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HomeMy WebLinkAboutC2016-085 - 3/29/2016 - Approved CITY OF CORPUS CHRISTI ENGINEERING DESIGN, BID, CONSTRUCTION PHASE SERVICES CONTRACT FOR PROFESSIONAL SERVICES 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 Maldonado-Burkett Intelligent Transportation Systems, LLP, a Texas corporation, 3833 South Staples Street, Suite N214, Corpus Christi, Nueces County, Texas 78411, (Consultant), hereby agree as follows: 1. SCOPE OF PROJECT 2014 Highway Safety Improvement Program (Project No. E15205)—The work includes plans and specifications for six (6) new signals and thirty-eight (38) signal upgrades as follows: Agnes Street Corridor—4 new signals and 2 signal upgrades Alameda Street Corridor—2 signal upgrades Ayers Street Corridor— 1 new signals and 2 signal upgrades Baldwin Blvd. Corridor—4 signal upgrades Doddridge Street Corridor— 3 signal upgrades Greenwood Drive Corridor—4 signal upgrades Kostoryz Road Corridor— 6 signal upgrades Port Ave. Corridor— 1 new signals and 3 signal upgrades Staples Street Corridor— 5 signal upgrades Weber Road Corridor— 2 signal upgrades Ocean Drive Corridor— 5 signal upgrades 2. SCOPE OF SERVICES The Consultant hereby agrees to perform services to complete the Project, as detailed in Exhibit"A". In addition, Consultant will provide monthly status updates (project progress or delays presented with monthly invoices)and provide contract administration services, as described in Exhibit "A", to complete the Project. Work will not begin on Additional Services until requested by the Consultant (provide breakdown of costs, schedules), and written authorization is provided by the Director of Engineering Services. 3. ORDER OF SERVICES The Consultant 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 Consultant and written authorization is provided by the Director of Engineering Services. 2016-085 'le of the preliminary phase, design phase, bid phase, and 3/29/16 own on Exhibit "A". This schedule is not to be inclusive of all M2016-030 Contract for Professional Services Page 1 of 7 Maldonado-Burkett Intelligent 3TREET1E15205 2014 HIGHWAY SAFETY IMPROVEMENT PROGRAM\4 ENGINEERING DESIGN CONTRACT\1 INDEXED ADO BURKETT.DOC • 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. The Director of Engineering Services may direct the Consultant 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. Consultant shall notify the City of Corpus Christi within three (3) days of notice if tasks requested requires an additional fee. 4. FEE The City will pay the Consultant a fee as described in Exhibit "A" for providing services authorized, a total fee not to exceed $668,956.56. Monthly invoices will be submitted in accordance with Exhibit "B". The City's Project Manager from the Operating Department is responsible for assigning tasks to the Consultant and approving their daily/weekly/monthly hours. The Consultant is required to submit a detailed and approved hourly breakdown with their monthly invoice paperwork to the City for payment. 5. INDEMNITY Consultant shall fully indemnify and hold harmless the City of Corpus Christi and its officials, officers, agents, employees, or other entity, excluding the engineer or architect or that person's agent, employee or subconsultant, over which the City exercises control ("Indemnitee") from and against any and all claims, damages, liabilities or costs, including reasonable attorney fees and court costs, to the extent that the damage is caused by or results 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 or its employees, to the extent of such negligence. Consultant shall defend Indemnitee, with counsel satisfactory to the City Attorney, from and against any and all claims, damages, liabilities or costs, including reasonable attorney fees and court costs, if the claim is not based wholly or partly on the negligence of, fault of or breach of contract by Indemnitee. If a claim is based wholly or partly on the negligence of, fault of or breach of contract by Indemnitee, the Consultant shall reimburse the City's reasonable attorney's fees in proportion to the Consultant's liability. 