6590-041 - Amendment 3 Executed
Docusign City Council Transmittal Coversheet
File Name
Purchasing Contact
City Council Target Date
Piggy Back Option
Contract Expiration
Ordinance
DocuSign Envelope ID: 540B31BA-2B26-486D-BB27-F3697EE0B594
Laura Hermosillo
Not Applicable
Elm and Locust Water, Wastewater and
Drainage Improvement
6590-041PSA
January 12, 2021
N/A
21-017
6590-041 PSA – Amendment #3 Page 1 of 2
THIRD AMENDMENT TO CONTRACT
BY AND BETWEEN THE CITY OF DENTON, TEXAS
AND HALFF ASSOCIATES, INC.
FILE 6590-041
THE STATE OF TEXAS §
COUNTY OF DENTON §
THIS THIRD AMENDMENT TO CONTRACT 6590-041 (“Amendment”) by and
between the City of Denton, Texas (“City”) and Halff Associates, Inc. (“Consultant” or
“Halff”); to that certain contract executed on November 6, 2018, in the original not-to-
exceed amount of $837,900 (the “Original Agreement”); amended on June 19, 2019 in the
additional amount of $40,300 aggregating a not-to-exceed amount of $878,200 (the “First
Amendment”); amended on May 13, 2020 (the “Second Amendment”) (collectively, the
Original Agreement, the First Amendment, and the Second Amendment are the
“Agreement”) for services related to the design of Locust and Elm Street Water,
Wastewater and Drainage Improvement Project;
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 $177,840 with this Amendment for an aggregate not-to-exceed
amount of $1,056,040; and
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 Locust and Elm Street Water, Wastewater and Drainage Improvement Project,
are hereby authorized to be performed by Consultant. For and in consideration of
the additional services to be performed by Consultant, the City agrees to pay, based
on the cost estimate detail attached as Exhibit “A” to this Amendment, a total fee,
including reimbursement for non-labor expenses an amount not to exceed
$177,840.
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6590-041 PSA – Amendment #3 Page 2 of 2
2. This Amendment modifies the Agreement amount to provide an additional
$177,840 for the additional services with a revised aggregate not to exceed total of
$1,056,040.
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”
HALFF ASSOCIATES, 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
DocuSign Envelope ID: 540B31BA-2B26-486D-BB27-F3697EE0B594
Public Works Team Leader
Engineering/Capital Projects
Rebecca Diviney
Director of Capital Projects/City Engineer
01/12/2021
AMENDMENT NO. 3 TO PROFESSIONAL SERVICES AGREEMENT
ADDITIONAL SERVICES
Locust Street and Elm Street
Water, Wastewater and Drainage Improvement Project
FILE 6590-041
This amendment is to add engineering and survey services for the following
additional scope of work:
1. Geotechnical Engineering
The Consultant shall engage CMJ Engineering, Inc. to evaluate subsurface
conditions. A total of two (2) sample borings to a depth of thirty (30) feet
below existing grades will be taken. An engineering report will be prepared to
present the results of the field and laboratory data together with analyses of
the results and recommendations. The report will address:
• General soil and ground-water conditions
• Recommendations for foundation type, depth and allowable loading
• Foundation construction requirements
• Recommended lateral pressures and sliding coefficient for the design
of retaining structures
• An evaluation of the swell characteristics of the subgrade soils
• Global stability analysis of proposed wall geometry
• Earthwork recommendations
The City will pay 110% of the subconsultant’s fee to the Consultant
2. Project Coordination
The Consultant shall:
• Communicate effectively
• Coordinate internally and externally as needed
• Proactively address issues with the City’s project manager and others
as necessary to make progress on the work
• Conduct project meetings as necessary
• Provide schedule updates
• Ensure quality control is practiced in performance of the work
3. Structural Design
The Consultant shall prepare structural details for the design of a special
storm drain junction box. The junction box will connect the existing drainage
Exhibit A
DocuSign Envelope ID: 540B31BA-2B26-486D-BB27-F3697EE0B594
structure at North Pecan Creek and Locust Street to the proposed cast-in-
place culverts.
