HomeMy WebLinkAboutRes.3273-07-15-2019 BILL NO. 19-115 RESOLUTION NO. ‘30L7, 2_,?
A RESOLUTION AUTHORIZING THE CITY MANAGER TO
EXECUTE AN AGREEMENT WITH COUNSILMAN-
HUNSAKER FOR DESIGN SERVICES RELATING TO THE
INDOOR AQUATIC FACILITY PROJECT, IN THE CITY
OF CAPE GIRARDEAU, MISSOURI
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF CAPE
GIRARDEAU, MISSOURI, AS FOLLOWS:
ARTICLE 1 . The City Manager, for and on behalf of the City
of Cape Girardeau, Missouri, is hereby authorized to execute an
Agreement with Counsilman-Hunsaker to perform professional
design services for the indoor aquatic facility project, in the
City of Cape Girardeau. Said Contract shall contain the terms
set out in the proposal from Counsilman-Hunsaker. A copy of the
proposal information is attached hereto and made a part hereof.
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PASSED AND ADOPTED THIS \ DAY OF L44,` , . 019.
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,AW,A_ I
Bob ox, Mayor
ATTEST:
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4Tay , Deput y City Clerk sr� ��l;
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CITY of CAPE GIRARDEAU
PARKS AND RECREATION DEPARTMENT
AGREEMENT
For
Parks and Recreation Projects
CONSULTANT NAME: Counsilman-Hunsaker
THIS CONTRACT is between the City of Cape Girardeau, Missouri, hereinafter referred to as the "City",
and Counsilman-Hunsaker 10733 Sunset Office Drive, Suite 400, St. Louis, Missouri, 63127, hereinafter
referred to as the "Consultant".
INASMUCH as funds have been made available by the City through its Parks and Recreation Stormwater
Tax, the City intends to complete Parks and Recreation projects and requires professional design,
architectural, and engineering services. The Consultant, upon the City's request through written Task
Orders, will provide the City with any and all professional services hereinafter detailed for the planning,
design and/or construction inspection of the desired improvements and the City will pay the Consultant
as provided in this contract and subsequent Task Orders. It is mutually agreed as follows:
ARTICLE I -SCOPE OF SERVICES
A. PROGRAMMING PHASE
1. Develop and define the needs for the project based upon the City's, the School District and
the Aquatic Committee's initial information and information obtained through the data
gathering process such as meetings, interviews, charettes, surveys, and operations;
2. Prepare schematic design studies, drawings, and other necessary documents showing the
site use and the scale and relationship of the components of the project in relationship and
in adjacency to school facility;
3. Review, develop, and document detailed requirements for the project, covering items such
as project goals and objectives, programmatic usage, attendance projections, potential
fees and charges matrix, sustainability models, design objectives to support sustainability,
opportunities for phasing if needed, limitations and criteria; gross area and space
requirements; spatial relationships; needs and options for flexibility or expansion; identify
the need for special equipment and systems; site requirements; development of the
project schedule and budget requirements;
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4. Space concepts and flow diagrams, functional relationships, access, circulation, and flow
patterns within the building and on the site in relationship to school and public usage;
5. Review existing conditions, assembling and reviewing information to identify and
document areas for alterations, additions, repairs, or demolition;
6. Meet with the project committee, plus any designated community groups and/or
individuals involved in the project to analyze needs and determine objectives. The
discussion will include images and/or video presentations with commentary on features of
other, like aquatic centers that could be considered a model for this project, background
information on historic and contemporary issues in the industry. A matrix of programming
priorities will be developed and discussed to prioritize programming and facility features.
The Consultant will use the results of the meeting(s) to develop a needs and performance
profile.
7. Review desired elements from committee prioritization and develop conceptual
design/options based on the agreed upon priorities.
8. Work with project committee to help determine meaningful conceptual program priorities
for sustainability such as partnership opportunities, alternative revenue opportunities, case
studies of other current projects/facilities, options and opportunities for
design/phasing/operational efficiencies if other funding is challenging for the desired
elements.
