HomeMy WebLinkAboutContract 48764C�1Y SEC�q� .
CONT'RqCT IVp, �
CITY OF FORT WORTH, TEXAS
STANDARD AGREEMENT FOR PROFESSIONAL SERVICES
This AGREEMENT is beiween the City of Fort Worth, a Texas home-rule municipality
(the "CITY"), and Moye I.T. Consulting, L.L.C, authorized to do E�usiness in Texas, an
independent contractor ("Consulfanf"), for a PROJECT generally described as: Will Rogers
Memorial Center, Campus Wide Fiber Network.
Article I
Scope of Services
('I) Consultant hereby agrees to pertorm as an independent contractor the services set
forth in the Scope of Services attached herefio as Aftachment "A". These services
shall be perForm�d in connection with Will Rogers Memorial Center, Campus Wide
Fiber Network, Professional Services Proposal (rev.1).
(2) Additional services, if any, will be requested in writing by the City. City shall not pay
for any work perFormed by Consultant or its subconsultants, subcontractors and/or
suppliers that has not been ardered in writing. It is specifically agreed that
Consultant shall not be compensated for any aifeged additional work resulfing from
oral orders of any person,
Article li
Compensation
Consultant shall be compensated in accordance with the Fee Schedule shawn in
Attachment "A". Payment shalf be considered full compensation for all labor, materials,
supplies, and equipment necessary to complete the services described in Attachment "A".
However the total fee paid by the City shalf not exceed a fotal of $81,365.00 unless the
City and the Consultanfi mutualfy agree upon a fee amount for additional services and
amend this Agreement according(y.
The Consultant shall provide monthly invoices to fhe City. Payment for services rendered
shali be due within thirty (30) days of the uncontested performance of the particufar
services so ordered and receipf by City of Consultant's invoice for payment of same.
Acceptance by Consultant of said payment shall aperate as and shall release the City from
afl claims or liabi[ities under this Agreement for anything related to, dane, or furnished in
connection with the services for which payment is rr►ade, including any act or omission of
the City in connection with such services.
Clly of Fort Worth, Texas
Standard Agreement for Professional Servlces
Revision pate: 9/2612 0 1 6
Page 1 of 8
���'FICIAL RECQRp
CITy SECRE7A�Y
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Article lil
Term
Unless terminafed pursuant to the terms herein, this Agreement shall be for a term af six (6)
months, beginning upon the dafe of its execution, or until the completion of the subject matter
contemplated herein, whichever occurs first.
Article IV
Independent Co�ntractor
Consultant shall operafe hereunder as an independent contractor, and not as an officer,
agent, servant, or employee of the Giiy. Consultant shail have excfusive control of and the
exc(usive right to control the details of its work to be perFormed hereunder and ali persons
perForming same, and shall be solely responsible for the acts and omissions of its officers,
agents, ernployees, contractors and subcontractors. The doctrine of respondent superior
shall not apply as between City and Consealtant, its officers, agents, employees, contractors,
and subcontractors, and nothing herein shall be construed as creating a partnership or joint
venture between City and Consultant.
Article V
Professional Compe#ence and Indemnification
(1) Work perFormed by Consul#ant shall comply in all aspects with all applicable ioca(,
state and federal laws a�d with a(I applicable rules and regulatians promulgated by
the [acal, state and national boards, bureaus and agencies. Approval by the City
shall not constitute or be deemed to be a release of the responsibility and liability of
Consultant or its officers, agents, employees, contractors and subcantractors far fihe
accuracy and camp�tency of its services performed hereunder.
(2) In accordance wit� Texas Local Government Code Sec#ion 271.904, the
Consultant shall indemnify, hold �arrniess, and defenc[ the City against
liability for any damage caused by or resulting from an act of negligence,
intentionai tort, intellectual property infringement, or failure �o pay a
subcontractor ar supplier commit#ed by the Consultiant or Consul#ant's agent,
consultant under con#racf, or another entity over which the Consultant's
exercises contral.
City of Fori Worth, 7exas
Siandard Agreemeni for Professionaf Senrices
Revision Date: 9/26/2016
Page 2 of 8
Article VI
Insurance
(1} Consultant shal[ not commence work under this Agreement until it has abtained a11
insurance required under this Article and the City has appraved such insurance, nor
shall Gonsultant allow any subcontractor to commence work on its subcontract until
al[ similar insurance of fh� subconfractor has been so obtained and approval given
by #he City; provided, however, Consultant may elect to add any subconsuftant as
an additional insured under its liability policies.
