Loading...
HomeMy WebLinkAboutR2022-182 2022-08-08DocuSign Envelope ID: FEA01432-5010-4036-9BD6-F0D8CB197300 RESOLUTION NO. R2022-182 A Resolution of the City Council of the City of Pearland, Texas, authorizing a contract with Architect Design Group (ADG), for preliminary planning schematic report services associated with the Public Safety Driver Training & Firearms Range Facility, in the estimated amount of $99,300.00. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PEARLAND, TEXAS: Section 1. That certain contract for preliminary planning schematic report services associated with the Public Safety Driver Training & Firearms Range Facility, 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 preliminary planning schematic report services associated with the Public Safety Driver Training & Firearms Range Facility. PASSED, APPROVED and ADOPTED this the 8th day of August, A.D., 2022. -DocuSigned by: J. IV 1ra2LE MAYOR ATTEST: DocuSigned by: FrouAA,S a0t 50-ec225., rFFF-4i-15 FRANCES AGUILAR, TRMC, MMC CITY SECRETARY APPROVED AS TO FORM: ,—DocuSigned by: +/ `—B93CAi?98BB1 F4BG. DARRIN M. COKER CITY ATTORNEY DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 Exhibit A CONTRACT FOR PROFESSIONAL SERVICES THIS CONTRACT is entered into upon final execution by and between the City of Pearland ("CITY") and Architects Design Group, Inc. ("CONSULTANT"). The CITY engages the CONSULTANT to perform professional services for a project known and described as PER for Future Bond Referendum (Public Safety Driver Training and Firearms Range Facility) ("PROJECT"). (Project #FA2206) SECTION I - SERVICES OF THE CONSULTANT The CONSULTANT shall perform the following professional services to CITY standards and in accordance with the degree of care and skill that a professional in Texas would exercise under the same or similar circumstances: A. The CONSULTANT shall perform the described Professional Services. See Exhibit A, attached, for a detailed SCOPE OF WORK and PROJECT schedule. The PROJECT schedule shall be submitted in digital and hard copy form in the Microsoft Project for Windows format. B. The CONSULTANT shall prepare and submit a detailed opinion of estimated cost of the PROJECT. C. The CONSULTANT acknowledges that the CITY (through its employee handbook) considers the following to be misconduct that is grounds for termination of a CITY employee: Any fraud, forgery, misappropriation of funds, receiving payment for services not performed or for hours not worked, mishandling or untruthful reporting of money transactions, destruction of assets, embezzlement, accepting materials of value from vendors, or consultants, and/or collecting reimbursement of expenses made for the benefit of the CITY. The CONSULTANT agrees that it will not, directly or indirectly; encourage a CITY employee to engage in such misconduct. D. The CONSULTANT shall submit all final construction documents in both hard copy and electronic format. Plans shall be AutoCAD compatible and all other documents shall be Microsoft Office compatible. The software version used shall be compatible to current CITY standards. Other support documents, for example, structural calculations, drainage reports and geotechnical reports, shall be submitted in hard copy only. All Record Drawings electronic files shall be submitted to the CITY in TIF format. E. The CONSULTANT recognizes that all drawings, special provisions, field survey notes, reports, estimates and any and all other documents or work product generated by the CONSULTANT under the CONTRACT shall be delivered to the CITY upon request, shall become subject to the Open Records Laws of this State. F. The CONSULTANT shall procure and maintain for the duration of this Agreement, insurance against claims for injuries to persons, damages to property, or any errors Design 1 of 7 D2. Revised 04/2019 DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 and omissions relating to the performance of any work by the CONSULTANT, its agents, employees or subcontractors under this Agreement, as follows: (1) Workers' Compensation as required by law. (2) Professional Liability Insurance in an amount not less than $1,000,000 in the aggregate. (3) Comprehensive General Liability and Property Damage Insurance with minimum limits of $1,000,000 for injury or death of any one person, $1,000,000 for each occurrence, and $1,000,000 for each occurrence of damage to or destruction of property. (4) Comprehensive Automobile and Truck Liability Insurance covering owned, hired, and non -owned vehicles, with minimum limits of $1,000,000 for injury or death of any one person, $1,000,000 for each occurrence, and $1,000,000 for property damage. The CONSULTANT shall include the CITY as an additional insured under the policies, with the exception of the Professional Liability Insurance and Workers' Compensation. The CONSULTANT shall agree to waive its