6590-032 - Amendment 2 Executed
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6590-032 PSA – Amendment #2 Page 1 of 2
SECOND AMENDMENT TO CONTRACT
BY AND BETWEEN THE CITY OF DENTON, TEXAS
AND RPS INFRASTRUCTURE, INC.
FILE 6590-032
THE STATE OF TEXAS §
COUNTY OF DENTON §
THIS SECOND AMENDMENT TO CONTRACT 6590-032 (“Amendment”) by
and between the City of Denton, Texas (“City”) and RPS Infrastructure, Inc.
(“Consultant”); to that certain contract executed on September 18, 2018, in the original
not-to-exceed amount of $2,031,479.50 (the “Original Agreement”); amended on March
26, 2019 in the additional amount of $397,760 aggregating a not-to-exceed amount of
$2,429,239.50 (the “First Amendment”) (collectively, the Original Agreement and the First
Amendment are the “Agreement”) for services related to professional engineering services
for the preparation of construction plans and construction phase services associated with
Bonnie Brae Phase 6 Reconstruction from US 380 to Loop 288 in Denton County;
WHEREAS, the City deems it necessary to further expand the services provided by
Consultant to the City pursuant to the terms of the Agreement, and to provide an additional
not-to-exceed amount $340,609 with this Amendment for an aggregate not-to-exceed of
$2,769,848.50.
FURTHERMORE, the City deems it necessary to further expand the goods/services
provided by Consultant to the City;
NOW THEREFORE, the City and Consultant (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 Exhibit “A” of this Amendment, attached
hereto and incorporated herein for all purposes, for professional services related to
the Bonnie Brae Phase 6 Reconstruction from US 380 to Loop 288 in Denton
County, are hereby authorized to be performed by Consultant. For and in
consideration of the additional services to be performed by Consultant, the Owner
agrees to pay, based on the cost estimate detail attached as Exhibit “A” to this
Amendment, attached hereto and incorporated herein for all purposes, a total fee,
including reimbursement for non-labor expenses an amount not to exceed
$340,609.
6590-032 PSA – Amendment #2 Page 2 of 2
2. This Amendment modifies the Agreement amount to provide an additional
