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HomeMy WebLinkAboutC2011-270 - 7/11/2011 - NAAMENDMENT NO. 4 TO CONTRACT FOR PROFESSIONAL SERVICES The City of Corpus Christi, Texas hereinafter called "CITY ", and MAVERICK ENGINEERING INC. hereinafter called "CONSULTANT," agree to the following amendment to the Contract for Professional Services for North Port Avenue from IH 37 to US 181 Project No. 6264 as authorized and amended by: Original Contract Aril 10, 2007 Motion No. 2007 -095 $749,221.00 Amendment No. 1 June 10, 2008 Motion No. 2008 -147 $1,970,108.00 Amendment No. 2 October 23, 2008 Administrative Approval $26,173.26 Amendment No. 3 Aril 03, 2009 Administrative Approval $49,750.00 ■ In the original contract, Section I. SCOPE OF SERVICES, Part A. Basic Services, 4. Construction Phase shall be amended to include additional Construction Phase Services as shown in the attached Amendment No. 4, Exhibit "A." ■ In the original contract, Section L SCOPE OF SERVICES, Part B. Additional Services, S. Construction Observation Services shall be amended to include additional services as shown in the attached Amendment No. 4, Exhibit "A." ■ In the original contract, Section III. FEES shall be modified as shown on the attached Exhibit "A -1" for a revised fee not to exceed $24,765.00 (Twenty Four Thousand Seven Hundred Six Five Dollars and Zero Cents) for a total restated fee not to exceed $2,820,017.26 Two Million Eight Hundred Twent Thousand Seventeen Dollars and Twenty Six Cents) All other terms and conditions of the original contract and amendments between the City and Consultant will remain in full force and effect. CITY F CORPUS HR TI Juan Perales Jr., P.E. Date Assistant City Manager RECOMMENDED Pete Anaya, P. E., Date Director of Engineering Services MAVERICK ENGINEERING, IN V i 1 William Fordtran, P.E. Date Vice President 400 Mann Street, Suite 200 Corpus Christi, TX 78401 (361) 696 -3500 Office; (361) 696 -3750 Fax ENTERED ATTEST {� Armando Chapa, City Secretary JUN 21 0 2011 CONTRACT MANAGERS APPR VED AS TO FORM Project Number: 6264 CIP # ST 09 Funding Source: 550950 -3442- 00000- 170525 Encumbrance Number: :Nq k-� mA Ass tant City Attorney Date 2011 -270 AMD. NO.4 07/11/11 [ Pag e 1 of 1 ORTH PORT AVENUEIAMENOMENT NO.4NAMENDMENT NO. 4.DOC Maverick Engineering INDEXED u wzvw. jnaverichengineering.coi April 28, 2011 Ms. Jamie Pyle, P.E. Project Manager City of Corpus Christi 1201 Leopard Street, 3r Floor Corpus Christi, TX 78469 - - Re Contract Amendment No. 4: Extension of Construction Observation and Construction Administration Services North Port Avenue Project No. 6264 Dear Ms. Pyle: Maverick Engineering, Inc. is pleased to submit our fee proposal for providing additional services for the North Port Avenue Project (Project No. 6264). The additional scope of services and corresponding fees are shown below: Scope of Services: 1. On -site Construction Observation Services: a. Full time daily inspection including daily construction progress reports and monthly progress reports b. Traffic Control Plan monitoring c. Storm Water Pollution Prevention Plan monitoring d. Measurements of quantities as. required e. Oversee and review results of materials testing f. Verification of