9. The Consultant will collaborate with the Cape Public Schools architect- to
brainstorm/conceptualize potential for shared common areas and public access during
school hours. A site tour of proposed facility location with the architect will be scheduled
to discuss potential site placement for conceptual ideas and site development
opportunities and constraints.
10. Compile demographic information necessary to appropriately evaluate the proposed
facility, including population, age distribution, income, and economic considerations that
could affect the project's viability.
11. Prepare and submit an outline of a Design Program of spaces and features for the
proposed aquatic center describing the natatorium, pool size, shape and support spaces
based on preliminary discussions and meetings noted above. The Design Program will
address the following items:
a. Pool (or pools) or Spaces Design: Size, Depth, Configuration, Water Features, etc.
b. User Populations and Programs to be Supported
c. Lighting
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d. Pool Markings
e. Traffic Patterns
f. Deck Equipment
g. Underwater Features
h. Mechanical Features, Filter System-Options, Water Treatment and Automatic Water
Treatment Control
i. Spectator Facilities
j. Dressing Room Features and User Spaces
k. Storage
I. Customer Service/Reception
m. Staff Offices
n. Lifeguard room
o. Building support (i.e. technology, mechanical, etc.)
p. Other amenities as specified or requested
B. CONCEPTUAL PLAN PHASE
1. Based on the agreed upon program, the Consultant will prepare two aquatic facility options. The
Consultant will provide a conceptual plan of each option. The purpose of the plans will be to
illustrate ways to organize the spaces in a functional arrangement and to confirm that the
building footprint will contain the areas proposed in the Design Program.
2. The Consultant will meet a second time with the committee to participate in a design workshop.
Preliminary concepts and program features will be reviewed and
3. The Consultant will prepare an Opinion of Probable Construction Cost for the pool(s) and
building inclusive of site development and access estimates. Recent project bid figures of similar
projects will be used as well as national estimating guides and local cost adjustment factors. The
hard construction cost figures will be supplemented by a development cost factor, which will
include such "soft" costs as professional fees, survey, geotechnical report, document
reproduction, advertisement for bids and all anticipated expenses related to the administration
of the project. The sum of these two cost figures will be the total project cost so that the Owner
will have a comprehensive overview before making an informed decision about the project.
4. Confirm feasibility/market study/conceptual design/capital cost estimation and ROI per
programming elements/operational considerations for optimal revenue
generation/programming assumptions with multi-user groups/schedules etc.
C. OPERATIONS ANALYSIS PHASE
1. The Consultant will develop an opinion of operations protocol for the final selected option. The
following will be researched and analyzed:
a. Operational data including participation levels and trends, visitor mix, per capita
expenditures, revenue, operating expenses, net operating income.
b. Proposed marketing strategies, pricing policies and sponsorship efforts.
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c. Analysis of market penetration and compilation of demographic trends in the Cape
Girardeau market area, including population levels and trends, incomes, age distribution
and ethnic composition based on the Consultant's demographic data bank as requested
or desired by project committee.
d. A review of local school year schedules.
e. A review of competing indoor and outdoor aquatic facilities in the Cape Girardeau area.
f. Projections of attendance potential at the aquatic center over a 5-year period.
g. Projections of design level attendance figures and required capacity requirements.
h. Projections of facility operational expenses including, personnel, chemical demand,
operating supplies, maintenance and repair, utility demand, marketing, food and
beverage and retail.
i. Projections of financial performance for the indoor aquatic center.
2. Provide final recommendations/options for consideration to project committee and potentially
City Council/School Board.
3. The Consultant will make a final presentation to the project committee and/or City
Council/School Board outlining the methods and results of the study.
4. DELIVERABLES: Base Deliverables (included in lump sum listed under VI. COMPENSATION):
a. Copy of all presentations in PDF format and graphics for Owner use.
i. Kickoff Presentation
ii. Options Presentation
iii. Final Presentation
D. DESIGN PHASE
Scope of work to be determined at the conclusion of programming phase.
E. BIDDING PHASE
Scope of work to be determined at the conclusion of programming phase.
f. CONSTRUCTION PHASE
Scope of work to be determined at the conclusion of programming phase.
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ARTICLE II -ADDITIONAL SERVICES
The City reserves the right to request additional work; changed or unforeseen conditions may require
changes and work beyond the scope of this contract. In this event, a supplement to this agreement
shall be executed and submitted for the approval of City prior to performing the additional or changed
work or incurring any additional cost thereof. Any change in compensation will be covered in the
supplement.
ARTICLE III - RESPONSIBILITIES OF CITY
The City will cooperate fully with the Consultant in the development of the project, including the
following:
A. make available all information pertaining to the project which may be in the possession of the
City;
B. provide the Consultant with the City's requirements for the project;
C. make provisions for the Consultant to enter upon property at the project site for the
performance of his duties;
D. examine all studies and layouts developed by the Consultant and render decisions thereon in a
prompt manner so as not to delay the Consultant;
E. designate a City employee to act as City's representative under this contract, such person shall
have authority to transmit instructions, interpret the City's policies and render decisions with
respect to matters covered by this agreement;
F. perform appraisals and appraisal review, negotiate with property owners and otherwise provide
all services in connection with acquiring all right-of-way and easements needed to construct this
project.
ARTICLE IV- PERIOD OF SERVICE
The Consultant will commence work immediately after receiving signed a Task Order and notice to
proceed from the City. The phases of work shall be completed in accordance with the associated Task
Order; however, final recommendation will be completed within one hundred and twenty days of the
notice to proceed.
The times are exclusive of review time by other agencies and exclusive of time needed to acquire right-
of-way. The City will grant time extensions for unavoidable delays beyond the control of the
Consultant. Requests for extensions of time should be requested in writing by the Consultant, stating
fully the reasons for the request.
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ARTICLE V-STANDARDS
The Consultant shall be responsible for working with the City in determining the appropriate design
parameters and construction specifications for the project using good Engineering judgment based on
the specific site conditions, City needs, and guidance provided in the most current version of the City of
Cape Girardeau's Standard Specifications and Drawings. If the project is on MoDOT Right-of-Way, then
the latest version of the Engineering Policy Guide (EPG) and Missouri Standard Specifications for
Highway Construction shall be followed.
ARTICLE VI - COMPENSATION
For services provided under this contract, the City will compensate the Consultant a set fee of
$ 25,750.00 inclusive of travel expenses, with additional Fees and Rates as specified by Consultant:
Principal $220.00/hour
Director $200.00/hour
Project Manager $175.00/hour
Project Engineer/Architect $150.00/hour
Design Associate $125,00/hour
Site Visit $1,500.00/hour *Excluding travel expenses
METHOD OF PAYMENT — Unless otherwise stated in the Task Order, partial payments will be made to
the Consultant for work satisfactorily completed upon receipt of itemized invoices by the City.
1. Invoices will be submitted monthly. Invoices submitted on or before the 20th day
of any month shall become due and payable on the 10th day of the following
month. Invoices for each Task Order shall be submitted separately.
2. City's Right to Withhold Payment. In the event the City becomes informed that
any representations of the Consultant provided in its monthly billing, are wholly
or partially inaccurate, City may withhold payment of sums then or in the future
otherwise due to the Consultant until the inaccuracy and the cause thereof, is
corrected to the City's reasonable satisfaction. The Consultant shall correct or
revise any errors or deficiencies in its designs, drawings or specifications without
additional compensation when due solely to Consultant's negligent acts, errors,
or omissions.
PROPERTY ACCOUNTABILITY — If it becomes necessary to acquire any specialized equipment for the
performance of this contract, appropriate credit will be given for any residual value of said equipment
after completion of usage of the equipment.
