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6861 Substation Amendment 2 Executed Docusign City Council Transmittal Coversheet File Name Purchasing Contact City Council Target Date Piggy Back Option Contract Expiration Ordinance DocuSign Envelope ID: 244D1EBC-8486-4F22-9450-014D49269086  #'$$   "#%&  (&''#"%"&!&&#"#"&'%('#"""%"!"!"'# !%      6861 PSA – Amendment #2 Page 1 of 2 SECOND AMENDMENT TO CONTRACT BY AND BETWEEN THE CITY OF DENTON, TEXAS AND POWER ENGINEERS, INC. PSA 6861 THE STATE OF TEXAS § COUNTY OF DENTON § THIS SECOND AMENDMENT TO CONTRACT 6861 (“Amendment”) by and between the City of Denton, Texas (“City”) and POWER Engineers, Inc. (“Design Professional”); to that certain contract executed on October 9, 2018, in the original not-to- exceed amount of $776,600 (the “Original Agreement”); amended on March 14, 2019, a no cost change order for Power Testing & Energization (PTE) Schedule of Fees per job billing grade and PTE Power Billing Equipment Charges (the “First Amendment”); (collectively, the Original Agreement and the First Amendment are the “Agreement”) for services related to CIP projects that include the design tasks associated with the substation and transmission projects; WHEREAS, the City deems it necessary to further expand the services provided by Design Professional to the City pursuant to the terms of the Agreement, and to provide an additional not-to-exceed amount $604,800 with this Amendment for an aggregate not-to- exceed of $1,381,400. FURTHERMORE, the City deems it necessary to further expand the goods/services provided by Design Professional to the City; NOW THEREFORE, the City and Design Professional (hereafter collectively referred to as the “Parties”), in consideration of their mutual promises and covenants, as well as for other good and valuable considerations, do hereby AGREE to the following Amendment, which amends the following terms and conditions of the said Agreement, to wit: 1. The additional services described in Attachment “A” of this Amendment, attached hereto and incorporated herein for all purposes, for professional services related to the CIP projects, are hereby authorized to be performed by Design Professional. For and in consideration of the additional services to be performed by Design Professional, the Owner agrees to pay, based on the cost estimate detail attached as Attachment “A” to this Amendment, a total fee, including reimbursement for non- labor expenses an amount not to exceed $604,800. 2. This Amendment modifies the Agreement amount to provide an additional $604,800 for the additional services with a revised aggregate not to exceed total of $1,381,400. DocuSign Envelope ID: 244D1EBC-8486-4F22-9450-014D49269086 6861 PSA – Amendment #2 Page 2 of 2 The Parties hereto agree, that except as specifically provided for by this Amendment, that all of the terms, covenants, conditions, agreements, rights, responsibilities, and obligations of the Parties, set forth in the Agreement remain in full force and effect. IN WITNESS WHEREOF, the City and the Design Professional, have each executed this Amendment electronically, by and through their respective duly authorized representatives and officers on this date _________________________. “DESIGN PROFESSIONAL” POWER ENGINEERS, INC. By: _________________________________ AUTHORIZED SIGNATURE, TITLE APPROVED AS TO LEGAL FORM: AARON LEAL, CITY ATTORNEY By: _________________________________ “CITY” CITY OF DENTON, TEXAS A Texas Municipal Corporation By: _______________DATE:____________ TODD HILEMAN, CITY MANAGER ATTEST: ROSA RIOS, CITY SECRETARY By: _________________________________ THIS AGREEMENT HAS BEEN BOTH REVIEWED AND APPROVED as to financial and operational obligations and business terms. _______________ ________________ SIGNATURE PRINTED NAME __________________________________ TITLE __________________________________ DEPARTMENT DocuSign Envelope ID: 244D1EBC-8486-4F22-9450-014D49269086            **_-0_.3POWER TESTING AND ENERGIZATION, INC. 3$*( 2)  POWER TESTING AND ENERGIZATION, INC. ,17(51$7,21$/3/$=$68,7()257:257+7;86$ PHONE FAX    -XO\  &KXFN6HDUV 'HQWRQ0XQLFLSDO(OHFWULF 6SHQFHU5RDG 'HQWRQ7; 3KRQH (PDLOFKXFNVHDUV#FLW\RIGHQWRQFRP  &RS\  0V&LQG\$ORQ]R'HQWRQ0XQLFLSDO(OHFWULF  6XEMHFW36$3URSRVHG$PHQGPHQW  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5HSURJUDPWKHSURWHFWLYHUHOD\V\VWHPWRDGGWUDQVIHUWULSWR&LUFXLWRQWKH$UFRWR&ROOLQN9WUDQVPLVVLRQOLQHDQGFRPSOHWHHQGWRHQGWHVWLQJDVUHTXHVWHGE\2QFRU&RPSOHWHUHTXLUHGHQGWRHQGWHVWLQJZLWK2QFRU UHTXLUHGWRYHULI\IXQFWLRQDOLW\DQGWRFRPSO\ZLWK1(5&VWDQGDUGVIRUFRRUGLQDWLRQEHWZHHQQHLJKERULQJXWLOLWLHV DocuSign Envelope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ocuSign Envelope ID: 244D1EBC-8486-4F22-9450-014D49269086 Exhibit CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ For vendor or other person doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local government entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. 1 Name of vendor who has a business relationship with local governmental entity. 2 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 3 Name of local government officer about whom the information in this section is being disclosed. Name of Officer This section, (item 3 including subparts A, B, C & D), must be completed for each officer with whom the vendor has an employment or other business relationship as defined by Section 176.001(1-a), Local Government Code. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the vendor? Yes No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer named in this section AND the taxable income is not received from the local governmental entity? Yes No C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership of one percent or more? Yes No D. Describe each employment or business and family relationship with the local government officer named in this section. 4 I have no Conflict of Interest to disclose. 5 Signature of vendor doing business with the governmental entity Date DocuSign Envelope ID: 244D1EBC-8486-4F22-9450-014D49269086    $%    "$!%%! '% %%$&! %")$$&!"$!( %$(%$#'$+  &! &&)(*"$&%        '$%  Certificate Of Completion Envelope Id: 244D1EBC84864F229450014D49269086 Status: Completed Subject: Please DocuSign: 6861 Substation Amendment 2 Source Envelope: Document Pages: 8 Signatures: 6 Envelope Originator: Certificate Pages: 6 Initials: 1 Monisa Rogers AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 901B Texas Street Denton, TX 76209 Monisa.Rogers@cityofdenton.com IP Address: 129.120.6.150 Record Tracking Status: Original 11/12/2019 1:19:48 PM Holder: Monisa Rogers Monisa.Rogers@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp M. Jane Rogers monisa.rogers@cityofdenton.com Senior Buyer City Of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 129.120.6.150 Sent: 11/12/2019 1:23:30 PM Viewed: 11/12/2019 1:24:09 PM Signed: 11/12/2019 1:27:08 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Lori Hewell lori.hewell@cityofdenton.com Purchasing Manager City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 11/12/2019 1:27:10 PM Viewed: 11/12/2019 4:16:57 PM Signed: 11/12/2019 4:23:09 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Mack Reinwand mack.reinwand@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 11/12/2019 4:23:11 PM Viewed: 11/14/2019 3:54:03 PM Signed: 11/14/2019 3:56:26 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Holger Peller holger.peller@powereng.com POWER Engineers Incorporated Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 209.141.115.2 Sent: 11/14/2019 3:56:28 PM Viewed: 11/15/2019 9:04:43 AM Signed: 11/15/2019 9:12:38 AM Electronic Record and Signature Disclosure: Accepted: 11/15/2019 9:04:43 AM ID: d70d6b2e-b0e8-4fd7-b6c3-92d1ed2e1458 Signer Events Signature Timestamp Antonio Puente, Jr. Antonio.Puente@cityofdenton.com Chief Financial Officer Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 11/15/2019 9:12:41 AM Viewed: 11/15/2019 12:30:31 PM Signed: 11/15/2019 12:31:46 PM Electronic Record and Signature Disclosure: Accepted: 11/15/2019 12:30:31 PM ID: e362a3dc-2570-4bb3-a99a-3fd903d7a030 Cheyenne Defee cheyenne.defee@cityofdenton.com Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 129.120.6.150 Sent: 11/15/2019 12:31:49 PM Viewed: 12/18/2019 10:40:05 AM Signed: 12/18/2019 10:40:20 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Todd Hileman Todd.Hileman@cityofdenton.com City Manager City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 12/18/2019 10:40:22 AM Viewed: 12/18/2019 1:57:46 PM Signed: 12/18/2019 1:57:52 PM Electronic Record and Signature Disclosure: Accepted: 7/25/2017 11:02:14 AM ID: 57619fbf-2aec-4b1f-805d-6bd7d9966f21 Rosa Rios rosa.rios@cityofdenton.com City Secretary Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 12/18/2019 1:57:55 PM Resent: 12/19/2019 9:16:51 AM Resent: 12/19/2019 9:28:09 AM Viewed: 12/19/2019 9:35:11 AM Signed: 12/19/2019 9:36:22 AM Electronic Record and Signature Disclosure: Accepted: 12/19/2019 9:35:11 AM ID: 6cf4a736-2aa5-4061-adaf-c3c1a936bafa In Ierson Signer Events Signature Timestamp Editor DeliverI Events Status Timestamp Igent DeliverI Events Status Timestamp IntermediarI DeliverI Events Status Timestamp CertiIied DeliverI Events Status Timestamp CarIon CopI Events Status Timestamp Cheyenne Defee cheyenne.defee@cityofdenton.com Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Sent: 11/12/2019 1:27:10 PM Electronic Record and Signature Disclosure: CarIon CopI Events Status Timestamp Not Offered via DocuSign Sherri Thurman sherri.thurman@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Sent: 11/15/2019 12:31:49 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Jane Richardson jane.richardson@cityofdenton.com Assistant City Secretary City of Denton Security Level: Email, Account Authentication (None) Sent: 12/18/2019 1:57:55 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Chuck Sears chuck.sears@cityofdenton.com Security Level: Email, Account Authentication (None) Sent: 12/19/2019 9:36:24 AM Viewed: 12/19/2019 9:58:49 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Iitness Events Signature Timestamp IotarI Events Signature Timestamp Envelope SummarI Events Status Timestamps Envelope Sent Hashed/Encrypted 12/19/2019 9:36:24 AM Certified Delivered Security Checked 12/19/2019 9:36:24 AM Signing Complete Security Checked 12/19/2019 9:36:24 AM Completed Security Checked 12/19/2019 9:36:24 AM IaIment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, City of Denton (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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