Right to Subrogation. Certificates of Insurance and endorsements shall be furnished to the CITY before work commences. Each insurance policy shall be endorsed to state that coverage shall not be suspended, voided, canceled, and/or reduced in coverage or in limits ("Change in Coverage") except with prior written consent of the CITY and only after the CITY has been provided with written notice of such Change in Coverage, such notice to be sent to the CITY either by hand delivery to the City Manager or by certified mail, return receipt requested, and received by the City no fewer than thirty (30) days prior to the effective date of such Change in Coverage. Prior to commencing services under this CONTRACT, CONSULTANT shall furnish CITY with Certificates of Insurance, or formal endorsements as required by this CONTRACT, issued by CONSULTANT'S insurer(s), as evidence that policies providing the required coverage, conditions, and limits required by this CONTRACT are in full force and effect. G. The CONSULTANT shall indemnify and hold the CITY, its officers, agents, and employees, harmless from any claim, loss, damage, suit, and liability of every kind for which CONSULTANT is legally liable, including all expenses of litigation, court costs, and attorney's fees, for injury to or death of any person, for damage to any property, or errors in design, any of which are caused by the negligent act or omission of the CONSULTANT, his officers, employees, agents, or subcontractors under this CONTRACT. H. All parties intend that the CONSULTANT, in performing services pursuant to this CONTRACT, shall act as an independent contractor and shall have control of its own work and the manner in which it is performed. The CONSULTANT is not to be considered an agent or employee of the CITY. Design 2 of 7 D2 Revised 04/2019 DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 SECTION II - PERIOD OF SERVICE This CONTRACT will be binding upon execution and end December 31, 2022. SECTION III - CONSULTANT'S COMPENSATION A. The total compensation for the services performed shall not exceed the total noted in Section B. B. The CITY shall pay the CONSULTANT in installments based upon monthly progress reports and detailed invoices submitted by the CONSULTANT based upon the following: 1. Basic Services (Lump Sum) 2. Additional Services shall require independent and specific authorization and shall be billed as (Not to Exceed): 3. Bid Phase Services (Hourly Not to Exceed) 4. Construction Phase Services (Hourly Not to Exceed) 5. Reimbursable Expenses (Not to Exceed) 6. Total: $99,300.00 $99.300.00 C. The CITY shall make payments to the CONSULTANT within thirty (30) days after receipt and approval of a detailed invoice. Invoices shall be submitted on a monthly basis. D. CONSULTANT shall invoice for work performed during the preceding thirty day period ("Billing Period"). The Billing Period shall run from the 26th day to the 25th day of each consecutive month. Invoices shall be submitted to CITY not more frequently than once every 30 days. CONSULTANT shall be responsible for timely submittal of all invoices and CONSULTANT shall not be entitled to payment for invoices in arrears. All invoices shall reflect most recent single Billing Period only and represent the true, correct and accurate account of work performed during the Billing Period. E. For an agreed contract amount identified as "Lump Sum", Not to Exceed" and "Reimbursable" the CONSULTANT shall not exceed the fixed contractual amount without written authorization in the form of a Contract Amendment. CONSULTANT shall provide 45 days prior notice to the CITY in the event contract fees may exceed the fixed contract amount. CONSULTANT shall be responsible for ensuring that such authorization is complete and executed by all parties Design 3 of 7 D2 Revised 04/2019 DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 performing any work or submitting any invoices for work that exceeds the fixed contract amount under any expense category. F. Allowable Reimbursable Expenses CONSULTANT shall identify and include in the proposal any anticipated Reimbursable Expenses, and shall itemize Reimbursable Expenses by work category. Reimbursable Expenses shall be invoiced AT COST without subsequent markup by the CONSULTANT. All invoices containing a request for Reimbursable Expenses shall include copies of the original expense receipts itemized per the allowable category. Allowable Reimbursable Expenses include: • Hard copy reproductions, copies and/ or binding costs • Postage • Mileage, for travel from Consultant's local office (within a 25 mile radius) to meetings at the City or job -site. Mileage shall be charged at the current IRS rates. • Travel expenses, mileage from local office to State or federal regulatory agency office beyond 100 miles. • Lodging expenses, for destinations beyond 100 miles from the Consultant's