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HomeMy WebLinkAboutResolution - 2016-R0330 - Amendment 7 To Professional Services Agreement - RS&H Inc. - LPSIA Services - 09/22/2016Resolution No. 2016-RO330 Item No. 6.14 September 22, 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 Amendment No. 7 to Professional Services Agreement No. 12234 for Architectural/Engineering Services at LPSIA, by and between the City of Lubbock and RS&H, Inc.. of Houston, Texas, and related documents. Said Amendment 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 September 22, 2016 _ __ DANIEL M. POPE, MAYOR ATTEST: Reb cca Garza, City Se-cretar)U APPROVED AS TO CONTENT: Kelly Campbell, Executive Director of Aviation APPR S TO FORM: Mit ell Satterw hite,f irst Assistant City Attorney RES.Amend 7,Agrmt 12234-RS&H, Inc 8.23.16 Resolution No. 2016-RO330 City of Lubbock Preston Smith International Airport Terminal Building Modifications PROJECT PROPOSAL / PROJECT WORK SCOPE — DESIGN PHASE SERVICES FOR VARIOUS PROJECTS CONTRACT No. 12234 AMENDMENT No. 7 11011 Richmond Ave, Suite 900 Houston, TX 77042 713 914 4455 Fax 713 914 0155 Rodney Bishop, Vice President July 22, 2016 City of Lubbock Preston Smith International Airport Terminal Building Modifications PROJECT PROPOSAL / PROJECT WORK SCOPE — CONCEPT, DESIGN PHASE SERVICES FOR VARIOUS PROJECTS PROFESSIONAL SERVICES WORK PLAN The City of Lubbock (the Airport) has identified elements within the passenger terminal building that are in need of upgrading or replacement. Also identified are certain programmatic issues dealing with passenger flow and use efficiency of the terminal space. This Work Plan will discuss these needs and identify a strategy to address each either individually or as part of a group. Individual projects will be described in detail and an approach for addressing each will be detailed. If an issue is dependent upon or is seen to have an effect on other issues, they will be addressed as one project. This Work Plan describes the scope of services by RS&H, Inc., the Architect/Engineer (A/E) for the design and construction phases of the renovation and improvements. This Work Plan includes a Project Schedule and a Project Proposal. The Project Schedule defines the durations of work that are the basis of the Work Plan and Project Proposal. The Project Proposal provides the basis of the estimate for the required compensation and defines the task efforts and deliverables required for the Project. UPGRADING OR REPLACEMENT PROJECT SCOPE DEFINITION — Detailed scope defined under A. Basic Services The Project is to provide professional planning/architectural and engineering consultant services for site layout and terminal building improvements. Several previous design projects will be used either as the basis for continuing design with this scope of services or to be incorporated into this project in whole or in part. The project will be developed under the following understandings: • Ticketing, Baggage Screening, Security Checkpoint (SSCP) and Revolving Doors —A/E completed a Concept Design that evaluated landside enhancements including relocating the SSCP and exit access lane, to consolidate the inbound bag screening, and to improve the bag claim system. This will form the basis of the further development of this work. • Terminal Public Address (PA) System Integration —The Terminal PA System was designed under a separate agreement. Some portions of the PA System Improvements have already been constructed as part of prior contracts. This scope of services includes the integration of the previously designed PA system into the select areas of the terminal renovated under this project. • Access Control and CCTV Upgrades — Preliminary design work was completed during the earlier Concept Design services to upgrade the CCTV video management system as well as to improve the integration of the access controls and CCTV system. The scope of services includes the completion of the Final Design and Construction documents. City of Lubbock Preston Smith International Airport Terminal Building Modifications Page 1 • Building Envelope Weather Tightness - This Work includes design work completed under a separate agreement. This separate Building Envelope project will be integrated into this scope of work and updated as required due to the other modifications associated with this scope of services. • Mechanical and Plumbing Systems — A separate work scope was completed to update the HVAC system assessment. This project shall incorporate the Airport agreed work for repairs/replacement of the system. A phasing plan for plumbing infrastructure replacement, mostly associated with the restrooms, was completed under a separate project. A/E will incorporate improvements to system, fixtures, and facilities as part of this work. • Complete necessary CAT EX documentation per regulatory requirements. The Terminal Building Modifications design included in this scope of services will consider typical terminal elements in the development of the work including the systems, equipment, and facilities typical of a new passenger terminal complex based upon the following effort and assumptions: • Evaluation of airspace, safety areas, movement and non -movement areas, reflectance assessment, and FAA Part 77 surfaces with respect to the planned new terminal and support facilities. • Design limited site improvements and landscaping associated with the other Terminal Modifications. • Incorporate areas for ticketing lobby, baggage claim lobby, airline, car rental, food, beverage and merchandise concession shell spaces, baggage makeup and off-load areas including tug and cart circulation and staging, public lobbies, circulation, seating areas restrooms, security screening, passenger screening security offices, storage, voice/data equipment rooms for the telephone company and major users (Airport and airlines), electrical and mechanical equipment rooms, janitorial closets, storage, etc. • Design of interior space for the public circulation, seating and waiting areas (secure and non -secure), and the operations and security areas. This includes