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HomeMy WebLinkAboutC2013-047 - 2/4/2013 - NAAMENDMENT NO. 8 k<k;CE1V�� I3 TO CONTRACT FOR PROFESSIONAL SERVICES FEB 0 4 X13 The City of Corpus Christi, Texas hereinafter called "City ", and Freese and Nic o s, n . hereinafter called "CONSULTANT ", agree to the following amendments to the Contract for Professional Services for Staples Street (BOND ISSUE 2008) — Phase 1 from Saratocaa to Holly ( Proiect No. 6494) and Phas 2 from Holly to Williams (Project No. 6495) as authorized by: Original Contract June 9, 2009 Motion No. M2009 -162 $1,665,349.00 Amendment No. 1 Aril 27, 2010 Motion No. M2010 -093 $67,968.00 Amendment No. 2 August 17, 2010 Motion No. M2010 -186 $71,625.00 Amendment No. 3 August 8, 2011 Administrative Approval $47,978.00 Amendment No. 4 March 15, 2012 Administrative Approval $48,755.00 Amendment No. 5 May 30, 2012 Administrative Approval $37,533.00 Amendment No. 6 July 19, 2012 Administrative Approval $38,434.00 Amendment No. 7 December 5, 2012 Administrative Approval $49,541.00 In the original contract, Exhibit "A ", Section 1. SCOPE OF SERVICES, Section B. Additional Services, 7. Public Involvement Phase shall be amended to provide the City with additional Public Involvement services as listed below. • Reached anticipated Tweets levels. Will continue with estimated bi- monthly tweets (16) for remaining 10 months of the project. • Reached and exceeded anticipated website updates (construction updates, schedule updates and scrolling ticker. Will continue with estimated major updates (10) plus 16 scrolling ticker updates. • To date, excess work on media releases, website updates, additional meetings, individual contacts, emails and other activities will offset four (4) mail -outs. • Will develop and distribute ten (10) additional media releases. • Will attend four (4) additional team meetings and stakeholder meetings. • Will continue coordination with business owners and non -city public entities, including emails, at estimated rate of two (2) per week. • Will post new ads for businesses to website (not to exceed five (5) total). In the original contract, Exhibit "A ", Section 3. FEES shall be modified for a total fee not to exceed $49.838.00 (Forty Nine Thousand Eight Hundred Thirtv Eight Dollars and Zero Cents), for a total restated fee not to exceed $2,077,021.00 (Two Million Seventy Seven Thousand Twenty One Dollars and Zero Cents) as shown in the attached Amendment No. 8, Exhibit "B." Monthly invoice must be submitted in accordance with Exhibit "C ". All other terms and conditions of the June 9, 2009 contract between the City and Consultant will remain in full force and effect. Freese and Nicholls Inc. 2013 -047 2104113 AMD. NO.8 Page 1 of 2 R6494 -6495 STAPLES STREET PHASE 1 FROM SARATOGA TO HOLLY PHASE 2 HOLLY TO WILLIAMSIAMENDMENT NO IN DEXED CITY OF CORPUS CHRISTI ��WaDL — Oscar R. Martinez, Date Assistant City Manager RECOMMENDED �' 3a Daniel Biles, P.E. ate Director of Engineering Services APPROVED AS TO FORM I � �/� (12 Office of Management Date C5`z and Budget APPROYEDAS TO FORM 41(- -' Assistant City Attorney Date ATTEST Armando Chapa, City cretary FREES AND NICHOLS, INC. t Z- x' Ron uzman, P.E. Date Principal 800 N. Shoreline Blvd., Suite 160ON Corpus Christi, TX 78401 361 - 561 -6500 Office 361- 561 -6501 Fax ENTERED JAN 3 0 2013 0/ CONTRACT MANAGERS Street GO CIP Fund Bond Issue 2008) Phase 1 from Saratoga to Holly Project No. 6494 550950 -3548- 00000- 170212 $ , Phase 2 from Holly to Williams Project No. 6495 550950 -3548- 00000 - 170213 , . 