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. Contract for Professional Services Page 2 of 7 K\ENGINEERING DATAEXCHANGE\VELMAP\STREET\E15205 2014 HIGHWAY SAFETY IMPROVEMENT PROGRAM\4 DETAILED DESIGN CONTRACT\1 DETAILED DESIGN CONTRACT MALDONADO BURKETT.DOC • 6. INSURANCE 6.1 Consultant must not commence work under this agreement until all required insurance has been obtained and such insurance has been approved by the City. Consultant must not allow any subcontractor to commence work until all similar insurance required of any subcontractor has been obtained. 6.2 Consultant must furnish to the Director of Engineering Services with the signed agreement 2 copies of Certificates of Insurance (COI)with applicable policy endorsements showing the following minimum coverage by an insurance company(s) acceptable to the City's Risk Manager. The City must be listed as an additional insured on the General liability and Auto Liability policies, and a waiver of subrogation is required on all applicable policies. Endorsements must be provided with COI. Project name and or number must be listed in Description Box of COI. TYPE OF INSURANCE MINIMUM INSURANCE COVERAGE 30-written day notice of cancellation, Bodily Injury and Property Damage required on all certificates or by Per occurrence - aggregate applicable policy endorsements Commercial General Liability including: $1,000,000 Per Occurrence 1. Commercial Broad Form $2,000,000 Aggregate 2. Premises — Operations 3. Products/ Completed Operations 4. Contractual Liability 5. Independent Contractors 6. Personal Injury- Advertising Injury AUTO LIABILITY (including) $1,000,000 Combined Single Limit 1. Owned 2. Hired and Non-Owned 3. Rented/Leased PROFESSIONAL LIABILITY $1,000,000 Per Claim (Errors and Omissions) $2,000,000 Aggregate (Defense costs shall be outside policy limits) 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 insured. WORKERS' COMPENSATION Statutory (All States Endorsement if Company is not domiciled in Texas) Employer's Liability $500,000 /$500,000 /$500,000 Contract for Professional Services Page 3of7 K:\ENGINEERING DATAEXCHANGE\VELMAP\STREET\E15205 2014 HIGHWAY SAFETY IMPROVEMENT PROGRAM\4 DETAILED DESIGN CONTRACT\1 DETAILED DESIGN CONTRACT MALDONADO BURKETT.DOC • 6.3 In the event of accidents of any kind related to this agreement, Consultant must furnish the City with copies of all reports of any accidents within 10 days of the accident. 6.4 Applicable for paid employees, Consultant must obtain workers' compensation coverage through a licensed insurance company. The coverage must be written on a policy and endorsements approved by the Texas Department of Insurance. The workers' compensation coverage provided must be in an amount sufficient to assure that all workers' compensation obligations incurred by the Consultant will be promptly met. An All States Endorsement shall be required if Consultant is not domiciled in the State of Texas. 6.5 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. Consultant is required to provide City with renewal Certificates. 6.6 Consultant shall be required to 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: Engineering Services P.O. Box 9277 Corpus Christi, TX 78469-9277 6.7 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: 6.7.1 List the City and its officers, officials, employees and elected representatives as additional insured by endorsement, as respects operations, completed operation and activities of, or on behalf of, the named insured performed under contract with the City, with the exception of the workers' compensation policy and professional liability/Errors & Omissions policy; 6.7.2 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; 6.7.3 Workers'compensation and employers' liability policies will provide a waiver of subrogation in favor of the City; and 6.7.4 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. Contract for Professional Services Page 4 of 7 K:\ENGINEERING DATAEXCHANGE\VELMAP\STREET\E15205 2014 HIGHWAY SAFETY IMPROVEMENT PROGRAM\4 DETAILED DESIGN CONTRACT\1 DETAILED DESIGN CONTRACT MALDONADO BURKETT.DOC • 6.8 Within five (5) calendar days of a suspension, cancellation or non-renewal of coverage, 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. 6.9 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 remove the exhibit hereunder, and/or withhold any payment(s) if any, which become due to Consultant hereunder until Consultant demonstrates compliance with the requirements hereof. 6.10 Nothing herein contained shall be construed as limiting in any way the extent to which Consultant may be held responsible for payments of damages to persons or property resulting from Consultant's or its subcontractor's performance of the work covered under this agreement. 6.11 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 agreement. 6.12 It is understood and agreed that the insurance required is in addition to and separate from any other obligation contained in this agreement. 7. TERMINATION OF CONTRACT The City may, at any time, with or without cause, terminate this contract upon seven days written notice to the Consultant at the address of record. In this event, the Consultant will be compensated for its services on all stages authorized based upon Consultant and City's estimate of the proportion of the total services actually completed at the time of termination. 8. 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. 9. ASSIGNABILITY The Consultant 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 Consultant staff. If the Consultant 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 Consultant fee may be assigned in advance of receipt by the Consultant without written consent of the City. Contract for Professional Services Page 5 of 7 K:\ENGINEERING DATAEXCHANGE\VELMAP\STREET\E15205 2014 HIGHWAY SAFETY IMPROVEMENT PROGRAM\4 DETAILED DESIGN CONTRACT\1 DETAILED DESIGN CONTRACT MALDONADO BURKETT.DOC • • The City will not pay the fees of expert or technical assistance and consultants unless such employment, including the rate of compensation, has been approved in writing by the City. 10.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, may not be used again by the Consultant without the express written consent of the Director of Engineering Services. However, the Consultant 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. 11.STANDARD OF CARE Services provided by Consultant under this Agreement shall be performed with the professional skill and care ordinarily provided by competent engineers or architects practicing in the same or similar locality and under the same or similar circumstances and professional license; and performed as expeditiously as is prudent considering the ordinary professional skill and care of a competent engineer or architect. 12.DISCLOSURE OF INTEREST Consultant agrees to comply with City of Corpus Christi Ordinance No. 17112 and complete the Disclosure of Interests form as part of this contract. 13.CERTIFICATE OF INTERESTED PARTIES Consultant agrees to comply with Texas Government Code section 2252.908 and complete Form 1295 Certificate of Interested Parties as part of this contract, if required. For more information, please review the information on the Texas Ethics Commission website at https://www.eth ics.state.tx.us. 14.CONFLICT OF INTEREST Consultant agrees to comply with Chapter 176 of the Texas Local Government Code and file Form CIQ with the City Secretary's Office, if required. For more information and to determine if you need to file a Form CIQ, please review the information on the City Secretary's website at http://www.cctexas.com/govern ment/city-secretary/conflict- disclosure/index. 15.ENTIRE AGREEMENT AND CONTROLLING LAW This Agreement represents the entire and integrated Agreement between City and Consultant and supersedes all prior negotiations, representations or agreements, either oral or written. This Agreement may be amended only by written instrument signed by both the City and Consultant. This Agreement is governed by the laws of the State of Texas Contract for Professional Services Page 6 of 7 K:\ENGINEERING DATAEXCHANGE\VELMAP\STREET\E15205 2014 HIGHWAY SAFETY IMPROVEMENT PROGRAM\4 DETAILED DESIGN CONTRACT\1 DETAILED DESIGN CONTRACT MALDONADO BURKETT DOC without regard to its conflicts of laws. Venue for legal proceedings lies exclusively in Nueces County, Texas. 16.CONFLICT RESOLUTION BETWEEN DOCUMENTS Consultant hereby agrees and acknowledges if anything contained in the Consultant- prepared Exhibit A, Consultant's Scope of Services, or contained in any other document prepared by Consultant and included herein, is in conflict with this Agreement, this Agreement shall take precedence and control to resolve said conflict. CITY OF CORPUS CHRISTI MALDONADO-BURKETT INTELLIGENT TRANSPORTATION SYSTEMS, LLP 2-////4 ,174. Edmonds, P.E. D t Ramon Ntitediin o, Jr., P.E. Date Director of Engineering Services Principal 2205 Western Trail Blvd., Suite B Austin, TX 78745 RECOMMENDED (512) 916-1386 Office perating Departmen Da e APPROVED AS TO LEGAL FORM (. vt.0 ( .