flooring, wall and column coverings, ornamentals, ceiling, lighting, architectural millwork, seating, furnishings, artwork, commercial advertising, security screening areas, and limited other specialty features requested by the Airport. • Design of outbound baggage belt conveyor systems from the airline ticket counters to the TSA baggage screening area and inbound bag claim areas. • Design of inbound centralized conveyor collection system to common bag claim devices. • Architectural millwork design including complete counter shells without inserts for baggage check-in, ticketing, security screening, boarding lounge passenger processing, gate ticket lift, car rental, airline baggage service offices. • A/E and the Airport will establish the level of architectural expression for the millwork consistent with all terminal area applications with the airlines and car rental companies. • Mechanical and plumbing systems development including HVAC, chilled water, steam and hot water, fire protection, domestic hot and cold water, plumbing, natural gas, sanitary and storm sewer systems, etc. • Design of the electrical building systems and other such items as the baggage handling equipment, public information systems, lighted signage, security systems, tenant power and distribution as required. This includes cable routing and cabling as needed for voice/data/radio communications, including airline systems. A central monitoring command center for security monitoring of the terminal complex, energy management of the building, maintenance management and fire monitoring. • Design of the permanent interior and exterior signage and the electronic visual information display system (EVIDS) including structural supports, sign framing, millwork (pedestals, cabinets, housings, etc.), electrical, lighting, signal cable and conduit for all the terminal complex signage and visual display. The design of a uniform signage and graphics program is to be planned for the facility. It shall include all the signage — City of Lubbock Preston Smith International Airport Terminal Building Modifications Page 2 directional, information, regulatory and identifying —visual media (EVIDS) items including the ticket counter functional signage, baggage information display (BIDS), gate information display (GIDS), and multiple user flight information displays (MUFID's). This includes millwork for EVIDS, FIDS, BIDS and other such applications. Design, review and provide recommendations of furnishings, fixtures and equipment ("FFE"), including any public area seating, common area furnishings, etc., and where applicable, the reuse of furniture and equipment. Funding Expectations — The Project's total budgeted cost is estimated to be $ 22,000,000. The actual cost may vary significantly as the Project design progresses and the scope is further developed. Changes to the project cost may require changes in the A/E efforts and require increases to the compensation indicated in the Project Proposal. Project Duration — The Project's schedule is defined in the accompanying Project Schedule. The actual schedule may vary significantly as the Project design progresses and the scope is further developed. Changes to the project schedule may require changes in the A/E efforts and require increases to the compensation indicated in Project Proposal. A.BASIC SERVICES Task A.1.0 Concept Design Refinements Performance of this Task will refine the general design parameters of scope, scale and relationship of components of the Project developed under earlier work. Documentation will include plans, sections, elevations and/or written descriptions. Specific task breakdowns are as follows: Task A1.1 Project Kick -Off Meeting — An initial meeting will be held with the Airport covering introduction of key project team members, team organizational structure, project responsibilities, summary overview, project summary, project approach, review schedule, review project budget, deliverables summary, and other issues. Task 1.2 Alternative Configurations — Based upon the earlier Concept Design Services effort completed under separate work, refined alternatives will be studied to evaluate accommodation of the various facility needs and building functions. Scaled study plans will illustrate the alternatives along with presentation of the features and the relative responsiveness to the goals and objectives of the facility. This task will result in concurrence with the Airport on the alternative, or combination of features of the alternatives, for further development. Task 1.3 Architectural Design — The aesthetic design considerations for function, massing, exterior and interior appearances will be defined and alternative approaches presented. Evaluations based on preferences and affordability will be made for the Airport's direction for further refinement during the Design Development phase. Task 1.4 Cost Estimate Budget Development — An estimate of probable construction cost of the Conceptual level documents will be developed to establish the relative value of project components, potential alternates for funding limitations, and the conformance to the overall project budget. The probable construction cost is an estimate representing the judgment of the estimators who have no control over the cost of labor, materials or equipment, over the Contractor's methods of determining prices, or over competitive bidding, market or negotiating conditions. Accordingly, the A/E cannot, and does not, warrant or represent that bids or negotiated prices will not vary from the budget, funding or from any estimate or evaluation by the A/E. It is anticipated that there will be 3 phases for construction identified thru discussions with the Airport at this and later phases. City of Lubbock Preston Smith International Airport Terminal Building Modifications Page 3 RS&H will develop the project budget estimate including building, site work, utilities, permit/construction fees, contingencies and all professional fees. Using this information, RS&H will prepare an assessment of FAA eligible program areas. The analysis will project eligible and non -eligible program areas