0 Total �0 Encumbrance Number: 6 `�� 4 A!! ,2 y 9r9 AMD. NO. 8 Page 2 Of K:1Engineering OataExchangelANGIEMISTREET 164946495 STAPLES STREET PHASE 1 FROM SARATOGA TO HOLLY PHASE 2 HOLLY TO WILLIAMSIAMENOMENT NO MMENQ 8 AGREEMENT.doc January 23, 2013 Mr. Dan iles, P.E., AMP Direc.0 of Engineering Services City Corpus Christi P. V Box 9277 C rpus Christi, TX 78469 Re: Staples Street Phases 1 & 2 City Project No.: 6494 & 6495 Amendment No. 8 — Additional Public Outreach Dear Mr. Biles, zv�3 Enclosed is our Amendment #8 for your consideration. Please note that this amendment provides for additional public outreach activities for the Construction Phase on the Staples Street project. The additional activities in this proposal are necessary due to the ongoing public outreach effort to communicate the changes in schedule, progress and phase closures to the media, business owners, stakeholders and project team. Please feel free to contact me at 361.561.6500 should you have any questions. Regards, Freese and Ni hols, Inc. 12 - Ron Guzman, P.E. Principal AMEND. NO. 8 EXHIBIT "A" Page I of 1 Sao N. Shoreline Blvd., Suite 160ON • Corpus Christi, Texas 75491 • 361- 561.6500 • Fax 361 - 561 -6501 • www.freese.com Staples Street, Phase 1 from Saratoga to Holly (Project No. 6494) Staples Street, Phase 2 from Holly to Williams (Project No. 6495) SUMMARY OF FEES Staples Street, Phase 1 from Saratoga to Holly (Project No. 6494) Staples Street, Phase 2 from Holly to Williams (Project No. 6495) SUMMARY OF FEES Oriainal Contract Amd. No.1 I Amd. No. 2 1 Amd. No. 3 1 Amd. No. 4 Staples Street, Phase 1 from Saratoga to Holly (Project No. 6494) Street Storm Water Water Wastewater Total Street Street Street Street Basic Services 1 Preliminary Phase $51,297.00 $34,248.00 $20,592.00 $1,561.00 $107,698.00 $0.00 $0.00 $0.00 $0.00 2 Design Phase 248,096.00 165,641.00 99,593.00 7,553.00 520,883.00 0.00 0.00 0.00 0.00 3 Bid Phase 7,876.00 5,259.00 3,162.00 240.00 16,537.00 0.00 0.00 0.00 0.00 4 Construction Phase 40,015.00 26,716.00 16,063.00 1,218.00 84,012.00 0.00 0.00 0.00 0.00 Subtotal Basic Services 347,284.00 231,864.00 139,410.00 10,572.00 729,130.00 0.00 0.00 0.00 0.00 Additional Services (Allowance) 1 Pemil Preparation TXDOT TCEQ -TPDES Notice of IntentlTermination TDLR- ADArfAS Compliance Subtotal Permit Preparation 4,670.00 0.00 3,193.00 7,863.00 0.00 546.00 0.00 546.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4,670.00 546.00 3,193.00 8,409.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2 IROW Acquisition Survey 0.00 0.00 0.00 0.00 0.00 67,968.00 0.00 8,252.00 0.00 3 Topographic Survey 54,775.00 36,570.00 21,988.00 1,667.00 115,000.00 0.00 0.00 1,121.00 0.00 4 Environmental Issues 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5 Construction Observation Services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6 Median/Traffic Impact Assessment 113,139.00 0.00 0.00 0.00 113,139.00 0.00 0.00 0.00 0.00 7 Public Involvement Phase 7,068.00 4,719.00 2,837.00 215.00 14,839.00 