HomeMy WebLinkAboutC2012-004 - 1/10/2012 - Approvedk
AGREEMENT
for
Construction Materials Engineering Laboratory's
Inspection and Materials Testing Services
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 Rock
Engineering & Testing Laborato Inc., a Texas corporation or partnership, "LAB ", acting through its duly
authorized representative who is Curtis Rock Business Development Manager which agree as follows:
1. DECLARATIONS "CITY" desires to engage "LAB" to provide services in connection with City's
project, described as follows: Staples Street Phases 1 and 2 Project Nos. 6494 and 6495 "PROJECT ".
2. SCOPE OF WORK "LAB" shall provide services to the .PROJECT in accordance with the
accompanying Scope of Services and Fee Schedule attached as "Exhibit A" and the Terms and Conditions to
AGREEMENT 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 total fee not to exceed $177.441.00 (in figures),
One Hundred Seventy Seven Thousand Four Hundred Forty One Dollars and Zero Cents (in words).
4. CITY'S DISCLOSURE OF HAZARDOUS & TOXIC MATERIALS AND CONDITIONS AT THE
PROJECT 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: None
CITY OF CORPUS CHRISTI
`i ?-°/-,
Juan+e,ales,, d! F'-1 =. USCG -a t_e)
Assistant City Manager
APPROVED S TO FORM
Pete Anaya, P.E. (Date)
Director of Engineering Services
ATTEST
Armando Chapa, City Secret
ROCK ENGINEERING AND
TESTING LABORATORY, INC.
C 1, J�, :1" 1 J
Curtis Rock, (Date)
Business Development Manager
6817 Leopard Street
Corpus Christi, TX 78409
M 2LL_ � - AU t r,�AA,x:_
Ivy'01�CIE ..�...�..�
SE5E1AIiY -
APPROVED AS TO FORM
A�� Op 1,4)� 1 . Zl 2-
Legal Departme ( ate
C4.1ly - r 0y
Project Title and Project No. Fund Source No.
StalnleG StrPpt Phaca 1 frnm garntn a to Holly Project No. 6494 550920- 3546 - 00000- 170212
2012 -004 Williams Project Nol. 6495 550920- 3546 - 00000 - 170213
M2012 -006
. 01/10/12 APLES FREESEUESTINWESTING CONTRACTDOC
Rock Eng. & Testing Lab.
$177,441.00
INDEXED
• GEOTECHNICAL ENGINEERING
• CONSTRUCTION MATERIALS ENGINEERING &
TESTING
• SOILS • ASP14ALT . CONCRETE
City of Corpus Christi
P.Q. Box 9277
Corpus Christi, Texas 78401
Attn: Mr. Pete Anaya, P.E. — Director of Engineering
SUBJECT: ESTIMATED TESTING BUDGET FOR THE PROPOSED
Staples Street (Concrete) Phase 1— Saratoga to Holly (Bond 2008)
Staples Street (Concrete) Phase 2 — Holly to Williams (Bond 2008)
City Project No.: 6494 & 6495
Corpus Christi, Texas
RETL Proposal Number: P111611B — Rev. 1
Dear Mr, Anaya,
Rock Engineering and Testing Laboratory, Inc. (RETL) is pleased to be selected to perform the
required Construction Materials Testing for the above referenced project. The Estimated
Construction Materials Testing Budget for this project is $177,441.00.
We understand that we have been chosen to provide these services for this publicly funded
project. Therefore, by providing cost information we are not in violation of the Texas
Professional Services Procurement Act.
The estimated construction materials testing budget is based on a review of the information provided
to RETL. An estimated breakdown of field and laboratory testing required is included as an
attachment.
Please make note that the actual fees invoiced for this project will be based on the actual testing
performed. The total fee assessed will be dependent on the contractor's construction
techniques, number of trips made to the jobsite, elapsed time from technician arrival to
commencement of testing activities, and any time the technician is required to be on -site but
not performing testing activities.
Please be advised that weekend Technician time will be invoiced portal to portal at an
additional rate of $24.00 per hour.
RETL appreciates your consideration of our firm to assist you during the construction phase of your
Project. If you agree with this proposal, please sign the attached Laboratory Testing Services
Agreement, submit the Distribution List and provide billing information. Please do not
hesitate to contact me at (361) 883 -4555 if you have any questions regarding the proposal or
would like to discuss further.
Sincerely,
� " k,.,�
Sandra Kirk
Project Estimator
ROCK ENGINEERING & TESTING LABORATORY, INC. EXHIBIT ". N '
6817 LEOPARD STREET • CORPUS CHRISTI, TEXAS, 78409 [ Page 1 of 17
OFFICE: (361) 8834555 • FAX: (361) 8834711 • www.rocktesting.com
November 21, 2011
Date: November 21, 2011
Project Name: Staples Street Phase 1 - Saratoga to Holly (Bond 2008)
City Project No.: 6494
Contact: Mr. Pete Anaya, P.E.