and recommendations to adjust the program to maximize eligibility of FAA funding. Task 1.5 Site Investigation Program — A/E will direct and coordinate the limited geotechnical and site survey programs. The results will be evaluated and incorporated into the foundation and drainage design and civil/site project documentation. Task 1.6 Code and Permitting Research — Preliminary determination of jurisdictional authority requirements for Building Code, Fire Protection and Life Safety. Impacts on project scope and strategies to accommodate requirements will be defined. Task 1.7 Project Management and Discipline Coordination — Scheduling, resource allocation, monitoring, oversight, direction and control for all aspects of the team's efforts including assembly and coordination of all documentation. Task 1.8 Design Report — The efforts resulting from the work effort noted above will be incorporated into a Design Report. The Report will include an updated cost estimate, outline specifications, initial design calculations and suggested further actions. A subsequent review meeting will be held and minutes issued with corrections made as necessary to proceed to the next deliverable. Task 1.9 Meetings — Kick off meeting (4 people) and 2 interim Design meetings (3 people). Task A.2.0 Design Development Performance of this Task will be based on the approved Task 1 Design Report and shall further refine the design and establish the scope, relationships, forms, size and appearance of the project through plans, sections, elevations, details and outline specifications. Specific task breakdowns are as follows: Task 2.1 Civil/Site Design Development — Design and documentation of limited demolition of existing civil facilities, site utilities, pavements, geometry, grading and drainage. Task 2.2 Landscape Design Development — Design and documentation of limited landscape areas and features. Task 2.3 Architectural Design Development — Design and preliminary documentation of the space layout, functional features, envelope, exterior and interior appearance and related plans, sections and details for the Project. Task 2.4 Structural Design Development — Design and preliminary documentation of foundations, floor framing, girders, columns and lateral load system. Task 2.5 Mechanical HVAC Design Development — Design and preliminary documentation of heating, ventilation, air conditioning and building automation system. Task 2.6 Plumbing Design Development — Design and preliminary documentation of roof drainage system, water supply system and sanitary system. City of Lubbock Preston Smith International Airport Terminal Building Modifications Page 4 Task 2.7 Fire Protection Design Development — Design and preliminary documentation of standpipe, hose cabinet and sprinkler system as applicable. Task 2.8 Electrical Design Development — Design and preliminary documentation of power service, lighting, security, fire alarm, communication and premise distribution systems. Task 2.9 Baggage System Design Development — Design and documentation of inbound, outbound, sortation and claim devices. Task 2.10 Public Address and Acoustics Design Development — Design and documentation of integration of audio communication (paging) system and visual paging system completed under a separate project. Task 2.11 Cost Estimate Budget Development — An estimate of probable construction cost of the design development level documents to establish the relative value of project components, potential alternates for funding limitations, and conformance to the overall project budget. The probable construction cost is an estimate representing the judgment of the estimators who have no control over the cost of labor, materials or equipment, over the Contractor's methods of determining prices, or over competitive bidding, market or negotiating conditions. It is anticipated that there will be 3 phases for construction identified thru discussions with the Airport at this and later phases. Accordingly, the A/E cannot, and does not, warrant or represent that bids or negotiated prices will not vary from the budget, funding or from any estimate or evaluation by the A/E. Task 2.12 Updated Eligibility Analysis - Prepare an update of the assessment for eligible program costs and analysis. The analysis will project eligible and non -eligible program areas and recommendations to adjust the program to maximize eligibility of FAA funding. This will be based on an analysis of eligibility, resulting from federal guidelines for the facility. Additionally, RS&H will conduct discussions with other participating entities as determined in conjunction with the Airport to determine potential alternative funding sources. Task 2.13 Code and Permitting Research — Final determination and documentation of jurisdictional authority requirements for Building Code, Fire Protection and Life Safety and State mandated Accessibility Interpretations of requirements will be incorporated in the design documents forjurisdictional reviews. Task 2.14 Project Management and Discipline Coordination — Scheduling, resource allocation, monitoring, oversight, direction and control for all aspects of the team's efforts including assembly and coordination of all documentation. Task 2.15 Design Development Report & Meetings — The efforts resulting from the work effort noted above will be incorporated into a Design Report. The Report will include an updated cost estimate, outline specifications, initial design calculations and suggested further actions. A subsequent review meeting will be held and minutes issued with corrections made as necessary to proceed to the next deliverable. Task 2.16 Meetings An intermediate Design Development review meeting (3 people, 1 time) and a Submittal Approval (3 people, 1 time) meeting shall be held. The Design Development Report will be reviewed and approved by the Airport. Task A.3.0 Construction Documents Performance of this Task will be based on the approved Design Development documents. This work shall provide the detailed requirements for construction of the Project including Drawings and Specifications that establish, in City of