local office AND when business hours exceed eight hours within one business day OR requires more than one eight hour day. F.2. Disallowed Expenses Disallowed Expenses include travel expenses for professional expertise traveling into the greater Houston area from Consultant offices outside of the greater Houston area. SECTION IV - THE CITY'S RESPONSIBILITIES A. The CITY shall designate a project manager during the term of this CONTRACT. The project manager has the authority to administer this CONTRACT and shall monitor compliance with all terms and conditions stated herein. All requests for information from or a decision by the CITY on any aspect of the work shall be directed to the project manager. B. The CITY shall review submittals by the CONSULTANT and provide prompt response to questions and rendering of decisions pertaining thereto, to minimize delay in the progress of the CONSULTANT'S work. The CITY will keep the CONSULTANT advised concerning the progress of the CITY'S review of the work. The CONSULTANT agrees that the CITY'S inspection, review, acceptance or approval of CONSULTANT'S work shall not relieve CONSULTANT'S responsibility for errors or omissions of the CONSULTANT or its sub - Design 4 of 7 D2 Revised 04/2019 DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 consultant(s) or in any way affect the CONSULTANT'S status as an independent contractor of the CITY. SECTION V - TERMINATION A. The CITY, at its sole discretion, may terminate this CONTRACT for any reason -- with or without cause -- by delivering written notice to CONSULTANT personally or by certified mail at 333 N. Knowles Ave Winter Park, FL 32789. Immediately after receiving such written notice, the CONSULTANT shall discontinue providing the services under this CONTRACT. B. If this CONTRACT is terminated, CONSULTANT shall deliver to the CITY all drawings, special provisions, field survey notes, reports, estimates and any and all other documents or work product generated by the CONSULTANT under the CONTRACT, entirely or partially completed, together with all unused materials supplied by the CITY on or before the 15th day following termination of the CONTRACT. C. In the event of such termination, the CONSULTANT shall be paid for services performed prior to receipt of the written notice of termination. The CITY shall make fmal payment within sixty (60) days after the CONSULTANT has delivered to the CITY a detailed invoice for services rendered and the documents or work product generated by the CONSULTANT under the CONTRACT. D. If the remuneration scheduled under this contract is based upon a fixed fee or definitely ascertainable sum, the portion of such sum payable shall be proportionate to the percentage of services completed by the CONSULTANT based upon the scope of work. E. In the event this CONTRACT is terminated, the CITY shall have the option of completing the work, or entering into a CONTRACT with another party for the completion of the work. F. If the CITY terminates this CONTRACT for cause and/or if the CONSULTANT breaches any provision of this CONTRACT, then the CITY shall have all rights and remedies in law and/or equity against CONSULTANT. Venue for any action or dispute arising out of or relating to this CONTRACT shall be in Brazoria County, Texas. The laws of the State of Texas shall govern the terms of this CONTRACT. The prevailing party in the action shall be entitled to recover its actual damages with interest, attorney's fees, costs and expenses incurred in connection with the dispute and/or action. CONSULTANT and CITY desire an expeditious means to resolve any disputes that may arise between under this CONTRACT. To accomplish this, the parties agree to mediation as follows: If a dispute arises out of or relates to this CONTRACT, or the breach thereof, and if the dispute cannot be settled through negotiation, then the parties agree first to try in good faith, and before pursuing any legal remedies, to settle the dispute by mediation of a third party who will be selected by agreement of the parties. Design 5 of 7 D2 Revised 04/2019 DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 SECTION VI - ENTIRE AGREEMENT This CONTRACT represents the entire agreement between the CITY and the CONSULTANT and supersedes all prior negotiations, representations, or contracts, either written or oral. This CONTRACT may be amended only by written instrument signed by both parties. SECTION VII - COVENANT AGAINST CONTINGENT FEES The CONSULTANT affirms that he has not employed or retained any company or person, other than a bona fide employee working for the CONSULTANT to solicit or secure this CONTRACT, and that he has not paid or agreed to pay any company or person, other than a bona fide employee, any fee, commission, percentage brokerage fee, gift, or any other consideration, contingent upon or resulting from the award or making of the CONTRACT. For breach or violation of this clause, the CITY may terminate this CONTRACT without liability, and in its discretion, may deduct from the CONTRACT price or consideration, or otherwise recover, the full amount of such fee, commission, percentage brokerage fee, gift, or contingent fee that has been paid. SECTION VIII- SUCCESSORS AND ASSIGNS This CONTRACT shall not be assignable except upon the written consent of the parties hereto. [ - - -e8203DG9CC04G ... CITY OF PEARLAND, TEXAS DATE DocuSigned by: Design 8/10/2022 I 8:39 AM CDT '120.201, DATE 6 of 7 D2 Revised 04/2019 DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 House Bill 89 Verification I, X MM f'C.