Contact Information: City of Corpus Christi
PART A - STREET (CONCRETE PAVEMENT)
Subgrade
$50.00
Description:
12" Compact Subgrade
Square Yardage:
45,775
Proctor Type:
Standard
Density Requirements:
98% std. at or above opt. Moisture
Test Frequency:
1 per 310 sy
Additional Test:
Field Gradation
Paving Section
Concrete Cylinders (set of 4) 10 $152.00 $1,520.00
Base
1 @ 7 days & 3 @ 28 days
Description:
6" Cement Stabilized Caliche Base
Square Yardage:
45,775
Proctor Type:
Modified
Density Requirements:
98% mod. +3 opt. Moisture
Test Frequency:
1 per 310 sy /per lib
Additional Test:
Atterburg & Gradation
Additional Test:
LA Abrasion
HMAC
1" HMAC Pavement (Type D)
Description:
including Asphalt Repair
Square Yardage:
45,775
Tonage:
2,518
Full Series Frequency:
1 every 500 Tons
Cored in Place Freq.:
1 every 1,000 LF of Street
Concrete
Description:
Square Yards:
Cubic Yards:
Set Size:
Test Schedule:
Test Frequency:
Driveways
Test Quantity Unit Fee Fee
Sample Charge
$50.00
$50.00
1
$174.00
$174.00
148
$39.00
$5,772.00
1
$65.00
$130.00
Sample Charge $50.00 .$200.00
4 $227.00
$908.00
148 $38.00
$5,624.00
4 $156.00
$1,092.00
4 $289.00
$2,023.00
Sample Charge $50.00 $250.00
5
12
10" Jointed Reinforced Concrete Pavement
42,300
11,703
Concrete Cylinders (set of 4) 235
1 @7days &3 @28 days
1 per 50 cy
$533.00 $2,665.00
$86.00 $1,032.00
$152.00 $35,720.00
Description:
Concrete Driveways
Density Requirements:
95% std. 25 $39.00 $975.00
Density Frequency:
1 per 2 driveways
Concrete
Description:
6" Concrete Driveway
Square Footage:
24,023
Cubic Yards:
1,335
Set Size:
Concrete Cylinders (set of 4) 10 $152.00 $1,520.00
Test Schedule:
1 @ 7 days & 3 @ 28 days
Concrete Strength:
3000 PSI
Test Frequency:
I per 2,500 sf
E EXHIB11- "A" mf 17
i of R
. o
Date: November 21, 2011
Project Name: Staples Street Phase I - Saratoga to Holly (Bond 2008)
City Project No.: 6494
Contact: Mr. Pete Anaya, P.E.
Contact Information: City of Corpus Christi
Test OuantitX Unit Fee Fee
Curb and Gutter
Description:
6" Concrete Header Curb
Linear Footage:
145
Density Requirements:
95% std.
1
$38.00
$38.00
Density Frequency:
1 every 200 LF
Concrete
Set Size:
Concrete Cylinders (set of 4)
Test Schedule:
1 @ 7 days & 3 @ 28 days
I
$152.00
$152.00
Concrete Strength:
3000 PSI
Test Frequency:
1 every 500 LF
PART B - STORM WATER
UTILITIES
Initial Backfill
Sample Charge
$50.00
$50.00
Proctor Type:
Standard
1
$174.00
$174.00
Additional Test:
Atterberg Limit & Gradation
1
$160.00
$160.00
Final Backfill
Sample Charge
$50.00
$150.00
Proctor Type:
Standard
3
$174.00
$522.00
Cement Stabilized Backfill
Sample Charge
$50.00
$50.00
Proctor Type:
Standard
1
$174.00
$174.00
Stormwater 91
Line Description:
12" & 18" RCP
Line Length (LF):
1,106
Density Requirements:
95% std.; -1 to +3% optimum
18
$38.00
$684.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
3
Stormwater #2
Line Description:
24" RCP
Line Length (LF):
494
Density Requirements:
95% std.; -1 to +3% optimum
12
$38.00
$456.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
4
Stormwater 43
Line Description:
30 ", 36" & 42" RCP
Line Length (LF):
861
Density Requirements:
95% std.; -1 to +3% optimum
30
$38.00
$1,140.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
5
Stormwater 94
Line Description:
54" RCP
Line Length (LF):
48
Density Requirements:
95% std.; -1 to + optimum
6
$38.00
$228.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
6
EXHIBIT "A"
[ Page 3 of 17
�f R
. i
Date:
s
November 21, 2011
Project Name:
Staples Street Phase 1 - Saratoga to Holly (Bond 2008)
City Project No.:
6494
Contact:
Mr. Pete Anaya, P.E.