(uI)_e —4-tc.ea 7(i6( t Legal Department Date IT MOM API:" BV D _ (1/41- 0 ice of Management Dat- +' and Budget ATTEST 1I3Q_ \ Rebecca Huerta, City Secretary Project Number E15205 Accounting Unit 3551-051 Account 550950 Activity E15205 01 3551 EXP Account Category 50950 Fund Name Street 2015 GO Bond 2014 Contract for Professional Services NOe7of7 K:\ENGINEERING DATAEXCHANGE\VELMAP\STREET\E15205 2014 HIGHWAY SAFETY IMPROVEMENT PROGRAM\2 AMENDMENT N0.1\1 AMENDMENT N0.1 MALDONADO BURKETT.DOC • eihs MALDONADO-BURKETT INTELLIGENT TRANSPORTATION SYSTEMS,LLP January 6, 2016 Mr. Jeff Edmonds, P.E. Director of Engineering Services 1201 Leopard Street Corpus Christi, TX 78401 Re: Highway Safety Improvement Program (HSIP)- 11 Corridors Dear Mr. Edmonds: As requested,this is a proposal for Highway Safety Improvement Program (HSIP) design fee. MBITS is proposing to prepare a 100%plan set to include six (6) new signals and thirty eight(38) signal upgrades. Below is a summary along with fees associated with this project. Agnes Street Corridor—(4 new signals and 2 signal upgrades) Alameda Street Corridor—(2 signal upgrades) Ayers Street Corridor—(1 new signals and 2 signal upgrades) Baldwin Blvd. Corridor—(4 signal upgrades) Doddridge Street Corridor—(3 signal upgrades) Greenwood Drive Corridor—(4 signal upgrades) Kostoryz Road Corridor—(6 signal upgrades) Port Ave. Corridor—(1 new signals and 3 signal upgrades) Staples Street Corridor—(5 signal upgrades) Weber Road Corridor—(2 signal upgrades) Ocean Drive Corridor—(5 signal upgrades) Contract Amount: $668,956.56 Contents Technical Specifications and PS&E documents will be included with the construction documents and completed in accordance with City and TxDOT specifications and standards. Construction documents will be submitted as on package. Schedule Once NTP is given we anticipate the overall design will take approximately 120 working days with dedicated staff. This time will also depend on the City's and TxDOT review time and comments. Review will consist of 60%and 100%reviews unless otherwise directed. EXHIBIT"A" Page 1 of 2 I 3833 SOUTH STAPLES ST SUITE N214 CORPUS CHRISTI,TX 78411 • Office:361-236-4611 • www.mbitsgroup.com • • S MALDONADO-BURKETT INTELLIGENT TRANSPORTATION SYSTEMS,LLP If you have any additional questions please let us know. Best Regards, Ramon H. Maldonado Jr., P.E. Managing Partner CC: Jerry Shoemaker, P.E. Sarah Munoz, E.I.T. Raymond Chong, P.E.,PTOE EXHIBIT "A" Page 2 of 2 3833 SOUTH STAPLES ST SUITE N214 CORPUS CHRISTI,TX 78411 • Office: 361-236-4611 • www.mbitsgroup.com • • N E N C.• N E E N co N as 00 0 0 0 0 0 0 0 0 0 0 0 0 0 w' 0 0 0 0 0 u) 0 0 0 0 0 — O co 0 O U) co N r- C) .— N U Q. E N O a v 0 0 0 0 0 0 0 0 in p p 0. 0 0 0 CD 0 uo) uo) H H CO 2 c,uV) uo) o D O N N M > EA EA EA EA C 7 a CI CI 4,1 0 OO 0 VI m co m 0 00 O 0 O p C 0 u) U) F- H H u) u) •> O EA EA EA EA C O. — a) oO O O 0 0 0 0 o0o oC EA o 0mmm to `nc > EAE Q = 00000 0 0 N p p p ti 01.. 1%. 11J V 0 0 O 0 O O N N m m m wt O O 5 la O O ti EA N O r CD I- I- I- 1. N 1%. C) Q S L r M M D N a- e- 01 '.:f N Z CA O EA 406R? to ER 40 U iMN C. U IIJ Ca N O O O O O O O N. 0 0 0 N 0 N. N M• Z Z a) O N o N Cfl 1- 1- I- CNO N EA- NM 03CON CO I3. .. a) U Z '- EA EA EA W y U O D HEA •- p > E J O` C = Q aa — 2 EA 0 0 0 0 EA N 0 m m 03 0 0 N N O O O ,- - m m m � 0 r- V Z '- '- N ,O EA EA EA EA E Q .r+ 0 0 0 0 0 0 0 0 0 Q 0 0 00 0 C.) 0 0 0 0 0 0 CO CO m 0 O O O CO 0 0 u) u) o O I- I- I O O O O C E N N � EA HN4 E N EA O U U) a) U N a) U)) a) a) Z C N a) a) o a) U va o a U a) ca a) co O LL to C N .E o U) .c -, c p N p m �a rn c CO < u. a) c a cn U c c o - 2 coa) y- a) as = O c +- co Q ;a V) p O t_ aa)) o = 13 a`) ca (f) co U = = m V o m d 0 CO O cn Q a 5 a O co cn cn m < H EXHIBIT"B" Page 1 of 1 SUPPLIER NUMBER TO BE ASSIGNED BY CITY PURCHASING DIVISION City of CITY OF CORPUS CHRISTI Chri t; DISCLOSURE OF INTEREST 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: Maldonado-Burkett Intelligent Transportation Systems,LLP P.O.BOX: N/A 2205 Western Trails Blvd., STREET ADDRESS: Suite B CITY: Austin, TX ZIP: 78745 FIRM IS: I. 