HomeMy WebLinkAboutC2015-219 - 6/23/2015 - NA AGREEMENT
for
Geotechnical Engineering Services
This AGREEMENT is between the City of Corpus Christi, Texas, a Texas home-rule municipal corporation
("CITY"), acting through its duly authorized City Manager or designee ("City Engineer"), and ROCK ENGINEERING AND
TESTING LABORATORY, INC., a Texas corporation or partnership ("LAB"), acting through its duly authorized
representative who is Curtis A. Rock, Business Development Manager which agree as follows:
1. DECLARATIONS: "CITY" desires to engage "LAB" to provide services in connection with City's project,
described as follows: Elevated Water Storage Tanks – Citywide (Alternate Capacity Requirement, Phase 2) (Project
No. E11012) ("PROJECT").
2. SCOPE OF WORK: "LAB" shall provide services to the PROJECT in accordance with the accompanying
Scope of Services and Fee Schedule attached as "Exhibit A" and the Terms and Conditions to AGREEMENT attached as
"Exhibit C".
3. FEE: The "CITY" agrees to pay the "LAB" for services provided in accordance with Exhibit "A", Scope of
Services and Fee Schedule under this AGREEMENT, a total fee not to exceed $41,200.00 (Forty-One Thousand Two
Hundred Dollars and Zero Cents). Monthly invoices will be submitted in accordance with Exhibit"D."
4. INDEMNIFICATION AND HOLD HARMLESS: The Consultant agrees to indemnify, save harmless and
defend the City of Corpus Christi, and its agents, servants, and employees as more fully set forth in Exhibit"B".
5. CITY'S DISCLOSURE OF HAZARDOUS & TOXIC MATERIALS AND CONDITIONS AT THE PROJECT
SITE: To the best of the City's knowledge, based upon currently available information, the only hazardous or toxic
materials, as defined by the laws and regulations of the Federal government, the state, and city which exist at the
PROJECT SITE are as follows: None.
6. OWNERSHIP OF DOCUMENTS: 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 and may not be used
again by the "LAB" without the express written consent of the Director of Capital Programs. However, the "LAB" may
use standard details that are not specific to this project.
CITY OF CORPUS CHRISTI ROCK ENGINEERING AND TESTING
�,/,, LA TORY, INC.
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Ronald L. Ols Date Curtis A.-Ttock Date
City Manager Business Development Manager
6817 Leopard Street
Corpus Christi, TX 78409
. )1 ' (361) 883-4555 Office
Gustavo Gonzal;z, P.E. S Date (361) 883-4711 Fax
Assistant City M- a!er
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2015-219 —�
6/23/15 .e
Rock Engineering and Testing
TED WATER STORAGE TANKS-CITYWIDE(ACR IMPLEMENTATION PHASE 2)\ROCK ENG\Contract.doc INDEXED
APPROVED t_ A .
( M14-414 4/46—
Office of Management Date
and Budget
APPR VED A70 LEGAL FORM
Assist nt City Attorney Date
for City Attorney
ATTEST
2-52-112,2---C-C, iZ-Q-A-47-.
ity Secretary
Project No. E11012
Accounting Unit: 4093-062
Account: 550920
Activity: E11012014093EXP
Account Category: 50920
Fund Name:Water 2013 RVBD
K:\Engineering DataExchange\JENNIFER MATER\E11012 ELEVATED WATER STORAGE TANKS-CITYWIDE(ACR IMPLEMENTATION PHASE 2)\ROCK ENG\Contract.doc
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March 16, 2015
City of Corpus Christi
Capital Programs
Post Office Box 9277
Corpus Christi, Texas 78469-9277
Attention: Mr. Jiangang Deng, P.E., Major Projects Engineer
SUBJECT: PROPOSAL TO PERFORM A SUBSURFACE INVESTIGATION AND
LABORATORY TESTING PROGRAM AND PROVIDE FOUNDATION
RECOMMENDATIONS FOR THE PROPOSED
COMPOSITE ELEVATED WATER STORAGE TANKS
4925 Holly Road and Intersection of Leopard Street and Rand Morgan Road
Corpus Christi, Texas
RETL Proposal Number: P081214A (Revision No. 1)
Dear Mr. Deng,
Rock Engineering and Testing Laboratory, Inc. (RETL) (TBPE Firm No. 2101) is pleased to submit the
following proposal to perform a subsurface investigation and laboratory testing program and provide
foundation recommendations for the proposed Composite Elevated Water Storage Tanks to be constructed
at the existing Holly Pump Station located at 4925 Holly Road and near the southeast corner of the
intersection of Leopard Street and Rand Morgan Road in Corpus Christi, Texas.