Contact Information. City of Corpus Christi
Stormwater 45
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Stormwater 46
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wingwall
Description:
Number of Walls:
Set Size:
Test Schedule:
Concrete Strength:
Test Frequency:
Inlets
Inlet Description:
Number of Inlets:
Set Size:
Test Schedule:
Concrete Strength:
Test Frequency:
Inlets
Inlet Description:
Number of Inlets:
Set Size:
Test Schedule:
Concrete Strength:
Test Frequency:
Manholes
Manhole Description:
Number of Manholes:
Set Size:
Test Schedule:
Concrete Strength:
Test Frequency:
Test Quanta Unit Fee Fee
4'x 3', 4'x 4', 6'x 4`, Tx 4', Tx 5' &
8' x 5' Precast Concrete Box Culvert
3,115
95% std.; -1 to +3% optimum 128
1 every 200 LF per lift
8
8' x 6' & 10' x 6' Precast Concrete Box Culvert
634
95% std.; -1 to +3% optimum 40
1 every 200 LF per-lift
10
Concrete Wing wl Straight Wings (Type SW)
i
Concrete Cylinders (set of 4) 1
1 @ 7 days & 3 @28 days
3600 PSI
I set per each
$38.00 $4,864.00
$38.00 $1,520.00
$152.00 $152.00
5' Standard & 5' Special Curb Inlet
35
Concrete Cylinders (set of 4) 6 $152.00 5912.00
1 @ 7 days & 3 @ 28 days
3000 PSI
I set every 6 items
Crate Inlet
1
Concrete Cylinders (set of 4) 1 $152.00 $152.00
1 @ 7 days & 3 @ 28 days
3000 PSI
1 set every 6 items
4', 5' & 6' dia. Concrete Storm Water
Manhole (Type A)
7
Concrete Cylinders (set of 4) 1 $152.00 $152.00
1 @7 days & 3 @ 28 days
3600 PSI
1 set every 10 items
[Page XHIBIT "A"
4ofV
:t nf 8
Date: November 21, 2011
Project Name: Staples Street Phase 1 - Saratoga to Hoily (Bond 2008)
City Project No.: 6494
Contact: Mr. Pete Anaya, P.E.
Contact Information: City of Corpus Christi
Test Quanti Unit Fee Fee
Manholes
Manhole Description:
Concrete Manhole (Type D & E)
Number of Manholes:
5
Set Size:
Concrete Cylinders (set of 4)
1
$152.00
$152.00
Test Schedule:
1 @ 7 days & 3 @ 28 days
Concrete Strength:
3600 PSI
Test Frequency:
1 set every 10 items
Junction Box
Description:
Concrete Junction Box
Number of Manholes:
1
Set Size:
Concrete Cylinders (set of 4)
1
$152.00
$152.00
Test Schedule:
1 @ 7 days & 3 @ 28 days
Concrete Strength:
3600 PSI
Test Frequency:
1 set every 3 items
Rip Rap
Description:
Concrete Rip Rap for Drainage Ditch
Square Footage:
3,115
Set Size:
Concrete Cylinders (set of 4)
1
$152.00
$152.00
Test Schedule:
1 @ 7 days & 3 @ 28 days
Test Frequency:
1 set per 4000 sf
Curb and Gutter
Description:
6" Concrete Header Curb
Linear Footage:
10,420
Density Requirements:
95% std.
53
$38.00
$2,014.00
Density Frequency:
I every 200 LF
Concrete
Set Size:
Concrete Cylinders (set of 4)
Test Schedule:
1 @ 7 days & 3 @ 28 days
21
$152.00
$3,192.00
Concrete Strength:
3000 PSI
Test Frequency:
1 every 500 LF
Inlets
Inlet Description:
Tx T Post Inlet
Number of Inlets:
I
Set Size:
Concrete Cylinders (set of 4)
1
$152.00
$152.00
Test Schedule:
1 @ 7 days & 3 @ 28 days
Concrete Strength:
3000 PSI
Test Frequency:
I set every 6 items
PART C - WATER
Water #I
Line Description:
6" & 8" PVC
Line Length (LF):
5,404
Density Requirements:
95% std.; -1 to +3% optimum
108
$38.00
$4,104.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
4
EXHIBIT "A
Pa e 5 of 17
4 of 8
Date:
November 21, 2011
Project Name:
Staples Street Phase I - Saratoga to Holly (Bond 2008)
City Project No.:
6494
Contact:
Mr. Pete Anaya, P.E.
Contact Information:
City of Corpus Christi
Test Ouantit Unit Fee Fee
Water 92
Line Description:
8" Ductile Iron Waterline
Line Length (LF):
1,114
Density Requirements:
95% std.; -1 to +3% optimum
24
$38.00
$912.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
4
Water 93
Line Description:
12" PVC
Line Length (LF):
5,280
Density Requirements:
95% std.; -1 to +3% optimum
78
$38.00
$2,964.00
Test Frequency:
I every 200 LF per lift
Number of Lifts:
3
Water #4
Line Description:
12" Ductile Iron Waterline
Line Length (LF):
1,298
Density Requirements:
95% std.; -1 to +3% optimum
21
$38.00
$798.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
3
PART D - WASTEWATER (SANITARY SEWER) IMPROVEMENTS
Wastewater 91
Line Description:
Remove Existing Wastewater Lines
Line Length (LF):
1,399
Density Requirements:
95% std.; -1 to +3% optimum
21
$38.00
$798.00
Test Frequency:
I every 200 LF per lift
Number of Lifts:
3
Wastewater 42
Line Description:
4" & 6" PVC Wastewater Gravity Line (1' -6' Depth)
Line Length (LF):
46
Density Requirements:
95% std.; -1 to +3% optimum
4
$38.00
$152.00
Test Frequency:
I every 200 LF per lift
Number of Lifts:
4
Wastewater 93
Line Description:
6" PVC Wastewater Gravity Line (8' -10' Depth)
Line Length (LF):
10
Density Requirements:
95% std.; -1 to +3% optimum
8
$38.00
$304.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
8
Wastewater 94
Line Description:
8" PVC Wastewater Gravity Line (0' -6' Depth)
Line Length (LF):
480
Density Requirements:
95% std.; -1 to +3% optimum
12
$38.00
$456.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
4
EMBIT "A"
Page 6 of 17
5r1fft
Date: November 21, 2011
Project Name: Staples Street Phase 1 - Saratoga to Holly (Bond 2008)
City Project No.: 6494
Contact: Mr. Pete Anaya, P.E.
