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5768 - Amendment 3 Contract Executed Docusign City Council Transmittal Coversheet File Name Purchasing Contact City Council Target Date Piggy Back Option Contract Expiration Ordinance DocuSign Envelope ID: 03A7C792-6FC4-48D7-8DB3-B406F1BFAD6A &*''#!# %& () )! %&!"&(-(")!%"#&,%*%*!&%!#!*-$%$%* + +)* 5768 Contract – Amendment # 3 Page 1 of 2 THIRD AMENDMENT TO CONTRACT BY AND BETWEEN THE CITY OF DENTON, TEXAS AND HAZEN AND SAWYER P.C. Contract 5768 THE STATE OF TEXAS § COUNTY OF DENTON § THIS THIRD AMENDMENT TO CONTRACT 5768 (“Amendment”) by and between the City of Denton, Texas (“City”) and Hazen and Sawyer P.C. (“Consultant”); to that certain contract executed on July 21, 2015, in the original not-to-exceed amount of $427,368 (the “Original Agreement”); amended on April 05, 2016 in the additional amount of $112,758 aggregating a not-to-exceed amount of $540,126 (the “First Amendment”); amended on February 07, 2017 in the additional amount of $192,239 aggregating a not-to- exceed amount of $732,365 (the “Second Amendment”); (collectively, the Original Agreement, the First Amendment, and the Second Amendment are the “Agreement” ) are for services related to the Hickory Street Basin Peak Flow Detention Facility 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 addition to the design contract in a not-to-exceed amount of $89,905 and construction administration services in a not-to-exceed amount of $380,544 with this Amendment for an aggregate not-to-exceed amount of $1,202,814 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 addition to the design contract and additional construction administration services described in Exhibit “B” of this amendment attached hereto and incorporated herein for all purposes for Hickory Street Basin Peak Flow Detention Facility Project, 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 details attached as Exhibit “A” and Exhibit “B” to this Amendment, a total fee, including reimbursement for non-labor expenses an amount not to exceed $470,449. DocuSign Envelope ID: 03A7C792-6FC4-48D7-8DB3-B406F1BFAD6A 5768 Contract – Amendment # 3 Page 2 of 2 2. This Amendment modifies the Agreement amount to provide an additional $470,449 for the additional services with a revised aggregate not to exceed total of $1,202,814. The Parties hereto agree, that except as specifically provided for by this Amendment, that all of the terms, covenants, conditions, agreements, rights, responsibilities, and obligations of the Parties, set forth in the Agreement remain in full force and effect. IN WITNESS WHEREOF, the City and the Consultant, have each executed this Amendment electronically, by and through their respective duly authorized representatives and officers on this date _________________________. “CITY” CITY OF DENTON, TEXAS A Texas Municipal Corporation By: _______________________________ TODD HILEMAN, CITY MANAGER ATTEST: ROSA RIOS, CITY SECRETARY By: _________________________________ “CONSULTANT” Hazen and Sawyer P.C. By: ___________________________ AUTHORIZED SIGNATURE, TITLE ATTEST: APPROVED AS TO LEGAL FORM: AARON LEAL, CITY ATTORNEY By: _______________________________ THIS AGREEMENT HAS BEEN BOTH REVIEWED AND APPROVED as to financial and operational obligations and business terms. _______________ ________________ SIGNATURE PRINTED NAME __________________________________ TITLE __________________________________ DEPARTMENT DocuSign Envelope ID: 03A7C792-6FC4-48D7-8DB3-B406F1BFAD6A City of DentonContract 5768 HCDF, WPFPS and HCLS Design AmendmentEngineering Service Fee Breakdown / Details1/9/2019PD PMTASKProject DirectorProject EngineerProject Engineer Assistance Engineer CADDTechnical AdvisorSenior EngineerAssistant EngineerCADDTechnical AdvisorAssistant EngineerCADDSenior EngineerProject EngineerAssistant EngineerCD Miller/Hardy London Priest Panez Phillips Powell Johnson Grissom Nailor Hudson Bautista Ratasky Bueltel StewartAdditional geotechnical investigation0-$ 10,575$ 10,575$ 9,614.00$ Additional survey0-$ 10,025$ 10,025$ 9,114.00$ Evaluations during design 3210 28 70 10,990$ -$ 10,990$ Site configuration changes 2 32 6 16 36 4 8 24 24 2 4158 20,734$ -$ 20,734$ Surge analysis on forcemain and recommendations 1 64 62 73 9,467$ -$ 9,467$ PreCast Electrical Building and Debri Screen Changes 1 20 33 7 16 44 49 1 16 45 232 28,114$ -$ 28,114$ 0-$ -$ -$ Hours Subtotal4 90 6 49 36 0 11 24 24 14 134 73 1 18 49 5339,614$ 9,114$ Fee Subtotal 69,304$ 20,601$ 89,905$ PKCE SurveySubconsultantsFeeAlliance Geotech.203. Hickory Creek Detention Facility and West Peak Flow Pump Station 100-Percent Design207. HCLS 100-Percent DesignTotal HoursCivilStructuralProcess MechanicalElectricalExhibit 'A'DocuSign Envelope ID: 03A7C792-6FC4-48D7-8DB3-B406F1BFAD6A -REQRKD]HQDQGVDZ\HUFRP +D]HQDQG6DZ\HU 1&HQWUDO([SUHVVZD\6XLWH 'DOODV7; $SULO 36$URUD3( 'LUHFWRURI:DVWHZDWHU8WLOLWLHV &LW\RI'HQWRQ $7H[DV6WUHHW 'HQWRQ7; 5H&RQVWUXFWLRQ0DQDJHPHQW6HUYLFHV$PHQGPHQW +LFNRU\&UHHN/LIW6WDWLRQ +LFNRU\&UHHN'HWHQWLRQ)DFLOLW\ 3HFDQ&UHHN:HVW3HDN)ORZ3XPS6WDWLRQ 'HDU0U$URUD $W\RXUUHTXHVW+D]HQKDVSUHSDUHGDVFRSHDQGOHYHORIHIIRUWWRSHUIRUPFRQVWUXFWLRQDGPLQLVWUDWLRQ VHUYLFHVIRUERWKWKH+LFNRU\&UHHN/LIW6WDWLRQDQGWKH+LFNRU\&UHHN'HWHQWLRQ)DFLOLW\ 3HFDQ&UHHN :HVW3HDN)ORZ3XPS6WDWLRQDVDQDPHQGPHQWWR&RQWUDFW 7KH+LFNRU\&UHHN/LIW6WDWLRQLVDQHZPLOOLRQJDOORQSHUGD\PJGVXEPHUVLEOHOLIWVWDWLRQDQG LQFOXGHVDQHZHOHFWULFDOEXLOGLQJ\DUGSLSLQJDQGVLWHZRUNZLWKLQWKHFRQILQHVRIWKHH[LVWLQJ+LFNRU\ &UHHN/LIW6WDWLRQ7KHFRQVWUXFWLRQRIWKHOLIWVWDWLRQLVVFKHGXOHGIRUGD\VPRQWKV7KLVSURMHFW KDVELGDQGLVUHDG\IRUFRQVWUXFWLRQ 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•&RQVWUXFWLRQ3URJUHVV0HHWLQJVPHHWLQJV 'HOLYHUDEOHV •(OHFWURQLFFRS\RIDOOFRQVWUXFWLRQDGPLQLVWUDWLYHFRUUHVSRQGHQFHDQGVXEPLWWDOV •5HFRUGGUDZLQJV +LFNRU\&UHHN'HWHQWLRQ)DFLOLW\ 3HFDQ&UHHN:HVW3HDN)ORZ3XPS6WDWLRQ&RQVWUXFWLRQ $GPLQLVWUDWLRQ6HUYLFHV +D]HQZLOOSURYLGHPRQWKVRIFRQVWUXFWLRQDGPLQLVWUDWLRQVHUYLFHVLQWKHUROHRI(QJLQHHUDVGHVFULEHG LQWKH&RQWUDFW'RFXPHQWVIRUWKH+LFNRU\&UHHN'HWHQWLRQ)DFLOLW\ 3HFDQ&UHHN:HVW3HDN)ORZ 3XPS6WDWLRQ DocuSign Envelope ID: 03A7C792-6FC4-48D7-8DB3-B406F1BFAD6A 36$URUD3( $SULO 3DJHRI KD]HQDQGVDZ\HUFRP 3UHFRQVWUXFWLRQ&RQIHUHQFH±&RQGXFWSUHFRQVWUXFWLRQFRQIHUHQFHWRDGGUHVVNH\FRQWUDFW HOHPHQWVVFKHGXOHSURJUHVVSD\PHQWVFKDQJHRUGHUVUHFRUGGUDZLQJVVKRSGUDZLQJ VXEPLWWDOVDQGRWKHUFRRUGLQDWLRQLVVXHV+D]HQZLOOSURYLGHDJHQGDDQGPHHWLQJPLQXWHV &RQVWUXFWLRQ3URJUHVV0HHWLQJV±&RQGXFWXSWRHLJKWHHQFRQVWUXFWLRQSURJUHVV PHHWLQJVWRUHYLHZFRQVWUXFWLRQSURJUHVV+D]HQZLOOSURYLGHDJHQGDDQGPHHWLQJPLQXWHV $GGLWLRQDO6LWH9LVLWV±+D]HQZLOOSURYLGHDGGLWLRQDOVLWHYLVLWVQRWLQFOXGLQJFRQVWUXFWLRQ 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3URMHFW&ORVHRXW±+D]HQZLOOSURYLGHDVVLVWDQFHZLWKVWDUWXSDQGWHVWLQJRIWKHWZROLIW VWDWLRQVRGRUFRQWURODQGVWRUDJHWDQNVLWHYLVLWWRGHYHORSSXQFKOLVWDQGSHUIRUPRWKHU SURMHFWFORVHRXWUHTXLUHPHQWV+D]HQZLOODUFKLYHDOOWKHFRQVWUXFWLRQLQIRUPDWLRQDQGSURYLGH HOHFWURQLFFRS\RI'9' 5HFRUG'UDZLQJV±+D]HQZLOOUHYLVHWKHFRQVWUXFWLRQGUDZLQJVLQDFFRUGDQFHZLWKWKH LQIRUPDWLRQIXUQLVKHGE\&RQWUDFWRUUHIOHFWLQJFKDQJHVPDGHGXULQJFRQVWUXFWLRQ+D]HQZLOO SURYLGHRQHIXOOVL]H´[´DQGRQHKDOIVL]H´[´ERXQGVHWDQGRQHHOHFWURQLFFRS\ LQ3')IRUPDW 0HHWLQJV •3UH&RQVWUXFWLRQ0HHWLQJ •&RQVWUXFWLRQ3URJUHVV0HHWLQJVPHHWLQJV 'HOLYHUDEOHV •(OHFWURQLFFRS\RIDOOFRQVWUXFWLRQDGPLQLVWUDWLYHFRUUHVSRQGHQFHDQGVXEPLWWDOV •5HFRUGGUDZLQJV DocuSign Envelope ID: 03A7C792-6FC4-48D7-8DB3-B406F1BFAD6A 36$URUD3( $SULO 3DJHRI KD]HQDQGVDZ\HUFRP ([FOXVLRQV 7KHIROORZLQJLWHPVDUHH[FOXGHGIURP+D]HQ¶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ocuSign Envelope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ocuSign Envelope ID: 03A7C792-6FC4-48D7-8DB3-B406F1BFAD6A 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: 03A7C792-6FC4-48D7-8DB3-B406F1BFAD6A Certificate Of Completion Envelope Id: 03A7C7926FC448D78DB3B406F1BFAD6A Status: Completed Subject: Please DocuSign: City Council Contract 5768 Design of Hickory Creek Basin Peak Amendment No. 3 Source Envelope: Document Pages: 10 Signatures: 6 Envelope Originator: Certificate Pages: 6 Initials: 1 Monisa Rogers AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 901B Texas Street Denton, TX 76209 Monisa.Rogers@cityofdenton.com IP Address: 129.120.6.150 Record Tracking Status: Original 7/16/2019 11:10:09 AM Holder: Monisa Rogers Monisa.Rogers@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Monisa Rogers monisa.rogers@cityofdenton.com Senior Buyer City Of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 129.120.6.150 Sent: 7/16/2019 11:27:42 AM Viewed: 7/16/2019 11:28:00 AM Signed: 7/16/2019 11:31:35 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: 129.120.6.150 Sent: 7/16/2019 11:31:37 AM Viewed: 7/16/2019 2:39:26 PM Signed: 7/16/2019 2:40:07 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) Completed Using IP Address: 129.120.6.150 Sent: 7/16/2019 2:40:09 PM Viewed: 7/25/2019 11:58:48 AM Signed: 7/25/2019 12:01:29 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Chamindra Dassanayake cdassanayake@hazenandsawyer.com Vice President Hazen and Sawyer Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 66.196.204.74 Sent: 7/25/2019 12:01:31 PM Resent: 7/26/2019 9:26:52 AM Viewed: 7/26/2019 9:50:19 AM Signed: 7/26/2019 9:51:33 AM Electronic Record and Signature Disclosure: Accepted: 7/26/2019 9:50:19 AM ID: 9031855f-130d-45c8-a05a-03086c8c7454 Signer Events Signature Timestamp Frank Pugsley frank.pugsley@cityofdenton.com Water Utilities Director Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 7/26/2019 9:51:35 AM Resent: 7/29/2019 2:16:11 PM Viewed: 7/29/2019 2:19:31 PM Signed: 7/29/2019 2:19:59 PM Electronic Record and Signature Disclosure: Accepted: 7/29/2019 2:19:31 PM ID: 27d2f2dd-04ba-45a0-afdb-8ba7a96a5194 Cheyenne Defee cheyenne.defee@cityofdenton.com Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 129.120.6.150 Sent: 7/29/2019 2:20:02 PM Resent: 8/2/2019 8:33:20 AM Resent: 8/2/2019 8:36:13 AM Viewed: 8/15/2019 9:44:43 AM Signed: 8/15/2019 9:45:54 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: 129.120.6.150 Sent: 8/15/2019 9:45:57 AM Viewed: 8/15/2019 9:56:06 AM Signed: 8/15/2019 9:56:13 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: 129.120.6.150 Sent: 8/15/2019 9:56:16 AM Viewed: 8/15/2019 11:36:23 AM Signed: 8/15/2019 11:37:00 AM Electronic Record and Signature Disclosure: Accepted: 8/15/2019 11:36:23 AM ID: 391084c5-8cee-4976-b7af-2121aed380ff Mack Reinwand mack.reinwand@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 8/15/2019 11:37:05 AM Viewed: 8/15/2019 4:04:13 PM Signed: 8/15/2019 4:04:44 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign n erson Signer Events Signature Timestamp Editor Deliver Events Status Timestamp gent Deliver Events Status Timestamp ntermediar Deliver Events Status Timestamp Certified Deliver Events Status Timestamp Car on Cop Events Status Timestamp Cheyenne Defee cheyenne.defee@cityofdenton.com Paralegal City of Denton Security Level: Email, Account Authentication (None) Sent: 7/16/2019 11:31:37 AM 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: 7/16/2019 11:31:38 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Jane Richardson jane.richardson@cityofdenton.com Assistant City Secretary City of Denton Security Level: Email, Account Authentication (None) Sent: 8/15/2019 9:56:16 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign P.S. Arora P.S.Arora@cityofdenton.com Director Wastewater Utility Security Level: Email, Account Authentication (None) Sent: 8/15/2019 11:37:03 AM Viewed: 8/15/2019 11:56:19 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign itness Events Signature Timestamp otar Events Signature Timestamp Envelope Summar Events Status Timestamps Envelope Sent Hashed/Encrypted 8/15/2019 11:37:05 AM Certified Delivered Security Checked 8/15/2019 4:04:13 PM Signing Complete Security Checked 8/15/2019 4:04:44 PM Completed Security Checked 8/15/2019 4:04:44 PM a ment 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. 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