HomeMy WebLinkAboutResolution - 2020-R0383 - Contract 15344 with Infrastructure Management ServicesResolution No. 2020-RO383
Item No. 6.9
October 27, 2020
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 Contract No. 15344 for
development of a municipal pavement management system as per RFQ 20-15344-MW, by and
between the City of Lubbock and IMS Infrastructure Management Services, LLC, of Tempe,
Arizona, and related documents. Said Contract 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 October 27, 2020
DANIEL M. POPE, MAYOR
KIN 00WIN 9
Re e a Garza, City S ret y
APPROVED AS TO CONTENT:
Jesica McEachern, Assistant City Manager
K Hi Leisure, Assistant City Attorney
ccdocs/RES.PSA-No. 15344 Development of Municipal Pavement Management System
October 8, 2020
Resolution No. 2020-RO393
PROFESSIONAL SERVICES AGREEMENT
STATE OF TEXAS §
COUNTY OF LUBBOCK §
This Professional Service Agreement ("Agreement") Contract No. 15344 is entered into this 27th
day of October 2020, is by and between the City of Lubbock (the "City"), a Texas home rule
municipal corporation, and Infrastructure Management Services, (the" Engineer").
WITNESSETH
WHEREAS, The City desires to contract with the Engineer to provide professional services for
the Development of a Municipal Pavement Management System, (the "Activities"); and
WHEREAS, the Engineer has a professional staff experienced and is qualified to provide
professional engineering services related to Activities, and will provide the services, as defined below, for
the price provided herein, said price stipulated by the City and the Engineer to be a fair and reasonable
price; and
WHEREAS, the City desires to contract with the Engineer to provide professional services
related to the Activities, and Engineer desires to provide the Services related to same.
NOW THEREFORE, for and in consideration of the terms, covenants and conditions set forth in
this Agreement, the City and the Engineer hereby agree as follows:
ARTICLE I. TERM
The term of this Agreement commences on the Effective Date and continues without interruption
for a term of 200 days. If the Engineer determines that additional time is required to complete the
Services, the Director of Public Works, may, but is not obligated to, in his or her discretion, execute an
agreement to grant up to an additional six (6) months of time so long as the amount of the consideration
does not increase. An amendment to this Agreement resulting in an increase in the amount of the
consideration must be approved by the City acting through its governing body.
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Page 1 of 10
ARTICLE II. SERVICES AND COMPENSATION
A. The Engineer shall conduct all activities, and within such timeframes, as set forth in Exhibits
"A&B", attached hereto (the "Services").
B. The Engineer shall receive as consideration to be paid for the performance of the Services, the
contract is awarded by unit price, set forth in Exhibit "B", this award is based on estimated quantities and
actual expenditures which may be more or less depending on actual need.
ARTICLE III. TERMINATION
A. General. The City may terminate this Agreement, for any reason or convenience, upon thirty
(30) days written notice to the Engineer. In the event this Agreement is so terminated, the City shall only
pay the Engineer for services actually performed by the Engineer up to the date the Engineer is deemed to
have received notice of termination, as provided herein.
B. Termination and Remedies. In the event the Engineer breaches any term and/or provision of
this Agreement, the City shall be entitled to exercise any right or remedy available to it by this
Agreement, at law, equity, or otherwise, including without limitation, termination of this Agreement and
assertion of an action for damages and/or injunctive relief. The exercise of any right or remedy shall not
preclude the concurrent or subsequent exercise of any right or remedy and all rights and remedies shall be
cumulative.
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 Engineer 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 Engineer has the corporate power to enter into and perform this
Agreement and all other activities contemplated hereby.
Page 2 of 10
C. Authorization. Execution, delivery, and performance of this Agreement and the activities
contemplated hereby have been duly and validly authorized by all the requisite corporate action on the
part of the Engineer. This Agreement constitutes legal, valid, and binding obligations of the Engineer and
is enforceable in accordance with the terms thereof.
D. Engineer. The Engineer 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 Activities contemplated
hereby.
E. Performance. The Engineer will and shall conduct all activities 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 professional services, as contemplated hereby.
F. Use of Copyrighted Material. The Engineer warrants that any materials provided by the
Engineer for use by City pursuant to this Agreement shall not contain any proprietary material owned by
any other party 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 Engineer shall be
solely responsible for ensuring that any materials provided by the Engineer pursuant to this Agreement
satisfy this requirement and the Engineer agrees to indemnify and hold City harmless from all liability or
loss caused to City or to which City is exposed on account of the Engineer's failure to perform this duty.
