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HomeMy WebLinkAboutContract 48757-A1 CITY SECRETARY CONTRACT N0._� r7— AMENDMENT NO. 1 TO CITY SECRETARY CONTRACT NO. 48757 PROFESSIONAL SERVICES AGREEMENT DATA TRANSFER SOLUTIONS,LLC This Amendment is made between the City of Fort Worth ("City"), a municipal corporation, acting herein by and through Susan Alanis, its duly authorized Assistant City Manager and DATA TRANSFER SOLUTIONS, LLC ("Consultant"), acting herein through A.M. `Trey' Fragala, III, AICP, PMP, its duly authorized Chief Operating Officer. WHEREAS, the City and Consultant entered into an Agreement identified as Fort Worth City Secretary Contract No. 48757 ("Agreement") beginning February 27, 2017 and expiring December 31, 2017; WHEREAS, the Agreement involves professional consulting services for performance-based asset management software and support; WHEREAS, the Agreement is not to exceed $1,396,810.00 for completion of professional consulting services; and WHEREAS, it is the collective desire of both the City and Consultant to amend the Agreement to include changes in the scope related to the Property Management Field Data Collection deliverable to be provided by Data Transfer Systems (DTS); NOW, THEREFORE, the City and Consultant, acting herein by and through their duly authorized representatives, enter into this Amendment which amends the Agreement as follows: 1. Section 1 of the Agreement is hereby amended as follows: Exhibit "A" Statement of Work is amended to include changes in Property Management Field Data Collection deliverable as described in Attachment"A"to this Amendment; 2. The changes reflected in this Amendment are itemized in the Attachment to this amendment and set forth the complete understanding of the parties. The Attachment is hereby incorporated into this Amendment as if copied in full. If there is any conflict between this Amendment and any other provisions of the Agreement,this Amendment shall control. 6� 9101 ��� f r�� FOFFICIALECORDRE✓CEIVED ETARY SEP 2 2 2017 FT.WORTH,TX CN OF FOR WORTH N •� GIN SECRETARY City Secr Contract No. Amendment No. 1 Page 1 of 16 ' lot 13 L 3. All other provisions of the Agreement that are not expressly modified or amended herein shall remain in full force and effect. Executed and Agreed this day of 2017. CITY OF FORT WORTH: DATA TRANSFER SOLUTIONS,LLC: By: By: Susanlan A.M. `Trey , III, AICP, PMP As sista ity Mana er Chief Operating Officer Date: � n Date: �- APPROVED AS T& FORM AND LEGALITY: By: Contract Compliance Manager: Paige MJbTneu By signing I acknowledge that I am the Assistant City Attorney person responsible for the monitoring and administration of this contract, ATTEST: including ensuring all performance and SOF FoR�. reporting requirements. By: V: O By: '7 Ma J. Kays Steve Stre ff rt City Secretary 2 Assistant Director, IT Solutions Contract Authorization: �xAS M&C:_P-11985 Date Approved:_12/13/2016_ Form 1295 Certification No.: 2016-142087 OFFICIAL RECORD CITY SLICRET� �r. RTIC, Tx City Secretary Contract No.48757 Amendment No. 1 Page 2 of 16 Attachment A & R nqr Foix 1 WU TH Statement of Work Enterprise Asset Management (EAM) Field Data Collection for Property Management Facilities 1��Solvtjons City Secretary Contract No.48757 Amendment No. 1 Page 3 of 16 Table of Contents 1. Overview................................................................................................................................. 5 2. Initial Requirements.................................................................................................................. 5 3. Preliminary Schedule .............................................................................................................. 12 4. Impact Assessment................................................................................................................. 13 4.1 High-Level IT Solutions Division involvements:.............................................................. 13 4.2 Other Systems/Services Impact:.................................................................................. 13 4.3 Assumptions:............................................................................................................. 13 4.4 Risks: ........................................................................................................................ 14 4.5 Organizational Assumptions/Dependencies:................................................................. 14 4.6 Application Assumptions/Dependencies: ..................................................................... 14 4.7 Imposed Standards: ................................................................................................... 14 5. Approval................................................................................................................................ 15 6. Revision History...................................................................................................................... 16 City Secretary Contract No.48757 Amendment No. 1 Page 4 of 16 Overview Scope: This document is an amendment to the City of Fort Worth VUEWorks Statement of Work approved and dated February 14, 2017,and describes changes in scope related to the Property Management Field Data Collection deliverable to be provided by Data Transfer Systems(DTS)at a cost of$397,000.00. Out of Scope: Refer to master SOW. Objectives: Property Management Facilities desires to bring field data collection and condition assessment activities in-house as an alternative to vendor-contracted,with the objective of reducing data collection time, lowering the condition assessment cost,and increasing the potential for improving data quality. Customer Requested Dates: No change to established schedule. Customer Point of Contact: Request was made by Glenn Balog,City of Fort Worth Assistant Director, Property Management Facilities Division. Initial Requirements As described in the February 14,2017 City of Fort Worth VUEWorks Statement of Work that was approved by Property Management, DTS and Property Management were to be jointly responsible for collecting 150 facility asset and condition data points for a Facilities Inventory of city properties. Based on a request from Property Management and approved by the EAM Governance Council at the June 15, 2017 meeting,collecting and assessing facilities assets will be the exclusive responsibility of the City of Fort Worth as indicated in the mark-up below. PMD will provide field staff with a paper form for recording asset information that will be transcribed to an Excel spreadsheet and provided to DTS for VUEWorks upload. Gate 5-Phase 3:Property Management Facilities Property Management Facilities will establish a facilities inventory and a process to manage updates to this data. This list of Facilities contains detailed information that will be imported and verified as part of the field data collection activities conducted by DTS. 1. The City of Fort Worth will deploy a team of inspectors who will visit city-owned facilities to collect facilities assets/attribute data using a paper form.The form data will then be transferred to an Excel spreadsheet by administrative staff and provided to DTS for data upload into VUEWorks using standard procedures and without the need for customization, and may engage additional resources as needed.The City of Fort Worth will create a Data Dictionary to be used for data collection of the following assets: City Secretary Contract No.48757 Amendment No. 1 Page 5 of 16 Facility Data CollectionData Source Sponsor Department FTW All Depts Located in Bldg FTW Facility Common Name FTW Street Number FTW Street Name FTW City FTW Zip Code FTW #of Air Conditioning Systems FTW Type of Primary A/C System FTW Type of Primary Heating System FTW #Backflow Preventers FTW Parking Lot Size (#of Vehicles) FTW Parking Lot Pavement Type FTW #Parking Lot Lights FTW Building Size(GSF) FTW Number of Floors FTW Lot Size(SF) FTW Year Built FTW Overall Building Condition Rating FTW Purchase Price($) FTW TAD Value($) FTW Replacement Value($) FTW Ownership(Own/Lease) FTW Out-leased (Partial%) FTW Occupied (Y/N) FTW #Restrooms FTW #Elevators FTW #Vending Machines FTW #Ice Machines FTW Parking Garage Size(#of Vehicles) FTW Landscaping(Y/N) FTW Landscape Sprinklers (Y/N) FTW Council District FTW Construction Type FTW Roof Type FTW Exterior Wall Material FTW Foundation Type FTW Initial Bldg Fund Source FTW Zoning FTW City Secretary Contract No.48757 Amendment No. 1 Page 6 of 16 Historic Designation FTW Fire Alarm FTW Fire Suppression FTW Security Alarm FTW Security Clearance FTW Lat/Long for Bldg NW Corner FTW Lat/Long for Bldg SE Corner FTW #Water Meters&Meter ID#'s FTW #Gas Meters&Meter ID#'s FTW #Electric Meters&Meter ID#'s FTW This data will be incorporated into the VUEWorks Facility module utilizing the following technique: 1. The City of Fort Worth will be responsible for establishing the Geographic location (point)of the Facility by Geocoding the address. -2 The City of Fort Worth will establish GIS Attribution based on the grid above. 3. DTS will upload all Excel data into the GIS data service that is connected to VUEWorks. 4. The City also maintains an inventory of 350 Facilities (as a sub-set of the 982 Facilities)with detailed information related to the Facilities and the Assets. The City of Fort Worth will collect more detailed Facility Information for these Building Asset Types and their Asset instances, including the following information: Additional Data Collection Building Building Name FTW Department FTW Address FTW Mapsco FTW Sq. Feet FTW Year Built FTW Type FTW Replacement Cost FTW HVAC Asset Name FTW Area Served FTW Type FTW Brand FTW Model Number FTW City Secretary Contract No.48757 Amendment No. 1 Page 7 of 16 Serial Number FTW Filter Info FTW Belt Info FTW Unit Voltage FTW Phase(if available) FTW Unit Amperage FTW Type Heat FTW Condenser Info FTW Additional Info FTW Replacement Date FTW Replacement Cost FTW Electrical Asset Name FTW Meter Number FTW Make FTW Model FTW Serial FTW ,omments FTW Fuel FTW Capacity FTW Trans Type FTW Trans Rating FTW Trans Serial FTW Battery Type FTW Battery Date(if available) FTW Oil Change FTW Oil Filter FTW Hours FTW Replacement Date FTW Replacement Cost FTW Plumbing Building Code FTW Asset Name FTW Model FTW Serial Number FTW Rppliuornent Date FTW keniacement Cost FTW Backflows Building Code FTW Asset Name FTW Requested Work FTW City Secretary Contract No.48757 Amendment No. 1 Page 8 of 16 Comments FTW Trigger Date FTW Frequency FTW Elevators Building Code FTW Asset Name FTW Make FTW Model FTW Serial Number FTW Comments FTW Roofs Building Code FTW asset Name FTW Sq. Feet FTW Age (Install Year) FTW Type FTW Replacement Date FTW Replacement Date FTW Replacement Cost FTW Overhead Door Asset Name FTW Building Code FTW Facility FTW Door# FTW OH Brand FTW OH Model FTW OH Width FTW OH Heights FTW N'ST©p Width FTW PSMild Width FTW PSBot Width FTW Track Roller Size FTW Cable Diameter FTW Spindle Size Number FTW Cable Length FTW TTType FTW TTLe n gth FTW SSl_ength FTW SSD Width FTW SSGuage FTW Hinge Type FTW City Secretary Contract No.48757 Amendment No. 1 Page 9 of 16 Hinge Style FTW Lift Type FTW Safety Den FTW OP Brand FTW OB Type FTW Remote FTW Remarks FTW PS Top Height FTW PS Mid Height FTW PS Bot Height FTW Replacement Date FTW Replacement Cost FTW 1. DTS will establish a common Facility template in VUEWorks (Containers and Asset Instances) by utilizing and modifying existing facility templates used by other clients as a starting point. 2. DTS will build out the Facility Containers and Asset Type Instances related to each level in the hierarchy. 3. DTS will build out the common attribute information related to each Asset Type Instance. 4, The City of Fort Worth will conduct a field visit to each of the 350 facility location and build out the Asset instances (inventory)and attribution related to each asset category listed above. Sr The City of Fort Worth will conduct a Physical Condition Assessment of each asset type (scale from 1(poor)—5 (good))and record it on the paper form. 6. The City of Fort Worth will conduct a Visual Condition Assessment (1-5 rating) for the following Facility Asset Containers: a. Building Exterior—note any major issues outside of the building and rate the overall Building Exterior on the 1-5 condition scale. L Building Envelope—1-5 rating ii. Building Structure-1-5 rating b. Building Interior - note any major issues inside of the building and rate the overall Building Interior on the 1-5 condition scale. L Floor Condition—1-5 rating ii. Ceiling Condition—1-5 rating 7. DTS will import the Facility information into VUEWorks. 8. DTS will configure the VUEWorks Work and Asset Management modules based on discovery meetings with the Facilities team. a. Service Requests City Secretary Contract No.48757 Amendment No. 1 Page 10 of 16 b. Work Orders c. Condition d. Risk e. Valuation f. Budgets g. Projects h. Standard and Custom Reporting City Secretary Contract No.48757 Amendment No. 1 Page 11 of 16 Preliminary Schedule To meet established project completion timelines, Property Management Implenentation of VUEWorks requires adherence to the following schedule: - -- — - - - ------- Task NameStart Finish Resource Names __.-.. _. Gate 6: Phase 3 Property Management Facilities ;Thu 8/31/17 Fri 6/15/18 Pilot Prep ;Mon 6/19/17 Fri 7/31/17 Update the Data Dictionary for all assets to be ;Mon 6/19/17 iMon 7/10/17 PMD collected - - --- Send the Data Dictionary to DTS Tue 7/11/17 Tue 7/11/17 PM Build Facility template in VUEWorks ,Wed 7/12/17 'Wed 7/19/17 `DTS _...-------------_-.....-.._---._---------------................ -------------------------------....._.._---------.... ---------------- __ ------------------------ .............................. . Validate Facility Template !Wed 7/19/17 'ITue 7/25/17 PMD Build Data Collection Form lFri 6/30/17 `Fri 7/14/17 JPMD Build Excel Data Collection Template ,Tue 7/11/17 Fri 7/14/17 `PMD,PM Send Excel Spreadsheet to DTS for format validation Mon 7/17/17 Mon 7/17/17 'PM Validate the Data Collection for and Excel Tue 7/18/17 (Fri 7/21/17 DTS Spreadsheet ( i Identify the Pilot locations Fri 6/30/17 IFri 6/30/17 PMD ; Validate the Pilot Facilities Inventory ;Fri 6/30/17 IFri 7/28/17 PMD Determine Condition Assessment Criteria Mon 6/26/17 Fri 7/21/17 PMD j Document the Field Team Data Collection Process !Mon 7/10/17 IFri 7/21/17 PMD ` Onboard Field Team 4Mon 6/19/17 Fri 7/28/17 PMD Train the Field Team ?Mon 7/31/17 Mon 7/31/17 Field Team PMD _ --- -------- ---- - -- ------ -- Pilot Collection 'Mon 7/17/17 Wed 8/30/17 ..... _...... _ - --- Collect Data from the Pilot Locations (paper form) Tue 8/1/17 ;Mon 8/14/17 Field Team Transfer the data from the form to an Excel IMon 8/7/17 'Fri 8/18/17 PMD ;spreadsheet Review/Update the Pilot Data (Excel Spreadsheet) !Mon 8/21/17 Wed 8/23/17 `Field Team,PMD i - -- ----- ._..} _ _... - _- - Approve the Pilot Data 'Thu 8/24/17 !Fri 8/25/17 'PMD Publish Assets and Validate Data Upload !Mon 8/28/17 Tue 8/29/17 DTS,IT,PMD Conduct Pilot Lessons Learned 'Wed 8/30/17 ;Wed 8/30/17 , Field fTeam,PM,PMD Sprint 0-Facilities Field Data Collection IThu 6/1/17 ;Thu 1/11/18 ! Validate Facilities Inventory Thu 6/1/17 !Wed 11/1/17 'Business + Collect Field Data ;Thu 8/31/17 Mon 12/11/17'Business,DTS ! Data Collection Checkpoint 1 'Fri 9/8/17 'Fri 9/8/17 'Business,DTS -------------------------------------------------------------- .__.._._._...-...._.._.....- ------------------------------- I-----__------_.__--_..___.._-.. i..__ - ...--------------------------- j Data Collection Checkpoint 2 IFri 10/6/17 !Fri 10/6/17 !Business DTS --.---.--_-_.--.-.--.-_........._...._._s__--___-.-_......._.......-.-. __.........................._-_ ____....-._....-..--_........--..-.-.-� Data Collection Checkpoint 3 IFri 11/17/17 Fri 11/17/17 !Business Data Validation Fri 9/29/17 Wed-1--/1- 1/10/18 +Business,IT Data Corrections Thu 1/11/18 Thu 1/11/18 ;Business Publish Assets Fri 1/12/18 ;Fri 1/12/18 IT -- --- -._... .. . --..-- M _._._. _ - Validate Published Assets 'Mon 1/15/18 (Fri 1/19/18 Business ,Sprint 1-GIS Linking of all Assets- _ ;Man 1/22/18tFri 2/2/18 Business,DTS j City Secretary Contract No.48757 Amendment No. 1 Page 12 of 16 Workflow Review Sessions Mon 2/5/18 Tue 2/6/18 Business,DTS Sprint 2-Service Request,Work Order,Condition and Wed 2/7/18 €Tue 2/20/18 EBusiness,DTS MobileVUE Configuration Sprint 3 -Risk,Valuation, Budgets, Projects and Wed 2/21/18 Tue 3/6/18 DTS,Business Reporting Sprint 4-Data Conversion and Work Order Migration jWed 3/7/18 Tue 3/20/18 ;Business,DTS Review Configuration 'Wed 3/21/18 -Tue 3/27/18 'Business,DTS i Sprint 5-Administrator and User Training Wed 3/28/18 'Tue 4/10/18 Business,DTS Sprint 6-Testing/Validation/Acceptance Wed 4/11/18 Tue 4/24/18 Business,DTS,IT Deploy to Production Wed 4/25/18 ',Thu 5/31/18 IT Change Control Approval Wed 4/25/18 iWed 4/25/18 IT Production Deployment Thu 4/26/18 'Thu 4/26/18 IT Deployment Validation Fri 4/27/18 Thu 5/10/18 Business,IT Transition Plan/Hypercare Fri 5/11/18 Thu 5/31/18 Business,DTS,IT +Closeout _ _ Fri 6/1/18 'Fri 6/15/18 :Business Business Acceptance !Fri 6/1/18 iFri 6/1/18 Business,DTS,IT Project Retrospective Mon 6/4/18 Fri 6/15/18 Business,PM Impact Assessment 4.1 High-Level IT Solutions Division involvements: • GIS location and attribution of Facilities assets • GIS Publishing of Facilities assets • Provide three(3)desktop computers on loan for six months to be used by PMD personnel for data input and validation • Ongoing VUEWorks system administration 4.2 Other Systems/Services Impact: Data Transfer Solutions (DTS)will reduce the project cost by$397,000.00,which is the amount proposed to perform Property Management's Data Collection and Condition Assessment, resulting in an adjusted total of$949,810 for Gates 1-7. 4.3 Assumptions: • DTS will be able to import the data collected by field inspectors using an Excel template that has been developed specific to the format required for data upload into VUEWorks. • Property Management will be responsible for field data Inspector onboarding activities, providing resources with necessary equipment and training,and defining/monitoring the data collection process. • Field Data inspectors will be qualified to collect asset data and conduct condition assessment of Facility Assets. City Secretary Contract No.48757 Amendment No. 1 Page 13 of 16 • Field Data Inspectors will follow collection procedures and will provide error-free data in a template provided for data collection. • PMD staff will be responsible for data integrity during collection and will follow standard procedures to store electronic data on a secured,shared environment. • Project Budget will be unaffected,as$397,000 has been approved as Capital funding for Property Management Condition Assessment activities. • Property Management is responsible for data collection quality and all data validation. • Property Management will adhere to the project timeline and alert the project manager of any date slippage. 4.4 Risks: Because data collection will be performed using a manual process,the time required to collect, record,transcribe,validate, and convert the data to a format for upload into VUEWorks for validation by Property Management staff may increase the timeline for these activities as well as increase the risk for data entry errors. 4.5 Organizational Assumptions/Dependencies: None identified. 4.6 Application Assumptions/Dependencies: Data will need to be provided in a standard format for VUEWorks upload without the need for customization.The City of Fort Worth will provide field inspectors with a paper form on which to record asset information. Data recorded on the paper form will be transcribed to an Excel spreadsheet that can be used for uploading into VUEWorks.This will require data validation as data is collected,validation once data is transcribed to Excel,and following data upload into VUEWorks. 4.7 Imposed Standards: Refer to master SOW dated February 14, 2017. City Secretary Contract No.48757 Amendment No. 1 Page 14 of 16 Approval M y Hale 6ate Project M ger evin Gunn ate IT Solutions usan lanis Date Proje,of Sponsor Jay 6hapa Date Project Sponsor 4 Zy �7 Glenn Balog Date Property Management City Secretary Contract No.48757 Amendment No. 1 Page 15 of 16 Revision History The following table describes the document's modification history for tracking purposes. Only significant changes are shown.The version number is incremented by whole numbers following major changes. Version Date Modifications Changed By 1.0 07.11.17 Initial Draft Molly Hale 2.0 07.11.17 Section 2.0 Initial Requirements verbiage change Molly Hale 07.11.17 Updated attributes for FTW responsibility Molly Hale 07.11.17 Section 4.1 Added IT responsibility for providing Molly Hale loaned desktop computers 3.0 07.19.17 Removed all strike-out text as final version based on Molly Hale Glenn Balog approval below. City Secretary Contract No.48757 Amendment No. 1 Page 16 of 16 City of Fort Worth, Texas Mayor and Council Communication COUNCIL ACTION: Approved on 12/13/2016 DATE: Tuesday, December 13, 2016 REFERENCE NO.: P-11985 LOG NAME: 13P17-0112 ASSET MANAGEMENT SB ITS SUBJECT: Authorize Execution of a Master Purchase Agreement with Data Transfer Solutions LLC, for an Enterprise Asset Management System and Property Management Condition Assessment for the Transportation and Public Works Department, Park and Recreation Department and Property Management Department Using a Cooperative Contract in the Total Amount Up to $2,002,405.00 for the First Year(ALL COUNCIL DISTRICTS) RECOMMENDATION: It is recommended that the City Council authorize Execution of a Master Purchase Agreement with Data Transfer Solutions LLC, for an enterprise asset management system and property management condition assessment for the Transportation and Public Works Department, Park and Recreation Department and Property Management Department using North Central Texas Council of Governments Contract No. NCTCOG RFP NCT-2016-14 in the total amount up to $2,002,405.00 for the first year. DISCUSSION: The Information Technology Solutions Department (ITS) will use this Master Purchase Agreement with Data Transfer Solutions LLC (DTS) to implement an enterprise asset management system that will be used by multiple city departments. DTS will also perform a condition assessment for the Property Management Department. The need to acquire this cross-departmental asset management system resulted from several City work sessions to determine if an enterprise asset management system could be used to track and maintain assets that require periodic reactive or routine maintenance to keep them in a good state of repair. The system will help departments assess, evaluate and assist with planning and maintaining alignment with departmental goals and provide efficient, cost-effective utilization of limited resources between multiple departments. This is critical to effectively maintain the departments' infrastructure and assets in a sustainable state of good repair. The software will be deployed in the Transportation Public Works Department (Streets/Traffic), Property Management Department (Facilities) and the Park and Recreation Department. The following activities will be performed for each department as part of this effort: . Property Management Condition Assessment (Condition, Risk and Evaluation for each facility) Departmental Needs Assessment . System, Module, and Form Configurations (Example: Streets, Curb/Gutter, Bridges, and Sidewalks) • Data Connection (GIS) . Data Conversion/Migration . Asset Power-user Training . End-user Training Logname: 13P17-0112 ASSET MANAGEMENT SB ITS Page I of 3 . System Testing . Configuration Adjustments . Go-Live . Post Go-Live Evaluation There will be an annual impact on the operating budgets in the amount of$50,000.00 to support the maintenance of the software system. Departments will be responsible for planning resources for continued inventory of assets. PRICE ANALYSIS - Staff certifies the cost is fair and reasonable. COOPERATIVE PURCHASE - The Purchasing Division will use the North Central Texas Council of Governments( NCTCOG) Contract No. NCTCOG RFP NCT-2016-14 to purchase the enterprise asset management system. State law provides that a local government purchasing an item under a Cooperative Purchasing Agreement satisfies state law requiring that the local government seek competitive bids for purchase of the item. The NCTCOG contract has been competitively bid to increase and simplify the purchasing power of government entities that elect to participate in the cooperative purchase. M/WBE OFFICE -A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Purchasing Division and approved by the M/WBE Office, in accordance with the BDE Ordinance because the purchase of goods or services is from sources where subcontracting or supplier opportunities are negligible. ADMINISTRATIVE CHANGE ORDER -An administrative change order or increase may be made by the City Manager in the amount up to $50,000.00 and does not require specific City Council approval as long as sufficient funds have been appropriated. AGREEMENT TERMS - With City Council's approval, the Agreement began on December 14, 2016 and will end on December 31, 2017 to correspond with the terms of the cooperative contract. RENEWAL OPTIONS -This Agreement may be renewed for up to five additional one-year terms at the City's option providing the North Central Texas Council of Governments renews its cooperative contract. This action does not require specific City Council approval provided that the City Council has appropriated sufficient funds to satisfy the City's obligations during the renewal term. FISCAL INFORMATION /CERTIFICATION: The Director of Finance certifies that funds are available within the existing appropriations of the participating departments for these expenditures and that prior to an expenditure being made, the participating department has the responsibility to validate the availability of funds. BQN\17-0112\SB FUND IDENTIFIERS (FIDs): TO _ Fund Department ccoun Project Program ctivity Budget Reference # moun ID ID Year (Chartfield 2) Logname: 13P17-0112 ASSET MANAGEMENT SB ITS Page 2 of 3 FROM _ FundDepartment Accoun Project Program ctivity Budget Reference # moun ID ID Year ChartField__2) CERTIFICATIONS: Submitted for City Manager's Office by: Susan Alanis (8180) Originating Department Head: Aaron Bovos (8517) Jack Dale (8357) Additional Information Contact: Sheila Baker (8356) Logname: 13P17-0112 ASSET MANAGEMENT SB ITS Page 3 of 3 CERTIFICATE OF INTERESTED PARTIES FORM 1295 loft Complete Nos.i-4 and 6 it there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING I Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number. of business. 2016-142087 Data Transfer Solutions,LLC Orlando,FL United States Date Filed: 2 Name of governmental entity or state agency that is a parry tot the contract for which the form is 12/02/2016 being filed. City of Fort Worth Date Ack wledged: yu��70- 3 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. 373131 VUEWorks Asset Management Implementation 4 Nature of interest Name of Interested Party City,State,Country(place of business) (check applicable) Controlling Intermediary Amadori,Jason ORLANDO,FL United States X Ibaugh,Allen Orlando,FL United States X Kahli,Beat ORLANDO,FL United States X 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear,or affirm,undera r p rally of perjury,that the above disclosure is true and carred. CYNTHIA NOVOA t+t Notary Public-Slate of Florida •=My Comm.Expires Sep 19.2018 Commission N FF 128467 Sign rc q f arrthoriz:ed a of contracting business entity d,+ a.....�" Nm M lhmuoh National Notary Ater. Sworn to and subscribed before me,by the said 0"e V\ ` ` this the 2— day of f�t 6h 20 ,to certify which,witness my hand and seat of office. ignature of officer admi istering oath Printe name of officer administering oath Tide of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277