ARTICLE VII -COVENANT AGAINST CONTINGENT FEES
The Consultant warrants 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 agreement, and that he has not
paid or agreed to pay any company or person, other than a bona fide employee, any fee, commission,
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percentage, brokerage fee, gifts, or any other consideration, contingent upon or resulting from the
award or making of this contract. For breach or violation of this warranty, the City shall have the right
to annul this agreement without liability, or in its discretion to deduct from the contract price or
consideration, or otherwise recover, the full amount of such fee, commission, percentage, brokerage
fee, gift, or contingent fee, plus reasonable attorney's fees.
ARTICLE VIII -SUBLETTING, ASSIGNMENT OR TRANSFER
No portion of the work covered by this contract, the contract itself, or any Task Order, except as
provided herein, shall be assigned, sublet or transferred without the written consent of the City. The
subletting of the work shall not relieve the Consultant of his primary responsibility for the quality and
performance of the work. The Consultant may engage subcontractors for the purposes of: foundation
borings and tests, abstracts of title, archaeological studies, and environmental studies, if required and
approved by the City.
ARTICLE IX- PROFESSIONAL ENDORSEMENT
All plans, specifications, and other documents shall be endorsed by the Consultant and shall reflect the
name and seal of the Design Professional endorsing the work. By signing and sealing the Drawings,
Plans, Specifications, and/or Estimate submittals, the Design Professional of Record will be representing
to the City that the design is meeting the intent of the program. Any review or approval by the City of
any documents prepared by the Consultant and/or its subconsultants including but not limited to the
plans and specifications, shall be solely for the purpose of determining whether such documents are
consistent with City's construction program and intent and shall not be construed as approval of same
by City. No review of such documents shall relieve Consultant of its responsibility for the accuracy,
adequacy, fitness, suitability, and coordination of its work product.
Consultant shall assign only qualified personnel to perform any service concerning the Project. At the
time of execution of the Task Order, the parties will agree on the Project Manager for the Task. This
person shall be the primary contact with the City's Project Manager and shall have authority to bind
Consultant.
ARTICLE X- RETENTION OF RECORDS
The Consultant shall maintain all records, survey notes, design documents, cost and accounting records,
construction records, and other records pertaining to this contract and to the project covered by this
contract, for a period of not less than three years following final payment by City. Said records shall be
made available for inspection by authorized representatives of the City during regular working hours at
the Consultant's place of business.
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ARTICLE XI -OWNERSHIP OF DOCUMENTS
Plans, tracings, maps, and specifications prepared under this contract shall be delivered to the City for
their use in accordance with this project. Basic survey notes, design computations, and other data
prepared under this contract shall be made available to the City upon request. All such information
produced under this contract shall be available for use by the City without restriction or limitation on its
use. If the City incorporates any portion of the work into a project other than that for which it was
performed, the City shall save the Consultant harmless from any claims and liabilities resulting from
such use.
ARTICLE XII -TERMINATION
The City may terminate the contract at any time by giving written notice. If the contract is terminated
because the project is abandoned or postponed by the City, the Consultant will be paid for actual time
and covered expenses incurred up to the date of termination, plus a pro-rated portion of any fixed fee.
If the contract is terminated due to the Consultant's services being unsatisfactory in the judgment of the
City, or if the Consultant fails to prosecute the work with due diligence, the City may procure
completion of the work in such manner as it deems to be in the best interest of the City. A Notice of
Termination will be sent to the Consultant and the Consultant shall have a period of ten (10) days to
remedy the cause for termination. The Consultant will be responsible for any excess cost in addition to
that provided for in this contract or any damages the City may sustain by reason of the termination of
this contract due to unsatisfactory performances or prosecution. When Consultant services have been
so terminated, such termination shall not affect any rights or remedies of the City against the
Consultant then existing or which may later accrue. Similarly, any retention or payment of monies due
the Consultant shall not release the Consultant from liability.
ARTICLE XIII - DECISIONS UNDER THIS CONTRACT
The City will determine the acceptability of work performed under this contract, and will decide all
questions which may arise concerning the project. The City's decision shall be final and conclusive.