Commercial General L.iability
$�,000,000 each occurrence
$2,000,00� aggregafe
Automabile l..iability
$1,000,000 each accident {or reasonably equivalent limits of
coverage if written on a sp(it limits basis). Coverage shall be
on any vehicle used in the caurse of the Project.
Worker's Compensation
Coverage A: sfatutory limits
Co�erage B: $1Q0,0�0 each accident
$500,000 disease -- policy limit
$'[00,000 disease - �ach employee
(2) Additional Insurance Requirements
a. Except for emp[oyer's fiability insurance coverage under Consultant's worker's
compensafiion insurance poticy, the City, its officers, employees and servants sha�f
be endorsed as an additiona! insured on Consultant's insurance poficies.
b. Gertificates of insurance shall be delivered to the Architectural Services, Attention:
Brian R. Glass, 4Q'i Vltest '! 3t" Street, Fort Worth, TX 76012, prior to
commencement of work.
c. Any failure an part of the Cify to request required insurance documentatian shafl
not constitute a waiver of the insurance requirements specified herein.
d. �ach insurance policy shall be endorsed fo provide the City a minimum thirty days
notice of cancellation, non-renewal, and/or material change in poficy terms or
coverage. A ten days natice shall be accep#able in the event of non-payment af
premium.
Ciiy of Fort Worth, 7exas
Standard Agreemeni for ProFessional Services
Revision Date: 9/26/2016
Fage 3 of 8
e. lnsurers must be authorized to do business in fhe State of Texas and have a
current A,M. Best rating of A: VII or equivalent rneasure of financial strength and
solvency.
Other than worker's compensation insurance, in Iieu of traditionaf insurance, Gity
may consider a[fernative coverage or risk ireatrr�ent measures #hraugh insurance
pools or risk retention graups. The Cify must approve in writing any alternative
coverage.
g. Workers' compensation insurance policy(s} covering employees employed on the
Projec# shall be endorsed with a waiver of subrogation providing rights of recovery
in favor of the City.
h. City shall nof be responsible for the direct payrnent of insurance premium costs
for Consu�tant's insurance.
Consultant's insurance policies shall each be endorsed to provide that such
insurance is primary profecEion and any self funded or comrnercial coverage
maintained by City shal! nof be called upan to contribute to foss recovery.
j. in the course of the Agreement, Consu[tant shal! repart, in a fimely manner, to
City's officia(ly designafed contract administrator any known loss occurrence which
couid give rise to a liability claim or fawsuit or which could result in a property loss.
k. Consu[tanfs liability shall not be limited to the specified amounts of insurance
re�uired herein.
I. Upon the request of City, Consultant shall provide complete copies of all
insurance policies required by these Agreement documents.
Articie VII
Transfer ar Assignment
City and Consultant each bind fhemsefves, and their lawful successors and assigns, to this
Agreement. Consultant, its (awful successors and assigns, shall not assign, sublet or transfer
arty interest in this Agree�ment without prior written consent of the City.
Article Vlli
Termination o# Con#ract
(1) Cify may term�nate this Agreement for its convenience on 30 days' written notice.
Either the City or the Consu[tant for cause may terminate this Agreement if either
Party fails substaniial[y to perform through no faulf of the other and does not
Cily of Fort Worfh, Texas
Slandard Agreement for Professional Services
Revision Date: 912s/2o16
Page 4 of 8
commerice correction of such nonperfarmance with 5 days af written notice and
diligently complete the correction thereafter
(2) [f City chooses to fierminate fihis Agreement under Articie S, upon receipt of natice of
termination, Consulfant shafl discontinue services rendered up to the date of such
termination and City shall compensate Consultant based upon calculations in Ar�icle
II of this Agreement.
(3) A(I repor�s, whether partial or comp(e#e, prepared under this Agreement, including
any original drawings or documenfs, whether furnishad by the Cify, its officers,
agents, employees, consultants, or contractors, or prepared E�y Consultant, shail �e
or become the praperty of the City, and shall be furnished to the City prior ta or at
the time such services are completed, or upon termination or exp�ration of fhis
Agreement.
Article IX
Right to Audit
(1) Consultant agrees that the City shall, until the expiration of three {3) years after final
payment under this Agreement, have access to and the right fo examine any directly
pertinent books, documents, papers and recards af Consultant invalving transactions
relating to this Agreement. Consuftant agrees that the City shall have access during
norma! working hours to all necessary facilities and shall be provided adequa#e and
appropriate workspace in order to conduct audits in compliance with the provisions of
this section. Ci#y shall give Consultant reasonable advance notice af intended auc{its.
