HomeMy WebLinkAboutCityMgrForm.1332.04-19-1978 � � (
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CITY MANAGER FORM ORDINANCE N0. 13 3 �
AN ORDINANCE APPROVING THE FORM OF AN ENGINEERING SERVICE
AGREEMENT BETWEEN THE CITY OF CAPE GIRARDEAU, MISSOURI, AND
ALAN M. VOORHEES & ASSOCIATES, INC. FOR A TRAFFIC SIGNALS
DESIGN PROJECT, AUTHORIZING THE MAYOR .TO EXECUTE
WHEREAS , The City of Cape Girardeau, Missouri desires
federal participation in the cast of the installation of
new traffic signals and the cost for the preparation of plans ,
specifications, and cost estimates for those signalization
improvements; and
WHEREAS, There is a need to engage the services of
a consultant to conduct the neces:sary preliminary engineering
and prepare the plans, specifications, and cost estimates;
and
WHEREAS, Alan M. Voorhees & Associates, Inc. , desires
to perform said engineering services for said City;
NOW, THEREFORE, BE IT ORDAINED BY THE COUNCIL OF
THE CITY OF CAPE GIR.ARDEAU, MIS.SOURI., AS FOLLOWS :
SECTION 1. The "Engineering Service Agreement" ,
copy attached hereto marked E�iibit "A" , between the City
of Cape Girardeau, Mi'ssouri, and Alan M. Voorhees & Associates,
Inc. , is approved as to form.
SECTION 2. The Mayor of the City of Cape Girardeau,
Missouri, is hereby authorized and directed to execute said
"Engineering Service Agreement" , copy attached marked Exhibit
"A" , for and on behalf of the City of Cape Girardeau, Missouri.
SECT.ION 3. This ordinance shall be in full force
and effect ten days after its passage and approval.
PASSED AND APPROVED THIS ����� DAY OF APRII,, 1978.
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ENGINEERING SERVICE AGREEMENT
THIS AGREEMENT, made as of , 1978,
• between the City of Cape Girardeau, Missouri (hereinafter called the
CITY), and Alan M. Voorhees & Associates, Inc. , a Delaware Corpora-
tion, with offices at 12161 Lackland Road, St. Louis, Missouri 63141
(hereinafter called the CONSULTANT):
. WITNESSETH: That said CITY has submitted an official request
to the Missouri State Highway Department for the following improvements
of the street network of Cape Girardeau, Missouri, described as #'ollows:
The preparation of design plans, specifications, and cost �stimates
for the modification of existing traffic signal controls at the intersection
of Broadway Street with Sprigg Street, Pacific Street, West End Boulevard,
. I'erry Avenue, and Caruthers Avenue and Independence Street with Sprigg
Street, Pacific Street, West End Boulevard, and Caruthers Avenue/Sheridan
Drive. The installation of new traffic signal controls at the intersection of
Independence Street with the Fire Station west of Keller Avenue and Sprigg
Street with Williams Street, Morgan Oaks Street, and the New Fire Station
south of Independence Street. The removal of traffic signal controls at the
intersection of Broadway Street with Fountain Street.
That said CITY desires federal participation in the cost of the
installation of new traffic signals and the cost for the preparation of plans,
specifications, and cost estimates for those signalization improvements.
That the engineering staff of the CITY is not adequate to conduct
'the necessary preliminary engineering or prepare the plans, specifications
and cost estimates, and handle other necessary CITY work.
That the CITY desires to engage the services of the CONSULTANT
to conduct the necessary preliminary engineering and prepare the plans,
specifications, and cost estimates.
EXHIBIT N�n ��
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NOW, THEREFORE, in consideration of the mutual undertaking
herein contained, the parties agree in respect of the performance of
professional engineering services by the CONSULTANT and the payment
� for those services by the CITY, as set forth hereinafter.
The CONSULTANT will serve as the CITY'S professional engineer-
ing representative in those phases of the PRQTECT to which this Agreement
applies, and will give consultation and advice to the CITY during the perfor-
' :nance of his services.
SECTION 1. BASIC SERVICES OF THE CONSULTANT
1. 1 General. The CONSULTANT will perform professional traffic
engineering and design services in connection with the PROJECT
• as hereinafter stated which shall include normal civil and traffic
engineering services and design services incidental thereto,
including performance of accessory property, boundary, easement,
right-of-way, topographic and utility surveys for design, and
preparation of land plats and right-of-way conveyances and utility
easements.
1. 1. 1 As hereinafter stated, the word '�necessary" shall mean
the number specified in the Federal Aid Urban Program
Manual, plus one copy each for utility companies and
contractors working on the project.
