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HomeMy WebLinkAboutC2008-162 - 5/20/2008 - ApprovedLEASE AGREEMENT BETWEEN THE CITY OF CORPUS CHRISTI AND NUECES COUNTY MHMR CENTER STATE OF TEXAS § § KNOW ALL BY THESE PRESENTS: COUNTY OF NUECES § This lease agreement ("Lease") is entered into by and between the City of Corpus Christi, a Texas home-rule municipal corporation ("City"), acting through its duly authorized City Manager, or his designee ("City Manager"), and The Nueces County Mental Health and Mental Retardation Community Center Foundation, a Texas nonprofit corporation {"Lessee"). WHEREAS, the City is the owner of real property located at 1502 S. Brownlee Boulevard, Corpus Christi, Nueces County, Texas; WHEREAS, the Lessee has requested the use of the property for the purpose of operating a community mental health center operation subject to the terms, conditions, and covenants contained in this Lease; and WHEREAS, City desires to allow Lessee to use the property for this purpose. NOW, THEREFORE, the City and the Lessee, in consideration of the mutual promises and covenants contained in this Lease, agree as follows: Section 1. Leased Property. The City leases to Lessee the real property located at 1502 S. Brownlee Boulevard, Corpus Christi, Nueces County, Texas, also known by its legal description as the northwest 100 feet of Block 1002, Bay Terrace 2, conveyed to the City by W. R. Hubler, Sr., in Volume 2241, Page 122, of the Deed Records of Nueces County, Texas ("Premises"). The Premises includes all improvements now existing and that may be constructed, with the City's permission, during the term of this Lease including, without limitation, the buildings, grounds, and parking lot. Section 2. Effective Date of Lease. This Lease is effective on the 615 day following final approval by the City's City Council, which date is presently anticipated to be July 20, 2008. Section 3. Lease Term. 2008-1G2 s for 10 years from its effective date, unless sooner terminated as Ord. 027702 use may be extended for an additional 10-year term at Lessee's 05/20/08 Nueces County MHMR Center option. Should Lessee desire to exercise the option, Lessee must provide written notice to the City of its desire to exercise the option not less than 90 days prior to the expiration of the initial term of this Lease. Section 4. Lease Payment. In consideration of Lessee's agreement to maintain the Premises during the term of this Lease and such other consideration as is provided under this Lease, a Lease payment of ten dollars ($10.00) per year is due and payable on the effective date of this Lease and on that same date each succeeding year of this Lease. Section 5. Purpose of Lease. (A} The purpose of this Lease is to enable Lessee to operate a community center at the Premises for the provision of mental health programs. Lessee shall establish and maintain during the term of this Lease a community center for the provision of mental health programs, which is open to the public, and may not operate the Premises for any other purpose without the City Manager's prior written approval. (B} Lessee shat! operate the Premises to further the primary objectives of Title 24, Code of Federal Regulations, Part 570, in accordance with the U. S. Department of Housing and Urban Development's Community Development Block Grant regulations. Section 6. Contact Person. For this Lease, the City's contact person and lease administrator is the Administrator of Community Development. Section 7. Utilities and Services. {A) Lessee shall pay for all utilities related to usage of the Premises, including garbage collection, water, gas, and sewage service, prior to the due date. Failure to pay any utility bill(s) prior to the due date constitutes grounds for termination of this Lease. (B) Lessee shall pay for any additional services that Lessee obtains at the Premises, such as telephone, cable, janitorial, and security services, prior to the due date. Failure to pay any service bill(s) prior to the due date constitutes grounds for termination of this Lease. Section 8. Maintenance. (A) During the term of this Lease, Lessee shall maintain, at its sole expense, the exterior and interior of the Premises including, without limitation, the building, all fixtures and equipment, exterior walks and driveways, and all lawn, vegetation, and landscaping. Maintenance shat! be of such quali#y as to maintain the Premises in a first-class condition to include, but not be limited to, painting and keeping in good repair the plumbing fixtures, light fixtures, air conditioninglheating equipment, and elevator, if the Premises contains an elevator. Any additional maintenance required during the term of this Lease is the sole responsibility of Lessee. Ml-IMR Lease.doc Page 2 of I 1 {B) Lessee shall be responsible for cleaning the entire Premises and will supply paper goods and chemicals necessary for cleaning. Clean-up duties will consist of keep- ing the entire interior area clean within the standards of the Texas Department of Health, the Nueces County-City of Corpus Christi Health District, and all applicable laws and