Based on information provided to RETL, the project will include the construction a new composite
elevated water storage tank at the existing Holly Pump Station located at 4925 Holly Road and near the
southeast corner of the intersection of Leopard Street and Rand Morgan Road. Information regarding the
proposed structures is provided in the table below:
ROCK ENGINEERING & TESTING LABORATORY, INC. EXHIBIT "A"
www.rocktesting.com Page 1 of 6
6817 LEOPARD STREET•CORPUS CHRISTI,TEXAS,78409-1703 10856 VANDALS ST. SAN ANTONIO,TEXAS 78216-3625
OFFICE:(361) 883-4555• FAX: (361) 883-4711 OFFICE:(210)495-8000• FAX: (210)495-8015
Page 2 of 6 PROPOSED COMPOSITE ELEVATED WATER STORAGE TANKS
March 16,2015 4925 Holly Rd.&Int.of Leopard St. and Rand Morgan Rd.;Corpus Christi,Texas
Attn:Mr.Jiangang Deng,P.E. RETL Proposal No.: P081214A(Revision No. 1)
Composite Elevated Composite Elevated
Tank Design Water Storage Tank StorageWater
Parameters 4925 Holly Rd. Int. ' Leopard
Rand Mor an Rd.
Tank Capacity(gallons) 3,000,000 750,000
Tank Height(ft) 172 157
Pedestal Diameter(ft) 60 28
Wind Load(mph) 130 130
Snow Load(psf) 25 25
Earthquake Zone 0 0
Permanent Loads: 6,900 1,700
Structure Weight(kips)
Permanent Loads: 26,000 6,400
Water(kips)
Permanent Loads: 300 100
Snow(kips)
Total Load(kips) 33,200 8,200
Transient Loads: 22,000 9,000
Wind Moment(k. ft.)
Transient Loads: 0 0
Earthquake Moment(k. ft.)
Transient Loads: 300 100
Governing Shear(kips)
RETL has received and reviewed Landmark Structures' Guide for Geotechnical Investigation for a
Composite Elevated Water Storage Tank to develop the scope of work for this project. All onsite services
will be performed in general accordance with the project specifications contained in Landmark Structures'
Guide for Geotechnical Investigation for a Composite Elevated Water Storage Tank. A copy of the scope
of work is provided as an attachment.
Based on the project information provided above and RETL's experience with soils in the area, RETL
proposes to perform three borings to termination depths of 100-feet on the anticipated support wall
diameter for the proposed composite elevated water storage tank located near the southeast corner of the
intersection of Leopard Street and Rand Morgan Road and three borings to termination depths of 100-feet
on the anticipated support wall diameter and one boring to a termination depth of 125-feet at the tank
center for the proposed composite elevated water storage tank located at 4925 Holly Road (Total Number
of Borings: 7; Total Linear Feet of Drilling: 725 LF). The scope of work is outlined below.
Scope of the Proposed Subsurface Investigation
• RETL requires that the boring locations are staked in the field prior to the field investigation by the
client or a representative of the client, the locations are cleared of underground utilities and that
ground surface elevations and GPS coordinates are provided at the boring locations.
• RETL requests assistance from the client or representative of the client in ensuring the soil at each
boring location are accessible to the drilling crew. Concrete and debris should be removed by others
prior to mobilization to the project site to provide access to the soils below, if applicable.
ROCK ENGINEERING& TESTING LABORATORY,INC.