(2) Consuftant further agrees to include in a(i its subcontracts hereunder, a provision to
the ef€ect that the subcontracting consultant agrees that the City shal�, untif the
expiration of three {3} years after final payment uncier the subcontracfi, have access
to and the right to examine any direcfly pertinent books, documents, papers and
records of sUch sUb-consultant, invalving transactians to ihe subcontract, and
further, that City shal[ have access during normal working hours to alI sub-
consultant facilifies, and shall be provided adeq�ate and appropriate work space in
order to conduct audits in compliance with the provisions of this ar�icle. City shall
giv� Consultant and any sub-consulfant reasonable advance notice of intended
audit.
(3} Cansultant and sub-consultants agree to photocopy such documents as may be
requested by the City. The City agrees to reimburse Consultant for the cost of copies
at the rate published in the Texas Adminisirative Code in effect as of the time copying
is perFormec[.
City of Fort Worth, Texas
Standard Agreemenl for Professional Services
Revislon Date: 9126/2096
Page 5 of 8
Article X
Minori{y Business and Small Business Enterprise {MBE�(SBE) Par�icipation
In accordance with the City's Business Diversity Enterprise Ordinance No. 20020-12-2011,
as arnended, the City has goafs for the participation of minarity business enterprises and/or
small business enterprises in City confracts. Consultant acknowfedges the MBE and SBE
goals established far this Agreement and its accepted written commitment to MBE and SBE
participatian. Any misrepresentation of facts (other than a negligent misrepresentation)
andlor the comrnission of fraud by the Consultant may result in the terminafiion of this
Agreement and debarment frorn participating in City cantracts for a period of time of nat less
than three (3} years.
Article XI
Observe and Comply
Consultanfi shall at all times observe and comply with all federaf, state, and loca) laws and
regula#ions and with all Ciiy ordinances and regulations which in any way affect this
Agreement and the work hereunder, and si�all observe and compiy with a(f orders, laws
ordinances and regulations which may exist ar may be enacted later by governing badies
having jurisdiction or authority for such enac#ment. No plea of misunderstanding or ignorance
thereof shall be considered. Consultant agrees to defend, indernnify and hold harm[ess City
and all of its officers, agents and emplayees from and against alf claims or liability arising ouf
of fihe vioiation of any such order, law, ordinance, or regu[afion, whether it be by itself or its
emplaye�s.
Article XII
Venue and Jurisdicfiion
]f any action, whether rea[ or asserted, at law or in equiiy, arises on fhe basis of any
provision of this Agreement, venue for such action shall lie in stafie cour�s located in
Tarrant County, Texas ar the United States Disfirict Court for the Nor�hern District of Texas
— Fort Warth Divisian. This Agreement shall be construed in accordance with the laws of
the State of Texas.
Article XIII
Contract Construction
The Parties acknow[edge that each party and, if it so chooses, its counsel have reviewed
and revised fhis Agreement and that the normal rule of canstruc#ion fio the effect that any
ambiguities are to be resolved agains# the drafting parfy must not be empfayed in the
Clly of Fort Worih, Texas
Slandard Agreemeni tor Professional Services
Revlsion Date: 9/26/2016
Page 6 of 8
interpretation of this Agreerrient or any amendments or exhibits hereto.
Article XIV
Severability
The provisians of this Agreement are severable, and if ar�y word, phrase, clause,
senience, paragraph, section ar other part of this Agreement or the applicatiar� thereof to
any person or circumstance shal] ever be held by any cour� of cflmpetent jurisdiction to be
invalid or unconstitutional for any reason, the remainder of this Agreement and the
application of such word, phrase, clause, sentence, paragraph, secfion, or other par� of this
Agreement to other persons or circumstances shalf not be affecied thereby and fhis
Agreement shafl be construsd as if such inva(id or unconstitutional portion had never been
contained therein.
Article XV
Nofices
Notices #o be pravided hereunder shall be sufficient i
hand-de(ivery or via U.S. Postal Service certi�fied mail
prepaid, ta the address af the other Party si�own below:
City of Far� Warth;
Attn: Brian R. Glass, AIA
Architectural Services Manager
401 West `[ 3th Sfireet
Fort Worth, Texas 76102
Consultant:
Moye 1_7. Consulting, L.L.0
Attn: Jan Moye
1255 Corparate Drive, Suite 100
Irving, Texas 7�03$
Article XVI
Headings
f forwarded to the other Party by
refurn receipt requested, postage
The headings containad herein are for fihe convenience in reference and are not intended
to define or limit the scope of any provision of this Agreement.
City af Fort Worth, Texas
Slandard Agreement %r Professional Services
Revision Dafe: 9I26/2o1fi
Page 7 of 8
Ar'ticle XV�I
Counterparts
This Agreement may be executed in one or more counterparts and each counterpart shall,
for alf pUrposes, be deemed an original, but all such counterparts shall togefher constiiute
but one and the same ins#rument.
Executed and effective this the �� day of�,'1 , 2017.
BY: BY:
CITY OF FORT�WORTH CONSULTANT
Moye I.T. Consulting, LLC
.��� � �
--�-c�--�-� r��-- -� - ���'
�Jesus J. Chapa Jan Moye, PMP "
Assistant City Manager Principal
Date: ��` �� �
�
Date: 62 • � `7" ! ^7
APPROVAL RECOMMENDED:
, ,�
By:-- � ti � ��'',
� '-- � terie Cook
Director, Property Management
M&C No.: n/a
APPROVED AS TO FORM AND LEGALITY
� M&C Date: n/a
By: �.S
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Assis#ant City Attorne � �: ���� �: �
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Ma � . a ser %�1
City Secretary ' �''�• ..••••'''� �
i'_t�. �:1iii•���'`
Form 1295 Certifcation:
Cantract Compliance Manager:�`'�"`' "�"
By signing I acknowledge ti�af I am fihe person responsible for the monitoring and
administration of this contract, including ensuring al! pertormance and repor�ing
requirements.
� 0 Y!� • �5��
Brian R. Giass, AIA
Architecturaf Services Manager
City of Fort Worth, Texas
Slandard Agreemenl for Professional Services
Revision pate: 9l26/2�16
Page 8 of 8
�FFICIAL RECOR %,
CITY SECRETARY
F'1'. WORTH, TX
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Moye Consuking —1255 Corporate Drive, Saite 100, lrving, Texas 75038 — 9 72.887.5355 — www.moyeconsulting.com
December 20, 2016
Mr. James D. Horner
Assistant Facilities & Public Events Director
CiCy of Fart Worth
Public Events Department
1201 Mouston Street
Fort Worth, 7'X 76102
Re: Wil) Rogers Memorial Center
Campus Wide Fiber Network
Professiona! Services Proposa) (re�.1}
Dear Mr. Horner:
Moye I. 7. Consulting (MOYE} is pleased to presentto the City of Fort Worth, as sponsored by
the Will Rogers Memoria) Center, (CITY) this proposal for technology cons�lting services
associated with the design development, construction documents, request for proposal and
proposal evaivations of new cabling (optical fiber and copper} infrastructure, network hardware
infrastructure anc! associated spaces at the Will Rogers Memoriaf Center campus.
These services will be performed in cooperaeion with the City of Ft, Worth and Wi11 Rogers
Memorial Center staff. This proposal includes 1) detailed cabling infrastructure design to
include both communications rooms design and network hardware, as needed, 2) support in the
creatian of a detailed request for praposal (RFP) for designed elements, and 3) bidder
evaluation of the responses to the RFP. Other elements of work can be proposed separately
upon your request.
These services are geographically bounded by W. Lancaster Avenue, University Drive, Trail Drive,
Harley Avenue and Montgomery Street.
REFERENCES
The following documents further define or clarify tf�e scope af project, and are incorporated by
this reference.
1. W RMC provided notes `20Z60809 Event Technology Needs summary jh draft.doc'.
2. WRMC provided 'Campus Fiber.pdf'. �
3. WRMC provided `Smart City RFP No. 14-Od59_2014.pdf'.
4. WRMC provided 'Smart City Executed Contract 46140_.pdf'.
Wherever this letter contradicts the reference documents, this letter shal! supersede.
pecember 20, 2d16 {rev.lj p 1 of 5 City of Fort Worth, WRMC
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Maye Consulting-1255 CorporaYe t�rtve, Su1te 100, lrving, Texas 7503&-972.887.SS55 — www.moyeconsultfng.com
z. SYSTEMS SCOPE
Fhis proposal is for services addressing the following technology systems.
1, Cabling {optical fiber and copper) and Pathway Infrastructure
2. Network Hardware Infrastructure
3. Supporting Facilities/IT Spaces
3. PREDECESSOR PROlECTS
Will Rogers Memorial Center; Campus Wide Fiber Network Assessment dated October 22, 2013
4. SCOPE OF SERVICES
This proposai incfudes the following services:
DES16N PHASE SERVICES
Cansisting of four (4) phases, including Progress Sets
1. Schematic Design and Request for Proposal Phase
2. Solicitation and Evaluation Phase
3. Construction Documents Phase
4. Construction Suppor� Services Phase
SCHEMATIC DESI6N Af�O REQUEST FOR PROPOSAI. PHASE
1. Review record documents of both th� cabling infrastructure and existing network
systems.
2. Perfarm site surveys, as necessary, ta confirm existing system{s) points of presence, in-
house cabling, systems capacities and existing conditions.
3. Participate in, as-needed, bath Stakeholder and pesign Team coordination sessions to .
develop operationa! requirements to support demolition and modifications of technology
pathways, cabling infrastructure, network systems and IT spaces.
4. Incorporate baseline design rec{uirements from CITY specifications and design guidance
into project specifications in outline form.
5. Develop a Basis of Design document in narrative form.
6. Develop drawings to include site overview, technology floor plans, cable routing diagrams,
telecom room enlarged plans and elevation drawings, as required. .
7. Review concurrent design documents of other projects relating to i�-scope systems
alterations thaC may impact this project — i.e. the new �ort Worth Multipurpose Arena.
S. Create a progress set of documents at week three of six.
9. Simultaneously, coordinate with the CiTY on their requirements and how MOYE wilf
provide the needed d�cumentation ar�d technica( support to create a Request for
Proposal to be issued by the CITY.
December 20, 2016 (rev,lj
p2of5
City of Fort Worth, WRMC
Moye Consulting —1255 Corporate Drive, Suite 100, /rving, Tex4s 73038 — 972 887.5555 — www.moyeconsulting.com
10. Obtain and incorporate CITY review comments and publish a Scherrtatic Design and
Request for Proposal document at the end of six weel<s.
11. Participate in the solicitation preparation process, committee reviews and interviews with
the C(TY.
12. Maintain a set of conformed documents, logging the subject matter changes, if needed.
13. Completion of the solicitation effort at the end of four weeks.
RFP RESPONSE REVIEW PHASE
1. Assist the CITY in their effort to log, review, compare, analyze and provide both technical
merit and pricing analysis.
2. Answer questions and provide clarification to bidder questions and comments as directed
by the CITY.
3. Maintain a log for above bidder questions and comments.
4. Maintain a set of conformed documents, logging the subject matter changes, if needed.
5. Participate in the bidder interview process with the CITY, as requested. by the C1TY.
6. Completion of this effort at the end of eight weeks.
CONSTRUCTION DOCUMENTS
1. Continued site survey and documentation of existingconditions.
2. Participate in, as-needed, both Stakeholder and Design Team coordination sessions to
continue and finaliae the development of requirements to support demolition and
modifications of technology pathways, cabling infrastructure, network systems and IT
spaces.
�. Coordinate and finalize other discip(ine's deliverables, if needed.
4. Mature and finalize the Basis of Design.
5. Create a progress set of documents at week five of twelve.
6. Detailed design drawings taken to completion; to include all in-scope systems, technology
fioor plans, device locations, cable routing and pathway diagrams, telecom room enlarged
and elevation drawings, system cannectivity diagrams and techno(ogy schedules.
7. Mature the project specifications to a finished level of documents.
8. Create a progress set of documents at week nine of twelve.
9. Obtain and incorporate CITY review comments and publish a Construction Document
(100%) at the end of twelve weeks,
10. Provide a progress cost estimate/rough-order-of-magnitude.
CONSTRUCTIQN SUPPORTSERVICES PHASE
1. Attend Construction Meetings, up to a total of 3 meetings, for coordination, cost
estimating, scheduling, and discussing value engineering option as requested by the C1TY,
2. Attend up to six site vEsits during the canstrucYion supporY services phase.
3. Attend up to two site visits during the close-out phase.
December 20, 2016 �rev.1) p 3 af 5 City of Fort Worth, WRMC
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Moye Consulting —1255 Corpornte Drive Suite 100, lrvFng, 7exas 75038 —9 72.887.5555 — www.moyeconsulting.com
4. Review and respond to Contractor Submittals.
5. Review and respond to Contractar RFI's during construction.
6. Completion of this effort at the end of six months.
5. DELIVERABLES
Design deliverables wil! be provided by MOYE to the CITY as described above and listed below:
1. SD Progress Set at week three of six
2. SD Final Set
3. CD Progress Set at week five of twelve
4. CD Progress Set at week nine of twelve
5. CD Final Set
All deliverable documents will be delivered as follows:
2. Progress Set's; electranically only.
3. Final Set's; hardcopy (3) and electronically.
6. ADMIi�1STRATIVE ASSUMPTIONS
1. T�avel to CfTY offices and project site is induded in the reimbursab[e fees.
2. CITY to provide [ceys, or a properly credentialed escort, as necessary, to gain access to all
in-scope spaces.
3. Defiverable documents will be provided as stated above. Additional report copies are
available at a cost to the CITY.
4. Work will be performed under the oversight of a B1CSI Registered Communications
Distribution Designer (RCDD).
5. Review and print cycles beyond those outlined in the scope of services may be considered
additional services to the CITY,
6. Any fees (ie: for permittingj nat ►isted herein are excluded.
7. Drawings will be developed in AutoDesk AutoCad or AutoDesk Revit at the discretion of
MOYE, unless oeherwise agreed to prior to commencement of work.
8. Any systems not listed in Section 2 above are explicitly excluded.
SCHEDUL�
This proposa! assumes a performance period as outlined below, and we are prepared to
commence work upon your notice to proceed.
1, Schematic Design Phase is estimafied at: six weeks
Request for Proposal Phase is estimated at: four weeks
2. RFP Response Phase is estimated at: eight weeks
3. Construction DocumenYatian Phase is estimated at: twelve weeks
4. Construction Support Phase is estimated at: six months
Decernher 20, 2016 (rev.i) p 4 of 5 City of Fart Worth, WRMC
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Moye Consultfng --1255 Corporate Drive, Suite 10a, irving, Texas 75038 —972.887.5555 — www.moyeconsuiting.com
8. FEE
For the scope and performance period outlined herein, MOYE proposes a fixed price contract in
the amount: of $ 81,365.00. Payment wil! be done on a phase by phase basis, based on
compfetion of each efement in the table below.
TasEc Fee Expenses Total
Schematic Design and RFP
Phase Completion $ 12,756.80 $ 252.30 $ 13,0�9.10
BID Phase Completion 4,471.00 63.10 4,534.10
Constructian Drawings
42,041.40 946.10 4z,987,50
Phase Comp(etion
Construction Support
Services Phase 20,516.20 315.40 20,834.30
Completion
,� 81,365.00
Thanl< you very rnuch for this opportunity. Should you have any questions please feel free to
call me at 972,887.5550 office direct, or 972.740.6693 ceA.
Best regards,
Jan Moye, PMP
Principal
cc: A. Rose, T. Barry, M. Weber, W. King
December 20, 2016 (rev.i)
p5of5
City of Fort Worth, WRMC
CERTIFICATE OF INTERESTED PARTIES FORM 1295
1of1
Complete Nos. 1- 4 and 6 if there are interested parties. OFFiCE USE ONLY
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number:
of business. 2017-166453
Moye I T Consulting, LLC
Irving, TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 02/14/2017
being filed.
City of Fort Worth Date Acknowledged:
g Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
P M D2017-01
Professional services supporting the construction of Campus Wide Fiber Network upgrades to Will Rogers Memorial Center.
Nature of interest
4
Name of Interested Party City, State, Country (place of business) (check applicable)
Controlling Intermediary
Rose, Aaron Irving, TX United States X
Moye, Jan Irving, TX United States X
King, Whitfield Irving, TX United States X
Frain, Troy Irving, TX United States X
Barry, Tracy Irving, TX United States X
5 Check only if there is NO Interested Party. ❑
6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
�' r � KELSEY SH W
a' `;*p( ��8��:.
��_�;' +_ MYCOMMISSIONEXPIRES
{, :N;,��q; JANUARY 24, 2021 -�- �%`-`
�i�',t ��f',�'� NOTARY ID: 130979574 Signature of authorized agent of�contracting business entity
'--W-'�'=
�s.....a.na�+m.�
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said �/`-' � I O ''V , this the _I�_ day of �i r Qv ,
itness m hand and seal of office. �
20��, to certify which, w y
-e 5-e S Y I�W �ll 14V1 S
Signature officer administering oath Printed name of officer adminis[ering oath Title of officer administering oath
Forms provided bv Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277