ordinances, as amended, of the State of Texas and the City, respectively, pertaining to facilities open to the public. (C) The City shall maintain the utility lines serving the Premises, subject to sufficient annual budget appropriations. Section 9. Furniture, Fixtures, and Equipment (A} Lessee is responsible for furnishing and equipping the Premises, and the City has no obligation to furnish any equipment or furnishings for Lessee. {B) AI! personal property and trade fixtures furnished by or on behalf of Lessee will re- main the property of Lessee, unless such personal property and trade fixtures are specifically donated to the City during the term of this Lease. {C) All capital construction at the Premises that may be undertaken by Lessee, with City's advance written approval, during the term of the Lease will remain the property of the City. Section 10. Laws Affecting Operation of Premises and Performance {A) Lessee shall ensure that, in the operation of the business being conducted at the Premises and all programs offered by Lessee at the Premises, it will promptly comply with and fulfill all laws, ordinances, regulations, and rules of federal, State, County, City, and other governmental agencies applicable to the Premises and all programs offered by Lessee at the Premises. Additionally, Lessee shall ensure that it meets all ordinances and regulations imposed by the City for the correction, prevention, and abatement of nuisances or code violations in, or connected with, the Premises during the term of this Lease, at Lessee's sole expense. (B) Lessee shall bear the expense and responsibility of meeting all requirements for acquiring all licenses and permits that may be required for Lessee's operations at the Premises. Lessee shall also bear the expense of meeting and complying wi#h all health regulations and certificate of occupancy requirements applicable to its operations. (C) Lessee shall comply with any other federal, State, and local laws, ordinances, rules, and regula#ions applicable to Lessee's performance under this Lease. This Lease is also subject to applicable provisions of the City Charter. Section 11. Entry and Inspection. The City reserves the right to enter the Premises at any reasonable time during the term of this Lease for the purpose of inspecting the same in order to determine whether the terms and conditions of this Lease are being observed MHMR Lease.doc Page 3 of 11 and carried out by the Lessee including, but not limited to, provisions relating to exterior and interior maintenance. Section 12. Capital improvements. The City may, from time to time, and in the City's sole discretion, undertake capital improvements to the Premises. Prior to commencing any capital improvements, the City shall notify Lessee, in writing, of the dates in which Lessee shall be required to vacate the Premises, should the City Manager deem this necessary. Lessee agrees that the term of this Lease shall not be prorated for the period in which Lessee is restricted from entering the Premises for the purposes of constructing capital improvements. Lessee acknowledges and understands that City shall have no obligation to provide an alternate location for Lessee during any period that Lessee must vacate the Premises. Section 13. Relationship of Parties. This Lease establishes a landlordltenant relation- ship and none other, and this Lease must be construed conclusively in favor of that re- lationship. In performing this Lease, both the City and Lessee will act in an individual capacity and not as agents, representatives, employees, employers, partners, joint venturers, or associates of one another. The employees or agents of either party shall not be, nor be construed to be, the employees or agents of the other party for any purpose whatsoever. Section 14. Insurance. {A) Lessee shall secure and maintain at Lessee's expense, during the term of this Lease, insurance of the type and with the amount of coverage shown on the attached Exhibit A, which is incorporated in this Lease by reference. Lessee shall use an insur- ance company acceptable to the Ci#y. Failure to maintain the insurance during the term of this Lease, at the limits and requirements shown on Exhibit A, constitutes grounds for termination of this Lease. (B) The Certificate of Insurance must be sent to the City's Risk Manager prior to occu- pancy of and operations at the Premises. The Certificate of Insurance must provide that the City will have not Tess than thirty (30) days advance written notice of cancellation, intent to not renew, material change, or termination of any coverage required in this Lease. (C) Lessee shat! provide, during the term of this Lease, copies of all insurance policies to the City's Risk Manager upon the written request of the City Manager. (D) The City retains the right to annually review the amount and types of insurance maintained by the Lessee, to require increased coverage limits, if necessary in the interest of the public's health, safety, or welfare, and to decrease coverage, if so warranted. In the event of any necessary increase, the Lessee will receive thirty (30} days