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HomeMy WebLinkAboutC2016-573 - 11/15/2016 - Approved CHAPARRAL SIDEWALK IMPROVEMENTS AGREEMENT STATE OF TEXAS § COUNTY OF NUECES § This Chaparral Sidewalk Improvements Agreement (this "Agreement") is entered into between the City of Corpus Christi, Texas (the "City"), Realtex Construction, LLC, a Texas limited liability company("Realtax"), Cosmopolitan Corpus, LLC, a Texas limited liability company ("Owner"), and TPEG Cosmo Completion, LLC, a Texas limited liability company ("TPEG Completion"), and pertains to construction of sidewalk improvements on Chaparral Street between Lawrence Street and Schatzell Street in Corpus Christi, Texas. WHEREAS, voters approved the Downtown Streets — Chaparral from Williams to Schatzell improvement project(the"Bond Project")in Bond 2008,Proposition One; WHEREAS, the Bond Project included new curbs, widened sidewalks. textured concrete and/or pavers, street pavement, street lights and traffic control, new trees, shrubs, irrigation and landscape lighting; WHEREAS, Reytec Construction was awarded the construction contract for the Bond Project on September 18, 2012; WHEREAS, Owner originally had streetscape improvements planned for Chaparral Street, Lawrence Street and Mesquite Street; WHEREAS, in August 2013, Reattex anticipated demolition of the existing building located at the corner of Chaparral Street and Lawrence Street to begin in October 2013 and requested that the City delay the major improvements to the sidewalk on Chaparral Street adjacent to the Cosmopolitan; WHEREAS, the City removed the line items necessary to complete the sidewalk improvements adjacent to the Cosmopolitan from the scope of the Bond Project;and WHEREAS, Owner contracted with Realtex to build The Cosmopolitan of Corpus Christi (the "Cosmopolitan") at 401 North Chaparral Street, which is within the boundaries of the Bond Project; WHEREAS, as of April 15, 2016, Realtex assigned all of its right, title and interest under its construction contract with Owner to TPEG Completion; WHEREAS, TPEG Completion has contracted with Bridgeview Construction, LLC ("Bridgeview") to act as a construction manager to assist TPEG Completion in completing construction of the Cosmopolitan; Page 1 of 7 4133782v.1 4313/0002 2016-573 11/15/16 M2016-150 Realtex Construction LLC INDEXED WHEREAS, Realtex, Bridgeview and any subcontractors engaged by Realtex or TPEG Completion have the qualifications and experience to perform the sidewalk improvements on Chaparral Street; and WHEREAS, the City is able to contract with Realtex and TPEG Completion to act as the City's agent in the construction of the sidewalk improvements pursuant to Local Government Code section 271.908; NOW, THEREFORE, the parties hereto(the"Parties") agree as follows: Section 1. Term.This Agreement is effective upon execution by the City Manager or his/her designee and shall continue in force for one year from the effective date or until completion of the Project, whichever date occurs first. Section 2. Scope of the Project The sidewalk improvements (the `Work") to be performed by Realtex and TPEG Completion are detailed in Exhibit A. Section 3. Obligations of City. A. City will provide Realtex and TPEG Completion with a copy of the plans and specifications created by Gignac and Associates for the sidewalk improvements of the Chaparral Street Improvements, Bond 2008. The plans for the Work are attached as Exhibit A. B. City may inspect the construction of the Work. C. City shall perform a final inspection of the Work upon notification that the Work has been completed. D. City shall reimburse Owner up to$142,235.89 for the Work upon final inspection and acceptance by the City. Section 4. Obligations of Realtex and TPEG Completion. A. Realtex and TPEG Completion agree to comply with section 271.908 of the Local Government Code relating to procurement of the Work. B. Realtex and Owner shall be solely responsible for funding the construction of the Work, subject to reimbursement by the City up to an amount not to exceed $142,235.89. C. Realtex and TPEG Completion shall utilize the City-owned materials in their possession to complete the Work. A list of the City-owned materials is attached as Exhibit B. Page 2 of 7 4133782v.1 431310002 I• C. TPEG Completion shall notify City upon completion of the Work so that the City can perform a final inspection. D. Realtex and TPEG Completion shall each submit an affidavit of no liens and an invoice to the City with respect to the portion of the Work performed by each. Realtex and TPEG Completion shall each also provide a one-year warranty to the City with respect to the portion of the Work performed by each. Upon receipt of the foregoing items and acceptance of the Work, City shall promptly pay Owner an amount not to exceed $142,235.89. E. Realtex and TPEG Completion each agree to the indemnification and insurance provisions, as shown in Exhibit C. The insurance coverage must be acceptable to the City's Risk Manager. Section 5. General Terms and Conditions: A. Entire Agreement. This Agreement contains the entire agreement of the Parties and there are no other agreements or promises, oral or written between the Parties regarding the subject matter of this Agreement. This Agreement can be amended only by written agreement signed by the Parties. This Agreement supersedes all other agreements between the Parties concerning the subject matter hereof. B. Assignment. This Agreement and the rights of Realtex, the Owner, and TPEG Completion may be assigned, subject to the prior written consent of the City, which consent will not be unreasonably withheld. Any assignment will be in writing, will specifically set forth the assigned rights and obligations, and will be executed by the proposed assignee. C. Notice. Any notice given under this Agreement must be in writing and may be given: (i) by depositing it in the United States mail, certified, with return receipt requested, addressed to the party to be notified and with all charges prepaid; (ii)by depositing it with Federal Express or another service guaranteeing "next day delivery", addressed to the party to be notified and with all charges prepaid; (iii) by personally delivering it to the party, or any agent of the party listed in this Agreement; or (iv) by facsimile with confirming copy sent by one of the other described methods of notice set forth. Notice by United States mail will be effective on the earlier of the date of receipt or three (3) days after the date of mailing. Notice given in any other manner will be effective only when received. For purposes of notice, the addresses of the Parties will, until changed as provided below, be as follows; Page 3 of 7 4133782v.1 4313/0002 • City: City of Corpus Christi Attn: Valerie H. Gray, P.E. Executive Director of Public Works 1201 Leopard Street, 3rd Floor Corpus Christi TX 78401 With Copy to: City of Corpus Christi Attn: City Attorney 1201 Leopard Street, 5th Floor Corpus Christi TX 78401 Realtex: Realtex Construction, LLC Attn: Rick Deyoe, President 1101 S Capital of Texas Hwy, Suite F200 Austin,Texas 78746 Owner Cosmopolitan Corpus, LLC Attn: Dan Meader 925 S Kimball Ave. Suite 100 Southlake,Texas 76092 With Copy to: McGuire, Craddock&Strother, P.C. Attn: Neill Fuquay 2501 N Harwood, Suite 1800 Dallas,Texas 75201 TPEG Completion TPEG Cosmo Completion, LLC Attn: Dan Meader • 925 S Kimball Ave, Suite 100 Southlake,Texas 76092 With Copy to: McGuire, Craddock 8. Strother, P.C. Attn: Neill Fuquay 2501 N Harwood, Suite 1800 Dallas,Texas 75201 The Parties may change their respective addresses to any other address within the United States of America by giving at least five (5) days' written notice to the other Parties. Realtex, Owner and TPEG Completion may, by giving at least five (5) days' written notice to the City, designate additional parties to receive copies of notices under this Agreement. D. Severability: Waiver. If any provision of this Agreement is illegal, invalid, or unenforceable, under present or future laws, it is the intention of the Parties that the remainder of this Agreement not be affected, and, in lieu of each illegal, invalid, or Page 4 of 7 4133782v.1 4313/0002 unenforceable provision, that a provision be added to this Agreement which is legal, valid, and enforceable and is as similar in terms to the illegal, invalid, or enforceable provision as is possible. Each of the rights and obligations of the Parties hereto are separate covenants. My failure by a party to insist upon strict performance by the other party of any provision of this Agreement will not be deemed a waiver of such provision or of any other provision, and such party may at any time thereafter insist upon strict performance of any and all of the provisions of this Agreement. E. Applicable Law and Venue. The laws of the State of Texas govern the interpretation, performance, enforcement and validity of this Agreement. Venue will be in a court of appropriate jurisdiction in Nueces County, Texas. F. Exhibits, Headings. All schedules and exhibits referred to in or attached to this Agreement are incorporated into and made a part of this Agreement for all purposes. The section headings contained in this Agreement are for convenience only and do not enlarge or limit the scope or meaning of the sections. O. Authority for Execution. The City certifies, represents, and warrants that the execution of this Agreement is duly authorized and adopted in conformity with City ordinances. Realtex, Owner and TPEG Completion each hereby certifies, represents and warrants that the execution of this Agreement is duly authorized and adopted in conformity with the certificate of formation and organizational documents. H. Relationship of Parties. In performing this Agreement, each of the City, Realtex, Owner and TPEG Completion will act in an individual capacity, and not as agents, representatives, employees, employers, partners, joint-venturers, or associates of one another. The employees or agents of either party may not be, nor be construed to be, the employees or agents of the other party for any purpose. I. Survival of Terms. All representations, warranties, covenants and agreements of the Parties, as well as any rights and benefits of the Parties pertaining to the transaction contemplated hereby, will survive the original execution date of this Agreement. J. Disclosure of Interests. Realtex, Owner and TPEG Completion each further agrees, in compliance with the City of Corpus Christi Ordinance No. 17113, to complete, as part of this Agreement, the Disclosure of Ownership interests form attached as Exhibit D. K. Certificate of Interested Parties. Realtex, Owner and TPEG Completion each further agrees, in compliance with Texas Government Code 2252.908, to complete, as part of this Agreement, the Certificate of Interested Parties form attached as Exhibit E. Form 1295 requires disclosure of "interested parties" with respect to entities that enter contracts with cities. These interested parties include: (1) persons with a "controlling interest" in the entity,which includes: Page 5 of 7 4133782v.1 4313/0002 • a. an ownership interest or participating interest in a business entity by virtue of units, percentage, shares, stock or otherwise that exceeds 10 percent; b. membership on the board of directors or other governing body of a business entity of which the board or other governing body is composed of not more than 10 members;or c. service as an officer of a business entity that has four or fewer officers, or service as one of the four officers most highly compensated by a business entity that has more than four officers. (2) a person who actively participates in facilitating a contract or negotiating the terms of a contract with a governmental entity or state agency, including a broker, intermediary, adviser or attorney for the business entity. Form 1295 must be electronically filed with the Texas Ethics Commission at httas:/lwww.ethics.state.tx.us/whatsnew/elf info forml295.htm. The form must then be printed, signed, notarized and filed with the City. For more information, please review the Texas Ethics Commission Rules at httosi/www.ethics.state.tx.us/leaal/ch46.htmt L. Right of Set-Off. The City shall have the right, but not the obligation, to set off, in whole or in part, against any obligation it owes to Owner under this Agreement, amounts owed to City by Realtex and/or Owner under the Construction Yard License Within Public Right-of-Way. [Signatures on Next Pagel Page 6 of 7 4133782v.14313/0002 i CITY OF CORPUS - STI REALTEX CONSTRUCTION,LLC - . . r,„ge I ,...r „ /7 /. /e -- itilci I L J '.Edmonds, P. E. •at• Rick Deyoe Date Rirector of Engineering Services President 1101 S Capital of Texas Hwy,Suite F200 Austin,Texas 78746 RECOMMENDED COSMOPOLITAN CORPUS,LLC By TPEG Cosmo Completion, LLC its Manager l eta--p` --( OV/f Operating Department Data Dan M ader, President ..•PROVED / TPEG COSMO COMPLETION,LLC jp• 4 -____—,- K//C a;I.- ► 1 .nagement • Date and Budget tfik. Dan Mead resident 40....!,,,,At .......4 iir. i l tant City Ai ome S 5<={{ ATTEST II _ 1 -1.12.1.1.:..1 l HUK t► ► i . ■ ALAILAAL 3-61 /1� ity Secretary Date Vi COUNCIL Project Number Accounting Unit Account SFCKTARv i, Activtty a Account Category Fund Name Page 7 of 7 4133782v 1 4313)0002 EXHIBIT A PLANS FOR CHAPARRAL SIDEWALK IMPROVEMENTS COSMOPOLITAN PAVER AREA ITEM NO ITEM DESCRIPTION QTY. I UNIT UNIT PRICE AMOUNT ELECTRICAL 1 Tree Uplights; includes wiring and conduit (material, labor and equipment complete in place) 20 EA $372.04 7,440.80 2 Covers for Gas Meter Boxes (Labor and Equipment Complete in Place) 1 LS 825 825.00 ELECTRICAL SUBTOTAL $8,265.80 SIDEWALK 1 Concrete Unit Sidewalk Pavers (Labor and Equipment Complete in Place) 3,150 SF $20.71 65,236.50 2 Concrete Unit Sidewalk Pavers (Material, Labor and Equipment Complete in Place) 703 EA $12.36 8,689.08 3 Planter Metal Edging Installation (Labor and Equipment Complete in Place) 147 LF $15.00 2,200.00 4 6" HDPE; Solid + Perforated (Material, Labor and Equipment Complete in Place) 47 LF $35.00 1,645.00 5 Planter Drain (Material, Labor and Equipment Complete in Place) 8 EA $500.00 4,000.00 6 Trash Receptacle; 39 Gal Stainless Steel, powder coated with surface mount holes (Labor and Equipment Complete in Place) 2 EA $50.00 100.00 7 Recycling Receptacle; 39 Gal Stainless Steel, powder coated with surface mount holes and recycle sign (Labor and Equipment Complete in Place) 2 LF $50.00 100.00 8 Bench (Plantar Walls) (Labor and Equipment Complete in Place) 1 LF $750.00 750.00 9 6" Concrete Foundation under Pavers (Material, Labor and Equipment Complete in Place) 3,150 SF $7.00 22,050.00 10 Subgrade Prep for Concrete Foundation (Under Pavers) 3,150 SF $2.21 6,961.50 11 Stain Sealer on Pavers 3,150 SF $1.17 3,685.50 SIDEWALK SUBTOTAL 115,417.58 Subtotal $123,683.38 General Conditions © 15% $18,552.51 GRAND TOTAL $142,235.89 133HS NOIS V S133HS N1VM3OIS VS'L5'OS '6V'O0'SC '9C'SI. 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C2 ZA oc ' D z A � -4 tn t. m A r O Z Q b 33 9 e' TA _p -r r-� L J amp*. b i 0.m[ CC IGNITOR. DOWNTOWN STREET IMPROVEMENTS CHAPARRAL STREET WILLIAM ST. TO SCHATZEL ST. VEHICULAR DIRECTIONAL SIGN AND DISTRICT MARKER STRUCTURAL DETAILS CITY of CORPUS CHRISTI TEXAS Deportment of Engineering SemiCes I. W SA 55 v- -I -Ae=.v- .L J� — - Ni t r*.°n -$a if' Ori . C2 ZA oc ' D z A � -4 tn t. m A r O Z Q b 33 9 e' TA _p -r r-� L J amp*. b i 0.m[ CC IGNITOR. DOWNTOWN STREET IMPROVEMENTS CHAPARRAL STREET WILLIAM ST. TO SCHATZEL ST. VEHICULAR DIRECTIONAL SIGN AND DISTRICT MARKER STRUCTURAL DETAILS CITY of CORPUS CHRISTI TEXAS Deportment of Engineering SemiCes I. W SA 55 EXHIBIT B— MATERIALS ON HAND Materials list Chaparral improvements (3/3/2014) 1. 2-ea-Benches- 1 each benches 2. 3 ea Trash recep 3. 1 ea Recycle recep 4. 4 ea plastic caps with frame 5. 1 ea Metal cap with frame 6. 9 pallet Charcoal pavers ( 1 partial ) 7. 9 pallet Limestone pavers ( 1 partial ) 8. 2 pallet Pewter pavers ( 1 partial ) 9. 3 pallet Antique red pavers 10.1 pallet Red pavers ( 1 partial ) 11.1 partial pallet Blue pavers 12.Apx 300 lin foot alumn angle Additional 30 pallets (4/7/2014) -9999 f"-“:* :.._ z _r! F EXHIBIT C—MANDATORY REQUIREMENTS Indemnification Developer covenants and agrees to fully indemnify and hold harmless the City and the elected officials, employees, officers, directors and representatives of the City, individually or collectively, from and against any and ail costs, claims, liens, damages, losses, expenses, fees, fines, penalties, proceedings, actions, demands, causes of action, liability and suits of any kind and nature, including but not limited to, personal or bodily injury, death and/or property damage made upon the City, directly or indirectly arising out of, resulting from or related to Developer's activities under this Contract, including any acts or omissions of Developer and/or Developer's agent, officer, director, representative, employee, consultant or subcontractor while in the exercise of performance of the rights or duties under this Contract, all without, however, waiving any governmental immunity available to the City under Texas Law and without waiving any defenses of the parties under Texas Law. IT IS FURTHER COVENANTED AND AGREED THAT SUCH INDEMNITY SHALL APPLY EVEN WHERE SUCH COSTS, CLAIMS, LIENS, DAMAGES, LOSSES, EXPENSES, FEES, FINES, PENALTIES, ACTIONS, DEMANDS, CAUSES OF ACTION, LIABILITY AND/OR SUITS ARISE IN ANY PART FROM THE NEGLIGENCE OF CITY, THE ELECTED OFFICIALS, EMPLOYEES, OFFICERS, DIRECTORS AND REPRESENTATIVES OF CITY, UNDER THIS CONTRACT. The provisions of this indemnity are solely for the benefit of the parties hereto and not intended to create or grant any rights, contractual or otherwise,to any other person or entity. It is the express intent of the parties to this contract that the indemnity provided for in this section is an indemnity extended by Developer to indemnify, protect and hold harmless the City from the consequences of the City's own negligence, provided however, that the indemnity provided for in this section shall apply only when the negligent act of the City is a contributory cause of the resultant injury, death or damage and shall have no application when the negligent act of the City is the sole cause of the resultant injury, death or damage. Developer further agrees to defend, at its own expense and on behalf of the City and in the name of the City and with counsel acceptable to the City, any claim or litigation brought against the City and its elected officials, employees, officers, directors, volunteers and representatives, in connection with any such injury, death or damage for which this indemnity shall apply, as set forth above. Developer shall advise the City in writing, within 24 hours, of any claim or demand against the City or Developer, known to Developer, related to or arising out of activities under this Contract and shall see to the investigation and defense of such claim or demand at Developer's cost. The City shall have the right, at its option and at its own expense, to participate in such defense without relieving Developer of any of its obligations under this paragraph. Insurance Requirements I. Developer must furnish to the City's Engineering Services a copy of the 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 by endorsement, and a waiver of subrogation is required on all applicable policies by endorsement. 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 Commercial General Liability including 1. Commercial Form $1,000,000 Per Occurrence 2. Premises-Operations $2,000,000 Aggregate Per Project 3. Explosions and Collapse Hazard 4. Underground Hazard 5. Products t Completed Operations Hazard 6. Contractual Liability 7. Broad Form Property Damage 8. Independent Contractors 9. Personal&Advertising Injury Business Automobile Liability-Owned, $1,000,000 Combined Single Limit Non-Owned, Rented and Leased Workers'Compensation Statutory Employer's Liability $500,000/500,000/500,000 Excess Liability/Umbrella Liability $1,000,000 Per Occurrence Contractor's Pollution Liability/ $2,000,000 Per Claim Environmental Impairment Coverage Not limited to sudden and accidental 0 Required X Not Required discharge. To include long-term environmental impact for the disposal of pollutants/contaminants. Builder's Risk(All Perils including No Limit Collapse) ❑ Required X Not Required Inland Marine-Owned,leased, rented, No Limit delivered equipment&material X Required 0 Not Required Owner/Contractor Protective Liability Equal to Contractor's liability insurance ❑ Required X Not Required In the event of accidents of any kind related to this tease agreement, Contractor must furnish the Risk Manager with copies of all reports of any accidents within 10 days of the accident. ADDITIONAL REQUIREMENTS • 1. Applicable for paid employees, Contractor 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 Contractor will be promptly met. 2. Contractor shall obtain and maintain in full force and effect for the duration of this Contract, and any extension hereof, at Contractor'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. 3. Contractor 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. Contractor shall pay any costs incurred resulting from said changes. All notices under this Article shall be given to City at the following address: City of Corpus Christi Attn: Risk Manager P.O. Box 9277 Corpus Christi,TX 78469-9277 4. Contractor agrees that with respect to the above required insurance, all insurance policies are to contain or be endorsed to contain the following required provisions: • List the City and its officers, officials, employees, volunteers, 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; • 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; • Workers' compensation and employers' liability policies will provide a waiver of subrogation in favor of the City; and • 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. 5. Within five (5) calendar days of a suspension, cancellation, or non-renewal of coverage, Contractor shall provide a replacement Certificate of Insurance and applicable endorsements to City. City shall have the option to suspend contractor'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. In addition to any other remedies the City may have upon Contractor'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 Contractor to stop work hereunder, and/or withhold any payment(s)which become due to Contractor hereunder until Contractor demonstrates compliance with the requirements hereof. • 7. Nothing herein contained shall be construed as limiting in any way the extent to which Contractor may be held responsible for payments of damages to persons or property resulting from Contractor's or its subcontractor's performance of the work covered under this agreement. 8. It is agreed that Contractor'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. 9. It is understood and agreed that the insurance required is in addition to and separate from any other obligation contained in this agreement. II. Workers' Compensation Insurance Coverage. Figure: 28 TAC § 110.110(c)(7) A. Definitions: Certificate of coverage ("certificate") -A copy of a certificate of insurance, a certificate of authority to self-insure issued by the division, or a coverage agreement (DWC Form-81, DWC Form-82, DWC Form-83, or DWC Form-84), showing statutory workers' compensation insurance coverage for the person's or entity's employees providing services on a project, for the duration of the project. Duration of the project - includes the time from the beginning of the work on the project until the contractor's/person's work on the project has been completed and accepted by the governmental entity. Persons providing services on the proiect ("subcontractor" in 6406.096) - includes all persons or entities performing all or part of the services the contractor has undertaken to perform on the project, regardless of whether that person contracted directly with the contractor and regardless of whether that person has employees. This includes, without limitation, independent contractors, subcontractors, leasing companies, motor carriers, owner-operators, employees of any such entity, or employees of any entity which furnishes persons to provide services on the project. "Services" include, without limitation, providing, hauling, or delivering equipment or materials, or providing labor, transportation, or other service related to a project. "Services"does not include activities unrelated to the project, such as food/beverage vendors, office supply deliveries, and delivery of portable toilets. B. The contractor shall provide coverage, based on proper reporting of classification codes and payroll amounts and filing of any coverage agreements, which meets the statutory requirements of Texas Labor Code, Section 401.011(44) for all employees of the contractor providing services on the project, for the duration of the project. C. The Contractor must provide a certificate of coverage to the governmental entity prior to being awarded the contract. D. If the coverage period shown on the contractor's current certificate of coverage ends during the duration of the project, the contractor must, prior to the end of the coverage period, file a new • certificate of coverage with the governmental entity showing that coverage has been extended. E. The contractor shall obtain from each person providing services on a project, and provide to the governmental entity: (1) a certificate of coverage, prior to that person beginning work on the project, so the governmental entity will have on file certificates of coverage showing coverage for all persons providing services on the project;and (2) no later than seven days after receipt by the contractor, a new certificate of coverage showing extension of coverage, if the coverage period shown on the current certificate of coverage ends during the duration of the project. F. The contractor shall retain all required certificates of coverage for the duration of the project and for one year thereafter. G. The contractor shall notify the governmental entity in writing by certified mail or personal delivery, within 10 days after the contractor knew or should have known, of any change that materially affects the provision of coverage of any person providing services on the project. H. The contractor shall post on each project site a notice, in the text, form and manner prescribed by the Texas Department of Insurance, Division of Workers' Compensation, informing all persons providing services on the project that they are required to be covered, and stating how a person may verify coverage and report lack of coverage. See Attachment A to this Exhibit. I. The contractor shall contractually require each person with whom it contracts to provide services on a project, to: (1) provide coverage, based on proper reporting of classification codes and payroll amounts and filing of any coverage agreements, which meets the statutory requirements of Texas Labor Code, Section 401.011(44) for all of its employees providing services on the project, for the duration of the project; (2) provide to the contractor, prior to that person beginning work on the project, a certificate of coverage showing that coverage is being provided for all employees of the person providing services on the project, for the duration of the project; (3)provide the contractor, prior to the end of the coverage period, a new certificate of coverage showing extension of coverage, if the coverage period shown on the current certificate of coverage ends during the duration of the project; (4) obtain from each other person with whom it contracts, and provide to the contractor: (a) a certificate of coverage, prior to the other person beginning work on the project;and (b) a new certificate of coverage showing extension of coverage, prior to the end of the coverage period, if the coverage period shown on the current certificate of coverage ends during the duration of the project; • • • (5) retain all required certificates of coverage on file for the duration of the project and for one year thereafter, (6) notify the governmental entity in writing by certified mail or personal delivery, within 10 days after the person knew or should have known, of any change that materially affects the provision of coverage of any person providing services on the project;and (7) contractually require each person with whom it contracts, to perform as required by paragraphs (1) (7), with the certificates of coverage to be provided to the person for whom they are providing services. J. By signing this contract or providing or causing to be provided a certificate of coverage, the