6817 LEOPARD STREET•CORPUS CHRISTI,TEXAS 78409 EXHIBIT "A"
OFFICE: (361)883-4555 •FAX: (361)883-4711 •www.rocktesting.com Page 2 of 6
Page 3 of 6 PROPOSED COMPOSITE ELEVATED WATER STORAGE TANKS
March 16,2015 4925 Holly Rd.&Int. of Leopard St.and Rand Morgan Rd.;Corpus Christi,Texas
Attn:Mr.Jiangang Deng,P.E. RETL Proposal No.: P081214A(Revision No. 1)
• RETL will require assistance with obtaining the required access requirements and excavation permits,
if applicable.
• The client shall perform due diligence to assure RETL that the boring locations are accessible and
clear of private utilities and obstructions, such as piping, fences, heavy brush, shrubs and trees. The
borings will be relocated if necessary.
• A truck mounted drilling rig will be utilized to access the boring locations. If an all-terrain vehicle is
required, RETL should be notified to provide a revised scope of work and associated fee.
• Soil samples will be obtained at predetermined depths, unless subsurface conditions warrant
additional sampling.
• The test borings will be sampled every 2.5-feet to a depth of 15-feet and at 5-foot intervals thereafter
to 125-feet,the maximum termination depth of the test borings.
• Disturbed soil samples will be obtained employing split-barrel sampling procedures in general
accordance with the procedures for "Penetration Test and Split-Barrel Sampling of Soils, (ASTM
D1586)."
• Undisturbed soil samples will be obtained using thin-wall tube sampling procedures in accordance
with"Thin Walled Tube Sampling of Soils, (ASTM D1587)."
• Shear strength of cohesive soils will be estimated using a hand penetrometer.
• Standard penetration tests (SPT) will be recorded in granular soils.
• The borings will be advanced to the depths specified above.
• GPS coordinates, obtained in the field at the boring locations, will be recorded using a commercially
available Garmin handheld GPS model Etrex Venture using NAD 83 map datum.
• Groundwater readings will be obtained during drilling and immediately upon completion of the
drilling operations.
• After obtaining the delayed groundwater readings, the open boreholes will be backfilled with excess
soils obtained during the drilling operations.
Scope of Laboratory Testing Program
• Supplementary Visual Classification (ASTM D2487)
• Water Content Tests (ASTM D2216)
• Atterberg Limits Tests (ASTM D4318)
• Unconfined Compressive Strength Tests (ASTM D2166)
• Percent Material Finer Than The#200 Sieve Tests (ASTM D1140)
• Particle-Size Analysis of Soils Tests, Including Hydrometer Analysis (ASTM D422)
• Incremental Consolidation Tests (ASTM D2435)
• 1-D Swell Potential Tests (ASTM D4546) (Method B)
• Sulfate Ion Concentration Tests (Method 9056)
All phases of the laboratory testing program will be performed in general accordance with applicable
ASTM Specifications/Methods. All field and laboratory test results will be included on the boring logs or
provided in the report.
ROCK ENGINEERING&TESTING LABORATORY,INC.
6817 LEOPARD STREET•CORPUS CHRISTI,TEXAS 78409 EXHIBIT "A"
OFFICE: (361)883-4555 •FAX: (361)883-4711 •www.rocktesting.co Page 3 of 6
Page 4 of 6 PROPOSED COMPOSITE ELEVATED WATER STORAGE TANKS
March 16,2015 4925 Holly Rd.&Int.of Leopard St.and Rand Morgan Rd.;Corpus Christi,Texas
Attn:Mr.Jiangang Deng,P.E. RETL Proposal No.:P081214A(Revision No. 1)
Project Duration
After authorization, it is estimated that the drilling operations can be completed within 10 to 20 days and
the final report will be submitted within five weeks of the completed fieldwork. RETL will consult with
the architects and engineers as field and laboratory test results become available by providing preliminary
recommendations as required to assist in design. If adjustments to the proposed timeline are required to
meet the existing project schedule,please contact RETL so that we can accommodate your needs.
It should be noted that the timeline provided above is subject to change due to completion of the
Incremental Consolidation Tests (ASTM D2435), 1-D Swell Potential Tests (ASTM D4546) (Method B)
and Sulfate Ion Concentration Tests (Method 9056).
