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HomeMy WebLinkAboutResolution - 2016-R0098 - Chapman Harvey Architects, Inc. - 03/10/2016Resolution No.2016-R0098 Item No.5.17 March 10.2016 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute for, and on behalf of, the City of Lubbock, Professional Services Agreement No.l 1548 for architectural and engineering services at the Citibus Administration and Maintenance Facility located at 801 Texas Avenue, by and between the City of Lubbock and Chapman Harvey Architects,Inc.,of Lubbock, Texas, and related documents. Said Agreement is attached hereto and incorporated in this resolution as if fully set forth herein and shall be included in the minutes of the City Council. Passed by the City Council on March 10.2016 ATTEST: GLEtiCCr.ROBERTSON,MAYORT £>(UQ^-<^Rebecca Garza,City Secret APPROVED AS TO CONTENT: g ^XXAA^V] Bill HowertorhAssistant City Manager APPROVED AS TO FORM: Justin Ptuitt,Assistant City Attorney ccdocs/RES.Professional ServicesAgreement 11548 - ChapmanHarvey Architects.Inc.- Citibus Administration Building February 25,2016 I:Z�i7iR1C�Ti1►li�dllC'B:ZIIIi'I:3 STATE OF TEXAS § COUNTY OF LUBBOCK § PROFESSIONAL SERVICES AGREEMENT This Professional Service Agreement (the "Agreement'), is entered into this (� day of March . 2016, by and between the City of Lubbock, a Texas home rule municipal corporation (the "City"), and Chapman Harvey Architects, Inc., a Texas corporation (the "Architect'). RECITALS WHEREAS, the Architect has a professional and experienced staff that is qualified to provide architectural, engineering, and construction services related to the renovation of the Citibus Administration and Maintenance Facility located at 801 Texas Avenue in Lubbock, Texas, (the "Services"); and WHEREAS, the Architect will provide the Services for the fair and reasonable price (the "Cost") stipulated by the City and the Architect in this Agreement; and NOW THEREFORE, for and in consideration of the terms, covenants, and conditions set forth in this Agreement, the City and Architect hereby agree as follows: AGREEMENT ARTICLE I. TERM The term of this Agreement commences on the date that it is signed by all parties (the "Effective Date") and continues without interruption for a term of 365 days, at which point the Services shall be complete. If the Architect determines that additional time is required to complete the Services, the City may, at its sole discretion, execute an amendment to this Agreement to grant up to an additional six (6) months of time for the Architect to complete the Services. If an amendment to this Agreement requires an increase in the Cost, such amendment must be approved by the City acting through its governing body. ARTICLE II. SERVICES AND COMPENSATION A. The Architect shall conduct all the Services and within the timeframes as set forth in Exhibit "A", attached hereto. B. The Architect shall receive the Cost for the Services as set forth in Exhibit `B", attached hereto. ARTICLE III. TERMINATION A. General. The City may terminate this Agreement for its convenience, upon thirty (30) days written notice to the Architect. In the event that this Agreement is so terminated, the City shall only pay the Architect for the portion of the Services actually performed by the Architect up to the date the Architect is deemed to have received notice of termination, as provided herein. B. Termination and Remedies. If the Architect breaches any term or provision of this Agreement, then the City shall provide written notice to the Architect of such breach. If, within ten (10) days Professional Services Agreement —City of Lubbock & Chapman Harvey Architects-2016 11 P a g e of the Architect's receipt of the City's written notice of breach, the Architect fails to repair or correct any breach as provided in the City's written notice, then the City may terminate this Agreement and the City shall not be responsible to pay for the Cost of any of the Services not complete at the time the written notice of breach was sent by the City to the Architect. ARTICLE IV. NON - ARBITRATION The City reserves the right to exercise any right or remedy available to it by law, contract, equity, or otherwise, including without limitation, the right to seek any and all forms of relief in a court of competent jurisdiction. Further, the City shall not be subject to any arbitration process prior to exercising its unrestricted right to seek judicial remedy. The remedies set forth herein are cumulative and not exclusive, and may be exercised concurrently. To the extent of any conflict between this provision and another provision in, or related to, this Agreement, this provision shall control. ARTICLE V. REPRESENTATIONS AND WARRANTIES A. Existence. The Architect is a corporation duly organized, validly existing, and in good standing under the laws of the State of Texas and is qualified to carry on its business in the State of Texas. B. Corporate Power. The Architect has the corporate power to enter into and perform this Agreement and all other activities contemplated hereby. C. Authorization. The execution, delivery, and performance of this Agreement, and the Services contemplated herein, have been duly and validly authorized by all the requisite corporate action on the part of the Architect. This Agreement constitutes the legal, valid, and binding obligations of the Architect and is enforceable in accordance with the terms thereof. D. Architect. The Architect maintains a professional staff and employs, as needed, other qualified specialists experienced in providing the Services, and is familiar with all laws, rules, and regulations, both state and federal, including, without limitation the applicable laws, regarding the Services contemplated herein. E. Performance. The Architect will and shall conduct all Services contemplated by this Agreement in accordance with the standard of care, skill, and diligence normally provided by a professional person in performance of similar professional services, and comply with all applicable laws, rules, and regulations, both state and federal, relating to the Services, as contemplated herein. F. Use of Copyrighted Material. The Architect warrants that any materials provided by it for use by the City pursuant to this Agreement shall not contain any proprietary material owned by any other parry that is protected under the Copyright Act or any other law, statute, rule, order, regulation, ordinance or contractual obligation relating to the use or reproduction of materials. The Architect shall be solely responsible for ensuring that any materials provided by it pursuant to this Agreement satisfy this requirement and the Architect agrees to indemnify and hold City harmless from all liability or loss caused to the City or to which the City is exposed on account of the Architect's failure to perform this duty. ARTICLE VI. SCOPE OF WORK The Architect shall accomplish the following: All Professional Services related to the Services, as provided in Exhibit "A", attached hereto and made a part hereof. Professional Services Agreement — City of Lubbock & Chapman Harvey Architects —2016 2 111 a g e ARTICLE VIL INDEPENDENT CONTRACTOR STATUS The Architect and the City agree that the Architect shall perform the duties under this Agreement as an independent contractor and shall be considered as independent contractor under this Agreement and in its activities hereunder for all purposes. The Architect has the sole discretion to determine the manner in which the Services are to be performed. During the performance of the Services under this Agreement, the Architect and the Architect's employees and sub -consultants, will not be considered, for any purpose, employees or agents of the City within the meaning, or the application, of any federal, state or local law or regulation, including without limitation, laws, rules or regulations regarding or related to unemployment insurance, old age benefits, workers compensation, labor, personal injury or taxes of any kind. ARTICLE VIIL INSURANCE The Architect shall procure and carry, at its sole cost and expense through the life of this Agreement, and through any subsequent amendments to this Agreement, except as otherwise provided herein, insurance protection as hereinafter specified, in the form and substance satisfactory to the City, carried with an insurance company authorized to transact business in the state of Texas, covering all aspects and risks of loss of all operations in connection with this Agreement, including without limitation, the indemnity obligations set forth herein (the "Policy"). The Policy shall remain in full force and effect during the term of this Agreement, and shall cause the Architect and each approved subcontractor and sub -consultant of the Architect to obtain and maintain in full force and effect during the term of this Agreement, commercial general liability, professional liability and automobile liability coverage for non -owned and hired vehicles with insurance carriers admitted to do business in the state of Texas. The insurance companies on the Policy must carry a Best's Rating of A-VII or better. Except for Professional Liability, the coverages included in the Policy shall be written on an occurrence basis, subject to the following minimum limits of liability: Commercial General Liability: Per Occurrence Single Limit: $1,000,000 General Aggregate Limit: $2,000,000 Professional Liability: Combined Single Limit: $1,000,000 Automobile Liability: Combined Single Limit: $1,000,000 (per occurrence for any auto) The Architect shall further cause any approved subcontractor or sub -consultant to procure and carry, during the term of this Agreement, the insurance coverage required of the Architect herein, including without limitation, Professional Liability coverage, protecting the City against losses caused by the professional negligence of the approved subcontractor or sub -consultant. The City shall be listed as a primary and noncontributory additional insured with respect to the Automobile Liability and Commercial General Liability and shall be granted a waiver of subrogation under those policies. The Architect shall provide a Certificate of Insurance to the City (the "Certificate") as evidence of such coverage. The Certificate shall provide 30 days' notice of cancellation. A copy of the additional insured endorsement and waiver of subrogation attached to the insurance policy required herein shall be included in the Certificate. The Architect shall elect to obtain worker's compensation coverage Professional Services Agreement —City of Lubbock & Chapman Harvey Architects —2016 3 1 P a g e pursuant to Section 406.002 of the Texas Labor Code. Further, the Architect shall maintain said coverage throughout the term of this Agreement and shall comply with all provisions of Title 5 of the Texas Labor Code to ensure that the Architect maintains said coverage. The Architect may maintain Occupational Accident and Disability Insurance in lieu of Worker's Compensation. In either event, the policy must be endorsed to include a waiver of subrogation in favor of the City. If at any time during the life of the Agreement, or any extension hereof, the Architect fails to maintain the required insurance in full force and effect, then the Architect shall be in breach hereof and all work under the Agreement shall be discontinued immediately. Notwithstanding anything contained herein to the contrary, the professional liability policy shall be maintained at the Architect's sole cost and expense. The retroactive date shall be no later than the commencement of the performance of this Agreement and the discovery period (possibly through tail coverage) shall be no less than 10 years after the completion of the Services provided for in this Agreement. The provisions of this Article VIII shall survive the termination or expiration of this Agreement. ARTICLE IX. EMPLOYMENT OF AGENTS/RETAINING OF CONSULTANTS The Architect may employ or retain agents, consultants, contractors, or third parties (any of which are referred to herein as "Sub -consultant"), to perform the Services under this Agreement, provided that the City approves the retaining of Sub -consultants. The Architect is at all times responsible to the City for the performance of the Services and the Architect is in no event relieved of any obligation under this Agreement upon retainage of any approved Sub -consultant. Any Sub - consultant retained or employed by the Architect shall be required by the Architect to carry, for the protection and benefit of the City and the Architect, all insurance that is required to be carried by the Architect in this Agreement, including the requirement that any third parties shall be named as additional insureds. The Architect represents that such services are either under applicable value thresholds or are otherwise exempt from notice and bid requirements under Texas Law. ARTICLE X. CONFIDENTIALITY The Architect shall retain all information received from or concerning the City and the City's business in strictest confidence and shall not reveal such information to third parties without prior written consent of the City, unless otherwise required by law. ARTICLE XI. INDEMNITY THE ARCHITECT SHALL INDEMNIFY AND SAVE HARMLESS THE CITY AND ITS ELECTED OFFICIALS, OFFICERS, AGENTS, AND EMPLOYEES FROM ALL SUITS, ACTIONS, LOSSES, DAMAGES, CLAIMS, OR LIABILITY OF ANY KIND, CHARACTER, TYPE, OR DESCRIPTION, INCLUDING WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, ALL EXPENSES OF LITIGATION, COURT COSTS, AND ATTORNEY'S FEES, FOR INJURY OR DEATH TO ANY PERSON, OR INJURY TO ANY PROPERTY, RECEIVED OR SUSTAINED BY ANY PERSON OR PERSONS OR PROPERTY, TO THE EXTENT ARISING OUT OF, RELATED TO OR OCCASIONED BY, THE INTENTIOAL OR NEGLIGENT ACTS OF THE ARCHITECT, ITS AGENTS, EMPLOYEES, OR SUBCONSULTANTS, RELATED TO THE PERFORMANCE, OPERATIONS OR OMISSIONS UNDER THIS AGREEMENT OR THE USE OR OCCUPATION OF ANY CITY - Professional services Agreement — City of Lubbock & Chapman Harvey Architects —2016 4 1 P a g e OWNED PROPERTY. THE INDEMNITY OBLIGATION PROVIDED HEREIN SHALL SURVIVE THE EXPIRATION OR TERMINATION OF THIS AGREEMENT. ARTICLE XII. COMPLIANCE WITH APPLICABLE LAWS The Architect shall comply with all applicable federal, state and local laws, statutes, ordinances, rules and regulations relating, in any way, manner or form, to the activities under this Agreement, and any amendments hereto. ARTICLE XIII. NOTICE A. General. Whenever notice from the Architect to the City, or from the City to the Architect is required or permitted by this Agreement and no other method of notice is provided, such notice shall be given by (1) actual delivery of the written notice to the other party by hand (in which case such notice shall be effective upon delivery); (2) facsimile (in which case such notice shall be effective upon delivery); or (3) by depositing the written notice in the United States mail, properly addressed to the other parry at the address provided in this article, registered or certified mail, return receipt requested, in which case such notice shall be effective on the third business day after such notice is so deposited. B. Notice. The contact information for the purposes of notification under this Agreement are: For Architect: Chapman Harvey Architects, Inc. Marc G. Chapman, AIA 612 Broadway Lubbock, Texas 79401 Telephone: (806) 749-1153 Facsimile: (806) 749-1866 For City: Maurice Pearl, Citibus General Manager City of Lubbock P.O. Box 2000 1625 13th Street Lubbock, Texas 79457 Telephone: (806) 712-2001 C. Chanre o Address. Either party may change its address or numbers for purposes of notice by giving written notice to the other party as provided herein, referring specifically to this Agreement, and setting forth such new address or numbers. The address or numbers shall become effective on the 15th day after such notice is effective. ARTICLE XIV. CITY -PROVIDED DATA AND RESPONSIBILITIES The City shall furnish the Architect with non -confidential studies, reports and other available data in the possession of the City pertinent to the Services, so long as the City is entitled to rely on such studies, reports and other data for the performance of the Services under this Agreement (the "Provided Data"). The Architect shall be entitled to use and rely, so long as such reliance is reasonable, upon all such Provided Data. ARTICLE XV. MISCELLANEOUS A. Captions and Recitals. The captions for the articles and sections in this Agreement are inserted in this Agreement strictly for the parties' convenience in identifying the provisions to this Agreement and shall not be given any effect in construing this Agreement. However, the Recitals listed in this Agreement are intended by the parties to be included in this Agreement, and shall have the full force and effect of the articles and sections of this Agreement. Professional services Agreement — City of Lubbock & Chapman Harvey Architects —2016 5 111 a g e B. Audit. The Architect shall provide access to its corporate books and records to the City. The City may audit, at its expense and during normal business hours, the Architect's books and records with respect to this Agreement between the Architect and the City. C. Records. The Architect shall maintain records that are necessary to substantiate the Services provided by the Architect or any of its Sub -consultants. D. Assignability. The Architect or any Sub -consultant may not assign this Agreement without the prior written approval of the City. E. Successor and Assigns. This Agreement binds and inures to the benefit of the City and the Architect, and in the case of the City, its respective successors, legal representatives, and assigns, and in the case of the Architect, its permitted successors and assigns. F. Construction and Venue. THIS AGREEMENT SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS. THIS AGREEMENT IS PERFORMABLE IN LUBBOCK COUNTY, TEXAS. THE PARTIES HERETO HEREBY IRREVOCABLY CONSENT TO THE SOLE AND EXCLUSIVE JURISDICTION AND VENUE OF THE COURTS OF COMPETENT JURISDICTION OF THE STATE OF TEXAS, COUNTY OF LUBBOCK, FOR THE PURPOSES OF ALL LEGAL PROCEEDINGS ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE SERVICES THAT ARE CONTEMPLATED HEREIN. G. Severability. If any provision of this Agreement is ever held to be invalid or ineffective by any court of competent jurisdiction with respect to any person or circumstance, the remainder of this Agreement, and the application of such provision to persons or circumstances other than those with respect to which it is held invalid or ineffective, shall not be affected thereby. H. Amendment. No amendment, modification, or alteration of the terms of this Agreement shall be binding unless such amendment, modification, or alteration is in writing, dated subsequent to this Agreement, and is duly authorized and executed by the Architect, the City, and the City's governing body. I. Entire Agreement. This Agreement, including all Exhibits attached hereto, contain the entire agreement between the City and the Architect, and there are no other written or oral promises, conditions, warranties, or representations relating to or affecting the matters contemplated herein. J. No Joint Enterprise. Nothing contained herein shall be construed to imply a joint venture, joint enterprise, partnership or principal —agent relationship between the Architect and the City. K. Documents Owned by City. Any and all documents, drawings and specifications prepared by the Architect as part of the Services, shall become the property of the City when the Architect has been provided the Cost. The Architect shall make copies of any and all work product for its files. L. Notice of Waiver. A waiver by either the City or the Architect of a breach of this Agreement must be in writing and duly authorized to be effective. In the event either party shall execute and deliver such waiver, such waiver shall not affect the waiving party's rights with respect to any other or subsequent breach. M. Third Party Activities. Nothing in this Agreement shall be construed to provide any rights or benefits whatsoever to any party other than the City and the Architect. Professional Services Agreement — City of Lubbock & Chapman Harvey Architects —2016 6 1 P of g e N. Non -Appropriation. All funds for payment by the City under this Agreement are subject to the availability of an annual appropriation for this purpose by the City. In the event of non - appropriation of funds by the City Council of the City of Lubbock for the services provided under the Agreement, the City will terminate this Agreement, without termination charge or other liability, on the last day of the then -current fiscal year or when the appropriation made for the then - current year for the services covered by this Agreement is spent, whichever event occurs first (the "Non -Appropriation Date"). If at any time funds are not appropriated for the continuance of this Agreement, cancellation shall be accepted by the Architect on thirty (30) days prior written notice, but failure to give such notice shall be of no effect, and the City shall not be obligated under this Agreement beyond the Non -Appropriation Date. THE CITY AND THE ARCHITECT HERBY AFFIRM THE ABOVE -EXPRESSED PROMISES, AND ON THIS 10thDAY OF Marrh , 2016, THE PARTIES ENTER INTO THIS AGREEMENT. CITY OF LUBBOCK — , z�// GLEN C. 6BERTSON, MAYOR ATTEST: 0-fo'd A - A:� Relbecca Garza, City Secret y APPROVED AS TO CONTENT: Bill APPROVED AS TO FORM: Justin P uitt As istant City Attorney CHAPMAN HARVEY ARCHITECTS, INC. Professional Services Agreement —City of Lubbock & Chapman Harvey Architects —2016 7 1 P a g e February 24, 2016 Citibus Administration & Maintenance Renovation — Design Proposal Mr. Maurice Pearl, Citibus General Manager City of Lubbock PO Box 2000 Lubbock, Texas 79457 Mr. Pearl, ChapmanHarvey ARC H I T E C T S. I N C. Chapman Harvey Architects (CHA) and their consultants have evaluated your list of concepts and intentions for the desired renovations to the existing Citibus Administration and Maintenance Facility located at 801 Texas Avenue. The ground floor area of this facility is approximately 32,000 square feet. This proposal has estimated probable costs for those Items which have been selected and prioritized through discussions between CHA and Citibus staff with consideration being given to the available construction budget. The results are outlined in this proposal as follows: Mechanical. Electrical and Plumbing (MEP) Renovations Mechanical work will include updating the heating, ventilation and air conditioning (HVAC) systems to meet the requirements of Citibus to maintain a 72F temperature year round with no manual or seasonal changing of equipment. The scope of work will be tailored to what will fit within the given budget. Electrical work will include normal power distribution to mechanical equipment. It is recognized that this item of the work is the greatest priority. $324.000.00 Roofing Renovations Roof areas requiring modification due to MEP work will be appropriately renovated. A new roof hatch, accessible from the bus maintenance area, will be installed. Deteriorated areas of the roof will be repaired. Areas of roofing not able to be repaired will be replaced with an appropriate material. Roofing insulation will be up -graded as appropriate. All roofing work will be undertaken with the Owner's intended warranty result and available budget in mind. This work is the secondary priority. $183,260.00 Administration Cosmetic Improvements • Of last priority is cosmetic work involving wall and trim painting, floor coverings, ceiling tiles and related work not requiring spatial and/or accessibility alterations to the existing facility. This work will be 612 Broadway! LubbocUems 79401 , distributed throughout the administration areas as prioritized by Citibus staff according to the greatest need and the remaining budget not consumed by the MEP and Roofing work. 806.749.1 153 rax 749.1866 architect chapmanharvey.com I $54,000.00 Celebrating 25 years of service. Contingency • A contingency amount of approximately 5% of the construction budget of $590,800.00 will be reserved for unanticipated occurrences and situations common with renovation work on older structures. If unused during construction, these monies will be directed toward security cameras, related equipment and work as instructed by Citibus staff. $29, 540.00 Professional Fees • Architect including structural design $36,700.00 • MEP Engineer $33,500.00 Total Project Budget $661,000.00 These estimates, while broad in nature, were based on current costs for construction of a project of comparable scope. Individual costs per category are subject to category reassignment within the total project budget based on changing conditions and potential unforeseen discoveries made during construction. Work as described in this proposal is of a nature that does not require handicap accessibility therefore, Texas Accessibility construction plan review, construction inspection and associated fees will not be required. Prior to bidding this project, Citibus staff will have an opportunity to review and comment on the Construction Documents. Upon award of the Construction Contract by City Council, CHA will assist with Construction Administration for the project, throughout construction. Additional desired architectural services not outlined above are available at CHA Standard Hourly Rates. See attached Schedule. Thank you for this opportunity to once again work with the City of Lubbock. Resp submitted, Marcus G. Chapman, AIA Architect Celebrating 25 years of service. 612 Broadway Lubbock.Texas 79401 806.749.1153 fax 749.1866 architect@chapmanha eycom SCHEDULE OF RATES January 1 through December 31, 2016 HOURLY ChapmanHarvey A R C H I T E C T S. I N C. Design Basic Services Each project's Design Team includes the client's representative, the architect, the consulting engineers, and when applicable, the contractors and material suppliers. The Architect's and Engineer's basic services typically include a schematic design phase, a design development phase, a construction documents phase, a bidding phase, and a construction administration phase. Additional services may include life cycle management, master planning, interior design, facility assessments, acoustical design, model construction, graphic artwork, renderings, project videos, landscape design, irrigation consulting, handicap accessibility design, photography, and/or other tasks as assigned. Additional services are reimbursable expenses. Personnel Classification / Rate Per Hour: Principal (registered architect/engineer) $210.00 Design Architect (registered staff architect) $180.00 Design Engineer (registered staff engineer) $180.00 Intern Architect (non -registered staff architect) $140.00 Intern Engineer (non -registered staff engineer) $140.00 Drafter (non-degreed support staff) $110.00 Clerical / Non -Technical (non -technical support staff) $90.00 Rates stated are for an 8:00 a.m. to 5:00 p.m., Monday through Friday workweek. When a client request services during non -business hours, services are provided at a rate of time and a half, calculated at 1.5 times the stated rate. Reimbursable Expenses: Airfare Mileage Photography Photocopy Printing Model Construction Video Production Meals Auto Parking Postage/Shipping Digital Printing Graphic Artwork Computer Renderings Hotel Consultants Car Rental/Taxi Artist Renderings Specialized Testing Soil Investigations Chapman Harvey Architects, Inc. shall be reimbursed at the rate of 1.03 times the invoiced amount. The client may authorize other reimbursable expenses as the project develops. The client's representative shall provide written authorization to add reimbursable items to the executed agreement prior to the architect performing these tasks. Monthly Invoices: Chapman Harvey Architects, Inc. invoices the first of each month for services provided during the previous month. Invoiced amounts are due upon receipt. To avoid finance charges, invoiced amounts must be received in Chapman Harvey Architect's office within twenty-one days of the invoice date. Finance Charges are computed at a periodic rate of 2% per month of the unpaid amount, equaling 24% annually. At CHA's discretion, accounts must be paid in full prior to the release of any project documents for which fees and reimbursable expenses are due. s:Mllakf r slschWule Of rele - h dy CERTIFICATE OF INTERESTED PARTIES FORM 1295 Soti Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2016-29053 Date Filed: 03/21/2016 Date Acknowledged: 04/04/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Chapman Harvey Architects, Inc Lubbock, TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. City of Lubbock 3 Provide the identification number used by the governmental entity or state agency to track or identity the contract, and provide a description of the goods or services to be provided under the contract. to be awarded Architectural Design Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Marta Alvarez Lubbock, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said , this the day of 20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.312 12/14/1995 21:36 8067491866 CHAPh1AN HARVEY ARCH PACE 03 CE OF INTERMEU PARTIES FORM 12955 1of1 OFFICE USE ONLY We are Interested g=pWafd"es. 0 them are no inteCERTIFICATION OF FILING g lortn, and the dthe business entity's place certificate Number: ALtUESINA00S 2016-29053 IncDate Filed: or state agencytract for Ich a form is 03/21 2016 6ekt� Cky OfblIleek Dale Acknowledged: usad by the governmental smRy or state agency to track or identity the contract, end provide a seMces to be prWdod under the contract. Vnumber '�t Services 1154{ Nature or Interest (check applicable) 4 s of IritsPletad patty City, State, Country (place of business) Controlling Intermediary Marta A*er Lubbock, TX Untied States X I i s M ND Yfutsstad P*rtY. ❑ 6 1 swear, or affirm, under penalty of perjury, that a above disclosure Is true and Correct. t 'ESA ►OKRAS ' ltlblc. $1010 of Texas .,,.. m. 6rplres 12-04.2018 w M"Ylb 130043424 net a of author) e t o1 contracting business entity AFFI }STAMP ISM ABOVE r to WAkilbed betorr me, by theSaki �. this the _ day of 20 1D4w My rkkch. witness my hand d seal of adminW*nng oath Printed name of officer administering oath Tine of officer adtninistering oath Forms pfgvr bolvam" Ethics Commissidt