Lubbock Preston Smith International Airport Terminal Building Modifications Page 5 sufficient detail for the production of shop drawings, the configuration and quality of the materials, components and systems required for the Project. Task 3.0.1 Civil/Site Construction Documents — Final design and documentation for the installation of underground utilities and the establishment of site configurations for construction access, securing of the site, providing staging areas, safety and phasing plans, survey control, the completed project's geometry, pavement sections, grading and drainage, fence improvements, soil erosion, sedimentation control, pavement markings, site lighting and electrical improvements. Development of Construction Safety Phasing Plan (CSPP) per FAA requirements, technical specifications, Engineer's Design Report, soil erosion and drainage permit submittal and coordination, and submittal of project for FAA airspace review. Task 3.0.2 Landscape Construction Documents — Design and final documentation of limited site landscape areas and features. Task 3.0.3 Architectural Construction Documents — Design and final documentation of architectural elements of the project such as space layout, functional features, envelope, exterior and interior appearance and related plans, sections and details. Task 3.0.4 Structural Construction Documents — Design and final documentation of foundations, superstructure bracing system, structural framing system and miscellaneous structural elements. Task 3.0.5 Mechanical HVAC Construction — Design and final documentation of heating, ventilation, air conditioning and building automation system. Task 3.0.6 Plumbing Construction Documents — Design and final documentation of roof drainage system, water supply, sanitary system, kitchen systems and toilet room systems. Task 3.0.7 Fire Protection Construction Documents — Minor design and final documentation of standpipe, hose cabinet and any required sprinkler system as applicable by the review Authority. Note this effort will not provide a fully designed and documented fire suppression system Task 3.0.8 Electrical Construction Documents — Design and final documentation of power service, lighting, security, fire alarm, communication and premise distribution systems. Task 3.0.9 Baggage System Construction Documents — Design and final documentation of inbound and outbound, sortation and claim devices. Task 3.0.10 Public Address and Acoustics Construction Documents — Design and final documentation of integrated audio communication (paging) system and visual paging system from earlier work. Task 3.1 Probable Construction Cost Estimate—An estimate of probable construction cost of the nearly complete construction documents to identify potential alternates for funding limitations and assess probable conformance to the overall project budget. The probable construction cost is an estimate representing the judgment of the estimators who have no control over the cost of labor, materials or equipment, over the Contractor's methods of determining prices, or over competitive bidding, market or negotiating conditions. Accordingly, the A/E cannot, and does not, warrant or represent that bids or negotiated prices will not vary from the budget, funding or from any estimate or evaluation by the A/E. City of Lubbock Preston Smith International Airport Terminal Building Modifications Page 6 Task 3.2 Project Management and Discipline Coordination — Scheduling, resource allocation, monitoring, oversight, direction and control for all aspects of the team's efforts including assembly and coordination of all documentation. Task 3.3 FAA Grant Administration/Local/Federal and TSA Financial Assistance Alternatives — Assist the Airport in refining funding strategies and provide assistance in the preparation of Letters of Intent, Memorandums of Agreement, etc. A/E will attend local, state and federal meetings, when agreed upon, to assist the Airport with its continued work toward funding strategies development. Task 3.4 Construction Document Review Meetings — Review meetings for the Construction Documents Phase of the work will occur at approximately 60% and 90% stages. Documents will be submitted in advance to the Owner, and a follow up review meeting will occur, to review and implement changes before proceeding to the next development stage. The 90% FAA review meeting will be incorporated into this meeting. Funding Expectations — The Project's total cost is to be phased using the Airports Entitlement and potential Discretionary funds available on an annual basis. Project Duration — The Project's schedule is defined in the accompanying Project Schedule. The actual schedule may vary significantly as the Project design progresses and the scope is further developed. Changes to the project schedule may require changes in the A/E efforts and require increases to the compensation indicated in Project Proposal. Bidding, Construction Administration and/or Resident Project Representative Services are not included in this proposal. B. SPECIAL SERVICES The A/E services are divided into two categories: Basic Services and Special Services. Basic Services are those services recognized as necessary A/E efforts performed in direct support of the production of Construction Documents. Special Services are efforts which further the progress of the project but are not a direct participation in the document production for the basic facility. Task B.1.0 Site Investigation Program — Limited Geotechnical investigation and site survey programs provided at the potential expanded area at the Ticketing portion of the terminal. Soil borings, laboratory testing and geotechnical engineering analysis will be performed for foundation, pavement, and earthwork design. Limited horizontal and topographical surveys will be performed and incorporated into electronic files for drainage design and civil/site project documentation. Task B.2.0 Graphics/Wayfinding — A new signage system for the terminal and its curb -front area will be developed. Task B.3.0 Interiors, Furnishings Fixtures and Equipment—Interiors and FFE design services consist