written notice prior to the effective date of the requirement to obtain increased coverage. MHMR Lease.doc Page 4 of 1 (E) Lessee shall, prior to any addition or alteration to, in, on, or about the Premises, obtain prior written clearance from the City's Risk Manager that the proposed addition or alteration will not necessitate a change or modification in the existing insurance coverage maintained by the Lessee. This clearance is in addition to the prior consent required under Section 9 of this Lease. Section 15. Indemnity. (A} In consideration of allowing Lessee to use the Premises, Lessee ("Indemnitor") covenants to fully indemnify, save and hold harmless the City, its officers, agents, representatives, and employees (collectively, "Indemnitees") from and against any and all liability, loss, damages, 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, premises defects, 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: (1) Lessee's performance pursuant to this Lease; (2} Lessee's use of the Premises and any and all activities associated therewith pursuant to this Lease; (3) the violation by Lessee, its officers, employees, agents, or representatives or by Indemnitees, or any of them, of any law, rule, regulation, ordinance, or government order of any kind pertaining, directly or indirectly, to this Lease; (4) the exercise of rights under this Lease; or (5) an act or omission on the part of Lessee, its officers, employees, agents, or representatives or of Indemnitees, or any of them, pertaining to this Lease, 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 litigation, court costs, and attorneys' fees, which arise, or are claimed to arise, out of or in connection with the asserted or recovered incident. (B} Lessee covenants and agrees that, if City is made a party to any litigation against Lessee or in any litigation commenced by any party, other than Lessee relating to this Lease, Lessee shall, upon receipt of reasonable notice regarding commencement of litigation, at its own MHMR Lease.doc Page 5 of 1 ! expense, investigate all claims and demands, attend to their settlement or other disposition, defend City in all actions based thereon with legal counsel satisfactory to City, and pay all charges of attorneys and all other costs and expenses of any kind whatsoever arising from any said liability, injury, damage, loss, demand, claim, or action. Section '!fi. Alterations. (A) Lessee shat! not make any alterations, additions, or improvements to, in, on, or about said Premises without the prior written consent of the City Manager. Lessee must also obtain clearance from the City`s Risk Manager as required by Section 14 above. {B) All approved alterations, improvements, and additions made by the Lessee upon said Premises, although at Lessee's own expense, shall, if not removed by Lessee upon the expiration or termination of this Lease, become the property of the City in fee simple without any other action or process of law. Lessee agrees to be contractually and financially responsible for repairing any and all damage caused by such removal. If items are installed in such a manner as to become fixtures, such fixtures may not be removed by the Lessee upon expiration or #ermination of this Lease and become the property of the City. Section 17. Signs. (A) Lessee shall not exhibit, inscribe, paint, erect, or affix any signs, advertisements, notices, or other lettering ("Signs") at, on, or about the Premises, or any part thereof, without the City Manager's prior written approval. (B) The City may require Lessee to remove, repaint, or repair any Signs allowed. If Lessee does not remove, repaint, or repair the Signs within ten (10) days of the City Manager's written demand, the City may do or cause the work to be done, and Lessee will pay the City's costs within thirty {30) days of receipt of the City's invoice. If payment is not timely made, the City may terminate this Lease upon ten {10) days written notice to Lessee. Alternatively, the City may elect to terminate this Lease after ten (10) days written notice to Lessee. Section 18. Sublease and Assignment. Lessee understands and agrees that Lessee shall not sublease the Premises or any part thereof without obtaining the prior written consent of the City Manager. Lessee shall not, in whole or in part, assign or transfer directly or indirectly any interest in this Lease unless prior written approval has been obtained from the City Manager. Section 99. Defaul#. (A) Upon 30 days prior written notice to Lessee, the City may, at its option, in addition to any other remedy or right hereunder or provided by law, terminate this Lease upon the MI~MR L.ease.doc Page 6 of 1 occurrence of any of the following conditions {"Default"), provided tha# Lessee has not cured the Default prior to termination: (1) Failure to operate the Premises for the purposes set forth in this Leases, except during the periods necessary for repairs or renovation approved by the City in writing or except as otherwise contemplated by this Lease. (2) Failure to maintain the Premises as set out in this Lease. (3) Failure #o abate any nuisance