Geotechnical Engineering Reports
In addition to the field and laboratory test results, geotechnical engineering reports will be provided for
the proposed project. The reports will be prepared in general accordance with Landmark Structures'
Guide for Geotechnical Investigation for a Composite Elevated Water Storage Tank. Items outside of
RETL's scope of work have been removed from Landmark Structures' document.
It should be noted that RETL will provide the appropriate design criteria required for allowable lateral
capacities for deep foundation systems, if applicable. P-Y curves will not be generated by RETL.
Fee and Limitations
We understand that we have been chosen to provide these services for this publicly funded project.
Therefore, by providing cost information, we are not in violation of the Texas Professional Services
Procurement Act.
The total fee to perform the scope of work outlined above is $41,200.00. The Total Project Fee includes
the field investigation, laboratory testing, foundation recommendations and report preparation. The
following items will be added to the final invoice as required:
1. Additional drilling required due to subsurface conditions: $57.00 per linear foot.
2. Inspections, permitting and any standby time due to any unforeseen circumstances:
$275.00 per hour/per company.
3. Cores/patches: $335.00 each.
Please note that the total fee provided above will be honored for 90 days after the date of this proposal.
After 90 days, RETL should be contacted to reevaluate the fees and revise the proposal as needed.
Services provided for any revisions after the submittal of the final report, approved by the client in a
change order, will be invoiced at a rate of$180.00 per hour.
ROCK ENGINEERING&TESTING LABORATORY,INC.
6817 LEOPARD STREET•CORPUS CHRISTI,TEXAS 78409 EXHIBIT "A"
OFFICE: (361)883-4555 •FAX: (361)883-4711 •www.rocktesting.com Page 4 of 6
•
Page 5 of 6 PROPOSED COMPOSITE ELEVATED WATER STORAGE TANKS
March 16,2015 4925 Holly Rd.&Int.of Leopard St.and Rand Morgan Rd.;Corpus Christi,Texas
Attn:Mr.Jiangang Deng,P.E. RETL Proposal No.:P081214A(Revision No. 1)
The total fee to perform the scope of work does not include site assistance in the event the boring
locations are inaccessible. Mechanical assistance required to access the boring locations will be assessed
based on the subcontractors' hourly fee plus the mobilization fee.
If there is a change in the scope of work, RETL should be notified in order to provide a revised scope of
work and laboratory testing program.
Services provided by RETL under this Agreement will be performed in a manner consistent with the
degree of care and skill ordinarily exercised by members of the same profession currently practicing
under similar circumstances.
The Client shall provide for RETL's right to enter the property owned by the Client and/or others
and assure that the boring locations are clear of underground utilities and accessible to drilling
equipment in order for RETL to fulfill the Scope of Services included hereunder.
Either the Client or RETL may terminate this Agreement at any time with or without cause upon giving
the other party 10-calendar days prior written notice. The Client shall within 10 calendar days of
termination pay RETL for all services rendered and all costs incurred up to the date of termination, in
accordance with the compensation provisions of this contract.
ROCK ENGINEERING&TESTING LABORATORY,INC.
6817 LEOPARD STREET•CORPUS CHRISTI,TEXAS 78409 EXHIBIT"A"
OFFICE: (361)883-4555•FAX: (361)883-4711 •www.rocktesting.com Page 5 of 6
Page 6 of 6 PROPOSED COMPOSITE ELEVATED WATER STORAGE TANKS
March 16,2015 4925 Holly Rd.&Int.of Leopard St.and Rand Morgan Rd.;Corpus Christi,Texas
Attn:Mr.Jiangang Deng,P.E. RETL Proposal No.: P081214A(Revision No. 1)
Closing
If you are in agreement with our proposed scope of work, please authorize us to proceed by signing in the
space below and returning one copy to us.
Thank you for your consideration of our firm to assist you with this project. If you have any questions, or
comments,please call at(361) 883-4555.
Sincerely, ACCEPTED AND APPROVED
By
Print
Morgan Schummer
Geotechnical Project Manager Date
For payment of services, invoice to:
Firm: Attn:
Address: Title:
City: State: Zip Code: Phone: Fax:
E-mail address:
**Payment is due upon receipt of the invoice. Please remit to the above address and reference your
invoice number on payment.