-FEEde (Person name), the undersigned representative (hereafter referred to as "Representative") of P1i (company or business name, hereafter referred to as "Businessntity"), being an adult over the age of eighteen (18) years of age, after being duly sworn by the undersigned notary, do hereby depose and affirm the following: 1. That Representative is authorized to execute this verification on behalf of Business Entity; 2. That Business Entity does not boycott Israel and will not boycott Israel during the term of any contract that will be entered into between Business Entity and the City of Pearland; and 3. That Representative understands that the term "boycott Israel" is defined by Texas Government Code Section 2270.001 to mean refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli -controlled territor but does not include an action made for ordinary business purposes. OF REPRESENTATIVE eSUBSC I D AND SWORN TO BEFORE ME, the undersigned authority, on this day of , 200 . . Design ri\oo Oock (/‘, Notary Public Notary Public State or florid* 1 1'; Nicole M Hevia My Commission GG 273824 e`,'rExpires 0110112023 7 of 7 D2 Revised 04/2019 DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 YEARS Architects Design Group July 12, 2022 Jameson Appel, PMP, CFM Senior Project Manager I Engineering & Capital Projects City of Pearland 12016 Old Alvin I Pearland, TX 77581 RE: City of Pearland, TX Emergency Vehicle Operating Course Proposal for Pre -Design Planning Services ADG Project No. 1090-1.21 Good afternoon, Mr. Appel: Architects Design Group (ADG) is pleased to provide you with this draft outline of the scope of services to be provided in the requested pre -design planning study for the city's police and fire department EVOC training needs. It is understood that the planned training elements will be sited on the existing landfill site, which is approximately 60 total acres in size. Each proposed task is listed in sequential phases including the following: 1-A: Detailed Spatial Needs Assessment: ADG will work with the police and fire departments to identify the training curriculum and vehicle needs for all emergency vehicles that will be training on the EVOC. 1-B: Site Analysis services will be conducted for the entire project site. This effort may include the review of the existing aerial and underground utilities, roadways, ingress and egress locations for vehicular and pedestrian access, site features, trees, buffer zones, stormwater management requirements, delivery points, secured parking parameters, etc. Items to be provided by the city include any existing surveys, environmental assessments, land development regulations for the site, etc. 1-C: Civil Engineering Conceptual Design: ADG will contract with a third -party Civil Engineering consultant to perform conceptual design and descriptive narratives to outline the site development concept. 1-D: Conceptual Site Planning & Architectural Master Plan of the site. All known site amenity features shall be identified in consideration of the long-term build out of the training site. If a 333 N. Knowles Ave I Winter Park, FL 32789 I 407.647.1706 325 N. St. Paul Street, Suite 4250 I Dallas, TX 75201 I 469.501.5540 adg@adgusa.org I www.adgusa.org DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 Jameson Appel, PMP, CFM I Senior Project Manager City of Pearland, TX RE: Pearland Police Training Facility Page 2 phased development approach is requested, this will be reflected in the master plan documents accordingly. 1-E: Estimate of Probable Development Costs: A budget estimate will be prepared that is based upon the conceptual architectural master plan and design concept produced by each discipline including architecture and civil engineering. 