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Home My WebLink AboutC2012-096 - 3/9/2012 - NAAMENDMENT NO. 6 TO CONTRACT FOR PROFESSIONAL SERVICES The City of Corpus Christi, Texas hereinafter called "CITY", and CH2M HILL , hereinafter called "CONSULTANT," agree to the following amendment to the Contract for Professional Services fo Kostoryz Road, Phase I from Horne to Sunnybrook (BOND 2008) (Project No. 6489), as authorized and amended by: Original 0 ntract Aril A 91 nril ' Motion No. 2009-095 $1,414,850.00 Amendme 1 40. 1 v 0 em N ovem ber 17 2009 Motion No. 2009 -828 $92,900.00 Amendment No. 2 %3- M h hAnn- 9) -) 0 1 0 Ma atJv p Administrative App rov roval $ $6,720.00 Amendment No. h June nZ or J un's A dministrative Approval $44,055.00 Amendment No. 4 Ja 09, 2014 Administrative Approval $49,955.00 Amendment N 5 ru � Fe;brua!y 09, 2012 1 Administrative Approval $40,800.00 EXHIBIT "A", PART 1. SCOPE OF SERVICES, SECTION A. BASIC SERVICES, ITEM NO. 1 PRELIMINARY DESIGN PHASE shall be amended to include additional Preliminary Design Phase Services as set forth in the attached Amendment No. 6 Exhibit "A". EXHIBIT "A", PART 1. SCOPE OF SERVICES, SECTION A. BASIC SERVICES, ITEM NO. 2 DESIGN PHASE shall be amended to include additional Design Phase Services as set forth in the attached Amendment No. 6 Exhibit "A". EXHIBIT "A", PART 1. SCOPE OF SERVICES, SECTION A. BASIC SERVICES, ITEM NO. 3 BID DESIGN PHASE shall be amended to include additional Bid Phase Services as set forth in the attached Amendment No. 6 Exhibit "A". EXHIBIT "A", PART 1. SCOPE OF SERVICES, SECTION A. BASIC SERVICES, ITEM NO. 4 CONSTRUCTION DESIGN PHASE shall be amended to include additional Construction Phase Services as set forth in the attached Amendment No. 6 Exhibit "A". EXHIBIT "A" PART 3. FEES SECTION B. SUMMARY OF FEES shall be modified and is attached as Amendment No. 6 Exhibit "B" for a revised fee not to exceed $40,8000.00 (Forty Thousand Eight Hundred Dollars and Zero Cents), for a total restated fee notto exceed $1,657 (One Million Six Hundred Fifty-Seven Thousand Seventy Dollars and Zero Cents). All other terms and conditions of the April 21, 2009 contract between the City and Consultant will remain in full force and effect. CITY OF CORPUS CHRISTI e2 Oscar R. Martinez (Date) Assistant City Manager Daniel Biles, P.E. (Date) Interim Director of Engineering Services 2012-096 AMD. No. 6 3/9/12 Page I of 2 Mal 4os,6489&6490ftwe7 Koslor y zRoadfr omHornatoSunnybrook , Phase2KOstoryzRoadfromSunnybrooktoSPID\CH2M HILL, CH2M hill ## D ATTEST Armando) Chapa, City Secre ry (D ata ) APP WR,IOIVED S TO FORM Ci Attorney (Date) Fund Source: W $ $ Phase 1 550950-3546-00000-170126 4 !!MR 40,800.00 Phase 2 550950-3546-00000-170121 $0.00 Total $40,800.00 % LAIMD. No. 6 Pa e 2 2 KAEngineering DataExchange\RotartQ\STREET%Project Nos 6489&649OPhase[KostoryzRoadfromHorneloSunnybrook,Phase2KostaryzRoadfromSunnybrookloSPO)�CH2MBIL, off ANMNDWNTNO 6WffiNDIvENT No. 6.doc %d CK October 31, 2011 Mr. Pete Anaya, P.E. c/o Armando Gutierrez, P.E. Director of Engineering Services