4. Retaining Wall Design
The Consultant shall prepare construction plans for retaining walls on North
Pecan Creek at Locust Street and Elm Street. Standard TxDOT cast-in-place
retaining wall details will be utilized.
5. Culvert Alternate Alignments
The Consultant shall prepare alternate culvert alignments for North Pecan
Creek at Locust Street and Elm Street. Exhibits of alternate alignments shall
be prepared to facilitate discussion with City staff. Comments shall be
addressed and incorporated into the alignments. Final alignments shall be
incorporated into the construction plans.
6. Culvert Grading Plan
The Consultant shall prepare a grading plan for the pavement replacement
necessary for the culvert installation at North Pecan Creek and Locust Street.
7. Channel Access Ramp
The Consultant shall revise the design at North Pecan Creek to provide an
access ramp down to the existing channel. Location shall be coordinated with
City staff.
8. Texas Department of Transportation (TxDOT) Coordination
The Consultant shall prepare necessary permit forms for submittal to TxDOT.
Locust Street and Elm Street construction plans and application shall be
submitted to TxDOT for approval. Plans shall be revised to address TxDOT
comments.
9. Easement Documents
A total of seven (7) permanent and four (4) temporary construction
easements may be required to construct the proposed culverts at North
Pecan Creek and Locust Street and Elm Street. Upon approval of the
easement size and location, Consultant shall survey, render field notes, and
prepare individual exhibits for the easement parcels.
(1) Individual Exhibit for each parcel shall be prepared to contain the following
• Area required
• Parcel number
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• Property owner name, mailing address, and volume and page of
deed
• Existing easements
• Exhibits will be drawn to scale
• All of the above shall be placed on one page of 8-1/2” x 11” paper
and signed and sealed by a Texas Registered Professional Land
Surveyor
(2) Legal descriptions for each parcel shall reference the volume, page, and
owner of the parent tract and shall be incorporated into a standard City of
Denton conveyance document. Individual parcels will be cross-referenced
on the plans.
(3) Submit easement documents to the City and make necessary corrections
(4) Upon approval of the easements by the City, and if required, Halff shall
stake and flag the easement for inspection by the appraiser and property
owner. The documents, including legal description, shall be furnished to
the City in Microsoft Word and PDF format.
10. Easement Acquisition Services
A. Project Administration
1. Communication
a. Maintain status reports of all parcel and project
activities and provide weekly to City.
b. Provide schedule of all areas of work indicating
anticipated start and end dates.
c. Attend weekly status meetings.
d. Prepare initial property owner contact list for use by
City in distribution of ROW Consultant introduction
letters.
e. ROW Consultant will visit project site with City
Personnel.
2. File Management
a. Project and parcel files will be kept at the City.
Working files will be kept in the ROW Consultant’s
project administrative office, but documents
generated or received by the ROW Consultant will be
forwarded to the City as they are generated or
received by the ROW Consultant.
b. Prepare invoices utilizing City standard payment
submissions forms with supporting documentation.
DocuSign Envelope ID: 540B31BA-2B26-486D-BB27-F3697EE0B594
c. Maintain records of all payments including
warrant/check number, amount, and date paid, etc.
d. Maintain copies of all correspondence and contacts
with property owners.
B. Negotiation Services
1. Secure preliminary title commitment or preliminary title
search and 5-year sales data from the title company that will
be providing title insurance.
2. The charges from the Title Company for the preliminary title
commitments will be paid by the City and are not be included
in the Consultant’s negotiated fee schedule.
3. Secure title commitments updates in accord with insurance
rules and requirements for parcel payment submissions.
The charges from the Title Company for the update of the
title commitment will be paid by City and should not be
included in the Consultant’s negotiated fee schedule.
4. Secure title insurance for all parcels acquired, insuring
acceptable title to City. Written approval by City required for
any exception. The charges from the Title Company for the
update of the title insurance will be paid by City and should
not be included in the Consultant’s negotiated fee schedule.