1-F: City Council Briefings and Presentation: If requested, the planning team can participate in one-on-one briefings with the council members to explain the process utilized in the preparation of the final report, prior to a formal public presentation, to assess the council members expectations, concerns, etc. This will require two meetings with the City Council once authorized by the City Manager. Summary: Task 1-A: Spatial Needs Assessment Fee: $5,300.00 Task 1-B: Site Analysis Fee: $10,860.00 Task 1-C: Civil Engineering Conceptual Design Fee: $10,820.00 Task 1-D: Conceptual Site Planning & Master Plan Fee: $16,660.00 Task 1-E: Estimate of Probable Development Costs Fee: $4,260.00 Task 1-F: City Council Briefings & Presentation Fee: $1,600.00 Subtotal: Fee: $49,500.00 Project -Specific Reimbursable Expense Allowance $ Included Total Phase One Professional Fee. $ 49,500.00 Sincerely, Ian A. Reeves, AIA, IALEP President / Architects Design Group DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 •-r) YEARS Architects Design Group July 12, 2022 Jameson Appel, PMP, CFM Senior Project Manager I Engineering & Capital Projects City of Pearland 12016 Old Alvin I Pearland, TX 77581 RE: City of Pearland, TX Police Training Facility Proposal for Pre -Design Planning Services ADG Project No. 1090-1.21 Good afternoon, Mr. Appel: Architects Design Group (ADG) is pleased to provide you with this draft outline of the scope of services to be provided in the requested pre -design planning study for the city's police department training needs. It is understood that the planned training elements will be sited on the existing landfill site, which is approximately 60 total acres in size. Each proposed task is listed in sequential phases including the following 1-A: Detailed Spatial Needs Assessment: ADG will develop the building programs that are desired to be located on the new training campus. This report will also include a preliminary technology review including the security access control and CCTV systems, audio-visual technology needs, and the coordination of the data distribution network with the city's Information Technology Department representatives. This task, if conducted on -site, will require a minimum of two meetings for programming, while the technology assessment can be conducted virtually. 1-B: Civil Engineering: ADG will contract with a third -party Civil Engineering consultant to contribute to the site analysis and the descriptive engineering narratives that will be utilized as part of our development of the estimate of probable development costs. 1-C: Preliminary Firearms Training Curriculum Assessment & Range Outfitting Coordination: The NE team will work with the city to prepare an assessment of the current training curriculum and provide recommendations for consideration. The Consultant shall also assist with the analysis of available targeting systems in an effort to identify the most cost- effective outfitting package for the requested curriculum and provide input to the NE team regarding the design implementation of the range outfitting package. 333 N. Knowles Ave I Winter Park, FL 32789 I 407.647.1706 325 N. St. Paul Street, Suite 4250 I Dallas, TX 75201 I 469.501.5540 adg@adgusa.org I www.adgusa.org DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 Jameson Appel, PMP, CFM I Senior Project Manager City of Pearland, TX RE: Pearland Police Training Facility Page 2 1-D: Conceptual Site Planning & Architectural Master Plan of the site. All known building and site amenity features shall be identified in consideration of the long-term build out of the training site with the understanding that the city may elect to implement a phased development approach depending upon funding availability. If a phased development approach is requested, this will be reflected in the master plan documents accordingly. 1-E: Conceptual Building Design: The A/E team will develop a conceptual building design approach incorporating the information developed in phases I -A through I -D. This task will require a minimum of two site visits. This effort will include the development of the operational adjacency diagrams, engineering discipline narratives of anticipated construction methods, material selections, and systems selections, as approved by the city. It will also include conceptual massing and exterior elevation studies. This information will be used to develop an estimate of probable development costs for the city's use in budgeting for this project. 1-F: Estimate of Probable Development Costs: A budget estimate will be prepared that is based upon the conceptual architectural master plan and descriptive narratives produced by each discipline including architecture, interior design, civil, structural, mechanical, electrical, plumbing, fire protection, and technology. 