0.00 0.00 0.00 24,377.50 8 lWarranty Phase 5,716.00 3,816.00 2,294.00 174.00 12,000.00 0.00 0.00 0.00 0.00 9 Subsurface Utility Exploration 0.00 21,253.00 12,778.00 969.00 35,000.00 0.00 0.00 0.00 0.00 10 Roadway Re- alignment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38,605.00 a.00 Subtotal Additional Services 188,561.00 66,904.00 39,897.00 3,025.00 298,387.00 67,968.00 0.00 47,978.00 24,377.50 Total Phase 1 535,845.00 298,768.00 179,307.00 13,597.00 1,027,517.00 67,968.00 0.00 47,978.00 24,377.50 M = m z 9 �z ,poo K:SEngineering oalaExchange%NGIENkSTREET16494 -6495 STAPLES STREET PHASE 1 FROM SARATOGA To HOLLY PHASE 2 HOLLY TO WILLIAMMAMENOMENT No 8%SUMMARY OF FEESSUMMARY OF FEES Staples Street, Phase 1 from Saratoga to Holly (Project No. 6494) Staples Street, Phase 2 from Holly to Williams (Project No. 6495) SUMMARY OF FEES Orininai Cnntrar_t Amd. No. 7 1 Amd. No. 2 1 Amd. No. 3 1 Amd. No. 4 Staples Street, Prase 2 from Holly to Williams (Project No. 6495) Street Storm Water Water Wastewater Total Street Street Street Street Basic Services 1 Preliminary Phase 47,092.00 13,576.00 4,123.00 9,230.00 74,021.00 0.00 0.00 0.00 0.00 2 Design Phase 223,608.00 64,460.00 19,577.00 43,829.00 351,474.00 0.00 0.00 0.00 0.00 3 Bid Phase 7,482.00 2,157.00 655.00 1,467.00 11,761.00 0.00 0.00 0.00 0.00 4 Construction Phase 32,179.00 9,276.00 2,817.00 6,307.00 50,579.00 0.00 0.00 0.00 0.00 Subtotal Basic Services 310,361.00 89,469.00 27,172.00 60,833.00 487,835.00 0.00 0.00 0.00 0.00 Additional Services (Allowance) 1 Pemil Preparation TXDOT TCEQ -TPDES Notice of Intent/Termination TDLR- ADAffAS Compliance Subtotal Permit Preparation 0.00 0.00 4,772.00 4,772.00 a.00 544.00 0.00 544.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 544.00 4,772.00 5,316.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2 ROW Acquisition Survey 0100 0.00 0.00 0.00 0.00 0.00 71,625.00 0.00 0.00 3 Topographic Survey 66,145.00 19,068.00 5,791.00 12,965.00 103,969.00 0.00 0.00 0.00 0.00 4 Environmental Issues 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5 Construction Observation Services 0100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6 Median/Traffic Impact Assessment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7 1 Public Involvement Phase 10,257.00 2,957.00 898.00 2,011.00 16,123.00 0.00 0.00 0.00 24,377.50 8 lWarranty Phase 4,669.00 1,346.00 409.00 915.00 7,339.00 0.00 0.00 0.00 0.00 9 ISubsurface Utility Exploration 0.00 8,696.00 2,641.00 5,913.00 17,250.00 0.00 0.00 0.00 0.00 10 1 Roadway Re- alignment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subtotal Additional Services 85,843.00 32,611.00 9,739.00 21,804.00 149,997.00 0.00 71,625.00 0.00 24,377.50 Total Phase 2 1 396,204.00 122,080.00 36,911.00 82,637.00 637,832.00 0.00 71,625.00 0.00 24,377.50 m I �M co =z N ov o,'iz M 0 00 KlEngineedng DalaExchange LANGIEMSSTREE746494-6495 STAPLES STREET PHASE 1 FROM SARATOGA TO HOLLY PHASE 2 HOLLYTO WILLIAMSSAMENDMENT NO MUMMY OF FEESSUMMARY OF FEES Staples Street, Phase 1 from Saratoga to Holly (Project No. 6494) Staples Street, Phase 2 from Holly to Williams (Project No. 6495) SUMMARY OF FEES flrininal Cnntr9ct I Amd. No.1 I Amd. No. 2 1 Amd. No. 3 1 Amd. No. 4- Staples Street, Phases 1 & 2 (6494 & 6495) Combined Total Street Storm Water