. 1. 2 Project: The CONSULTANT will:
1. 2. 1 Conduct field measurements at each PROJECT intersec-
tion to determine street widths, sidewalks, locate existing
buildings, existing utility poles, underground utilities,
driveways, trees, and other miscellaneous items for each
PROJECT intersection.
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1. 2, 2 Prepare base maps for this inventory at a scale of
1" equals 20' to be utilized by the CONSULTANT in
the preparation of individual PROJECT intersection
signal and right-of-way plans.
1. 2. 3 Prepare preliminary plans which include schematic
. layouts, sketches, design criteria and right-of-way
for each intersection project.
� 1. 2.4 Furnish necessary copies of preliminary plans and
estimate of cost for approval.
1, 2. 5 On the basis of the approved preliminary plans, supply
necessary data, layouts, and plans for required public
hearing.
1. 2. 6 Upon approval of public hearing, furnish necessary
• detailed plans for each intersection project for right-
of-way approval, and prepare documents for right-of-way
conveyances subsequent to right-of-way approval.
1. 2. 7 Prepare traffic signal plans, specifications and cost
estimates using the Missouri State Highway Commission's
design standard. These plans will contain the design of
new signal hardware, cable, conduit, bases, pull boxes,
and traffic control equipment. They will also include
additional right-of-way details, and incidental roadway
work necessary to aid in a smoother flow of vehicular• and
pedestrian traffic such as improved corner radii, pavement
• additions and removals, sewer relocations, utility reloca-
tions, and other minor construction items such as wheel-
chair ramps. •
1.2.8 Furnish the CITY necessary detailed construction plans,
specifications, and cost estimates for the specified improve-
ments and perform all required work incidental thereto in a
manner acceptable to the CITY.
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1. 2. 9 Prepare revised plans as requested by the CITY made
necessary by errors, omissions or negligence of the
CONSULTANT at any time prior to the completion of
� the construction as covered by this project.
1. 2. 10 Prepare and furnish necessary prints (white background)
. of preliminary construction plans for field check and
review by the CITY.
� 1. 2. 11 Furnish necessary copies of the plans, specifications,
and cost estimates to the Missouri State Highway Depart-
ment for office check. Similar copies will be furnished
to the CITY.
1. 2. 12 The plans are not to be finalized until the CITY has given
"design approval�� and has notified the CONSULTANT in
• writing that the plans may be completed.
1. 2. 13 Furnish the Missouri State Highway Department with
necessary copies (white background) of the plan tracings
of the final plans and the specifications and cost estimates.
Similar copies of the plans, specifications, and cost
estimates shall be furnished to the CITY.
1. 2. 14 Furnish the CITY a complete original set of plans, speci-
fications, and cost estimate for the project, including all
design calculations, tracings and drawings, as approved.
1. 2. 15 Have available for review by the CITY, Missouri State
Highway Department, and Federal Highway Administration
. personnel, all plans being prepared and supporting informa-
tion at the CONSULTANT'S office at 12161 Lackland Road,
St. Louis, Missouri 63141.
1. 2. 16 Complete the preliminary construction plans for field
check and review by the CITY within 180 c3ays from the
date of notification to proceed from the CITY.
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1. 2. 17 Finalize the plans within 90 calendar days from the
date of the written "design approval" by the CITY.
� 1. 3 Miscellaneous Provisions. The CONSULTANT will:
1. 3. 1 Save the CITY harmless from all damages to persons
• or property caused by him, his agent, employees, or
sub-contractors which may result from their operation
' in connection with the work.
1. 3.2 Accept compensation for the work herein described in
such amounts and at such periods as indicated in
Section 2, Paragraphs 2. 4, 2.5 , and 2. 6.
1, 3. 3 Maintain all books, documents, papers, accounting
records, and other evidence pertaining to costs incurred
• and to make such material available at their office at all
reasonable times during the contract period and for three
years from the date of final payment under the contract
for inspection by the Missouri State Highway Department,
Federal Highway Administration, or any authorized
representatives of the federal government. Copies
shall be furnished if requested.
1, 3.4 Comply with all federal, state and local laws and
ordinances applicable to the work and to comply with
Appendix C, relative to Title 6 of the Civi1 Rights Act
of 1964, which is attached to and made part of this
. agreement.