ARTICLE XIV-SUCCESSORS AND ASSIGNS
Subject to the restrictions on assignments in Article VIII above, the City and the Consultant agree that
this contract and all contracts entered into under the provisions of this contract shall be binding upon
the parties hereto and their successors and assigns.
ARTICLE XV-COMPLIANCE WITH LAWS
The Consultant shall comply with all federal, state, and local laws, ordinances, and regulations
applicable to the work, including Title VI of the Civil Rights Act of 1964 and non-discrimination clauses
incorporated herein, and shall procure all licenses and permits necessary for the fulfillment of
obligations under this contract. Consultant shall further comply with the following state law
requirements:
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Work Authorization Program. If the Contract is for services expected to cost more than $5,000.00, the
Consultant shall comply with of Section 285.530 RSMo., pertaining to enrollment and participation in a
federal work authorization program (as defined therein) and shall provide verification through an
affidavit (attached as Attachment C) that the Consultant (1) does not knowingly employ any person who
is an unauthorized alien in connection with the Contract and (2) is enrolled in a federal work
authorization program and provide documentary proof thereof. The affidavit shall contain the
notarized signature of the registered agent, legal representative, or corporate officer of the Consultant
including but not limited to the human resources director or their equivalent.
Proof of Lawful Presence. Section 208.009 RSMo., requires that all applicants at the time of application
for any contract provided by a local government provide "affirmative proof that the applicant is a
citizen or a permanent resident of the United States or is lawfully present in the United States."
Consultant's affirmative proof must be established through (1) a Missouri driver's license, (2) any
"documentary evidence recognized by the department of revenue when processing an application for a
driver's license," or (2) "any document issued by the federal government that confirms an alien's lawful
presence in the United States." §208.009.3
ARTICLE XVI - RESPONSIBILITY FOR CLAIMS AND LIABILITY
The Consultant agrees to save harmless the City from all claims and liability due to his negligent acts or
the negligent acts of his employees, agents, or subcontractors. The City shall be entitled to recover its
actual attorneys' fees from Consultant for the City's enforcement of this Agreement.
ARTICLE XVII - INSURANCE
The Consultant shall maintain commercial general liability, automobile liability, and worker's
compensation and employer's liability insurance in full force and effect to protect the Consultant from
claims under Worker's Compensation Acts, claims for damages for personal injury or death, and for
damages to property arising from the negligent acts, errors, or omissions of the Consultant and its
employees, agents and subconsultants in the performance of the services covered by this Agreement,
including, without limitation, risks insured against in commercial general liability policies.
The Consultant shall also maintain professional liability insurance to protect the City against the
negligent acts, errors, or omissions, of the Consultant and those for whom it is legally responsible,
arising out of the performance of professional services under this Agreement.
Unless another amount is agreed to by the City based on the circumstances, the Consultant and his
subconsultants shall procure and maintain during the life of this Agreement insurance of the types and
minimum amounts as follows:
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Insurance Type Amount
Worker's Compensation: In full compliance with statutory
requirements of Federal and State of
Missouri
Comprehensive General and Professional
Liability, including: Comprehensive Automobile
Liability, Employer Liability, City's Protective $420,606 each person
Bodily Injury Including Death, and City's $2,000,000 each occurrence
Protective Property Damage:
The City's Protective policy shall name the City as the Insured. Certificates evidencing such insurance
shall be furnished to the City prior to the Consultant commencing the work on this project. The
certificates must state, "The CITY OF CAPE GIRARDEAU is an additional insured". The City reserves the
right to adjust the limit coverage requirements in accordance with changes in the statutory sovereign
immunity limits over the life of this contract to reflect any changes in the limits as published by the
Missouri Department of Insurance in the state register pursuant to RSMo. §537.610.
The Consultant shall, upon request at any time, provide the City with certificates of insurance
evidencing the Consultant's commercial general or professional liability policies and evidencing that
they and all other required insurance is in effect, as to the services under this Contract.