ARTICLE VI. SCOPE OF WORK
The Engineer shall accomplish the following: Professional Services related to the Services, as
provided in Exhibit "A", attached hereto and made a part hereof.
ARTICLE VII. INDEPENDENT CONTRACTOR STATUS
The Engineer and the City agree that the Engineer shall perform the duties under this Agreement
as an independent contractor and shall be considered as independent contractor under this Agreement
and/or in its activities hereunder for all purposes. The Engineer 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 Engineer and the Engineer's employees and/or 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.
Page 3 of 10
ARTICLE VIII. INSURANCE
The Engineer shall procure and carry, at its sole cost and expense through the life of this
Agreement, except as otherwise provided herein, insurance protection as hereinafter specified, in 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 Engineer shall
obtain and maintain in full force and effect during the term of this Agreement, and shall cause each
approved subcontractor or sub -consultant of the Engineer 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 must carry a Best's Rating of A-Vll or better. Except for
Professional Liability, the policies will 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: $2,000,000
Automobile Liability:
Combined Single Limit for any auto: $1,000,000 Per Occurrence
Employer's Liability:
Per Occurrence Single Limit: $1,000,000
Worker's Compensation
Per Occurrence Single Limit: $500,000
The Engineer shall further cause any approved subcontractor or sub -consultant to procure and
carry, during the term of this Agreement, the insurance coverage required of Engineer 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 Engineer shall
provide a Certificate of Insurance to the City as evidence of coverage.
The Certificate shall provide 30 day's notice of cancellation. A copy of the additional insured
endorsement and waiver of subrogation attached to the policy shall be included in the Certificate. The
Engineer shall elect to obtain worker's compensation coverage pursuant to Section 406.002 of the Texas
Page 4 of 10
Labor Code. Further, the Engineer 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 Engineer
maintains said coverage. The Engineer 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 Engineer fails to maintain the required insurance in full force and effect, the Engineer 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 Engineer'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 AGENTSIRETAINING OF CONSULTANTS
The Engineer may employ or retain consultants, contractors, or third parties (any of which are
referred to herein as "Sub -consultant"), to perform certain duties of Engineer, as set forth on Exhibit B,
attached hereto, under this Agreement, provided that the City approves the retaining of Sub -consultants.
The Engineer is at all times responsible to the City to perform the Services as provided in this Agreement
and the Engineer is in no event relieved of any obligation under this Agreement upon retainage of any
approved Sub -consultant. Any agent and/or Sub -consultant retained and/or employed by the Engineer
shall be required by the Engineer to carry, for the protection and benefit of the City and the Engineer and
naming said third parties as additional insureds, insurance as described above required to be carried by the
Engineer in this Agreement.
The Engineer represents that such services are either under applicable value thresholds or are
otherwise exempt from notice and/or bid requirements under Texas Law.
ARTICLE X. CONFIDENTIALITY
The Engineer 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.
Page 5 of 10
ARTICLE XI. INDEMNITY
THE ENGINEER SHALL INDEMNIFY AND SAVE HARMLESS THE CITY OF LUBBOCK
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 NEGLIGENT ACTS OF THE ENGINEER, ITS
AGENTS, EMPLOYEES, AND/OR SUBCONSULTANTS, RELATED TO THE PERFORMANCE,
OPERATIONS OR OMISSIONS UNDER THIS AGREEMENT AND/OR THE USE OR
OCCUPATION OF CITY OWNED PROPERTY. THE INDEMNITY OBLIGATION PROVIDED
HEREIN SHALL SURVIVE THE EXPIRATION OR TERMINATION OF THIS AGREEMENT.
ARTICLE XII. COMPLIANCE WITH APPLICABLE LAWS
The Engineer 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 thereto.
ARTICLE X1II. NOTICE
A. General. Whenever notice from the Engineer to the City or the City to the Engineer 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 party 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. Engineer's Address. The Engineer's address and numbers for the purposes of notice are:
Infrastructure Management Services, LLC
Jeff Myers
8380 Kyrene Rd. #101
Tempe, AZ 85284
Telephone: (480) 839-4347
Facsimile: (480) 839-4348
Page 6 of 10
C. City's Address. The City's address and numbers for the purposes of notice are:
Michael Gilliland
City of Lubbock
P.O. Box 2000
1314 Avenue K
Lubbock, Texas 79457
Telephone: (806) 775 2600
D. Change of 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
Provision of Data. The City shall furnish the Engineer non -confidential studies, reports and other
available data in the possession of the City pertinent to the Engineer's Services, so long as the City is
entitled to rely on such studies, reports and other data for the performance of the Engineer's Services
under this Agreement (the "Provided Data"). The Engineer shall be entitled to use and rely, so long as
such reliance is reasonable, upon all such Provided Data.