5. The curative services necessary to provide clear title to the
City is the responsibility of the Consultant and is to be
included in the negotiated fee schedule for this service.
Note: the Consultant’s curative services do not include
cost/expenses that qualify as payment of incidental
expenses to transfer real property to the City.
6. The Consultant has the responsibility of direct contact with
the Title Company to obtain an updated title commitment
along with other forms and certified copy of the instrument of
conveyance when requesting the Parcel Payment from the
City.
7. The Consultant provides closing services in conjunction with
the Title Company and at the discretion of the City may be
required to attend closings.
8. Any fee related to obtaining certified court documents and
fees for recording same which are not collected at the
closing of the parcel shall be direct pass through fees.
9. Consultant shall cause the recordation of all original
instruments immediately after closing at the respective
County Clerk’s Office. The cost of recording fees and filing
fees are paid by the City and should not be included in the
Consultant’s negotiated fee schedule.
DocuSign Envelope ID: 540B31BA-2B26-486D-BB27-F3697EE0B594
10. Analyze appraisal and appraisal review reports and confirm
City’s approved value prior to making offer for each parcel.
11. Analyze preliminary title report to determine potential title
problems, propose methods to cure title deficiencies.
12. Prepare and send the letter transmitting the Landowners’ Bill
of Rights by Certified Mail-Return Receipt Requested
(CMRRR).
13. Prepare the initial offer letter, memorandum of agreement,
instruments of conveyance, and any other documents
required or requested by City on applicable forms.
14. Contact each property owner or owner’s designated
representative, to present the written offer in person where
practical, and deliver appraisal report and required
brochures. Maintain follow-up contacts and secure the
necessary instruments upon acceptance of the offer for the
closing.
15. Provide a copy of the appraisal report for the subject
property exclusively to the property owner or authorized
representative at the time of the offer. Maintain original
signed Receipt of Appraisal for billing purposes.
16. Respond to property owner inquiries verbally and in writing
within two business days.
17. Prepare a separate negotiator contact report for each parcel
per contact on approved form.
18. Maintain parcel files of original documentation related to the
purchase of the real property or property interests.
19. Advise property owner on the Administrative Settlement
process. Transmit to City any written counter offer from
property owners including supporting documentation, and
Consultant recommendation regarding Administrative
Settlements in accordance with City policy and procedures.
20. Prepare final offer letter, documents of conveyance as
necessary.
21. Appear and provide Expert Witness testimony as a
Consultant when requested. The cost of the Consultant’s
expert witness testimony for trial is not part of this contract.
C. Initial Appraisal Service
1. Consultant shall engage subconsultant to provide appraisal
services.
2. Appraisers should provide advance notice of the date and
time of their appraisal inspections of the subject property to
the Consultant’s Project Administrator in order to coordinate
the appraiser’s inspection.
DocuSign Envelope ID: 540B31BA-2B26-486D-BB27-F3697EE0B594
3. Secure written permission from the owner to enter the
property from which real estate is the be acquired. If the
Appraiser, after diligent effort, is unable to secure the
necessary letter of permission from the property owner, a
waiver must be obtained in writing from the City.
4. Prepare and conduct personal pre-appraisal contact with
interest owner(s) for each parcel using acceptable City
forms.
5. Contact property owners or their designated representative
to offer opportunity to accompany the appraiser on the
appraiser’s inspection of the subject property. Maintain
record of contract in file.
6. For the initial appraisal, prepare complete appraisal report
for each parcel to be acquired. These reports shall conform
to City policies and procedures along with the Uniform
Standards of Professional Appraisal Practices as
promulgated by the Appraisal Foundation.
7. As necessary, prepare written notification to the City of any
environmental concerns associated with the right of way to
be acquired, which could require environmental re-
mediation.
8. All completed appraisals will be administratively reviewed by
the City staff and recommend for approval by the City staff.