1. 3. 5 The CONSULTANT warrants that he has not employed
or retained any company or person, other than a boni-
fide employee working solely for the CONSULTANT to
solicit or secure this contract, and that he has not paid
nor agreed to pay any company or person, other than a
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bonifide employee, working solely for the COI�TSULTANT,
any fee, commission, percentage, brokerage fee, gifts,
or any other consideration impinging upon or resulting
• from the award or making of this agreement. For breach
or violation of this warranty the CITYshall have the right
to annul this contract without liabi lity, or, in its discre-
tion, to deduct from the contract price or consideration,
• or otherwise recover the full amount of such fee, com-
mission, percentage, brokerage fee, gifts, or contingency.
Appendix D is attached and made a part of this agreement.
SECTIUN 2. THE CITY'S RESPONSIBILITIES
The CITY will:
' 2. 1 Provide the CONSULTANT with all available plans and maps indicat-
ing the physical features of each PROJECT intersection,
2. 2 Provide the CONSULTANT with all available information regarding
underground utilities, sewer lines, etc. �
2.. 3 Review and approve CONSULTANT'S preliminary location and/or
design layouts prior to detailed progress of the work.
2, 4 At monthly intervals the CONSULTANT shall submit to the CITY
a certified invoice for allowable costs incurred in the performance
of this agreement. It is hereby agreed that an amount equal to five
percent (5%) of the total compensation payable to the CONSULTANT
. under this agreement shall be withheld by the CITY until said CITY
� has determined the CONSULTANT has satisfactorily completed the
work required under this agreement. Invoice payment shall be based
on the actual cost incurred by the CONSULTANT per invoice period.
All invoices shall be documented by a progress report detailing the
work as performed by the CONSULTANT per invoice period.
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2. 5 Within thirty (30) days after receipt of CONSULTANT'S invoice
the CITY shall make payment thereon to the CONSULTANT.
Payment on account of the fixed fee shall be in installments at the
� time of payment on account of the allowed costs. Each such fixed
fee installment thus payable to be in an amount which shall bear
. the proportion to the total amount of the fixed fee of this agreement,
as said payment on account of allowable costs bears to the total
' estimated cost of performance for this agreement.
". 6 The CONSULTANT shall complete all of the work as set forth in
this agreement on a cost-plus-fixed-fee basis. The cost is not to
exceed an estimate of $36, 538.41 determination of which is shown
in Appendix A. Final payment for these services specified in this
agreement are to be based on actual cost to the CONSULTANT dur-
• ing the period of time the work is performed and will be those actual
costs as allowed by FHPM1-7-2 and FPR 1-15, plus a fixed fee of
$3, 418. 84. The total contract will not exceed $39, 957, 25. It is
understood that the direct payroll additives and general and
administrative overhead percentages for the CONSULTANT shown
in Appendix B (35% and 85% of productive salary, respectively) are
for the purposes of estimating the total compensation in providing
a method of monthly payment to the CONSULTANT. Upon the com-
pletion of the CONSULTANT'S work under this agreement, the final
payment for said additives and overhead will be based on accounting
records of the CONSULTANT from which the actual said additives
, and overhead incurred during the period of the agreement to it will
be established.
SE CTION 3. MUTUA L AGREEME NTS
The parties hereto mutually agree:
3. 1 That the services to be performed by the CONSULTANT under the
terms of this agreement are personal and cannot be assigned, sub-
let or transferred without the consent of the CITY.
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3. 2 That the right is reserved by the CITY to terminate this agreement
at any time, upon written notice in the event the improvement s to �
be abandoned or indefinitely postponed or because the CONSULTANT'S
disability or death or because the services of the CONSULTANT are
unsatisfactory or failure by the CONSULTANT to prosecute the work
with due diligency or to complete the work within the time limit
• specified in this agreement; provided, however, that in any such
case the CONSULTANT shall be paid the reasonable value of the
services rendered up to the time of termination on the basis of the
payment provisions of this agreement.
3. 3 That the CONSULTANT and the CITY may arrange for such con-
ferences, visits to the site or inspection of the work that may be
deemed necessary or desirable in connection with timing and
sequencing of the traffic signals.
� 3. 4 That an extension of time shall be granted the CONSULTANT for
delays authorized by the CITY as unavoidable; provided, however,
that such extension of time shall be requested in writing by the
CONSULTANT stating fully the reasons for such request.
3. 5 That all plans, drawings, and documents pertaining to the project
shall become the property of the CITY upon the completion thereof
in accordance with the terms of this agreement. Further use shall
be subject to the approval of the CITY.
3. 6 That if additional work by reason• of a major change in the scope
of the proposed project should be necessary, the CONSULTANT
� , will be given by the CITY a written notice including a request for
an estimate of additional costs plus a fixed fee for profit for the
performance of such additional work. No additional work shall be
performed nor additional compensation be paid except on the basis
of the provisions of a supplemental agreement which may be duly
entered into by the parties. Any changed work, extra work, or
increase in contract ceiling or fixed fee would be subject to the
approval of the supplemental agreement by the Federal Highway
Administration prior to incurring the additional expense.