Contact Information: City of Corpus Christi
Test Quantity Unit Fee Fee
Wastewater #5
Line Description:
8" Dia. PVC Wastewater Gravity Line (6'- 8' Depth)
Line Length (LF):
104
Density Requirements:
95% std.; -1 to +3% optimum 6
$38.00 $228.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
6
Wastewater 46
Line Description:
8" Dia. PVC Wastewater Gravity Line (8' - 10' Depth)
Line Length (LF):
190
Density Requirements:
95% std.; -1 to +3% optimum 8
$38.00 $304.00
Test Frequency:
I every 200 LF per
Number of Lifts:
8
Wastewater 97
Line Description:
10" Dia. PVC Wastewater Gravity Line (8' -10')
Line Length (LF):
272
Density Requirements:
95% std.; -1 to +3% optimum 16
$38.00 $608.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
8
Wastewater #8
Line Description:
10" Dia. PVC Wastewater Gravity Line (10' -12')
Line Length (LF):
65
Density Requirements:
95% std.; -I to +3% optimum 10
$38.00 $380.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
10
Wastewater 49
Line Description:
10" Dia. PVC Wastewater Gravity Line (12' -14')
Line Length (LF):
80
Density Requirements:
95% std.; -1 to +3% optimum 12
$38.00 $456.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
12
Wastewater #10
Line Description:
12" Dia. PVC Wastewater Gravity Line (10' -12')
Line Length (LF):
18
Density Requirements:
95% std.; -1 to +3% optimum 10
$38.00 $380.00
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
10
Wastewater #11
Line Description:
8" Dia. PVC Wastewater Presure Pipe (6'- 8' Depth)
Line Length (LF):
80
Density Requirements:
95% std.; -1 to +3% optimum 6
$38.00 $228.00
Test Frequency:
i every 200 LF per lift
Number of Lifts:
6
EXHIBIT "A"
Page 7 of 17
6 of 8
Date: November 21, 2011
Project Name: Staples Street Phase I - Saratoga to Holly (Bond 2008)
City Project No.: 6494
Contact: Mr. Pete Anaya, P.E.
Contact Information: City of Corpus Christi
Test Quantity Unit Fee Fee
Wastewater 412
Line Description: 8" Dia. PVC Wastewater Presure Pipe (8'- 10' Depth)
Line Length (LF): 80
Density Requirements: 95% std.; -1 to +3% optimum 8 $38.00 $304.00
Test Frequency: 1 every 200 LF per lift
Number of Lifts: 8
Manholes
Manhole Description:
4" Dia Fiberglass Manhole ( <6 Depth)
Number of Manholes:
15
Set Size:
Concrete Cylinders (set of 4)
2
Test Schedule:
1 @7 days & 3 @ 28 days
Concrete Strength:
3600 PSI
Test Frequency:
I set every 10 items
Sidewalks
Description:
4" & 6" Concrete Sidewalk & Bicycle Path
Square Footage:
61,270
Density Requirements:
95% std.
44
Density Frequency:
1 every 200 LF
Concrete
Set Size:
Concrete Cylinders (set of 4)
16
Test Schedule:
1 @7 days & 3 @ 28 days
Concrete Strength:
3000 PSI
Test Frequency:
1 set every 4,000 SF 1 Per Day
Curb
Description:
Concrete Sidewalk Retaining Curb (24" Max.
Height)
Square Footage:
314
Density Requirements:
95% std.
2
Density Frequency:
1 every 200 LF
Concrete
Set Size:
Concrete Cylinders (set of 4)
1
Test Schedule:
1 @ 7 days & 3 @28 days
Concrete Strength:
3000 PSI
Test Frequency:
1 set every 4,000 SF 1 Per Day
Ramp
Description:
Square Footage:
Set Size:
Test Schedule:
Concrete Strength
Test Frequency:
CYLINDER PICK -LIP FEES
$152.00 $304.00
$38.00 $1,672.00
$152.00 $2,432.00
$38.00 $76.00
5152.00 $152.00
Concrete Curb Ramp
2,833
Concrete Cylinders (set of 4) 4 $152.00 $608.00
1 @ 7 days & 3 @ 28 days
3000 PSI
Number of Trips: 84 $39.00 $3,276.00
EXHIBIT "A"
Page 8 ®f 17
7 of 8
Date: November 21, 2011
Project Name: Staples Street Phase 1 - Saratoga to Holly (Bond 2008)
City Project No.: 6494
Contact: Mr. Pete Anaya, P.E.