contractor is representing to the governmental entity that all employees of the contractor who will provide services on the project will be covered by workers'compensation coverage for the duration of the project, that the coverage will be based on proper reporting of classification codes and payroll amounts, and that all coverage agreements will be filed with the appropriate insurance carrier or, in the case of a self-insured, with the division. Providing false or misleading information may subject the contractor to administrative penalties, criminal penalties, civil penalties, or other civil actions. K. The contractor's failure to comply with any of these provisions is a breach of contract by the contractor which entitles the governmental entity to declare the contract void if the contractor does not remedy the breach within ten days after receipt of notice of breach from the governmental entity. Attachment A to Exhibit C • • TO THE EMPLOYER/CONTRACTOR: Pursuant to Workers' Compensation Rule 110.110 (d)(7), a contractor engaged in a building or construction project for a government entity is required to post a notice on each project site informing all persons providing services on the project that they are required to be covered by workers' compensation insurance. The notice required by this does not satisfy other posting requirements imposed by the Texas Workers' Compensation Act or other Workers'Compensation Rules.This notice must: (1) be posted in English, Spanish and any other language common to the employer's employee population; (2) be displayed on each project site; (3) state how a person may verify current coverage and report failure to provide coverage; (4) be printed with a title in at least 30-point bold type and text in at least 19-point normal type; and (5) contain the exact words as prescribed in Rule 110.110(d)(7). The notice on the reverse side meets the above requirements. Failure to post the notice as required by this rule is a violation of the Act and Workers' Compensation Rules.The violator may be subject to administrative penalties. tidies* V..I VI IElu8DEPARTIMTOF ll[SURNICE.MASON OF WORKERS'COMPENIA1 H a"1901111 REQUIRED WORKERS' COMPENSATION COVERAGE The law requires that each person working on this site or providing services related to this construction project must be covered by workers' compensation insurance. This includes persons providing, hauling, or delivering equipment or materials, or providing labor or transportation or other services related to the project, regardless of the identity of their employer or status as an employee. CaII the Division of Workers' Compensation at 1-800-252-7031 or access the division's website at www.tdi.texas.qov/wc/indexwc.html to receive information on the legal requirement for coverage, to verify whether your employer has provided the required coverage, or to report an employer's failure to provide coverage. Notice 8 (Rev 12/15) TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS COMPENSATION Rule 110.110 COBERTURA REQUERIDA DE COMPENSACION PARA TRABAJADORES La ley requiere que sada persona que trabaja en este lugar o que proporciona servicios relacionados con este proyecto de construccion debe estar cubierta por un seguro de compensacion para trabajadores. Esto incluye a personas que proporcionan, transportan, o entregan equipo o materiales, o que proporcionan mano de obra, transporte u otros servicios relacionados con este proyecto, sin importar la identidad del empleador o el estado como empleado. Llame a la Division de Compensacion para Trabajadores (Division of Workers' Compensation, por su nombre en ingles) al 1-800-252-7031 o visite el sitio Web de la Division en www.tdi.texas.aov/wclindexwc.html para recibir informacion referente al requisito legal de cobertura, asi como para verificar si su empleador ha proporcionado la cobertura requerida, o para reportar a un empleador que no proporciona cobertura. Notice 8S (Rev 12/15) TEXAS DEPARTMENT OF INSURANCE, DIVISIONOF WORKERS COMPENSATION Rule 110 110 • • EXHIBIT D City• CITY OF CORPUS CHRISTI Corpus Christi DISCLOSURE OF INTEREST Corpus Christi Code § 2-349, as amended, requires all persons or firms seeking to do business with the City to provide the following information. Every question must be answered. If the question is not applicable, answer with "NA". See next11�� page for Filing Requirements, Certification and Definitions. COMPANY NAME: SVM.arf 6,01/..P&j LA STREET ADDRESS: 41 ZY S (� ��' k1/ ) S�14.144--- !PO P.O.BOX: CITY: S°141-4. STATE: ZIP: 7011" FIRM IS: 1. Corporation ❑ 2. Partnership ❑ 3. Sole Owner 0 4. Association 0 5. Other 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 /1/41 ik 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." NameA/PF 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 N(� Board, Commission or Committee 4. State the names of each employyee 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 6A 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 (a)]. 