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7206 - Contract Executed Docusign City Council Transmittal Coversheet File Name Purchasing Contact City Council Target Date Piggy Back Option Contract Expiration Ordinance !#%)%!#&&' ' ""&#$ #' $$" " (") 00 52 43 - 1 Agreement Page 1 of 6 CITY OF DENTON 7206 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Hickory Creek Road Phase 1 (East) Revised September 20, 2018 SECTION 00 52 43 1 AGREEMENT 2 THIS AGREEMENT, authorized on ______________is made by and between the City of Denton, 3 a Texas home rule municipality, acting by and through its duly authorized City Manager, (“City”), 4 and McMahon Contracting, L.P., authorized to do business in Texas, acting by and through its duly 5 authorized representative, (“Contractor”). 6 City and Contractor, in consideration of the mutual covenants hereinafter set forth, agree as follows: 7 Article 1. WORK 8 Contractor shall complete all Work as specified or indicated in the Contract Documents for the 9 Project identified herein. 10 Article 2. PROJECT 11 The project for which the Work under the Contract Documents may be the whole or only a part is 12 generally described as follows: 13 Hickory Creek Road Phase 1 (East) 14 Contract No. 7206 15 Article 3. CONTRACT PRICE 16 City agrees to pay Contractor for performance of the Work in accordance with the Contract 17 Documents an amount, in current funds, of One million four hundred forty-three thousand seven 18 hundred sixty-one Dollars and 02/100 cents ($1,443,761.02). 19 Article 4. CONTRACT TIME 20 4.1 Final Acceptance. 21 The Work will be complete for Final Acceptance within 365 days after the date when the 22 Contract Time commences to run, as provided in Paragraph 2.03 of the General Conditions, 23 plus any extension thereof allowed in accordance with Article 12 of the General Conditions. 24 4.2 Liquidated Damages 25 Contractor recognizes that time is of the essence for completion of Milestones, if any, and 26 to achieve Final Acceptance of the Work and City will suffer financial loss if the Work is 27 not completed within the time(s) specified in Paragraph 4.1 above. The Contractor also 28 recognizes the delays, expense and difficulties involved in proving in a legal proceeding, 29 the actual loss suffered by the City if the Work is not completed on time. Accordingly, 30 instead of requiring any such proof, Contractor agrees that as liquidated damages for delay 31 (but not as a penalty), Contractor shall pay City One Thousand Dollars ($1,000.00) for 32 each day that expires after the time specified in Paragraph 4.1 for Final Acceptance until 33 the City issues the Final Letter of Acceptance. 34 Article 5. CONTRACT DOCUMENTS 35 5.1 CONTENTS: 36 A. The Contract Documents which comprise the entire agreement between City and 37 Contractor concerning the Work consist of the following: 38 1. This Agreement. 39 2. Attachments to this Agreement: 40 00 52 43 - 2 Agreement Page 2 of 6 CITY OF DENTON 7206 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Hickory Creek Road Phase 1 (East) Revised September 20, 2018 a. Bid Form 1 1) Proposal Form 2 2) Vendor Compliance to State Law Non-Resident Bidder 3 b. Current Prevailing Wage Rate Table 4 c. Worker’s Compensation Affidavit 5 d. General Conditions. 6 e. Supplementary Conditions. 7 3. The following located in File 7206 at: 8 https://lfpubweb.cityofdenton.com/MaterialsManagement/Browse.aspx?startid=199 &row=1&dbid=0: 10 a. Specifications described in the Table of Contents of the Project’s Contract 11 Documents. 12 b. North Central Texas Council of Governments Standard Specifications for Public 13 Works Construction – Fourth Edition, Divisions 200-800, and as amended by 14 City, and described in the Table of Contents of the Project’s Contract Documents. 15 c. Drawings. 16 d. Addenda. 17 e. Documentation submitted by Contractor prior to Notice of Award. 18 4. The following which shall be issued after the Effective Date and delivered to the City 19 within ten (10) days of the Effective Date and before beginning Work: 20 a. Payment Bond 21 b. Performance Bond 22 c. Maintenance Bond 23 d. Power of Attorney for the Bonds 24 e. Form 1295 – Certificate of Interested Parties (email to purchasing) 25 f. Insurance Certificate 26 5. The following which may be delivered or issued after the Effective Date and, if 27 issued, become an incorporated part of the Contract Documents: 28 a. Notice to Proceed. 29 b. Field Orders. 30 c. Change Orders. 31 d. Letter of Final Acceptance 32 33 00 52 43 - 3 Agreement Page 3 of 6 CITY OF DENTON 7206 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Hickory Creek Road Phase 1 (East) Revised September 20, 2018 Article 6. INDEMNIFICATION 1 6.1 Contractor covenants and agrees to indemnify, hold harmless and defend, at its own 2 expense, the city, its officers, servants and employees, from and against any and all 3 claims arising out of, or alleged to arise out of, the work and services to be performed 4 by the contractor, its officers, agents, employees, subcontractors, licensees or invitees 5 under this contract. This indemnification provision is specifically intended to operate 6 and be effective even if it is alleged or proven that all or some of the damages being 7 sought were caused, in whole or in part, by any act, omission or negligence of the city. 8 This indemnity provision is intended to include, without limitation, indemnity for any 9 and all costs, expenses and legal fees incurred by the city in defending against such 10 claims and causes of actions. 