City of Corpus Christi P.O. Box 9277 Corpus Christi, TX 78469 -9277 CH2M HILL 555 N. Carancahua, Suite 310 Corpus Christi, TX 78401 Tel 351.688.8100 Fax 361.688.8600 PN: 390888 1 RE: Kostoryz Road, Phase 1 from Horne to Sunnybrook (Project No. 6489) Kostoryz Road, Phase 2 from Sunnybrook to S.P.Y.D. (Project No. 6490) AMENDMENT NO.6 Dear Mr. Anaya: Please accept this letter as our proposal to amend our original and amended contract to obtain additional funding for the following items related to Kostoryz Road — Phases 1: • Construction Observation services increased from 20 hours per week to 30 hours per week for the length of the accelerated contractor project schedule of 76 weeks for Phase 1. This Contract Amendment No. 6 includes fees incurred for construction observation services not authorized in the original contract. The addition of these construction observation services was not a part of the original Contract Scope of Services and is to be performed as Addendum No. 6. This fee provides for the addition of ten (10) hours per week to the construction observation services contractual twenty (20) hours a week, thus increasing the weekly construction observation services to thirty (30) hours a week for the Contractor accelerated schedule of 76 weeks for Phase 1 Construction. If the completion of Phase 1 construction exceeds the 76 week duration, an additional contract amendment will be required to continue Construction Observation Services for Phase 1. A total additional engineering fee of $40,800.00 will be needed for construction observation services for Phase 1 Construction. The following are the proposed changes to the original amended, executed contract. Scope of Services: Changed Exhibit "A -l" ADDITIONAL SERVICES section 4.0 for Construction Observation Services to 30 hours per week for 76 weeks (see Exhibit A -1) (changes are shown in bold). Schedule: No Changes Fees: A. Fee for Basic Services: No changes. B. Fee for Additional Services: Added to Part 4.0 (changes are shown in bold). C. Summary of Fees: See the following tables for an explanation of the additional fees (changes are shown in bold). AMD. NO. 6 CITYOFC0RPU5CHRISTI\390888 KOSTORYZRDICONTRACTS- CHANGE ORDERMLIENMMENOMENTSL4MENDMENT NO. W011 1631 CONTRAC EXHIBIT "A" 'BITA DOCx Page 1 of 3 Phase 2: KostoW Road from Sunnybrook W ORIGINAL AMD, AMD. AMD. AMD- AMD. AMD. ............. TOTAL Basic Services CONTRACT No.1 No.2 No-3 No.4 No.& No. . CONTRACT Phase 1: Kostoryz Road from Home to $ 40,0M0D $ 190,000m 1,500.00 S 14,500,00 $ 246,OD .00 $ $ $ $ $ $ $ $ - $ 23,715-00 $ $ - $ 23,715.00 S - $ 1.125.00 $ - $ 1,125.00 $ , S $ $ $ $ 40,ODO.00 W 00 $ 214,840.00 $ 1.500.00 $ 14,500.00 $ 270.840.00 Basle Services Preliminary Phase $ 120,000.00 $ $ $ - $ 1,470.DD $ I Preliminary Phase $ 60.000. phase $ 740.000.00 $ - $ 1.470.00 $ $ 5,080.00 ...... 