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R2022-007 2022-01-10RESOLUTION NO. R2022-7 A Resolution of the City Council of the City of Pearland, Texas, authorizing a design contract with Kirksey Architecture, for design services associated with the Water Operations Building Project, in the estimated amount of $180,075.00. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PEARLAND, TEXAS: Section 1.That certain contract for design services associated with the Water Operations Building Project, a copy of which is attached hereto as Exhibit “A” and made a part hereof for all purposes, is hereby authorized and approved. Section 2.That the City Manager or his designee is hereby authorized to execute and the City Secretary to attest a contract for design services associated with the Water Operations Building Project. PASSED, APPROVED and ADOPTED this the 10th day of January, A.D., 2022. ________________________________ J. KEVIN COLE MAYOR ATTEST: ________________________________ CRYSTAL ROAN, TRMC, CMC CITY SECRETARY APPROVED AS TO FORM: ________________________________ DARRIN M. COKER CITY ATTORNEY DocuSign Envelope ID: 53457356-37C3-4014-B09A-A79526731266 Page 9 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 Exhibit A DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 Page 10 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 Page 11 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 Page 12 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 Page 13 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 Page 14 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 1/31/2022 | 10:24 AM CST Rev. 03-2019 CLIENT Sergio Becerril PROJECT COP Water Operations Building - CoP Project #FA2107 KIRKSEY PROJECT # 2021248 This Proposal is by and between Kirksey Architects, Inc. d/b/a Kirksey (“Architect”) and Client. Client wishes to retain Kirksey to provide services in connection with the Project described as follows: The design and construction of a new administrative building for the City of Pearland Water Operations located on the city water service site at the corner of Alice Street and Profax Drive in Pearland, Texas. 1 SERVICES The specific Basic Services proposed by the Architect and the initial assumptions made with respect to the provision of such services are described in the Scope of Services attachment. Additional or specifically excluded services may also be described in the Scope of Services and the Terms and Conditions. 2 COMPENSATION AND PAYMENT The consideration payable to the Architect for the Architect’s services and reimbursable expenses and the times and method of payment are set forth in the Compensation attachment and the Terms and Conditions attachment. 3 SCHEDULE OF SERVICES The schedule for performance of the Architect’s services is set forth in the Schedule attachment and the Terms and Conditions attachment. 4 TERMS AND CONDITIONS OF SERVICE Other terms and conditions of service are set forth in the Terms and Conditions attachment. Upon execution, the Architect is authorized to proceed with services under the terms, conditions, and parameters contained herein. This Proposal may be amended only in writing with the signature of both parties, although the parties acknowledge that these terms, conditions, and parameters may later be converted to an appropriate AIA form agreement or other document. KIRKSEY ARCHITECTS, INC. By: Nagib Madi Title: Senior Associate Date: 12/08/2021 proposal Page 15 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 1 GENERAL The specific Basic Services to be provided by the Architect, and the initial assumptions made with respect to the provision of such services, are described below. Services not identified as Basic Services constitute Additional Services for which additional compensation may be due. 2 INITIAL ASSUMPTIONS This proposal is based on the assumption that the design will be for an approximately 5,000 S.F.- 6,000 S.F. facility on +/- 0.65-acre site with about 52 parking spaces. 3 BASIC SERVICES The Architect’s Basic Services consist of those described herein. 3.1 PROGRAMMING AND CONCEPTUAL SITE PLAN In this initial stage we will meet with the user group to develop a program of space requirements to establish the size of the building and the main interior spaces such as, open work area, offices, breakroom, restrooms, storage. We will also coordinate with the City of Pearland IT group for AV/IT/Security scope, which is to be provided by the city. Based on this initial program we will develop two options for site concept design, identifying the building footprint, parking requirements and detention area. This site concept design will be presented to the City of Pearland planning & permit department for initial approval. Kirksey will also provide a schematic cost estimate and conceptual project schedule. 