Contact Information: City of Corpus Christi
Test Quanti t Unit Fee Fee
TRANSPORTATION FEES
Location: Corpus Christi, Texas 462 $23.00 $10,626.00
ADMINISTRATION FEES 1 $58.00 $58.00
ESTIMATED TOTAL $108,259.00
*This is only an estimate. Please make note that the actual fees invoiced for this project will be based
on the actual testing performed. The total fee assessed will be dependent on the contractor's
construction techniques, number of trips made to the ,jobsite, elapsed time from technician arrival to
commencement of testing activities, and any time the technician is required to be on -site but not
performing testing activities.
8 of 8
EXHIBIT "A"
Paso 9 of 17
Date: November 21, 2011
Project Name: Staples Street Phase 2 - Holly to Williams (Bond 2008)
City Project No.: 6495
Contact: Mr. Pete Anaya, P.E.
Contact Information: City of Corpus Christi
Driveways
Description:
6" Concrete Driveway
Test Quantity
Unit Fee
Fee
PART G - STREET (CONCRETE PAVEMENT)
Density Requirements:
95% std.
15 $38.00 $570.00
Subgrade
1 per 2 driveways
Concrete
Description:
12" Compact Subgrade
Sample Charge
$50.00
$50.00
Square Yardage:
24,766
Concrete Strength:
3000 PSI
Proctor Type:
Standard
1
$174.00
$174.00
Density Requirements:
98% std. at or above opt. Moisture
80
$38.00
$3,040.00
Test Frequency:
1 per 310 sy
Cubic Yards:
14
Additional Test:
Field Gradation
1
$65.00
$65.00
Laving Section
EXHIBIT "A"
Base
Page 10 �f 97
Description:
6" Cement Stabilized Caliche Base
Sample
$50.00
$100.00
Square Yardage:
23,351
Proctor Type:
Modified
2
$227.00
$454.00
Density Requirements:
98% mod. +3 opt. Moisture
80
$38.00
$3,040.00
Test Frequency:
1 per 310 sy
Additional Test:
Atterburg & Gradation
2
$156.00
$312.00
Additional Test:
LA Abrasion
2
$289.00
$578.00
HMAC
1" HMAC Pavement (Type D) including
Description:
Asphalt Repair
Sample Charge
$50.00
$150.00
Square Yardage:
23,351
Tonage:
1,285
Full Series Frequency:
1 every 500 Tons
3
$533.00
$1,599.00
Cored in Place Freq.:
I every 1,000 LF of Street
6
$86.00
$516.00
Concrete
Description:
10" Jointed Reinforced Concrete Pavement
Square Yards:
21,388
Cubic Yards:
5
Set Size:
Concrete Cylinders (set of 4)
119
$152.00
$18,088.00
Test Schedule:
I @ 7 days & 3 @ 28 days
Test Frequency:
i set per 50 cy
Driveways
Description:
6" Concrete Driveway
Square Footage:
15,661
Density Requirements:
95% std.
15 $38.00 $570.00
Density Frequency:
1 per 2 driveways
Concrete
Set Size:
Concrete Cylinders (set of 4)
7 $152.00 $1,064.00
Test Schedule:
1 @ 7 days & 3 @28 days
Concrete Strength:
3000 PSI
Test Frequency:
1 set per 2,500 sf
Concrete
Description:
6" Concrete Pavement Repair
Square Footage:
250
Cubic Yards:
14
Set Size:
Concrete Cylinders (set of 4)
1 $152.00 $152.00
Test Schedule:
1 @ 7 days & 3 @ 28 days
EXHIBIT "A"
i of
Page 10 �f 97
Date:
November 21, 2011
Project Name:
Staples Street Phase 2 - Holly to Williams (Bond 2008)
City Project No.:
6495
Contact:
Mr. Pete Anaya, P.E.
Contact Information: City of Corpus Christi
Concrete Strength: 3000 PSI
Curb and Gutter
$50.00
Description:
6" Concrete Header Curb
Linear Footage:
77
Density Requirements:
95% std.
Density Frequency:
I every 200 LF
Concrete
$50.00
Set Size:
Concrete Cylinders (set of 4)
Test Schedule:
1 @ 7 days & 3 @ 28 days
Concrete Strength:
3000 PSI
Test Frequency:
I every 500 LF
PART H - STORM WATER
UTILITIES
Initial Backfill
Proctor Type:
Standard
Additional Test:
Atterberg Limit & Gradation
Final Backfill
Proctor Type:
Standard
Cement Stabilized Backfill
Proctor Type:
Standard
Stormwater 41
Line Description:
12" Dia. PVC Drainage Pipe
Line Length (LF):
28
Density Requirements:
95% std.; -1 to +3% optimum
Test Frequency:
I every 200 LF per lift
Number of Lifts:
4
Stormwater 42
Line Description:
18" & 24" RCP
Line Length (LF):
2068
Density Requirements:
95% std.; -1 to +3% optimum
Test Frequency:
1 every 200 LF per lift
Number of Lifts:
4
Stormwater 43
Line Description:
30" & 36" RCP
Line Length (LF):
1,137
Density Requirements:
95% std.; -1 to +3% optimum
Test Frequency:.