Water Wastewater Total Street Street Street Street Basic Services 1 Preliminary Phase 98,389.00 47,824.00 24,715.00 10,791.00 181,719.00 0.00 0.00 0,00 0.00 2 Design Phase 471,704.00 230,101.00 119,170.00 51,382.00 872,357.00 0.00 0.00 0.00 0.00 3 Bid Phase 15,358.00 7,416.00 3,817.00 1,707.00 28,298.00 0.00 0.00 0.00 0.00 4 Construction Phase 72,194.00 35,992.00 18,880.00 7,525.00 134,591.00 0,00 0.00 0.00 0.00 Subtotal Basic Services 657,645.00 321,333.00 166,582.00 71,405.00 1,216,965.00 0.00 0.00 0.00 0.00 Additional Services (Allowance) 1 Pemit Preparation TXDOT TCEQ -TPDES Notice of IntentlTermination TDLR- ADAITAS Compliance Subtotal Permit Preparation 4,670.00 0100 7,965.00 12,635.00 0.00 1,090.00 0.00 1,090.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4,670.00 1,090.00 7,965.00 13,725.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2 IROW Acquisition Survey 0.00 0.00 0.00 0.00 0.00 67,968.00 71,625.00 8,252.00 0.00 3 Topographic Survey 120,920.00 55,638.00 27,779.00 14,632.00 218,969.00 0.00 0.00 1,121.00 0.00 4 Environmental Issues 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5 Construction Observation Services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6 Median/Traffic Impact Assessment 113,139.00 0.00 0.00 0.00 113,139.00 0.00 0.00 0.00 0.00 7 Public Involvement Phase 17,325.00 7,676.00 3,735.00 2,226.00 30,962.00 0.00 0.00 0.00 48,755.00 8 Warranty Phase 10,385.00 5,162.00 2,703.00 1,089.00 19,339.00 0.00 0.00 0.00 0.00 9 ISubsurface utility Exploration 0.00 29,949.00 15,419.00 6,882.00 52,250.00 0.00 0.00 0.00 0.00 10 1 Roadway Re- alignment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 38,605.00 0.00 Subtotal Additional Services 274,404.00 99,515.00 49,636.00 24,829.00 448,384.00 67,968.00 71,625.00 47,978.00 48,755.00 Total Authorized Fee for Phases 1 & 2 $932,049.00 $420,848.001 $216,218.00 $96,234.00 $1,666,349.00 $67,968.00 $71,625.00 $47,978.00 $48,755.00 06/09/09 M2009 -162 04/27/10 I M2010.093 08/17/10 I M2010 -186 08/08/11 I Admin Apprval 03/15/12 Admin Apprval w 3 x M z o, z 0 K[ Eng €needng 6ataExchangeLANGIEM4STREEW494 -5485 STAPLES STREET PHASE 1 FROM SARATOGA TO HOLLY PHASE 2 HOLLY TO WILLIAMMAMENOMENT NO 85SUMMARY OF FEESSUMMARY OF FEES Staples Street, Phase 1 from Saratoga to Holly (Project No. 6494) Staples Street, Phase 2 from Holly to Williams (Project No. 6495) SUMMARY OF FEES M = m z 0 _z ",,o C ;0 K:tEnglneering Data FxchangeWNGIEMSSTREETS494 -6495 STAPLES STREET PHASE 1 FROM SARATOGA TO HOLLY PHASE 2 HOLLY TO WLLIAMSWMENDMENT NO MUMMARY OF FEESSUMMARY OF FEES Amd. No. 5 Amd. No. 6 Amd. No. 7 Amd. No. 8 Staples Street, Phase 1 from Saratoga to Holly (Project No. 6494) Street Street Street Street Total Basic Services 1 Preliminary Phase $0.00 $0.00 $0.00 $107,698.00 2 Design Phase 0.00 18,330.00 0.00 539,213.00 3 Bid Phase 0.00 0.00 0.00 16,537.00 4 Construction Phase 0.00 0.00 24,770.50 108,782.50 Subtotal Basic Services 0.00 18,330.00 24,770.50 0.00 772,230.50 Additional Services (Allowance) 1 Pemit Preparation TXDOT TCEQ -TPDES Notice of Intent/Termination TDI-R- ADAffAS Compliance Subtotal Permit Preparation 4,670.00 546.00 3,193.