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3. 7 That any disputes of facts which might develop as a result of this
contract shall be decided through discussions between the
CONSULTANT and the CITY.
3. 8 It is further agreed that this agreement and all contracts entered
into under the provisions of this agreement shall be binding upon
the parties hereto and their successors and assigns.
3. 9 • That the services to be performed by the CONSULTANT under the
terms of this agreement are to commence contingent upon the
approval of the Missouri State Highway Department and the Federal
Highway Administration.
IN WITNESSETH WHEREOF said parties have caused this agree-
ment to be signed by the duly authorized officers.
ALAN M. VOORHEES & ASSOCIATES, INC.
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ftichar F. Casey f
A TTEST: ���� �n�� Administration
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CITY OF CAPE GIRARDEAU, MISSOURI
.ATTEST:
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APP'ENDIX A
ESTIMATED ENGINEERING SERVICE COSTS
F OR
ALAN M. VOORHEES & ASSOCIATES, INC.
FOR BASIC SERVICES OF THE CONSULTANT (ALAN M. VOORHEES &
ASSOCIA TES, INC.) AS DESCRIBED IN SECTION 1 OF THIS AGREE-
MENT FOR THE PRQTECT AS PREVIOUSLY DESCRIBED IN THIS
AGREEMENT.
Task/Personnel Hours Ratel� Cost
Field Inventory_
PrincipalII 16 $15.49 $ 247.84
Associate 40 12, 02 480.80
Designer 80 7. 1? 573.60
. Technician 64 4. 20 268.80
Secretary 16 5. 25 84.00
Sub-Total, Direct Labor $ 1, 655.04
Base Map Preparation (Includes Locatin� Utilities, etc.)
PrincipalII 12 15.49 $ 185.88
Associate 56 12. 02 673. 12
Designer 136 ?. 17 975. 12
Technician 240 4,20 1, 008.00
Secretary 32 5. 25 168. 00
Sub-Total, Direct Labor $ 3, 010. 12
Preparation of Desi�n Plans
� • Principal I 24 18. 00 $ 432.00
' PrincipalIl 40 15.49 619.60
A ssociate 80 12.02 961. 60
Designer 160 7. 17 1, 147.20
Technician 160 4. 20 672.00
Secretary 24 5.25 126.00
Sub-Total, Direct Labor $ 3, 958.40
A PPE NDIX A (Continued)
Task f Personnel Hours Rate 1� Cost
Preparation of Specifications & Special Provisions
Principal I 12 $18. 00 $ 216. 00
Principal II 16 15.4 9 247.84
Associate 16 12. 02 192, 32
, Designer 32 7. 17 229.44
Secretary 8 5. 25 42. 00
Sub-Total, Direct Labor $ 927. 60
Assist in Bid Preparation, Openin� & Selection of Contractor
PrincipalII 16 15.49 $ 247.84
Associate 24 12. 02 288.48
Designer 24 7. 17 172. 08
• Secretary 12 5. 25 63. 00
Sub-Total, Direct Labor $ 771.40
Timin� & Sequencin� of Traffic Si�nals
PrincipalI 40 18. 00 $ 720. 00
PrincipalII 24 15.49 371. 76
Associate 40 12.02 480. 80
Designer 32 7. 17 229.44
Secretary 12 5. 25 63. 00
Sub-Total, Direct Labor $ 1, 865. 00
Total, Direct Labor , $12, 187. 56
Payroll Additives (35%) 4, 265. 65
Overhead Additives (85%)� 13, 985. 23
Material (Prints, Mylars, Reproduction, etc. ) 3, 750. 00
� Total Productive Costs $34, 188.44
Travel - 4, 000 Miles @ $0. 15/Mile $ 600. 00
Subsistence - $35. 00/Day x 50 Man Days $ 1, ?50. 00
Fixed Fee (10% of Total Productive Costs) $ 3, 418.84
Total Estimated Cost $39, 957.25
� Calculated on Direct Labor plus Payroll Additives
1/ These rates are subject to changes due to yearly reviews.
� APPENDIX B
ALAN M. VOORHEES & ASSOCIATES, INC.
COST ACCOUNTING
FROM JULY 1, 1977 TO JUNE 30, 1978
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A PPE NDIX B
PAYROLL ADDITIVES
� PROVISIONAL FRINGE BENEFITS �
(SUBJECT TO FINAL AUDIT)
. ALAN M. VOORHEES & ASSOCIATES, INC.