2 Design Phase $ 550,000.00 $ 12F� r e 20.340,00 $ 44,980.00 $ s,060 $ $ 620,400.00 3 Bid Phase T 6 $ $ $ $ - $ 5D0.00 $ 6.500,00 4 Construction Phase $ 16.000.00 $ TCEQ (allowance) TDLR (allowance) $ 1,400.00 $ 6,200,00 $ - $ 74000 S $ 18.740,00 Subtotal Basic Services $ 654. D.00 $ 2 $ 20,340,00 $ 44,980.00 $ 7.790.0() IS 2,880.00 727.11000 Additional Services 1 $ 11,600.D0 $ 2.880.00 3 ROW Acquisi ion, Survey $ - $ 1$ I Ponnit Preparation $ 2.250.00 4 Topographic Survey (authorized) $ 60,000.00 S 2,500.00 $ TxDOT $ $ $ 62,500,00 $ Utility Locations and Wastewater tine Inspection (allowance) $ $ 36,31 O.00 TCEQ (allowance) $ 1,400.00 $ $ $ $ 61.310.00 $ $ $ 68,o00.o0 TDLR (allowance) i $ 6,200.00 $ 5 $ $ 2,800.00 $ 68,ODO.00 $ 1 Subtotal Permit Preparation $ 7.600.00 $ $ $ $ $ S 2,800,00 $ 6.200.00 2 RTA Bus StOPS authorized) $ - $ $ 3,840.00 $ $ $ $ $ $ 7,600,00 3 ROW Acquisition Survey $ - $ - $ $ 1,600.00 $ $ $ 3,840.00 T_ 41TOpopraphic Survey (authorized) $ 120,000.00 .$ $ 5, 0 00. 00 S $ $ - - - - -- - TS $ 1 5 Utility Locations and Wastewater Line S 419,200.()0 $ 36,810,00 . $ 2,880.00 $ 23,715.00 $ 3,375.001$ $ $ 125-00000 - trisMlion,(aflowance) S 50,000,00 $49,090,00 S $ $ $ $ $ — Construction Observation Services $ - $ 160.400,00 6 Construction Observation Services (allowance) $ 221,000.00 $ 09000 6 — allowance) S S 261.800.00 $ $ $ $ 40800.00 $ 1193,8W.00 7 Public Meeting (authorized) $ 5 ,350�00 $ 5 8 WarrantK (authorized) Subtotal Additional Services Total Phase I and Phase 2 $ $ - $ 5,350.(>G 8 Warranty Phase authorized} $ 5,700J00 $ $ $ 40,i56.001$ $ $ $ $ $ ES40-900-En T_ Subtotal Additional Services $ 341,656�00 $ 54.090.00 $ 3.840.00 1 S $ 1,600.00 J� 5 $ $ �, '00 00 $ 40�800.15Y $ 441,980,00 [Phase 1: Total Authorized Fee .71,1 $ ,I89 Phase 2: KostoW Road from Sunnybrook W ORIGINAL CONTRACT AMD. No. I AMD. No.2 AMD. N0.3 AMD. N*.4 AMC). No.6 AVID. No. 9 TOTAL CONTRACT j Basic Services 1 Prelimin Phase HEanstrul-tion Phase Subtotal Basic Services $ 40,0M0D $ 190,000m 1,500.00 S 14,500,00 $ 246,OD .00 $ $ $ $ $ $ $ $ - $ 23,715-00 $ $ - $ 23,715.00 S - $ 1.125.00 $ - $ 1,125.00 $ , S $ $ $ $ 40,ODO.00 W 00 $ 214,840.00 $ 1.500.00 $ 14,500.00 $ 270.840.00 l Preliminary Phase $ 120,000.00 $ $ $ - $ 1,470.DD $ Additional Services phase $ 740.000.00 $ S $ 44.065,00 $ 46.105.00 $ 5,080.00 1 Permit Preparation 12F� r e $ 7,500.00 $ $ $ . $ - $ 5M.00 $ TxDOT $ 4,000.00 $ $ $ - $ - $ - $ $ 740.00 — — TCEQ (allowance) TDLR (allowance) $ 1,400.00 $ 6,200,00 $ $ $ T $ $ $ 44.055r()0 $ $ $ $ 1,400.00 $ 6.200.00 2 Subtotal Permit Preparation RTA Bus Stops {authorized) $ 11,600.00 $ - $ 1$ $ IS 2,880.00 $ $ 1 $ 11,600.D0 $ 2.880.00 3 ROW Acquisi ion, Survey $ - $ 1$ S 2,250.04. $ 2.250.00 4 Topographic Survey (authorized) $ 60,000.00 S 2,500.00 $ $ $ $ 62,500,00 5 Utility Locations and Wastewater tine Inspection (allowance) $ 25,000.00 $ 36,31 O.00 $ $ $ $ $ $ 61.310.00 6 Go� nslrt t Closenalion bervices (allowa $ 68,o00.o0 $ $ $ $ $ $ 2,800.00 $ 68,ODO.00 7 Public Meeting (authorized) $ 2,800.00 $ S $ $ $ $ S 2,800,00 8 Warranty Phase (authorized) $ 5,800;00 $ $ $ $ $ $ $ 5,600.00 Subtotal Additional Selvices $ 173,200,00 $38,810.00 $ 2.880.4D $ $ 2,250.00 $ $ $ 217,140.00 3 ROW A.SHi�� - $ . $ $ - S $ 3,850.00 $ $ jPhase 2: Total Authorized Fee S 419,200.