ARTICLE XV. MISCELLANEOUS
A. Captions. 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.
B. Audit. The Engineer 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 Engineer's books and records with
respect to this Agreement between the Engineer and the City.
C. Records. The Engineer shall maintain records that are necessary to substantiate the services
provided by the Engineer.
D. Assignability. The Engineer 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
Engineer, and in the case of the City, its respective successors, legal representatives, and assigns, and in
the case of the Engineer, its permitted successors and assigns.
Page 7 of 10
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
ACTIONS THAT ARE CONTEMPLATED HEREBY.
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 and/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 duly authorized and executed by the Engineer and the City.
1. Entire Agreement. This Agreement, including Exhibits "A" through "B" attached hereto,
contains the entire agreement between the City and the Engineer, 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 Engineer and the City.
K. Documents Owned by City. Any and all documents, drawings and specifications prepared by
Engineer as part of the Services hereunder, shall become the property of the City when the Engineer has
been compensated as set forth in Article 11, above. The Engineer shall make copies of any and all work
products for its files.
L. Notice of Waiver. A waiver by either the City or the Engineer 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 Engineer.
Page 8of10
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 the 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
Engineer 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.
O. SB 252. SB 252 prohibits the City from entering into a contract with a vendor that is
identified by The Comptroller as a company known to have contracts with or provide supplies or service
with Iran, Sudan or a foreign terrorist organization.
P. No Boycott of Israel. Pursuant to Section 2270.002 of the Texas Government Code,
Respondent certifies that either (i) it meets an exemption criteria under Section 2270.002; or (ii) it does
not boycott Israel and will not boycott Israel during the term of the contract resulting from this
solicitation. Respondent shall state any facts that make it exempt from the boycott certification in its
Response.
Q. Texas Public Information Act. The requirements of Subchapter J, Chapter 552, Government
Code, may apply to this contract and the contractor or vendor agrees that the contract can be terminated if
the contractor or vendor knowingly or intentionally fails to comply with a requirement of that subchapter.
To the extent Subchapter J, Chapter 552, Government Code applies to this agreement, Contractor agrees
to: (1) preserve all contracting information related to the contract as provided by the records retention
requirements applicable to the governmental body for the duration of the contract; (2) promptly provide to
the governmental body any contracting information related to the contract that is in the custody or
possession of the entity on request of the governmental body; and (3) on completion of the contract,
either: (A) provide at no cost to the governmental body all contracting information related to the contract
that is in the custody or possession of the entity; or (B) preserve the contracting information related to the
contract as provided by the records retention requirements applicable to the governmental body.
REMAINDER OF PAGE LEFT BLANK INTENTIONALLY
Page 9 of 10
EXECUTED as of the Effective Date hereof.
CITY OF LUBBOCK
ATTEST:
--a, AS,
rSd--%w 1 .4 -& 2E
Reber Garza, City Se ry
AS TO
L Wood V'ranViin, P.E., Director of Public Works
APPROVED AS TO FORM:
Ke i Leisure, Assistant City Attorney
DANIEL M. POPE, MAYOR
Firm:
Infrastructure Management Services
By:
Derek Turferr, M.B.A.
Page 20 of 10
Exhbit A: Schedule of Services
Task Activity
November
Decenioer
iiinuary
I
February
Marc�i
April
Project Initiation
Scope Confirmation & Contract Execution
Notice to Proceed & Project Initiation
GIS Review & Validation
Survey Routing & Mapping
Field Surveys
RST Mobilization & Calibration
RST Field Data Collection
Dynaflect Mobilization & Calibration
Dynattect Field Data Collection
Date Management
Data QNQC, Processing, & Format
Data Supply & Client Review
Easy Street Analysis Data Load
Pavement Analysis & Reporting
Ongoing Pavement Management Consulting
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Project Initiation
Includes the process of introducing the project, reviewing
the scope and developing survey maps.
