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Contract 49279-R2
FORT WORTH. CITY SECRETARY -- ,-- 'TRACT NO. ygeai9-R a April 10, 2019 Ellerbee-Walczac, Inc. 4501 Broadway Ave Haltom City,TX 76117 Attn: Stan Walczak RE: NOTICE OF CONTRACT RENEWAL Geotechnical Engineering and Materials Testing Services Contract No. CSC No.49279("Contract") Contract Amount:$500,000.00 This letter is to inform you that the City is exercising its option to renew CSC No.49279 for an additional one year period which will begin on the effective date of the Second Renewal Agreement. If your firm agrees to the second renewal, please sign and return two(2)executed originals of the attached Second Renewal Agreement. If you have any questions concerning this Second Renewal, please don't hesitate to contact me. Sincerely y urs, _elalem Areg' TPW Capital Delivery/Lab Services 8851 Camp Bowie Blvd.West Fort Worth,Texas 76116 (817)392-8930 T c OFFMAL RECORD CITY SECRETARY FT WORTH,TX CITY OF FORT WORTH SECOND RENEWAL OF AGREEMENT WHEREAS, this Second Renewal of Agreement("Renewal") is between the City of Fort Worth, ("CITY"), and Ellerbee-Walczak, Inc., ("CONSULTANT"); and WHEREAS, CITY and CONSULTANT desire to renew the Original Agreement (City Secretary#49279) as renewed and amended; and WHEREAS, the Agreement was approved by M&C C-28278 (June 20, 2017), for the Project generally described as: Geotechnical Engineering and Materials Testing Services; and WHEREAS, the Agreement was renewed and amended administratively on June 4, 2018 (CSC 49279-R1); and WHEREAS, the Agreement, as renewed and amended, is expiring by its terms and the parties desire to renew the Agreement for the second and final time; NOW, THEREFORE, it is agreed by the CITY and CONSULTANT as follows: Article I The Scope of Services as set forth in the Original Agreement remains unchanged. Article II The CONSULTANT's compensation for this Renewal shall not exceed a total of $500,000.00. Article III The Agreement shall be renewed for an additional year from its effective date. Article V All other provisions of the Original Agreement not expressly amended herein, shall remain in full force and effect. EXECUTED and EFFECTIVE as of the date subscribed by the City's designated City Manager. Second Renewal of Agreement Page 1 of 2 Geotechnical Engineering and Materials Testing services APPROVED: City of Fort Worth Ellerbee-Walczak, Inc. S sa Alanis Stan T Walczak III Assistant City Manager Vice President DATE: (p DATE: APPROVAL RECOMMENDED: Steve Cooke Interim Director, Transportation/Public Works Department APPROVED AS TO FORM AND LEGALITY: M&C:9j 5jx Date: G''Ze —1 Douglas W. Black Assistant City Attorney ATTEST: 9 z Mary J. Ka City Secretary ` " .Y •.... .. 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 requirements. FFMWORTH, RECORD Ze em Areg ETARY Sr Professional Engineer TX Second Renewal of Agreement Geotechnica!Engineering and Materials Testing Services Form W-9 Request for Taxpayer Give Form to the (Rev.December 2014) Identification Number and Certification requester. not Department of the Treasury Send t0 the IRS. Internal Revenue Service 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. Ellerbee-Walczak,Inc t\i 2 Business name/disregarded entity name,if different from above m rn m a 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to certain entities,not individuals;see ❑Individual/sole proprietor or ❑✓ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate w instructions on page 3): c single-member LLC C Limited liability company.Enter the tax classification C=C corporation, Exempt payee code(if any) 5 �+;, ❑ y p y. { poration,S=5 corporation,P=partnership)► p ` Note.For a single-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting c H the tax classification of the s]ngte-member owner. code(if any) I counts mvnfamad o Wde the U.S.) a u ❑Other(see instructions]► (Applies to ac 5 Address(number,street,and apt,or suite no.) Requester's name and address(optional) V COL 4501 Broadway Avenue 6 City,state,and ZIP code Haltom City,Texas 76117 7 List account number(s)here(optional) IMB Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3-For other entities,it is your employer identification number(EIN).If you do not have a number,see How to get a -EE -L I -LI TIN on page 3. or Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer Identmeation number guidelines on whose number to enter. 7 5 - 2 1 3 1 3 6 2 T6o JIM Certification Under penalties of perjury,I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3. 1 am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that 1 am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than( rest and dividends,yo aired to sign the certification,but you must provide your correct TIN.See the instructions on page 3. Sign Signature of _ Here u.s.person► Date► General Instructions •Form 1098(home mortgage interest),1098-E(student loan interest),1098-T (tuition) Section references are to the Internal Revenue Code unless otherwise noted. •Form 1099-C(canceled debt) Future developments.Information about developments affecting Form W-9(such •Form 1099-A(acquisition or abandonment of secured property) as legislation enacted after we release it)is at www.irs.gov/fw9. Use Form W-9 only if you are a U.S.person(including a resident alien),to Purpose of Form provide your correct TIN. An individual or entity(Form W-9 requester)who is required to file an information if you do not return Form W-9 to the requester with a TIN,you might be subject return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding.See What is backup withholding?on page 2. which may be your social security number(SSN),individual taxpayer Identification By signing the filled-out form,you: number(]TIN),adoption taxpayer identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(or you are waiting for a number identification number(EIN),to report on an information return the amount paid to to be issued), you,or other amount reportable on an information return.Examples of information returns include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or •Form 1099-INT(interest earned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If •Form 1099-DIV(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of any partnership income from a U.S.trade or business is not subject to the •Form 1099-MISC(various types of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and •Form 1099-6(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are brokers) exempt from the FATCA reporting,is correct.See What is FATCA reporting?On •Form 1099-S(proceeds from real estate transactions) page 2 for further information. •Form 1099-K(merchant card and third party network transactions) Cat.No.10231X Form W-9(Rev.12-2014) AC lD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) lla�- r 4/17/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT HiHigginbotham Insurance Agency, Inc- NAME: Lisa Steele 99 9 Y. PHONE FAX tA/.C.,Ns..Em# 214-346-4124 ac,Not:817-347 6981 5QQ W. 13th Street _ [. — Fort Worth TX 76102 E-MAILADDRESS: Isteele(a)higg inbotham.net INSURERS)AFFORDING COVERAGE NAIC C INSURERA:RLIInsuranceCompany ___ 13056 INSURED ELLER Ellerbee-Walczak, Inc., INSURER a:RLI Indemnity Company 13056 PO BOX 14809 INSURER C Haltom City TX 76117 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:452125268 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADDL SUBR ----- LTR TYPE OF INSURANCE WVQ POLICY NUMBER MMIDpY EFF MMILDDYIYYrr LIMITS A X !COMMERCIAL GENERAL LIABILITY Y Y PSB0003111 10/25/2D18 10/2512019 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE r.X 1 OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 _ PERSONAL&ADV INJURY $1.000,ODO G_EML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 1 POLICY PRO X I LOC PRODUCTS-COMP/OP AGG $2,000,000 ,_.._.-JECT _J OTHER: $ A AUTOMOBILE LIABILITY j Y Y PSAOD01343 10/25/2018 10/2512019 COMBINED SINGLE LIMIT $ Ea accident 1 000 000 Ix ANY AUTO BODILY INJURY(Per person) $ ALL OWNED '' SCHEDULED BODILY INJURY(Per accident)! $ AUTOS AUTOS HIRED AUTOS X AUTOS NED PeOnDAMAGE ! $ PERTY A X UMBRELLA LIAR OCCUR Y Y PSED001476 10125/2018 10/25/2019 j EACH OCCURRENCE $1,000.000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED RETENTION$ ! $ g WORKERS COMPENSATION X PER ! Y PSWOOD4361 8/25/2018 8/25/2019 OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT i $1,000,000 OFFICERIMEMBER EXCLUDED? n N/A "- (Mandatory in NH) ! E.L.DISEASE-EA EMPLOYE $1,000poo If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000 D00 A Professional ! N ROP0036024 4/15/2019 4116/2020 $1,000,000 Occ. Retro Date 4/1812DD2 $2,000,000 Agg. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The General Liability,Automobile Liability&Workers'Compensation policy includes a blanket automatic waiver of subrogation endorsement that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it. The General Liability policy has a blanket Primary&Non Contributory endorsement that affords that coverage to certificate holders only where there is a written contract between the Named Insured and the certificate holder that requires such status CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ft. Worth TPW Soil Lab 8851 Camp Bowie Blvd W.Ste 300 Ft. Worth TX 76116 AUTHORIZED Ra�1VE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD c City of Fort Worth, Texas Mayor and Council Communication COUNCIL ACTION. Approved on 6/20/2017 I DATE: Tuesday, June 20, 2017 � REFERENCE NO.. **C-28278 LOG NAME: 202017 GEOTECH ENGINEERING AND MATERIALS SERVICES CONTRACTS SUBJECT: Authorize Execution of One-Year Annual Contracts with Renewal Options for Geotechnical Engineering and Materials Testing Services for Various Construction Projects with Twelve Companies: Alliance Geotechnical Group, Inc., CMJ Engineering and Testing, Inc., D&S Engineering Labs, LLC, Ellerbee Walczak, Inc., Fugro USA Land, Inc., Globe Engineers, Inc., Gorrondona &Associates, Inc., HVJ North Texas— Chelliah Consultants, Inc., Landtec Engineers, LLC, Rone Engineering Services, LTD, Terracon Consultants, Inc., and T Smith Inspection and Testing, LLC, Each for a Fee Not to Exceed $500,000.00 Annually (ALL COUNCIL DISTRICTS) G RECOMMENDATION: It is recommended that the City Council authorize the City Manager to execute individual contracts with Alliance Geotechnical Group, Inc., CMJ Engineering and Testing, Inc., D&S Engineering Labs, LLC, (Ellerbee Walczak, Inc., Fugro USA Land, Inc., Globe Engineers, Inc., Gorrondona &Associates, Inc., HVJ North Texas—Chelliah Consultants, Inc., Landtec Engineers, LLC, Rone Engineering Services, LTD, Terracon Consultants, Inc,, and T Smith Inspection and Testing, LLC, for geotechnical engineering and materials testing for various construction projects. The term of each Agreement is one-year with two one- year renewal options. The annual amount of each contract is up to $500,000.00. DISCUSSION: A Request for Proposals (RFP) was published for these services in the Fort Worth Star-Telegram on February 2, 2017, February 9, 2017, February 16, 2017 and February 23, 2017. The Transportation and Public Works Department received written Statements of Qualifications (SOQ) on March 2, 2017 from 21. firms. Each firm's SOQ was evaluated based upon pre-established selection criteria including qualification of personnel, experience, performance on previous City contracts and availability of testing equipment. An inter-departmental committee selected the most qualified, and now recommends the following firms for contract approval: Alliance Geotechnical Group, Inc., CMJ Engineering and Testing, Inc., D&S Engineering Labs, LLC, Ellerbee Walczak, Inc., Fugro USA Land, Inc., Globe Engineers, Inc., Gorrondona &Associates, Inc., HVJ North Texas— Chelliah Consultants, Inc., Landtec Engineers, LLC, Rone Engineering Services, LTD, Terracon Consultants, Inc., and T Smith Inspection and Testing, LLC. Funding for the geotechnical engineering and materials testing services for City projects will be provided through various project funding sources. Services for the developer projects will be paid by the developers Ilk who initiate the construction projects. M/WBE OFFICE - MIWBE Office in conjunction with the Transportation and Public Works Department has determined compliance with the City's Business Diversity Enterprise Ordinance by the inclusion of SBE firms on this project. Eight of the twelve firms recommended for award are SBE certified: Alliance Geotechnical Group, Inc., CMJ Engineering and Testing, Inc., D&S Engineering Labs, LLC, Ellerbee Walczak, Inc., Globe Engineers, Inc., Gorrondona &Associates, Inc., HVJ North Texas— Chelliah Logname: 202017 GEOTECH ENGINEERING AND MATERIALS SERVICES CONTRACTS Page 1 of 2 5 R i 3 Consultants, Inc., and T Smith Inspection and Testing, LLC. The remaining four firms Fugro USA Land, Inc., Landtec Engineers, LLC, Rone Engineering Services, Ltd., and Terracon Consultants, Inc., committed to 15 percent SBE participation. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that funds are available in the current capital budgets, as appropriated, on a project by project basis of the Water Capital Fund, the Sewer Capital funds and the TPW CFA Fund. Prior to an expense being incurred, the participating department has the responsibility to validate the availability of funds. FUND IDENTIFIERS (FIDs): TO Fund Department Accoun Project JProgram ctivity Budget Reference # moun ID ID Year (Chartfield 2) FROM Fund Department ccoun Project JProgram ctivity Budget Reference# moun ID ID Year (Chartfield 2) CERTIFICATIONS: Submitted for City Manager's Office by: Jay Chapa (5804) Originating Department Head: Douglas Wiersig (7801) Roy Teal (7958) Additional Information Contact: Zelalem Arega (8930) ATTACHMENTS 1. BDE Geotechnical Engineering .pdf (CFW Internal) 2. Form 1295 Certificate 100214967 Signed 5-30-17CMJ Geotech.pdf (Public) 3. Form 1295 Geotech 12 Engineers(Revised).pdf (Public) 4. Forn1295 Terracon Geotech.pdf (Public) 5. SAMS EPLS for all 12 Firms.pdf (CFW Internal) Lognarne: 202017 GEOTECH ENGINEERING AND MATERIALS SERVICES CONTRACTS Page 2 of 2