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HomeMy WebLinkAboutC2013-252 - 8/27/2013 - Approved CITY OF CORPUS T! CONTRACT FOR PROFESSIONAL SERVICES The City of Corpus Christi, a Texas home rule municipal corporation, P.O. Box 7, Corpus Christi, Nueces County, Texas 78469-9277( i )acting through its duly authorized City r or Designee (Director o i rin Services) and Kleinfelder Inc.. a Texas Christi, ,Texas 78416, (Arch i i neer— }, hereby agree as follows: 1. SCOPE OF PROJECT Cefe Valenzuela Landfill FY2013-2014 Groundwater Monitoring and Related Services 1 —The project scope include 1) Detection monitoring sampling of wells in u s t 2013 and February 2014, in ccor nc with the current Ground r Sampling and Analysis Plan ( ). } Verification re-sampling will be conducted for events of significant increases submit results are alternate source demonstrations to TCEQ. 3} Report data, significant increases, prepare correspondence/s i I TCEQ, and prepare I Report. } Quarterly methane onitorin } Update estimates of intra-well background by incorporating collected in 1 2013. SERVICES 2. SCOPE OF The hereby agrees, at its own expense, to perform design s ices necessary to review r r plans, specifications, i and contract ocu ens. In addition, will provide monthly status updates( roj c ro r ss or delays, gantt charts presented with monthly invoices) and provide contract adminisr io is s, as described in Exhibit" " and "A-11", to complete the roj c . Work will not begin on iin I Services until requested by the (provide r o of costs, schedules), and written authorization is provided by the Director of i rin Services. AIE services will be "Services for Construction Projects"- (Basic Services for Construction Projects")which are shown and are in ccor c with"Professional ieeri a is s- A Guide to the Selection and Negotiation Process, 1993" a joint publication of the Consulting n i rs Council of Texas and Texas Society of rof ssion l Engineers. For purposes this contract, i services listed in this publication as Additional Services will be considered as Basic Services. 3. ORDER OF SERVICES The A/E agrees to i work on os authorized sic Services fort is contract upon receipt of the oic to Proceed from it cor of Engineering Services. Work will not begin on any phase or any Additional Services until requested in writing written authorization is provided by the it for of Engineering Services. The anticipated schedule of the preliminary h sin phase, bid construction phase is shown on i ". This schedule is not to be inclusive of all additional time that may 2013-252 127113 Contract for Engineering{A/E)Services M2013-130 Page 1 of 3 f4SOLf®WASTEVE1 3073 CEFE VALENZUELA 2013-2014 GRO WATER MONITOR11 CONTRACT PROFESSIONAL Kleinfelder Central Inc. INDEXED be required for review h City staff may be amended by or with the concurrence the Director of i rin Services. The Director of Engineering is y direct the A/E to undertake additional services or tasks provided that no increase in is required. is s or tasks requiring increase of fee will be mutually r vi nc in writing as an amendment tot is contract. shall notify the i of Corpus Christi within three (3) days of notice if s s requested requires n additional fee. 4. INDEMNITY INSURANCE agrees to the mandatory contract indemnification and insurance requirements s set forth in i ". 5. FEE The City will pay the AIE a fee, as described in Exhibit "A", for providing services authorized, a total fee not to exceed $114,200.00, (One Hundred Thousand o Hundred II rs and Zero s). Monthly invoices will be submitted in ccor c with Exhibit " 6. TERMINATION T The City time, with or without cause, r i t i contract o seven days written notice the r ss of record. In this event, the will be compensated for its services on all stages authorized based upon City's si t of the proportion of the total services Il completed i of r i i . . LOCAL PARTICIPATION The City Council's stated policy is that i ty expenditures on contracts for professional services of i u benefit to the local economy. agrees that at least 7 %of the work described herein will be performed labor force residing wit i or us Christi Metropolitan Statistical Area (MSA). Additionally, no more than 25% of e work described herein will be performed labor force residing outside the Corpus Christi Metropolitan t tisic I Area ( .) 