1 every 200 LF per lift
Number of Lifts:
5
Stormwater #4
Test Quantity Unit Fee Fee
U
1
Sample Charge
1
1
Sample Charge
2
Sample Charge
1
rd
44
30
$38.00 $38.00
$152.00 $152.00
$50.00
$50.00
$174.00
$174.00
$160.00
$160.00
$50.00
$ 100.00
$174.00
$348.00
$50.00
$50.00
$174.00
$174.00
$38.00 $152.00
$38.00 $1,672.00
$38.00 $1,140.00
Line Description: 4' x 3' & 5'x T Precast Concrete Box Culvert
Line Length (LF): 1,066
Density Requirements: 95% std.; -1 to +3% optimum 36
Test Frequency: 1 every 200 LF per-lift
Number of Lifts: 6
9 of A
$38.00 $1,368.00
EXHIBIT "A"
Page. 11 of 17
Date: November 21, 2011
Project Name: Staples Street Phase 2 - Holly to Williams (Bond 2008)
City Project No.: 6495
Contact: Mr. Pete Anaya, P.E.
Contact Information: City of Corpus Christi
'test Quantit Unit Fee Fee
Inlets
Inlet Description:
Number of Inlets:
Set Size:
Test Schedule:
Concrete Strength:
Test Frequency:
Inlets
Inlet Description:
Number of Inlets:
Set Size:
Test Schedule:
Concrete Strength:
Test Frequency:
Manholes
Manhole Description:
Number of Manholes:
Set Size:
Test Schedule:
Concrete Strength:
Test Frequency:
Manholes
Manhole Description:
Number of Manholes:
Set Size:
Test Schedule:
Concrete Strength:
Test Frequency:
Manhoies
Manhole Description:
Number of Manholes:
Set Size:
Test Schedule:
Concrete Strength:
Test Frequency:
Junction Box
Description:
Number of Manholes:
Set Size:
Test Schedule:
Concrete Strength:
Test Frequency:
5' Standard Curb Inlet
24
Concrete Cylinders (set of 4)
1 @ 7 days & 3 @ 28 days
3000 PSI
1 set every 6 items
Grate Inlet
1
Concrete Cylinders (set of 4)
1 @7 days &3 @28 days
3000 PSI
1 set every 6 items .
4' & 5' dia. Concrete Storm Water
Manhole (Type A)
12
Concrete Cylinders (set of 4)
1 @ 7 days & 3 @ 28 days
3600 PSI
1 set every 10 items
Concrete Manhole (Type C)
2
Concrete Cylinders (set of 4)
1 @7 days &3 @28 days
3600 PSI
1 set every 10 items
Concrete Manhole (Type D)
8
Concrete Cylinders (set of 4)
1 @7days &3 @28 days
3600 PSI
1 set every 10 items
Concrete Junction Box
1
Concrete Cylinders (set of 4)
1 @7 days &3 @28 days
3600 PSI
1 set every 3 items
4 $152.00 $608.00
1 $152.00 $152.00
2 $152.00 $304.00
1 $152.00 $152.00
1 $152.00 $152.00
1 $152.00 $152.00
EXHIBIT "A"
3 of s P age 1 2 of 17
Date:
November 21, 2011
Project Name:
Staples Street Phase 2 - Holly to Williams (Bond 2008)
City Project No.:
6495
Contact:
Mr. Pete Anaya, P.E.
Contact Information: City of Corpus Christi
Test Quantity Unit Fee Fee
Rip Rap
Description:
5" Concrete Rip Rap
Square Footage:
200
Set Size:
Concrete Cylinders (set of 4) 1 $152.00 $152.00
Test Schedule:
1 @ 7 days & 3 @28 days
Test Frequency:
1 set per 4000 sf
Curb and Gutter
3 $38.00 $114.00
Description:
6" Concrete Header Curb
Linear Footage:
5,403
Density Requirements:
95% std. 28 $38.00 $I,064.00
Density Frequency:
1 every 200 LF
Concrete
Line Description:
Set Size:
Concrete Cylinders (set of 4)
Test Schedule:
1 @7 days & 3 @ 28 days 11 $152.00 $1,672.00
Concrete Strength:
3000 PSI
Test Frequency:
1 every 500 LF
PART I - WATER
Waste #1
Line Description:
Remove Existing Waste Lines
Line Length (LF):
77
Density Requirements:
95% std.; -1 to +3% optimum
3 $38.00 $114.00
Test Frequency:
I every 200 LF per lift
Number of Lifts:
3
Water #2
Line Description:
6" & 8" PVC
Line Length (LF):
3,050
Density Requirements:
95% std.; -1 to +3% optimum
48 $38.00 $1,824.00
Test Frequency:
I every 200 LF per lift
Number of Lifts:
3
Water #3
Line Description:
8" & 24" Ductile Iron Waterline
Line Length (LF):
666
Density Requirements:
95% std.; -1 to +3% optimum
12 $38.00 $456.00
Test Frequency:
I every 200 LF per lift
Number of Lifts:
3
PART J - WASTEWATER (SANITARY SEWER) IMPROVEMENTS
Wastewater 91
Line Description:
Remove Existing Wastewater Lines
Line Length (LF):
2,616
Density Requirements:
95% std.; -1 to +3% optimum
39 $38.00 $1,482.00
Test Frequency:
I every 200 LF per lift
Number of Lifts:
3
"All
Page 13 of 17 J
4 of 8
Date: November 21, 2011
Project Name: Staples Street Phase 2 - Holly to Williams (Bond 2008)
City Project No.: 6495
Contact: Mr. Pete Anaya, P.E.
Contact Information: City of Corpus Christi
Test Quanti t Unit Fee Fee
Wastewater #2
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater #3
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater 44
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater #5
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater #6
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater #7
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater #8
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
6" PVC Wastewater Gravity Line (12'- 14' Depth)
32
95% std.; -1 to +3% optimum 12 $38.00 $456.00
1 every 200 LF per lift
12
6" PVC Wastewater Gravity Line (14' -16' Depth)
45
95% std.; -I to +3% optimum 14 $38.00 $532.00
1 every 200 LF per lift
14
8" PVC Wastewater Gravity Line (4'- 5' Depth)
8
95% std.; -1 to +3% optimum 4 $38.00 $152.00
1 every 200 LF per lift
4
8" Dia. PVC Wastewater Gravity Line (6'- 8' Depth)
101
95% std.; -1 to +3% optimum 6 $38.00 $22&00
1 every 200 LF per lift
6
8" Dia. PVC Wastewater Gravity Line (8', 10'& 12' Depth)
132
95% std.; -1 to +3% optimum 8 $38.00 $304.00
1 every 200 LF per lift
8
8" Dia. PVC Wastewater Gravity Line (12', 14'& 16' Depth)
374
95% std.; -1 to +3% optimum 28 $38.00 $1,064.00
1 every 200 LF per lift
14
10" Dia_ PVC Wastewater Gravity Line (12'- 14')
274
95 std.; -1 to +3% optimum 24
1 every 200 LF per lift
12
5of8
$38.00 $912.00
EKHI�"A Pacle
Date: November 21, 2011
Project Name: Staples Street Phase 2 - Holly to Williams (Bond 2008)
City Project No.: 6495
Contact: Mr. Pete.Anaya, P.E.
Contact Information: City of Corpus Christi
Test Quantity Unit Fee Fee
Wastewater #9
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater #10
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater 411
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater 412
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater # 13
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater #14
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater 415
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
10" Dia. PVC Wastewater Gravity Line (14' -16')
351
95% std.; -1 to +3% optimum 28 $38.00 $1,064.00
1 every 200 LF per lift
14
12" Dia. PVC Wastewater Gravity Line (12' -14')
827
95% std.; -1 to +3% optimum 60 $38.00 $2,280.00
1 every 200 LF per lift
12
12" Dia. PVC Wastewater Gravity Line (14'- 16')
731
95% std.; -1 to +3% optimum 56 $38.00 $2,128.00
1 every 200 LF per lift
14
15" Dia. PVC Wastewater Gravity Line (14', 16'& 18' Depth)
213
95% std.; -1 to +3% optimum 16 $38.00 $608.00
1 every 200 LF per lift
16
6" Dia. PVC Wastewater Presure Pipe (12', 14'& 16' Depth)
160
95% std.; -1 to +3% optimum 12 $38.00 $456.00
1 every 200 LF per_lift
12
8" Dia. PVC Wastewater Presure Pipe (10'- 12' Depth)
20
95% std_; -1 to +3% optimum 10 $38.00 $380.00
1 every 200 LF per lift
10
8" & 10" Dia. PVC Wastewater Presure Pipe (12 14' Depth)
90
95% std.; -1 to +3% optimum 12 $38.00 $456.00
1 every 200 LF per Iift
12
EXHIBIT "A"
F of A Pam 15 Of 17
Date:
November 21, 2011
Project Name:
Staples Street Phase 2 - Holly to Williams (Bond 2008)
City Project No.:
6495
Contact:
Mr. Pete Anaya, P.E.
Contact Information: City of Corpus Christi
Test Quantity Unit Fee Fee
Wastewater #16
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Wastewater 417
Line Description:
Line Length (LF):
Density Requirements:
Test Frequency:
Number of Lifts:
Manholes
Manhole Description:
Number of Manholes:
Set Size:
Test Schedule:
Concrete Strength:
Test Frequency:
Manholes
Manhole Description
Number of Manholes
Set Size:
Test Schedule:
Concrete Strength:
"Pest Frequency:
Sidewalk
Description:
Square Footage:
Density Requirements:
Density Frequency:
Concrete
Set Size:
Test Schedule:
Concrete Strength:
Test Frequency:
Curb
8" & 10" Dia. PVC Wastewater Presure Pipe (14'- 16' Depth)
110
95% std.; -1 to +3% optimum 14 $38.00 $532.00
1 every 200 LF per lift
14
12" Dia. PVC Wastewater Presure Pipe (12', 14'& 16'Depth)
160
95% std.; -1 to +3% optimum 12 $38.00 $456.00
1 every 200 LF per lift
12
4' Dia Fiberglass Manhole ( <6' Depth)
12
Concrete Cylinders (set of 4)
1 @ 7 days & 3 @ 28 days
3600 PSI
1 set every 10 items
5' Dia Fiberglass Manhole ( <6' Depth)
4
Concrete Cylinders (set of 4)
1 @7days &3 @28 days
3600 PSI
1 set every 10 items
4" Concrete Sidewalk & Bicycle Path
30,515
95% std.
1 per 200 LF
Concrete Cylinders (set of 4)
1 @7days &3 @28 days
3000 PSI
1 set every 4,000 SF / Per Day
2 $152.00 $304.00
1 $152.00 $152.00
24 $38.00 $912.00
8 $152.00 $1,216.00
Description:
Concrete Sidewalk Retaining Curb (24" Max. Height)
Square Footage:
133
Density Requirements:
95% std. 2
Density Frequency:
I per 200 LF
Concrete
Set Size:
Concrete Cylinders (set of 4) 1
Test Schedule:
1 @ 7 days & 3 @ 28 days
Concrete Strength:
4000 PSI
Test Frequency:
1 set every 4,000 SF / Per Day
7 of R
$38.00 $76.00
$152.00 $152.00
EXHIBIT "A"
Page 16 of 17
Date:
November 21, 2011
Project Name:
Staples Street Phase 2 - Holly to Williams (Bond 2008)
City Project No.:
6495
Contact:
Mr. Pete Anaya, P.E.
Contact Information:
City of Corpus Christi
Test Ouantity Unit Fee Fee
Ramp
Description:
Square Footage:
Set Size:
Test Schedule:
Concrete Strength
Test Frequency:
CYLINDER PICK -UP FEES
Concrete Curb Ramp
2,356
Concrete Cylinders (set of 4) 1 $152.00 $152.00
I @7 days &3 @28 days
4000 PSI
1 set every 4,000 SF / Per Day
Number of Trips: 74 $39.00 $2,886.00
TRANSPORTATION FEES
Location: Corpus Christi, Texas 324 $23.00 $7,452.00
ADMINISTRATION FEES 1 $58.00 $58.00
ESTIMATED TOTAL $69,182.00
*This is only an estimate. Please make note that the actual fees invoiced for this project will be based on
the actual testing performed. The total fee assessed will be dependent on the contractor's construction
techniques, number of trips made to the jobsite, elapsed time from technician arrival to commencement
of testing activities, and any time the technician is required to be on -site but not performing testing
activities.
aof8
EXHIBIT�'W'
of I
Page 17 of 17J
TERMS AND CONDITIONS TO AGREEMENT
ARTICLE 1. SERVICES: "LAB" will:
1.1 Provide only 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.
1.2 Perform technical services under the general direction of a licensed engineer and in substantial
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 (printed and electronic copies) 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 for the proper performance of services by "LAB ".
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.
2.3 Designate in writing those persons or firms which will act as the "C1TY'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.
EXHIBIT "B"
Page I of
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.
ARTICLE 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.
ARTICLE 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.
ARTICLE 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 ".
ARTICLE 6. 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
EXHIBIT "B"
Page 2 of 3
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.
ARTICLE 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.
ARTICLE 8. EXTENT OF AGREEMENT
8.1 This AGREEMENT, including Exhibit "A" and these terms and conditions, represents the entire
AGREEMENT between "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 between
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.
EXHIBIT "B"
Page 3 of 3
Exhibit C
Mandatory Requirements
(Revised November, 2005)
INDEMNIFICATION AND HOLD HARMLESS
Lab agrees to indemnify, save harmless and defend the City of Corpus Christi, and its
agents, servants, and employees, and each of them against and hold it and them harmless
from any and all lawsuits, claims, demands, liabilities, losses and expenses, including court
costs and attorneys' fees, for or on account of any injury to any person, or any death at any
time resulting from such injury, or any damage to any property, which may arise or which
may be alleged to have arisen out of or in connection with the work covered by this contract.
The foregoing indemnity shall apply except if such injury, death or damage is caused by the
sole or concurrent negligence of the City of Corpus Christi, its agents, servants, or
employees or any other person indemnified hereunder.
SUPPLIER NUMBER
TO BE ASSIGNED BYZITY
PURCHASING DIVISION
City of CITY OF CORPUS CHRISTI
Coipus
Christi DISCLOSURE OF INTEREST
City of Corpus Christi Ordinance 17112, as amended, requires all persons or firms seeking to do
business with the City to provide the followin 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: dock &�.R±► %Pve-n . cad
P. O. BOX:
STREET ADDRESS: � t��o CITY: �i ZIP: - g 4 69
FIRM IS: 1. Corporation � 2. Partnership ❑ 3. Sole Owner E] 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
� d� 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."
Naik 6, Title
3. State the names of each "board member" of the City of Corpus Christi having an "ownership
interest" constituting 3% or more of the ownership in the above named "firm."
Name Board, Commission or
t4A Committee
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 Consultant
r
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 employee in the matter is
apparent. The 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: C,,,fjti Title: y
�tis,�ess �eVe.4�t�t�n�� �a�4G
(Type or Print)
,Signature of Certifying Date:
Person: — i -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. "Firm." 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.
£ "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.