9. City staff coordinate with Consultant’s review appraiser (if
applicable) regarding revisions, comments, or additional
information that may be required. The Consultant’s review
appraiser will then coordinate with the appraiser.
10. As necessary, the appraiser will coordinate with the review
appraiser regarding revisions, comments, or additional
information that may be required.
11. The fees for initial appraisal assignments are based on
separate appraisal assignments.
12. Beyond delivery of initial appraisal assignments, the
appraiser can be called to provide preparation and testimony
for a Special Commissioners Hearing. For this appraisal
assignment, the fee for the preparation time and testimony
must be based on the hourly rate shown in the Consultant’s
Fee Schedule.
D. Additional Services
Additional services to be performed by Consultant, if authorized
in writing by the City, which are not included in the above-
described Basic Services, are described below:
1. Condemnation Support (additional service)
DocuSign Envelope ID: 540B31BA-2B26-486D-BB27-F3697EE0B594
Consultant shall not act as the attorney for condemnation
purposes. City must self perform legal services or contract
with third party attorney. Consultant shall provide those
support services to City or to City’s attorney as described
below:
a. Pre-Hearing Support
1. Request updated Title Commitment from title
Company.
2. Use information from the Title Commitment to
identify interested parties. *
3. Submit information packet as requested by
Condemning Attorney.
4. Request update of appraisal.
5. File original petition with County Court at Law
or other appropriate Court for a cause number
to be assigned.
6. File Lis Pendens including the cause number
with the County Clerk’s Office
7. Upon assignment of a court, file the Order
Appointing Commissioners with the judge,
retaining a copy of the Order for the files.
8. Following appointment of Commissioners by
the judge, secure Oath of Commissioners
signed by the Commissioners, Order Setting
Hearing and Notice of Hearing signed by the
Commissioners.
9. File all originals with the court and send copies
to City and Condemning Attorney.
b. Post-Hearing Support
1. File Award of the Commissioners with the court
for the Judge’s signature within 48 hours of
hearing, unless on Friday or before a holiday
when court will not be open.
2. Obtain certified copy of Award and provide to
City with request for funding in amount of
Award.
3. Obtain Commissioners’ Fees and submit to
City for payment.
4. File Award payment in registry of the court, file
Notice of Deposit with the court and send
certified copies to each defendant notifying
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them of the date of deposit. The Date of
Deposit is the Date of Take.
5. Send written notices of the date of deposit to
the City and all interested parties.
* Updated Title Commitments shall be paid directly by City.
Please refer to 10.B.2. Title and Closing Services.
2. Disposal of Property Services
a. Provide a Release of Property to the City Project
Manager signed by the former owner stating that all
personal property has been removed and any
remaining items belong to the City.
b. Provide the City Project Manager a copy of the plat
and field notes, photographs of the property in a PDF
format, a copy of the appraisal, and the Release of
Property form when buildings are vacant and ready
for disposal. The City Project Manager will initiate the
environmental surveys as needed.
3. Update Appraisal Service
a. Appraisers should provide advance notice of the date
and time of their appraisal inspections of the subject
property to the Consultant’s Project Administrator in
order to coordinate the appraiser’s inspection.
b. Secure written permission from the owner to enter the
property from which real estate is the be acquired. If
the Appraiser, after diligent effort, is unable to secure
the necessary letter of permission from the property
owner, a waiver must be obtained in writing from the
City.
c. Prepare and conduct personal pre-appraisal contact
with interest owner(s) for each parcel using
acceptable City forms.
d. Contact property owners or their designated
representative to offer opportunity to accompany the
appraiser on the appraiser’s inspection of the subject
property. Maintain record of contract in file.
e. For an updated appraisal, prepare complete appraisal
update for the parcel to be acquired. These reports
shall conform to City policies and procedures along
with the Uniform Standards of Professional Appraisal
Practices.