11 12 6.2 Contractor covenants and agrees to indemnify and hold harmless, at its own expense, 13 the city, its officers, servants and employees, from and against any and all loss of, 14 damage to, or destruction of, property of the city, arising out of, or alleged to arise out 15 of, the work and services to be performed by the contractor, its officers, agents, 16 employees, subcontractors, licensees or invitees under this contract. This 17 indemnification provision is specifically intended to operate and be effective even if it is 18 alleged or proven that all or some of the damages being sought were caused, in whole or 19 in part, by any act, omission or negligence of the city. 20 21 Article 7. MISCELLANEOUS 22 7.1 Terms. 23 Terms used in this Agreement which are defined in Article 1 of the General Conditions will 24 have the meanings indicated in the General Conditions. 25 7.2 Assignment of Contract. 26 This Agreement, including all of the Contract Documents may not be assigned by the 27 Contractor without the advanced express written consent of the City. 28 7.3 Successors and Assigns. 29 City and Contractor each binds itself, its partners, successors, assigns and legal 30 representatives to the other party hereto, in respect to all covenants, agreements and 31 obligations contained in the Contract Documents. 32 7.4 Severability. 33 Any provision or part of the Contract Documents held to be unconstitutional, void or 34 unenforceable by a court of competent jurisdiction shall be deemed stricken, and all 35 remaining provisions shall continue to be valid and binding upon City and Contractor. 36 7.5 Governing Law and Venue. 37 This Agreement, including all of the Contract Documents is performable in the State of 38 Texas. Venue shall be Denton County, Texas, or the United States District Court for the 39 Eastern District of Texas, Sherman Division. 40 00 52 43 - 4 Agreement Page 4 of 6 CITY OF DENTON 7206 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Hickory Creek Road Phase 1 (East) Revised September 20, 2018 7.6 Authority to Sign. 1 Contractor shall attach evidence of authority to sign Agreement if signed by someone other 2 than the duly authorized signatory of the Contractor. 3 4 7.7 Prohibition On Contracts With Companies Boycotting Israel. 5 Contractor acknowledges that in accordance with Chapter 2270 of the Texas Government 6 Code, the City is prohibited from entering into a contract with a company for goods or 7 services unless the contract contains a written verification from the company that it: (1) 8 does not boycott Israel; and (2) will not boycott Israel during the term of the contract. 9 The terms “boycott Israel” and “company” shall have the meanings ascribed to those terms 10 in Section 808.001 of the Texas Government Code. By signing this contract, Contractor 11 certifies that Contractor’s signature provides written verification to the City that 12 Contractor: (1) does not boycott Israel; and (2) will not boycott Israel during the term of 13 the contract. 14 15 7.8 Immigration Nationality Act. 16 Contractor shall verify the identity and employment eligibility of its employees who perform 17 work under this Agreement, including completing the Employment Eligibility Verification 18 Form (I-9). Upon request by City, Contractor shall provide City with copies of all I-9 forms 19 and supporting eligibility documentation for each employee who performs work under this 20 Agreement. Contractor shall adhere to all Federal and State laws as well as establish 21 appropriate procedures and controls so that no services will be performed by any Contractor 22 employee who is not legally eligible to perform such services. CONTRACTOR SHALL 23 INDEMNIFY CITY AND HOLD CITY HARMLESS FROM ANY PENALTIES, 24 LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH BY 25 CONTRACTOR, CONTRACTOR’S EMPLOYEES, SUBCONTRACTORS, 26 AGENTS, OR LICENSEES. City, upon written notice to Contractor, shall have the right 27 to immediately terminate this Agreement for violations of this provision by Contractor. 28 29 7.9 No Third-Party Beneficiaries. 30 This Agreement gives no rights or benefits to anyone other than the City and the Contractor 31 and there are no third-party beneficiaries. 32 33 34 00 52 43 - 5 Agreement Page 5 of 6 CITY OF DENTON 7206 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Hickory Creek Road Phase 1 (East) Revised September 20, 2018 7.10 No Cause of Action Against Engineer. 1 Contractor, its subcontractors and equipment and materials suppliers on the Project or their 2 sureties, shall maintain no direct action against the Engineer, its officers, employees, and 3 subcontractors, for any claim arising out of, in connection with, or resulting from the engineering 4 services performed. Only the City will be the beneficiary of any undertaking by the Engineer. 5 The presence or duties of the Engineer's personnel at a construction site, whether as on-site 6 representatives or otherwise, do not make the Engineer or its personnel in any way 7 responsible for those duties that belong to the City and/or the City's Contractors or other 8 entities, and do not relieve the Contractors or any other entity of their obligations, duties, and 9 responsibilities, including, but not limited to, all construction methods, means, techniques, 10 sequences, and procedures necessary for coordinating and completing all portions of the 11 construction work in accordance with the Contract Documents and any health or safety 12 precautions required by such construction work. The Engineer and its personnel have no 13 authority to exercise any control over any construction contractor or other entity or their 14 employees in connection with their work or any health or safety precautions. 