3.2 SCHEMATIC DESIGN PHASE SERVICES 3.2.1 The Architect shall review and evaluate general parameters for the Project and thereafter confirm with the Client the requirements for the Project, including the cost of work. Based upon the agreed-upon requirements, the Architect shall prepare Schematic Design Documents illustrating the scale and relationship of Project components. The documents may consist, each as appropriate or agreed, of drawings and other documents including a site plan, and preliminary building plans, sections and elevations as well as a combination of study models, perspective sketches, or digital modeling. The Architect shall submit the Schematic Design Documents to the Client for the Client’s written approval. 3.3 DESIGN DEVELOPMENT PHASE SERVICES 3.3.1 The Architect shall consider, if any are determined during scheduled monthly meetings, the Client’s revision of Project requirements or changes in the cost of work. Based upon the agreed- upon requirements and approved Schematic Design Documents, the Architect shall prepare Design Development Documents further refining the Schematic Design. The documents may consist, each as appropriate or agreed, of drawings and other documents including plans, sections, elevations, typical construction details, and diagrammatic layouts of building systems, as well as scope of services Page 16 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 outline specifications identifying major materials and systems. The Architect shall submit the Design Development Documents to the Client for the Client’s written approval. 3.4 CONSTRUCTION DOCUMENTS PHASE SERVICES 3.4.1 The Architect shall consider, if any, the Client’s revision of Project requirements or changes in the cost of work. Based upon the agreed-upon requirements and approved Design Development Documents, the Architect shall prepare Construction Documents further refining the Design Development Documents and consisting of drawings and specifications setting forth the quality levels of materials and systems and other requirements for construction of the work. The Architect shall submit the Construction Documents to the Client for the Client’s written approval. 3.5 BIDDING PHASE SERVICES 3.5.1 The Architect & its consultants shall assist the Client with the eBids process as reasonably required to prospective bidders, conducting a pre-bid conference (if appropriate), preparing responses, clarifications, and interpretations of the bidding documents. The Architect shall prepare and respond to addenda if needed, verify any bid abnormalities, issue a letter of recommendation to the city and attend the City Council award meeting. 3.6 CONSTRUCTION PHASE SERVICES 3.6.1 The Architect’s responsibility to provide Construction Phase Services commences with the award of the contract for construction and terminates at the earlier of the issuance of the final certificate for payment or 60 days after the date of substantial completion. 3.6.2 The Architect shall not have control over or responsibility for construction means, methods, techniques, sequences or procedures, or for safety precautions and programs, nor shall the Architect be responsible for the contractor’s failure to perform or for acts or omissions of the contractor or of any other persons or entities performing the work. 3.6.3 Subject to the parameters below, the Architect shall visit the site at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the portion of work completed and to determine, in general, if the work observed is being performed in a manner indicating that it will be in accordance with the contract documents when fully completed. The Architect, however, shall not be required to make exhaustive or continuous on-site inspections to check the quality or quantity of the work. On the basis of these visits, the Architect shall report to the Client those deviations, defects, and deficiencies observed in the work. 3.6.4 The Architect shall review and certify amounts due the contractor based upon the Architect’s site visit observations and the data in each application for payment. Such certificates indicate the Architect’s belief that the work has progressed to the point indicated and the quality is in accordance with the contract documents, each subject to qualification, if noted. Moreover, the issuance of a certificate for payment shall not be a representation that the Architect has made exhaustive or continuous on-site inspections of the quality or quantity of the work, reviewed construction means, methods, techniques, or sequences, reviewed requisitions or other data to