Project Creation and Buildoul
Project Initiation Meeting
Collect Project Docs
Project Initiation Form (PIF) Created, Reviewed and Approved
Consume Client GIS Centerline Files
Create, Review and Approve Survey Map
Complete Final Map Prep and Build RST NOMAD
PE Inventory Review
Send Inventory Check and KMZ file
QC Inventory Check
Field Surveys
Drive every mile of pavement included in the scope with LCMS2
collection vehicles. Collect data to ASTM D6433 standards.
Utilize dyne device to apply a non damaging load to Arterial and
Collector roadways every 300-500 ft. to assess strength.
MobilizationlCalibraffon
Crew Onsite Meeting
RST Setup
Pavement Condition Field Data Collection (SDI & IRI)
Collect Cross Slope, Radius of Curvature and Grade
Dynaflect Mobilization
Crew Onsite Meeting (Dyna)
a. Deflection Testing: 2-pass Arterials & Collectors only
b. Traffic Control/Deflection Testing (to be provided by City)
Upload DBI file
Clear Crews
Collect Cross Slope, Radius of Curvature and Grade
Data Management
Includes the process of linking the data, visualty QAIQC, and
formatting for use. Development for delivery of digital images in 15 ft
segments. Reviewing condition data and collecting from the City
analysis parameters including budget cost, project style, rehab activities
necessary to complete analysis and 5 yr rehab plan. Configuring and
loading the Client Cartegraph instance. Draft final analyzis and present
results to the City of Lubbock.
RST and Dyna Conditioning, Processing and Sectioning
Link GIS Files (RST)
LCMS Laser Data Remote Rating
Create PCI Calculator (RST and Dyna)
Data QA/QC, RST and Dynba
PE Review, RST and Dyna
Prepare Condition Review Spreadsheet
Network Conditon Data Review Meeting, Client
Load Condition Data
Prepare and Deliver Conditon Data Maps
Analysis Parameters Review Meeting (Client)
Create and Load SuperSegments (Projects)
Cartegraph Data Load
Draft Analysis
Analysis Review Meeting (Client)
Create And Deliver Analysis Maps
Match and Deliver Digital Images (15 ft intervals)
Shape File1PGD & KMZ File Development & Delivery (by Segments)
Prepare and Review Final Report
Client Approval of Final Report
Prepare Council Presentation
Edit and Approve Council Presentation
Council Presentation
Cartegraph Training (per included Cart. Implementation plan by Cartegraph)
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CERTIFICATE OF INTERESTED PARTIES
FORM 1295
l of l
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
Certificate Number:
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
2020-679055
Infrastructure Management Services, LLC
Tempe, AZ United States
Date Filed:
10/15/2020
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, TX
Date Acknowledged:
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 services, goods, or other property to be provided under the contract.
RFQ 15344
Engineering Services - Pavement Management
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
I Intermediary
Search Fund Partners
Menlo Park, CA United States
X
TD investment Company
Pasadena, CA United States
X
Saltoun, Andrew
New York, NY United States
X
Weaver, Kent
Santa Barbara, CA United States
X
Turner, Derek
Tempe, AZ United States
X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name is Derek Turner and my date of birth is
My address is 1311 W Laird St Tempe AZ 85281 USA
(street) (city) (slate) (zip code) (oountry)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in Maricopa County, State of Arizona on 15 day of October , 2D2Q ,
(month) (year)
Signature authorized agent of contracting business entity
(Declarant)
Forms orovided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1_3a6aaf7d
CERTIFICATE OF INTERESTED PARTIES FORM 1295
1 of 1
Complete Nos. 1- a 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.
2020-679055
Infrastructure Management Services, LLC
Tempe, AZ United States
Date Filed:
10/15/2020
2 Name of governmental entity or state agency that Is a party tot the contract for which the form is
being filed.
City of Lubbock, TX
Date Acknowledged:
10/15/2020
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.
RFQ 15344
Engineering Services - Pavement Management
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
intermediary
Search Fund Partners
Menlo Park, CA United States
X
TD Investment Company
Pasadena, CA United States
X
Saltoun, Andrew
New York, NY United States
X
Weaver, Kent
Santa Barbara, CA United States
X
Turner, Derek
Tempe, AZ United States
X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name is and my date of birth is
My address is
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in County, State of on the day of , 20
(month) (year)
Signature of authorized agent of contracting business entity
(Declarant)
Forms orovided by Texas Ethics Commission www.Pthirs_state.tx.i,s Vprcrnn V1.1 .'AaRaaf7li