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HomeMy WebLinkAboutC2013-082 - 3/26/2013 - ApprovedCITY OF CORPUS CHRISTI CONTRACT FOR PROFESSIONAL SERVICES � r The City of Corpus Christi, a Texas home rule municipal corporation, P.O. Box 9277, Corpus Christi, Nueces County, Texas 78469 -9277 (City) acting through its duly authorized City Manager or Designee (Director of Engineering Services) and Urban Engineering a Texas corporation, 2725 Swantner Dr., Corpus Christi, Nueces County, Texas 78404, (Arch itect/Eng 1 neer — A/E), hereby agree as follows: 1. SCOPE OF PROJECT Health Department Building Parking Lot (Proiect No. E12125) BOND ISSUE 2012— This project proposes the replacement of approximately 60,000 SF of asphalt drives and parking lots and approximately 10,000 SF of concrete sidewalks throughout the facility. This project also includes modifications to the dumpster area and replacement of 8 light poles. 2. SCOPE OF SERVICES The A/E hereby agrees, at its own expense, to perform design services necessary to review and prepare plans, specifications, and bid and contract documents. In addition, A/E will provide monthly status updates (project progress or delays, gantt charts presented with monthly invoices) and provide contract administration services, as described in Exhibit "A" and "A-1 ", to complete the Project. Work will not begin on Additional Services until requested by the A/E (provide breakdown of costs, schedules), and written authorization is provided by the Director of Engineering Services. A/E services will be "Services for Construction Projects " - (Basic Services for Construction Projects ") which are shown and are in accordance with "Professional Engineering Services - A Guide to the Selection and Negotiation Process, 1993" a joint publication of the Consulting Engineer's Council of Texas and Texas Society of Professional Engineers. For purposes of this contract, certain services listed in this publication as Additional Services will be considered as Basic Services. 3. ORDER OF SERVICES The A/E agrees to begin work on those authorized Basic Services for this contract upon receipt of the Notice to Proceed from the Director of Engineering Services. Work will not begin on any phase or any Additional Services until requested in writing by the A/E and written authorization is provided by the Director of Engineering Services. The anticipated schedule of the preliminary phase, design phase, bid phase, and construction phase is shown on Exhibit "A ". This schedule is not to be inclusive of all additional time that may be required for review by the City staff and may be amended by or with the concurrence of the Director of Engineering Services. 2013 -082 3/26/13 Contract for Engineering (A/E) Services Page 1 of 3 M2013 -058 MIPUBLIC HEALTHhE12125 HEALTH DEPT BUILDING PARKING LO CONTRACT PROFESSIONAL SERVICES. DOC Urban Engineering The Director of Engineering Services may direct the A/E to undertake additional services or tasks provided that no increase in fee is required. Services or tasks requiring an increase of fee will be mutually agreed and evidenced in writing as an amendment to this contract. A/E shall notify the City of Corpus Christi within three (3) days of notice if tasks requested requires an additional fee. 4. INDEMNITY AND INSURANCE A/E agrees to the mandatory contract indemnification and insurance requirements as set forth in Exhibit "B". 5. FEE The City will pay the A/E a fee, as described in Exhibit "A ", for providing services authorized, a total fee not to exceed $64,200.00 (Sixty Four Thousand Two Hundred Dollars and Zero Cents). Monthly invoices will be submitted in accordance with Exhibit «C„ 6. TERMINATION OF CONTRACT The City may, at any time, with or without cause, terminate this contract upon seven days written notice to the A/E at the address of record. In this event, the A/E will be compensated for its services on all stages authorized based upon A/E and City's estimate of the proportion of the total services actually completed at the time of termination. 