DocuSign Envelope ID: 540B31BA-2B26-486D-BB27-F3697EE0B594
f. As necessary, prepare written notification to the City
of any environmental concerns associated with the
right of way to be acquired, which could require
environmental re-mediation.
g. All completed appraisals will be administratively
reviewed by the City staff and recommend for
approval by the City staff.
h. City staff coordinate with Consultant’s review
appraiser (if applicable) regarding revisions,
comments, or additional information that may be
required. The Consultant’s review appraiser will then
coordinate with the appraiser.
i. As necessary, the appraiser will coordinate with the
review appraiser regarding revisions, comments, or
additional information that may be required.
j. The fees for initial and updated appraisal assignments
are based on separate appraisal assignments.
k. Beyond delivery of update appraisal assignments, the
appraiser can be called to provide preparation and
testimony for a Special Commissioners Hearing. For
this appraisal assignment, the fee for the preparation
time and testimony must be based on the hourly rate
shown in the Consultant’s Fee Schedule.
4. Miscellaneous
a. Testimony for Hearing(s) or appeals.
b. Document/Form establishment.
c. Reporting outside of typical status reports.
E. Services to be provided by the City include, but are not limited
to the following:
1. Provide timely reviews and approval of submissions.
2. Process and issue all warrants for payment of approved
purchase prices for each parcel, relocation payment, and
incidental expense involved in the transfer of property to City
in accordance with State law.
3. Provide a copy to the Consultant’s performance evaluation
at end of project or as needed throughout the project.
4. Initiate, coordinate, and administer environmental
investigation surveys.
5. Pay direct costs of preliminary title commitment, updates and
title insurance for all parcels acquired.
DocuSign Envelope ID: 540B31BA-2B26-486D-BB27-F3697EE0B594
Amendment No. 3 Fee Summary
Geotechnical Investigation $10,100
Project Coordination $5,000
Structural Design of Junction Box $11,100
Retaining Wall Design $12,000
Culvert Alternate Alignments $15,000
Culvert Grading Plan $7,500
Channel Access Ramp $12,000
TxDOT Coordination $7,500
Easement Documents $11,500
Easement Acquisition Services $48,000
Easement Appraisal Services $38,140
Total Amendment No 3 $177,840
Project Schedule
Geotechnical investigation shall be completed within 45 days of the executed
amendment. The design elements shall be completed within 90 days of the
executed amendment. Easement exhibits shall be completed within 30 days
of approval of the proposed easement size and locations.
Assumptions and Exclusions
(1) Halff’s services shall only include those that are normal and customary
and are not represented as special services or those requiring expertise
greater than that provided by other service providers
(2) Services not identified, whether specifically noted or implied, in this
proposal are considered additional services and may require a
modification to the scope and an increase in the budget including but not
limited to the following items:
• Landscape and Irrigation Design
• Design of items not listed in this scope of work
• Design of aesthetic enhancements
• Filing fees, pro-rate fees, permit fees, and impact fees
• Jurisdictional Determination, Categorical Exclusion, Environmental
Assessment, or Environmental Permits, unless included in the
scope of work
DocuSign Envelope ID: 540B31BA-2B26-486D-BB27-F3697EE0B594
Summary of Amended Contract
Original Contract Fee $837,900
Amendment No. 1 $40,300
Amendment No. 2 $0
Amendment No. 3 $177,840
Amended Contract Fee $1,056,040
DocuSign Envelope ID: 540B31BA-2B26-486D-BB27-F3697EE0B594
City of Denton 10/14/2020
Locust Street and Elm Street Phase II
Amendment No. 3 Level of Effort
Halff Associates AVO 34696.001 (1)(2)
Task
Director Team
Leader
QA/QC Project
Manager
EIT Sr.