8. ASSIGNABILITY The A/E 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, t for routine u i s delegated to r o I staff. I is rs i , then in the event of termination of the partnership, this contract will inure to the individual fit of such partner or partners as the City designate. the fee may be assigned in advance of receipt y without written consent of h City. The City will not pay the fees of x or technical assistance and consultants unless such employment, including the rate of compensation, has been approved in rii by the City. Contract for Engineering( )Services Page 2 of 3 KIENGINEERINC DAT C GIE OLIO WASTE%E93073 CEFE VALENZUELA 2013-2094 GRO WATER MONITORkl CONTRACT PROFESSIONAL SERVICES OOC 9. OWNERSHIP OF DOCUMENTS All documents including contract documents (plans and specifi cations), record drawings, contractor's field data, and submittal data will be the sole property of the City, may not be used again by the A/E without the express written consent of the Director of Engineering Services. However, the AlE may use standard details that are not specific t o t his project. The City agrees that any modification oft plans will be evidenced on the plans, and be signed and sealed by a professional engineer prior to re-use of modifi ed 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 KIL ER CENTRAL, INC. q5scar'k, Martinez, D Me 7/ s Je reu Date Assistant City Manager 50V2&Zbtassador Row Corpus Christi, TX 78416 (361) 854-4774 Office RECOMMENDED (361) 854-4924 Fax .............. .................... Daniel i1 s, it or of Engineering Services ENTERED AUG 1 2013 Fawrence Mikolaj&§R Date CONTRACT MANAGERS Director of Solid Waste Project No. E13073 ASTOFORM Fund Name: Solid Waste-Oggrating Fund Source No. 530000-1020-12506-EI3073 Encumbrance No. !E I a L Office of Management Date and Budget ATTEST KiLL BY: 3 4 Armando Chapa, (Vy Secretary —724L Contract for Engineering(AIE)Services Page 3 of 3 KIENGINEERING DATAEXCIRANGMANGIEWSOLID WA5 TME13073 CEFE VALENZIJELA 20132014 GRID WATER MOMTORkl CONTRACT PROFESSIONAL SERVICES DOC Bright People.Right SOWOOM February 20, 2013 Proposal No. 131847 City of Corpus Christi 2525 Hygeia — P.O. Box 9277 Corpus Christi, TX 78469- 9277 Attention: Aftn. Mr. Lawrence Mikolajczyk Director, Solid to Operations SUBJECT: Cefe VaI a Landfill Corpus Christi, Texas 2013-2014 Groundwater Monitoring and Related Services Dear Mr. Mikolajczyk: We are pleased to submit the following proposal for professional environmental services. This proposal presents the scope of or for expanded groundwater monitoring, and was developed on the basis of our discussions and review of our scope of or cost for our previous work at the Cefe Valenzuela Landfill. If a portion of this proposal does not meet your project needs, or if those needs have changed, Klei nfelder is prepared to consider appropriate modifications, subject to the standards of care to which we adhere as professionals. Modifi cations, such as changes in scope, methodology, scheduling, and contract terms may result in changes to the quality of the assessments, as well as adjustment to our fees. SCOPE OF BASIC SERVICES Summary This is a proposal for ground-water monitoring and related services at the Cefe Valenzuela Landfill. The project scope includes the following which are described in more detail below. Kleinfelder will: • Conduct detection monitoring sampling of landfill monitor wells in August 2013 and February 2014. • Prepare the 2013 annual ground-water monitoring report. 131847/WAC13P0106R1 Page I of 6 January 23, 2013 Copyright 2013 Kleinfelder Revision No. 1,dated February 20,2013 ----------- - 5002 Ambassador Row, Corpus Chnsh. TX 78416 pl361.854,4774 fl361.8544924 -EXHIBIT 'A" age I of 6 =1 • Conduct verification re-sampling of wells exceeding background limits, prepare notices of exceedances, and submit results of resampling or alternate source demonstrations as necessary. • Conduct quarterly methane monitoring. * Update Attachment 5 oft landfill permit pertaining to the number of monitor wells. Performance Period The services proposed herein will be performed forte City of Corpus Christi fiscal year beginning August 1, 2013 and ending July 31, 2014. Detection Monitoring Table 1 shows the planned monitoring schedule forte performance period. Kleinfelder will sample the detection monitoring system fort 15 total metals and volatile organic compounds specifi ed in the current Ground Water Sampling and Analysis Plan (GWSAP). The monitoring list will also include iron, manganese, nitrate- nitrogen, ammonia-nitrogen, and dissolved organic carbon, his have been added to facilitate identification of geochernical processes that can mobilize metals, and his may assist with preparing alternate source demonstrations when background is exceeded in a well. KJeinfelder also proposes to collect up to 6 samples (3 per event) from the landfill leachate collection system to characterize the