7. LOCAL PARTICIPATION The City Council's stated policy is that City expenditures on contracts for professional services be of maximum benefit to the local economy. The A/E agrees that at least 75% of the work described herein will be performed by a labor force residing within the Corpus Christi Metropolitan Statistical Area (MSA). Additionally, no more than 25% of the work described herein will be performed by a labor force residing outside the Corpus Christi Metropolitan Statistical Area (MSA.) 8. ASSIGNABILITY The AIE will not assign, transfer or delegate any of its obligations or duties in this contract to any other person without the prior written consent of the City, except for routine duties delegated to personnel of the A/E staff. If the A/E is a partnership, then in the event of the termination of the partnership, this contract will inure to the individual benefit of such partner or partners as the City may designate. No part of the A/E fee may be assigned in advance of receipt by the A/E without written consent of the City. The City will not pay the fees of expert or technical assistance and consultants unless such employment, including the Tate of compensation, has been approved in writing by the City. Contract for Engineering (A/E) Services Page 2 of 3 KIENGINEERING DATAEXCHANGEMGIEM%PUBLIC HEALTME12125 HEALTH DEPT BUILDING PARKING LO CONTRACT PROFESSIONAL SERVICES.DOC All documents including contract documents (plans and specifications), record drawings, contractor's field data, and submittal data will be the sole property of the City, may not be used again by the AIE without the express written consent of the Director of Engineering Services. However, the AIE may use standard details that are not specific to this project. The City agrees that any modification of the plans will be evidenced on the plans, and be signed and sealed by a professional engineer prior to re -use of modified plans. 10. DISCLOSURE OF INTEREST AIE further agrees, in compliance with City of Corpus Christi Ordinance No. 17112, to complete, as part of this contract, the Disclosure of Interests form. CITY OF CORPUS CHRISTI Oscar R. Martinez, ` Date Assistant City Manager RECOMMENDED 7 Daniel Biles, P. E., Date Dir of ngine ing Services Annett odrig ez, &q Date Director of Public Health t OV D AS TO FORM . ee 6ffic of Management Date and Budget UREIAN EN E I Euge a C. Urban, ,P. E. Date Principal 2725 Swantner Dr. Corpus Christi, TX 78404 (361) 854 -3101 Office (361) 854 -6001 Fax uMru ATTEST Armando Chapa, City S cretary ENTERED MAR 1 2013 CONTRACT MANAGERS Health De artment Building Parking Lot tProiect No E12125 Encumbrance No. Department Fund Source No. Amount Public Health & Safety CIP Bond Issue 2012 550950- 3366- 00000- E12125 $64,200.00 Total $64,200.00 Contract for Engineering WE) Services Page 3 of 3 K:SENGINEERING DATAEXCHANGEXANGIaWPUBLIC HEALTME12125 HEALTH DEPT BUILDING PARKING 1-0T14 CONTRACT PROFESSIONAL SERVICESWC URBAN ENGINEERING February 28, 2013 Mr. William J. Green, PE Assistant Director City of Corpus Christi _ Engineering Services P.O. Box 9277 Corpus Christi, Texas 78469 -9277 SUBJECT: Health Department Building Parking Lot (Bond Issue 2012) (Project No. E12125) Dear Mr. Green, Please accept this letter as our proposal to perform the professional services desired at the subject project. The scope as we understand it includes rehabilitating selected parking lot areas, sidewalks and replacement of the dumpster area paving with new concrete paving. It is understood that the total funds available for design, construction and administration for completion of the project are $600,000.00 Scope of Services: 1. Preliminary Phase • Verify and identify existing parking lot pavement conditions within the areas designated to be rehabilitated in the bond project data provided by the City.. [City will provide record information and data as available from City Engineering files.] • Field- verify and meet with Facility and City staff in order to determine sidewalks that are in most critical need of replacement or modification and also discuss lighting issues to determine the scope of any additional lighting in the existing parking lot. • Perform a Topographic Survey to include spot elevations on an approximate 50 foot grid in the proposed parking lot areas proposed for rehabilitation plus sidewalk areas as required to determine grading information for the proposed improvements • Review previously developed sketches, concepts and any available records available from the City. • Provide a conceptual plan of areas to be rehabilitated including proposed pavement sections for asphalt and concrete alternatives, sidewalks and a preliminary opinion of probable cost to more specifically identify scope for design phase. • Assimilate all review comments, modifications, additions /deletions and proceed to next phase, upon Notice to Proceed. (361)854-3101 2725 SWANTNER DR. + CORPUS CHRISTI, TEXAS 