Structural
Engineer
Structural
Engineer
Surveyor,
RPLS
2-Man
Survey
Crew
Survey
Technician
CADD Admin Total Total Fees,
Materials &
Supplies
Subtotal Total
Task 1: Additional Design
Geotechnical Engineering $9,200.00 $920.00 $10,120.00 $10,100.00
Project Coordination 2.00 8.00 14.0 24.0 $4,556.00 $455.60 $5,011.60 $5,000.00
Structural Design of Junction Box 0.50 2.00 2.0 5.0 10.0 24.0 24.0 67.5 $11,052.50 $11,052.50 $11,100.00
Retaining Wall Plan and Profile Sheets (4)1.00 6.00 24.0 42.0 12.0 85.0 $12,013.00 $12,013.00 $12,000.00
Culvert Alternate Alignments 3.00 17.00 32.0 40.0 4.0 96.0 $14,999.00 $14,999.00 $15,000.00
Culvert Grading Plan Sheet (1)0.50 2.00 16.0 32.0 3.0 53.5 $7,496.50 $7,496.50 $7,500.00
Channel Access Ramp Design 1.00 8.00 24.0 42.0 8.0 83.0 $11,973.00 $11,973.00 $12,000.00
TxDOT Coordination 1.00 10.00 24.0 9.0 44.0 $7,533.00 $7,533.00 $7,500.00
SUBTOTAL - Task 1 9.0 53.0 136.0 170.0 10.0 24.0 51.0 453.0 $78,823.00 $1,375.60 $80,198.60 $80,200.00
Task 2: Easement Documents
Total Drainage Easement Documents (7 @ 3,500/EA)$24,500.00 $24,500.00 $24,500.00
Total Temporary Construction Easement Documents (4 @ 2,000/EA)$8,000.00 $8,000.00 $8,000.00
Credit for CA #1 Easement Costs ($21,000.00)($21,000.00)($21,000.00)
SUBTOTAL - Task 2 $11,500.00 -$ $11,500.00 $11,500.00
Task 3: Easement Acquisitions
Title and Closing per Tract (8 @ 1,100/EA)$8,800.00 $8,800.00 $8,800.00
Negotiation per Tract (8 @ 4,900/EA)$39,200.00 $39,200.00 $39,200.00
SUBTOTAL - Task 3 $48,000.00 -$ $48,000.00 $48,000.00
Task 4: Easement Appraisals
Tract 1 (assumes land and improvements)$5,200.00 $520.00 $5,720.00 $5,720.00
Tract 2 (assumes 2 econ units - funeral home and retail bldg)$9,500.00 $950.00 $10,450.00 $10,450.00
Tract 3 (assumes land only)$2,950.00 $295.00 $3,245.00 $3,250.00
Tract 4 (assumes land only)$2,950.00 $295.00 $3,245.00 $3,250.00
Tract 5 (assumes land and improvements)$5,200.00 $520.00 $5,720.00 $5,720.00
Tract 6 (assumes land only)$2,950.00 $295.00 $3,245.00 $3,250.00
Tract 7 (assumes land only)$2,950.00 $295.00 $3,245.00 $3,250.00
Tract 8 (assumes land only)$2,950.00 $295.00 $3,245.00 $3,250.00
SUBTOTAL - Task 4 $34,650.00 3,465.00$ $38,115.00 $38,140.00
TOTAL ADDITIONAL SERVICES 9.0 53.0 136.0 170.0 10.0 24.0 51.0 453.0 $172,973.00 4,840.60$ $177,813.60 $177,840.00
DocuSign Envelope ID: 540B31BA-2B26-486D-BB27-F3697EE0B594
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: 540B31BA-2B26-486D-BB27-F3697EE0B594
Halff Associates, Inc.
B
X
X
N/A
Trevor Crain - City of Denton
11/23/2020
X
X
Certificate Of Completion
Envelope Id: 540B31BA2B26486DBB27F3697EE0B594 Status: Completed
Subject: Please DocuSign: City Council Contract 6590-041 -- Elm and Locust W/WW and Drainage Improvements
Source Envelope:
Document Pages: 16 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
11/20/2020 8:36:19 AM
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: 11/20/2020 8:38:01 AM
Viewed: 11/20/2020 8:38:10 AM
Signed: 11/20/2020 8:38:12 AM
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: 11/20/2020 8:38:14 AM
Viewed: 11/20/2020 9:28:31 AM
Signed: 11/20/2020 9:28:52 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Marcella Lunn
marcella.lunn@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.104
Sent: 11/20/2020 9:28:54 AM
Viewed: 11/20/2020 2:23:29 PM
Signed: 11/20/2020 2:26:25 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
David M. Smith
bmcgahey@halff.com
Public Works Team Leader
Halff Associates, Inc.
