HomeMy WebLinkAboutContract 53779-R3CSC No. 53779-R3
FoRTWORTH..
CITY OF FORT WORTH
REQUEST TO EXERCISE RENEWAL OPTION
May 9, 2023
Attn: Angi Menell
Chief Financial Officer
Various Hats, Inc. dba Digital Advance
9600 Escarpment Blvd.
Suite 745-145
Austin, TX 78652
Email: elvse(@thediaitaladvance.com
Re: REQUEST TO EXERCISE RENEWAL OPTION
Development of Creative Materials & Communications
Contract No. CSC No. 53779 (the "Contract')
Renewal Term No. 3: April 3 2023 to April 2, 2024
The above referenced Contract has expired on April 2, 2023. Pursuant to the Contract, contract renewals
are at the sole option of the City. This letter is to inform you that the City is exercising its right to renew CSC
No. 53779 for an additional one-year period, which will begin immediately upon the expiration of the current
term and will end on April 2, 2024. This renewal has all the same terms and conditions of CSC No. 53779
and has remain unchanged. Please return this signed acknowledgement letter, along with a copy of
your current insurance certificate, to the address set forth below, acknowledging receipt of the
Notice to contract Renewal.
Please log onto httD://fortworthexas.00v/Durchasina to ensure that your company information is correct and
up-to-date.
If you have any questions concerning this Request for Contract Renewal, please contact me at the
telephone number listed below.
Sincerely,
Katy Reiss
Education Program Coordinator
Water Department
Customer Care Division
Customer Engagement Section
682-263-6533
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
hereby acknowledge receipt of the contract Renewal Notice for CSC No. 53779 for a one-year period
ending April 2, 2024.
Various Hats Inc dba Digital Advance
By. Elyse Yates, President
Printed Name and Title
Signature
CITY OF FORT WORTH:
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By: Dana Burghdoff Chin 7, 2021 �0:26 CDT)
Dana Burghdoff, Assistant City Manager
APPROVED AS TO FORM AND LEGALITY:
I
By: Mack (Jun 7, 2023 10:25 CDT)
Doug Black Sr. Assistant City Attorney
CONTRACT COMPLIANCE MANAGER:
Date: June 6, 2023
Date: Jun 7, 2023
Date: Jun 7, 2023
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.
By: /l /_
Y
Kat RePublic Education Coordinator
RECOMMENDED:
�� ��
By: net B. Hale (Jun 6, 2023 12:33 CDT)
Jan Hale, Deputy Water Director
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By: Christopher Hlyder (Jun 6, 202313:13 CDT)
Christopher Harder, Water Department Director
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ATTEST: Foo
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aa� nEXA?o4�
By:
Jannette Goodall, City Secretary
Date: 5 June 2023
Date: Jun 6, 2023
Date: Jun 6, 2023
M&C No. N/A
Date: Jul 7, 2023
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
CSC No. 53779
All? AN AGREEMENT FOR THE PROFESSIONAL, CONSULTING SERVICES
This AGREEMENT ("Agreement") is made and entered into by and between the CITY OF FORT
WORTH (the "City"), a home rule municipal corporation situated in portions of Tarrant, Parker,
Denton, and 'Wise Counties, Texas, as executed by Dana Burghdof#', its duly authorized Interim
Assistant City Manager, and Various Hats, Inc. dba Digital Advance ("Consultant"), a Texas
Corporation, as executed by Angi Menell, its duly authorized CFO, each individually referred to as a
"party" and collectively referred to as the "parties.''
CONTRACT DOCUMENTS:
The Contract documents shall include the fallowing:
I. This Agreement for Professional Services
2, Exhibit A - Scope of Services Based an Assigned Tasks
3. Exhibit B - Terms of Payment/Schedule and Hourly Rates
4, Exhibit C - Task Order for Support Services Form
All Exhibits attached hereto are incorporated herein and made a part of this Agreement for all
purposes, In the event of any conflict between the documents, the terms and conditions of this
Professional Services Agreement shall control.