of consideration of alternative materials, systems and equipment, and development of design solutions and equipment requirements, in order to establish material sample boards and furnishings fixtures and equipment types and layouts, with follow-on development of design packages for procurement provided. TASK B.4.0 Environmental Support — Provide environmental support for project development as described below. City of Lubbock Preston Smith International Airport Terminal Building Modifications Page 7 TASK B. 4.0.1 CAT EX Services The Consultant shall develop a scope of services for this Documented CatEx to ensure the Documented CatEx complies with the requirements and guidelines of Federal Aviation Administration (FAA) Orders 1050.1E, Environmental Impacts: Policies and Procedures and 5050.4B, NEPA Implementing Instructions for Airport Actions. The Consultant shall work with the FAA Airports District Office (ADO) to identify the format for the Documented CatEx. The work scope prepared by the Consultant will guide the preparation of this Documented CatEx. TASK B.4.0.2 Description of the Proposed Action The Consultant shall prepare a description of the Proposed Action. This description shall include any graphics or tables that may aid the Consultant's efforts to describe the Proposed Action. Based on this description, the Consultant shall identify the paragraph(s) in Chapter 3 of FAA Order 1050.1E, Change 1, Environmental Impacts: Policies and Procedures that most closely describes the Proposed Action as a categorically excluded action. The Consultant will include that paragraph in the section of the Documented CatEx addressing the Proposed Action. TASK B.4.0.3 Prepare Draft Documented Categorical Exclusion In accordance with Section 304 of FAA Order 1050.1E, the Consultant shall examine the Proposed Action relative to the "extraordinary circumstances" listed here: » Historic, archeological, or cultural resources protected by Section 106 of the National Historic Preservation Act » Section 4(f) resources (i.e., parks, recreational areas; wildlife refuges; historic properties); » Natural, ecological, or scenic resources including, wetlands, floodplains, prime or unique farmland, energy supply and natural resources, coastal zone areas, and wild and scenic rivers » Division or disruption of an established community » Surface traffic congestion » Noise » Air quality » Water quality » Quality of life or other public or agency concerns that are likely to be highly controversial » Consistency with laws relative to environmental issues » Cumulative impacts To complete that examination, the Consultant will prepare a "draft Documented CatEx", based on the checklist in the Standard Operating Procedure (SOP) adopted by the FAA on October 1, 2014. In completing Task 3, the Consultant shall use the SOP checklist to advise the FAA and Owner that the Proposed Action does not require further analysis under NEPA because the action: 1) Does not involve any extraordinary circumstance; or 2) Involves an extraordinary circumstance, but that involvement would not cause significant environmental effects. The draft Documented CatEx will be submitted to the Owner in electronic format for review and comment. City of Lubbock Preston Smith International Airport Terminal Building Modifications Page 8 TASK B4.0.4: Prepare FINAL documented categorical exclusion After the Owner reviews the draft Documented CatEx, the Consultant shall revise that documentation based on the comments provided. The Consultant will submit the final Documented CatEx to the Owner to submit to the FAA ADO for their decision. Task B.S.0 Cost Estimating — A/E's Sub -Consultant shall prepare probable estimates of Costs for each deliverable. Task B.6.0 Baggage Handling System -Development of complete inbound (non -inline) and centralized inbound system collected from multiple airline spaces. Anticipated Schedule is as follows: (please note Bidding Dates are identified for information only, Bidding Services are not included in this proposal) LBB Term Proposed Design / Procurement Schedule Denotes City of Lubbock (COL) designated holiday Item Description Number of Days Start Date End Date RS&H Submit Proposal to LBB 1 7/15/2016 7/15/2016 LBB Review of RS&H Proposal 9 7/18/2016 r 7/26/2016 Airport Board Approval of RS&H Proposal 1 7/27/2016 7/27/2016 City Attorney Reviewof RS&H Proposal 14 7/28/2016 8/10/2016 Put RS&H Proposal on City Council Agenda 1 8/10/2016 8/10/2016 City Council Approval of RS&H Proposal 1 8/25/2016 8/25/2016 Contract Execution 14 8/26/2016 9/8/2016 Labor Day Monday September 5, 2015 COLOff 9/5/2016 9/5/2016 Project Kick -Off/ Pre -Des, gn Meeting 1 9/13/2016 9/13/2016 Perform Topographical Survey 14 9/19/2016 10/3/2016 Perform Geotechnical Investigation if needed 42 9/19/2016 10/31/2016 Concept Design Refinements 28 9/13/2016 10/11/2016 LBB Review 10 10/12/2016 10/21/2016 Review Meeting 1 10/21/2016 10/21/2016 60% Design Documents 49 10/21/2016 12/9/2016 Thanksgiving Holiday 11/24/2016 11/2016 LBB Review of 60N- Design Documents 7 12/10/2016 12/16/2016 Review Meeting for 60% Design Documents 1 12/16/2016 12/16/2016 Preliminary Site Pian Review Meet ngwithCity ofLubbock ifneeded 1 12/16/2016 12/16/2016 90% Design Documents 35 12/16/2016 1/20/2017 Christmas Eve + Christmas Saturday 24-25,2016 12/24/2016 12/25/2016 Potential Holiday week 12/26/2016 12/30/2016 New Years Day 1 1/1/2017 1/1/2017 MIK 1 1/16/2017 1/16/2017 LBB? FAA Reviewof90%Design Documents 14 1/21/2017 2/3/2017 LBB Review Meeting for 90% Design Documents 1 2/3/2017 2/3/2017 Final Site Plan Review MeetingwithCity ofLubbock 1 2/3/2017 2/3/2017 100% Sealed Design Documents 14 2/3/2017 F 2/17/2017 Submit Sealed 100% Sealed Design Documents to FAA, LBB, City of Lubbock Building Inspections, TDLR 1 2/17/2017 2/17/2017 City Permit Review 60 2/18/2017 4/18/2017 TDLR Accessibility Review 60 2/18/2017 4/18/2017 Coordination with City Purchasing 28 3/21/2017 4/18/2017 Advertisement/ Procurement Period 28 4/24/2017 5/22/2017 Open Bids 1 5/23/2017 5/23/2017 Prepare Grant Application 5/23/2017 5/25/2017 Memorial Day 1 5/2017 5/29]2017 Provide Bidding Package No 2 365 5/29/2018 5/29/2018 Provide Bidding Package No 3 365 5/29/2019 5/29/2019 .