()0 $ 36,810,00 . $ 2,880.00 $ 23,715.00 $ 3,375.001$ $ $ S 487,984.00 PACITYOFCORPLISCHRISTQ90888 KOSTORYZRMCONTRACTS-CHANGE ORDERS4CLIENT1AMENDMENTS\AMENDMENT NO. 6011 10 31 CONTRAC AMD. NO. 6 EXHIBITALOU EXHIBIT "A" Page 2 of 3 ORIGINAL CONTRACT AMD, NOA AMD. No.2 AMD. 140.3 AMD. No.4 AMD. No. 6 AMD. No. a TOTAL CONTRACT Total Phase I and Phase 2 Basic Services — l Preliminary Phase $ 120,000.00 $ $ $ - $ 1,470.DD $ S 121,470.00 phase $ 740.000.00 $ S $ 44.065,00 $ 46.105.00 $ 5,080.00 $ $ 835,240.00 12F� r e $ 7,500.00 $ $ $ . $ - $ 5M.00 $ $ 8,000.00 41Construction Phase $ 32,500.00 $ .$ $ - $ $ 740.00 $ $ 33,240.00 Subtotal Basic Services $ 9W,000.00 $ $ 44.055r()0 $ 46,105.001 S 7,790.00 $ $ 997,950.00 1 Additional Services 1 Permit Preparation TxOOT $ 4,0(1(3.00 $ $ $ $ $ $ $ 4.000.00 _TCEO (allowance) $ 2,800.00 S $ $ $ $ $ $ 2,800.00 — TDLR (allowance) $ 12,400.00 S $ $ $ $ $ 12.4D0,00 Subtotal Permit Preparation $ 19.200.00 $ S $ $ S S 19.200.00 2 RTA Bus Stops (authorized) $ - $ $ 6,720.00 $ S $ $ $ 6,720= 3 ROW A.SHi�� - $ . $ $ - S $ 3,850.00 $ $ $ 3,850.00 4 Topographic Survey (authorized) $ 180,000.00 $ 7,500,00 $ $ $ - 1$ 187,500 5 Utility Locations and Wastewater Line hspection (allow3nce) S 75,000.00 $85,40D.00 $ $ $ $ - $ 160.400,00 6 Construction Observation Services (allowance) $ 221,000.00 $ is $ $ 40,800.00 S 261.800.00 7 Public Meeting (authorized) $ 8,150.00 $ $ e $ $ $ - 8 WarrantK (authorized) Subtotal Additional Services Total Phase I and Phase 2 $ 11.500.00 $ 514,850.00 $ 1,414,850.00 $ - i $ 92,900.00 $92,900,00 $ $ 6,720.00 1 $ 6.720.00 $ $ $ 44.055,001 $ $ 3,850.00 $ 49,955.00 $ $ $ 7,790.00 $ $ 40,i56.001$ 11 ,500.00 1,667,070.001 PACITYOFCORPLISCHRISTQ90888 KOSTORYZRMCONTRACTS-CHANGE ORDERS4CLIENT1AMENDMENTS\AMENDMENT NO. 6011 10 31 CONTRAC AMD. NO. 6 EXHIBITALOU EXHIBIT "A" Page 2 of 3 Very truly yours, CH2M HILT. TBPE Firm No.: 2297 Sidney A. Faas, P.E. Vice President SAF /lp PACITYOFCORPUSCHRISTR390888KOSTORYZRDICONTRACTS- CHANGEORDERSICLIENTIAMENDMENTSIAMENDMENTNO .6 0111031CONTRAC AMD. NO.6 ExHI BIT A.DOCX EXHIBIT "A" Page 3 of 3 EXHIBIT A -1 CITY OF CORPUS CHRISTI KOSTORYZ ROAD, PHASE 1 (Project No. 6489) KOSTORYZ ROAD, PHASE 2 (Project No. 6490) 1. SCOPE OF SERVICES Remaining work on the project is reported and amended as follows: A. Basic Services 1.0 Preliminary Phase a. No change. b. No change. c. No change. d. No change. e. No change. f. No change. g. No change. h. No change. i. No change. j. No change. k. No change. . 2.0 Design Phase a. No change. b. No change. c. No change. d. No change. e. No change. f. No change. g. No change. h. No change. i. No change. j. No change. k. No change. 1. No change. m. No change. AMD. NO. 6 EXHIBIT "A -1" Page 1 of 2 n. No change. The City staff will: a. No change. b. No change. c. No change. d. No change. 3.0 Bid Phase a. No change. b. No change. c. No change. d. No change. e. No change. 4.0 Construction Phase a. No change. b. No change. c. No change. d. No change. e. No change. f. No change. g. No change. h. No change. i. No change. j. No change B. Additional Services 1 .0 Topographic Survey — No change. 