1. SCOPE OF SERVICES.
Consultant hereby agrees to provide the City with professional consulting services to assist
the Fort Worth Water, FWW, with communication services specifically assigned for:
I. Research and/or planning to promote FWW and its initiatives with internal and external
audiences; and
2. Assist FWW staff by developing clear messaging, branding support for various programs
and other communications support including crisis management, and
3. Support outreach to trey stakeholders to increase engagement and gather feedback, and
A. Develop communications materials and compelling content for owned, earned, and paid
media, and
S. Customer portal design and promotion, and
6. Other professional services as needed.
Attached hereto and incorporated for all purposes incident to this Agreement is Exhibit A,
Scope of Services, more specifically describing the services to be provided to the City,
Consultant warrants that itwUl exercise reasonable skill, care and diligence in the performance
of its services and will carry out its responsibilities in accordance with customarily accepted
professional practices and applicable laws. Except for the express representations and warranties set
forth hereinabove and otherwise in this Agreement, Consultant does not make any other express or
implied warranties or representations of any kind whatsoever relating to this Agreement or the
Services, including any implied warranty of merchantability or fitness for a particular purpose.
--- ---_-I
OFFICIAL. RECORD
CITY SECRETARY
FT. WORTH, TX
2. TERM.
This Agreement shall commence upon the date of complete execution C'Effective Date") and
shall expire a year from the Effective Date, acting within the schedule as describes in Exhibit A,
unless terminated earlier or extended in accordance with the provisions of this Agreement or agreed
upon by written amendment to this Agreement by both parties. The City shall have the option, in its
sole discretion, to renew this Agreement under the same terms and condition, for up to three (3)
one-year renewals. In no event shall the Consultant perform its services beyond the not -to -exceed
amount in Section 3 without a written amendment to this Agreement.
3. COMPENSATION.
The City shall pay Consultant an amount not to exceed $100,000 in accordance with the
provisions of this Agreement and the Payment Schedule shown in Exhibit B which is incorporated
for all purposes herein. Consultant shall not perform any additional services for the City not specified
by this Agreement unless the City requests and both parties approve in writing the additional scope,
schedule, and costs for such services. Either party may seek a change order for a change in scope
schedule and costs related thereto, which must be agreed upon by both parties by a written amendment
to this Agreement. The City shall not be liable for any additional expenses of Consultant not specified
by this Agreement unless the City first approves such expenses in writing.
EMI!I _:7►IIIMAN Il91a
4- l . Written Notice.
The City or Consultant may terminate this Agreement at any time and for any reason
by providing the other party with 30 days written notice of termination.
4.2 Non-avarooriation of Funds.
In the event no funds or insufficient funds are appropriated by the City in any fiscal
period for any payments due hereunder, City will notify Consultant of such occurrence and
this Agreement shall terminate on the last day of the fiscal period for which appropriations
were received without penalty or expense to the City of any kind whatsoever, except as to the
portions of the payments herein agreed upon for which funds shall have been appropriated.
4.3 Duties and ❑bli2ations of the Parties.
In the event that this Agreement is terminated prior to the Expiration Date, the City
shall pay Consultant for services actually rendered up to the effective date of termination and
Consultant shall continue to provide the City with services requested by the City and in
accordance with this Agreement up to the effective date of termination.
5. DISCLOSURE OF CONFLICTS AND CONFIDENTIAL INFORMATION.
Consultant hereby warrants to the City that Consultant has made full disclosure in writing of
any existing conflicts of interest related to Consultant's services under this Agreement. In the event
that any conflicts of interest arise after the Effective Date of this Agreement, Consultant hereby agrees
promptly to make full disclosure to the City in writing upon its first knowledge of such conflict.
Consultant, for itself and its officers, agents and employees, further agrees that it shall treat all
information provided to it by the City as confidential and shall not disclose any such information to
a third party without the prior written approval of the City, except to the extent that such disclosure
is required by applicable law or court order and then only after prior notice to and consultation with
the City. Consultant shall store and maintain City Information in a secure manner and shall not allow
unauthorized users to access, modify, delete or otherwise corrupt City Information in any way.
Consultant shall notify the City promptly if the security or integrity of any City information has been
compromised or is believed to have been compromised.
G. RIGHT TO AUDIT.
Consultant agrees that the City shall, until the expiration of three (3) years after final payment
under this Agreement, have access to and the right to examine at reasonable times any directly
pertinent books, documents, papers and records of the Consultant involving transactions relating to
this Agreement at no additional cost to the City. Consultant agrees that the City shall have access
during normal working hours to all necessary Consultant 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 Consultant at least five (5) business days' advance notice of intended audits.
Consultant further agrees to include in all its subcontractor agreements hereunder a provision
to the effect that the subcontractor agrees that the City shall, until expiration of three (3) years after
final payment of the subcontract, have access to and the right to examine at reasonable times any
directly pertinent books, documents, papers and records of such subcontractor involving transactions
related to the subcontract, and further that City shall have access during normal working hours to all
subcontractor facilities and shall be provided adequate and appropriate work space in order to conduct
audits in compliance with the provisions of this paragraph. City shall give subcontractor reasonable
notice of intended audits.
The audit rights conferred by this section shall not permit Elie City to access records related
to the pricing of fixed -price or lump sum amounts, the build-up of agreed rates or unit prices, or
Consultant's estimating records.
7. iNDFPENDENT CONTRACTOR.
It is expressly understood and agreed that Consultant shall operate as an independent
contractor as to all rights and privileges granted herein, and not as agent, representative or employee
of the City. Subject to and in accordance with the conditions and provisions of this Agreement,
Consultant shall have the exclusive right to control the details of its operations and activities and be
solely responsible for the acts and omissions of its officers, agents, servants, employees, contractors
and subcontractors. Consultant acknowledges that the doctrine of respondeat superior shall not apply
as between the City, its officers, agents, servants and employees, and Consultant, its officers, agents,
employees, servants, contractors and subcontractors. Consultant further agrees that nothing herein
shall be construed as the creation of a partnership or joint enterprise between City and Consultant.
S. LIABILITY AND INDEMNIFICATION.
CONSULTANT SHALL RELEASE, DEFEND, INDEMNIFY AND HOLD
HARMLESS CITY AND ITS OFFICERS, AGENTS AND EMPLOYEES FROM AND
AGAINST ALL DAMAGES, CLAIMS, LOSSES, DEMANDS, SUITS, JUDGMENTS AND
COSTS, INCLUDING REASONABLE ATTORNEY'S FEES AND EXPENSES, FOR
PERSONAL INJURIES (INCLUDING DEATH) AND THIRD -PARTY PROPERTY
DAMAGE TO TH_E EXTENT CAUSED BY THE NEGLIGENT ACT OR OMISSION OF
CONSULTANT, ITS OFFICERS, AGENTS, EMPLOYEES, OR SUBCONTRACTORS IN
THE PERFORMANCE OF SERVICES UNDER THIS AGREEMENT. THE CONSULTANT
SHALL NOT BE OBLIGATED OR LIABLE TO THE CITY FOR ANY CLAIM ARISING IN
CONNECTION WITH THIS AGREEMENT EXCEPT ITS OWN NEGLIGENCE THAT IS
THE FAULT OF THE CONSULTANT, AND/OR ITS AGENTS, EMPLOYEES, OR
SUBCONTRACTORS, OR OTHERS FOR WHOM[ CONSULTANT 1S LEGALLY
RESPONSIBLE.
NOTWITHSTANDING THE FOREGOING, CONSULTANT AGREES, TO THE
FULLEST EXTENT PERMITTED BY LAW, TO INDEMNIFY AND HOLD HARMLESS
CITY AND ITS OFFICERS, AGENTS AND EMPLOYEES AGAINST COSTS, DAMAGES,
OR LOSSES, INCLUDING REASONABLE ATTORNEYS' FEES AND EXPENSES,
RESULTING FROM CLAIMS BY tnt" PARTIES FOR PERSONAL INJURIES
(INCLUDING DEATH) OR PROPERTY DAMAGE TO THE EXTENT CAUSED BY THE
NEGLIGENT ACTS OR OMISSIONS OF CONSULTANT, ITS OFFICERS, AGENTS,
EMPLOYEES, OR SUBCONTRACTORS IN THE PERFORMANCE OF PROFESSIONAL
DESIGN AND ENGINEERING SERVICES UNDER THIS AGREEMENT. CONSULTANT
SHALL NOT BE OBLIGATED TO DEFEND OR INDEMNIFY CITY AND ITS OFFICERS,
AGENTS AND EMPLOYEES FOR THEIR RESPECTIVE NEGLIGENCE OR WILLFUL
MISCONDUCT.
9. ASSIGNMENT AND SUBCONTRACTING.
Consultant shall not assign or subcontract any of its duties, obligations or rights under this
Agreement without the prior written consent of the City, if the City grants consent to an assignment,
the assignee shall execute a written agreement with the City and the Consultant under which the
assignee agrees to be bound by the duties and obligations of Consultant under this Agreement, and
Consultant shall have no further liability or obligations under the assigned portion of the Agreement.
if the City grants consent to a subcontract, the Consultant shall require such subcontractor to execute
a written agreement with the Consultant referencing this Agreement and requiring subcontractor to
be bound by duties and obligations substantially similar to those of the Consultant under this
Agreement as such duties and obligations may apply to the subcontractor's scope of services. The
Consultant shall provide the City with a fully executed copy of any such subcontract upon request,
with any financial and proprietary information redacted.
1 0. INSURANCE.
Consultant shall provide the City with certif catc(s) of insurance documenting policies of the
following coverage limits that are to be in effect prior to commencement of any services pursuant to
this Agreement:
10.1 Coverage and Limits
(a) Commercial General Liability
$1,000,000 Each Occurrence
$2,000,000 Agg,•egate
(b) Automobile Liability
$1,000,000 Each accident on a combined single limit basis or
$250,000 Bodily injury per person
$500,000 Bodily injury per occurrence
$100,000 Property damage
Coverage shall be on any vehicle used by the Consultant, its employees, agents,
representatives in the course of the providing services under this Agreement.
"Any vehicle" shall be any vehicle owned, hired and non -owned.
(c) Worker's Compensation
Statutory limits
Employer's liability
$100,000 Each accidentloccurrence
$100,000 Disease - per each employee
$500,000 Disease - policy limit
This coverage may be written as follows:
Workers' Compensation and Employers' Liability coverage with limits consistent
with statutory benefits outlined in the Texas workers' Compensation Act (Art. 8308 —
1.01 et seq., Tex. Rev. Civ. 5tat.) and policy limits for Employers' Liability of $100,000
each accidentloccurrence, $500,000 bodily injury disease policy limit and $100,000
per disease per employee.
(d) Professional Liability (Errors &. Omissions)
$1,000,000 Each Claire Limit
$1,000,000 Aggregate Limit
Professional Liability coverage may be provided through an endorsement to the
Commercial General Liability (CGL) policy, or a separate policy specific to
Professional E&O. Either is acceptable if coverage meets all other requirements.
Coverage shall be claims -made, and maintained for the duration of the contractual
agreement and for two (2) years following completion of services provided. An annual
certificate of insurance shall he submitted to the City to evidence coverage.
10.2 Certificates.
Certificates of insurance evidencing that the Consultant has obtained all
required insurance shall be delivered to the City prior to Consultant proceeding with
any services pursuant to this Agreement. All policies except Workers' Compensation
and Professional Liability shall be endorsed to name the City as an additional insured
thereon, as its interests may appear. All policies except Professional Liability and
Employer's Liability shall contain a Waiver of Subrogation for the benefit of the City
of Fort Worth, The term City shall include its employees, officers, officials, agent, and
volunteers in respect to the contracted services. Any failure on the part of the City to
request requi red insurance documentati on shall not consti tute a wai ver of the i nsurance
requirement. A minimum of thirty (30) days' notice of cancellation of coverage shall
be provided to the City. Ten (10) days' notice shall be acceptable in the event of non-
payment of premium. Such terms shall be endorsed onto Consultant's insurance
policies. Notice shalt be sent to the Risk Manager, City of Fort Worth, 1000
Throckmorton, Fort Worth, Texas 76102, with copies to the City Attorney at the same
address.
11. COMPLIANCE WITH LAWS, ORDINANCES. RULES AND REGULATIONS.
Consultant agrees to comply with all applicable federal, state and local laws, ordinances, rules
and regulations. if the City notifies Consultant of any violation of such laws, ordinances, rules or
regulations, Consultant shall promptly desist from and correct the violation.
12. NON-DISCRIMINATION COVENANT.
Consultant, for itself, its personal representatives, assigns, subcontractors and successors in
interest, as part of the consideration herein, agrees that in the performance of Consultant's duties and
obligations hereunder, it shall not discriminate in the treatment or employment of any individual or
group of individuals on any basis prohibited by law.
13. NOTICES.
Notices required pursuant to the provisions of this. Agreement shall be conclusively
determined to have been delivered when (1) hand -delivered to the other parry, its agents, employees,
servants or representatives, (2) delivered by facsimile with electronic confirmation of the
transmission, or (3) received by the other party by United States Mail, registered, return receipt
requested, addressed as follows:
To The CITY:
City of Fort Worth
Attn: Kara Shuror
200 'Texas Street
Fort Worth TX 76102-6311
Facsimile: (817) 392-8195
14. GOVERNMENTAL POWERS.
To CONSULTANT:
Digital Advance
Attn: Angi Menell
9600 Escarpment Blvd
Suite 745-145
Austin, TIC 78749
Facsimile: (512) 236-0843
It is understood and agreed that by execution of this Agreement, the City does not waive or
surrender any of its governmental powers.
15. NO WAIVER.
The failure of the City or Consultant to insist upon the performance of any term or provision
of this Agreement or to exercise any right granted herein shall not constitute a waiver of the City's or
Consultant's respective right to insist upon appropriate performance or to assert any such right on any
future occasion.
This Agreement shall be construed in accordance with the internal laws of the State of Texas.
If any action, whether real or asserted, at law or in equity, is brought on the basis of this Agreement,
venue for such action shall lie in state courts located in Tarrant County, Texas or the United States
District Court for the Northern District of Texas, Fort Worth Division.
17. SEVERAI)MITY.
If any provision of this Agreement is held to be invalid, illegal or unenforceable, the validity,
legality and enforceability of the remaining provisions shall not in any way be affected or impaired,
18. FORCE MAJEURE.
The City and Consultant shall exercise their best efforts to meet their respective duties and
obligations as set forth in this Agreement, but shall not be field liable for any delay or omission in
performance due to force majeure or other causes beyond their reasonable control (force majeure),
including, but not limited to, compliance with any government law, ordinance or regulation, acts of
God, acts of the public enemy, fires, strikes, lockouts, natural disasters, wars, riots, material or labor
restrictions by any governmental authority, transportation problems and/or any other similar causes.
19. HEADINGS NOT CONTROLLING.
Headings and titles used in this Agreement are for reference purposes only and shall not be
deemed a part of this Agreement.
20. REVIEW OF COUNSEL.
The parties acknowledge that each party and its counsel have reviewed and revised this
Agreement and that the normal rules of construction to the effect that any ambiguities are to be
resolved against the drafting party shall not be employed in the interpretation of this Agreement or
exhibits hereto.
21. AMENDMENTS / MODIFICATIONS / EXTENSIONS.
No extension, modification or amendment of this Agreement shall be binding upon a party
hereto unless such extension, modification, or amendment is set forth in a written instrument, which
is executed by an authorized representative and delivered on behalf of such party.
22. ENTIRETY OF AGREEMENT.
This Agreement contains all of the covenants, statements, representations and promises agreed
to by the parties. To the extent of any conflict, this Agreement supersedes the terms, conditions, and
representations set forth in the City's Request for Proposals, Consultant's Proposal and revised cost.
No agent of either party has authority to make, and the parties shall not be bound by, nor liable for,
any covenant, statement, representation or promise not set forth herein. The parties may amend this
Agreement only by a written amendment executed by both parties.
23. No Boycott of Israel. If Vendor has fewer than 10 employees or the Agreement is for less than
$100,000, this section does not apply. Vendor acknowledges that in accordance with Chapter 2270 of
the 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 Addendum, Vendor certifies that Vendors signature
provides written verification to City that Vendor.' (I) does not Boycott Israel; and (2) will not boycott
Israel during the term of the Agreement
24. SIGNATURE AUTHORITY.
The person signing this agreement hereby warrants that he/she has the legal authority to
execute this agreement on behalf of the respective party, and that such binding authority has been
granted by proper order, resolution, ordinance or other authorization of the entity. The other party is
Fully entitled to rely on this warranty and representation in entering into this Agreement.
[THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK]
I.N WITNESS WHEREOF, the parties hereto have executed this Agreement in multiples this
�l9th_ day of March _ , 2020.
CITY OF FORT WORTH
zia
Dana eurghdaff( 3,2020)
Dana Burghdoff
Assistant City Manager
Recommended By:
1
Chris Harder, P.E.
W ater Di rector
Approved as to Form and Legality
Christa R. Lopez-keyold
Sr. Assistant City Attorney
-" 0 . rTr
....
Attested By:
Mary Kayser
City Secretary
VARIOUS HATS, INC. DRA DIGITAL
ADVANCE
Angi Menell
CFO
Witness:
By: Elvse Yates
OFFICIAL RE":.,
CITY SECRET -et 4
FF. WORTH, a
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.
Katy Holloway
Sign re
Public Education Coordinator
OFFICIAL RECORE
CITY SECRETARY
FT. WORTH, 'TX {
I XRMIT A
Scope of Services for Professional Support Services
The scope set forth herein defines the services to be performed by the Consultant in completing
various assigned task in drive FWW's communications to staff and utility customers. Both the
City and Consultant have attempted to clearly define the -%vork to be performed and address the
needs ofFWW.
At FWW's request, the Consultant shall make available time, personnel, and resources necessary
to complete solutions related, but not limited to:
• Assist in FWW communication needs
• Leverage social media incorporating Gencity data
• Support customer portal branding and promotion
• Strategize on how to achieve additional program reach
• Prepare plans and alternative solutions for long-term programs
• Troubleshoot operations with written analysis and conclusions
• Identify key influencers and community outreach
• Develop advertising campaigns
• Perform other professional services as needed
Professional Services will be provided as needed to address situations encountered by FWW that
are not covered by other Professional Services contracts.
SCOPE OF SERVICES
It is expected that the scope of services will be determined by individual task developed by
FWW and issued to the Consultant through work orders similar to the attached sample. These
tasks/work orders are expected to be in response to program design or other situations
encountered by FWW.
Lx1t][Brr s
Terms of Payment for Services
Various bats dba Digital Advance Rates for Specific Assigned Tasks
Senior Strategist: $250.00
• Program planning
• Opinion leader outreach
• Crisis communications strategy
Account Manager: $175.00
• Analysis of current messaging
• Research to promote the department and initiatives
• Message development for various audiences
• Community outreach
• Crisis communications management
• Content development
Materials Development: $150.00
Design and branding
Asset management
Crisis Management
General Support: $100.00
• Task building
• Developing conversations around department and initiatives
*Travel days will he billed at SI,000 fir first consultant and then $500 for each additional team
Member. At completion of each trip; stafjf'time and approved expenses are billed. Outride expenses
billed through IAA will be billed at actual plus industry -standard of 15% afler authorized by client.
Approved travel expenses will be billed at acnral cast
Terms of Payment
Payment to the Consultant will be made as follows:
A. invoice and Payment
1. The Consultant shall provide the City sufficient documentation, including but not
limited to meeting the requirements set forth in each task order to this agreement, to
reasonably substantiate the invoices.
2. The Consultant will issue monthly invoices for all work performed under this
agreement. Invoices will be due and payable within 30 days of receipt.
EXHIBIT C
AGREEMENT FOR THE PROFESSIONAL CONSULTING SERVICES
Various Hats dba Digital Advance
TASK ORDER
Consultant is hereby authorized to proceed with work indicated below and more fully described
in the task order in accordance with City Secretary Contract No.
Task Order Number Description
Date
Consultant Title(s) Hourly Rate/ Projected Hours/Compi eti on Total Cast
Date
Total Task Costs
Authorized by:
Contract Compliance Manager
l~WW
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1 of 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. 2023-1009671
Digital Advance
Austin, 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 04/19/2023
being filed.
City of Fort Worth Date Acknowledged:
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.
Pending
Professional services consulting contract
Nature of interest
4
Name of Interested Party City, State, Country (place of business) (check applicable)
Controlling Intermediary
Menell, Bryan Austin, TX United States X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name is ANGELA MENELL and my date of birth is 1/12/1976
My address is 9600 Escarpment Blvd, Suite 745-145 Austin TX 78745 USA
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in Travis County, State of Texas on the 19 day of April 20 23
�\ (month) (year)
N
Signature of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.7bd706d4