Any insurance policy required as specified in this Article shall be written by a company that is
incorporated in the United States of America or is based in the United States of America. Each
insurance policy must be issued by a company authorized to issue such insurance in the State of
Missouri.
ARTICLE XVIII - FINDINGS CONFIDENTIAL
To the fullest extent permitted by law, all reports, information, data, etc. prepared or assembled by the
Consultant under this contract are confidential, and the Consultant agrees they shall not be made
available to any individual or organization without the prior written approval of the City.
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ARTICLE XIX- NONDISCRIMINATION
The Consultant, with regard to the work performed by it after award and prior to completion of the
contract work, will not discriminate on the ground of race, color or national origin in the selection and
retention of subcontractors. The Consultant will comply with Title VI of the Civil Rights Act of 1964, as
amended. More specifically, the Consultant will comply with the regulations of the Department of
Transportation relative to nondiscrimination in federally assisted programs of the Department of
Transportation, as contained in 49 CFR 21 through Appendix H and 23 CFR 710.405 which are herein
incorporated by reference and made a part of this contract. In all solicitations either by competitive
bidding or negotiation made by the Consultant for work to be performed under a subcontract, including
procurements of materials or equipment, each potential subcontractor or supplier shall be notified by
the Consultant's obligations under this contract and the regulations relative to non-discrimination on
the ground of color, race or national origin.
ARTICLE XIX- PERIOD OF SERVICE
This contract shall remain in effect for five years from the date accepted by the City of Cape Girardeau
City Council or until the Parks and Recreation projects are completed.
ARTICLE XX-ATTACHMENTS
The following exhibits are attached hereto and are hereby made part of this contract:
Attachment A— Charge out rates for 2019 and 2020 (See Article VI —Compensation)
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Attachment B— Certification Regarding Debarment, Suspension, and Other
Responsibility Matters- Primary Covered Transactions
Attachment C— Affidavit of Participation in Federal Work Authorization Program
6 \ J
Executed by the Consultant this day of . k 1.2 20121
,Air\
Executed by the City this LC day of • lu' 201 .
FOR: CITY OF CAP = 'A' EAU
Scott •yer, City ' anager
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ATTEST .4/_ . . _ ``, { i- f i
Bruce Taylor,•s1puty City Clerk .� �-. � �' i rd
'� • K I ! F�-
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FOR: Counsilman-Hunsaker
BY:
Signature
is
NAME: l 1 M23
Written ame
ATTEST: -- _ _
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ATTACHMENT A
BREAK OUT RATES FOR YEAR
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ATTACHMENT B
CERTIFICATION REGARDING DEBARMENT,
SUSPENSION, AND OTHER RESPONSIBILITY MATTERS-
PRIMARY COVERED TRANSACTIONS
INSTRUCTIONS FOR CERTIFICATION
1. By signing and submitting this proposal, the prospective primary participant is providing the
certification set out below.
2. The inability of a person to provide the certification required below will not necessarily result in
denial of participation in this covered transaction. The prospective participant shall submit an
explanation of why it cannot provide the certification set out below. The certification or
explanation will be considered in connection with the department or agency's determination
whether to enter into this transaction. However, failure of the prospective primary participant
to furnish a certification or an explanation shall disqualify such person from participation in this
transaction.
3. The certification in this clause is a material representation of fact upon which reliance was
placed when the department or agency determined to enter into this transaction. If it is later
determined that the prospective primary participant knowingly rendered an erroneous
certification in addition to other remedies available to the Federal Government, the department
or agency may terminate this transaction for cause of default.
4. The prospective primary participant shall provide immediate written notice to the department
• or agency to whom this proposal is submitted if at any time the prospective primary participant
learns that its certification was erroneous when submitted or has become erroneous by reason
of changed circumstances.
5. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered
transaction," "participant," "person," "primary covered transaction," "principal," "proposal," and
"voluntarily excluded," "proposal" and "voluntarily excluded," as used in this clause, have the
meanings set out in the Definitions and Coverage sections of the rules implementing Executive
Order 12549. You may contact the department or agency to which this proposal is being
submitted for assistance in obtaining a copy of those regulations.