�rw� ■ r r�rr��. City of Lubbock Preston Smith International Airport Terminal Building Modifications Page 9 RSSH Terminal Building Modifications PROJECT PROPOSAL PROJECT STAGE - DESIGN PHASE TASKS SCOPE / TASK TITLE Project Otticersl Directors Project Managers l snr NE', SGB AIE's Intorn AlE's I.e.l.rT.W.� Tech's Admin Assts A. BASIC SERVICES - LUMP SUM FEE ESTIMATE BREAKDOWN Design Task A.1.0 Schematic Design Task 1.1 Kick Off Meating 8 16 12 2 38 Task 1.2 Altemative Configurations 0 Building refinement of options 24 80 12 80 60 256 Site 16 32 48 Task 1.3 Architectural Design 100 210 120 120 BO 10 640 Task 1.4 Estimating/Budgeting Documents Civil 1 24 24 49 Landscape 8 8 Architectural 1 8 1 6 1 2 16 Structural B B Mechanical/ HVAC 44 44 Plumbing_ 2 2 _ Fire Protection 2 2 Electrical 42 42 Task 1.5 Site Investigation Program 4 24 2 30 Task 1.6 Code and PermittingResearch 4 36 2 42 12!t1.7 Project Management and Discipline Coord. 4 175 6 185 Task 1.$ Desi n Report 120 BO 24 8 22VS.123.DG4 _ Task 1.9 Meetings 4 24 12 2 TOTAL HOURS 16 348 542 380 224 150 46 RATE $88.29 $63.70 $39.12 $27.65 $36.56 $30.83 $21.83 TOTAL DIRECT LABOR 5 $1.413 522,169 $21.203 $10,508 58,189 $4,595 51.004 OVERHEAD 178.1% PROFIT@ 11% , TOTAL BURDENED LABOR @ 3.09 $213,214 OTHER DIRECT NON -SALARY COSTS # DWGS WAGES REPRODUCTION $1.00 $0.10 #SETS Drawings 25 12 $300 Reports/Spectfiwtions 325 12 5390 TOTAL REPRODUCTION $690 # PCKGS # PCKGS POSTAGEMELIVERY $15.00 $3.00 Drevnngs and Specifications 5 S75 TOTAL POSTAGE/DELIVERY $75 SPECIALTY SUBCONSULTANTS TOTAL SPECIALTY SUBCONSULTANTS $0 TRAVEL Airfare a Car Lodging Per Diem No. of # eople #Days $550 $65 $125 $B0 - Tmes Kick OH Meeting 4 People 4 2 52,200 $130 5500 $640 1 $3.470 Design meetings 2 x - 3 people 3 2 $1 650 $130 $375 $480 2 $5,270 MILEAGE 0 - Miles a $o 5o $0 TOTAL ODC's $6,035 Total Lump Sum Fee for. Task A.1.0 Schematic Desi n $219,249 Task A.2.0 Design Development Task 2.1 Civil/Site Design Development Civil Demolition Design 8 32 16 56 Site Utility Design 1 8 32 16 57 Pavement Design 2 16 18 Geometric Design 1 8 32 16 57 Grading and Drainage Design 1 8 32 16 57 Task 2.2 Landscape Design Development Develop concepts 12 8 20 Amenity Ajtematives 12 8 20 Task 2.3 Architectural Design Development Floor Plans 40 120 BO 120 120 Life Safe Plans 8 8 BuildingSections and Elevations 48 44 44 80 Envelope Sections and Details 48 60 P12 Interior Designand Detailing36 12 24 60 2 Package Coordination 40 40 40 80 Task 2.4 Structural Design Development Foundations 24 1 12 36 Framing system 12 12 24 Lateral Load System 12 12 24 E tenor Wali Systems 12 12 2 1 Task 2.5 Mach HVAC Design Development Heating/Cooling/Energy Code Load Evaluation 80 8 88 DucliPiping RDesi n 8 24 24 56 E uwment Design 40 16 56 I cf 5 SCOPE I TASK TITLE Project Otticersl Directors Project Managers Snr AIE's Sbe AIE's Intern AIE's Senior Tech's Tech's Admin Asst's TOTAL Heating and Venlialtion Systems 36 8 44 Package Coordination 2 40 12 40 94 Task 2.6 Plumbing Design Development Drainage System 8 24 32 Toilet Rooms 4 18 22 Package Coordination 2 44 1 24 1 70 Task 2.7 Fire Protection Design Development Code Compliance 8 4 2 14 Fire Protection System 12 18 30 Task 2.8 Electrical Design Development 0 Power Supply 12 60 12 2 60 146 Lighting System 60 8 2 60 130 Comm/FAIS na e Systems 60 12 2 60 134 Security System 60 6 1 2 60 130 Package Coordination 2 40 12 40 94 Task 2.9 Baggage System Design Development Design and PreliminaryDocumentation 2 16 12 30 Task 2.10 Public Address and Acoustics Desi n Development Design and preliminarydocumentation - Coordination with separate work 12 8 20 Task 2.11 Cost Estimate Budget Development Support development of cost estimates 4 44 44 12 8 12 124 Task 2.12 Code and PermittingResearch Building Code and Life Safety 12 1 1 4 16 Task 2.13 Project Management and Discipline Coord. Schedulingresourcing, m mt 18 110 40 12 160 Task 2.14 Design Development Report & Meetings Meetings and Discipline Coordination (web ex) 4 60 44 44 12 164 Task 2.15 Meetings Meetings and Coordination - Travel 8 46 24 24 4 108 TOTAL HOURS 30 325 1126 564 208 1028 48 3329 RATE $88.29 S6370 $39 12 $27.65 $3656 $30.63 $2183 $36 99 TOTAL DIRECT LABOR 5 $2,649 $20,704 1 $44.049 1 $15,596 $7,604 $31,489 I S1,048 S123,138 OVERHEAD CM 178.1% $219,260 PROFIT® 11% $37,664 TOTAL BURDENED LABOR 9b 3.09 5380.062 OTHER DIRECT NON -SALARY COSTS # DWGS #PAGES REPRODUCTION $1.00 $010 #SETS Drawings 20 12 $240 Reports/Specifications 250 12 5300 TOTAL REPRODUCTION $540 # PCKGS # PCKGS POSTAGE/DELIVERY Al a 51500 S300 Drawings and Specifications 5 $75 TOTAL POSTAGE/DELIVERY $75 SPECIALTY SUBCONSULTANTS Hardware HSKJ $3,66306 PAS stems Avant $5,20000 Cost Estimating Vistas S7,80000. TOTAL SPECIALTY SUBCONSULTANTS $16663 TRAVEL Airfare Car Lodging Per Diem No of #People #Days $550 $65 $125 S80 Times Interim review Meeting 1 3 2 51,025 $130 $375 $480 1 $2,010 Interim review Meeting 2 3 2 $1,025 5130 S375 $480 1 $2,010 Design development Meeting 3 2 $1,025 $130 $375 $480 1 $2.010 $6,030 MILEAGE 0 Miles $050 S0 TOTAL ODC's Total Lump Sum Fee for. Task A.2.0 Design Development $403.370 Task A.3.0 Construction Documents Task 3.0.1 Civil/Site Construction Documents Cover Sheet - Drawing Index 4 4 001 Summary of Specifications and Quantities 8 8 002 Safety and Security Notes and Details 2 6 10 003 Contract Layout Plan and General Notes 4 16 20 004 Phasing Plan and General Phasing Notes 2 16 16 005 Horizontal and Vertical Control Plan 8 8 006 Demolition Plans 8 24 32 007 Geometry Plans 8 24 32 008 Typical Pavement Sections 16 16 009 Fence and Gate Details 8 8 010 Soil Erosion and Sedimentation Control Plans 4 16 20 011 Gradin and Drainage Plans 8 32 40 012 Drainage Details 8 8 013 Pavement Elevation Plans 16 16 014 Pavement Markin Plans 8 16 2q 015 Site Lighting and Signage Plans and Details 4 16 20 016 Construction Safe PhasingPlan (3x) 12 12 48 72 S ecifine tons 4 16 20 En ineefs Des n Re ort 4 16 20 Soil Erosion and Drainage Permitting 4 i6 20 2of5 SCOPE I TASK TITLE Protect Protect Officersl Managersl Directors snr AIE's staff.F. Intern -Vii senior Tech's I.W. I Aamin W. TOTAL Airspace Submittal to FAA 1 2 3 Task 3.0.2 Landscape Construction Documents 017 Planting Plans 12 12 018 Piantin Schedules and Notes 12 12 019 Planting Sections and Details 12 12 020 Landscape Amenities Plans and Details 12 12 021 Irrigation Plans 12 12 Specifications 4 1 5 Task 3.0.3 Architectural Construction Documents — I Cover SheeVlndex of Drawings 022 Project Notes/Abbreviations/Location Plan 6 10 16 023 Partition Types 6 10 16 024 Overall Floor Plan 6 16 22 025 Roof Plan 6 16 22 026 Overall Reflected Ceiling Plam 4 12 22 38 027 Demolition Plans 8 60 24 24 80 4 200 028 Floor Plan –AreaA 6 24 30 029 Floor Plan -Area B 6 22 28 030 Floor Plan -Area C 6 22 28 031 Floor Plan -Area0 6 22 28 032 Roof Plan - Area A 6 22 28 033 Roof Plan Area B 6 22 28 034 Roof Plan Area C 6 22 28 035 Roof Plan Area D 6 22 28 036 Reflected Ceiling Plan – Area A 8 20 28 037 Reflected Ceiling Plan – Area B 8 20 28 038 Reflected CeilingPlan – Area C 8 20 28 039 Reflected CeilingPlan – Area D 1 8 20 28 040 Exterior Building Elevations - Front Side 6 16 22 041 Exterior Building Elevations - Rear Sie 6 16 22 042 Exterior Building Elevations - Partial Enlarged 6 16 22 043 Exterior Building Elevations - Partial Enlarged 6 16 22 044 Building Sections 6 6 24 36 045 Building Sections 6 6 24 36 046 Exterior Wall Sections 6 6 24 36 047 Exterior Wall Sections 6 6 24 36 048 Exterior Section Details 6 6 24 36 049 Details 6 6 24 36 050 Details 6 24 30 051 Details 6 24 30 052 Details 6 24 30 053 Site Details 6 24 30 054 Roof Details 6 22 28 055 Roof Details 6 22 28 056 Enlarged Floor Plans 6 24 30 057 Enlarged Floor Plan 6 24 30 058 Interior Elevations 6 16 22 059 Interior Elevations 6 16 22 060 Interior Elevations 6 16 22 061 Interior Details 6 24 24 54 062 Interior Details 6 24 24 54 063 Interior Details24 6 640 24 54 064 Casework 44 108 065 Casework 24 40 44 108 066 Room Finish Schedule 6 22 28 067 Iloor Schedule/Door es Details 6 22 28 068 Finish Floor Plans Details 12 12 40 64 S ecifications 12 12 Task 3.0.4 Structural Construction Documents 069 Foundation Plans 12 16 28 070 Foundation Schedule and Details 8 16 24 071 Foundation Sections 8 16 24 072 Foundation Sections 8 16 24 073 Main Level FramingPlans 8 16 24 074 Roof FramingPlans 8 16 24 075 Demolition Plans 24 24 40 Si 076 Column Schedule and Details 8 16 24 077 Framing Sections 12 16 28 078 Framing Sections 12 16 28 079 Framing Details 12 16 28 080 Framing Details 12 16 28 081 Typical Details and General Notes 6 16 22 082 Canopy Plans 12 16 28 083 Canopy Sections 12 16 28 084 Misc Framing Plans 12 16 28 085 Misc Framing Sections 12 16 28 086 Misc Framing Details 12 16 28 087 T ical Details and General Notes 12 16 28 S eefications 6 6 Task 3.0.5 Mechanical HVAC Construction Documents 088 Mechanical Legend 112 12 089 Demolition Plans 4 12 24 60 18 118 090 Overall HVAC Plan A 4 20 6 30 091 Overall HVAC Plan B 4 20 6 30 092 Overall HVAC Plan c 4 20 6 30 093 Overall HVAC Plan D 4 20 6 30 092 Enlarged HVAC Plans 4 20 6 30 093 Enlarged HVAC Plans 4 20 6 30 094 Overall Pi in Plan A 4 14 6 24 095 Overall Pi in Plan B 4 14 6 1 24 096 10verall Piping Plan C 4 14 1 6 1 24 097 10verall Piping Plan D 1 4 1 14 1 1 6 1 24 3 of 5 SCOPE / TASK TITLE Project Project Officers/ Managers/ Directors Snr AIE's StaeA/E's Intern A/E's Senior Tech's Tech's Admin Assrs TOTAL 096 Enlarged HVAC Plans 4 14 6 24 097 Enlarged HVAC Plans 4 14 6 24 098 Overall Equipment/Piping Plan 4 14 6 24 099 Overall EquipmenVP!ping Plan 4 20 6 30 100 Enlarged piping Plans, Details 4 20 6 30 101 Enlarged Central Plant Area Plans 4 20 6 30 102 Equipment Sections 4 16 6 26 103 Equipment Sections 4 16 6 26 104 Ductwork Sections 4 16 6 26 105 Ductwork Sections 4 16 6 26 106 Chilled Water Schematic 4 16 6 26 107 Condenser Water Schematic 4 20 6 30 108 BAS Controls Architecture 4 20 6 30 109 HVAC Details 2 20 6 28 110 HVAC Details 2 16 6 24 111 HVAC Schedules 11 2 16 6 24 112 HVAC Schedules 2 16 6 jf�24 S ecifications q 4 Task 3.0.6 Plumbing Construction Documents 113 Plumbing Legend and Notes q 4 114 Demolition Plans 40 24 64 114 Plumbing Plan Area -A 20 20 115 Plumbing Plan — Area B 20 20 116 PlumbingPlan — Area C 20 20 117 Plumbing Plan — Area D 20 20 116 Enlarged Plan Toilet Rooms 20 20 117 Riser Diagrams 20 20 116 Plumbing Schedules 20 20 119 Plumbin Sections 20 20 120 Plumbin Details 16 16 S ecificalions 12 2 Task 3.0.7 Fire Protection Construction Documents 121 Fire Protection Legend and Notes 4 4 122 Overall Plan / Site 2 2 123 Area A 12 8 20 124 Area B 12 8 20 125 Area C 12 8 20 126 Area D 12 8 20 127 Riser Diagrams 4 4 8 12 128 Fire Protection Detailseci 8 20 S fcetions 2 1 3 Task 3.0.8 Electrical Construction Documents 129 Electrical Legend and General Notes 8 8 16 130 Demolition Plans 12 40 36 40 128 131 Overall Power Plan 36 8 44 132 Overall Lighting Plans 36 8 44 133 Overall Comm/FA/SI na a Plans 36 8 44 134 Overall Security Plan36 8 q4 135 Enlarged Power Plan 36 8 44 135 Enlarged Lighting Plans 36 8 44 136 Enlar ed Comm/FA/S nae Plans 36 8 44 137 Enlarged Corti S nae Plans Details 36 8 44 137 Enlarged Securi Plan 36 8 4q 138 Enlarged SecurityPlan 36 8 qq 139 Enlarged Electric Room Plans 36 B 44 140 Enlarged Electric Room Plans 36 8 44 141 Enlarged SecurityPlans 36 8 44 142 Details 36 8 44 143 Enla ed Electric Room Plans 16 8 24 144 Enla ed Electric Room Plans 16 8 24 145 Enlarged Security Plans 16 8 2q 146 Site/A /Apron Lighting Plans 12 4 16 147 Power Riser Diagram & Details 16 8 2q 148 Communication Riser Diagram & Details 12 8 20 149 SecurityRiser Diagram & Details 14 8 22 150 SecuritySystem Point Schedule 14 8 22 151 Panel Schedules 14 8 22 152 Lighning Protection Roof Plan 14 8 22 153.1-ighning Protection Details 12 8 20 S ecificahons 6 6 Task 3.0.9 Baggage System Construction Documents 4 24 48 40 116 Task 3.0.10 Public Address and Acoustics Construction Documents 2 18 20 Task 3.1 Probable Construction Cost Estimate16 12 4 32 Task 3.2 Project Management and Discipline Coordination 12 180 40 12 244 Task 3.3 FAA Grant Administration 8 24 24 24 18 98 Task 3.4 Construction Document Review