$340,609 for the additional services with a revised aggregate not to exceed total of
$2,769,848.50.
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 Consultant, have each executed this
Amendment electronically, by and through their respective duly authorized representatives
and officers on this date _________________________.
“CONSULTANT”
RPS INFRASTRUCTURE, 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:
_______________________________
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
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dd,D EdŝƚLJŽĨĞŶƚŽŶŽŶŶŝĞƌĂĞ^ƚƌĞĞƚZĞĐŽŶƐƚƌƵĐƚŝŽŶͲWŚĂƐĞϲtKZ<Z <KtE^dZhdhZ D ED EdϮ^ŚĞĞƚŽƵŶƚWƌŝŶĐŝƉĂůƐĞƉĂƌƚŵĞŶƚDĂŶĂŐĞƌ^ĞŶŝŽƌWƌŽũĞĐƚDĂŶĂŐĞƌWƌŽũĞĐƚDĂŶĂŐĞƌ^ĞŶŝŽƌWƌŽũĞĐƚ ŶŐŝŶĞĞƌWƌŽũĞĐƚ ŶŐŝŶĞĞƌƐƐŽĐŝĂƚĞ ŶŐŝŶĞĞƌ/ͬ//ƐƐŽĐŝĂƚĞ ŶŐŝŶĞĞƌ///'/^^ƉĞĐŝĂůŝƐƚDĂŶĂŐĞƌ^ĞŶŝŽƌĞƐŝŐŶĞƌĞƐŝŐŶĞƌ^ĞŶŝŽƌdĞĐŚŶŝĐŝĂŶdĞĐŚŶŝĐŝĂŶ^ĞŶŝŽƌ ŶǀŝƌŽŶŵĞŶƚĂůWůĂŶŶĞƌ ŶǀŝƌŽŶŵĞŶƚĂůWůĂŶŶĞƌůĞƌŝĐĂůdŽƚĂů>ĂďŽƌ,ŽƵƌƐdŽƚĂů>ĂďŽƌŽƐƚƉĞƌdĂƐŬΨϮϴϬ͘ϬϬ ΨϮϱϬ͘ϬϬ ΨϮϯϬ͘ϬϬ ΨϭϵϬ͘ϬϬ Ψϭϲϱ͘ϬϬ ΨϭϰϬ͘ϬϬ ΨϭϬϬ͘ϬϬ ΨϭϮϱ͘ϬϬ ΨϭϬϬ͘ϬϬΨϭϰϳ͘ϬϬ Ψϭϯϱ͘ϬϬ ΨϭϬϬ͘ϬϬ ΨϭϭϬ͘ϬϬ ΨϵϬ͘ϬϬ ΨϮϮϬ͘ϬϬ Ψϭϯϱ͘ϬϬ ΨϵϬ͘ϬϬd^<dĂƐŬϭͲĞƐŝŐŶDĂŶĂŐĞŵĞŶƚŝƌĞĐƚdĞĂŵĐƚŝǀŝƚŝĞƐϰϰ ΨϳϲϬ͘ϬϬYͬYϰϴϭϮ ΨϮ͕ϱϮϬ͘ϬϬŽŽƌĚŝŶĂƚŝŽŶDĞĞƚŝŶŐƐ;ϯͿϭϱ ϭϱϯϬ Ψϰ͕ϵϱϬ͘ϬϬdŽƚĂů Ϭ ϰ ϬϮϳϬϭϱϬϬϬϬϬϬϬϬ Ϭ Ϭ Ϭ ϰϲΨϴ͕ϮϯϬ͘ϬϬdŽƚĂů>ĂďŽƌŽƐƚΨϬ͘ϬϬ Ψϭ͕ϬϬϬ͘ϬϬ ΨϬ͘ϬϬ Ψϱ͕ϭϯϬ͘ϬϬ ΨϬ͘ϬϬ ΨϮ͕ϭϬϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬΨϴ͕ϮϯϬ͘ϬϬdĂƐŬϮͲŽŶĐĞƉƚƵĂůĞƐŝŐŶ;ϯϬWĞƌĐĞŶƚͿĂƚĂŽůůĞĐƚŝŽŶĐƋƵŝƌĞƐͲƵŝůƚƐϰϰϰϭϮ Ψϭ͕ϲϲϬ͘ϬϬZĞƐĞĂƌĐŚ&ƵƚƵƌĞĞǀĞůŽƉŵĞŶƚϮϰϰϭϬ Ψϭ͕ϮϴϬ͘ϬϬ^ŝƚĞZĞĐŽŶŶĂŝƐƐĂŶĐĞ;ϮƚƌŝƉƐͿϰϴϴϮϬ ΨϮ͕ϱϲϬ͘ϬϬŽŶĐĞƉƚƵĂůĞƐŝŐŶWĂĐŬĂŐĞ ƐƚĂďůŝƐŚdLJƉŝĐĂů^ĞĐƚŝŽŶƐϴϴϴϭϲϰϬ Ψϱ͕ϰϰϬ͘ϬϬWƌŽĨŝůĞůƚĞƌŶĂƚŝǀĞƐ;ϮͿͲKǀĞƌƉĂƐƐͬƵŶĚĞƌƉĂƐƐ ϰ ϭϲ ϴ ϭϲ ϲϬ ϯϮϭϯϲ Ψϭϳ͕ϳϴϬ͘ϬϬĞǀĞůŽƉ,ŽƌŝnjŽŶƚĂůůŝŐŶŵĞŶƚƐ;ϮͿͲKǀĞƌƉĂƐƐͬhŶĚĞƌƉĂƐƐϭϲ ϴ Ϯϰ ϰϬϴϴ Ψϭϭ͕ϱϲϬ͘ϬϬĞǀĞůŽƉsĞƌƚŝĐĂůůŝŐŶŵĞŶƚϭϲ ϴ Ϯϰ ϰϬϴϴ Ψϭϭ͕ϱϲϬ͘ϬϬZŽĂĚǁĂLJWůĂŶŝŵĞƚƌŝĐƐϭϲ ϰϬ ϰϬϵϲ ΨϭϮ͕ϬϰϬ͘ϬϬZĞƚĂŝŶŝŶŐtĂůů>ŽĐĂƚŝŽŶƐϴ ϴ Ϯϰ ϯϮϳϮ Ψϵ͕ϬϰϬ͘ϬϬƌŽƐƐ^ĞĐƚŝŽŶƐ;ϱϬĨƚ/ŶƚĞƌǀĂů͕ƌŝƚŝĐĂů>ŽĐĂƚŝŽŶƐͿϴ ϴ ϭϲ ϭϲϰϴ Ψϲ͕ϮϰϬ͘ϬϬĞǀĞůŽƉ^ĐŚĞŵĂƚŝĐŶŶŽƚĂƚŝŽŶϴϭϲϭϲ ϰϬϴϬ Ψϵ͕ϱϮϬ͘ϬϬYͬYϲϴϭϰ Ψϯ͕ϬϮϬ͘ϬϬYƵĂŶƚŝƚŝĞƐϰϴϰϭϲ ΨϮ͕ϬϲϬ͘ϬϬ ƐƚŝŵĂƚĞƐŽĨWƌŽďĂďůĞŽƐƚϯϬйϴϴϴϮϰ Ψϯ͕ϯϮϬ͘ϬϬdŽƚĂů ϬϭϬϬϭϮϲϬϰϴϮϬϬϮϴϴϬϬϬϬϳϮϬ Ϭ Ϭ ϬϳϰϰΨϵϳ͕ϬϴϬ͘ϬϬdŽƚĂů>ĂďŽƌŽƐƚΨϬ͘ϬϬ ΨϮ͕ϱϬϬ͘ϬϬ ΨϬ͘ϬϬ ΨϮϯ͕ϵϰϬ͘ϬϬ ΨϬ͘ϬϬ Ψϲ͕ϳϮϬ͘ϬϬ ΨϮϬ͕ϬϬϬ͘ϬϬ Ψϯϲ͕ϬϬϬ͘ϬϬΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ Ψϳ͕ϵϮϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬΨϵϳ͕ϬϴϬ͘ϬϬdĂƐŬϭϵͲŝĚWŚĂƐĞ^ĞƌǀŝĐĞƐƐƐĞŵďůĞŝĚWĂĐŬĂŐĞϰϭϲϭϲ ϯϲ Ψϯ͕ϴϬϬ͘ϬϬWƌĞͲŝĚDĞĞƚŝŶŐϰϰϰϭϮ Ψϭ͕ϳϮϬ͘ϬϬŝĚŽŵƉĂƌŝƐŽŶƐϰϴϭϮ Ψϭ͕ϱϲϬ͘ϬϬDŝŶŽƌWůĂŶZĞǀŝƐŝŽŶƐϮϰ Ϯϰ ϰϬϭϲϭϬϰ Ψϭϯ͕ϲϴϬ͘ϬϬŽŶƚƌĂĐƚŽƌYƵĞƐƚŝŽŶƐϴϴϭϲϯϮ Ψϰ͕ϮϰϬ͘ϬϬ>ĞƚƚĞƌŽĨZĞĐŽŵŵĞŶĚĂƚŝŽŶϰϰ ϴ Ψϭ͕ϭϮϬ͘ϬϬdŽƚĂů Ϭ Ϭ ϬϰϴϬϯϲϴϰϬϬϬϬϬϭϲϬ Ϭ ϬϮϬϮϬϰΨϮϲ͕ϭϮϬ͘ϬϬdŽƚĂů>ĂďŽƌŽƐƚΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ Ψϵ͕ϭϮϬ͘ϬϬ ΨϬ͘ϬϬ Ψϱ͕ϬϰϬ͘ϬϬ Ψϴ͕ϰϬϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ Ψϭ͕ϳϲϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ Ψϭ͕ϴϬϬ͘ϬϬΨϮϲ͕ϭϮϬ͘ϬϬdĂƐŬϮϬͲŽŶƐƚƌƵĐƚŝŽŶWŚĂƐĞ^ĞƌǀŝĐĞƐWƌĞͲĐŽŶƐƚƌƵĐƚŝŽŶŽŶĨĞƌĞŶĐĞϰϰϰϭϮ Ψϭ͕ϳϮϬ͘ϬϬZŽĂĚǁĂLJ/ŶƐƉĞĐƚŽƌ;ĂƐŶĞĞĚĞĚďĂƐŝƐͿϰϬ ϰϬ Ϯϴϴϯϲϴ ΨϰϮ͕ϬϬϬ͘ϬϬŝͲǁĞĞŬůLJ^ŝƚĞsŝƐŝƚƐϭϬϴϭϬϴ ΨϮϬ͕ϱϮϬ͘ϬϬ^ŚŽƉƌĂǁŝŶŐZĞǀŝĞǁ;ϭϬƐƵďŵŝƚƚĂůƐͿϮϬ ϮϬϰϬ Ψϱ͕ϴϬϬ͘ϬϬZ&/ZĞƐƉŽŶƐĞ;ϭϬZ&/ΖƐͿϰϬ ϰϬ ϴϬϭϲϬ ΨϮϭ͕ϮϬϬ͘ϬϬ/ŶǀĞƐƚŝŐĂƚŝŽŶƐŝŶƚŽĐŽŶƚƌĂĐƚŽƌƉůĂŶĚĞǀŝĂƚŝŽŶƐϭϲ Ϯϰ ϰϬϴϬ ΨϭϬ͕ϰϬϬ͘ϬϬŚĂŶŐĞKƌĚĞƌZĞǀŝĞǁ;ϱŚĂŶŐĞKƌĚĞƌƐͿ ϴ ϮϬ ϭϲ ϰϬϴϰ ΨϭϮ͕ϬϰϬ͘ϬϬWůĂŶZĞǀŝƐŝŽŶƐϮϰ ϰϬ ϰϬϮϰϭϮϴ Ψϭϲ͕ϴϬϬ͘ϬϬ&ŝŶĂůWƵŶĐŚ>ŝƐƚϴϴϴϮϰ Ψϯ͕ϰϰϬ͘ϬϬZĞĐŽƌĚƌĂǁŝŶŐƐϰϭϲϰϬϮϰϴϰ Ψϵ͕ϲϰϬ͘ϬϬĚĚƌĞƐƐŝŶŐd>ZZĞǀŝĞǁŽŵŵĞŶƚƐϭϲ ϭϲ ϯϮϲϰ Ψϴ͕ϰϴϬ͘ϬϬWƵďůŝĐ/ŶǀŽůǀĞŵĞŶƚ;ĂƐƐƵŵĞϭϬŵĞĞƚŝŶŐƐͿϯϬ ϯϬϲϬ Ψϴ͕ϳϬϬ͘ϬϬdŽƚĂů Ϭ ϴ ϬϯϯϬϬϮϬϰϲϮϮϬϬϬϬϬϰϴϬ Ϭ Ϭ ϬϭϮϭϮΨϭϲϬ͕ϳϰϬ͘ϬϬdŽƚĂů>ĂďŽƌŽƐƚΨϬ͘ϬϬ ΨϮ͕ϬϬϬ͘ϬϬ ΨϬ͘ϬϬ ΨϲϮ͕ϳϬϬ͘ϬϬ ΨϬ͘ϬϬ ΨϮϴ͕ϱϲϬ͘ϬϬ ΨϲϮ͕ϮϬϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ Ψϱ͕ϮϴϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬΨϭϲϬ͕ϳϰϬ͘ϬϬ>KZdKd>ΨϮϵϮ͕ϭϳϬ͘ϬϬ/Z d yW E^ ^ΨϮϮ͕ϭϱϵ͘ϬϬdKd>Ψϯϭϰ͕ϯϮϵ͘ϬϬΨϯϭϰ͕ϯϮϵ͘ϬϬ ^Z/Wd/KEK&tKZ<d^<^ ^ Zs/ ^^ ^/'E^ Zs/ ^dKd>&KZ^ ^ Zs/ ^WĂŐĞϭŽĨϯ
dd,D EdŝƚLJŽĨĞŶƚŽŶŽŶŶŝĞƌĂĞ^ƚƌĞĞƚZĞĐŽŶƐƚƌƵĐƚŝŽŶͲWŚĂƐĞϲtKZ<Z <KtE^dZhdhZ D ED EdϮ^ŚĞĞƚŽƵŶƚWƌŝŶĐŝƉĂůƐĞƉĂƌƚŵĞŶƚDĂŶĂŐĞƌ^ĞŶŝŽƌWƌŽũĞĐƚDĂŶĂŐĞƌWƌŽũĞĐƚDĂŶĂŐĞƌ^ĞŶŝŽƌWƌŽũĞĐƚ ŶŐŝŶĞĞƌWƌŽũĞĐƚ ŶŐŝŶĞĞƌƐƐŽĐŝĂƚĞ ŶŐŝŶĞĞƌ/ͬ//ƐƐŽĐŝĂƚĞ ŶŐŝŶĞĞƌ///'/^^ƉĞĐŝĂůŝƐƚDĂŶĂŐĞƌ^ĞŶŝŽƌĞƐŝŐŶĞƌĞƐŝŐŶĞƌ^ĞŶŝŽƌdĞĐŚŶŝĐŝĂŶdĞĐŚŶŝĐŝĂŶ^ĞŶŝŽƌ ŶǀŝƌŽŶŵĞŶƚĂůWůĂŶŶĞƌ ŶǀŝƌŽŶŵĞŶƚĂůWůĂŶŶĞƌůĞƌŝĐĂůdŽƚĂů>ĂďŽƌ,ŽƵƌƐdŽƚĂů>ĂďŽƌŽƐƚƉĞƌdĂƐŬΨϮϴϬ͘ϬϬ ΨϮϱϬ͘ϬϬ ΨϮϯϬ͘ϬϬ ΨϭϵϬ͘ϬϬ Ψϭϲϱ͘ϬϬ ΨϭϰϬ͘ϬϬ ΨϭϬϬ͘ϬϬ ΨϭϮϱ͘ϬϬ ΨϭϬϬ͘ϬϬΨϭϰϳ͘ϬϬ Ψϭϯϱ͘ϬϬ ΨϭϬϬ͘ϬϬ ΨϭϭϬ͘ϬϬ ΨϵϬ͘ϬϬ ΨϮϮϬ͘ϬϬ Ψϭϯϱ͘ϬϬ ΨϵϬ͘ϬϬ ^Z/Wd/KEK&tKZ<d^<dĂƐŬϴͲ ŶǀŝƌŽŶŵĞŶƚĂů^ĞƌǀŝĐĞƐdĂƐŬϭͲhƉĚĂƚĞWƌŽũĞĐƚ^ĐŽƉĞĨŽƌ Ɛ ϭϮ ϯ ΨϱϮϬ͘ϬϬdĂƐŬϮͲWƌĞƉĂƌĞZĞƋƵĞƐƚĨŽƌůĂƐƐŝĨŝĐĂƚŝŽŶ Ϯϭϲ ϭϴ ΨϮ͕ϲϲϬ͘ϬϬdĂƐŬϴͲdƌĂĨĨŝĐEŽŝƐĞŶĂůLJƐŝƐ ϰϭϰϰ ϭϰϴ ΨϮϬ͕ϰϰϬ͘ϬϬdĂƐŬϵͲDŽďŝůĞ^ŽƵƌĐĞŝƌdŽdžŝĐƐŶĂůLJƐŝƐ ϭϴ ϵ Ψϭ͕ϯϯϬ͘ϬϬdĂƐŬϭϬͲŝƌYƵĂůŝƚLJŶĂůLJƐŝƐ ϭϴ ϵ Ψϭ͕ϯϯϬ͘ϬϬdŽƚĂů Ϭ ϵ ϬϬϬϬϬϬϬϬϬϬϬϬ Ϭ ϭϳϴϬϭϴϳΨϮϲ͕ϮϴϬ͘ϬϬdŽƚĂů>ĂďŽƌŽƐƚΨϬ͘ϬϬ ΨϮ͕ϮϱϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϬ͘ϬϬ ΨϮϰ͕ϬϯϬ͘ϬϬ ΨϬ͘ϬϬΨϮϲ͕ϮϴϬ͘ϬϬ>KZdKd>ΨϮϲ͕ϮϴϬ͘ϬϬ/Z d yW E^ ^ΨϬ͘ϬϬdKd>ΨϮϲ͕ϮϴϬ͘ϬϬ^W />^ Zs/ ^^W />^ Zs/ ^dKd>&KZ^W />^ Zs/ ^ΨϮϲ͕ϮϴϬ͘ϬϬdKd>&KZ>>^ Zs/ ^ͲD ED EdϮΨϯϰϬ͕ϲϬϵ͘ϬϬWĂŐĞϮŽĨϯ
dd,D EdŝƚLJŽĨĞŶƚŽŶŽŶŶŝĞƌĂĞ^ƚƌĞĞƚZĞĐŽŶƐƚƌƵĐƚŝŽŶͲWŚĂƐĞϲtKZ<Z <KtE^dZhdhZ D ED EdϮhŶŝƚŽƐƚWĞƌhŶŝƚYƵĂŶƚŝƚLJ ŽƐƚŝĚWŚĂƐĞĂŶĚŽŶƐƚƌƵĐƚŝŽŶWŚĂƐĞ^ĞƌǀŝĐĞƐd>ZWůĂŶZĞǀŝĞǁĂŶĚ/ŶƐƉĞĐƚŝŽŶ>^ Ψϯ͕ϬϬϬ͘ϬϬ ϭ Ψϯ͕ϬϬϬDŝůĞĂŐĞDŝůĞ ΨϬ͘ϱϴ ϭϯ͕ϯϮϬ Ψϳ͕ϲϱϵƉŚŽƚŽĐŽƉŝĞƐͬt;ϭϭdžϭϳͿ ΨϬ͘ϮϬ ϱ͕ϬϬϬ Ψϭ͕ϬϬϬƉŚŽƚŽĐŽƉŝĞƐͬt;ϴ͘ϱdžϭϭͿ ΨϬ͘ϭϬ ϱ͕ϬϬϬ ΨϱϬϬZKtƉƉƌĂŝƐĂůĞƌƚŝĨŝĐƚĂĞƐͲWĂƐƐƚŚƌŽƵŐŚĞdžƉĞŶƐĞƐ ΨϱϬϬ͘ϬϬ ϮϬ ΨϭϬ͕ϬϬϬ^ƵďƚŽƚĂů ΨϮϮ͕ϭϱϵdKd>/Z d yW E^ ^ΨϮϮ͕ϭϱϵ^ ^ Zs/ ^Ͳ/Z d yW E^ ^WĂŐĞϯŽĨϯ
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: 6C8FC438E7704207ADE84B4F44EE88D4 Status: Completed
Subject: Please DocuSign: City Council Contract 6590-032 - Bonnie Brae Phase 6 - Amendment 2
Source Envelope:
Document Pages: 19 Signatures: 6 Envelope Originator:
Certificate Pages: 6 Initials: 1 Laura Hermosillo
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
laura.hermosillo@cityofdenton.com
IP Address: 198.49.140.104
Record Tracking
Status: Original
9/11/2020 2:35:08 PM
Holder: Laura Hermosillo
laura.hermosillo@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Laura Hermosillo
laura.hermosillo@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.104
Sent: 9/11/2020 2:40:34 PM
Viewed: 9/11/2020 2:40:47 PM
Signed: 9/11/2020 2:40:50 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: 198.49.140.104
Sent: 9/11/2020 2:40:53 PM
Viewed: 9/14/2020 7:19:27 AM
Signed: 9/14/2020 7:19:55 AM
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: 9/14/2020 7:19:58 AM
Viewed: 9/14/2020 10:12:10 AM
Signed: 9/14/2020 10:15:19 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Doug Matthys
Doug.Matthys@rpsgroup.com
President & CEO
RPS
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 50.244.124.241
Sent: 9/14/2020 10:15:22 AM
Resent: 9/15/2020 1:50:16 PM
Resent: 9/16/2020 10:03:43 AM
Viewed: 9/16/2020 12:26:43 PM
Signed: 9/16/2020 12:29:24 PM
