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R2023-071 2023-03-07RESOLUTION NO. R2023-71 A Resolution of the City Council of the City of Pearland, Texas, authorizing a contract with Leaf Engineers, for design services associated with the Country Place and Garden Road Water Well Generator Project, in the estimated amount of $111,308.00. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PEARLAND, TEXAS: Section 1. That certain contract for design services associated with the Country Place and Garden Road Water Well Generator 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 Country Place and Garden Road Water Well Generator Project. PASSED, APPROVED and ADOPTED this the 27th day of March, A.D., 2023. ________________________________ J.KEVIN COLE MAYOR ATTEST: ________________________________ FRANCES AGUILAR, TRMC, MCC CITY SECRETARY APPROVED AS TO FORM: ________________________________ DARRIN M. COKER CITY ATTORNEY DocuSign Envelope ID: 4405C596-BE01-4A08-8B8B-0DDFB25856A8 Exhibit A DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 3/29/2023 | 6:42 AM PDT DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 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 02/20/2023 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. LEAF Engineers 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 MEPTS Design services WA2305 and WA2306 2023-985355 Date Filed: Date Acknowledged: Certificate Number: CERTIFICATION OF FILING Boggio, Dan 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 V3.5.1.3ac88bc0www.ethics.state.tx.usForms provided by Texas Ethics Commission Mark Madorsky January 25, 1966 11 Greenway Plaza, Ste. 1510 Houston TX 77046 USA Harris Texas 20th February 23 DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 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 2/14/2023 Arthur J.Gallagher Risk Management Services,LLC 2618 E Broadway Pearland TX 77581 281-485-7500 281-485-6933 Continental Casualty Company 20443 PBKAR-2 LM Insurance Corporation 33600PBKArchitectsdbaLEAFEngineers 11 Greenway Plaza,Suite 2210 Houston,TX 77046-1104 Liberty Mutual Fire Insurance Company 23035 812651336 B X 1,000,000 X 1,000,000 10,000 1,000,000 2,000,000 X TB5-Z91-472898-022 4/25/2022 4/25/2023 2,000,000 C 1,000,000 X AS2-Z91-472898-032 4/25/2022 4/25/2023 B X X 5,000,000TH7-Z91-472898-052 4/25/2022 4/25/2023 5,000,000 X 10,000 B X N WC5-Z91-472898-012 4/25/2022 4/25/2023 1,000,000 1,000,000 1,000,000 A Professional Liability Claims Made Form AEH591912035 8/1/2022 8/1/2023 Each Claim Aggregate Deductible Ea Claim $5,000,000 $10,000,000 $1,000,000 RE:Generator Replacement Projects See Attached... City of Pearland 2016 Old Alvin Road Pearland,TX 77581 DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: PBKAR-2 1 1 Arthur J.Gallagher Risk Management Services,LLC PBK Architects dba LEAF Engineers 11 Greenway Plaza,Suite 2210 Houston,TX 77046-1104 25 CERTIFICATE OF LIABILITY INSURANCE The General Liability and Auto policy includes a Blanket additional insured endorsement that provides additional insured status only when there is a written contract ,agreement or permit between the named insured and the certificate holder that requires such status. The General Liability,Auto,Umbrella,Professional Liability and Workers'Compensation policy includes a Blanket waiver of subrogation endorsement that provides this feature only when there is a written contract,agreement or permit between the named insured and the certificate holder that requires such status. General Liability is primary &non-contributory when required by written contract,agreement or permit.Auto liability is primary &non-contributory as respects the insured's owned &covered vehicles.The umbrella is follow form as respects the primary and non-contributory provisions of the underlying polices. Professional Liability is not included under the Umbrella. DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 COMPLETE NAMED INSURED: PBK Architects, Inc. PBR Architects, Inc. Suite 2210 PBK Architects, Inc. d/b/a PBK Engineers Houston, TX 77046 PBK Architects, Inc. d/b/a PBK Roof Consultants PBK Architects, Inc. d/b/a PBK Facility Consulting PBK Architects, Inc. d/b/a PBK Architects PBK, Inc. PBK Architects, Inc. d/b/a PBK Healthcare PBK Architects, Inc. d/b/a Campaign Communications PBK Architects, Inc. d/b/a PBK Engineering PBK Architects, Inc. d/b/a Cunico Consulting PBK Architects, Inc. d/b/a PBK Sports PBK Architects, Inc. d/b/a PBK University PBK Architects, Inc. d/b/a PBK Higher Education PBK Architects, Inc. d/b/a PBK Higher Ed PBK Architects, Inc. d/b/a PBK Interiors PBK Architects, Inc. dba PBK PBK Architects, Inc. dba DIG Engineers PBK Architects, Inc. dba LEAF Engineers PBK Architects, Inc. dba The Educated Vote PBK Architects, Inc. dba Building Envelope & Asset Management Professionals (BEAM) Smith Iwanaga Milhous Pryce Architects, Inc. (legal) S.I.M Architects, Inc. (DBA) SIM+PBK (DBA) PBK Architects, Inc. dba Edgeland Design Group 11/2/2021 PBK Architects, Inc. dba Kubala Engineers 9/30/2021 Wolff/Lang/Christopher Architects, Incorporated 2/1/2022 DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 WLC Architects, Inc. 2/1/2022 WLC Architects 2/1/2022 PBK-WLC 2/1/2022 PBK-WLC Architects 2/1/202 PBK Holdco LLC (added 6/21/22) PBK IntermediateCo, Inc. (added 6/21/22) Manley Spangler Smith Architects, P.C. (added 9/15/22) Manley Spangler Smith Architects, a Professional Corporation Spangler & Manley Architects, P.C. MSSA-PBK MSSA-PBK Architects PBK Arch itects, Inc. dba Blue Ring Creative (9/28/22) DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92 DocuSign Envelope ID: 76528950-4D14-4769-AACA-3A9CF58D8A92