waste in terms of monitored constituents. These data may also assist in preparation of alternate source demonstrations, contaminant fate and transport modeling, and could justify removal of monitored constituents that are not present in the waste leachate. The estimated cost oft i ctivity is $59,100. Table 1- Planned FY 2013-14 Sampling Events EventType August 2013 February 2014 Detection Wells: MW1-19, 4046 Wells: MWI-19, 4046 Total Sampled 30 wells 30 wells 131847 1 WACI 3P010 Page 2 of 6 January 23, 2013 Copyright 2013 Kleinfelder Revision No,1,dated February 20,2013 KLEINFELDER 5002 Ambassador Row,Corpus Christi,TX 78416 pl361.854.4774 fl361,8544924 EXEH11831T: " "A 'T P p g age2 of 6 Verification Re-sampling In the event that statistically significant increases (SSIs) above established background are identifi ed in detection monitoring data, Kleinfelder will conduct verification sampling of the affected well(s) in is S s occurred. The scope of re-sampling and analysis cannot be accurately anticipated. The budget for re-sampling includes 2 mobilizations and metals analysis for each detection monitoring event. The assumptions are further explained in the Assumptions and Exclusions section below. Kleinfelder may also prepare alternate source demonstrations, either alternatively or in conjunction with re-sampling. Kleinfelder will submit re-sampling results and alternate source demonstrations to the TCEQ. The estimated cost for this activity is $20,100. Reporting Reporting includes evaluation of detection monitoring data, identification of SSIs, preparation of correspondence and submittals to TCEQ, and preparation of the Annual Report. Kleinfelder will transmit 2 paper copies and 1 electronic copy of the report tote City of Corpus Christi and 3 paper copies to the TCEQ. The estimated cost of this activity is $19,900. Methane Monitoring Kleinfelder will conduct quarterly methane monitoring at the Cefe Valenzuela Landfill. A Lan Tech meter will be used to test methane levels in 16 perimeter gas monitoring probes, 3 gas pipeline vents and 5 onsite structures. Data will be transmitted via letter report tote City. The estimated cost for this activity is $4,000. Permit Modification A review of Attachment 5 indicates a need to revise this section of the permit to reflect the number of wells actually installed to achieve the well-spacing requirement. Kleinfelder will prepare and submit the application and respond to agency comments. The estimated cost oft i ctivity is $6,100. 131647/WACI 3PO10 1 Page 3 of 6 January 23, 2013 Copyright 2013 Kleinfelder Revision No.I,dated February 20,2013 KLEINFELDER 5002 Ambassador Row,Corpus Christi,TX 78416 p1361S54.4774 f1361S54.41924 EXHIBIT"A" Page 3 of 6 Consulting Services and Contingency Consulting Services include activities not specifically related to the collection, analysis, and reporting of data, such as permit modifications, alternate source demonstrations, and responding to TCEQ inquiries, notices of deficiency, notices of violation, or for other unanticipated costs. The allowed cost for these services, if required, is $5,000. Schedule or initiated under an existing contract with the City of Corpus Christi is continued under this proposal. The approximate schedule of events by quarter is presented in Table 2. Table 2 — FY 2013-14 Schedule --------------- Fiscal Year Quarter Planned Activity semiannual detection monitoring event of FY 2013-14 contract in August. Aug-Oct, 2013 Evaluate data; conduct notification and verification resampling, as necessary. Conduct quarterly methane monitoring. 2 Submit Annual Monitoring Report. Nov 2013-Jan 2014 Conduct quarterly methane monitoring. 2013 (this proposal) 2nd semiannual detection monitoring 3 event in February. Evaluate data - r 2014 conduct notification and verification FebAp ream pling, as necessary. Conduct quarterly methane monitoring. 4 Other consulting as requested. Conduct May- July 2014 quarterly methane monitoring. Assumptions and Exclusions 1. Sampling labor estimates are based on sampling 4 wells per day. The assumed sampling rate may or may not be realized due to weather delays, pump or other equipment failures, or other unforeseen events. 