substantiate the contractor’s right to payment, or ascertained how or for what purpose the contractor has used funds previously paid. 3.6.5 The Architect shall review and take appropriate action upon contractor’s submittals such as shop drawings but only for the limited purpose of checking for conformance with information given Page 17 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 and the design concept expressed in the Contract Documents. The Architect’s review shall not address the accuracy and completeness of other information such as dimensions or quantities or constitute approval of safety precautions or construction means, methods, techniques, sequences or procedures. If contractor proposes substitutions or an alternative for any specified equipment or material, any redesign to accommodate that request shall be at the contractor’s expense. 3.6.6 The Architect may authorize minor changes that are consistent with the intent of the Contract Documents and do not involve an adjustment in the contract sum or an extension of the time after consulting with owner. Subject to the parameters below, the Architect shall review change orders and construction change directives for the Client’s approval and execution. 3.6.7 Subject to the parameters below, the Architect shall conduct an inspection to determine (1) the date or dates of substantial completion and issue certificates of substantial completion and (2) the date of final completion and issue a final certificate for payment. 3.6.8 The following Construction Phase Services, as well as responding to RFIs, shall be provided as Basic Services subject to the following limits: [ 10 ] site visits by the Architect during construction, which is assumed to be [ 6 ] months [ 2 ] review(s) of each shop drawing, product data item, sample, and similar submittal [ 1 ] inspection(s) to determine substantial completion [ 1 ] inspection(s) to determine final completion The Architect shall notify the Client once these limits are reached, and any subsequent services shall be provided as Additional Services. 4 ADDITIONAL SERVICES 4.1 Any service not identified as a Basic Service, other than addressing TAS/ADA guidelines & windstorm requirements, constitutes an Additional Service for which additional compensation may be due and a schedule adjustment may be appropriate. The Architect shall notify the Client of the need for an Additional Service and obtain the Client’s written approval. Examples of Additional Services include services necessitated by changes in the initial information or project scope, revisions from prior approvals, or changes needed due to changes in codes, laws, or regulations. 4.2 If services have not been completed within 6 months of the date of execution through no fault of the Architect, services provided beyond that time shall be Additional Services. 4.2.1 Once design documents are approved by Client for each respective phase of design (Schematic, Design Development, and Construction Documents, or phases defined in this proposal), revisions to each subsequent respective phase shall be Additional Services. For clarity, revisions that are Additional Services include: services necessitated by a change in the Initial Information, changes from previous written instructions or approvals given by the Owner, or a material change in the Project including size, quality, complexity, the Owner’s schedule or budget for Cost of the Work, or procurement or delivery method. 4.3 Architect’s cost estimates, OPCC, are issued as professional opinion and are not guaranteed. If the actual construction cost exceeds OPCC, Architect will issue a recommendation letter that includes their opinion on the cost difference. Any services required for estimates of cost of work Page 18 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 should be performed by a cost consultant. Further, to the extent that Client requires Architect to make revisions to Design Development Documents or Construction Documents due to inaccuracies or errors in cost estimates prepared by others, or value engineering, such revisions shall be Additional Services. Page 19 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 1 GENERAL The consideration payable to the Architect for the Architect’s Basic Services is set forth below. The Architect’s compensation for Consultant Services, Additional Services and Reimbursable Expenses as well as the terms of payment for any services or expenses are as provided in the Terms and Conditions. 