Attachment: Landmark Structures' Guide for Geotechnical Investigation for a Composite Elevated Water
Storage Tank
cc: Mr. Jerry Shoemaker, P.E., Acting Director of Capital Programs
ROCK ENGINEERING&TESTING LABORATORY,INC.
6817 LEOPARD STREET•CORPUS CHRISTI,TEXAS 78409 EXHIBIT "A"
OFFICE: (361)883-4555 •FAX: (361)883-4711 •www.rocktesting.com Page 6 of 6
Exhibit "B"
Mandatory Requirements
INDEMNIFICATION
Consultant shall fully indemnify, hold harmless, and defend the City
of Corpus Christi and its officials, officers, agents, employees,
volunteers, directors and representatives ("Indemnitee") from and
against any and all claims, damages, liabilities or costs, including
reasonable attorney fees and defense costs, caused by or resulting
from an act of negligence, intentional tort, intellectual property
infringement, or failure to pay a subcontractor or supplier committed
by Consultant or its agent, consultant under contract or another entity
over which Consultant exercises control while in the exercise of
rights or performance of the duties under this agreement. This
Indemnification does not apply to any liability resulting from the
negligent acts or omissions of the City of Corpus Christi or its
employees, to the extent of such negligence.
Consultant must, at City's option, defend Indemnitee and with
counsel satisfactory to the City Attorney.
Consultant must advise City in writing within 24 hours of any claim or
demand against City or Consultant known to Consultant related to or
arising out of Consultant's activities under this Agreement.
EXHIBIT "B"
Page 1 of 1
Last revised 12/23/2014
•
•
TERMS AND CONDITIONS TO AGREEMENT
ARTICLE 1. SERVICES: "LAB"will:
1.1 Provide only those services requested by "CITY ENGINEER" that, in the opinion of "LAB", lie
within the technical or professional areas of expertise of "LAB" and which "LAB" is adequately
staffed and equipped to perform.
1.2 Perform technical services under the supervision of a licensed professional engineer and in
compliance with the basic requirements of the appropriate standards of the American Society for
Testing and Materials, where applicable, and other standards designated in writing by the "CITY
ENGINEER."
1.3 Promptly submit formal reports (printed and electronic copies) of tests, inspections and services
performed indicating, where applicable, compliance with the PROJECT specifications or other
contract documents. Such reports must be complete and factual, citing the tests performed,
methods employed, values obtained, and parts of the structure of THE PROJECT area subjected
to any testing.
1.4 Utilize testing equipment which has been calibrated according to applicable standards and, upon
request, submit to the "CITY ENGINEER", or his authorized representative, documentation of
such calibration.
Secure representative samples of those materials that the City's Contractor proposes to use
which require testing, together with relevant data concerning such materials including the point of
origin and supplier.
1.5 Consider reports to be confidential, and distribute reports only to those persons, organizations or
agencies specifically designated in writing by the"CITY ENGINEER".
1.6 Retain records relating to services performed for "CITY" for a period of two years following
submission of any reports, during which period the records will be made available to the"CITY"at
all reasonable times.
1.7 Pay salaries, wages, expenses, social security taxes, federal and state unemployment taxes, and
any other similar payroll taxes relating to the services.
ARTICLE 2. CITY RESPONSIBILITIES: City Engineer or authorized representative will:
2.1 Provide "LAB" with all plans, specifications, addenda, change orders, approved shop drawings
and other information for the proper performance of services by"LAB".
2.2 Issue authorization in writing giving "LAB"free access to THE PROJECT site, and to all shops or
yards where materials are prepared or stored.
2.3 Designate in writing those persons or firms which will act as the "CITY's" representative with
respect to "LAB'S" services to be performed under this AGREEMENT and which must be
promptly notified by "LAB" when it appears that materials tested or inspected are in non-
compliance. Only the "CITY ENGINEER" or his designated representative have authority to
transmit instructions, receive information and data, interpret and define the CITY's policies and
decisions with respect to THE PROJECT. "LAB" acknowledges that certain "CITY"
representatives may have different types of authority concerning THE PROJECT.
2.4 Advise"LAB"sufficiently in advance of any operations so as to allow for assignment of personnel
by"LAB"for completion of the required services. Such advance notice will be in accordance with
that established by mutual agreement of the parties.