2. We have assumed, from the statistical methods used to estimate background limits and recent occurrences, that approximately 1% of the 15-analyte/30-well (450) comparisons will exceed the intra-well background, and that all VOCs will remain below TCEQ practical quantitation limits. Conservatively, we estimate that 3 wells 131847/WAC1 3P01 06R1 Page 4 of 6 January 23, 2013 Copyright 2013 Weinfelder Revision No 1,dated February 20,2013 KLEINFELDER 5002 Ambassador Row,Corpus Christi,TX 78416 plWS544774 f 1361-854,49241 EXHIBIT:66A" Page 4 of 6:] will require re-sampling for 2 metals and that the event will last 1 day. We have further assumed that 1 well will require re-sampling a second time to meet the pass- one-of-two statistical criterion for rejecting an S and that this event will last 1 day. 3. The extent of Consulting Services required during the project year cannot be fully anticipated. The budgeted should be understood to mean that Kleinfelder will provide these services up to the budget amount at our rates existing at the time of the service. The amount may also be used to cover unanticipated costs and/or failure to realize the assumptions used for other proposed activities. 4. The budget does not include meetings. Costs for time spent, travel, and preparation for meetings are an additional expense. 5. The budget anticipates a limited amount of time to respond to comments and requests for additional information from TCEQ. Excessive requests for information will be an additional expense. ADDITIONAL SERVICES The following services are not included in the Basic Services and will be considered as Additional Services, if required or requested: • Meetings, interviews, and hearings. • Costs associated with planning and implementing assessment monitoring. • The services of specialty consult is or other special outside services not described in Basic Services. • Any other services not specifi cally included in Basic Services. DELIVERABLES; Deliverables. will consist of reports as described in the Scope. COMPENSATION Kleinfelder proposes to perform the Basic Services on a Time and Materials basis for $114,200. This amount will not be exceeded without prior approval. The Client and Kleinfelder may subsequently agree in writing to provide for additional services to be rendered under this agreement for additional, negotiated compensation. LIMITATIONS Our work will be performed in a manner consistent with that level of care and skill ordinarily exercised by other members of Kleinfelder's profession practicing in the same locality, under similar conditions and at the to the services are provided. Our 131847/WAC1 3P01 06R1 Page 5 of 6 January 23, 2013 Copyright 2013 Klainfetder Revision No,1,dated February 20,2013 KLEI NFELDER 5002 Ambassador Row, Corpus Christi,T 7841 pl361,8544774 fl361,8544924 IT"A" Page 5 of 6 conclusions, opinions and recommendations will be based on a limited number of observations and data. It is possible that conditions could vary between or beyond the data evaluated. Kleinfelder makes no guarantee or warranty, express or implied, regarding the services, communication (oral or written), report, opinion, or instrument of service provided. This proposal was prepared specifically for the client and its designated representatives and may not be provided to others without Kleinfelder's express permission. AUTHORIZATION Your standard service agreement can be used to authorize these services. We appreciate the opportunity to submit this proposal and look forward to working with you on this project. If you have any questions or need additional information, please do not hesitate to call. We are committed to assist the City to ensure the success of this project. Sincerely, KLEINFELDER CENTRAL, INC. Texas Registered Engineering Firm—F5592 on R Rokohl, PE C1 e r?L i ops t 1r ,SS IE Senior Professional Project Manager 131847/WAC13P0I06RI Page 6 of 6 January 23, 2013 Copyright 2013 Kleinfelder Revision No. 1,dated February 20,2013 KLEI NFELDER 5002 Ambassador Row,Corpus Chdsti,TX 78416 pl361.854.4774 fl361.8544924rmmmmmmmmmmm6" IEXHIBIT"A'" Page 6 of 6 EXHIBIT"B" MANDATORY INSURANCE REQUIREMENTS & INDEMNIFICATION FOR A/E PROFESSIONAL SERVICES/CONSULTANT SERVICES (Revised October 2010) A. Consultant must not commence or 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 or until all similar insurance required oft a subcontractor has been obtained. B. Consultant must furnish tot City's Risk Manager, two (2) copies of Certificates of Insurance, showing the following minimum coverages by insurance company(s) acceptable tot 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 MINIMUM INSURANCE COVERAGE 30-Day Written Notice of Cancellation, Bodily Injury & Property Damage non-renewal or material change required Per occurrence- aggregate on all certificates COMMERCIAL GENERAL LIABILITY $1,000,000 COMBINED SINGLE LIMIT including: 1. Broad Form 2. Premises- Operations 1 Products/Completed Operations 4. Contractual Liability 5. Independent Contractors AUTOMOBILE LIABILITY to included 1 $1,000,000 COMBINED SINGLE LIMIT 1. Owned