2 BASIC SERVICES COMPENSATION Services Program & Concept Site Plan SD DD CD Bid/ Permit Hourly NTE CA Hourly NTE Total Basic Services Architect: Kirksey $11,390 $16,630 $14,950 $37,930 $2,995 $21,430 $105,325 Add Services NTE MEP: Infrastructure Associates $2,000 $2,500 $10,000 $1,000 $2,000 $17,500 Civil: Jones Engineering Solutions $1,000 $5,000 $5,000 $10,000 $750 $1,000 $22,750 Structural: Henderson Rodgers $2,250 $3,000 $6,000 $750 $3,000 $15,000 Landscape & Irrigation: EHRA, Inc. $2,000 $2,500 $4,200 $1,000 $4,800 $14,500 TOTAL: $12,390 $27,880 $27,950 $68,130 $6,495 $32,230 $175,075 Reimbursable Budget $5,000 compensation Page 20 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 1 GENERAL The Architect has created an initial schedule for performance of the Architect’s Basic Services. The initial schedule may subsequently be refined or adjusted as the scope and other parameters are developed. Moreover, while time limits established by the schedule shall not generally be exceeded, the schedule may subsequently be extended as reasonably required due to the exercise of the Standard of Care, as a result of factors or conditions not the fault of the Architect, or other reasonable cause. Additional terms pertinent to the schedule and Architect’s performance thereunder are as provided in the attached City of Pearland Scope of Services Exhibit A. 2 SCHEDULE FOR BASIC SERVICES Programming 4 weeks Schematic Design 6 weeks Design Development 6 weeks Construction Documents 8 weeks Bid/Permit 4 weeks Construction Administration 26 weeks schedule Page 21 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 Design 1 of 4 D23. Revised 3/08 EXHIBIT A ARCHITECTURAL SCOPE OF SERVICES FOR Water Operations Building (Alice Water Plant) Page 22 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 Design 2 of 4 D23. Revised 3/08 Architectural Services: Standard Scope of Work Services provided would include complete architectural, structural, mechanical, electrical, plumbing, and civil design services. In addition, the following services will be included. I. Programming Phase 1. Create a comprehensive Site Plan in accordance with the Unified Development Code (UDC), site utilities, facilities and drainage planning. 2. Create a Program of Spaces for building interior, including: basic information such as sizes, space requirements, workflows, activities and special uses. 3. Facilitate meetings with City staff as needed to develop a detailed component and cite internal / external traffic planning of building program, including City’s standard building systems, equipment and materials. 4. Obtain a Geotechnical Report which recommends building foundations and paving design. Review, report and alert City of any issues found. Kirksey will coordinate structural and civil engineering as related to the design. 5. Obtain Boundary and Topographical Survey for the property. Review, survey and alert City to any issues found. Coordinate with civil engineer for design. 6. Attend coordination meetings with City staff and any pertinent external agencies (County, State and Federal) as required to determine the necessary methods of submittal from all pertinent entities. 7. Provide a schematic cost estimate and conceptual project schedule. 8. Prepare and submit three (3) sets of site plan program of spaces and adjacencies layout for review and approval. II. Schematic Design Phase 1. Facilitate meetings with City staff to review building square footage, required utilities, drainage, zoning to develop Schematic Design Documents. 2. Obtain and review applicable City standards and guidelines for design (Design Criteria Manual, Unified Development Code) and provide design that meets City codes. 3. Attend Pre-Development meeting and address points of clarification regarding the project. 4. Prepare and submit three (3) sets of Schematic Design Documents, Preliminary Specifications, Schematic cost estimate and schedule to the City staff for review and approval. (30% plan review). Components to include: a. site plans, paving layouts, traffic circulation b. floor plans, building circulation c. exterior elevations, rendering and color palette d. critical building sections and details e. Relevant right of way information such as easements, building set backs etc. f. Location of utilities and sizes 5. After receiving schematic design comments, meet with: a. Planning Department, building officials and Fire Marshall to review project requirements. b. City Engineer and Brazoria Drainage District 4 (BDD4) to review project drainage. c. Public Works to review utilities. 6. Respond in writing to all City comments on plans. 7. Coordinate with private utilities and service providers. 8. Update City Council and Planning and Zoning Commission, if needed 9. Receive written approval from City of the Schematic Design Phase prior to proceeding with Design Development Phase Page 23 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 Design 3 of 4 D23. Revised 3/08 III. Design Development Phase 1. Facilitate meetings with City staff to develop Design Development Documents. 