Electronic Record and Signature Disclosure:
Accepted: 9/16/2020 12:26:43 PM
ID: 453686f7-067b-4f6f-b55d-b45598cc42d5
Signer Events Signature Timestamp
Rebecca Diviney
Rebecca.Diviney@cityofdenton.com
Director of Capital Projects/City Engineer
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 47.222.28.222
Sent: 9/16/2020 12:29:27 PM
Viewed: 9/16/2020 3:05:28 PM
Signed: 9/16/2020 3:07:29 PM
Electronic Record and Signature Disclosure:
Accepted: 9/16/2020 3:05:28 PM
ID: 15634eaf-993d-4018-9d9a-cc6555d7510c
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: 9/16/2020 3:07:32 PM
Viewed: 10/14/2020 10:07:29 AM
Signed: 10/14/2020 10:07:54 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: 47.184.93.41
Sent: 10/14/2020 10:07:57 AM
Viewed: 10/14/2020 10:41:20 AM
Signed: 10/14/2020 10:41:28 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: 198.49.140.10
Sent: 10/14/2020 10:41:32 AM
Viewed: 10/14/2020 10:49:11 AM
Signed: 10/14/2020 10:49:31 AM
Electronic Record and Signature Disclosure:
Accepted: 10/14/2020 10:49:11 AM
ID: f0b6e4b2-d53e-4b96-bedd-e05e4ea1b6e1
In Ierson Signer Events Signature Timestamp
Editor DeliverI Events Status Timestamp
Igent DeliverI Events Status Timestamp
IntermediarI DeliverI Events Status Timestamp
Certified 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: 9/11/2020 2:40:52 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: 9/16/2020 3:07:32 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Zolaina Parker
Zolaina.Parker@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 10/14/2020 10:49:33 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Seth Garcia
Seth.Garcia@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Sent: 10/14/2020 10:49:34 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 10/14/2020 10:49:34 AM
Certified Delivered Security Checked 10/14/2020 10:49:34 AM
Signing Complete Security Checked 10/14/2020 10:49:34 AM
Completed Security Checked 10/14/2020 10:49:34 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. Described below are the terms and conditions for
providing to you such notices and disclosures electronically through your DocuSign, Inc.
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and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of