1-G: City Council Briefings and Presentation: If requested, the planning team can participate in one-on-one briefings with the council members to explain the process utilized in the preparation of the final report, prior to a formal public presentation, to assess the council members expectations, concerns, etc. This will require two meetings with the City Council once authorized by the City Manager. Professional Fee Summary: Task 1-A: Spatial Needs Assessment Fee: $6,020.00 Task 1-B: Civil Engineering Fee: $2,900.00 Task 1-C: Prelim. Firearms Training Curriculum Assessment Fee: $8,000.00 Task 1-D: Conceptual Site Planning & Master Plan Fee: $7,600.00 Task 1-E: Conceptual Building Design Fee: $20,080.00 Task 1-F: Estimate of Probable Development Costs Fee: $3,200.00 Task 1-G: City Council Briefings & Presentation Fee: $2,000.00 Subtotal: Fee: $49,800.00 DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 Jameson Appel, PMP, CFM I Senior Project Manager City of Pearland, TX RE: Pearland Police Training Facility Page 3 Project -Specific Reimbursable Expense Allowance $ Included Total Phase One Professional Fee. $ 49,800.00 Sincerely, Ian A. Reeves, AIA, IALEP President / Architects Design Group DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 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: 2022-912724 Date Filed: 07/20/2022 Date Acknowledged: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Architects Design Group / ADG, Inc. Winter Park, FL 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 Pearland 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. FA2206 Architectural Planning and Design Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) PP ) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION �` r My name is ik. $ A. % Ee\I , and my date of birth is CI 'DLO LO • I. D-1 My address is 1 `C.)O sLxr Sek 5?. N< ,k 1cke VoL, , .,P--).Plq , u _ (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in '�. .. I County, Stat Q.-1 l7 , on theP° day of Ju.. L`/ , 20 a9 . (month) (year) ign e of authorized agent of contracting business entity (Declarant) Version V1.1.191b5cdc Forms provided by Texas Ethics Commission www.ethics.state.tx.us DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 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: 2022-912724 Date Filed: 07/20/2022 Date Acknowledged: 07/26/2022 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Architects Design Group / ADG, Inc. Winter Park, FL 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 Pearland 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. FA2206 Architectural Planning and Design Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 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 provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.191b5cdc DocuSign Envelope ID: 77D35C00-141E-4A2A-BD7B-A64E61B3E074 ARCHDES-07 RJONES A comb CERTIFICATE OF LIABILITY INSURANCE 4.......----8 DATE D/YYYY) 8/1 /1/2 /2022 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. 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). PRODUCER Ames & Gough 8300 Greensboro Drive Suite 980 McLean, VA 22102 CONTACT NAME: PHONE (A/c, No, Ext): (703) 827-2277 (A///c, No):(703) 827-2279 ADDRESS: admin@amesgough.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : RLI Insurance Company A+, XII 13056 INSURED Architects Design Group / ADG, Inc. 333 North Knowles Avenue Winter Park, FL 32789 INSURER B : Twin City Fire Insurance Company A+ (XV) 29459 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF !MM/DDIYYYYI POLICY EXP !MM/DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY PSB0002744 1/12/2022 1/12/2023 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR PREMISES (DAMAGETOEaRENTED occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ Included GEN'L AGGREGATE X LIMIT APPLIES PECOT- X PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY SCHEDULED AUTOS NON -OWNED UUO PSB0002744 1/12/2022 1/12/2023 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY a E accident) DAMAGE $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PSE0003117 1/12/2022 1/12/2023 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DED X RETENTION $ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N N N / A PSW0002368 1/12/2022 1/12/2023 X PER STATUTE OTH- ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ A B Professional Liab. Cyber Liability RDP0045775 42 MB0416887-22 1/12/2022 1/12/2022 1/12/2023 1/12/2023 Per Claim/Aggregate Per Claim/Aggregate 2,000,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mores ace is required) PER for Future Bond Referendum (Police Fire Arms Range and Poilce Driver Training Facility) ("PROJECT"). (Project #FA2206) The City of Pearland is included as additional insured with respect to General Liability, Automobile Liability and Umbrella Liability when required by written contract. General Liability, Automobile Liability and Umbrella Liability are primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and when required by written contract. General Liability, Automobile Liability, Umbrella Liability and Workers Compensation policies include a waiver of subrogation in favor of the additional insureds where permissible by state law and when required by written contract. CERTIFICATE HOLDER CANCELLATION The City of Pearland 3519 Liberty Drive Pearland, TX 77581 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD