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20-1163ORDINANCE NO. 20-1163 AN ORDINANCE OF THE CITY OF DENTON, A TEXAS HOME -RULE MUNICIPAL CORPORATION, AUTHORIZING THE APPROVAL OF CHANGE ORDER NO. 1 TO THE CONTRACT BETWEEN THE CITY OF DENTON AND PAVECON PUBLIC WORKS LP, FOR THE CONSTRUCTION OF THE SOUTH BONNIE BRAE STREET WIDENING AND IMPROVEMENTS PHASE 2/VINTAGE BLVD PROJECT FOR THE CITY OF DENTON; PROVIDING FOR THE EXPENDITURE OF FUNDS THEREFOR; AND PROVIDING AN EFFECTIVE DATE (IFB 7118 — CHANGE ORDER NO.1 IN THE NOT -TO -EXCEED AMOUNT OF $393,931.40 FOR A TOTAL CONTRACT AWARD AGGREGATED TO $12,032,254.80). WHEREAS, on November 19, 2019, by Ordinance No. 19-2728, the City Council awarded a contract to Pavecon Public Works LP, in the amount of $11,638,323.40 for the construction of the South Bonnie Brae Street widening and improvements Phase 2/Vintage Blvd Project; and WHEREAS, the Staff having recommended, and the City Manager having recommended to the Council that a change order be authorized to amend such contract with respect to the scope of work and an increase in the payment amount; NOW, THEREFORE, THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS: SECTION 1. Change Order No. 1, increasing the amount of the contract between the City and Pavecon Public Works LP, which is on file in the office of the Purchasing Agent, in the amount of Three Hundred Ninety -Three Thousand Nine Hundred Thirty -One and 40/100 Dollars ($393,931.40), is hereby approved and the expenditure of funds therefore is hereby authorized in accordance with said change order. The total purchase order amount increases to $12,032,254.80. SECTION 2. This ordinance shall become effective immediately upon its passage and approval. The moti to approve this ordinance was made by and seconded by , the ordinanc as passed and Ypproved by the following vote Aye Nay Abstain Absent Mayor Chris Watts: Gerard Hudspeth, District 1: Keely G. Briggs, District 2: ✓ Jesse Davis, District 3: John Ryan, District 4: Deb Armintor, At Large Place 5: ✓ Paul Meltzer, At Large Place 6: ./ PASSED AND APPROVED this the ✓day of , 2020. CHRIS WAT , MAVOR ® _ ATTEST: ROSA RIOS, CITY SECRETARY BY: APPROVED AS TO LEGAL FORM: AARON LEAL, CITY ATTORNEY BY: 2✓ N DocuSign Envelope ID: 77EDD35B-FC8B-444C-B09F-34B2302AE9B3 CITY OF DENTON Docusign City Council Transmittal Coversheet IFB 7118 File Name SOUTH BONNIE BRAE PH 2 (VINTAGE BOULEVARD) — CO#1 Purchasing Contact Laura Hermosillo City Council Target Date June 23, 2020 Piggy Back Option Not Applicable Contract Expiration NSA Ordinance 20-1163 CDS DocuSign Envelope ID: 77EDD35B-FC8B-444C-B09F-34B2302AE9B3 FILE #7118 CITY OF DENTON CHANGE ORDER 1. Division (Department) 2. Purchase Order No. 3. Change Order No. Engineering 191814 1 4. Name of Project 5. Project Acct No. 6. Date Prepared Bonnie Brae Phase 2 350288444 6/12/2020 7. Name and Address of Contractor Pavecon Public Works LP 3022 Roy Orr Blvd ,Grand Prairie, TX 75050 8. Description of Work Included in Contract Work includes constructing a 4 lane roadway with a drainge system, lighting, and traffic signals. 9. Changes ordered and reason ordered Changes include additional signage, and changes in paving for TxDOT permit connections. Additional Drainage and asphalt to avoid needed TCE for installation. Changes in connection to Bonnie Brae Phase 1 to avoid pavement leave outs and need for temporary asphalt. 10. Contract Changes Bid Item No Original Estimated Contract Unit Revised Negotiated Original Estimated Revised Estimated Quantity Price Estimate C.O. Unit Price Cost Cost Quantity Topsoil (4" Mixed from 5 25,611 $4.25 26,321 $4.25 $108,846.75 $111,864.25 Landscape supply Block Sodding (Bermuda) 6 25,611 $5.49 27,111 $5.49 $140,604.39 $148,839.39 Seeding (Hydromulch) 7 54,454 $2.37 58,554 $2.37 $129,055.98 $138,772.98 Prep ROW 9 141.3 $609.35 143 $609.35 $86,101.16 $87,319.86 Clear & Grub 50x15 Area NEW 0 $0.00 1 $8,125.00 $0.00 $8,125.00 Trim Trees NEW 0 $0.00 10 $1,951.65 $0.00 $19,516.50 Excavation 10 21,792 $8.82 21,865 $8.82 $192,205.44 $192,849.30 Channel Excavation NEW 0 $0.00 350 $47.50 $0.00 $16,625.00 Remove Existing Paving (CONC) 11 3,507 $6.30 3,525 $6.30 $22,094.10 $22,207.50 Remove and Replace Barbed NEW 0 $0.00 50 $7.94 $0.00 $397.00 Wire Fence Embankment 16 53859.00 $2.94 54,031 $2.94 $158,345.46 $158,85114 Page 1 of 6 DocuSign Envelope ID: 77EDD35B-FC8B-444C-B09F-34B2302AE9B3 Channel Embankment NEW 0 $0.00 130 $62.50 $0.00 $8,125.00 Backfill 18 141.3 $566.17 143.3 $566.17 $79,999.82 $81,132.16 Lime Slurry 19 1,4151 $152.85 1,435 $152.85 $216,298.04 $219,293.90 8" Lime Treated Subgrade NEW 0 $0.00 979 $11.24 $0.00 $11,003.96 Concrete Pavement 8" 22 560 $60.98 997 $60.98 $34,148.80 $60,797.06 Concrete Pavement (12"CRCP) NEW 0 $0.00 813 $128.38 $0.00 $104,372.94 Concrete Pavement (6" Drvieway) NEW 0 $0.00 48 $113.15 $0.00 $5,431.20 2" Type "C" ACP 26 9,525 $13.36 9,768 $13.36 $127,254.00 $130,500.48 4" type "C" ACP NEW 0 $0.00 1,155 $37.55 $0.00 $43,370.25 5" Type "B" ACP 28 332 $44.15 521 $44.15 $14,657.80 $23,002.15 8" Type "B" ACP 29 476.0 $48.81 530.0 $48.81 $23,233.56 $25,869.30 Mono Curb 30 27,917.0 $3.00 28,171 $3.00 $83,751.00 $84,513.00 TY II Curb NEW 0 $0.00 277 $3.00 $0.00 $831.00 18" Concrete Ribbon Curb NEW 0 $0.00 40 $76.67 $0.00 $3,066.80 Concrete Street Header NEW 0 $0.00 31 $24.73 $0.00 $766.63 24" Concrete Curb & Gutter 31 671 $38.39 554 $38.39 $25,759.69 $21,268.06 10' Shared UsePath (6") 34 10,463 $54.04 10,505 $54.04 $565,420.52 $567,690.20 PED -18 Curb Ramp NEW 0 $000 1 $2,056.94 $0.00 $2,056.94 Page 2 of 6 DocuSign Envelope ID: 77EDD35B-FC8B444C-B()9F-34B2302AE983 4" Stmaped & Stained Concrete 37 3,940 $97.97 3,892 $97.97 $386,001.80 $381,299.24 8' High Wood Fence (Metal Poles) NEW 0.0 $0.00 48.0 $95.63 $0.00 $4,590.24 16' Wide X 8' High Double Wooden Gate NEW 0.0 $0.00 2 $3,900.00 $0.00 $7,800.00 Temporary Mailbox NEW 0.0 $0.00 1 $142.37 $0.00 $142.37 Remove and Replace Brick Mailbox NEW 0.0 $0.00 1 $4,666.41 $0.00 $4,666.41 Traffic Control - Old Bonnie Brae NEW 0.0 $0.00 1 $5,912.50 $0.00 $5,912.50 18" RCP (CL III) 48 2,715.0 $68.25 2,560 $68.25 $185,298.75 $174,720.00 18" RCP (CL V) 49 895.0 $73.50 900 $73.50 $65,782.50 $66,150.00 24" RCP (CL III) 50 1,125.0 $85.05 1,006 $85.05 $95,681.25 $85,560.30 24" RCP (CL V) NEW 0.0 $0.00 30 $150.00 $0.00 $4,500.00 36" RCP (CL III) 56 680.0 $134.40 992 $134.40 $91,392.00 $133,324.80 42" RCP (CL III) 58 1,554.0 $176.40 1,268 $176.40 $274,125.60 $223,675.20 3'x2" RCB (Less 2' Cover) NEW 0.0 $0.00 165 $256.69 $0.00 $42,353.85 4'x2' RCB (Less 2" Cover) NEW 0.0 $0.00 38 $290.44 $0.00 $11,036.72 Type C-1 Drop Inlet NEW 0.0 $0.00 1 $6,062.50 $0.00 $6,062.50 Type M Manhole 67 30.0 $3,360.00 29 $3,360.00 $100,800.00 $97,440.00 "CH -FW -O" Headwall 71 1.0 $3,360.00 2 $3,360.00 $3,360.00 $6,720.00 4'x2' RCB TY II SET NEW 0.0 $0.00 1 $5,312.50 $0.00 $5,312.50 Page 3 of 6 DocuSign Envelope ID: 77EDD35B-FC8B-444C-B09F-34B2302AE9B3 18" RCP TY II SET NEW 0.0 $0.00 1 $1,843.75 $0.00 $1,84375 24" RCP TY II SET NEW 0.0 $0.00 1 $2,312.50 $0.00 $2,31250 Trench Safety 75 9,826.0 $1.05 9,816 $1.05 $10,317.30 $10,306.811 12" Grouted Rock Rip -Rap 77 312.0 $110.25 401 $110.25 $34,398.00 $44,21025 Remove Existing Headwall 86 22.0 $1,260.00 24 $1,260.00 $27,720.00 $30,24000 Remove Existing Storm Pipe 87 1,913.0 $21.00 1,968 $21.00 $40,173.00 $41,328.00 Silt Fence 91 9,055.0 $1.21 9,620 $1.21 $10,956.55 $11,640.20 Rock Check Dam NEW 0.0 $0.00 1 $1,116.38 $0.00 $1,116.38 Construction Entrance 94 11.0 $1,496.25 12 $1,496.25 $16,458.75 $17,955.00 Conduit (PVC) (SCHD 40) (2") 97 304.0 $10.50 348 $10.50 $3,192.00 $3,654.00 Conduit (PVC) (SCHD 40) (3") 98 428.0 $11.55 423 $11.55 $4,943.40 $4,885.65 Conduit (PVC) (SCHD 40) (4") 99 626.0 $13.65 630 $13.65 $8,544.90 $8,599.50 Elec Condr (NO 4) (Insulated) 100 309.0 $210 212 $2.10 $648.90 $44520 Elec Condr (NO 6) (Ground) 101 84.0 $1.05 130 $1.05 $88.20 $136.50 Tray cable (3 CONDR) (14 AWG) - ILSN Luminaires 103 3,295.0 $2.10 2,818 $2.10 $6,919.50 $5,917.80 Tray cable (3 CONDR) (16 AWG) NEW 0.0 $0.00 200 $1.75 $0.00 $350.00 Tray cable (3 CONDR) (20 AWG) - OP NEW 0.0 $0.00 12 $2.10 $0.00 $25.20 Install 12x12 Plastic Ground Box (Provided by DME) NEW 0.0 $0.00 61 $250.00 $0.00 $15,250.00 Page 4 of 6 DocuSign Envelope ID: 77EDD35B-FC8B-444C-B09F-34B2302AE9B3 Backplate (12 IN) (3 SEC) 109 16.0 $126.00 17 $126.00 $2,016.00 $2,142.00 Backplate (12 IN) (4 SEC) 110 10.0 $147.00 11 $147.00 $1,470.00 $1,617.00 VEHICLE SIGNAL SECTN. (12 112 18.0 $393.75 21 $393.75 $7,087.50 $8,268.75 IN) (LED) (RED) VEHICLE SIGNAL SECTN. (12 113 18.0 $393.75 21 $393.75 $7,087.50 $8,268.75 IN) (LED) (YEL) VEHICLE SIGNAL SECTN. (12 114 18.0 $393.75 21 $393.75 $7,087.50 $8,268.75 IN) (LED) (GRN) VEHICLE SIGNAL SECTN. (12 115 10.0 $393.75 9 $393.75 $3,937.50 $3,543.75 IN) (LED) (RED ARROW) VEHICLE SIGNAL SECTN. (12 IN) (LED) (STEADY YEL 116 12.0 $393.75 11 $393.75 $4,725.00 $4,331.25 ARROW) VEHICLE SIGNAL SECTN. (12 IN) (LED) (FLASH YEL 117 10.0 $393.75 9 $393.75 $3,937.50 $3,543.75 ARROW) VEHICLE SIGNAL SECTN. (12 118 120 $393.75 13 $393.75 $4,725.00 $5,118.75 IN) (LED) (GRN ARROW) TRAFFIC SIGNAL CABLE (TY 120 744.0 $7.35 761 $7.35 $5,468.40 $5,593.35 A) (14 AWG) (21 CONDR) TRAFFIC SIGNAL CABLE (TY 121 3,802.0 $2.10 3,900 $2.10 $7,984.20 $8,190.00 A) (14 AWG) (7 CONDR) INSTALL CAT 5E CCTY-RADIO 132 1,092.0 $2.10 657 $2.10 $2,293.20 $1,379.70 RESENCE ETECTOR CABLE INSTALL RADD CABLE 135A 1,726.0 $3.15 2,434 $3.15 $5,436.90 $7,667.10 RADD COMMUNCATION 136 3,371.0 $3.15 3,536 $3.15 $10,618.65 $11,138.40 CABLE (9 CONDUCTOR) TYPE IB DOUBLE LINE A/A 165 264.0 $4.20 290 $4.20 $1,108.80 $1,218.00 RPM TYPE IB DOTTED LINE 166 9,216.0 $0.63 9,736 $0.63 $5,806.08 $6,133.68 SYMBOL SHARED PAVEMENT 173 40.0 $367.50 44 $367.50 $14,700.00 $16,170.00 MARKING SMALL SIGN ASSEMBLY 174 121 $488.25 124 $488.25 $59,078.25 $60,543.00 Page 5 of 6 DocuSign Envelope ID: 77EDD35B-FC8B-444C-B09F-34B2302AE9B3 $3,529,146.88 1 $3,923,078.28 11. Original Contract Price + Previous CO's New Contract Price $11,638,323.40 Increase in contract price $12,032,254.80 Decrease in contract price 12. Contract time increased/decreased by _0_days. New contract time _days. THE AFOREMENTICN ED CHANGE, AND WORK AFFECTED THEREBY, IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS. 13. SUBMITTED BY: 14. ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS 15. ACCEPTED BY CONTRACTOR: President Title 16. CITY MANAGER: 4TTEST: CITY SECRETARY 17. PURCHASING/FINANCE: 18. APPROVED AS TO LEGAL FORM: Page 6 of 6 F—S D Signed by: Garcia A13701F6BC954FC.-project Manager DocuSigned by: 0658E4F8FB78476... Signature [��,D—Signed by: DA86F07F9C65YV5-Signature EocuSignedby: 77b Signature L SiDgned by: igned�.ee., e i ;•.ss... Signature GDocuSigned by: ori lkc,wc,11, 13E1D934887C40F... Signature DocuSigned by: 1 7F9D328BF0204E5... Signature $393,931.40 DocuSfgn Envelope ID: 77EDD35B-FC8B-444C-B09F-34B2302AE9B3 Exhi bi t 1 PAVM PUBLIC WORKS JOB NAME: BONNIE BRAE CO#1 LOCATION: DENTON, TEXAS BID DATE: BID I IMF: I I FM NO. DtSCRIP I ION (,I I Y UNI I Ulu UNI I BID AMUUN I 1 1 OPSOIL (4" MIXED SOIL FROM A LANL 710 SY $4.15 $3,U17.5U 2 BLOCK SODDING (BERMUDA) 1500 SY $5.49 $8,235.00 3 SEEDING (HYDROMULCH) 4100 SY $2.37 $9,717°00 4 PREPARING R.O.W. 2 STA. $609.35 $1,218.70 5 CLEAR ik URUB 5U' X 15' AREA 1 LS $8,125.00 $8,125 UU 6 TRIM TREES 10 EA $1,951.65 $19,516.50 7 EXCAVATION 73 CY $8.82 $643.86 8 CHANNEL EXCAVATION 350 CY $47.50 $16,625.00 9 REMOVE EXISTING PAVING (CONC.) 18 SY $6.30 $113.40 10 REMOVE & REPLACE BARBED WIRE F 50 LF $7.94 $397.00 11 EMBANKMENT 172 CY $2.94 $505.68 12 CHANNEL EMBANKMENT 130 CY $62,50 $8,125.00 13 BACKFILL 2 SIA. $566.17 $1,131.34 14 LIME SLURRY 19.6 TON $152.85 $2,995.86 15 8" LIME TREATED SUBGRADE 979 SY $11.24 $11,003.96 16 CONCRETE PAVEMENT 8" 437 SY $60.98 $26,648.26 17 CONCRETE PAVEMENT (12" CRCP) 813 SY $128.38 $104,372.94 18 CONCRETE PAVEMENT (6" DRIVEWAY 48 SY $113.15 $5,431.20 19 2" TYPE "C" A.C.P. 243 SY $13.36 $3,246.48 20 4" TYPE "C" A.C.P. 1155 SY $37.55 $43,370.25 21 5" TYPE "B" A.C.P. 189 SY $44.15 $8,344.35 22 8" TYPE "B" A.C.P. 54 SY $48.81 $2,635.74 23 MONO CURB 254 LF $3.00 $762.00 24 TY 11 CURB 277 LF $3.00 $831.00 25 18" CONCRETE RIBBON CURB 40 LF $76.67 $3,066.80 26 CONCRETE STREET HEADER 31 LF $24.73 $766.63 27 14" CONC. CURB & UU I I ER 117 LF ($38.39) ($4,491.03) 28 10' SHARED USE PATH (6") 42 SY $54.04 $2,269.68 29 PED -18 CURB RAMP 1 EA $2,056.94 $2,056.94 30 4" STAMPED AND STAINED CONCRETE 48 SY ($97.97) ($4,702.56) 31 8' HIUH WOOD FENCE (ME I AL PULES) 48 LF $95.63 $4,59U.24 32 16 WIDE X 8' HIGH DOUBLE WOODEN 2 EA $3,900.00 $7,800.00 33 TEMPORARY MAILBOX 1 EA $142.37 $142.37 34 REMOVE & REPLACE BRICK MAILBOX 1 EA $4,666.41 $4,666.41 35 TRAFFIC CONTROL - OLD BONNIE BRF 1 LS $5,912.50 $5,912.50 PAGE 1 I-OTALS: JOB 10 1 RLS: MT -MT $3U9,U91.4U DocuSign Envelope ID: 77EDD35B-FC8B-444C-B09F-34B2302AE9B3 IMAT PUBLXWGRKS JOB NAME: BONNIE BRAE CO#1 LOCATION: DENTON, TEXAS BID DATE: BID I W-: NO. UESC HIP I ION Q I Y UNI I UNI I AMUUN 1 36 18" R.C.P. (CL III) 155 LF ($68.25) ($10,578.75) 37 18" R.C.P. (CL V) 5 LF $73.50 $367.50 38 24" R.C.P. (CL III) 119 LF ($85.05) ($10,120.95) 39 24" CL V RCP 30 LF $150.00 $4,500.00 40 36" R.C.P. (CL III) 312 LF $134.40 $41,932.80 41 42" R.C.P. (CL III) 286 LF ($176.40) ($50,450.40) 42 3'X 2' RCB (LESS 2' COVER) 165 LF $256.69 $42,353.85 43 4' X 2' RCB (LESS 2' COVER) 38 LF $290.44 $11,036.72 44 TYPE C-1 DROP INLET 1 EA $6,062.50 $6,062.50 45 TYPE M MANHOLE 1 EA ($3,360.00) ($3,360.00) 46 "CH -FW -O" HEADWALL 1 EA $3,360.00 $3,360.00 47 4' X 2' RCB TY 11 S.E.T. 1 EA $5,312.50 $5,312.50 48 18" RCP TY II S.E.T. 1 EA $1,843.75 $1,843.75 49 24" RCP TY 11 S.E.T_ 1 EA $2,312.50 $2,312.50 50 TRENCH SAFETY 10 LF ($1.05) ($10.50) 51 12" GROUTED ROCK RIP -RAP 89 SY $110.25 $9,812.25 52 REMOVE EXISTING HEADWALL 2 EA $1,260.00 $2,520.00 53 REMOVE EXISTING STORM PIPE 55 LF $21.00 $1,155.00 54 SILT FENCE 565 LF $121 $683.65 55 ROCK CHECK DAM 1 EA $1,116.38 $1,116.38 56 CONSTRUCTION ENTRANCE 1 EA $1,496.25 $1,496.25 57 CONDUIT (PVC) (SCHD 40) (2") 44 LF $10.50 $462.00 58 CONDUIT (PVC) (SCHD 40) (3") 5 LF ($11.55) ($57.75) 59 CONDUIT (PVC) (SCHD 40) (4") 4 LF $1365 $54.60 60 ELEC CONDR (NO 4) (INSULATED) 97 LF ($2.10) ($203.70) 61 ELEC CONDR (NO 6) (GROUND) 46 LF $1.05 $48.30 62 TRAY CABLE (3 CONDR (14 AWG) - ILS 477 LF ($2.10) ($1,001.70) 63 TRAY CABLE (3 CONDR (16 AWG) - 200 LF $1.75 $350.00 64 TRAY CABLE (4 CONDR (20 AWG) - OP 12 LF $2.10 $25.20 65 INSTALL 12'X12' PLASTIC GROUND BO 61 EA $250.00 $15,250.00 66 BACKPLATE (12 IN) (3 SEC) 1 EA $126.00 $126.00 67 BACKPLATE (12 IN) (4 SEC) 1 EA $147.00 $147.00 68 VEHICLE SIQNAL SEC I N. (12 IN) (LEU) 3 EA $393.75 $1,181.25 69 VEHICLE SIGNAL SECTN. (12 IN) (LED) 3 EA $393.75 $1,181.25 70 VEHICLE SIGNAL SECTN. (12 IN) (LED) 3 EA $393.75 $1,181.25 JOB 10 1ALS: $389,180.15 DocuSign Envelope ID: 77EDD35B-FC8B-444C-B09F-34B2302AE9B3 PUBLIC WORKS JOB NAME: BONNIE BRAE C0#1 LOCATION: DENTON, TEXAS BID DATE: BID IIMF: ITEM NO. DEbUHIP I ION Q I Y UNI I S115 UNI I BID AMUUN I VEHICLE SIGNAL SECTN. (12 IN) (LED) 1 EA ($393.75) ($393.75) VEHICLE SIGNAL SECTN. (12 IN) (LED) 1 EA ($393.75) ($393.75) VEHICLE SIGNAL SFC I N. (12 IN) (LEU) 1 EA ($393.75) ($393.75) VEHICLE SIGNAL SECTN. (12 IN) (LED) 1 EA $393.75 $393.75 TRAFFIC SIGNAL CABLE (TY A) (14 AW 17 LF $7.35 $124.95 TRAFFIC SIGNAL CABLE (TY A) (14 AW 98 LF $2.10 $205.80 INSTALL CAT 5E CCTY-RADIO RESEW 435 LF ($2.10) ($913.50) INSTALL RADD CABLE 708 LF $3.15 $2,230.20 RADD COMMUNCATION CABLE (9 CON 165 LF $3.15 $519.75 TYPE IB DOUBLE LINE A/A RPM 26 EA $4.20 $10910 TYPE IB DOTTED LINE 520 LF $0.63 $327.60 SYMBOL SHARED PAVEMENT MARKIN 4 EA $367.50 $1,470.00 SMALL SIGN ASSEMBLY 3 EA $488.25 $1,46475 TOTAL $393,931.40 JOB I U I ALS: $393,931.411 DocuSign Envelope ID: 77EDD35B-FC8B-444C-B09F-34B2302AE9B3 Exhibit 2 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. Pavecon Public Works LP 2 El 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 7s' business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate. 3 1 Name of local government officer about whom the information in this section is being disclosed. N/A 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? FRI 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 0 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? F—x] Yes No D. Describe each employment or business and family relationship with the local government officer named in this section. N/A 4 ❑X I have no Conflict of Interest to disclose. 5 DocuSigned by: — 504 6/15/2020 RMI&Qdf`WNIR doing business with the governmental entity Date Certificate Of Completion Envelope Id: 77EDD35BFC8B444CB09F34B2302AE9B3 Subject: Please DocuSign: CO #1 7118 - South Bonnie Brae PH 2 (Vintage Boulevard) Source Envelope: Document Pages: 11 Signatures: 8 Certificate Pages: 6 Initials: 1 AutoNav: Enabled Envelopeld Stamping: Enabled Time Zone: (UTC -06:00) Central Time (US & Canada) Record Tracking Status: Original 6/12/2020 10:05:38 AM Signer Events Laura Hermosillo laura.hermosillo@cityofdenton.com Senior Buyer City of Denton Security Level: Email, Account Alrthentication (None) 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) Electronic Record and Signature Disclosure: Not Offered via DocuSign Mack Reinwand mack.reinwand@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Seth Garcia Seth.Garcia@cityofdenton.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 6/15/2020 9:55:15 AM ID: Oe1 d 105f-e253-44c5-a3b 1-2ba6b8b60faf Holder: Laura Hermosillo Iaura.hermosillo@cityofdenton.com Signature Completed Using IP Address: 198.49.140.104 �� DacuSigned by: 6vi hw& t3E1D934887C40F._ Signature Adoption: Pre -selected Style Using IP Address: 198.49.140.104 gned by: E,,,7DF_,D',s,,,F,204E...,� A.J.J. Signature Adoption: Pre -selected Style Using IP Address: 198.49.140.104 ED—Signedaby: A13701F8BCV4 FiaC. Signature Adoption: Pre -selected Style Using IP Address: 198.49.140.104 Dacu .secuQed Status: Completed Envelope Originator: Laura Hermosillo 901 B Texas Street Denton, TX 76209 laura.hermosillo@cityofdenton.com IP Address: 198.49.140.104 Location: DocuSign Timestamp Sent: 6/12/2020 10:17:09 AM Viewed: 6/12/2020 10:17:18 AM Signed: 6/12/2020 10:17:20 AM Sent: 6/12/2020 10:17:23 AM Viewed: 6/14/2020 9:39:14 PM Signed: 6/14/2020 9:39:41 PM Sent: 6/12/2020 10:17:23 AM Viewed: 6/15/2020 9:52:25 AM Signed: 6/15/2020 9:54:32 AM Sent: 6/15/2020 9:54:35 AM Viewed: 6/15/2020 9:55:15 AM Signed: 6/15/2020 9:55:49 AM Signer Events Signature Timestamp K by:Daniel Sent: 6/15/2020 9:55:52 AM Danielk@pavecon.com [0—sip.d �ua Resent: 6/15/2020 11:00:06 AM President DA86F°7F9cs54°5.. Resent: 6/15/2020 11:18:18 AM Pavecon Ltd Co Signature Adoption: Drawn on Device Viewed: 6/15/2020 12:46:11 PM Security Level: Email, Account Authentication Signature Adoption: Pre -selected Style Signed: 6/15/2020 1:05:51 PM (None) Using IP Address: 170.176.240.29 Electronic Record and Signature Disclosure: Accepted: 6/15/2020 12:46:11 PM ID: bOdb66f4-47b6-47ca-86fd-6c896656bb02 Todd Estes —Sined by: E-58�W�8FB78475 Sent: 6/15/2020 9:55:52 AM Todd.Estes@cityofdenton.comResent: 6/15/2020 11:00:07 AM City Engineer ... Resent: 6/15/2020 11:38:02 AM Capital Projects Viewed: 6/15/2020 11:38:32 AM Security Level: Email, Account Authentication Signature Adoption: Drawn on Device Signed: 6/15/2020 11:52:04 AM (None) Using IP Address: 198.49.140.104 Electronic Record and Signature Disclosure: Not Offered via DocuSign Cheyenne Defee Completed Sent: 6/15/2020 1:05:55 PM cheyenne.defee@cityofdenton.com Viewed: 6/24/2020 8:45:27 AM Contract Administrator Signed: 6/24/2020 8:45:34 AM City of Denton Using IP Address: 198-49.140.104 Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Todd Hileman ED—Signed by h Sent: 6/24/2020 8:45:37 AM Todd. Hileman@cityofdenton.com °�AI^ Viewed: 6/24/2020 10:43:50 AM City Manager B760711BAOD454 Signed: 6/24/2020 10:43:54 AM City of Denton Signature Adoption: Pre -selected Style Security Level: Email, Account Authentication (None) Using IP Address: 47.186.196.49 Electronic Record and Signature Disclosure: Accepted: 7/25/2017 11:02:14 AM ID: 57619fbf-2aec-4b1 f-805d-6bd7d9966f21 euSigned by: Rosa Rios 1", Sent: 6/24/2020 10:43:57 AM rosa.rios@cityofdenton.com �'` PIZ*$ Viewed: 6/24/2020 11:22:40 AM City Secretary ,escSMUE175491 Signed: 6/24/2020 11:23:32 AM Security Level: Email, Account Authentication (None) Signature Adoption: Pre -selected Style Using IP Address: 198.49.140.104 Electronic Record and Signature Disclosure: Accepted: 6/24/2020 11:22:40 AM ID:8a973a35-acd1-4b5a-8a54-08ec9245adad 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 Cheyenne Defee cheyenne.defee@cityofdenton.com Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sherri Thurman sherri.thurman@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Status COPIED COPIED Timestamp Sent: 6/12/2020 10:17:22 AM Sent: 6/15/2020 1:05:54 PM Robin Davis COPIED Sent: 6/24/2020 11:23:34 AM Robin.Davis@cityofdenton.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Annie Bunger 40 PIED Sent: 6/24/2020 11:23:36 AM Annie. Bunger@cityofdenton.com Contract Control Specialist City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Zolaina Parker COPIED Sent: 6/24/2020 11:23:37 AM Zolaina.Parker@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) 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 6/24/2020 11:23:37 AM Certified Delivered Security Checked 6/24/2020 11:23:37 AM Signing Complete Security Checked 6/24/2020 11:23:37 AM Completed Security Checked 6/24/2020 11:23:37 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM Parties agreed to: Seth Garcia, Daniel K, Todd Hileman, Rosa Rios ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, City of Denton (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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