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 ch rages oc ur. �.�,vt�-0r� o�' '�"P1�r4-�w,o L►ow��t�'lo+n rLLCt Certifying Person: �Jj�f'[441,„ l- B Title: . � C�Sr+-v4o Li 1+tet' � 1 1 Signature of ♦ / Date: Certifying Person: ', g-7--2-41/ Y DEFINITIONS a. "Board member." A member of any board, commission, or committee of the city, including the board of any corporation created by the city. 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, whether under civil service or not, including part-time employees and employees of any corporation created by the city. 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. • EXHIBIT D Cyty of CITY OF CORPUS CHRISTI Cows Christi DISCLOSURE OF INTEREST Corpus Christi Code § 2-349, as amended, requires all persons or firms seeking to do business with the City to provide the following information. Every question must be answered. If the question IS not applicable, answer with "NA". See next page for Filing Requirements, Certification and Definitions. COMPANY NAME: --tr0-4S I'1M-0 Cvy,0�/t o-i LL2 STREET ADDRESS: /ZS— g -+w�1wVL-�( AtAA t- OP.O.BOX: CITY: So kV% 1 STATE: IX ZIP: 74 64 2-- FIRM —FIRM IS: 1. Corporation ❑ 2. Partnership ❑ 3. Sole Owner ❑ 4. Association ❑ 5. Other Lt-e._ 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 K 1 k 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 PR- 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 N lk Board, Commission or Committee 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 J/k 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: 01;0444,,, I (3,1,4_, Title: Sccr • Signature of // �� / Date: Certifying Person: � f(,Z2. .1 I, DEFINITIONS a. "Board member." A member of any board, commission, or committee of the city, including the board of any corporation created by the city. 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, whether under civil service or not, including part-time employees and employees of any corporation created by the city. 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 Meads, 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 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. 2016-102668 Cosmopolitan Corpus,LLC Southlake,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 08/22/2016 being filed. City of Corpus Christi oat Ac nowledge )1130 201ce 3 Provide the identification number used by the governmental entity or state agency to track or identify the cont act,and provide a description of the services,goods,or other property to be provided under the contract. Chaparral Street Improvements construction activities relating to sidewalk improvements Nature of interest 4 Name of Interested Party City,State,Country(place of business) (check applicable) Controlling j Intermediary Chandra,Sanjay Southlake,TX United States X Meader,Daniel Southlake,TX United States X Burke,William Southlake,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 authorized agent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE ,r{. Sworn to and subscribed before me,by the said i4 i)j)RYA 1�"✓[r�-o ,this the day of 49,{S/ , 20 16 ,to certify which,witness my hand and seal of office. s,49"40e, Brett R.Jensen Commission Expires l'pi� 12--28-2016 Signature of officer ad istering oath Printed name of officer administering oath ' Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 • 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. 2016-102143 TPEG Cosmo Completion LLC Southlake,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 08/19/2016 being filed. Cuty of Corpus Christi Data Ac owledge 3 Provide the identification number used by the governmental entity or state agency to track or identify4110110 the ont ct,and provide a description of the services,goods,or other property to he provided under the contract. Chaparral Street Improvements construction work on sidewalk Nature of interest 4 Name of Interested Party City,State,Country(place of business) (check applicable) Controlling I Intermediary Chandra,Sanjay Southlake,TX United States X Meader,Daniel Southlake,TX United States X Burke,William Southlake,TX United States X 5 Check only if there is NO Interested Party. o 6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. IDa• Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE ) /Q Swor7 tp and subscribed before me,by the saidl�'� 1 f J G�'N1 V kr/f ej ,this the 22- day of /44.41.4 , 20 /& ,to certify which,witness my hand and seal of office. 9r P4 Brett R.Jensen CommisonExpiresLc*? 12-28-2016 Signature of officer inistering oath name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277