15 16 SIGNATURE PAGE TO FOLLOW 17 18 00 52 43 - 6 Agreement Page 6 of 6 CITY OF DENTON 7206 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Hickory Creek Road Phase 1 (East) Revised September 20, 2018 IN WITNESS WHEREOF, City and Contractor have each executed this Agreement to be effective 1 as of the date subscribed by the City’s designated City Manager (“Effective Date”). 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 ATTEST: 37 ROSA RIOS, CITY SECRETARY 38 39 40 _______________________________________ 41 42 43 APPROVED AS TO LEGAL FORM: 44 AARON LEAL, CITY ATTORNEY 45 46 _______________________________________ 47 CITY OF DENTON BY: ___________________________________ CITY MANAGER CONTRACTOR MCMAHON CONTRACTING, L.P. BY: ___________________________________ AUTHORIZED AGENT _______________________________________ NAME _______________________________________ TITLE _______________________________________ PHONE NUMBER _______________________________________ EMAIL ADDRESS THIS AGREEMENT HAS BEEN BOTH REVIEWED AND APPROVED as to financial and operational obligations and business terms. _______________ ________________ SIGNATURE PRINTED NAME __________________________________ TITLE __________________________________ DEPARTMENT "!! " !# !! ! From:MCMAHON CONTRACTING L.P. 3019 ROY ORR BLVD GRAND PRAIRIE Will Mee Hickory Creek Road Ph 1 (EAST) - Addendum #2 972-263-6907 7206 will@mcmahoncontracting.com 180008 Item No.Spec. Section No.Description of work UOM BID QTY Unit Price Extended Price 1 NCTCOG 203.1 Site Clearing AC 3 12,894.69$ $38,684.07 2 NCTCOG 203.1 Remove Asphalt Pvmt SY 527 6.66$ $3,509.82 3 NCTCOG 203.1 Remove Conc Pvmt SY 1,736 10.33$ $17,932.88 4 NCTCOG 203.1 Remove Sidewalk SY 454 10.90$ $4,948.60 5 NCTCOG 203.1 Remove Rip Rap SY 329 $13.55 $4,457.95 6 NCTCOG 203.1 Remove Stamped Concrete SY 121 $13.23 $1,600.83 7 NCTCOG 203.1 Remove Gravel Drive SY 1,045 $4.92 $5,141.40 8 NCTCOG 203.1 Remove Fence (Barbed Wire) LF 1,632 $2.30 $3,753.60 9 NCTCOG 203.1 Remove Fence (Chain Link) LF 775 $2.30 $1,782.50 10 NCTCOG 203.1 Remove Gate EA 1 $230.00 $230.00 11 NCTCOG 203.1 Remove Sign Panel and Post EA 12 $109.25 $1,311.00 12 NCTCOG 508 18" Storm Abandonment Plug EA 1 $1,238.47 $1,238.47 13 NCTCOG 203.1 18" Storm Abandon & Grout Fill LF 68 $30.99 $2,107.32 14 TxDOT Item 496 Remove 24" Storm Line (RCP) LF 8 $26.17 $209.36 15 NCTCOG 203.1 Remove 18" Storm Line (RCP) LF 29 $26.15 $758.35 16 NCTCOG 203.1 Remove 12" Storm Line (CMP) LF 42 $26.12 $1,097.04 17 NCTCOG 203.1 Remove 5' Curb Inlet EA 1 $635.39 $635.39 18 TxDOT Item 496 Remove 5' Curb Inlet w/ 2 Ext. EA 2 $520.39 $1,040.78 19 NCTCOG 203.1 Remove 4' Storm Junction Box EA 1 $635.39 $635.39 20 TxDOT Item 496 Remove Headwall/SET EA 2 $520.39 $1,040.78 21 NCTCOG 203.1 Remove 4" Pvmt Marking (White Broken) LF 84 $1.04 $87.36 22 NCTCOG 203.1 Remove 8" Pvmt Marking (Yellow Solid)LF 2,849 $2.01 $5,726.49 23 NCTCOG 203.1 Remove 8" Pvmt Marking (White Dotted) LF 121 $2.01 $243.21 24 NCTCOG 203.1 Remove 8" Pvmt Marking (White Solid) LF 1,844 $2.01 $3,706.44 25 NCTCOG 203.1 Remove 24" Pvmt Marking (White Solid) LF 126 $4.03 $507.78 26 NCTCOG 203.1 Remove Pvmt Marking (Arrow) EA 5 $103.50 $517.50 27 NCTCOG 203.1 Remove Signal Box EA 1 $6,727.14 $6,727.14 $0.00 28 NCTCOG 303.2 11" Conc Pvmt SY 5,820 $61.39 $357,289.80 29 NCTCOG 301.2 12" Lime Treatment (37 lbs/SY) SY 6,230 $3.40 $21,182.00 30 NCTCOG 301.2 Hydrated Lime (for 12" Lime Treatment) TN 120 $187.44 $22,495.52 31 TxDOT Item 360 10" Conc Pvmt (CRCP) SY 770 $86.30 $66,451.00 32 TxDOT Item 340 HMAC (Type B) (4") (440#/SY)SY 835 $31.17 $26,026.95 33 TxDOT Item 360 8" Lime Treated Subgrade (4% Lime) SY 835 $4.57 $3,815.95 34 TxDOT Item 360 Hydrated Lime (for 8" Lime Treatment)TN 15 $187.45 $2,811.75 35 TxDOT Item 528 Stamped Concrete SY 1,300 $81.52 $105,976.00 36 NCTCOG 305.2 4" Conc Sidewalk SY 560 $59.37 $33,247.20 37 TxDOT Item 531 5" Conc Sidewalk SY 420 $63.37 $26,615.40 38 TxDOT Item 531 TXDOT Type 22 ADA Island Ramp EA 1 $2,932.50 $2,932.50 39 TxDOT Item 531 TXDOT Type 2 ADA Ramp Modified EA 2 $2,012.50 $4,025.00 40 TxDOT Item 531 TXDOT Type 2 ADA Ramp EA 2 $1,897.50 $3,795.00 41 NCTCOG 305.2 City of Denton ADA Ramp Type 1A SY 10 $1,897.50 $18,975.00 42 NCTCOG 701.2.3 Adjust Storm Drain Manhole EA 1 $2,359.67 $2,359.67 43 NCTCOG 203.4 Borrow (Embankment) CY 3,700 $12.59 $46,583.00 44 NCTCOG 203.2 Unclassified Excavation CY 900 $21.14 $19,026.00 45 NCTCOG 204.5 Block Sod Placement SY 8,000 $4.65 $37,200.00 BIDDERS APPLICATION - UNIT PRICE BID GENERAL Addendum #2 - Edits to line 34 are in red and highlighted. ENG/PMO: City of Denton - Capital Projects 901-A Texas Street Denton, TX 76209 Attn: Laura Hermosillo/Purchasing Dept. PROPOSAL FORM: IFB: ROAD ITEMS REMOVAL ITEMS Item No.Spec. Section No.Description of work UOM BID QTY Unit Price Extended Price 46 NCTCOG 204.2 Topsoil (6" Thick) SY 8,000 $3.26 $26,080.00 47 TxDOT Item 502 Traffic Control MO 6 $2,604.12 $15,624.72 48 TxDOT Item 500 Mobilization LS 1 $160,465.25 $160,465.25 49 TxDOT Item 552 Wire Fence (TY C) LF 1,510 $7.02 $10,600.20 $0.00 50 NCTCOG 804 24" SLD Pvmt Marking HAE (W) LF 770 $8.74 $6,729.80 51 NCTCOG 804 12" SLD Pvmt Marking HAS (W) LF 90 $4.60 $414.00 52 NCTCOG 804 8" SLD Pvmt Marking HAS (W) LF 2,090 $2.30 $4,807.00 53 NCTCOG 804 8" DOT Pvmt Marking HAS (W) LF 340 $2.30 $782.00 54 NCTCOG 804 4" BRK Pvmt Marking HAS (W) LF 940 $1.21 $1,137.40 55 NCTCOG 804 Reflective Pvmt Marking Arrow (W) EA 18 $149.50 $2,691.00 56 NCTCOG 804 Reflective Pvmt Marking Word (W)EA 9 $149.50 $1,345.50 57 NCTCOG 804 Reflective Pvmt Marking Yield Triangles (W) EA 8 $46.00 $368.00 58 NCTCOG 804 Pavement Sealer and Surface Prep for 24" Pavement LF 770 $0.12 $92.40 59 NCTCOG 804 Pavement Sealer and Surface Prep for 12" Pavement LF 90 $0.12 $10.80 60 NCTCOG 804 Pavement Sealer and Surface Prep for 8" Pavement Marking LF 2,430 $0.12 $291.60 61 NCTCOG 804 Pavement Sealer and Surface Prep for 4" Pavement Marking LF 940 $0.12 $112.80 62 NCTCOG 804 Pavement Sealer and Surface Prep for Arrow, Word, and Tri EA 35 $23.00 $805.00 63 TxDOT Item 658 Reflective Raised Marker TY II-C-R EA 280 $4.60 $1,288.00 64 TxDOT Item 636 Install New Traffic Sign & Assembly EA 11 $575.00 $6,325.00 65 TxDOT Item 618 Furnish/Install Conduit-Schedule 80 PVC 2 Inch Open Cut LF 760 $10.99 $8,352.40 66 TxDOT Item 618 Furnish/Install Conduit-Schedule 80 PVC 2 Inch Bore LF 60 $45.37 $2,722.20 67 TxDOT Item 624 Ground Box Type B EA 5 $1,438.59 $7,192.95 68 TxDOT Item 610 Furnish/Install Luminaire EA 3 $2,949.75 $8,849.25 69 TxDOT Item 416 Luminaire Foundation EA 3 $2,012.50 $6,037.50 70 Portable Changeable Message Boards EA 3 $3,450.00 $10,350.00 $0.00 72 NCTCOG 508 24" RCP, Class III LF 675 $76.68 $51,759.00 73 TxDOT Item 462 8x4 Box Culvert LF 170 $431.48 $73,351.60 74 NCTCOG 702.9 10' Recessed Inlet EA 4 $4,427.50 $17,710.00 75 TxDOT Item 465 5' Curb Inlet Type 1 w/ 2 Ext. EA 2 $6,785.00 $13,570.00 76 NCTCOG 702.9 4' Storm Junction Box EA 4 $3,565.00 $14,260.00 77 TxDOT Item 432 RIPRAP (STONE TY R) (GROUT) (14 IN)SY 250 $82.78 $20,695.00 78 TxDOT Item 132 Embankment by Plan CY 30 $23.03 $690.90 79 TxDOT Item 110 Excavation (Channel) CY 242 $23.20 $5,614.40 80 NCTCOG 508 24" Concrete Collar EA 2 $510.33 $1,020.66 81 TxDOT Item 466 Wingwall (PW) EA 1 $27,178.08 $27,178.08 82 TxDOT Item 450 RAIL (TY PR11) LF 50 $117.30 $5,865.00 83 NCTCOG 107.20.03 Trench Safety LF 650 $1.22 $793.00 84 NCTCOG 202 SWPPP ≥ 1 acre LS 1 $17,339.42 $17,339.42 $1,443,761.02 $1,443,761.02 TOTAL BASE BID: TOTAL BID: ALTERNATE BID: DEDUCTIVE ALTERNATE BID: ADDITIVE ALTERNATE BID: ALTERNATE BID DEDUCTIVE ALTERNATE BID ADDITIVE ALTERNATE BID DRAINAGE ITEMS TRAFFIC ITEMS EROSION CONTROL Item No.Spec. Section No.Description of work UOM BID QTY Unit Price Extended Price MCMAHON CONTRACTING L.P. "General Decision Number: TX20200018 01/03/2020 Superseded General Decision Number: TX20190018 State: Texas Construction Type: Heavy Counties: Collin, Dallas, Denton, Ellis, Kaufman and Rockwall Counties in Texas. Water and Sewer Lines/Utilities (Including Related Tunneling Where the Tunnel is 48"" or Less in Diameter) Note: Under Executive Order (EO) 13658, an hourly minimum wage of $10.80 for calendar year 2020 applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2015. If this contract is covered by the EO, the contractor must pay all workers in any classification listed on this wage determination at least $10.80 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in calendar year 2020. If this contract is covered by the EO and a classification considered necessary for performance of work on the contract does not appear on this wage determination, the contractor must pay workers in that classification at least the wage rate determined through the conformance process set forth in 29 CFR 5.5(a)(1)(ii) (or the EO minimum wage rate, if it is higher than the conformed wage rate). The EO minimum wage rate will be adjusted annually. Please note that this EO applies to the above-mentioned types of contracts entered into by the federal government that are subject to the Davis-Bacon Act itself, but it does not apply to contracts subject only to the Davis-Bacon Related Acts, including those set forth at 29 CFR 5.1(a)(2)-(60). Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts. Modification Number Publication Date 0 01/03/2020 * PLUM0100-002 11/01/2017 Rates Fringes Plumbers and Pipefitters.........$ 30.84 11.51 ---------------------------------------------------------------- SUTX1991-004 09/23/1991 Rates Fringes Laborers: Common......................$ 7.25 Utility.....................$ 7.467 Pipelayer........................$ 7.828 Power equipment operators: Backhoe.....................$ 10.804 Crane.......................$ 10.942 Front End Loader............$ 9.163 Tunneling Machine (48"" or less).......................$ 9.163 TRUCK DRIVER.....................$ 8.528 ---------------------------------------------------------------- WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental. ================================================================ Note: Executive Order (EO) 13706, Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2017. If this contract is covered by the EO, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year. Employees must be permitted to use paid sick leave for their own illness, injury or other health-related needs, including preventive care; to assist a family member (or person who is like family to the employee) who is ill, injured, or has other health-related needs, including preventive care; or for reasons resulting from, or to assist a family member (or person who is like family to the employee) who is a victim of, domestic violence, sexual assault, or stalking. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts. Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5.5 (a) (1) (ii)). ---------------------------------------------------------------- The body of each wage determination lists the classification and wage rates that have been found to be prevailing for the cited type(s) of construction in the area covered by the wage determination. The classifications are listed in alphabetical order of ""identifiers"" that indicate whether the particular rate is a union rate (current union negotiated rate for local), a survey rate (weighted average rate) or a union average rate (weighted union average rate). Union Rate Identifiers A four letter classification abbreviation identifier enclosed in dotted lines beginning with characters other than ""SU"" or ""UAVG"" denotes that the union classification and rate were prevailing for that classification in the survey. Example: PLUM0198-005 07/01/2014. PLUM is an abbreviation identifier of the union which prevailed in the survey for this classification, which in this example would be Plumbers. 