78404 FAX (361)854 -6001 www.urbaneng.com TBPE Firm #145 EXHIBIT "A" Page 1 of 4 2. design Phase • Develop and submit for review a 60% set of plans, (no specifications or bid documents) with layout of the plans in the City of Corpus Christi's preferred format. • Submit one (1) set plans to the City of Corpus Christi for review and comment plus a copy in an approved electronic format. + Develop and submit an opinion of probable construction cost for the project improvements. • Hold a project review meeting with City Staff to review and receive City comments. • Assimilate all review comments, modifications, additions /deletions and proceed to next phase, upon written Notice to Proceed. • Complete and submit a 100% complete set of construction drawings, plans, details, contract documents, technical specifications, and bid documents in accordance with the City of Corpus Christi's preferred standard format. • Provide the marked -up 60% review set so the City may determine that the comments were incorporated into the 100% set. • Provide the final opinion of probable construction cost. • Provide final alternative bid items that may be needed to ensure that the lowest responsible bid is within budget. • Fumish the City with booth a reproducible set of plans with specifications and bid documents for the bidding process, as well as the full documents in electronic format. • Prepare and submit documents to regulatory agencies having jurisdiction in this case TOM for review. Any permit fees shall be paid by the City of Corpus Christi directly or reimbursed to the AIE. 3. Bid Phase + Attend the pre -bid conference chaired by City and assist City in defining, clarifying, and responding to bidder questions with respect to project design, specifications, materials, and methods. Prepare addenda, in preferred City format, necessary to inform contractors of modifications and clarifications prior to bid date. The City's Engineering Services will distribute any addendum. Attend the bid opening, tabulate bids according to the City Engineering Services preferred standard format, and make recommendations concerning award. 4. Construction Phase • Attend and participate at the pre -bid and pre - construction conferences, which will be chaired by Engineering Services. • Review and approve any required contractor's submittals. • Make periodic visits to the site and confer with City's Construction Inspector and/or Contractor to observe the progress and quality of work, and to determine, in general, whether the work is accordance with project design. • Coordinate with the City inspector to authorize minor field alterations that do not affect the contractor's price and are not contrary to the interest of the City. • Review the contractor's progress payment request and approved schedule of work before submission to the City for processing. Page 2 of 4 . Proposal — Health Department Parking Lot (Bond Issue 2012) EXHIBIT "A" (Project Flo. E12125) Page 2 of 4 • Coordinate necessary change orders during the process of the work. City will prepare and process all change orders. • Provide record drawings, in electronic format, of the project. • Conduct a "final inspection" with City and Contractor, and make a recommendation concerning final acceptance. • Conduct a maintenance guaranty inspection prior to the end of the one year warranty period from acceptance of the project. Provide a written punch list of any defective items and provide to contractor and City. Schedule: Date Acfivi 16, 2013 NTP - April 31, 2013 Preliminary Design Submittal - May _ June 14, 2013 City Review - 9, 2013 60 %.Desi n Submittal - August Au ust 23, 2013 City Review October 11, 2013 100% Final Submittal October 28 & November 4, 2013 Advertise for Bids November 6, 2013 Pre-Bid Conference November 13, 2013 Receive Bids December 10, 2013 Contract Award January 6, 2014 Begin Construction June 30, 2014 Complete Construction Summary of AIE Fees Basic Services Fees 1. Preliminary Phase $14,000.00 2. Design Phase $32,000.00 3. Bid Phase $3,000.00 4. Construction Administration Phase $6,000.00 Subtotal Basic Services Fees $55,000.00 Additional Services Fees 1_ Permit Preparation a. ADAITDLR $1,500.00 2. Top2graphic Survey $6,500.00 3. Construction Observation Services To be Determined 4. Warrant Phase $1,200.00 Subtotal Additional Services Fees Authorized $9,200.00 Total Authorized Fee $64,200.00 Page 3 of 4 Proposal — Health Department Parking Lot (Bond Issue 2012) EXHIBIT "A" (Project No. E12125) Page 3 of 4 We propose to perform the above stated services for the fees indicated. Any additional work can be completed upon your request at our hourly billing rates attached. Exhibit A -1 is attached itemizing the proposed tasks we have identified for the project. If the above is acceptable, please prepare an AE Contract for signatures. Should you have any questions, please let us know. Sincerely, U N ENG I Eugen C. Urban, Jr., P. . Page 4 of 4 Proposal — Health Department Parking Lot (Bond Issue 2012) EXHIBIT "A" (Project No. E12125) Page 4 of 4 EXHIBIT A -1 TASK LIST HEALTH DEPARTMENT PARKING LOT (BOND ISSUE 2012) (PROJECT NO. E12125) A. BASIC SERVICES 1. Preliminary Phase A. Scope of Geotechnical Testing Requirements to City's Geotechnical Consultant. B. Staff Meetings - Attend and participate in project kick off meeting, and planning meeting with City and Facility Staffs to determine which parking areas are most critical and sidewalks most heavily used needing repair and areas with deficient lighting. C. Review & Investigation of Available Records D. Identify Results of Site Field Investigation Recommend necessary survey work to evaluate existing conditions and utilize in design. E. Provide a conceptual plan of areas to be rehabilitated including proposed pavement sections for asphalt and concrete alternatives, sidewalks, lighting and a preliminary opinion of probable cost to more specifically identify scope for design phase. F. Hold review meeting with City Staff to receive and review comments on Preliminary Submittal. 2. Design Phase A. Refine and Verify Conceptual Plan B. Develop and submit for review a 60% set of plans, (no specifications or bid documents) with layout of the plans in the City of Corpus Christi's preferred format C. Preliminary Plan Sheets D. Prepare Estimated Quantities and Estimates of Probable Costs E. Hold review meeting with City Staff to receive and review comments on 60% submittal. F. Provide Final Plans and Bid Documents (100 %) G. Assimilate All Review Comments, Modifications, Additions /Deletions and Proceed to Bid Phase, Upon Notice to Proceed from the City Engineer EXHIBIT A -1 Page 1 of 3 c H. Upon Approval, Provide One (1) Set Final Plans and Contract Documents and Provide One (1) Electronic Copy I. Submit Monthly Status Reports J. Provide Storm Water Pollution Prevention Plan 3. Bid Phase A. Participate in Pre -Bid Conference and Provide Recommended Agenda B. Assist City in Solicitation of Bids C. Review All Pre -Bid Questions and Submissions D. Attend Bid Opening E. Revisions to Bid Documents F. Provide Letter to City Engineer on giving AIE's Recommendation to whom to Award the Project to 4. Construction Phase A. Participate in Pre - Construction Meeting B. Review Shop and Working Drawings C. Provide Testing Schedule and Review Field and Laboratory Tests D. Provide Interpretations and Clarifications of Contract Documents E. Periodic Visits to Site of Project (two per month minimum) F. Review Progress and Quality of Work to determine in general whether work is in accordance with Project Design G. Prepare Change Orders as authorized by City H. Review and Recommend Contractor's Monthly Construction Pay Estimates I. Make Final Inspection with City Staff J. Review Construction "Red- Line" Drawings, Prepare Record Drawings B. ADDITIONAL SERVICES 1.1 Permitting A. NPDES Permit: Prepare NPDES Permit and include with specifications. Contractor shall be responsible for submission of the document to the appropriate authorities and providing all documentation. EXHIBIT A -1 Page 2 of 3 B. Texas Department of Licensing & Regulations: AIE will coordinate with a local Registered Accessibility Specialist for any ramps or accessible routes required, and submission of Application as required. 1.2 Topographic Survey Provide limited design surveys with sufficient detail to facilitate design of improvements and preparation of construction drawings. 1.3 Construction Observation Services — To be Determined 1.4 Warranty Phase EXHIBIT A -1 Page 3 of 3 EXHIBIT "B" MANDATORY INSURANCE REQUIREMENTS &.INDEMNIFICATION FOR AIE PROFESSIONAL SERVICESICONSULTANT SERVICES (Revised October 2010) A. Consultant must not commence work under this agreement until all insurance required herein has been obtained and such insurance has been approved by the City. The Consultant must not allow any subcontractor to commence work until all similar insurance required of the subcontractor has been obtained. B. Consultant must furnish to the City's Risk Manager, two (2) copies of Certificates of Insurance, showing the following minimum coverages by insurance company(s) acceptable to the City's Risk Manager. The City must be named as an additional insured for all liability policies, and a blanket waiver of subrogation is required on all applicable policies. TYPE OF INSURANCE 30 -Day Written Notice of Cancellation, non - renewal or material change required on all certificates COMMERCIAL GENERAL LIABILITY including: 1. Broad Form 2. Premises - Operations 3. Products/ Completed Operations 4. Contractual Liability 5. Independent Contractors MINIMUM INSURANCE COVERAGE Bodily Injury & Property Damage Per occurrence - aggregate $1,000,000 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY to included $1,000,000 COMBINED SINGLE LIMIT 1. Owned vehicles 2.. Hired — Non -owned vehicles PROFESSIONAL LIABILITY including: Coverage provided shall cover all employees, officers, directors and agents 1. Errors and Omissions WORKERS' COMPENSATION $1,000,000 per claim 1$2,000,000 aggregate (Defense costs not included in face value of the policy) If claims made policy, retro date must be prior to inception of agreement; have extended reporting period provisions and Identify any limitations regarding who is an Insured Which Complies with the Texas Workers Compensation Act EMPLOYERS` LIABILITY 500,0001500,000/500,000 C. In the event of accidents of any kind, Consultant must furnish the Risk Manager with copies of all reports within (10) ten days of accident. EXHIBIT "B" Page 1 of 3 K:LEngineering DataExchangMANGIEMIPUBLIC HEALTH1E12125 HEALTH DEPT BUILDING PARKING LOW EXHIBIT B INDEMNIFICATION -OCT 2010.dooz D. Consultant must obtain workers' compensation coverage through a licensed insurance company in accordance with Texas law. The contract for coverage must be written on a policy and endorsements approved by the Texas Department of Insurance. The coverage provided must be in amounts sufficient to assure that all workers' compensation obligations incurred will be promptly met. E. Consultant's financial integrity is of interest to the City; therefore, subject to Successful Consultant's right to maintain reasonable deductibles in such amounts as are approved by the City, Consultant shall obtain and maintain in full force and effect for the duration of this Contract, and any extension hereof, at Consultant's sole expense, insurance coverage written on an occurrence basis, by companies authorized and admitted to do business in the State of Texas and with an A.M. Best's rating of no less than A -VII. F. The City shall be entitled, upon request and without expense, to receive copies of the policies, declarations page and all endorsements thereto as they apply to the limits required by the City, and may require the deletion, revision, or modification of particular policy terms, conditions, limitations or exclusions (except where policy provisions are established by law or regulation binding upon either of the parties hereto or the underwriter of any such policies). Consultant shall be required to comply with any such requests and shall submit a copy of the replacement certificate of insurance to City at the address provided below within 10 days of the requested change. Consultant shall pay any costs incurred resulting from said changes. All notices under this Article shall be given to City at the following address: City of Corpus Christi Attn: Risk Management P.O. Box 9277 Corpus Christi, TX 78469 -9277 Fax: (361) 826 -4555 G. Consultant agrees that with respect to the above required insurance, all insurance policies are to contain or be endorsed to contain the following required provisions: Name the City and its officers, officials, employees, volunteers, and elected representatives as additional insured by endorsement, as respects operations and activities of, or on behalf of, the named insured performed under contract with the City, with the exception of the workers' compensation and professional liability policies; ii. Provide for an endorsement that the "other insurance" clause shall not apply to the City of Corpus Christi where the City is an additional insured shown on the policy; iii. Workers' compensation and employers' liability policies will provide a waiver of subrogation in favor of the City; and iv. Provide thirty (30) calendar days advance written notice directly to City of any suspension, cancellation, non - renewal or material change in coverage, and not less than ten (10) calendar days advance written notice for nonpayment of premium. H. Within five (5) calendar days of a suspension, cancellation, or non - renewal of coverage, Successful Consultant shall provide a replacement Certificate of Insurance and applicable endorsements to City. City shall have the option to suspend Consultant's performance should there be a lapse in coverage at any time during this contract. Failure to provide and to maintain the required insurance shall constitute a material breach of this contract. EXHIBIT `B" Page 2 of 3 K:%Engineering DalaExchange%ANGIEMIPUBLIC HEALTHIE12125 HEALTH DEPT BUILDING PARKING LOW EXHIBIT B INDEMNIFICATION -OCT 2010.docx I. In addition to any other remedies the City may have upon Consultant's failure to provide and maintain any insurance or policy endorsements to the extent and within the time herein required, the City shall have the right to order Consultant to stop work hereunder, and/or withhold any payment(s) which become due to Consultant hereunder until Consultant demonstrates compliance with the requirements hereof. Nothing herein contained shall be construed as limiting in any way the extent to which Successful Consultant may be held responsible for payments of damages to persons or property resulting from Consultant's or its subcontractors' performance of the work covered under this agreement. K. It is agreed that Consultant's insurance shall be deemed primary and non - contributory with respect to any insurance or self insurance carried by the City of Corpus Christi for liability arising out of operations under this contract. L. It is understood and agreed that the insurance required is in addition to and separate from any other obligation contained in this contract. INDEMNIFICATION AND HOLD HARMLESS Consultant shall 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 negligent performance of Consultant's services 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. EXHIBIT "B" Page 3 of 3 K:lEngineering DataExchangeMGIEMIPUBLIC HEALTME12125 HEALTH DEPT BUILDING PARKING LOT14 EXHIBIT B INDEMNIFICATION -OCT 2010.docx COMPLETE PROJECT NAME Project No. E11088 Invoice No. 12345 Invoice Date: M x ce 00 m _ 3 -h n Basic Services: Preliminary Phase Design Phase Bid Phase Report Phase Construction Phase Subtotal Basic Services Additional Services: Permitting Warranty Phase Inspection Platting Survey Reporting O & M Manuals SCADA Subtotal Additional Services Summary of Fees Basic Services Fees Additional Services Fees Total of Fees Total Amount Previous Total Percent Cnntrar_t Omd Nn_ i Amd No_ 2 Contract Invoiced Invoice Invoice Complete $15,117 $0 $0 $15,117 $0 $1,000 $1,000 7% 20,818 0 0 20,818 1,000 500 1,500 7% 0 0 0 0 0 0 0 n/a 14,166 0 0 14,166 0 0 0 n/a 0% 0 0 0 0 0 0 0 $50,101 $0 $0 $60,101 $750 $1,500 $2,500 5% $0 $0 $0 $0 $0 $0 $0 n/a 0 0 0 0 0 0 0 n/a 9,011 0 0 9,011 0 0 0 0% 29,090 0 0 29,090 0 0 0 0% 1,294 0 0 1,294 0 0 0 0% TBD TBD TBD TBD TBD TBD 0 0% TBD TBD TBD TBD TBD TBD TBD 0% $39,395 $0 $0 $39,395 $0 $0 $0 0% $50,101 $0 $0 $50,101 $750 $1,500 $2,500 5% 39,395 0 0 39,395 0 0 0 0% $89,496 $0 $0 $89,496 $750 $1,500 $2,500 3% C:Q SUPPLIER NUMBER TO BE ASSIGNLD B1'GTTS� _— = PURCHASING DIVISION `" CITY OF CORPUS CHRISTI Coy is Carpus DISCLOSURE OF INTEREST Christi City of Corpus Christi Ordinance 971 12, as amended, requires all persons or firms seeking to do business with the City to provide the following information. Every til uestion must be answered. 1f the question is not applicable, answer with "NA ". See reverse se for Filing Requirements, Certifications and definitions. COMPANY NAME: Urban Engineering P. O. BOX: STREET ADDRESS: 2725 Swantner CITY: Corpus Christi ZIP: 78401 FIRM IS: 1. Corporation e 2. Partnership 3. Sole Owner � ❑ . 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 Al -4 Department (if known) 2. State the names of each "official" of the City of Corpus Christi leaving an "ownership interest" constituting 3% or more of the ownership in the above named ''firm." Name Title Al At 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 Con,mittee 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 "first." Name Consultant 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: Eugene C. Urba , Jr., P.E. Title: Principal (Type or Print) 7//7) Signature of Certifying Person: VV DEFINITIONS Date: ?, 5r"., j� 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. 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 bolding 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.