Meetings 0 36 36 24 24 120 TOTAL HOURS 20 284 917 2072 326 2004 6p 5685 RATE S8829 S6370 S39 12 1 $2765 S3656 $3063 $21.83 S3302 TOTAL DIRECT LABOR S $1,766 $18,092 $35,873 1 557,296 511,991 561,385 57,310 5187,712 OVERHEAD 1781% $334,241 PROFIT@ 11% $57,415 TOTAL BURDENED LABOR Q 3091 5579,368 Total Labor Fee for. Task A.3.0 Construction Documents $579,368 4 of SCOPE I TASK TITLE Project oMcersl Directors Project Manaeersl snr nlE's Start A/E's Intern A/E's senior Tech's Tech's Admin AssCs TOTAL OTHER DIRECT NON -SALARY COSTS # DWGS #PAGES REPRODUCTION $100 50.10 #SETS Dravnn s 160 12 $1,920 Reports/Specifications 300 12 S360 TOTAL REPRODUCTION $2,280 # PCKGS # PCKGS POSTAGEIDELIVERY 51500 S300 Drawings and Specifications 4 3 $69 TOTAL POSTAGEIDELIVERY $69 SPECIALTY SUBCONSULTANTS Hardware HSKJ $16,500 PAS stems Avant $7,875 Cost Estimating Vistara 510,575 Texas Accessibilty review $12,0001 TOTAL SPECIALTY SUBCONSULTANTS $48,950 TRAVEL Airfare Q Car Lodging Per Diem No, of #People #Days 5550 $65 $125 $80 Times 60% review 4 2 $1,650 5130 $500 $640 1 $2,920 90% review 4 2 $1.650 $130 5500 $640 1 52,920 $5,840 MILEAGE 1000 Miles $050 $500 TOTAL CDC's $57,639 Total Lump Sum Fee for. Task A.3.0 Construction Documents $637,007 TOTAL DESIGN PHASE A. BASIC SERVICES - LUMP SUM FEE ESTIMATE BREAKDOWN Design $1,259,626 B. SPECIAL SERVICES - LUMP SUM FEE ESTIMATE BREAKDOWN Task B.1.0 Site Investigation Program S 6,500 Task B.2.0 Graph cs Wayfinding $ 61,010 Task B.3.0 Interiors, Fumishings Fixtures and Equipment 5 22,000 Task B.4.0 Environmental Support $ 11.050 Task B.5.0 Cost Estimating $ 11,050 Task B.6.0 Baggage Handling System S 125,515 TOTAL DESIGN PHASE B. SPECIAL SERVICES -LUMP SUM FEE ESTIMATE BREAKDOWN $ 237,125 TOTAL DESIGN Phase Lump Sum Fee: $1,496,751 e� 11011 Richmond Ave, Suite 900 Houston, TX 77042 Phone 713.914.4455 Fax 713.914.0155 TBPE Registration. No, F-3401 Approved As To Form: Approved As To Content: cutive Director of Aviation City of Lubbock, TX By: Mayor By: CitASeCrjary 0 City of Lubbock Preston Smith International Airport Terminal Modifications Design thru Construction Services Submitted by: Rodney Bishop, Jr., Vice Nres�i jnt July 22, 2016 CERTIFICATE OF INTERESTED PARTIES FORM 1295 loft 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: 2016-107628 Date Filed: 09/02/2016 Date Acknowledged: 09/09/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. RS&H, Inc. Houston, 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, Texas 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. 12234 / Amendment #7 (5756) Engineering Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Bottaro, John J. Jacksonville, FL United States X Cino, Maria Jacksonville, FL United States X Debs, Joseph N. Jacksonville, FL United States X Gaboury, David Jacksonville, FL United States X Jacobson, Kenneth R. Jacksonville, FL United States X Jenkins, Jr., Leerie T. Jacksonville, FL United States X Puente, Henry Jacksonville, FL United States X Ratliff, J. Ronald Jacksonville, FL United States X Robert, Lisa M. Jacksonville, FL United States X Sweeney, David T. Jacksonville, FL United States X Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 CERTIFICATE OF INTERESTED PARTIES FORM 1295 2of2 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: 2016-107628 Date Filed: 09/02/2016 Date Acknowledged: 09/09/2016 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. RS&H, Inc. Houston, 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, Texas 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. 12234 / Amendment #7 (5756) Engineering Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary 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 V1.0.277 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of2 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: 2016-107628 Date Filed: 09/02/2016 Date Acknowledged: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. RS&H, Inc. Houston, 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, Texas 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. 12234 / Amendment #7 (5756) Engineering Services 4 Name of Interested Party City, State, Country (place of business) Nature of Interest (check applicable) Controlling Intermediary Bottaro, John J. Jacksonville, FL United States X Cino, Maria Jacksonville, FL United States X Debs, Joseph N. Jacksonville, FL United States X Gaboury, David Jacksonville, FL United States X Jacobson, Kenneth R. Jacksonville, FL United States X Jenkins, Jr., Leerie T. Jacksonville, FL United States X Puente, Henry Jacksonville, FL United States X Ratliff, J. Ronald Jacksonville, FL United States X Robert, Lisa M. Jacksonville, FL United States X Sweeney, David T. Jacksonville, FL United States X Forms provided by Texas Ethics Commission www.ethics.state.tx.us version vl.u.z t i Forms provided by Texas Ethics Commission www.ethics.state.tx.us version vl.0.2 i i CERTIFICATE OF INTERESTED PARTIES FORM 1295 2of2 Complete Nos. l - 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 Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2016-107628 RS&H, Inc. Houston, TX United States Date Filed: 09/02/2016 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, Texas Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify description of the services, goods, or other property to be provided under the contract. the contract, and provide a 12234 / Amendment 47 (5756) Engineering Services Nature of interest 4 Name of Interested Party City, State, Country (place of business) (check applicable) Controlling I Intermediary 5 Check only if there is NO interested Party. ❑ 6 AFF I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. sol"'lit" JANET M. MALONE Y'U°`n: Notary Public - State of Florida "e My Comm. Expires Nov 8. 2016 *az Commission H EE 850627 Bonded Through National Notary Assn. zz Signature of auth rized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE /n1 " Sworn to and subscribed before me, by the said (,G��u, l� c)�D this the ;2 nC11 day of 1Jlr 20 1_�a , to certify which, witness my hand and seal of office. LA 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 vl.0.2 i i