0198 indicates the local union number or district council number where applicable, i.e., Plumbers Local 0198. The next number, 005 in the example, is an internal number used in processing the wage determination. 07/01/2014 is the effective date of the most current negotiated rate, which in this example is July 1, 2014. Union prevailing wage rates are updated to reflect all rate changes in the collective bargaining agreement (CBA) governing this classification and rate. Survey Rate Identifiers Classifications listed under the ""SU"" identifier indicate that no one rate prevailed for this classification in the survey and the published rate is derived by computing a weighted average rate based on all the rates reported in the survey for that classification. As this weighted average rate includes all rates reported in the survey, it may include both union and non-union rates. Example: SULA2012-007 5/13/2014. SU indicates the rates are survey rates based on a weighted average calculation of rates and are not majority rates. LA indicates the State of Louisiana. 2012 is the year of survey on which these classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination. 5/13/2014 indicates the survey completion date for the classifications and rates under that identifier. Survey wage rates are not updated and remain in effect until a new survey is conducted. Union Average Rate Identifiers Classification(s) listed under the UAVG identifier indicate that no single majority rate prevailed for those classifications; however, 100% of the data reported for the classifications was union data. EXAMPLE: UAVG-OH-0010 08/29/2014. UAVG indicates that the rate is a weighted union average rate. OH indicates the state. The next number, 0010 in the example, is an internal number used in producing the wage determination. 08/29/2014 indicates the survey completion date for the classifications and rates under that identifier. A UAVG rate will be updated once a year, usually in January of each year, to reflect a weighted average of the current negotiated/CBA rate of the union locals from which the rate is based. ---------------------------------------------------------------- WAGE DETERMINATION APPEALS PROCESS 1.) Has there been an initial decision in the matter? This can be: * an existing published wage determination * a survey underlying a wage determination * a Wage and Hour Division letter setting forth a position on a wage determination matter * a conformance (additional classification and rate) ruling On survey related matters, initial contact, including requests for summaries of surveys, should be with the Wage and Hour Regional Office for the area in which the survey was conducted because those Regional Offices have responsibility for the Davis-Bacon survey program. If the response from this initial contact is not satisfactory, then the process described in 2.) and 3.) should be followed. With regard to any other matter not yet ripe for the formal process described here, initial contact should be with the Branch of Construction Wage Determinations. Write to: Branch of Construction Wage Determinations Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 2.) If the answer to the question in 1.) is yes, then an interested party (those affected by the action) can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7). Write to: Wage and Hour Administrator U.S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 The request should be accompanied by a full statement of the interested party's position and by any information (wage payment data, project description, area practice material, etc.) that the requestor considers relevant to the issue. 3.) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board). Write to: Administrative Review Board U.S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 4.) All decisions by the Administrative Review Board are final. ================================================================ END OF GENERAL DECISION " "General Decision Number: TX20200025 01/03/2020 Superseded General Decision Number: TX20190025 State: Texas Construction Type: Highway Counties: Archer, Callahan, Clay, Collin, Dallas, Delta, Denton, Ellis, Grayson, Hunt, Johnson, Jones, Kaufman, Parker, Rockwall, Tarrant and Wise Counties in Texas. HIGHWAY CONSTRUCTION PROJECTS (excluding tunnels, building structures in rest area projects & railroad construction; bascule, suspension & spandrel arch bridges designed for commercial navigation, bridges involving marine construction; and other major bridges). Note: Under Executive Order (EO) 13658, an hourly minimum wage of $10.80 for calendar year 2020 applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2015. If this contract is covered by the EO, the contractor must pay all workers in any classification listed on this wage determination at least $10.80 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in calendar year 2020. If this contract is covered by the EO and a classification considered necessary for performance of work on the contract does not appear on this wage determination, the contractor must pay workers in that classification at least the wage rate determined through the conformance process set forth in 29 CFR 5.5(a)(1)(ii) (or the EO minimum wage rate, if it is higher than the conformed wage rate). The EO minimum wage rate will be adjusted annually. Please note that this EO applies to the above-mentioned types of contracts entered into by the federal government that are subject to the Davis-Bacon Act itself, but it does not apply to contracts subject only to the Davis-Bacon Related Acts, including those set forth at 29 CFR 5.1(a)(2)-(60). Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts. Modification Number Publication Date 0 01/03/2020 * SUTX2011-007 08/03/2011 Rates Fringes CONCRETE FINISHER (Paving and Structures)......................$ 14.12 ELECTRICIAN......................$ 19.80 FORM BUILDER/FORM SETTER Paving & Curb...............$ 13.16 Structures..................$ 13.84 LABORER Asphalt Raker...............$ 12.69 Flagger.....................$ 10.06 Laborer, Common.............$ 10.72 Laborer, Utility............$ 12.32 Pipelayer...................$ 13.24 Work Zone Barricade Servicer....................$ 11.68 POWER EQUIPMENT OPERATOR: Asphalt Distributor.........$ 15.32 Asphalt Paving Machine......$ 13.99 Broom or Sweeper............$ 11.74 Concrete Pavement Finishing Machine...........$ 16.05 Concrete Saw................$ 14.48 Crane Operator, Lattice Boom 80 Tons or Less........$ 17.27 Crane Operator, Lattice Boom over 80 Tons...........$ 20.52 Crane, Hydraulic 80 Tons or Less.....................$ 18.12 Crawler Tractor.............$ 14.07 Excavator, 50,000 pounds or less.....................$ 17.19 Excavator, over 50,000 pounds......................$ 16.99 Foundation Drill , Truck Mounted.....................$ 21.07 Foundation Drill, Crawler Mounted.....................$ 17.99 Front End Loader 3 CY or Less........................$ 13.69 Front End Loader, over 3 CY.$ 14.72 Loader/Backhoe..............$ 15.18 Mechanic....................$ 17.68 Milling Machine.............$ 14.32 Motor Grader, Fine Grade....$ 17.19 Motor Grader, Rough.........$ 16.02 Pavement Marking Machine....$ 13.63 Reclaimer/Pulverizer........$ 11.01 Roller, Asphalt.............$ 13.08 Roller, Other...............$ 11.51 Scraper.....................$ 12.96 Small Slipform Machine......$ 15.96 Spreader Box................$ 14.73 Servicer.........................$ 14.58 Steel Worker (Reinforcing).......$ 16.18 TRUCK DRIVER Lowboy-Float................$ 16.24 Off Road Hauler.............$ 12.25 Single Axle.................$ 12.31 Single or Tandem Axle Dump Truck.......................$ 12.62 Tandem Axle Tractor with Semi Trailer................$ 12.86 Transit-Mix.................$ 14.14 WELDER...........................$ 14.84 ---------------------------------------------------------------- WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental. ================================================================ Note: Executive Order (EO) 13706, Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2017. If this contract is covered by the EO, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year. Employees must be permitted to use paid sick leave for their own illness, injury or other health-related needs, including preventive care; to assist a family member (or person who is like family to the employee) who is ill, injured, or has other health-related needs, including preventive care; or for reasons resulting from, or to assist a family member (or person who is like family to the employee) who is a victim of, domestic violence, sexual assault, or stalking. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts. Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5.5 (a) (1) (ii)). ---------------------------------------------------------------- The body of each wage determination lists the classification and wage rates that have been found to be prevailing for the cited type(s) of construction in the area covered by the wage determination. The classifications are listed in alphabetical order of ""identifiers"" that indicate whether the particular rate is a union rate (current union negotiated rate for local), a survey rate (weighted average rate) or a union average rate (weighted union average rate). Union Rate Identifiers A four letter classification abbreviation identifier enclosed in dotted lines beginning with characters other than ""SU"" or ""UAVG"" denotes that the union classification and rate were prevailing for that classification in the survey. Example: PLUM0198-005 07/01/2014. PLUM is an abbreviation identifier of the union which prevailed in the survey for this classification, which in this example would be Plumbers. 0198 indicates the local union number or district council number where applicable, i.e., Plumbers Local 0198. The next number, 005 in the example, is an internal number used in processing the wage determination. 07/01/2014 is the effective date of the most current negotiated rate, which in this example is July 1, 2014. Union prevailing wage rates are updated to reflect all rate changes in the collective bargaining agreement (CBA) governing this classification and rate. Survey Rate Identifiers Classifications listed under the ""SU"" identifier indicate that no one rate prevailed for this classification in the survey and the published rate is derived by computing a weighted average rate based on all the rates reported in the survey for that classification. As this weighted average rate includes all rates reported in the survey, it may include both union and non-union rates. Example: SULA2012-007 5/13/2014. SU indicates the rates are survey rates based on a weighted average calculation of rates and are not majority rates. LA indicates the State of Louisiana. 2012 is the year of survey on which these classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination. 