no other warcan#y, express or implied, is
intended.
AUTWORIZ~TION
Your stand~'d service agreement can be used to authorize these services if a~reeable. We
apptMcia#e~e apportuni#y to submit thi~ proposal and look forvvard to working with you on this
project. lf you have any questions or need additional information, please do nat hesi#ate to
cal1. We ar~ committed to assist the City to ensure the sucoess of this pro~ect. Exhibit A
068U9PROP / tA~6P296 s oecemeer , e 6 of 7
Copyri!!tt 2a0fi Wsinfelder
Mr. Layw'ence Mikolajczyk
Decemt~er 7, 2006
Page 7 of 7
Best re~ards,
Kl.Ei1~EL1~R
~ . _.._..
~~
~nfi : ~. N1cAtee, P.G.
Texas ~nvirt~mental Services Coordina#or
{254) 7~4-0369
p6809PIROP ! WAC6F296 ~
CoPY~ 2008 KleiMalder
-, "~-_._. c~;ra..~fZ.~~....~-~.--
Henry L. Fleischhaue~, P.G.
Hydrogeolagist
Exhibit A
~~,~~ 7 e 7 of 7
EXHIBIT "B"
TERMS AND CONDITIONS TO AGREEMENT
ART~LE 1. SERVICES: "LAB" will:
1.1 Provide oniy those services requested by "CITY ENGINEER" that, in the
opinion of "LAB", lie within the technical or professional areas of expertise of
"LAB" and which "LAB" is adequately stafFed and equipped to perform.
12 Perform technical services under the general direction of a licensed engineer
and in subs#antial accordance with the basic requirements of the appropriate
standards of the American Society for Testing and Materials, where
applicable, or other standards designated in writing by the "CITY
ENGINEER".
1.3 Promptly submit formal reports of tests, inspections and services performed
indicating, where applicable, compliance with the PROJECT specifications or
other contract documents. Such reports must be complete and factual, citing
the tests performed, methods employed, values obtained, and parts of the
structure of THE PROJECT area subjected to any testing.
1.4 Utilize testing equipment which has been calibrated according to applicable
standards and, upon request, submit to the "CITY ENGINEER", or his
authorized representative, documentation of such calibration.
Secure representative samples of those materials that the City's Contractor
proposes to use which require testing, together with relevant data concerning
such materials including the point of origin and supplier.
1.5 Consider reports to be confidential, and distribute reports only to those
persons, organizations or agencies specifically designated in writing by the
"CITY ENGINEER".
1.6 Retain records relating to services performed for "CITY" for a period of two
years following submission of any reports, during which period the records
will be made available to the "CITY" at all reasonable times.
1 7 Pay salaries, wages, expenses, social security taxes, federal and state
unemployment taxes, and any other similar payroll taxes relating to the
services.
ARTICLE 2. CITY RESPONSIBILITIES: City Engineer or authorized representative
will:
2.1 Provide "LAB" with all plans, specifications, addenda, change orders,
approved shop drawings and other information forthe proper perFormance of
services by "LAB".
TERMS AND CONDITIONS TO AGREEMENT
(REVISED .JANUARY, 1998)
PAGE 1 OF 4
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2.2 Issue authorization in writing giving "LAB" free access to THE PROJECT
site. and to all shops or yards where materials are prepared or stored.
2.~ Designate in writing those persons or firms which will act as the "CITY's"
representative with respect to "LAB'S" services to be performed under this
AGREEMENT and which must be promptly notified by "LAB" when it appears
that materials tested or inspected are in non-compliance. Only the "CITY
ENGINEER" or his designated representative have authority to transmit
instructions, receive information and data, interpret and define the CITY's
policies and decisions with respect to THE PROJECT. "LAB" acknowledges
that certain "CITY" representatives may have different types of authority
concerning THE PROJECT.
2.4 Advise "LAB" sufficiently in advance of any operations so as to allow for
assignment of personnel by "LAB" for completion of the required services.
Such advance notice will be in accordance with that established by mutual
agreement of the parties.
2 5 Direct THE PROJECT contractor, either by the Construction Contract or
direct written order to
(a) Stop work at the appropriate times for "LAB" to perform contracted
services;
(b) Furnish such labor and all facilities needed by "LAB" to obtain and
handle samples at THE PROJECT and to facilitate the specified
inspection and tests;
(c) Provide and maintain for use of "LAB" adequate space at THE
PROJECT for safe storage and proper curing of test specimens which
must remain on THE PROJECT site prior to, during, and up to 60
days after testing.
ART'ICLE 3. GENERAL CONDITIONS
3 1 "LAB", by the performance of services covered hereunder, does not in any
way assume, abridge or abrogate any of those duties, responsibilities or
authorities with regard to THE PROJECT which, by custom or contract, are
vested in THE PROJECT architects, design engineers, or any other design
agencies or authorities.
3.2 "LAB" is not authorized to supervise, alter, relax, enlarge or release any
requirement of THE PROJECT specifications or other contract documents
nor to approve or accept any portion of the work. "LAB" does not have the
right of rejection or the right to stop the work. "CITY ENGINEER" will direct
THE PROJECT contractor to stop work at appropriate times for "LAB" to
conduct the sampling, testing, or inspection of operations covered by the
AGREEMENT.