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) N/A 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 N/A 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 N/A 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 N/A . . f 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: Ramon H. Maldonado,Jr., P. E. Title: Principal (Type or Print) Signature of Certifying Date: Z f///C 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 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. CERTIFICATE OF INTERESTED PARTIES FORM 1295 loft Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2016-3483 Maldonado-Burkett ITS, LLP Austin,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form Is 01/15/2016 being filed. City of Corpus Christi q Ac owledged: I -LCA 3 Provide the Identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the goods or services to be provided under the contract. E15205 Traffic Engineering and Signal Design 4 Nature of interest(check applicable) Name of Interested Party City,State,Country(place of business) Controlling Intermediary Burkett,Karl Austin,TX United States X Maldonado,Ramon Austin,TX United States X 5 Check only if there Is NO Interested Party. ❑ 6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. Signature of authoorint of contracting business entity AFFIX NOTARY STAMP f SEAL ABOVE Swo [to and subscribed before me,by the said d11 il rlarb ,this the I' day of f rua� 20 �tff ,to certify which,witness my hand and seal of office. - lk MEGAN S MALA (ISM 1.0 � MY COMMISSION EXPIRES 15,2018 Sig re of officer administering oath Print name of officer administering oath Title of officer administering of Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.34032 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2016-3483 Maldonado-Burkett ITS, LLP Austin,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 01/15/2016 being filed. City of Corpus Christi Date Ackn wled ed: 24//LiJo g Provide the identification number used by the governmental entity or state agency to track or identify the contr t,and provide a description of the goods or services to be provided under the contract. E15205 Traffic Engineering and Signal Design 4 Nature of interest(check applicable) Name of Interested Party City,State,Country(place of business) Controlling Intermediary Burkett, Karl Austin,TX United States X Maldonado, Ramon Austin,TX United States X 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. Signature of authority ent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE Sworn to and subscribed before me,by the said 9.4VIC,(1 IIi\dIonCIA ) ,this the t ' day of orua.('y. 20 ,U( ,to certify which,witness my hand and seal of office. - =r; '"°` ; MEGAN SIMALA " MY COMMISSION EXPIRES LoAkt,SMid �"��r,4F�� Ja ary 15,2018 �L►��. illl� Cin Nitro er Sigr sture of officer administering oath Print-• name of officer administering oath Title of officer administering o Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.34032 �.m.40 MALDO-1 OP ID:BM A`�RL7' CERTIFICATE OF LIABILITY INSURANCE DATE{MM/DD/YYYY) 01/25/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ed Weeren Ed Weeren Insurance Agency Inc PHONE FAX P.O.Box 14444 INC.No.Esti:512-454-5266 (ac,No):512-454-3819 Austin,TX 78761 E-MAIL Kelli Stanford ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:The Hartford 29424 INSURED Maldonado-Burkett Intel.Trans INSURER B:HCC Specialty Insurance Co Attn: Ramon Maldonado 2205B Western Trails Blvd INSURER C: Austin,TX 78745 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLINSSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS {MMIDD/YYYY),(MMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X 65SBATE1128 03/20/2016 03/20/2017 DAMGSTOa LoNcc1 utrD nce) $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: 1 GENERAL AGGREGATE $ 4,000,000 — POLICY PRO- JECT LOC PRODUCTS-COMP/OP p, $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2000000 000 (Ea accident) > > A ANY AUTO X 65SBATE1128 03/20/2016 03/20/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE '65SBATE1128 03/20/2016 03/20/2017 AGGREGATE $ 2,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE ER Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE 65WBCI03946 01/16/2016 01/16/2017 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B HSI 16 20144 01/21/2016 01/21/2017 Prof Liab 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 30 days Notice Of Cancellation CERTIFICATE HOLDER CANCELLATION CITYCO5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Corpus Christi ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management P 0 Box 9277 AUTHORIZED REPRESENTATIVE Corpus Christi,TX 78469-9277 Ue-4-4i-6 1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD