HomeMy WebLinkAboutContract 50892 CITY SECRETARY
CONTRACT NO.� .
CITY OF FORT WORTH, TEXAS
STANDARD AGREEMENT FOR ENGINEERING RELATED PROFESSIONAL
SERVICES
This AGREEMENT is between the City of Fort Worth, a Texas home-rule
municipality ("CITY"), and CP&Y, Inc., authorized to do business in Texas, ("ENGINEER"),
for a PROJECT generally described as: Environmental Assessment of Extension of
Taxiway Papa.
Article I
Scope of Services
The Scope of Services is set forth in Attachment A.
Article II
Compensation and Term of Agreement
A. The ENGINEER's compensation shall be in the amount up to $222,976.23 as
set forth in Attachment B.
B. Unless otherwise terminated pursuant to Article VI. D. herein, this Agreement
shall be for a term beginning upon the effective date, as described below, and
shall continue until the expiration of the funds or completion of the subject
matter contemplated herein, whichever occurs first.
Article III
Terms of Payment
Payments to the ENGINEER will be made as follows:
A. Invoice and Payment
PM 1 22 3 (1) The Engineer shall provide the City sufficient documentation, including but
4s not limited to meeting the requirements set forth in Attachment D to this
AGREEMENT, to reasonably substantiate the invoices.
o �Gti /� (2) The ENGINEER will issue monthly invoices for all work performed under this
0, AGREEMENT.AGREEMENT. Invoices are due and payable within 30 days of receipt.
City of Fort Worth,Texas
Standard Agreement for Engineering Related Design Services
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CITY SECRETARY
FT.WORTH,TX
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(3) Upon completion of services enumerated in Article I, the final payment of
any balance will be due within 30 days of receipt of the final invoice.
(4) In the event of a disputed or contested billing, only that portion so contested
will be withheld from payment, and the undisputed portion will be paid. The
CITY will exercise reasonableness in contesting any bill or portion thereof.
No interest will accrue on any contested portion of the billing until mutually
resolved.
(5) If the CITY fails to make payment in full to ENGINEER for billings contested
in good faith within 60 days of the amount due, the ENGINEER may, after
giving 7 days' written notice to CITY, suspend services under this
AGREEMENT until paid in full. In the event of suspension of services, the
ENGINEER shall have no liability to CITY for delays or damages caused the
CITY because of such suspension of services.
Article IV
Obligations of the Engineer
Amendments to Article IV, if any, are included in Attachment C.
A. General
The ENGINEER will serve as the CITY's professional engineering
representative under this Agreement, providing professional engineering
consultation and advice and furnishing customary services incidental
thereto.
B. Standard of Care
The ENGINEER shall perform its services:
(1) with the professional skill and care ordinarily provided by competent
engineers practicing in the same or similar locality and under the same or
similar circumstances and professional license; and
.(2) as expeditiously as is prudent considering the ordinary professional
skill and care of a competent engineer.
C. Subsurface Investigations
(1) The ENGINEER shall advise the CITY with regard to the necessity for
subcontract work such as special surveys, tests, test borings, or other
subsurface investigations in connection with design and engineering
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work to be performed hereunder. The ENGINEER shall also advise
the CITY concerning the results of same. Such surveys, tests, and
investigations shall be furnished by the CITY, unless otherwise
specified in Attachment A.
(2) In soils, foundation, groundwater, and other subsurface investigations,
the actual characteristics may vary significantly between successive
test points and sample intervals and at locations other than where
observations, exploration, and investigations have been made.
Because of the inherent uncertainties in subsurface evaluations,
changed or unanticipated underground conditions may occur that
could affect the total PROJECT cost and/or execution. These
conditions and cost/execution effects are not the responsibility of the
ENGINEER.
D. Preparation of Engineering Drawings
The ENGINEER will provide to the CITY the original drawings of all plans in
ink on reproducible mylar sheets and electronic files in .pdf format, or as
otherwise approved by CITY, which shall become the property of the CITY.
CITY may use such drawings in any manner it desires; provided, however,
that the ENGINEER shall not be liable for the use of such drawings for any
project other than the PROJECT described herein.
E. Engineer's Personnel at Construction Site
(1) The presence or duties of the ENGINEER's personnel at a construction site,
whether as on-site representatives or otherwise, do not make the
ENGINEER or its personnel in any way responsible for those duties that
belong to the CITY and/or the CITY's construction contractors or other
entities, and do not relieve the construction contractors or any other entity of
their obligations, duties, and responsibilities, including, but not limited to, all
construction methods, means, techniques, sequences, and procedures
necessary for coordinating and completing all portions of the construction
work in accordance with the Contract Documents and any health or safety
precautions required by such construction work. The ENGINEER and its
personnel have no authority to exercise any control over any construction
contractor or other entity or their employees in connection with their work or
any health or safety precautions.
(2) Except to the extent of specific site visits expressly detailed and set forth in
Attachment A, the ENGINEER or its personnel shall have no obligation or
responsibility to visit the construction site to become familiar with the
progress or quality of the completed work on the PROJECT or to determine,
in general, if the work on the PROJECT is being performed in a manner
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indicating that the PROJECT, when completed, will be in accordance with
the Contract Documents, nor shall anything in the Contract Documents or
this AGREEMENT between CITY and ENGINEER be construed as requiring
ENGINEER to make exhaustive or continuous on-site inspections to
discover latent defects in the work or otherwise check the quality or quantity
of the work on the PROJECT. If the ENGINEER makes on-site
observation(s) of a deviation from the Contract Documents, the ENGINEER
shall inform the CITY.
(3) When professional certification of performance or characteristics of
materials, systems or equipment is reasonably required to perform the
services set forth in the Scope of Services, the ENGINEER shall be entitled
to rely upon such certification to establish materials, systems or equipment
and performance criteria to be required in the Contract Documents.
F. Opinions of Probable Cost, Financial Considerations, and Schedules
(1) The ENGINEER shall provide opinions of probable costs based on the
current available information at the time of preparation, in accordance
with Attachment A.
(2) In providing opinions of cost, financial analyses, economic feasibility
projections, and schedules for the PROJECT, the ENGINEER has no
control over cost or price of labor and materials; unknown or latent
conditions of existing equipment or structures that may affect operation
or maintenance costs; competitive bidding procedures and market
conditions; time or quality of performance by third parties; quality, type,
management, or direction of operating personnel; and other economic
and operational factors that may materially affect the ultimate
PROJECT cost or schedule. Therefore, the ENGINEER makes no
warranty that the CITY's actual PROJECT costs, financial aspects,
economic feasibility, or schedules will not vary from the ENGINEER's
opinions, analyses, projections, or estimates.
G. Construction Progress Payments
Recommendations by the ENGINEER to the CITY for periodic construction
progress payments to the construction contractor will be based on the
ENGINEER's knowledge, information, and belief from selective sampling
and observation that the work has progressed to the point indicated. Such
recommendations do not represent that continuous or detailed examinations
have been made by the ENGINEER to ascertain that the construction
contractor has completed the work in exact accordance with the Contract
Documents; that the final work will be acceptable in all respects; that the
ENGINEER has made an examination to ascertain how or for what purpose
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the construction contractor has used the moneys paid; that title to any of the
work, materials, or equipment has passed to the CITY free and clear of liens,
claims, security interests, or encumbrances; or that there are not other
matters at issue between the CITY and the construction contractor that
affect the amount that should be paid.
H. Record Drawings
Record drawings, if required, will be prepared, in part, on the basis of
information compiled and furnished by others, and may not always represent
the exact location, type of various components, or exact manner in which the
PROJECT was finally constructed. The ENGINEER is not responsible for
any errors or omissions in the information from others that is incorporated
into the record drawings.
I. Minority Business and Small Business Enterprise (MBE)(SBE)
Participation
In accord with the City of Fort Worth Business Diversity goals (Chapter 20,
Article X of the City's Code of Ordinances a/k/a Ordinance No. 20020-12-
2011, as amended), the City has goals for the participation of minority
business enterprises and/or small business enterprises in City contracts.
Engineer acknowledges the MBE and SBE goals established for this
contract and its accepted written commitment to MBE and SBE
participation. Any misrepresentation of facts (other than a negligent
misrepresentation) and/or the commission of fraud by the Engineer may
result in the termination of this Agreement and debarment from participating
in City contracts for a period of time of not less than three (3) years.
J. Right to Audit
(1) ENGINEER agrees that the CITY shall, until the expiration of five (5) years
after final payment under this contract, have access to and the right to
examine and photocopy any directly pertinent books, documents, papers
and records of the ENGINEER involving transactions relating to this
contract. ENGINEER agrees that the CITY shall have access during normal
working hours to all necessary ENGINEER facilities and shall be provided
adequate and appropriate work space in order to conduct audits in
compliance with the provisions of this section. The CITY shall give
ENGINEER reasonable advance notice of intended audits.
(2) ENGINEER further agrees to include in all its subconsultant agreements
hereunder a provision to the effect that the subconsultant agrees that the
CITY shall, until the expiration of five (5) years after final payment under the
subcontract, have access to and the right to examine and photocopy any
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directly pertinent books, documents, papers and records of such
subconsultant, involving transactions to the subcontract, and further, that the
CITY shall have access during normal working hours to all subconsultant
facilities, and shall be provided adequate and appropriate work space, in
order to conduct audits in compliance with the provisions of this article
together with subsection (3) hereof. CITY shall give subconsultant
reasonable advance notice of intended audits.
(3) ENGINEER and subconsultant agree to photocopy such documents as may
be requested by the CITY. The CITY agrees to reimburse ENGINEER for
the cost of copies at the rate published in the Texas Administrative Code in
effect as of the time copying is performed.
K. INSURANCE
(1) ENGINEER'S INSURANCE
a. Commercial General Liability — the ENGINEER shall maintain
commercial general liability (CGL) and, if necessary, commercial
umbrella insurance with a limit of not less than $1,000,000.00 per each
occurrence with a $2,000,000.00 aggregate. If such Commercial General
Liability insurance contains a general aggregate limit, it shall apply
separately to this PROJECT or location.
i. The CITY shall be included as an additional insured with all rights
of defense under the CGL, using ISO additional insured
endorsement or a substitute providing equivalent coverage, and
under the commercial umbrella, if any. This insurance shall apply
as primary insurance with respect to any other insurance or self-
insurance programs afforded to the CITY. The Commercial
General Liability insurance policy shall have no exclusions or
endorsements that would alter or nullify: premises/operations,
products/completed operations, contractual, personal injury, or
advertising injury, which are normally contained within the policy,
unless the CITY specifically approves such exclusions in writing.
ii. ENGINEER waives all rights against the CITY and its agents,
officers, directors and employees for recovery of damages to the
extent these damages are covered by the commercial general
liability or commercial umbrella liability insurance maintained in
accordance with this agreement.
b. Business Auto — the ENGINEER shall maintain business auto liability
and, if necessary, commercial umbrella liability insurance with a limit of
not less than $1,000,000 each accident. Such insurance shall cover
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liability arising out of "any auto", including owned, hired, and non-owned
autos, when said vehicle is used in the course of the PROJECT. If the
engineer owns no vehicles, coverage for hired or non-owned is
acceptable.
i. ENGINEER waives all rights against the CITY and its agents,
officers, directors and employees for recovery of damages to the
extent these damages are covered by the business auto liability or
commercial umbrella liability insurance obtained by ENGINEER
pursuant to this agreement or under any applicable auto physical
damage coverage.
c. Workers' Compensation — ENGINEER shall maintain workers
compensation and employers liability insurance and, if necessary,
commercial umbrella liability insurance with a limit of not less than
$100,000.00 each accident for bodily injury by accident or $100,000.00
each employee for bodily injury by disease, with $500,000.00 policy limit.
i. ENGINEER waives all rights against the CITY and its agents,
officers, directors and employees for recovery of damages to the
extent these damages are covered by workers compensation and
employer's liability or commercial umbrella insurance obtained by
ENGINEER pursuant to this agreement.
d. Professional Liability — ENGINEER shall maintain professional liability, a
claims-made policy, with a minimum of $1,000,000.00 per claim and
aggregate. The policy shall contain a retroactive date prior to the date of
the contract or the first date of services to be performed, whichever is
earlier. Coverage shall be maintained for a period of 5 years following the
completion of the contract. An annual certificate of insurance specifically
referencing this project shall be submitted to the CITY for each year
following completion of the contract.
(2) GENERAL INSURANCE REQUIREMENTS
a. Certificates of insurance evidencing that the ENGINEER has obtained all
required insurance shall be attached to this AGREEMENT prior to its
execution.
b. Applicable policies shall be endorsed to name the CITY an Additional
Insured thereon, subject to any defense provided by the policy, as its
interests may appear. The term CITY shall include its employees,
officers, officials, agents, and volunteers as respects the contracted
services.
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c. Certificate(s) of insurance shall document that insurance coverage
specified in this agreement are provided under applicable policies
documented thereon.
d. Any failure on part of the CITY to attach the required insurance
documentation hereto shall not constitute a waiver of the insurance
requirements.
e. A minimum of thirty (30) days notice of cancellation or material change in
coverage shall be provided to the CITY. A ten (10) days notice shall be
acceptable in the event of non-payment of premium. Notice shall be sent
to the respective Department Director (by name), City of Fort Worth,
1000 Throckmorton, Fort Worth, Texas 76102.
f. Insurers for all policies must be authorized to do business in the State of
Texas and have a minimum rating of A:V or greater, in the current A.M.
Best Key Rating Guide or have reasonably equivalent financial strength
and solvency to the satisfaction of Risk Management.
g. Any deductible or self insured retention in excess of $25,000.00 that
would change or alter the requirements herein is subject to approval by
the CITY in writing, if coverage is not provided on a first-dollar basis. The
CITY, at it sole discretion, may consent to alternative coverage
maintained through insurance pools or risk retention groups. Dedicated
financial resources or letters of credit may also be acceptable to the
CITY.
h. Applicable policies shall each be endorsed with a waiver of subrogation
in favor of the CITY as respects the PROJECT.
i. The CITY shall be entitled, upon its request and without incurring
expense, to review the ENGINEER's insurance policies including
endorsements thereto and, at the CITY's discretion; the ENGINEER may
be required to provide proof of insurance premium payments.
j. Lines of coverage, other than Professional Liability, underwritten on a
claims-made basis, shall contain a retroactive date coincident with or
prior to the date of the contractual agreement. The certificate of
insurance shall state both the retroactive date and that the coverage is
claims-made.
k. Coverages, whether written on an occurrence or claims-made basis,
shall be maintained without interruption nor restrictive modification or
changes from date of commencement of the PROJECT until final
payment and termination of any coverage required to be maintained after
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final payments.
I. The CITY shall not be responsible for the direct payment of any
insurance premiums required by this agreement.
m. Sub consultants and subcontractors to/of the ENGINEER shall be
required by the ENGINEER to maintain the same or reasonably
equivalent insurance coverage as required for the ENGINEER. When
sub consultants/subcontractors maintain insurance coverage,
ENGINEER shall provide CITY with documentation thereof on a
certificate of insurance.
L. Independent Consultant
The ENGINEER agrees to perform all services as an independent
consultant and not as a subcontractor, agent, or employee of the CITY.
The doctrine of respondeat superior shall not apply.
M. Disclosure
The ENGINEER acknowledges to the CITY that it has made full disclosure
in writing of any existing conflicts of interest or potential conflicts of interest,
including personal financial interest, direct or indirect, in property abutting the
proposed PROJECT and business relationships with abutting property cities.
The ENGINEER further acknowledges that it will make disclosure in writing
of any conflicts of interest that develop subsequent to the signing of this
contract and prior to final payment under the contract.
N. Asbestos or Hazardous Substances
(1) If asbestos or hazardous substances in any form are encountered or
suspected, the ENGINEER will stop its own work in the affected portions
of the PROJECT to permit testing and evaluation.
(2) If asbestos or other hazardous substances are suspected, the CITY may
request the ENGINEER to assist in obtaining the services of a qualified
subcontractor to manage the remediation activities of the PROJECT.
O. Permitting Authorities - Design Changes
If permitting authorities require design changes so as to comply with
published design criteria and/or current engineering practice standards
which the ENGINEER should have been aware of at the time this
Agreement was executed, the ENGINEER shall revise plans and
specifications, as required, at its own cost and expense. However, if design
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changes are required due to the changes in the permitting authorities'
published design criteria and/or practice standards criteria which are
published after the date of this Agreement which the ENGINEER could not
have been reasonably aware of, the ENGINEER shall notify the CITY of
such changes and an adjustment in compensation will be made through an
amendment to this AGREEMENT.
P. Schedule
ENGINEER shall manage the PROJECT in accordance with the schedule
developed per Attachment D to this AGREEMENT.
Article V
Obligations of the City
Amendments to Article V, if any, are included in Attachment C.
A. City-Furnished Data
ENGINEER may rely upon the accuracy, timeliness, and completeness of
the information provided by the CITY.
B. Access to Facilities and Property
The CITY will make its facilities accessible to the ENGINEER as required for
the ENGINEER's performance of its services. The CITY will perform, at no
cost to the ENGINEER, such tests of equipment, machinery, pipelines, and
other components of the CITY's facilities as may be required in connection
with the ENGINEER's services. The CITY will be responsible for all acts of
the CITY's personnel.
C. Advertisements, Permits, and Access
Unless otherwise agreed to in the Scope of Services, the CITY will obtain,
arrange, and pay for all advertisements for bids; permits and licenses
required by local, state, or federal authorities; and land, easements, rights-
of-way, and access necessary for the ENGINEER's services or PROJECT
construction.
D. Timely Review
The CITY will examine the ENGINEER's studies, reports, sketches,
drawings, specifications, proposals, and other documents; obtain advice of
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an attorney, insurance counselor, accountant, auditor, bond and financial
advisors, and other consultants as the CITY deems appropriate; and render
in writing decisions required by the CITY in a timely manner in accordance
with the project schedule prepared in accordance with Attachment D.
E. Prompt Notice
The CITY will give prompt written notice to the ENGINEER whenever CITY
observes or becomes aware of any development that affects the scope or
timing of the ENGINEER's services or of any defect in the work of the
ENGINEER or construction contractors.
F. Asbestos or Hazardous Substances Release.
(1) CITY acknowledges ENGINEER will perform part of the work at CITY's
facilities that may contain hazardous materials, including asbestos
containing materials, or conditions, and that ENGINEER had no prior
role in the generation, treatment, storage, or disposition of such
materials. In consideration of the associated risks that may give rise to
claims by third parties or employees of City, City hereby releases
ENGINEER from any damage or liability related to the presence of
such materials.
(2) The release required above shall not apply in the event the discharge,
release or escape of hazardous substances, contaminants, or asbestos
is a result of ENGINEER's negligence or if ENGINEER brings such
hazardous substance, contaminant or asbestos onto the project.
G. Contractor Indemnification and Claims
The CITY agrees to include in all construction contracts the provisions of
Article ME. regarding the ENGINEER's Personnel at Construction Site, and
provisions providing for contractor indemnification of the CITY and the
ENGINEER for contractor's negligence.
H. Contractor Claims and Third-Party Beneficiaries
(1) The CITY agrees to include the following clause in all contracts with
construction contractors and equipment or materials suppliers:
"Contractors, subcontractors and equipment and materials
suppliers on the PROJECT, or their sureties, shall maintain
no direct action against the ENGINEER, its officers,
employees, and subcontractors, for any claim arising out of,
in connection with, or resulting from the engineering
services performed. Only the CITY will be the beneficiary
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of any undertaking by the ENGINEER."
(2) This AGREEMENT gives no rights or benefits to anyone other than the CITY
and the ENGINEER and there are no third-party beneficiaries.
(3) The CITY will include in each agreement it enters into with any other entity
or person regarding the PROJECT a provision that such entity or person
shall have no third-party beneficiary rights under this Agreement.
(4) Nothing contained in this Section H. shall be construed as a waiver of any
right the CITY has to bring a claim against ENGINEER.
I. CITY's Insurance
(1) The CITY may maintain property insurance on certain pre-existing structures
associated with the PROJECT.
(2) The CITY may secure Builders Risk/Installation insurance at the
replacement cost value of the PROJECT. The CITY may provide
ENGINEER a copy of the policy or documentation of such on a certificate of
insurance.
(3) The CITY will specify that the Builders Risk/Installation insurance shall be
comprehensive in coverage appropriate to the PROJECT risks.
J. Litigation Assistance
The Scope of Services does not include costs of the ENGINEER for required
or requested assistance to support, prepare, document, bring, defend, or
assist in litigation undertaken or defended by the CITY. In the event CITY
requests such services of the ENGINEER, this AGREEMENT shall be
amended or a separate agreement will be negotiated between the parties.
K. Changes
The CITY may make or approve changes within the general Scope of
Services in this AGREEMENT. If such changes affect the ENGINEER's cost
of or time required for performance of the services, an equitable adjustment
will be made through an amendment to this AGREEMENT with appropriate
CITY approval.
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Article VI
General Legal Provisions
Amendments to Article VI, if any, are included in Attachment C.
A. Authorization to Proceed
ENGINEER shall be authorized to proceed with this AGREEMENT upon
receipt of a written Notice to Proceed from the CITY.
B. Reuse of Project Documents
All designs, drawings, specifications, documents, and other work products of
the ENGINEER, whether in hard copy or in electronic form, are instruments
of service for this PROJECT, whether the PROJECT is completed or not.
Reuse, change, or alteration by the CITY or by others acting through or on
behalf of the CITY of any such instruments of service without the written
permission of the ENGINEER will be at the CITY's sole risk. The CITY shall
own the final designs, drawings, specifications and documents.
C. Force Majeure
The ENGINEER is not responsible for damages or delay in performance
caused by acts of God, strikes, lockouts, accidents, or other events beyond
the control of the ENGINEER that prevent ENGINEER's performance of its
obligations hereunder.
D. Termination
(1) This AGREEMENT may be terminated
a.) by the City for its convenience upon 30 days' written notice to
ENGINEER.
b.) by either the CITY or the ENGINEER for cause if either party fails
substantially to perform through no fault of the other and the
nonperforming party does not commence correction of such
nonperformance within 5 days' written notice or thereafter fails to
diligently complete the correction.
(2) If this AGREEMENT is terminated for the convenience of the City, the
ENGINEER will be paid for termination expenses as follows:
a.) Cost of reproduction of partial or complete studies, plans,
specifications or other forms of ENGINEER'S work product;
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b.) Out-of-pocket expenses for purchasing electronic data files and other
data storage supplies or services;
C.) The time requirements for the ENGINEER'S personnel to document
the work underway at the time of the CITY'S termination for
convenience so that the work effort is suitable for long time storage.
(3) Prior to proceeding with termination services, the ENGINEER will
submit to the CITY an itemized statement of all termination expenses. The
CITY'S approval will be obtained in writing prior to proceeding with
termination services.
E. Suspension, Delay, or Interruption to Work
The CITY may suspend, delay, or interrupt the services of the ENGINEER
for the convenience of the CITY. In the event of such suspension, delay, or
interruption, an equitable adjustment in the PROJECT's schedule,
commitment and cost of the ENGINEER's personnel and subcontractors,
and ENGINEER's compensation will be made.
F. Indemnification
In accordance with Texas Local Government Code Section 271.904, the
ENGINEER shall indemnify or hold harmless the CITY against liability
for any damage committed by the ENGINEER or ENGINEER's agent,
consultant under contract, or another entity over which the ENGINEER
exercises control to the extent that the damage is caused by or
resulting from an act of negligence, intentional tort, intellectual
property infringement, or failure to pay a subcontractor or supplier.
CITY is entitled to recover its reasonable attorney's fees in proportion
to the ENGINEER's liability.
G. Assignment
Neither party shall assign all or any part of this AGREEMENT without the
prior written consent of the other party.
H. Jurisdiction
The law of the State of Texas shall govern the validity of this AGREEMENT,
its interpretation and performance, and any other claims related to it. The
venue for any litigation related to this AGREEMENT shall be Tarrant County,
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Texas.
I. Severability and Survival
If any of the provisions contained in this AGREEMENT are held for any
reason to be invalid, illegal, or unenforceable in any respect, such invalidity,
illegality, or unenforceability will not affect any other provision, and this
AGREEMENT shall be construed as if such invalid, illegal, or unenforceable
provision had never been contained herein. Articles V.F., VI.B., VI.D., VI.F.,
VI.H., and VI.I. shall survive termination of this AGREEMENT for any cause.
J. Observe and Comply
ENGINEER shall at all times observe and comply with all federal and State
laws and regulations and with all City ordinances and regulations which in
any way affect this AGREEMENT and the work hereunder, and shall
observe and comply with all orders, laws ordinances and regulations which
may exist or may be enacted later by governing bodies having jurisdiction or
authority for such enactment. No plea of misunderstanding or ignorance
thereof shall be considered. ENGINEER agrees to defend, indemnify and
hold harmless CITY and all of its officers, agents and employees from and
against all claims or liability arising out of the violation of any such order, law,
ordinance, or regulation, whether it be by itself or its employees.
K. Immigration Nationality Act
ENGINEER shall verify the identity and employment eligibility of its
employees who perform work under this Agreement, including completing
the Employment Eligibility Verification Form (1-9). Upon request by CITY,
ENGINEER shall provide CITY with copies of all 1-9 forms and supporting
eligibility documentation for each employee who performs work under this
Agreement. ENGINEER shall adhere to all Federal and State laws as well
as establish appropriate procedures and controls so that no services will
be performed by any ENGINEER employee who is not legally eligible to
perform such services. ENGINEER SHALL INDEMNIFY CITY AND
HOLD CITY HARMLESS FROM ANY PENALTIES, LIABILITIES, OR
LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH BY ENGINEER,
ENGINEER'S EMPLOYEES, SUBCONTRACTORS, AGENTS, OR
LICENSEES. CITY, upon written notice to ENGINEER, shall have the
right to immediately terminate this Agreement for violations of this
provision by ENGINEER.
L. Prohibition On Contracts With Companies Boycotting Israel
ENGINEER acknowledges that in accordance with Chapter 2270 of the
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Texas Government Code, CITY is prohibited from entering into a contract
with a company for goods or services unless the contract contains a
written verification from the company that it: (1) does not boycott Israel-,
and (2) will not boycott Israel during the term of the contract. The terms
"boycott Israel" and "company" shall have the meanings ascribed to those
terms in Section 808.001 of the Texas Government Code. By signing
this contract, ENGINEER certifies that ENGINEER'S signature
provides written verification to the CITY that ENGINEER: (1) does not
boycott Israel; and (2) will not boycott Israel during the term of the
contract.
This AGREEMENT, including its attachments and schedules, constitutes the entire
AGREEMENT, which supersedes all prior written or oral understandings, and may only be
changed by a written amendment executed by both parties. This AGREEMENT may be
executed in one or more counterparts and each counterpart shall, for all purposes, be
deemed an original, but all such counterparts shall together constitute but one and the
same instrument. The following attachments and schedules are hereby made a part of
this AGREEMENT:
Attachment A - Scope of Services
Attachment B - Compensation
Attachment C -Amendments to Standard Agreement for Engineering Services
Attachment D - Project Schedule
Attachment E - Location Map
Duly executed by each party's designated representative to be effective on the date
subscribed by the City's designated Assistant City Manager.
BY: BY:
CITY OF FORT WORTH ENGINEER
CP&Y, Inc.
Fernando Costa
Assistant City Manager St hen P. Conner
V
Date: ���5�8 ice President
Date:
APPROVAL ECOMMENDED:
William Welstead
City of Fort Worth,Texas
Standard Agreement for Engineering Related Design Services
Revised Date:11.17.17
Page 16 of 17
Director, Aviation
Contract Compliance Manager:
By signing, I acknowledge that I am the
person responsible for the monitoring and
administration of this contract, including
ensuring all performance and reporting
requirgments.
" Alu-,,,"
Dakota Shaw
Airport Project Coordinator
APPROVED AS TO FORM AND LEGALITY
By:
ohn B.` trong
Assistant City Afforney
ATTEST: FORT Form 1295 No. 2018-348402
O�
M ry . Ka ; e M&C No.: C-28706
City Secret
* M&C Date: 6/5/2018
1E7CPc'
OFFICIAL tECORD
CITY SECRETARY
FT.WORTH,TX
City of Fort Worth,Texas
Standard Agreement for Engineering Related Design Services
Revised Date:11.17.17
Page 17 of 17
ATTACHMENT A-ENVIRONMENTAL ASSESSMENT SCOPE OF WORK
SERVICES TO BE PROVIDED
Environmental Assessment Document
for
Extension of Taxiway P at Fort Worth Alliance Airport
Project Description
The City of Fort Worth plans to extend Taxiway P at Alliance Airport. The project will include
the extension of Taxiway P, approximately 2,700 feet, from Taxiway D to Taxiway F; new stub
taxiway E, new cross Taxiway F from Runway 16L-34R to Taxiway P, relocation of the AOA
fence and the relocation of the perimeter road. Please refer to the attached exhibit.
Jacobs(Consultant)shall perform the environmental assessment in accordance with FAA and
the Fort Worth Alliance Airport (Sponsor) current orders, practices, criteria, specifications,
policies, procedures and standards.
1. Project Management and Coordination
The Consultant will manage the environmental assessment (EA) process and coordinate
with the Sponsor and other stakeholders. The Consultant will meet up to twelve(12)times
with the Sponsor to discuss the EA document progress; up to three (3) meetings will be in
person meetings at the follow milestones: project kick off, draft EA review, final EA review.
The Consultant will conduct monthly project management activities, including internal
status meetings.
2. Agency Coordination
The Consultant shall consult and coordinate with appropriate federal, state, and local
agencies to obtain information concerning potential environmental impacts and maintain
contact with these parties for the remainder of the NEPA process, as necessary.
3. Right of Entry
The Consultant shall request right of entry for the purposes of environmental surveys,with
the assistance of the Sponsor.
4. Data Collection
The Consultant will collect, review and evaluate available and appropriate data pertaining
to this project and/or the project area. This data may include but not be limited to:
i. Property Maps
ii. Land Use Maps
iii. Location of Public Buildings, Schools, Churches, Parks, etc.
iv. Aerial/Infrared Photography, if Available
v. Historical/Archeological Site Listings
vi. Digital Ortho Quad Maps
vii. National Wetland Inventory Maps
viii. County Soil Survey Maps
ix. County Hydric Soils List
x. Floodplain Maps
xi. Vegetation Cover Maps
1
ATTACHMENT A-ENVIRONMENTAL ASSESSMENT SCOPE OF WORK
xii. Hazardous Materials Database Information
xiii. Demographic Maps/Census Information
xiv. Other Available GIS Data
5. Environmental Assessment
The Consultant shall produce an Environmental Assessment document. Individual studies
which are components of the Environmental Assessment will include analyses of the
following:
■ Air Quality
■ Coastal Resources [not required]
■ Construction Impacts
■ Cumulative Impacts
■ Department of Transportation Act: Section 4(f)
■ U.S. Department of Interior Section 6(f)
■ Farmlands
■ Fish, Wildlife, and Plants (Biological Resources)
■ Floodplains
■ Hazardous Materials, Pollution Prevention, and Solid Waste
■ Historical, Architectural, Archeological, and Cultural Resources
■ Irreversible and Irretrievable Commitment of Resources
■ Land Use
■ Light Emissions and Visual Impacts
■ Natural Resources, Energy Supply, and Sustainable Design
■ Noise and Noise-Compatible Land Use
■ Secondary (Induced) Impacts
■ Socioeconomic Impacts, Environmental Justice, and Children's
Environmental Health and Safety Risks
■ Water Quality
■ Wetlands and Waters of the U.S.
■ Wild and Scenic Rivers
Air Quality
The air quality analysis will assess the impact of the proposed project on the National
Ambient Air Quality Standards (NAAQS). According to FAA's Air Quality Procedures for
Civilian Airports&Air Force Bases Version 3(Jan 2015), a General Aviation airport project
without a significant increase in emissions does not require an NAAQS assessment. This
scope of services assumes that the proposed project will require a qualitative air quality
analysis with the Aviation Environmental Design Tool (AEDT) air model. If a quantitative
2
ATTACHMENT A-ENVIRONMENTAL ASSESSMENT SCOPE OF WORK
air quality analysis is determined necessary, then it will be performed as an additional
service. This scope of services does not include modeling air toxics and assumes that the
proposed project currently meets general conformity requirements. This section will
include an analysis of emissions from construction activities, based on construction data
provided by others.
Coastal Resources
This impact category does not apply to Fort Worth Alliance Airport.
Compatible Land Use
This section of the EA will discuss land use in the vicinity of Fort Worth Alliance Airport
and compatible land use controls that may impact land use in the airport vicinity. In
general, current land uses near the airport include agricultural, industrial, commercial and
residential.
Construction Impacts
Potential construction impacts of the project including noise, air and water pollution will be
evaluated. It is not anticipated that construction impacts will be significant.
Department of Transportation Act, Section 4(f)
This section will determine whether the use of any publicly owned land from any public
park, recreation area, wildlife or waterfowl refuge of national, state, or local significance,
or land from a historic site of national, state, or local significance is required for airport
development. As currently designed, the taxiway extension would not impact any of the
structures; therefore, a Section 4(f) Evaluation is not included as part of this scope of
services.
Farmlands
Land already committed to urban development, such as the land within the existing airport
boundaries, is not subject to the Farmland Protection Policy Act(FPPA). Therefore, work
under this task will focus on the additional land to be acquired for the proposed project. It
will be determined if the soils are listed as prime farmland by the Natural Resources
Conservation Service (NRCS). Coordination with the NRCS will be performed. Potential
impacts to prime farmland will then be determined. Farmland Conversion Impact Rating
Form AD-1006 will be completed and included in the EA.
Fish, Wildlife, and Plants
This section will assess impacts to endangered or threatened species, essential fish
habitat, wildlife and plants. Early coordination with Texas Parks and Wildlife Department
(TPWD) and, the U.S. Fish and Wildlife Service (USFWS) will be performed. Potential
impacts to migratory birds as well as invasive plant species and beneficial landscaping will
also be addressed. It is not anticipated that threatened or endangered species would be
impacted by the proposed project;therefore,the project is not anticipated to require formal
or informal consultation with the USFWS, a Biological Assessment, or a Biological
Opinion.
Floodplains
The Federal Emergency Management Agency (FEMA) floodplain maps will be obtained
to determine if any portions of the proposed project lie within a 100-year floodplain.
Potential impacts will then be determined and assessed.
3
ATTACHMENT A-ENVIRONMENTAL ASSESSMENT SCOPE OF WORK
Hazardous Materials, Pollution Prevention, and Solid Waste
The Consultant will conduct hazardous materials investigations on the proposed
property for acquisition, including a review of available ASTM 1527-15 standard federal
and state databases and a site visit.
Historical, Architectural, Archeological & Cultural Resources
Subtasks are identified below:
Identification and Evaluation of Historic-Age Buildings, Structures and Objects
Initial Consultation
The Consultant shall consult with the Texas Historical Commission (THC) to establish the
Area of Potential Effects (APE) for the project.
Reconnaissance Survey
The Consultant shall perform a reconnaissance-level historic resources survey of the APE
to identify buildings, structures, objects and districts that are 50 years of age or older based
on the construction contract letting date.
Reconnaissance Survey Report
The Consultant shall provide a report that shall have sufficient detail and clarity to provide
THC with the basis for concurring with the finding of National Register of Historic Places
(NRNP) eligibility. The Survey Report shall include the following components:
1. Photographic documentation
a. Photographs shall be sufficient in number and perspective to satisfy THC
documentation requirements.
b. Photographs will be a minimum of 3.5" x 5" color representations printed on
matte white, premium or photo quality laser or inkjet paper.
c. Photographs will include oblique and normal views of the resource and
contextual views of the resource in its surroundings.
d. Photographs will be in sharp focus and clearly depict architectural and other
details relevant to an evaluation of the resource's character-defining features.
e. Photographs will be attached to separately labeled pages that clearly identify
project name, project ID number, address or UTM of resource, direction of the
photograph, style and/or form of the resource, NRHP criteria eligibility, resource
integrity issues, and any limitations of the field survey.
2. Maps. The report shall include maps based on aerial photos of the study area showing:
a. The location of the resource.
b. Names and other directional landmarks.
c. Graphic scale and north arrow.
3. Written data. The report shall detail the results of the survey, including the findings of
the intensive survey and a determination of NRHP eligibility for the documented resources.
The survey report will include the following information:
a. An outline of the purpose and methodology of the project.
4
ATTACHMENT A-ENVIRONMENTAL ASSESSMENT SCOPE OF WORK
b. A background history of the study area presenting historic contexts relevant to
the time period associated with housing in order to evaluate its association with
significant events.
c. NRHP registration requirements with integrity analysis.
d. Assessments of effects on the housing.
e. Maps, photos, background history and justification of significance.
f. Historic photographs and illustrations (if any).
g. Appropriate archival and bibliographic references.
The report shall assess the National Register eligibility of surveyed resources both for
individual listing and as a component of a historic district. The report shall also assess the
effect of the project on historic resources.
Archeological Background Study
The Consultant will review the existing files held by the Texas Archeological Research
Laboratory (TARL) and the Texas Historical Commission (THC) to determine if any
previously recorded sites or archeological surveys occur within or near the proposed
project area. The location of any previously recorded sites and surveys will be plotted
onto USGS 7.5-minute topographic maps for use in the compliance coordination process.
Archeologists will also consult the NRCS soil survey maps for Tarrant County, the PALM,
relevant aerial photography, historical maps, land use maps, and the Geologic Atlas of
Texas in order to assess the likelihood for unrecorded archeological resources and make
recommendations regarding the need for further field surveys. The results of this effort
will be integrated into background study report that will be submitted to THC for review
and concurrence with the findings.
This scope does not include field work. If required, these services will be performed at
additional cost.
Light Emissions and Visual Impacts
This section will investigate the potential for areas adjacent to the airport that may be
subject to impacts from airfield lighting sources.
Natural Resources and Energy Supply
This section will investigate loss of any sources of energy supply or natural resources that
would be required to construct the project, such as oil or gas production wells, coal, sand,
and gravel resources. The proposed project will be examined to identify any proposed
major changes in stationary facilities or the movement of aircraft and ground vehicles that
would have a measurable effect on local supplies of energy or natural resources.
Noise
Noise analysis will be modeled by others and provided to Jacobs for inclusion in the EA.
This scope of services does not include running the Aviation Environmental Design Tool
(AEDT)for a noise analysis for the taxiway extension. This section of the EA will reference
the updated noise analysis for the Part 150, and include copies of the noise contour
exhibits. EA document schedule assumes the noise analysis data will be provided to
Jacobs for inclusion in the EA within 6 months of the Notice to Proceed.
Secondary (induced) Impacts
5
ATTACHMENT A-ENVIRONMENTAL ASSESSMENT SCOPE OF WORK
The potential for secondary or induced impacts resulting from the proposed project will be
evaluated including shifts in patterns of population movement and growth, public service
demands, and changes in business and economic activity to the extent influenced by the
proposed project.
Socioeconomic Impacts, Environmental Justice, and Children's Environmental
Health and Safety Risks
U.S. Census Bureau 2010 census tract data will be obtained and used to address and
assess the potential for environmental justice impacts. Environmental health and safety
risks to children that may result from implementation of the proposed project will also be
assessed.
Water Quality
Potential water quality impacts will be assessed. The work under this task will address
the National Pollutant Discharge Elimination System and the Texas Pollutant Discharge
Elimination System. Significant water quality impacts are not anticipated.
Waters of the United States, including Wetlands
Wetlands determinations and delineations will be performed. The objectives will be to
determine the potential presence or absence of wetlands, make a determination, and
delineate any wetlands if necessary.
USGS 7.5-minute topographic quadrangle maps, U.S. Fish and Wildlife Service(USFWS)
National Wetlands Inventory Maps, Tarrant County Soil Survey, local hydric soils list, and
other published data concerning wetlands will be obtained.
The proposed project site will be identified on these maps as well as any potential wetlands
or other waters of the United States(e.g. creeks, streams, bayous, etc.) that may exist on
the site.
Wetland determinations within the project site will then be performed using the current
federally accepted procedures contained in the 1987 U.S. Army Corps of Engineers
(USACE) Wetlands Delineation Manual and Regional Supplement. This task will include
completing all necessary Routine Wetland Determination Data Forms. This task will
include identifying any other waters of the United States(e.g. creeks, streams, etc.),which
would be subject to regulation under Section 404 of the Clean Water Act. This task will
also include determining whether a wetland area is isolated verses adjacent to waters of
the United States. Three criteria will be evaluated when determining whether a wetland
area is isolated or adjacent, including 1) proximity, 2) hydrological connections and 3)two-
barrier rule.
If any wetlands are identified, the wetland boundaries will be delineated as well as the
Ordinary High Water Mark(OHWM) at any creeks that may be impacted by the proposed
project. A Global Positioning System (GPS) will be used to identify the location of the
delineated wetlands, sample points, and OHWM, if necessary. After the wetland
delineations, sample points, and OHWM have been entered into the GPS unit, the
delineations will be mapped using the GPS data and the size of the wetlands will be
determined. The map will include all data points, any wetland determination points, and
any OHWM points. This task will include preparing and sending a letter for review and
verification to the USACE. This task will include accompanying a USACE representative
6
ATTACHMENT A-ENVIRONMENTAL ASSESSMENT SCOPE OF WORK
onsite for one field verification visit if requested by the USACE. This task will include any
additional coordination with the USACE and adjusting any boundaries of the verified
delineations, re-entering any points on the GPS and re-mapping. This task will also
include preparing the wetlands section of the EA and will identify which permit(s)would be
required for the project under Section 404 of the Clean Water Act and will include
information to support that conclusion. This conclusion would be based on the wetland
delineation prior to the verification from the USACE.
This scope of services does not include permitting or mitigation.
Wild and Scenic Rivers
This impact category does not apply to Fort Worth Alliance Airport.
Cumulative Impacts
Cumulative impacts will be addressed. Cumulative impacts are defined by the Council on
Environmental Quality as "the impact on the environment which results from the
incremental impact of the action when added to other past, present, and reasonably
foreseeable future actions regardless of what agency (Federal or non-federal) or person
undertakes such other actions (40 CFR 1508.7). While they may be insignificant by
themselves,the combined, incremental effects of human activity, referred to as cumulative
impacts, accumulate over time, from one or more sources, and can result in the
degradation of important resources. Cumulative impacts result when the effects of an
action are added to or interact with other effects in a particular place and within a particular
time. It is the combination of these effects, and any resulting environmental degradation,
that is the focus of cumulative impact analysis. While impacts can be differentiated by
direct, indirect, and cumulative, the concept of cumulative impacts takes into account all
disturbances since cumulative impacts result in the compounding of the effects of all
actions overtime.
Prepare Draft EA
Three copies of the Draft EA will be prepared and submitted in accordance with all current
and applicable FAA regulations, policies, standards and guidelines.
6. Revise Draft EA
The Consultant will revise the Draft EA based on comments received from the Sponsor
and FAA. The consultant will incorporate revisions required by the Sponsor and submit
the revised Draft EA for FAA review and issue authorization to proceed to Public
Involvement. Up to three hard copies and 5 DVDs of the draft EA document will be
prepared for public circulation, and placed at the airport and the City of Forth Worth offices
for public review.
7. Public Involvement
Public Meeting
The Consultant will hold one public meeting to receive public comment on the proposed
project, in an open house format, prior to the completion of the draft EA. Jacobs will
prepare a legal notice advertising the meeting for publication in one major and one local
newspaper. The Sponsor will publish the legal notices, and provide documentation of
publication to Jacobs after the 30-day publication period. The notices will be published 30
and approximately ten (10) days in advance of the public meeting date. The notices will
be mailed to adjacent property owners and up to ten (10) local elected officials. Jacobs
7
ATTACHMENT A-ENVIRONMENTAL ASSESSMENT SCOPE OF WORK
will prepare meeting materials including: sign in sheets, informational handouts, comment
cards, name tags, and up to fifteen (15) exhibit boards. Jacobs will provide up to four (4)
environmental planning staff to conduct the meeting. No formal presentation will be
prepared. Staff from the design team and the Sponsor's staff should attend for public
questions. A public meeting summary report will be prepared following the meeting.
Notice Affording an Opportunity for Public Hearing (NADPH)
After the Draft EA receives preliminary approval from the Sponsor and FAA, Jacobs will
prepare a Notice Affording an Opportunity for Public Hearing (NADPH) for publication in
the legal ad section of one major and one local newspaper. The Sponsor will publish the
NADPH, and provide documentation of publication to Jacobs after the 30-day publication
period. The notices will include reference to any floodplain encroachments. The notices
will be published 30 and approximately ten (10) days in advance of the deadline for
submitting a written request to hold a public hearing.
This scope of services does not include a public hearing. If a written request is filed for a
public hearing, an additional scope and cost would be submitted for planning and
conducting the public hearing.
8. Final EA
Revisions, comments and/or additional items to the Draft EA from two reviews by the
Sponsor and FAA and the public involvement processes (if any) will be incorporated into
the Final EA. Twelve copies of the Final EA will be prepared and submitted.
9. Finding of No Significant Impact
The Consultant will prepare the Finding of No Significant Impact for inclusion in the final
document.
8
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ATTACHMENT "C"
CHANGES AND AMENDMENTS TO STANDARD AGREEMENT
Professional Services for
Environmental Assessment of Taxiway Papa Extension
City Project No.
None
City of Fort Worth,Texas
Attachment C
PMO Release Date:05.19.2010
Page 1 of 1
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M&C Review Page 1 of 2
Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA UKP
COUNCIL ACTION: Approved on 6/5/2018
REFERENCE ** 55AFW TAXIWAY PAPA
DATE: 6/5/2018 NO.: C-28706 LOG NAME: ENVIRONMENTAL
ASSESSMENT
CODE: C TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: Authorize Execution of a Contract with CP&Y, Inc. for Professional Consulting Services,
in an Amount Not to Exceed $222,976.00 to Perform the Environmental Assessment of
the Taxiway Papa Extension Project at Fort Worth Alliance Airport(COUNCIL DISTRICT
7)
RECOMMENDATION:
It is recommended that the City Council authorize the execution of a contract with CP&Y, Inc. for
professional consulting services in the amount of$222,976.00, to perform the Environmental Assessment
of the Taxiway Papa Extension Project at Fort Worth Alliance Airport.
DISCUSSION:
Fort Worth Alliance Airport(Airport) plans to extend Taxiway Papa approximately 2,700 feet and provide
taxiway connectors along the midpoints of Runway 16R. This project will also involve the relocation of the
Airport's perimeter road and Air Operations Area fence. An Environmental Assessment is required by the
Federal Aviation Administration (FAA)to thoroughly analyze and understand any impacts the extension
project would have on the proposed site for Taxiway Papa.
The Consultant will manage the Environmental Assessment process in accordance with FAA criteria,
specifications, and procedures. A final document will be prepared to be submitted to the FAA for the
Airport's proposed action.
Indirect costs are not eligible for reimbursement.
M/WBE Office: A waiver of the goal for the MBE/SBE subcontracting requirements was requested by the
Department and approved by the M/WBE Office, in accordance with the M/WBE or BDE Ordinance,
because the purchase of goods or services is from the sources where subcontracting or supplier
opportunities are negligible. CP&Y, Inc. is a certified M/WBE.
Fort Worth Alliance Airport is located in COUNCIL DISTRICT 7.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that funds are available in the current capital budget, as appropriated, of
the Municipal Airport Grants Fund. This is a reimbursement grant.
TO
Fund Department Account Project Program Activity Budget Reference# Amount
-]I ID ID Year Chartfield 2
FROM
Fund Department Account Project Program Activity Budget Reference# Amount
ID ID Year Chartfield 2
httD:Hat)DS.cfwnet.org/council Dacket/mc review.asn?ID=25900&councildate=6/5/2018 6/22/2018
M&C Review Page 2 of 2
Submitted for City Manager's Office by: Fernando Costa (6122)
Originating Department Head: Bill Welstead (5402)
Additional Information Contact: Dakota Shaw(5407)
ATTACHMENTS
Form 1295 - Env Assessment 180503.pdf
Location Map.pdf
httn://anns.cfwnet.org/council nacket/mc review.asn?ID=25900&councildate=6/5/2018 6/22/2018
V I
CERTIFICATE OF INTERESTED PARTIES
FORM 1.295
1 0f 1
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. 2018-348402
CP&Y, Inc.
Dallas,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 05/03/2018
being filed.
City of Fort Worth Date Ackno le ed•
7/ f
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.
PO-18-00103839
Alliance Airport- Environmental Assessment
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Boswell,Jeremy Oklahoma City, OK United States X
Hays, David Dallas,TX United States X
Vergara,Marisa San Antonio,TX United States X
Roohms,J.J. Austin,TX United States X
Chiang ,Walter Dallas,TX United States X
Patel, Pete Dallas,TX United States X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name is Stephen P. Conner and my date of birth Is 8/29/1953
My address is 1820 Regal Row, Suite 200 Dallas TX 75235 USA
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in Dallas County, State of Texas on the 3rd day of May 20 18
(month) (year)
Signature of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.5523