2. Prepare and submit three (3) sets of Design Development Document s including Detailed Specifications, Cost Estimate and schedule to the City staff for review and approval. (60% plan review). Components to include: a. site plans, paving layouts, internal / external traffic circulation, lighting, signage and utilities b. floor plans, Structural, Civil, Architectural, Storm Water Pollution Prevention Plan (SWPPP), MEP, Fire Protection and landscaping c. exterior elevations, rendering and color palette d. building sections and details e. interior elevations, casework and millwork elevations f. drainage Study and calculations g. report addressing all City’s Design Criteria and Code requirements 3. Submit Plans Through E-Track for plan approval. 4. Respond in writing to all City comments on plans. 5. Update City Council and Planning and Zoning Commission, if needed 6. Coordinate final utility plans with private utility and service providers. IV. Construction Documents Phase 1. Prepare Construction Documents and Specifications and submit three (3) sets to City staff for Code, general review and signature (95% plan review). 2. List Sheets that will be included in the Final Set of Drawings. 3. Attend follow up meetings with Fire Marshall, BDD4, City Engineer, Planning, Chief Building Official (CBO), and Purchasing. a. Obtain BDD4’s approval and signature of plans. 4. Complete final coordination with private utilities and service providers. 5. Prepare and submit three (3) complete sets of Construction Documents, including 90% written responses, Specifications and Architect’s Cost Estimate and schedule to: a. Projects Department for review and approval (100% plan review) b. Community Development for formal Plan Review for Permit 6. Correct plans to reflect issues noted by Review for Permit. 7. Acquire signature of City Engineer and CBO. 8. Submit complete Construction Documents and Specifications and submit three (3) sets to City staff (100% plan review). 9. Submit plans to Texas Department of Licensing and Regulation (TDLR) and Registered Accessibility Specialist (RAS) for accessibility review once signed sealed documents are submitted. V. Bid Phase a. Provide Notice to Bidders (NTB) to the Project Manager. City is responsible for advertising. b. Reproduce and disseminate bid sets to the City [PM (1), Purchasing (1) and interested bidders in eBids] for original signatures. c. Assist in a pre-bid meeting with a prepared addendum. d. Respond in writing to questions from bidders. e. Assist with design of Bid Proposal* f. Attend the Bid Opening g. Prepare a bid tabulation of all bids received that includes the following required content: i. Check for math errors and reconcile any mathematical discrepancies ii. Review for unbalance bid items iii. Review construction schedule submitted by bidders iv. Certified Bid Tabulation including Consultant’s estimate Page 24 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 Design 4 of 4 D23. Revised 3/08 v. Review of contractor’s financial standing and references provided vi. Explanation of discrepancies between the Consultant’s estimate and bids to include percent of delta h. Prepare Consultant’s Recommendation of Award Letter 2. Attend City Council meeting and recommendation for award of Contract for Construction. 3. Produce and transmit to selected contractor five (5) sets of project manuals ready for execution with City’s Notice of Intent to Award (NOI) *This is the use of bid strategies to attain lowest possible prices for work, use of alternatives, etc. VI. Construction Administration Phase 1. Attend Pre-Construction and regular bi-weekly construction progress meetings. 2. Provide Construction Administration. a. Review, log and approve submittals, shop drawings, Request for Information etc. b. Review Construction Materials Testing reports. c. Review and approve applications for payment. d. Coordinate with Construction Manager on all Request for Change Proposals, Change Orders, etc. including maintaining a log of all such documents, in the City’s project management software. e. Provide direction for questions and concerns from the contractor and Construction/Project Manager in resolution of problems. 3. Provide Field Services for entire construction period a. Consultant’s Construction Administrator to conduct a site visit a minimum of one (1) time per month, including observation of structural concrete placement, underground piping installation and inspections, mechanical/electrical/plumbing cover-up, masonry installation, ceiling cover- ups, etc. b. Provide site visit report to Construction Manager monthly. 