2.0 ROW Survey — No change. 3.0 Permits — No change. 4.0 Provide (PR) construction observation services for 20 30 hr/Week for4o 76 weeks. AMID. NO. 6 EXHIBIT "A -'I" Page 2 of 2 KOSTORYZ ROAD, PHASE 1 FROM HORNE TO SUNNYBROOK WITH BRAWNER DITCH OFF SITE DRAINAGE (Project No. 6489) KOSTORYZ ROAD, PHASE 2 FROM SUNNYBROOK TO S.P.I.D. (Project No. 6490) SUMMARY OF FEES (D UO v o �o W � o> ORIGINAL CONTRACT AMD. NO, 1 AMD. NO. 2 AMD. NO. 3 AMD. N0.4 AMD. NO. 5 AMD.NO. 6 TOTAL : Kost Phase 1 oryz Road from Horne to Sunnybrook (including Off - Site Drainage) ) Basic Services 1 Prelimina Phase $80,000.00 1 $0.00 $0.00 $0.00 $0.00 $1,470.00 $0.00 $81,470.00 2 Design Phase 3 550,000.00 0.00 0.00 20,340.00 44,980.00 5,080.00 0.00 620,400.00 Bid Phase 6,000.00 0.00 0.00 0.00 0.00 500.00 0.00 6,500.00 4 Construction Phase 18,000.00 0.00 0.00 0.00 0.00 740.00 4p,800.00 59,540.00 Subtotal EBasicServices 654,000,00 0.00 0.00 20,340.00 44,980.00 7,790.00 40 ,840.00 767,910.00 ADDITIONAL SERVICES Preparation OT F1 fPermit EQ (allowance) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 R (allowance) 1400.00 0.00 0.00 000 000 0.00 0.00 1,400.00 Subtotal Permit Preparation 6,200.00 7,600.00 0.001 0.00 0.00 0.00 0.00 0.00 0.00 6,200.00 2 ROW Acquisition Survey 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7,600.00 3 Topographic Survey (authorized) 120,000.00 5,000.00 0.00 0.00 0.00 1,600.00 0.00 0.00 0.00 1,600.00 Utility Locations and Wastewater Line 0.00 0.00 125,000.00 4 Inspection (allowance) 50,000.0 49,090.00 0.00 0.00 0.00 0.00 0.00 99,090.00 5 Construction Observation Services (allowance) 153,000. D0 0.00 0.00 0.00 0.00 6 Public Meeting (authorized) 5,350.00 0.001 0.00 0.00 01)0 0.00 0.00 0.00 153,000.00 7 Warranty Phase (authorized) 5,700.00 0.001 0.00 0.00 0.00 0.00 5,350.00 8 I RTA taus Stops (authorized) 0.00 0.00 3,840.00 0'00r 0.00 om 0.00 5,700.00 Subtotal Additional Services 341,650.00 54,090.001 3.840.001 0.0ol 1,600.00 0.00 0.00 0.00 3,840.00 0.00 401,180.00 Phase 1: Total Authorized Fee $995,650.00 $54,094.00 $3,840.00 - $20,340.001 1 $46,580.00 $7,790.40 $40,840.00 $1,169,090.00 (D UO v o �o W � o> m Eu O O � ., O W W ORIGINAL CONTRACT AMD. NO. 1 AMD. NO. 2 AMD. NO. 3 AMD. NO. 4 AMD, NO. 5 AMD. NO. 6 TOTAL Phase 2: Kostoryz Road from Sunnybrook to SPID Basic Services 1 Preliminary Phase $40,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $40,000.00 2 Design Phase 190,000.00 0.00 0.00 23,715.00 1,125.00 OAO O.Od 214,840 00 3 Bid Phase 1,500.00 0.00 0.00 0.00 0.00 0.00 O.OD 1,500.00 4 Construction Phase 14,500.00 0.00 0.00 0.00 0.00 0.00 0.00 14,500.00 Subtotal Basic Services 246,000.00 0.00 0.00 23,715.00 1,12504 0.00 0.00 270,840.00 ADDITIONAL SERVICES 0.00 1 Permit Preparation 0.00 TxDOT 4,000.00 0.00 0.00 0.00 0.00 0.00 4.00 0.00 4,004.00 TCEQ (allowance) 1,400.00 0.00 0.00 0.00 0.00 0.00 0.00 1,400.00 TDLR (allowance) 6,200.00 0.00 0.00 0.00 O.OD 0.00 0.00 6,200.00 Subtotal Permit Preparation 11,600.00 0.00 0.00 0.00 0.00 0.00 0.00 11,60Q.00 2 ROW Acquisition Survey 