specified in writing by the City within the time specified in writing by the City. {4) Failure to comply with any term of this Lease. (5) Failure to keep in force and effect the policies of general liability insurance, workers' compensation insurance, and other required insurances as specified under this Lease. {6) Abandonment of the Premises in excess of 30 days. {7) Failure of Lessee to correct any other breach in the performance or observance of any other covenantor condition of this Lease. (B) Upon termination of this Lease for Default as herein provided or as may be otherwise permissible by law, the City may enter the Premises and resume possession without being liable in trespass or for any damages. The foregoing rights and remedies given to the City are deemed #o be cumulative of any other rights the City may have under law. The City's exercise of one right or remedy shall not be deemed to be an election, and the failure of the City at any time to exercise any right or remedy shall not be deemed to operate as a waiver of its right to exercise such right or remedy at any other future time. Section 20. Notice. (A) All notices, demands, requests, or replies provided for or permitted under this Lease by either party must be in writing and must be delivered by one of the following methods: (i) by personal delivery; (ii) by deposit with the U. S. Postal Service as certified mail, return receipt requested, postage prepaid; (iii) by prepaid telegram; (iv) by deposit with an overnight express delivery service, for which service has been prepaid; or (v) by fax transmission. (B) Notice deposited with the U. S. Postal Service in the manner described above will be deemed effective two (2) business days after deposit with the U. S. Postal Service. Notice by telegram or overnight express delivery service will be deemed effective one {1) business day after transmission to the telegraph company or overnight express carrier. Notice by fax transmission will be deemed effective upon transmission with proof of delivery. M1iMIt Lease.doc Page 7 of I 1 {C) All such communications must only be made to the following: IF TO CITY: City of Corpus Christi P. O. Box 9277 Corpus Christi, Texas 7$469-9277 Attn: Administrator, Comm. Dev. (361) 826-3186 Office (361) 844-1740 Fax IF TO LESSEE: Nueces County MHMR Community Center 1502 S. Brownlee Blvd. Corpus Christi, Texas 78401 (361) Office (361) Fax (D) Either party may change the address to which notice is sent by using a method set out above. Lessee shall notify the City of an address change within ten (10) days after the address is changed. Section 21. Nondiscrimination. Lessee covenants and agrees that it shall not discrim- inate nor permit discrimination against any person or group of persons, with regard to employment and the provision of services at, on, or in the Premises on the grounds of race, religion, national origin, marital status, sex, age, disability, or in any manner prohibited by the laws of the United States or the State of Texas. The City hereby reserves the right to take such action as the United States may direct to enforce this covenant. Section 22. Modifications. No changes or modifications to this Lease may be made, nor any provisions waived, unless the change or modification is made in writing and signed by persons authorized to sign agreements on behalf of each party. Section 23. Waiver. (A) The failure of either party to complain of any act or omission on the part of the other party, no matter how long the same may continue, shall not be deemed a waiver by said party of any of its rights hereunder. No waiver of any covenant or condition or of the breach of any covenant or condition of this Lease by either party at any time, express or implied, shall be taken to constitute a waiver of any subsequent breach of the covenant or condition nor shall justify or authorize the nonobservance on any other occasion of the same or any other covenant or condition hereof. If any action by the Lessee requires the consent or approval of the City on one occasion, any consent or approval given on said occasion shall not be deemed a consent or approval of the same or any other action at any other occasion. (B) Any waiver or indulgence of Lessee's default of any provision of this Lease shall not be considered an estoppel against the City. It is expressly understood that, if at any time Lessee is in default in any of its conditions or covenants hereunder, the failure on the part of the City to promptly avail itself of said rights and remedies which the City may have shall not be considered a waiver on the part of the City, but City may at any time avail itself of said rights or remedies or elect to terminate this Lease on account of said default. Any waiver by the parties of a breach of any covenants, terms, obligations, or events of MHMR Lease.doc Fage 8 of 1 I default shah not be construed to be a waiver of any subsequent breach, nor shall the failure to require full compliance with this Lease be construed as changing the terms of this Lease or estopping the parties from enforcing the terms of this Lease. Section 24. Force