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8,409.00 2 ROW Acquisition Survey 0.00 887.00 0.00 77,107.00 3 Topographic Survey 0.00 0.00 0.00 116,121.00 4 Environmental Issues 0.00 0.00 0.00 0.00 5 Construction Observation Services 0.00 0.00 0.00 0.00 6 Median/Traffic Impact Assessment 0.00 0.00 0.00 113,139.00 7 Public Involvement Phase 18,766.50 0.00 0.00 24,919.00 82,902.00 8 Warranty Phase 0.00 0.00 0.00 12,000.00 9 ISubsurface Utility Exploration 0.00 0.00 0.00 35,000.00 10 1 Roadway Re- alignment 0.001 0.00 0-001 38,605.00 Subtotal Additional Services 18,766.50 887.00 G.001 24,919.00 483,283.00 Total Phase 1 18,766.501 19,217.00 24,77150 24,919.00 1,255,513.50 M = m z 0 _z ",,o C ;0 K:tEnglneering Data FxchangeWNGIEMSSTREETS494 -6495 STAPLES STREET PHASE 1 FROM SARATOGA TO HOLLY PHASE 2 HOLLY TO WLLIAMSWMENDMENT NO MUMMARY OF FEESSUMMARY OF FEES Staples Street, Phase 1 from Saratoga to Holly (Project No. 6494) Staples Street, Phase 2 from Holly to Williams (Project No. 6495) SUMMARY OF FEES k M = m �, W z 9 ipp 00 K:IEngineedng OalaExchacge ANGIEMSSTREETIS494 -6495 STAPLES STREET PHASE 1 FROM SARATOGA TO HOLLY PHASE 2 HOLLY TO wILLIAMSlAMENOMENT NO MUMMARY OF FEESSUMMARY OF FEES Amd. No. 5 Amd. No. 6 Amd. No. 7 Amd. No. 8 Staples Street, Phase 2 from Holly to Williams (Project No. 6495) Street Street Street Street Total Basic Services i Preliminary Phase 0.00 0.00 0.00 74,021.00 2 Design Phase 0.00 18,330.00 0.00 369,804.00 3 Bid Phase 0.00 0.00 0.00 11,761.00 4 Construction Phase 0.00 0.00 24,770.50 75,349.50 Subtotal Basic Services 0.00 18,330.00 24,770.50 0.00 530,935.50 Additional Services Allowance 1 Pemit Preparation TXDOT TCEQ -TPDES Notice of Intentrrermination TDLR- ADAITAS Compliance Subtotal Permit Preparation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 544.00 4,772.00 5,316.00 2 ROW Acquisition Survey 0.00 8B7.00 0.00 72,512.00 3 Topographic Survey 0.00 0.00 0.00 103,969.00 4 Environmental Issues 0.00 0.00 0.00 0.00 5 Construction Observation Services 0.00 0.00 0.00 0.00 6 Medianrrraffic Im act Assessment 0.00 0.00 0.00 0.00 7 JPublic Involvement Phase 18,766.50 0.00 0.00 24,919.00 84,186.00 8 Warranty Phase 0.00 0.00 0.00 7,339.00 9 Subsurface Utility Exploration 0.00 0.00 0.00 17,250.00 10 Roadway Re- alignment 0.00 0.001 0.00 0.00 Subtotal Additional Services 18,766.50 867.001 0.00 24,919.00 290,572.00 Total Phase 2 18,766.50 119,21T001 24,770.50 24,919.001 821,507.50 k M = m �, W z 9 ipp 00 K:IEngineedng OalaExchacge ANGIEMSSTREETIS494 -6495 STAPLES STREET PHASE 1 FROM SARATOGA TO HOLLY PHASE 2 HOLLY TO wILLIAMSlAMENOMENT NO MUMMARY OF FEESSUMMARY OF FEES Staples Street, Phase 1 from Saratoga to Holly (Project No. 6494) Staples Street, Phase 2 from Holly to Williams (Project No. 6495) SUMMARY OF FEES = m z o 05 K1Engineering DateExchangeWNGIEMISTREEI'%484 -8495 STAPLES STREET PHASE 1 FROM SARATOGA TO HOLLY PHASE 2 HOLLY TO WILLIAMGiAMENDMENT NO 8lSDMMARY OF FEESSVMMARY OF FEES Amd. No. 5 Amd. No. 6 Amd. No. 7 Amd. No. 8 Staples Street, Phases 1 & 2 (6494 & 6495) Combined Total Street Street Street Street Total Basic Services 1 Preliminary Phase 0.00 0.00 0.00 0.00 181,719.00 2 Design Phase 0.00 36,660.00 0.00 0.00 909,017.00 3 Bid Phase 0.00 0.00 0.00 0.00 28,298.00 4 Construction Phase 0.00 0.00 49,541.00 0.00 184,132.00 Subtotal Basic Services 0.00 36,660.00 49,541.00 0.00 1,303,166.00 Additional Services (Allowance) 1 Pemit Preparation TXDOT TCEQ -TPDES