0.00 0.00 0.00 0.00 2,250.00 0.00 0.40 2,250.00 3 Topographic Survey (authorized) 60,000.00 2,500.00 0.00 0.00 0.00 0.00 0.00 62,500.00 Utility Locations and Wastewater Line 4 Inspection (allowance) 25,000.00 36,310.00 0.00 0.00 0.00 0.00 0.00 61,310.40 5 Construction Observation Services (allowance) 68,000.00 0.00 0.00 0.001 0.00 0 AD 6 Public Meeting (authorized) 2,800.00 0.00 0.00 0.00 0.00 0.00 O.OD 68,00100 7 Warranty Phase (authorized) I RTA 5,800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2,804.00 8 Bus Stops (authorized) 0.00 0.00 2,880.00 0.00 0.00 0.00 0.00 5,800.00 2,880.00 Subtotal Additional Services 173,200.00 38,810.00 2,880.00 0.00 2,250.00 0.00 0.00 217,140.00 Phase 2: Total Authorized Fee $419,200.00 $38,810,001 $2,880.00 $23,715.00 $3,375.00 $0.00 $0.00 $487,980.00 m Eu O O � ., O W W Total Phase 1 and Phase 2 Basic Services i Preliminary Phase 2 Design Phase 3 Bid Phase 4 Construction Phase Subtotal Basic Services ADDITIONAL SERVICES Ftion Preparation (allowance) allowance) l Permit Preparation cquisition Survey aphic Survey (auth ocations and Wastewater Line ion (allowance) 5 Construction Observafion Services (allowance 6 Public Meeting (authorized) 7 Warranty Phase (authorized) 8 RTA Bus Stops (authorized) Subtotal Additional Services Total Phase 1 and Phase 2 �Xa vx9 CD F a O O w�� CONTRACT I AMD. NO. 1 AMD. NO. 2 AMD. NO, 3 1 AMD, NO. 4 1 AMD. NO. 5 , AMD. NO.6 I TOTAL $120,000.00 $O.0o $0.00 $0.00 $0.00 $1,470.00 $0.00 $121,470.00 740,000.00 0.00 0.00 44,055.00 46,105.00 5,080.00 0.00 835,240.00 7,500.00 0.00 0.00 0.00 0.00 500.00 0.00 8.000A0 32,500.00 0.00 0.00 0.00 0.00 740.00 40,800.00 74,040.00 900,000.00 0.00 0.00 44,055.00 46,105.00 7,790.00 40800.00 1,038,750.00 4,000.00 0.00 0.00 0 nni n 00 0.00 0.00 4,000.00 2,800.00 0.00 0.00 0.00 0.00 0.00 0.00 2,800.00 12,400.00 0.00 0.00 0.00 0.00 0,00 0.00 12,400.00 19,200.00 0.00 0.00 n nni 0.00 0.00 0.00 19,200.00 0.00 0.00 0.00 0.00 3,850.00 0.00 D.DO 3,850.00 180,000.00 7,500.00 0.00 0.00 0.00 O.DO 0.00 187,500.00 75,000.00 85,400.00 0.00 O.OD 0.00 O.OD 0.00 160,gD0.00 221,000.00 0.00 0.00 0.00 O.00 0.00 0.00 221,000.00 8,150.00 0.00 000 0.00 0.00 0.00 0.00 8,150.00 11,500.00 0.00 0 . 01 0.00 0.00 0.00 0 00 11,500.00 0.00 0.00 6,720.001 0.001 0.00 0.00 0.00 V20.00 514,850.00 92,900.00 6,720.00 0.001 3,850.00 O.OD 0.00 618,320.00 $1,414,850.00 $92, $6,720.00 $44,055.00 $49,955.00 $7,790.00 $40,800.00 $1,657,070.00 5Ui'I'LIER NUMBER TOBEASSIGNED BYCITY — ` .� PURCHASING DIVISION City of CITY OF CORPUS CHRISTI Corpus Christi DISCLOSURE OF INTEREST City of Corpus Christi Ordinance 1 7112, as amended, requires all persons or firms seeking to do business with the City to provide the following information. Every q If the question is not applicable, answer with `NA ". See reverse side uestion must be answered. for Filing Requirements, Certifications and defenit�ons. COMPANY NAME: CH2M Hill, Inc. P. O. BOX: STREET ADDRESS: 555 N Carancahua, Tower 11 CITY: Corpus Christi Zjp; 78401 FIRM IS: 1. Corporation 2. Panne hi 4. Association 5. Other P B 3. Sole Owner Q DISCLOSURE QUESTIONS If additional space is necessa7, please use the reverse side of this page or attach separate sheet. I. 