vehicles 2_ it — Non-owned vehicles PROFESSIONAL LIABILITY including: $1,000,000 per claim / $2,000,000 Coverage provided shall cover all aggregate employees, officers, directors and agents (Defense costs not included in face value 1 Errors and Omissions oft 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 WORKERS' COMPENSATION Which Complies with the Texas Workers Compensation Act EMPLOYERS' LIABILITY 500,000/500,000/500,000 C. In the event of accidents of any kind, Consultant must furnish the Risk Manager with copies of all reports within (1 0) ten days of accident. EXHIBIT 111311 a j of .1 lEngi nwring Farms GE AE EXHOT B.DOCX Pe , 3_ 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-VI I. 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 modifi cation 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: it 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: L 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 polices; ii. Provide for an endorsement that the "other insurance" clause shall not apply tote 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 (1 0) 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 EXHIBIT"B" Page 2 of 3 J tEnqireenng FormskLARGE AE EXHIRM 6 DOCX 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. 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. J. 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 harmI ess 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 is may be alleged to have arisen out of or in connection with the negligent performance of Consuftant'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 111311 Page 3f 3 J XEnginaenng FomsILARGE AE EXHOT B DOCX R 0 0 0 0 lR 0 0 0 0 0 ti Il- d t r 3 0 0 0 0 0 0 try 0 N7 CL 0 i C C C C C d d a d d d d d d d C) ¢d d CD v d to tr} tf} t27 O • r �- N H > E to•a, d d d d d d d d d 4 to d 0 d d °C cl ry tr p try r � r r a. d d d d d t0 d d d d C7 t d t¢ 4 ti ti r- • r C P- r r r r CM m H r r d cc C7 C7 d d d d d d 00 d d d d O N F— 0 ° = ® LU r d 0 c d C] C1 C7 C1 N I-- OD d d r d d ®- d "*- try r try CO d N m 4 lm cri r Ncr tr) d d 6y CD Gi C] cr tai T— e- U') N m Ln M O 613. 64 69 64 1641 N CD V to N v Qy a).. co LL CD 0 m CD CA LL Cy Rt ) A ® IL N 0 a)Ci Q_ C L V C r C .`, tJ C U 4 CM EL 0 CD .0 tU O :3 v co U) 22 CD 7 O EXHIBIT"C" Page 1 of 9 SUPPLIER NUMBER TO 13E ASSIGNE D 11N-CrrT- PURCHASING NVISION' City of CITY OF CORPUS CHRISTI Corpus DISCLOSURE OF INTEREST Christi City of Corpus Christi Ordinance 17112, as amended. requires all persons or firms seeking to do business with the City to provide the following information. Every trestion must be aniwered. If the question is not appficable. answer with -NA". See rc%vm sae for Filing Requirements. Certifications and definitions. COMPANY NAME: Kleinfelder Central, Inc. STREET ADDRESS: 5002 Ambassador Row CITY. Corpus Christi ZIP: 78416 FIRM IS: I. Co oration 1 Partnership 1 Sole Owner E] 4. Association 5. Other DISCLOSURE QUESTIONS If additional space is necessary,please use the reverse side of this pa►e or atlach separate sheet. 1. State the names of each "ernployee" of the City of Corpus R"risti having an "Ownership interest"constituting 3%or more of the ownership in the above named"firm.' Name Job Title and City IVIA Department(if known) 1 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 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 AA A ----------------- 4. State the names or 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 tire ownership in the above named"firin.- 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,emplo ee orb 6dy that has been requested to act in the matter,unless the interest of the City owicial or employee in the matter is agarent. The disclosure shall also be made in a signed writing filed with the City Secretary. hics Ordinance Section 2-349(d)l 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: Title. -el -!�SAX�L;R541X -M I k� (T"*or Print) Signature of Certifying Date: Person: 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 t o p roduce 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 Ciry Council, City Manager, Deputy City Manager, Assistant City Managers, Department and Division Heads, and Municipal Court Judges oft a City of Corpus Christi,Texas. f. "Ownership Interest." Legal or equitable interest, whether actually or constructively held, in a firm, including when such interest is held through an agent, trust, estate, or holding entity. "Constructively held" refers to holdings or control established through voting trusts, proxies,or special terms of venture or parmership agreements." "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.