6. The prospective primary participant agrees by submitting this proposal that, should the
proposed covered transaction be entered into, it shall not knowingly enter into any lower tier
covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily
excluded from participation in this covered transaction, unless authorized by the department or
agency entering into this transaction.
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7. The prospective primary participant further agrees by submitting this proposal that it will include
the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary
Exclusion--Lower Tier Covered Transaction" provided by the department or agency entering into
this,covered transaction, without modification, in all lower tier covered transactions and in all
solicitations for lower tier covered transactions.
8. A participant in a covered transaction may rely upon a certification of a prospective participant
in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily
excluded from the covered transaction, unless it knows that the certification is erroneous. A
participant may decide the method and frequency by which it determines the eligibility of its
principals. Each participant may, but is not required to check the Non-procurement List at the
Excluded Parties List System.
https://www.epls.gov/epls/search.do?page=A&status=current&agency=69#A.
9. Nothing contained in the foregoing shall be construed to require establishment of a system of
records in order to render in good faith the certification required by this clause. The knowledge
and information of a participant is not required to exceed that which is normally possessed by a
prudent person in the ordinary course of business dealings.
10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a
covered transaction knowingly enters into a lower tier covered transaction with a person who is
suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in
addition to other remedies available to the Federal Government, the department or agency may
terminate this transaction for cause or default.
Certification Regarding Debarment, Suspension, and Other Responsibility Matters -Primary Covered
Transactions
1. The prospective primary participant certifies to the best of its knowledge and belief, that it and
its principals:
a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any Federal department or agency;
b. Have not within a three-year period preceding this proposal been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal offense in
connection with obtaining, attempting to obtain or performing a public (Federal, State or
local) transaction or contract under a public transaction; violation of Federal or State
antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity (Federal, State or local) with commission of any of the offenses
enumerated in paragraph (1)(b) of this certification; and
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d. Have not within a three-year period preceding this application/proposal had one or more
public transactions (Federal, State or local)terminated for cause or default.
2. Where the prospective primary participant is unable to certify to any of the statements in this
certification,such prospective participant shall attach an explanation to this proposal.
ATTACHMENT C
AFFIDAVIT OF PARTICIPATION IN
FEDERAL WORK AUTHORIZATION PROGRAM
Comes now Ce.ty DPirtes (name) as 9i€ 1 V rc kQf
(office held)first being duly sworn, on my oath, affirm (04t\ \r c n- L.$ j4r
(Company Name) "Consultant" is enrolled and will continue to participate in a federal work
authorization program in respect to employees that will work in connection with the contracted services
related to Parks and Recreation projects and any incidental items associated with this work for the
duration of the contract, if awarded, in accordance with Section 285.530.2, Revised Statutes of Missouri.
I also affirm that the Consultant does not and will not knowingly employ a person who is an
unauthorized alien in connection with the contracted services for the duration of the contract, if
awarded. Attached to this affidavit is documentation of the Consultant's participation in a federal work
authorization program.
(ATTACH DOCUMENTATION SHOWING THAT COMPANY PARTICIAPTES IN FEDERAL WORK
AUTHORIZATION PROGRAM. ALSO ATTACH PROOF OF LAWFUL PRESENCE, AS PROVIDED IN THE
GENERAL CONDITIONS)
In Affirmation thereof, the facts stated above are true and correct (The undersigned
understands that false statements made in this filing are subject to the penalties provided under
Section 575.040,RSMo).
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Ceoric homes
Signature (person with authority) Printed Name
9t4 L\fir A14' /�?'(1
7
Title Date
State of M+s&euri—`Te s
ss.
County of
Subscribed and sworn to before me thist5 'day of , 20j.
—--
My commission expires: Notary Public
WENDY SHEREE TRAYLER KNADKA
J�!
Notary 10 110663666
'�^\I
My Dornelis:iice Ems
440,.00 August 15,2020
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