contractor personnel pay rates and qualifications such as certified flaggers, etc. g. Conflict resolution during construction h. Liaison and communication between city, contractor, adjacent property owners, utilities, etc. 2. Construction Administration Services: a. Review of contract submittals b. Review of Requests for Information (RFI's) c. Review Change Order Requests and prepare Change Orders for approval by the City d. Review and make recommendations for payment of contractor's monthly progress payment requisitions e. Quantity verifications and calculations 400 Mann St., Suite 200 Corpus Christi, Texas 78401 361.696 -3500 • Fax 361.696 -3599 • www.maverickengineering.com Pagel of f Pa e 3 April 28, 2011 Ms.7amie Pyle, P.E. North Port Avenue, Project No. 6264 Page 2 of 2 f. Attend monthly project meetings g. Attend final walk- through and prepare punch list h. Perform project close out items per City of Corpus Christi requirements Our fee is as follows: Task 1— $ 12,240.00 Task 2 — $ 12,525.00 The Total Proposed Fee for Amendment No. 4 is: S24,765.00 It is anticipated that the construction phase of the project will continue until October, 2011. This estimate is to cover construction observation and construction administration services from July, 2011 to October, 2011. Should the construction phase continue beyond (October,.2011 another amendment will be submitted to the City to cover: the expected level of effort needed. to complete the job. We appreciate the opportunity to provide these professional. services to the City of Corpus Christi. If you have any questions regarding this proposal, please feel free to contact me at 06:4696 - 3501. Respectfully; Maverick Engineering, Inc. William Fordtran, P.E. Vice President Attachments: Man Hour Estimate for Professional Engineering Services EXHIBIT Page 2 of 3 A_ CITY OF CORPUS CHRISTI NORTH PORT AVENUE (PROJECT NO. 6264) MAN-HOUR BREAKDOWN FOR EXTENSION OF CONSTRUCTION OBSERVATION AND CONSTRUCTION ADMINISTRATION SERVICES M H m x 0 ft :z C4 )� 2812011 NORTH PORT AVENUE MEI No. 0627-514 0627-514 Amendment No 4 Man-flcur—Estimate -As Licensed Inspector Engineer I j otal Designer Cost ADDITIONAL SERVICES 204 1 Construction Observ ation 51 days (Monday to Friday)14 hour days Construction Observation Est. MH's 204 0 0 Construction Observation Total Est. Fees $12,240 $0 $0 $12,240 Construction Administration 51 days of administrative services as required 27 102 Construction Administration Est. MH's 0 27 102 Construction Administration Total Est. Fees $0 $2,835 $9,690 $12,525 Total Est. MH's 204 27 102 333 Total Est. Fees $12,240 $2,835 $9,690 $24,7651 NORTH PORT AVENUE MEI No. 0627-514 0627-514 Amendment No 4 Man-flcur—Estimate -As NORTH PORT AVENUE FROM 1H 37 TO US 181 (PROJECT NO. 6264) SUMMARY OF FEES M �K � 2 cQ c► 0 ORIGINAL CONTRACT Street and Lightin Storm Water Water Wastewater Total FEE FOR BASIC SERVICES 1 Preliminary Phase (Schematic Design) $117,128.00 $29,447.00 $9,870.00 $8,061.00 $164,506.00 2 Design Phase (PS &E Development) 0.00 0.00 0.00 0.00 0.00 3 Bid Phase (Letting Please) 0.00 0.00 0.00 0.00 0.00 4 Construction Phase 0.00 0.00 0.00 0.00 0.00 Subtotal Basic Services Fees 117,128.00 29,447.00 9,870.00 8,061.00 164,506.00 