Notice of Intent/Termination TDLR - ADAITAS Compliance Subtotal Permit Preparation 0.00 a.OD 0.06 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4,670.00 1,090.00 7,965.00 13,725.00 2 1 ROW Acquisition Survey 0.00 1,774.00 0.00 0.00 149,619.00 3 ITopographic Survey 0.00 0.00 0.00 0.00 220,090.00 4 JEnvironmental issues 0.06 0.00 0.00 0.00 0.00 5 Construction Observation Services 0.04 0.00 0.00 0.00 0.00 Impact Assessment 0.00 0.00 0.00 0.00 113,139.00 c Involvement Phase 37,533.00 0.00 0.00 49,838.00 167,088.00 anty Phase 0.00 0.00 0.00 0.00 19,339.00 F anlTraffic urface Utility Exploration 0.00 0.00 0.00 0.00 52,250.00 wa Re- alignment 0.00 0.00 0.00 0.00 38,605.00 tional Services 37,533.00 1,774.00 0.00 49,838.00 773,855.00 Total Authorized Fee for Phases 1 & 2 $37,533.40 $38,434.00 $49,541.00 $49,838.00 $2,077,021.00 05/30/12 Admin Apprval 07/19/12 Admin Apprval 12/05/12 Admin Apprval = m z o 05 K1Engineering DateExchangeWNGIEMISTREEI'%484 -8495 STAPLES STREET PHASE 1 FROM SARATOGA TO HOLLY PHASE 2 HOLLY TO WILLIAMGiAMENDMENT NO 8lSDMMARY OF FEESSVMMARY OF FEES w X M = m fD z ��v D - Z C) O co Basic Services: Preliminary Phase Design Phase Bid Phase Construction Phase Subtotal Basic Services Additional Services: Permitting Warranty Phase Inspection Platting Survey O & M Manuals SCADA Subtotal Additional Services Summary of Fees Basic Services Fees Additional Services Fees Total of Fees COMPLETE PROJECT NAME Project No. XXXX Invoice No. 12345 Invoice Date: Sample form for: Payment Request Revised 07127/00 Total Amount Previous Total Percent no%nfror•f Amyl Nln I emri Nn 2 Cnntrant Invoiced Invoice Invoice Complete $1,000 $0 $0 $1,000 $0 $1,000 $1,000 100% 2,000 1,000 0 3,000 1,000 500 1,500 50% 500 0 250 750 0 0 0 0% 2,500 0 1,000 3,500 0 0 0 0% $6,000 $1,000 $1,250 $8,250 $750 $1,500 $2,500 30% $2,000 $0 $0 $2,000 $500 $0 $500 25% 0 1,120 0 1,120 0 0 0 0% 0 0 1,627 1,627 0 0 0 0% TBD TBD TBD TBD TBD TBD TBD 0% TBD TBD TBD TBD TBD TBD TBD 0% TBD TBD TBD TBD TBD TBD TBD 0 % $2,000 $1,120 $1,627 $4,747 $500 $0 $500 11% $6,000 $1,000 $1,250 $8,250 $750 $1,500 $2,500 30% 2,000 1,120 1,627 4,747 500 0 500 11% $8,000 $2,120 $2,877 $12,997 $1,250 $1,500 $3,000 23% SUPPLIER NUMBER TO BE ASSIGNED BYC`ITY PURCHASING DIVISION ..,.,. of CITY OF CORPUS CHRISTI DISCLOSURE OF INTEREST Chfisti 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: Freese and Nicho Inc. P. O. BOX: STREET ADDRESS: 800 N. Shoreline Blvd., Suite 160ON CITY: Corpus Christi ZIP: 78401 FIRM IS: 1. Corporation ® 2. Partnership ❑ 3. SDIe 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 Department (if known) NIA NIA 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 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 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. Name Consultant NIA NIA PILING 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: Ron Guzman, P.E. Title: Principal (rrpe Err Moo) Signature of Certifying r Date: Person: Z 3 13 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 alTcct 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." "I'he Mayor, members of the City Council, City Manager, Deputy City Manager, Assistant City Managers, Department and Division Heads, and Municipal Court .fudges 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.