5/13/2014 indicates the survey completion date for the classifications and rates under that identifier. Survey wage rates are not updated and remain in effect until a new survey is conducted. Union Average Rate Identifiers Classification(s) listed under the UAVG identifier indicate that no single majority rate prevailed for those classifications; however, 100% of the data reported for the classifications was union data. EXAMPLE: UAVG-OH-0010 08/29/2014. UAVG indicates that the rate is a weighted union average rate. OH indicates the state. The next number, 0010 in the example, is an internal number used in producing the wage determination. 08/29/2014 indicates the survey completion date for the classifications and rates under that identifier. A UAVG rate will be updated once a year, usually in January of each year, to reflect a weighted average of the current negotiated/CBA rate of the union locals from which the rate is based. ---------------------------------------------------------------- WAGE DETERMINATION APPEALS PROCESS 1.) Has there been an initial decision in the matter? This can be: * an existing published wage determination * a survey underlying a wage determination * a Wage and Hour Division letter setting forth a position on a wage determination matter * a conformance (additional classification and rate) ruling On survey related matters, initial contact, including requests for summaries of surveys, should be with the Wage and Hour Regional Office for the area in which the survey was conducted because those Regional Offices have responsibility for the Davis-Bacon survey program. If the response from this initial contact is not satisfactory, then the process described in 2.) and 3.) should be followed. With regard to any other matter not yet ripe for the formal process described here, initial contact should be with the Branch of Construction Wage Determinations. Write to: Branch of Construction Wage Determinations Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 2.) If the answer to the question in 1.) is yes, then an interested party (those affected by the action) can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7). Write to: Wage and Hour Administrator U.S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 The request should be accompanied by a full statement of the interested party's position and by any information (wage payment data, project description, area practice material, etc.) that the requestor considers relevant to the issue. 3.) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board). Write to: Administrative Review Board U.S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 4.) 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2018 Change Order—$GRFXPHQWZKLFKLVSUHSDUHGDQGDSSURYHGE\WKH&LW\ZKLFKLVVLJQHG E\&RQWUDFWRUDQG&LW\DQGDXWKRUL]HVDQDGGLWLRQGHOHWLRQRUUHYLVLRQLQWKH:RUNRUDQ DGMXVWPHQWLQWKH&RQWUDFW3ULFHRUWKH&RQWUDFW7LPHLVVXHGRQRUDIWHUWKH(IIHFWLYH'DWH RIWKH$JUHHPHQW City— 7KH&LW\RI'HQWRQLVD7H[DVKRPHUXOHPXQLFLSDOFRUSRUDWLRQDFWLQJE\LWV&LW\ &RXQFLOWKURXJKLWV&LW\0DQDJHURUKLVGHVLJQHH City Attorney ±7KHRIILFLDOO\DSSRLQWHG&LW\$WWRUQH\RIWKH&LW\RI'HQWRQ7H[DVRUKLV GXO\DXWKRUL]HGUHSUHVHQWDWLYH City Council 7KH GXO\ HOHFWHG DQG TXDOLILHG JRYHUQLQJ ERG\ RI WKH &LW\ RI'HQWRQ 7H[DV City Manager ±7KHRIILFLDOO\DSSRLQWHGDQGDXWKRUL]HG&LW\0DQDJHURIWKH&LW\RI 'HQWRQ7H[DVRUKLVGXO\DXWKRUL]HGUHSUHVHQWDWLYH Contract Claim—$GHPDQGRUDVVHUWLRQE\&LW\RU&RQWUDFWRUVHHNLQJ DQDGMXVWPHQWRI &RQWUDFW3ULFHRU&RQWUDFW7LPHRUERWKRURWKHUUHOLHIZLWKUHVSHFWWRWKHWHUPVRIWKH &RQWUDFW$GHPDQGIRUPRQH\RUVHUYLFHVE\DWKLUGSDUW\LVQRWD&RQWUDFW&ODLP Contract—7KH HQWLUH DQG LQWHJUDWHG ZULWWHQ GRFXPHQW EHWZHHQ WKH &LW\ DQG &RQWUDFWRU 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7KH&RQWUDFWRU¶VFRQVWUXFWLRQDFWLYLWLHVZLOOUHTXLUHLWVHPSOR\HHVDJHQWVVXEFRQWUDFWRUVHTXLSPHQWDQG PDWHULDOGHOLYHULHVWRFURVVUDLOURDGSURSHUWLHVDQGWUDFNVRUSHUIRUPZRUNZLWKLQIHHWRIWKHFHQWHUOLQH RIWUDFNV1RQH. 7KH&RQWUDFWRUVKDOOFRQGXFWLWVRSHUDWLRQVRQUDLOURDGSURSHUWLHVLQVXFKDPDQQHUDVQRWWRLQWHUIHUHZLWK KLQGHURUREVWUXFWWKHUDLOURDGFRPSDQ\LQDQ\PDQQHUZKDWVRHYHULQWKHXVHRURSHUDWLRQRILWVWKHLUWUDLQV RURWKHUSURSHUW\6XFKRSHUDWLRQVRQUDLOURDGSURSHUWLHVPD\UHTXLUHWKDW&RQWUDFWRUWRH[HFXWHD³5LJKWRI (QWU\$JUHHPHQW´ZLWKWKHSDUWLFXODUUDLOURDGFRPSDQ\RUFRPSDQLHVLQYROYHGDQGWRWKLVHQGWKH &RQWUDFWRUVKRXOGVDWLVI\LWVHOIDVWRWKHUHTXLUHPHQWVRIHDFKUDLOURDGFRPSDQ\DQGEHSUHSDUHGWRH[HFXWH WKHULJKWRIHQWU\LIDQ\UHTXLUHGE\DUDLOURDGFRPSDQ\7KHUHTXLUHPHQWVVSHFLILHGKHUHLQOLNHZLVHUHODWH WRWKH&RQWUDFWRU¶VXVHRISULYDWHDQGRUFRQVWUXFWLRQDFFHVVURDGVFURVVLQJVDLGUDLOURDGFRPSDQ\¶V SURSHUWLHV 7KH&RQWUDFWXDO/LDELOLW\FRYHUDJHUHTXLUHGE\3DUDJUDSK'RIWKH*HQHUDO&RQGLWLRQVVKDOOSURYLGH FRYHUDJHIRUQRWOHVVWKDQWKHIROORZLQJDPRXQWVLVVXHGE\FRPSDQLHVVDWLVIDFWRU\WRWKH&LW\DQGWRWKH 5DLOURDG&RPSDQ\IRUDWHUPWKDWFRQWLQXHVIRUVRORQJDVWKH&RQWUDFWRU¶VRSHUDWLRQVDQGZRUNFURVV RFFXS\RUWRXFKUDLOURDGSURSHUW\ *HQHUDO$JJUHJDWH $Confirm Limits with Railroad (DFK2FFXUUHQFH$Confirm Limits with Railroad Required for this Contract X Not required for this Contract <Provide an “X” next to the appropriate selection above based on the Contract requirements> :LWKUHVSHFWWRWKHDERYHRXWOLQHGLQVXUDQFHUHTXLUHPHQWVWKHIROORZLQJVKDOOJRYHUQ :KHUHDVLQJOHUDLOURDGFRPSDQ\LVLQYROYHGWKH&RQWUDFWRUVKDOOSURYLGHRQHLQVXUDQFHSROLF\LQ WKH QDPH RI WKH UDLOURDG FRPSDQ\ +RZHYHU LI PRUH WKDQ RQH JUDGH VHSDUDWLRQ RU DWJUDGH 6833/(0(17$5<&21',7,216 3DJHRI &,7<2)'(1721 ,)% 67$1'$5'&216758&7,2163(&,),&$7,21'2&80(176 (QJLQHHULQJ3URMHFW1R 5HYLVHGSeptember 20, 2018 FURVVLQJLVDIIHFWHGE\WKH3URMHFWDWHQWLUHO\VHSDUDWHORFDWLRQVRQWKHOLQHRUOLQHVRIWKHVDPH UDLOURDGFRPSDQ\VHSDUDWHFRYHUDJHPD\EHUHTXLUHGHDFKLQWKHDPRXQWVWDWHGDERYH 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HDFKDIIHFWHG5DLOURDG&RPSDQ\SULRUWRWKH&RQWUDFWRU¶VEHJLQQLQJZRUN 7KHLQVXUDQFHVSHFLILHGDERYHPXVWEHFDUULHGXQWLODOO:RUNWREHSHUIRUPHGRQWKHUDLOURDGULJKWRIZD\ KDVEHHQFRPSOHWHGDQGWKHJUDGHFURVVLQJLIDQ\LVQRORQJHUXVHGE\WKH&RQWUDFWRU,QDGGLWLRQ LQVXUDQFHPXVWEHFDUULHGGXULQJDOOPDLQWHQDQFHDQGRUUHSDLUZRUNSHUIRUPHGLQWKHUDLOURDGULJKWRIZD\ 6XFKLQVXUDQFHPXVWQDPHWKHUDLOURDGFRPSDQ\DVWKHLQVXUHGWRJHWKHUZLWKDQ\WHQDQWRUOHVVHHRIWKH UDLOURDGFRPSDQ\RSHUDWLQJRYHUWUDFNVLQYROYHGLQWKH3URMHFW 6&³3HUPLWVDQG8WLOLWLHV´ 6&$³&RQWUDFWRUREWDLQHGSHUPLWVDQGOLFHQVHV´ 7KHIROORZLQJDUHNQRZQSHUPLWVDQGRUOLFHQVHVUHTXLUHGE\WKH&RQWUDFWWREHDFTXLUHGE\WKH&RQWUDFWRU 1. TCEQ Small Construction permit 6&%³&LW\REWDLQHGSHUPLWVDQGOLFHQVHV´ 7KHIROORZLQJDUHNQRZQSHUPLWVDQGRUOLFHQVHVUHTXLUHGE\WKH&RQWUDFWWREHDFTXLUHGE\WKH&LW\ 2. TXDOT Driveway/Access permit 6&&³2XWVWDQGLQJSHUPLWVDQGOLFHQVHV´ 7KHIROORZLQJLVDOLVWRINQRZQRXWVWDQGLQJSHUPLWVDQGRUOLFHQVHVWREHDFTXLUHGLIDQ\DVRI-DQXDU\ 2XWVWDQGLQJ3HUPLWVDQGRU/LFHQVHVWR%H$FTXLUHG 2:1(5 3(50,725/,&(16($1'/2&$7,21 7$5*(7'$7( 2)3266(66,21 7;'27 'ULYHZD\$FFHVV 7&(46PDOO&RQVWUXFWLRQ 6&³&RRUGLQDWLRQ´ 7KHLQGLYLGXDOVRUHQWLWLHVOLVWHGEHORZKDYHFRQWUDFWVZLWKWKH&LW\IRUWKHSHUIRUPDQFHRIRWKHUZRUNDW WKH6LWH 6833/(0(17$5<&21',7,216 3DJHRI &,7<2)'(1721 ,)% 67$1'$5'&216758&7,2163(&,),&$7,21'2&80(176 (QJLQHHULQJ3URMHFW1R 5HYLVHGSeptember 20, 2018 9HQGRU 6FRSHRI:RUN &RRUGLQDWLRQ$XWKRULW\ None 6&³&RPPXQLFDWLRQVWR&RQWUDFWRU´ &RQWUDFWRUPD\QHHGWRFRPPXQLFDWHZLWK8QLWH3ULYDWH1HWZRUNV831ZKRLVVODWHGWRLQVWDOODILEHU OLQHZLWKLQWKHOLPLWVRIFRQVWUXFWLRQIRU+LFNRU\&UHHN5RDG3K(DVW 7RP0DUYHO831± 6&³&LW\¶V3URMHFW0DQDJHU´ 7KH&LW\¶V3URMHFW0DQDJHUIRUWKLV&RQWUDFWLV7UHYRU&UDLQ303RUKLVKHUVXFFHVVRUSXUVXDQWWR ZULWWHQQRWLILFDWLRQIURPWKH&LW\(QJLQHHU 6&&³7HVWVDQG,QVSHFWLRQV´ None 6&&³0HWKRGVDQG3URFHGXUHV´ None (1'2)6(&7,21 5HYLVLRQ/RJ '$7( 1$0( 6800$5<2)&+$1*( 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 Certificate Of Completion Envelope Id: D46375E302974B15B64A49B03C3EA18B Status: Completed Subject: Please DocuSign: City Council Contract IFB 7206 - Hickory Creek Road Phase 1 (East) Source Envelope: Document Pages: 101 Signatures: 6 Envelope Originator: Certificate Pages: 6 Initials: 1 Tabitha Millsop AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 901B Texas Street Denton, TX 76209 tabitha.millsop@cityofdenton.com IP Address: 129.120.6.150 Record Tracking Status: Original 6/19/2020 2:27:19 PM Holder: Tabitha Millsop tabitha.millsop@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Tabitha Millsop tabitha.millsop@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 129.120.6.150 Sent: 6/19/2020 2:56:56 PM Viewed: 6/19/2020 2:57:59 PM Signed: 6/19/2020 3:01:17 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: 6/19/2020 3:01:21 PM Viewed: 6/19/2020 3:27:16 PM Signed: 6/19/2020 3:28:52 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: 198.49.140.104 Sent: 6/19/2020 3:28:55 PM Viewed: 6/19/2020 5:11:12 PM Signed: 6/19/2020 5:17:38 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Shawn McMahon shawn@mcmahoncontracting.com Manager Security Level: Email, Account Authentication (None)Signature Adoption: Drawn on Device Using IP Address: 71.78.122.98 Sent: 6/19/2020 5:17:42 PM Resent: 6/23/2020 3:40:11 PM Resent: 6/25/2020 8:36:34 AM Viewed: 6/25/2020 12:22:10 PM Signed: 6/25/2020 12:24:55 PM Electronic Record and Signature Disclosure: Accepted: 6/25/2020 12:22:10 PM ID: bfa075bc-8085-4b70-8fd6-6775190e26f9 Signer Events Signature Timestamp Todd Estes todd.estes@cityofdenton.com City Engineer Capital Projects Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 68.184.181.113 Sent: 6/25/2020 12:25:00 PM Viewed: 6/25/2020 12:26:41 PM Signed: 6/25/2020 12:38:48 PM Electronic Record and Signature Disclosure: Accepted: 6/25/2020 12:26:41 PM ID: 6acd2b1d-6fdf-4d02-bd47-2341bf2519d3 Cheyenne Defee cheyenne.defee@cityofdenton.com Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 198.49.140.104 Sent: 6/25/2020 12:38:53 PM Viewed: 7/22/2020 8:35:17 AM Signed: 7/22/2020 8:42:01 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: 47.186.196.49 Sent: 7/22/2020 8:42:05 AM Viewed: 7/22/2020 8:47:12 AM Signed: 7/22/2020 8:47:21 AM 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: 198.49.140.104 Sent: 7/22/2020 8:47:25 AM Viewed: 7/22/2020 12:45:42 PM Signed: 7/22/2020 12:46:28 PM Electronic Record and Signature Disclosure: Accepted: 7/22/2020 12:45:42 PM ID: 9ccbb39a-9fb5-4b1c-9878-27e8ddf687c9 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: 6/19/2020 3:01:21 PM Electronic Record and Signature Disclosure: CarIon CopI Events Status Timestamp Not Offered via DocuSign Shelley Peterson Shelley@mcmahoncontracting.com Security Level: Email, Account Authentication (None) Sent: 6/19/2020 5:17:43 PM Viewed: 6/23/2020 6:20:16 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign jill Mee jill@mcmahoncontracting.com Security Level: Email, Account Authentication (None) Sent: 6/19/2020 5:17:43 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Sherri Thurman sherri.thurman@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Sent: 6/25/2020 12:38:52 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign jolaina Parker jolaina.Parker@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Sent: 7/22/2020 12:46:34 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Trevor Crain Trevor.Crain@cityofdenton.com Security Level: Email, Account Authentication (None) Sent: 7/22/2020 12:46:34 PM 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 7/22/2020 12:46:35 PM Certified Delivered Security Checked 7/22/2020 12:46:35 PM Signing Complete Security Checked 7/22/2020 12:46:35 PM Completed Security Checked 7/22/2020 12:46:35 PM 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 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