2.5 Direct THE PROJECT contractor,either by the Construction Contract or direct written order to:
EXHIBIT"C"
Page 1 of 3
•
(a) Stop work at the appropriate times for"LAB"to perform contracted services;
(b) Furnish such labor and all facilities needed by "LAB" to obtain and handle samples at THE
PROJECT and to facilitate the specified inspection and tests;
(c) Provide and maintain for use of"LAB" adequate space at THE PROJECT for safe storage and
proper curing of test specimens which must remain on THE PROJECT site prior to, during, and
up to 60 days after testing.
ARTICLE 3. GENERAL CONDITIONS
3.1 "LAB", by the performance of services covered hereunder, does not in any way assume, abridge
or abrogate any of those duties, responsibilities or authorities with regard to THE PROJECT
which, by custom or contract, are vested in THE PROJECT architects, design engineers, or any
other design agencies or authorities.
3.2 "LAB" is not authorized to supervise, alter, relax, enlarge or release any requirement of THE
PROJECT specifications or other contract documents nor to approve or accept any portion of the
work. "LAB"does not have the right of rejection or the right to stop the work. "CITY ENGINEER"
will direct THE PROJECT contractor to stop work at appropriate times for "LAB" to conduct the
sampling,testing, or inspection of operations covered by the AGREEMENT.
ARTICLE 4. FIELD MONITORING AND TESTING
4.1 "CITY" and "LAB"agree that"LAB"will be on-site to perform inspections for contracted services.
The "CITY" and "LAB" also agree that "LAB" will not assume responsibility for PROJECT
Contractor's means, methods, techniques, sequences or procedures of construction, and it is
understood that the final services provided by"LAB" will not relieve the PROJECT Contractor of
his responsibilities for performing the work in accordance with THE PROJECT plans and
specifications. For the purposes of this AGREEMENT, the word "inspection" is used to mean
periodic observation of the work and the conducting of tests by "LAB" as specified in the
AGREEMENT. Continuous monitoring by"LAB"or its subcontractors does not mean that"LAB"is
approving placement of materials. Inspection is not and should not be construed to be a warranty
by"LAB"to the"CITY"or any other party.
4.2 Samples collected or tested by "LAB" remain the property of the "CITY" while in the custody of
the"LAB". "LAB" will retain the samples for a period of 60 days following the date of submission
of any report related to the sample. Following the retention period, "LAB" will dispose of non-
hazardous samples, and return hazardous, acutely toxic, or radioactive samples and samples
containers and residues to "CITY". "CITY" agrees to accept such samples and samples
containers.
ARTICLE 5. STANDARD OF CARE AND WARRANTY
Services performed by "LAB" will be conducted in a manner consistent with that level of care and skill
ordinarily exercised by reputable members of the profession currently practicing under similar conditions
in the same locality. No other warranty either expressed or implied is made or intended by the
AGREEMENT or any reports. "LAB"will not be responsible for the interpretation or use by others of data
developed by"LAB".
ARTICLE 6. SAFETY
"CITY" and "LAB" agree that, in accordance with the generally accepted construction practice, the
PROJECTS general contractor will be solely and completely responsible for working conditions on THE
PROJECT, including safety of all persons and property during the performance of the work, and for
compliance with all municipal, state,and federal laws, rules and regulations, including OSHA. The duty of
"LAB"in providing services is not, therefore,to include any review of,or responsibility for,the adequacy of
the PROJECTS general contractor's safety measures in,on,or near THE PROJECT site.
EXHIBIT"C"
Page 2 of 3
•
ARTICLE 7. INVOICES AND PAYMENT
"LAB" will submit progress invoices to "CITY ENGINEER" monthly and final invoice upon completion of
services. Each invoice is due and payable by"CITY"within 30 days of receipt and approval to pay by the
City Engineer.
ARTICLE 8. EXTENT OF AGREEMENT
8.1 This AGREEMENT, including Exhibit "A" and these terms and conditions, represents the entire
AGREEMENT between "CITY" and "LAB" and supersedes all prior negotiation, representations
or agreements,written or oral. This AGREEMENT may be amended only by a written instrument
signed by duly authorized representative of "CITY" and "LAB". If any conflict occurs between
these terms and conditions and this AGREEMENT, these terms and conditions are controlling.
8.2 In the event that any one or more of the provisions contained in this AGREEMENT are for any
reason held invalid, illegal or unenforceable in any respect, the remaining terms will be in full
effect and this AGREEMENT will be construed as if the invalid or unenforceable matters were
never included in this AGREEMENT. No waiver of any default will be a waiver of any future
default.
8.3 Neither party will assign this AGREEMENT without the express written approval of the other, but
"LAB" may subcontract laboratory procedures as"LAB" deems necessary to meet the obligations
of this AGREEMENT.
EXHIBIT"C"
Page 3 of 3
Sample form for:
COMPLETE PROJECT NAME Payment Request
Revised 07/27/00
Project No.XXXX
Invoice No. 12345
Invoice Date:
Total Amount Previous Total Percent
Basic Services: Contract Amd No. 1 Amd No. 2 Contract Invoiced Invoice Invoice Complete . -
Preliminary Phase $1,000 $0 $0 $1,000 $0 $1,000 $1,000 100% .
Design Phase 2,000 1,000 0 3,000 1,000 500 1,500 50%
Bid Phase 500 0 250 750 0 0 0 0%
Construction Phase 2,500 0 1,000 3,500 0 0 0 0%
Subtotal Basic Services $6,000 $1,000 $1,250 $8,250 $750 $1,500 $2,500 30%
Additional Services:
Permitting $2,000 $0 $0 $2,000 $500 $0 $500 25%
Warranty Phase 0 1,120 0 1,120 0 0 0 0%
Inspection 0 0 1,627 1,627 0 0 0 0%
Platting Survey TBD TBD TBD TBD TBD TBD TBD 0%
O& M Manuals TBD TBD TBD TBD TBD TBD TBD 0%
SCADA TBD TBD TBD TBD TBD TBD TBD 0%
Subtotal Additional Services $2,000 $1,120 $1,627 $4,747 $500 $0 $500 11%
Summary of Fees
Basic Services Fees $6,000 $1,000 $1,250 $8,250 $750 $1,500 $2,500 30%
Additional Services Fees 2,000 1,120 1,627 4,747 500 0 500 11%
Total of Fees $8,000 $2,120 $2,877 $12,997 $1,250 $1,500 $3,000 23%
in
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ig:;1 SUPPLIER NUMBER
TO BE ASSIGNED BY CIl Y
PURCHASING DIVISION
City of CITY OF CORPUS CHRISTI
Cornus 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. Everyquestion must be answered.
If the question is not applicable, answer with "NA". See reverse side for Filing Requirements,
Certifications and definitions.
COMPANY NAME: Rock Engineering and Testing Laboratory,Inc.
P.O.BOX: N/A
STREET ADDRESS: 6817 Leopard Street CITY: Corpus Christi ZIP: 78409
FIRM IS: 1. Corporation 2. Partnership 3. Sole Owner ❑
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)
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
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
gck-nn ncS Commnll ss+on
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
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: Curtis A. Rock Title: Business Development Manager
(Type or Print)
Signature of Certifying pocts Date:
Person: k,-,
DEFINITIONS
a. "Board member." A member of any board, commission. or committee appointed by the
City Council of the City of Corpus Christi.Texas.
b. "Economic benefit". An action that is likely to affect an economic interest if it is likely to
have an effect on that interest that is distinguishable from its effect on members of the public
in general or a substantial segment thereof.
c. "Employee." Any person employed by the City of Corpus Christi, Texas either on a full or
part-time basis, but not as an independent contractor.
d. "Firm." Any entity operated for economic gain, whether professional, industrial or
commercial, and whether established to produce or deal with a product or service, including
but not limited to. entities operated in the form of sole proprietorship, as self-employed
person, partnership, corporation.joint stock company,joint venture, receivership or trust,and
entities which for purposes of taxation are treated as non-profit organizations.
e. "Official." The Mayor. members of the City Council, City Manager, Deputy City
Manager, Assistant City Managers, Department and Division Heads, and Municipal Court
Judges of the City of Corpus Christi,Texas.
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 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.