4. Conduct Substantial Completion Inspection, coordinate with Construction Manager/Project Manager to create punch list, substantiate that items noted are completed, issue Substantial Completion Certificate. VII. Project Close Out 1. Provide Warranty Administration Services during the entire Warranty Period. Architect to issue Warranty Reports and review items after the Contractor has notified the City that these items are complete. 2. Provide support services as needed during the project close out process. 3. Obtain and review close out submittal from the contractor for completeness before transmitting to the City which include but are not limited to: a. Contractor’s red lines and as-built notes b. Warranty information c. Material Safety Data Sheet (SDS) d. Operating Manuals e. Start up and testing reports f. Building commissioner report g. As-Built record drawings (in hard copy and digital format) 4. Issue Final Completion and Acceptance letter to the City recommending acceptance. Additional Services Testing and Balancing/Building Commissioning Environmental USACE Permits (US Army Corps of Engineers) Page 25 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 12/16/2021 Arthur J Gallagher Risk Management Services,Inc. 2618 E Broadway St Pearland TX 77581 281-485-7500 281-485-6933 Pacific Insurance Company,Limited 10046 KIRKASS-01 Travelers Property Casualty Co of America 25674KirkseyAssociates,Inc.dba Kirksey; Kirksey Architects,Inc. 6909 Portwest Dr Houston TX 77024-8010 Charter Oak Fire Insurance Company 25615 Travelers Indemnity Company 256580 The Travelers Indemnity Company of CT 25682 1965780393 B X 1,000,000 X 1,000,000 10,000 1,000,000 2,000,000 X Y Y 680-9S380861 11/20/2021 11/20/2022 2,000,000 C 1,000,000 X X X Y Y 680-9S380861 11/20/2021 11/20/2022 D X X 5,000,000CUP-9S388139 11/20/2021 11/20/2022 5,000,000 X 10,000 E X N Y UB-9S387376 11/20/2021 11/20/2022 1,000,000 1,000,000 1,000,000 A Professional Liability 83 OH 0414788-21 11/20/2021 11/20/2022 Each Occurrence Aggregate $5,000,000 $5,000,000 The General Liability and Automobile Liability policies include blanket additional insured status.Blanket Waiver of Subrogation applies in favor of the additional insureds on the General Liability,Automobile Liability and Workers'Compensation policies.The insurance provided on the General Liability policy is primary and any other insurance shall be excess only,and not contributing.Umbrella policy is follow form. RE:Project:Water Operations Building Project #FA2107;KIRKSEY PROJECT #2021248. 30 Day notice of cancellation applies except for the non payment of premium which is 10 days notice. Additional insured:City of Pearland City of Pearland 3519 Liberty Drive Pearland TX 77581 Page 26 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 Controlling Name of Interested Party4 Nature of interest City, State, Country (place of business) Intermediary (check applicable) CERTIFICATE OF INTERESTED PARTIES 1295FORM 1 of 1 1 OFFICE USE ONLY 2 12/16/2021 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. Name of business entity filing form, and the city, state and country of the business entity's place of business. Kirksey Architects, Inc. HOUSTON, TX United States Name of governmental entity or state agency that is a party to the contract for which the form is being filed. 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. 3 City of Pearland Architectural Services FA2107 2021-833796 Date Filed: Date Acknowledged: Certificate Number: CERTIFICATION OF FILING Brackett, Janis XHouston, TX United States Malarkey, Brian XHouston, TX United States Good, Welsey XHouston, TX United States 6 Signature of authorized agent of contracting business entity My name is _______________________________________________________________, UNSWORN DECLARATION Check only if there is NO Interested Party.5 My address is _______________________________________________, _______________________, and my date of birth is _______________________. Executed in ________________________________________County, I declare under penalty of perjury that the foregoing is true and correct. (street)(state)(zip code)(country) (year)(month) _______, ______________, _________. State of ________________, on the _____day of ___________, 20_____. (city) (Declarant) Version V1.1.191b5cdcwww.ethics.state.tx.usForms provided by Texas Ethics Commission Page 27 of 28 Agenda Item C. City Council Regular Meeting- Jan 10 2022 Harris Texas 16 December 21 3614 Temple Drive Manvel TX 77578 USA Crystal McDonald 10/05/1982 DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1 Page 28 of 28Agenda Item C.City Council Regular Meeting- Jan 10 2022DocuSign Envelope ID: CE2853E7-44B5-481B-A2CC-A7410C1E1FE1