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Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
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documents are first sent to you. After such time, if you wish for us to send you paper copies of
any such documents from our office to you, you will be charged a $0.00 per-page fee. You may
request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. To indicate to us that you are changing your mind, you must
withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your
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required notices and disclosures electronically from us and you will no longer be able to use your
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or to sign electronically documents from us.
All notices and disclosures will be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through your DocuSign user account all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or
made available to you during the course of our relationship with you. To reduce the chance of
you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
" "# ! !# "
"! " #""%! $ % ! !
How to contact City of Denton:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: purchasing@cityofdenton.com
To advise City of Denton of your new e-mail address
To let us know of a change in your e-mail address where we should send notices and disclosures
electronically to you, you must send an email message to us at melissa.kraft@cityofdenton.com
and in the body of such request you must state: your previous e-mail address, your new e-mail
address. We do not require any other information from you to change your email address..
In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflected
in your DocuSign account by following the process for changing e-mail in DocuSign.
To request paper copies from City of Denton
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an e-mail to purchasing@cityofdenton.com and in
the body of such request you must state your e-mail address, full name, US Postal address, and
telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with City of Denton
To inform us that you no longer want to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your DocuSign account, and on the subsequent
page, select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an e-mail to purchasing@cityofdenton.com and in the body of such request you
must state your e-mail, full name, IS Postal Address, telephone number, and account
number. We do not need any other information from you to withdraw consent.. The
consequences of your withdrawing consent for online documents will be that transactions
may take a longer time to process..
Required hardware and software
Operating Systems: Windows2000? or WindowsXP?
Browsers (for SENDERS): Internet Explorer 6.0? or above
Browsers (for SIGNERS): Internet Explorer 6.0?, Mozilla FireFox 1.0,
NetScape 7.2 (or above)
Email: Access to a valid email account
Screen Resolution: 800 x 600 minimum
Enabled Security Settings:
•Allow per session cookies
•Users accessing the internet behind a Proxy
Server must enable HTTP 1.1 settings via
proxy connection
** These minimum requirements are subject to change. If these requirements change, we will
provide you with an email message at the email address we have on file for you at that time
providing you with the revised hardware and software requirements, at which time you will
have the right to withdraw your consent.
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To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please verify that you
were able to read this electronic disclosure and that you also were able to print on paper or
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please let us know by clicking the 'I agree' button below.
By checking the 'I Agree' box, I confirm that:
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ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and
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• Until or unless I notify City of Denton as described above, I consent to receive from
exclusively through electronic means all notices, disclosures, authorizations,
acknowledgements, and other documents that are required to be provided or made
available to me by City of Denton during the course of my relationship with you.