FEE FOR ADDITIONAL SERVICES (Allowance) 1 Permit Preparation (as applicable) 1.1 TCEQ 1,543.00 388.00 130.00 106.00 2,167.00 1.2 TDLR 6,692.00 0.00 0.00 0.00 6,692.00 13 TXDOT 11,912.00 0.00 0.00 0.00 11,912.00 1.4 TX GLO 0.00 6,028.00 0.00 0.00 6,028.00 1.5 THC 1,413.00 355.00 119.00 97.00 1,984.00 1.6 TPWD 713.00 179.00 60.00 50.00 1,002.00 1.7 TPDES 2,147.00 869.00 0.00 0.00 3,016.00 1.8 Union Pacific Railroad 5,418.00 1,362.00 457.00 373.00 7,610.00 1.9 US ACE (NATIONWIDE PERMIT #14) 0.00 0.00 0.00 0.00 0.00 1.10 US FWS 0.00 0.00 0.00 0.00 0.00 2 ITopographic Survey 66,862.00 16,809.00 5,634.00 4,602.00 93,907.00 3 1 ROW Re- establishment Survey 61,147.00 15,373.00 5,15100 4,208.00 85,881.00 4 Enviromental Clearance and Public.lnvolvement (CE Process) 4.1 Programmatic Categorical Exclusion 87,412.00 21,976.00 7,366.00 6,016.00 122,770.00 4.2 Formal Public Involvement Process 96,710.00 24,313.00 8,150.00 6,655.00 135,828.00 4.3 Environmental Assessment (EA) 0.00 0.00 0.40 0.00 0.00 5 Construction Observation Services 0.00 0.00 0.00 0.00 0.00 6 lWarrranty Phase 0.00 0.00 0.00 0.00 0.00 7 ISubsurface Utility Investigation 0.00 39,906.00 13,387.00 10,915.00 64,208.00 8 Geotechnical Investigation and Testin 8.1 11nitial Geotechnical Investigation 17,639.00 4,435.00 1,486.00 1,214.00 24,774.00 8.2 lConstruction Testing Program 0.00 0.00 0.00 0.00 0.00 9 Televising Existing Wastewater & Storm Water Lines 0.00 0.00 0.00 0.00 0.00 10 3D Animation Model 16,936.00 0.00 0.00 0.00 16,936.00 11 ROW Acquisition Survey 0.00 0.00 0.00 0.00 0.00 Subtotal Additional Services Fees 376,544.00 131,993.00 41,942.00 34,236.00 584,715.00 Total Authorized Fee $493,672.00 $161,440.00 $51,812.00 $42,297.00 $749,221.00 Date Authorization 4/10/2007 Motion No. M2007 -095 NORTH PORT AVENUE FROM IH 37 TO US 181 (PROJECT NO. 6264) SUMMARY OF FEES M X 03 N� h a AMENDMENT NO. 1 Street and Li htin Storm Water Water Wastewater Total FEE FOR BASIC SERVICES 1 Preliminary Phase (Schematic Design) $0.00 $0.00 $0.00 $0.00 $0.00 2 Design Phase (PS &E Development ) 821,620.33 269,785..78 85,840.93 49,051.96 1,226,299.00 3 Bid Phase (Letting Phase) 16,585.85 5,446.10 1,732.85 990.20 24,755.00 4 Construction Phase 13,511.22 4,436.52 1,411.62 806.64 20,166.00 Subtotal Basic Services Fees 851,717.40 279,668.40 88,985.40 50,848.80 1,271,220.00 FEE FOR ADDITIONAL SERVICES (Allowance) 1 Permit Preparation (as applicable) 1.1 TCEQ 0.00 0.00 0.00 0.00 0.00 1.2 TDLR 0.00 0.00 0.00 0.00 0.00 1.3 TXDOT 0.00 0.00 0.00 0.00 0.00 1.4 TX GLO 0.00 0.00 0.00 0.00 0.00 1.5 THC 0.00 0.00 0.00 0.00 0.00 1.6 TPWD 0.00 0.00 0.00 0.00 0.00 1.7 TPDES 0.00 0.00 0.00 0.00 0.00 1.8 Union Pacific Railroad 0.00 0.00 0.00 0.00 0.00 1.9 US ACE (NATIONWIDE PERMIT #14) 6,486.94 2,130.04 677.74 387.28 9,682.00 1.10 US FWS 0.00 0.00 0.00 0.00 0.00 2 Topographic Survey 31,825.00 10,450.00 3,325.00 1,900.00 47,500.00 3 ROW Re- establishment Survey 0.00 0.00 0.00 0.00 0.00 4 Enviromental Clearance and Public Involvement (CE Process) 4,1 Programmatic Categorical Exclusion 16,062.58 5,274.28 1,678.18 958.96 23,974.00 4.2 Formal Public Involvement Process 0.00 0.00 0.00 0.00 0.00 4.3 Environmental Assessment (EA) 0.00 0.00 0.00 0.04 0.00 5 Construction Observation