TERMS AND CONDITIONS TO AGREEMENT
(REVISED JANUARY, 1998)
PAGE Z OF 4
ARTlCLE 4. FIELD MONITORING AND TESTING
4.1 "CITY" and "LAB" agree that "LAB" will be on-site to perform inspections for
contracted services. The "CITY" and "LAB" also agree that "LAB" will not
assume responsibility for PROJECT Contractor's means, methods,
techniques, sequences or procedures of construction, and it is understood
that the final services provided by "LAB" will not relieve the PROJECT
Contractor of his responsibilities for perForming the work in accordance with
THE PROJECT plans and specifications. For the purposes of this
AGREEMENT, the word "inspection" is used to mean periodic observation of
the work and the conducting of tests by "LAB" as specified in the
AGREEMENT. Continuous monitoring by "LAB" or its subcontractors does
not mean that "LAB" is approving placement of materials. Inspection is not
and should not be construed to be a warranty by "LAB" to the "CITY" or any
other party.
4.2 Samples collected or tested by "LAB" remain the property of the "CITY" while
in the custody of the "LAB". "LAB" will retain the samples for a period of 60
days following the date of submission of any report related to the sample.
Following the retention period, "LAB" will dispose of non-hazardous samples,
and return hazardous, acutely toxic, or radioactive samples and samples
containers and residues to "CITY". "CITY" agrees to accept such samples
and samples containers.
ART~LE 5. STANDARD OF CARE AND WARRANTY
Services performed by "LAB" will be conducted in a manner consistent with
that level of care and skill ordinarily exercised by reputable members of the
profession currently practicing under similar conditions in the same locality.
No other warranty either expressed or implied is made or intended by the
AGREEMENT or any reports. "LAB" will not be responsible for the
interpretation or use by others of data developed by "LAB".
ART~LE 8. SAFETY
"CITY" and "LAB" agree that, in accordance with the generally accepted
construction practice, the PROJECT~S general contractor will be solely and
completely responsible for working conditions on THE PROJECT, including
safety of all persons and property during the performance of the work, and
for compliance with all municipal, state, and federal laws, rules and
regulations, including OSHA. The duty of "LAB" in providing services is not,
therefore, to include any review of, or responsibility for, the adequacy of the
PROJECT'S general contractor's safety measures in, on, or near THE
PROJECT site.
TERMS AND CONDITIONS TO AGREEMENT
(REVISED .IANUARY, 1998)
PAGE 3 OF 4
ARTI~CLE 7. INVOICES AND PAYMENT
"LAB" will submit progress invoices to "CITY ENGINEER" monthly and final
invoice upon completion of services. Each invoice is due and payable by
"CITY" within 30 days of receipt and approval to pay by the City Engineer.
ART~LE 8. EXTENT OF AGREEMENT
8.1 This AGREEMENT, including Exhibit "A" and these terms and conditions,
represents the entire AGREEMENT befinreen "CITY" and "LAB" and
supersedes all prior negotiation, representations or agreements, written or
oral. This AGREEMENT may be amended only by a written instrument
signed by duly authorized representative of "CITY" and "LAB". If any conflict
occurs beiween these terms and conditions and this AGREEMENT, these
terms and conditions are controlling.
8.2 In the event that any one or more of the provisions contained in this
AGREEMENT are for any reason held invalid, illegal or unenforceable in any
respect, the remaining terms will be in full effect and this AGREEMENT will
be construed as if the invalid or unenforceable matters were never included
in this AGREEMENT. No waiver of any default will be a waiver of any future
default.
8.3 Neither party will assign this AGREEMENT without the express written
approval of the other, but "LAB" may subcontract laboratory procedures as
"LAB" deems necessary to meet the obligations of this AGREEMENT.
TERMS AND CONDITIONS TO AGREEMENT
(REVISED JANUARY, 1998)
PAGE 4 OF 4
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' Clty Of
COI'pllS CITY OF CORPUS CHRISTI
~ G~111St1 DISCLOSURE OF INTERESTS
w~n~
City of Corpus Christi Ordinance 17112, as amended, requires all persons or firms seeking to do business with the City
to provide the follawing informatior~. Every question must be answered. If the question is not applicable, answer with
"N/A".
FIRM NAN~
~Cl~,~-r,> ~ ~ ~-
STREET: Sr'~L /~ ItiI~',G}S,Sl~{~JK-- CITY: C/~/ ZIP: ~~ tI ~G
FIRM is: 1 ~orporation ~ 2 Partnership__ 3. Sole Owner 4. Association
5. ~ther __M
DISCLOSURE QUESTIONS
ff 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 ownersnip in the above named firm.
Name ~ Job Title and City Department (if known)
-- --- --U~---- _ --- --
2. State the names of each official of the City of Corpus Christi having an ownership interest constituting
3% of more of the ownership in the above named firm.
"Jame Title
_ ,__._ i" '~------ ---- -
3, State the names of each board member of the City of Corpus Christi having an ownership interest
cons~ituting 3% or more of the ownership in the above named firm.
rvame Board, Commission or Committee
/v ~,1~ -
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.
'Jame Consultant
__ _ , ~ 1. . ..__..~-_ - -- - -
CERTIFICATE
! certiry 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 Carpus Christi, Texas as chan~es occur
~ ~~q ~
Certifying Person: ~ ~"~T L , ~ S ~"~ ~'`' Title: ~ ~ /'v~AN~iI
(Type or~n ~
Signature of Certifying Person:_ i_ Date: 1 Z~ ~l ~0~