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 173.227.66.227
Sent: 11/20/2020 2:26:28 PM
Viewed: 11/23/2020 7:43:28 AM
Signed: 11/23/2020 7:57:26 AM
Electronic Record and Signature Disclosure:
Accepted: 11/23/2020 7:43:28 AM
ID: 3b392ddc-d310-43ca-9a51-082d9dc1e429
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: 11/23/2020 7:57:29 AM
Viewed: 11/24/2020 5:00:51 PM
Signed: 11/24/2020 5:01:17 PM
Electronic Record and Signature Disclosure:
Accepted: 11/24/2020 5:00:51 PM
ID: e2f693e2-2d90-4d2c-b48c-3f80f6f1fe58
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: 11/24/2020 5:01:20 PM
Viewed: 1/13/2021 8:17:17 AM
Signed: 1/13/2021 8:17:40 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: 107.77.200.71
Signed using mobile
Sent: 1/13/2021 8:17:43 AM
Viewed: 1/13/2021 9:23:40 AM
Signed: 1/13/2021 9:23:44 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: 1/13/2021 9:23:46 AM
Viewed: 1/13/2021 11:54:09 AM
Signed: 1/13/2021 11:54:31 AM
Electronic Record and Signature Disclosure:
Accepted: 1/13/2021 11:54:09 AM
ID: 83370ca8-e62f-4d6b-ab46-dad0984d7cbd
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 11/20/2020 8:38:14 AM
Electronic Record and Signature Disclosure:
Carbon Copy Events Status Timestamp
Not Offered via DocuSign
Sherri Thurman
sherri.thurman@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 11/24/2020 5:01:19 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Gretna Jones
gretna.jones@cityofdenton.com
Legal Secretary
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 11/24/2020 5:01:20 PM
Viewed: 11/24/2020 5:01:55 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: 1/13/2021 11:54:33 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Trevor Crain
Trevor.Crain@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Sent: 1/13/2021 11:54:34 AM
Viewed: 1/13/2021 12:01:47 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Tracy Holt
Tracy.Holt@cityofdenton.com
Administrative Assistant
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 1/13/2021 11:54:35 AM
Viewed: 1/13/2021 11:55:38 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 11/20/2020 8:38:01 AM
Certified Delivered Security Checked 1/13/2021 11:54:09 AM
Signing Complete Security Checked 1/13/2021 11:54:31 AM
Completed Security Checked 1/13/2021 11:54:35 AM
Payment 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.
(DocuSign) Express user account. Please read the information below carefully and thoroughly,
and if you can access this information electronically to your satisfaction and agree to these terms
and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of
this document.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. For such copies, as long as you are an authorized user of the
DocuSign system you will have the ability to download and print any documents we send to you
through your DocuSign user account for a limited period of time (usually 30 days) after such
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
DocuSign account. This will indicate to us that you have withdrawn your consent to receive
required notices and disclosures electronically from us and you will no longer be able to use your
DocuSign Express user account to receive required notices and consents electronically from us
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.
Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: David M. Smith, Rebecca Diviney, Todd Hileman, Rosa Rios
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.
Acknowledging your access and consent to receive materials electronically
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
electronically save this page for your future reference and access or that you were able to
e-mail this disclosure and consent to an address where you will be able to print on paper or
save it for your future reference and access. Further, if you consent to receiving notices and
disclosures exclusively in electronic format on the terms and conditions described above,
please let us know by clicking the 'I agree' button below.
By checking the 'I Agree' box, I confirm that:
• I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF
ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and
• I can print on paper the disclosure or save or send the disclosure to a place where I can
print it, for future reference and access; and
• 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.