Majeure. No party to this Lease shall be liable for delays or failures in performance due to any cause beyond their control including, without limitation, any delays or failures in performance caused by strikes, lock outs, fires, acts of God or the public enemy, common carrier, severe inclement weather, riots or interference by civil or military authorities. Such delays or failures to perform shall extend the period of performance until these exigencies have been removed. Lessee shall inform the City, in writing, of proof of such force majeure within three (3) business days or otherwise waive this right as a defense. Section 25. Surrender. Lessee acknowledges and understands that the lease of the Premises to Lessee is expressly conditioned on the understanding that the Premises must be surrendered, upon the expiration or termination of this Lease in as good a condition as received, reasonable use and wear, acts of God, fire and flood damage or destruction where Lessee is without fault, excepted. Section 26. Enforcement Costs. In the event any legal action or proceeding is under- taken by the City to repossess the Premises, collect the Lease payment{s} due under this Lease, collect for any damages with regard to this Lease, to the Premises, or to in any way enforce the provisions of this Lease, Lessee agrees to pay all court costs and expenses and such sum as a court of competent jurisdiction may adjudge reasonable as attorneys' fees in said action or proceeding or, in the event of an appeal, as allowed by an appellate court, if a judgment is rendered in favor of the City, Section 27. Publication Costs. Lessee shall pay for the cost of publishing the Lease description and related ordinance, as required by the City Charter, in the legal section of the local newspaper. Section 28. Interpretation. This Lease will be interpreted according to the Texas laws which govern the interpretation of contracts. Venue lies in Nueces County, Texas, where this Lease was entered into and will be performed. Section 29. Survival of Terms. Termination or expiration of this Lease for any reason shall not release either party from any liabilities or obligations set forth in this Lease that {a) the parties have expressly agreed shall survive any such termination or expiration, or (b} remain to be performed, or (c) by their nature would be intended to be applicable following any such termination or expiration. Section 30. Construction of Ambiguities. The parties expressly agree that they have each independently read and understood this Lease. Any ambiguities in this Lease shall not be construed against the drafter. Section 31. Captions. The captions utilized in this Lease are for convenience only and do not in any way limit or amplify the terms or provisions hereof. MHMR Lease.dce Page 9 of 11 Section 32. Entirety Clause. This Lease and the incorporated and attached exhibits constitute the entire agreemen# between the City and Lessee for the purpose granted. All other agreements, promises, representations, and understandings, oral or otherwise, with reference to the subject matter hereof, unless contained in this Lease are expressly revoked, as the parties intend to provide for a complete understanding within the provi- sions of this Lease and its exhibits of the terms, conditions, promises, and covenants re- lating to Lessee's operations and the Premises to be used in the operations. Section 33. Severability. If, for any reason, any section, paragraph, subdivision, clause, provision, phrase, or word of this Lease or the application hereof to any person or circumstance is, to any extent, held illegal, invalid, or unenforceable under present or future law or by a final judgment of a court of competent jurisdiction, then the remainder of this Lease, or the application of said term or provision to persons or circumstances other than those as to which it is held illegal, invalid, or unenforceable, will not be affected thereby, for it is the definite intent of the parties to this Lease that every section, paragraph, subdivision, clause, provision, phrase, or word hereof be given full force and effect for its purpose. Section 34. Disclosure of Interests. In compliance with Section 2-349 of the City's Code of Ordinances, the Lessee shall complete the City's Disclosure of Interests form, which is attached to this Agreement as Exhibit B, the contents of which, as a completed form, are incorporated in this document by reference as if fully set out in this Lease. EXECU IN DUPLICATE ch of which shall be considered an original, on the ~~ay of , 2008. ATTEST: Armando Chapa, City S cretary CITY OF CORPUS CHRISTI George Noe, City Manager APPROVED AS TO LEGAL FORM this v ~ Elizab R. Hundley Assistant City Attorney for the City Attorney MHMR L,ease.doc ~ay of ~ , 2008. EFFECTIVE DATE 0 0 00 Page 10 of 11 LESSEE: THE NUECES COUNTY MENTAL HEALTH AND MENTAL RETARDATION COMMUNITY CENTER FOUNDATION Execu ive Director ~ jc~ t,4~Ur~ (,~ Printed Name 5j r~l(~ ~ Date SEC~lTMty STATE OF TEXAS ~ COUNTY OF NUECES ~ This instrument was acknowledged before me one a~- ,a ~ ____ __ _ , 2008, by ~~t~.Q ~oWr~h~ ,Executive Director, of The Nueces County Mental Health and Mental Retardation Community Center Foundation, a Texas nonprofit corporation, on behalf of the corporation. MONA KOSTER WfLLS Notary PuIJiiC, State of Texas My Cc3mmissEon Expires Fsbruary 2i, ZO11 Notary Public, State of Texas MHMR Lease.doc Page I l of 1 ] EXHIBIT A INSURANCE REQUIREMENTS LESSEE'S LIABILITY INSURANCE A. Lessee must not commence work under this agreement until all insurance required has been obtained and such insurance has been approved by the City. Lessee must not allow any subcontractor to commence work until all similar insurance required of any subcontractor has been obtained. B. Lessee must furnish to the City's Risk Manager, 2 copies of Certificates of Insurance, showing the following minimum coverage by an insurance company(s) acceptable to the City's Risk Manager. The City must be named as an additional insured on the General liability policy, and a blanket waiver of subrogation is required on all applicable policies. TYPE OF INSURANCE MINIMUM INSURANCE COVERAGE 30-Day Notice of Cancellation, Material Change, Bodily Injury and Property Damage Non-renewal, or Termination is required on all Per occurrence aggregate certificates Commercial General Liability including: $1,000,000 COMBINED SINGLE LIMIT 1. Commercial Form 2. Premises --Operations 3. Products) Completed Operations Hazard 4. Contractual Liability 5. Broad Form Property Damage 6. Independent Contractors 7. Personallnjury Property Insurance to include: Full Replacement value of leased building{s) 1. Fire and Extended Coverage and improvements 2. Windstorm Covera e WHICH COMPLIES WITH THE TEXAS WORKERS' COMPENSATION WORKERS' COMPENSATION ACT AND PARAGRAPH II OF THIS EXHIBIT ~~oo,ooa EMPLOYERS' LIABILITY C. In the event of accidents of any kind, Lessee must furnish the Risk Manager with copies of all reports of any accidents within 10 days of the accident. 2008 MFIMR lease ins. req. 4-17-08 ep Risk Mgmt. II. ADDITIONAL REQUIREMENTS A. Lessee must obtain workers' compensation coverage through a licensed insurance company. The coverage must be written on a policy and endorsements approved by the Texas Department of Insurance. The workers' compensation coverage provided must be in an amount sufficient to assure that all workers' compensation obligations incurred by the Lessee will be promptly met. B. Certificate of Insurance: • The Ciity of Corpus Christi must be named as an additional insured on the General Liability coverage and a blanket waiver of subrogation is required on all applicable policies. • If your insurance company uses the standard ACORD form, the cancellation clause (bottom right) must be amended by adding the wording "changed or" between "be" and "canceled", and deleting the words, "endeavor to", and deleting the wording after "left". In lieu of modification of the ACORD form, separate policy endorsements addressing the same substantive requirements are mandatory. • The name of the project must be listed under "Description of Operations" • At a minimum, a 30-day written notice to the Risk Manager of cancellation, material change, non-renewal or termination is required. 2008 MHMR lease ins. req. 4-17-08 ep Risk Mgmt. ,.,may EXHlBlT B G'1'1'Y OF CORPUS CSRI51'I c~ nlsclosuRE of n~rrERESr City of Co Christi Ordinance 17I 12, as amended, requires ail persons or firms se~~ as do business with the City to de the fo uifon~~ation. Every gaGStion must be answered. If tho quesncn ~s noc applicable, answer wig "NA". Sx reverse~side for definitions. r COMPANY NAME : ~ ~ CPD l.U 1~I~1 P. O. BOX: s~rR~T•_ t (~ ~u S ~ ~ ~ r~ Gee. ,~:_ ~r p~S C,~.n s fi' _~~X z~•~7 g D FIRM IS: !. Corporation ~ 2. Partnership ( ) er ' ( ) 4. Asaociatton ~ ~ s. Other (/f ~1.YU ~ o ~ I~ C~z1yl. DL'SCLOSURE QUESTIONS If additional space is na7essary, Please use the reverse side of this page or attach sepavarle sleet. l . State the naanzs of each "employee" of the C~'ty of Corpus Christi having as "ow~}trp mter~st" ciag 3% or more of the ownership is the above named "firm." Name Job Title and City iDepartment (if known) 2. Stabs the names of each "official" of the City of Corpus Christi having as "ownership inaerest." constidrting 3% or more of the ownership in the above named "firm." w Name ~ 'r'ide . 3. State the names of each "board member' of the C~of .Corpus Christi having an "ov-nasaip interest" constituting 3% or more of the ownership is the above named Name Board, Commission, ar Committee 4. State the names of each employee or officer of a "consultant" far the City of Carpas Christi who worked on any matter related to the subject of thrs contract and has an "ownership interest-' cansmdmng 3% or more of the ownership in the above named "firm:' Consultant R~ ~ /~ CERTIFICATE I certify that all information provided is true and connect as of the date of this stateuient.:hat I have not knowingly withheld disclosure of an}- information requested; and that suppiemeatal statements Rill be rn~o~nptly submitted to the City of Corpus Christi, Texas as changes occur. Certif3-ingPerson: me or Signattue of Certifying Person: Date:.,,, ~~ t ~- ~ D ~