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.' NIA Name 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 NIA 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." N/A Name Board, Commission or Committee 4. State the names of each employee or officer of a "consultant" for the City of corgus 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 NIA Consultant TILING REQUIREMENTS Ira person who requests otiicial ;tenon on a matter knows that tits requestedi action will confe action will r an economic havc on any City offi or employee that is distirt�uish3bie front tine effect hint the have an members of the public in general or a suhsttutial segment thereof, VOL shah disclose that fact in a signed tvrittnf to Tile Cit>• official, entltioyee or body that has ], cell requested to act in the matior. unless t le interest of w the City Official or employe in the matter is a parent. The disclosure shall also be made in a signed writing filed wall the City Se { thics Ordinance Section 2-349 (d)7 cretary, I certify that all information provid d is i is an I correct as of the date or Iltis statentenl, that 1 have not knowingly a ithheld disclosure of arty information requested: and that supplemental statements will be promptly submitted to the City of Corpus Cin•isti. 'texas as changes occur. Certifying Person: Sidney A. hags Title: Vice President (Type or Print) Signature of Certif }'ing Person: Date: � ZSI DEFINITIONS "Board member." A tttember of" any board, commission, nr" committee appointed by the City Council of the Cite orcorptis Christi. "rc .Xas. 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 front its effect on members of the public in general or a substantial segnncut thereof, C. "Employee." Any person employed by the Citractor. y of Corpus Christi Texas either on a fall or part -tithe basis, bat�not as an independent cont d. "Firm." Any entity operated for eco,t gain, whetlIer 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 fora, of solo proprietorship, as self - employed person. partnership. coiporation. ,joint stock company. joint venture. receivership or tnist, and entities which 1 purposes of taxation are Ireatcd as non - profit organizations. e. "Official." The Mayor. members ol the City Cotu,cil, City ,Manager, Deputy City Manager, Assistant City Managers, Department and Division 1.1 ads. and Ivltuticipal Court Judg of the City of Corpus Christi. "l'exas. f: "Ownership Interest." Legal or cquimble interest, whether actually or constructively held, in n firth, including when such interest is held through an agent, ttvst. estate, or holding entim'. "Constructively held" refers to holdings or control est ablished through voting inisis, proxies, or special terms of venture or partnership a_reetncuts." t;. " COnSullant ." Any person or brat, stick is engineers and architects_ hired by the City of Corpus Christi for tltc purpose of professional consultation anti recominen(fation_