Services 244,550.00 80,300.00 25,550.00 14,600.00 365,000.00 6 Warrranty Phase 6,123.80 2,010.80 639.80 365.60 9,140.00 7 Subsurface Utility Investigation 0.00 0.00 0.00 0.00 0.00 8 Geotechnical Investigation and Testing 8.1 Initial Geotechnical Investigation 0.00 0.00 0.00 0.00 0.00 82 Construction Testing Program 117,901.24 38,713.84 12,318.04 7,038.88 175,972.00 9 Televising Existing Wastewater & Storm Water Lines 0.00 0.00 0.00 0.00 0.00 10 13D Animation Model 0.00 0.001 0.00 0.00 0.00 11 IROW Acquisition Survey 45,305.401 14,876.40 4,733.40 1 2,704,801 67,620.00 Subtotal Additional Services Fees 468,254.961 153,755.36 48,922.16 27,955.52 698,888.00 Total Authorized Fee $1,319,972.36 $433,423.76 $137 907-561 $78,804.32 $1,970,108.00 Date Authorization 6/10/2008 Motion No. 2008 -147 NORTH PORT AVENUE FROM IH 37 TO US 181 (PROJECT NO. 6264) SUMMARY OF FEES M �X m W °� n c� AMENDMENT NO. 2 Street and Li htin Storm Water Water Wastewater Total FEE FOR BASIC SERVICES 1 Preliminary Phase (Schematic Design) $0.00 $0.00 $0.00 $0.00 $0.00 2 Design Phase (PS &E Development) 0.00 0.00 0.00 0.00 0.00 3 Bid Phase (Letting Phase) 0.00 0.00 0.00 0.00 0.00 4 Construction Phase 0.00 0.00 0.00 0.00 0.00 Subtotal Basic Services Fees 0.00 0.00 0.00 0.00 0.00 FEE FOR ADDITIONAL_ SERVICES (Allowance) 1 Permit Preparation (as applicable) 1..1 TCEQ 0.00 0.00 0.00 0.00 0.00 1.2 TDLR 0.00 0.00 0.00 0.00 0.00 1.3 TXDOT 0.00 0.00 0.00 0.00 0.00 1.4 TX GLO 0.00 0.00 0.00 0.00 0.00 1.5 THC 0.00 0.00 0.00 0.00 0.00 1.6 TPWD 0.00 0.00 0.00 0.00 0.00 1.7 TPDES 0.00 0.00 0.00 0.00 0.00 1.8 Union Pacific Railroad 0.00 0.00 0.00 0.00 0.00 1.9 US ACE (NATIONWIDE PERMIT #14) 0.00 0.00 0.00 0.00 0.00 1.10 US FWS 0.00 0.00 0.00 0.00 0.00 2 Topographic Survey 0.00 0.00 0.00 0.00 0.00 3 ROW Re- establishment Survey 0.00 0.00 0.00 0.00 0.00 4 Enviromental Clearance and Public Involvement (CE Process) 4.1 Programmatic Categorical Exclusion 0.00 0.00 0.00 0.00 0.00 4.2 Formal Public Involvement Process 0.00 0.00 0.00 0.00 0.00 4.3 Environmental Assessment (EA) 0.00 0.00 0.00 0.00 0.00 5 Construction Observation Services 0.00 0.00 0.00 0.00 0.00 6 Warrranty Phase 0.00 0.00 0.00 0.00 0.00 7 Subsurface Utility Investigation 0.00 0.00 0.00 0.00 0.00 8 Geotechnical Investigation and Testing 8.1 Initial Geotechnical Investigation 0.00 0.00 0.00 0.00 0.00 8.2 lConstruction Testing Program 0.00 0.00 0.00 0.00 0.00 9 ]Televising Existing Wastewater & Storm Water Lines 0.00ii 26,173.26 0.00 0.00 26,173.26 10 3D Animation Model 0.00 0.00 0.00 0.00 0.00 11 1 ROW Acquisition S u rvey 0.00 0.00 0.00 0.00 0.00 Subtotal Additional Services Fees 0.00 26,173.26 0.00 0.00 26,173.26 Total Authorized Fee $0.00 $26,173.261 $0.001 $0.001 $26,173.26 Date Authorization 10/23/08 Administrative Approval Ls1;;ir:1;Zi7: 1�1 I J irIi:Ic 0111091IDiff-Ti (PROJECT NO. 6264) SUMMARY OF FEES M n, x M W 0 rn :, AMENDMENT NO. 3 Street and Li htin Storm Water Water Wastewater Total FEE FOR BASIC SERVICES 1 Preliminary Phase (Schematic Design) $0.00 $0.00 $0.00 $0.00 $0.00 2 Design Phase (PS &E Development) 0.00 27,299.50 0.00 0.00 27,299.50 3 Bid Phase (Letting Phase) 0.00 0.00 0.00 0.00 0.00 4 Construction Phase 0.00 0.00 0.00 0.00 0.00 Subtotal Basic Services Fees 0.00 27,299.50 0.00 0.00 27,299.50 FEE FOR ADDITIONAL SERVICES (Allowance) 1 Permit Preparation (as applicable) 1.1 TCEQ 0.00 0.00 0.00 0.00 0.00 1.2 TDLR 0.00 0.00 0.00 0.00 0.00 1.3 TXDOT 0.00 3,51220 0.00 0.00 3,512.20 1.4 TX GLO 0.00 0.00 0.00 0.00 0.00 1.5 THC 0.00 0.00 0.00 0.00 0.00 1.6 TPWD 0.00 0.00 0.00 0.00 0.00 1.7 TPDES 0.00 0.00 0.00 0.00 0.00 1.8 Union Pacific Railroad 0.00 0.00 0.00 0.00 0.00 1.9 US ACE (NATIONWIDE PERMIT #14) 0.00 0.00 0.00 0.00 0.00 1.10 US FWS 0.00 0.00 0.00 0.00 0.00 2 ITopographic Survey 0.00 12,000.00 0.00 0.00 12,000.00 3 ROW Re- establishment Survey 0.00 0.00 0.00 0.00 0.00 4 Enviromental Clearance and Public Involvement (CE Process) 0.00 4.1 Programmatic Categorical Exclusion 0.00 0.00 0.00 0.00 0.00 4.2 Formal Public Involvement Process 0.00 0.00 0.00 0.00 0.00 4.3 Environmental Assessment (EA) 0.00 0.00 0.00 0.00 0.00 5 l Construction Observation Services 0.00 0.00 0.00 0.00 0.00 6 Warrranty Phase 0.00 0.00 0.00 0.00 0.00 7 Subsurface Utility Investigation 0.00 0.00 0.00 0.00 0.00 S Geotechnical Investigation and Testing 8.1 Initial Geotechnical Investigation 0.00 0.00 0.00 0.00 0.00 8.2 lConstruction Testing Program 0.00 0.00 0.00 0.00 0.00 9 Televising Existing Wastewater & Storm Water Lines 0.00 0.00 0.00 0.00 0.00 10 3D Animation Model 0.00 0.00 0.001 0.001 0.00 11 ROW Acquisition Survey 0.00 6,938.30 0.00 0.00 6,938.30 Subtotal Additional Services Fees 0.001 22,450.50 0.00 0.00 22,450.50 Total Authorized Fee $0.001 $49,750.00 $0.00 $0.00 $49,750.00 Date Authorization 4/3/2009 Administrative Approval NORTH PORT AVENUE FROM IH 37 TO US 181 (PROJECT NO. 6264) SUMMARY OF FEES M c � o n -„ AMENDMENT NO. 4 Street and Lightin Storm Water Water Wastewater Total FEE FOR BASIC SERVICES 1 Preliminary Phase (Schematic Design) $0.00 $0.00 $0,00 $0.00 $0.00 2 Design Phase (PS &E Development) 0.00 0.00 0.00 0.00 $0.00 3 Bid Phase (Letting Phase) 0.00 0.00 0.00 0.00 $0.00 4 Construction Phase 8,200.80 2,692.80 856.80 489.60 12,240.00 Subtotal Basic Services Fees 8,200.80 2,692.80 856.80 489.60 12,240.00 FEE FOR ADDITIONAL SERVICES (Allowance) 1 Permit Preparation (as applicable) 1.1 TCEQ 0.00 0.00 0.00 0.00 $0.00 1.2 TDLR 0.00 0.00 0.00 0.00 $0.00 1.3 TXDOT 0.00 0.00 0.00 0.00 $0.00 1.4 TX GLO 0.00 0.00 0.00 0.00 $0.00 1.5 THC 0.00 0.00 0.00 0.00 $0.00 1.6 TPWD 0.00 0.00 0.00 0.00 $0.00 1.7 TPDES 0.00 0.00 0.00 0.00 $0.00 1.8 Union Pacific Railroad 0.00 0.00 0.00 0.00 $0.00 1.9 US ACE (NATIONWIDE PERMIT #14) 0.00 0.00 0.00 0.00 $0.00 1.10 1 US FWS 0.00 0.00 0.00 0.00 $0.00 2 Topographic Survey 0.00 0.00 0.00 0.00 $0.00 3 ROW Re- establishment Survey 0.00 0.00 0.00 0.00 $0.00 4 Enviromental Clearance and Public Involvement (CE Process) 4.1 Programmatic Categorical Exclusion 0.00 0.00 0.00 0.00 $0.00 4.2 Formal Public Involvement Process 0.00 0.00 0.00 0.00 $0.00 4.3 Environmental Assessment (EA) 0.00 0.00 0.00 0.00 $0.00 5 Construction Observation Services 8,391.75 2,755.50 876.75 501.00 12,525.00 6 Warrranty Phase 0.00 0.00 0.00 0.00 $0.00 7 Subsurface Utility Investigation 0.00 0.00 0.00 0.00 $0.00 8 Geotechnical Investigation and Testing 8.1 Initial Geotechnical Investigation 0.00 0.00 0.00 0.00 $0.00 82 lConstruction Testing Program 0.00 0.00 0.00 0.00 $0.00 9 Televising Existing Wastewater & Storm Water Lines 0.00 0.00 0.00 0.00 $0.00 10 3D Animation Model 0.00 0.00 0.00 0.00 $0.00 11 ROW Acquisition Survey 0.00 0.00 0.00 0.00 $0.00 Subtotal Additional Services Fees 8,391.75 2,755.50 876.75 501.00 12,525.00 Total Authorized Fee $16,592.55 $5,448.30 $1,733.55 $990.60 $24,765.00 Date Authorization NORTH PORT AVENUE FROM IH 37 TO US 181 (PROJECT NO. 6264) SUMMARY OF FEES m � �C °r _ e � a� � �D j TOTAL CONTRACT FEE Street and Li htin Storm Water Water Wastewater Total FEE FOR BASIC SERVICES 1 Preliminary Phase (Schematic Design) $117,128.00 $29,447.00 $9,870.00 $8,061.00 $164,506.00 2 Design Phase (PS &E Development) 821,620.33 297,085.28 85,840.93 49,051.96 1,253,598.50 3 Bid Phase (Letting Phase) 16,585.85 5,446.10 1,732.85 99020 24,755.00 4 Construction Phase 21,712.02 7,129.32 2,268.42 1,296.24 32,406.00 Subtotal Basic Services Fees 977,046.20 339,107.70 99,712.20 59,399.40 1,475,265.50 FEE FOR ADDITIONAL SERVICES (Allowance) 1 jPermit Preparation (as applicable) 1.1 J TCEQ 1,543.00 388.00 130.00 106.00 2,167.00 1.2 TDLR 6,692.00 0.00 0.00 0.00 6,692.00 1.3 TXDOT 11,912.00 3,512.20 0.00 0.00 15,424.20 1.4 TX GLO 0.00 6,028.00 0.00 0.00 6,028.00 1.5 THC 1,413.00 355.00 119.00 97.00 1,984.00 1.6 TPWD 713.00 179.00 60.00 50.00 1,002.00 1.7 TPDES 2,147.00 869.00 0.00 0.00 3,016.00 1.8 1 Union Pacific Railroad 5,418.00 1,362.00 457.00 373.00 7,610.00 1.9 USA E (NATIONWIDE PERMIT #14) 6,486.94 2,130.04 677.74 387.28 9,682.00 1.10 1 US FWS 0.00 0.00 0.00 0.00 0.00 2 Topographic Survey 98,687.00 39,259.00 8,959.00 6,502.00 153,407.00 3 ROW Re- establishment Survey 61,147.00 15,373.00 5,153.00 4,208.00 85,881.00 4 Enviromental Clearance and Public Involvement (CE Process) 4.1 Programmatic Categorical Exclusion 103,474.58 27,250.28 9,044.18 6,974.96 146,744.00 4.2 Formal Public Involvement Process 96,710.00 24,313.00 8,150.00 6,655.00 135,828.00 4.3 Environmental Assessment (EA) 0.00 0.00 0.00 0.00 0.00 5 Construction Observation Services 252,941.75 83,055.50 26,426.75 15,101.00 377,525.00 6 Warrranty Phase 6,123.80 2,010.80 639.80 365.60 9,140.00 7 Subsurface Utility Investigation 0.00 39,906.00 13,387.00 10,915.00 64,208.00 8 Geotechnical Investigation and Testing 0.00 0.00 0.00 0.00 8.1 Initial Geotechnical Investigation 17,639.00 4,435.00 1,486.00 1,214.00 24,774.00 8.2 1 Construction Testing Program 117,901.24 38,713.84 12,318.04 7,038.88 175,972.00 9 iTelevising Existing Wastewater & Storm Water Lines 0.00 26,173.26 0.00 0.00 26,173.26 10 13D Animation Model 16,936.00 0.001 0.00f 0.00 16,936.00 11 ROW Acquisition Survey 45,305.40 21,814.70 4,733.40 2,704.80 74,558.30 Subtotal Additional Services Fees 1 853,190.71 337,127.62 91,740.91 62,692.52 1, 44,751 .76 Total Authorized Fee $1,830,236.91 $676,235.32 $191,453.11 $122,091.92 $2,820,017.26 Da Da te Authorization SUPPLIER NUMBER TO BE ASSIGNED BY CITY PURCHASING DIVISION City of CITY OF CORPUS CHRISTI Corpus DISCLOSURE OF INTEREST Christi 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 ". See reverse side for Filing Requirements, Certifications and definitions. COMPANY NAME: Maverick Engineering, Inc. P. O. BOX: STREET ADDRESS: 400 Mann Street, Suite 200 CITY: FIRM IS: 1. Corporation e 2. Partnership B 4. Association 5. Other Corpus Christi ZIP: 78401 3. Sole Owner [] 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 NIA Job Title and City Department (if known) 2. State the names of each "official" of the City of Corpus Christi having an "ownership interest" constituting 3% or more of the ownership in the above named "firm." Name Title NIA 3. State the names of each "board member" of the City of Corpus Christi having an "ownership interest" constituting 3% or more of the ownership in the above named "firm." Name Board, Commission or Committee NIA 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." Nance Consultant N/A EXHIBIT "B" Page 1 of 2 FILING REQUIREMENTS If a person who requests official action on a matter knows that the requested action will confer an economic benefit on any City official or employee that is distinguishable from the effect that the action will have on members of the public in general or a substantial segment thereof, you shall disclose that fact in a signed writing to the City official, employee or body that has been requested to act in the matter, unless the interest of the City official or cm loyee in the matter is apparent. he disclosure shall also be made in a signed writing filed with the City Secretary. [Ethics Ordinance Section 2 -349 (d)] CERTIFICATION 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: William Fordtran, P. E. Title: Vice President (Type or Print) Signature of Certifying Date: Person: 1 DEFINITIONS a. `Board member." A member of any board, commission, or committee appointed by the City Council of the City of Corpus Christi, Texas. b. "Economic benefit ". An action that is likely to affect an economic interest if it is likely to have an effect on that interest that is distinguishable from its effect on members of the public in general or a substantial segment thereof. C. "Employee." Any person employed by the City of Corpus Christi, Texas either on a full or part- time basis, but not as an independent contractor. d. "Finn." Any entity operated for economic gain, whether professional, industrial or commercial, and whether established to produce or deal with a product or service, including but not limited to, entities operated in the form of sole proprietorship, as self-employed person, partnership, corporation, joint stock company, joint venture, receivership or trust, and entities which for purposes of taxation are treated as non -profit organizations. e. "Official." The Mayor, members of the City Council, City Manager, Deputy City Manager, Assistant City Managers, Department and Division Heads, and Municipal Court Judges of the City of Corpus Christi, Texas. f: "Ownership interest." Legal or equitable interest, whether actually or constructively held, in a firm, including when such interest is held through an agent, trust, estate, or holding entity. "Constructively held" refers to holdings or control established through voting trusts, proxies, or special terms of venture or partnership agreements." g. "Consultant." Any person or firm, such as engineers and architects, hired by the City of Corpus Christi for the purpose of professional consultation and recommendation. EXHIBIT "B" Page 2 of 2