' Percent of
Category Direct Labor
Social Security Taxes 6. 00
Unemployment Taxes 1. 05
Holiday 4. 50
Vacation 6. 00
' Sick Leave 2• 25
Group Insurance 4. 50
� Workman's Compensation • 75
Administrative Leave 1. 00
Pension Plan, Other Employee Benefits & Miscellaneous 8. 95
� Total ' 35. 00
' APPENDIX B (Continued)
PROVISIONAL OVERHEAD AND INDIRECT COSTS
. (SUB.�E CT TO FINA L AUDIT)
ALAN M. VOOR�-i�:FS & ASSOCIATES, INC.
. Percent of
Direct Labor
Plus Fringe
� Category Benefits�`
Personnel Placement and Relocation 1. 1
Equipment Rental, Maintenance and Depreciation 2. 3
Office Supplies and Expenses 4. 2
Professional Development Program 1. 5
Facilities Expense (Rent, Business Insurance, Etc. ) 19. 0
Legal and Audit and Data Processing Z. 2
Departmental Supervisory and Clerical Salaries and Costs 12. 2
Administrative Salaries and Costs 14. 9
General Taxes and Licenses 1. 9
Telephone and Telegraph (Not assignable to specific contracts) 4. 4
Proposal Preparation and Contract Negotiation 15. 6
Other Expenses 5• �
Total 85. 0
� Rate applied to salaries plus fringe benefits, payroll burden
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APPENDIX C
TO AGREEMENT DATED
BETWEEN �
, ALAN M. VOORHEES AND ASSOCIATES, INC. �
AND
THE CITY OF CAPE GIRARDEAU, MISSCOURI
• � During the pe�formonce of this agreement, Alan M. Voorhees and Associates, Inc.
for itself, its assignees and successors (hereafter.referred to as_the "Contracto�") agrees
as follows: . �
l. Compliance with Regulations: The Contractor will comply with the regulations of
the Department of Tronsportation relative to nondiscrimination in Federall-assisted
programs of the Department of Transportation (Title 49,. Code of Federol Regulations,
Part 21, hereinafter referred to as the Regulations), which are herein incorporafied by
reference and made a part of this controct.
2. Nondiscrimination: The Contractor, with regard to the work performed by it after
award and prior to completion of the contract work,. will not discriminate on the groun�s
of race, color, religion, creed, national origin, or ancestry of any individual in the
selection and retention of subcontroctors, including procurements of moterials and leases
of eqvipment. . The Contractor will not participate either directly or indirectly in the
discriminafiion prohibited by Section 21 .5 of the Regulations, including employment
' practices when the controct covers a program set forth in Appendix "A':.
3. Solicitations for $ubcontroctors, Including Procurements of Materials ond Equip-
ment: In all solicitations either for competitive bidding o� negotiation made by the
Controctor for work to be perFormed under a subcontract, including procurements of
materials or equipment, each potential subcontractor or supplier sholl be notified by
the Controctor of the Contractor's obligations under this contract and the Regulations
relative to nondiscriminafiion on the grounds of race, color, religion, creed, sex,
. national origin or ancestry of any individual.
4. Information and Reports: The Controctor will provide all information ond reports
required by the Regulations, or orders and instructions issued pursuant thereto, and will
permit access to its books, records, accounts, other sources of information, and ih
facilities os may be determined by the Highway Agencies or the Federol Highway
Administrotion to be pertinent to ascertain compliance with such Regulations, orders,
and instrvctions. Where any information required of the Contractor is in the exclusive
possession of another who fails or refuses to furnish this information, the Contractor
shall so certify to the Highway Agencies or the Federal Highway Administ�ation os �
appropriate, and shall set forth what efforh it has made to obtain the information.
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APPENDIX C (Continued) �
. 5. Sanctions for Noncompliance: In the event of the Contractor's noncompliance with
the nondiscrimination provisions of this controct, the Highway Agencies shall impose
' such controct sanctions as it or the FederaF Highway Administration may determine to
be appropriate, i�cluding, but not �imited to: .
(a) , withholding payments to the Contractor under the controct until the Contractor
complies, and�or, • '
, �(b) cancellation, termination, or suspension of the contract, in whole.or in part.
6. Incorporation of Provisions. The Contractor will include the provisions of
. paragraphs (1) through 6) in every subcontract, including procurements of materials
and leases of equipment, unless exempt by the Statutes, Executive Order, Regulations,
or Instructions issued purusont thereto. The Contractor will take such action with
respect to any subcontroct or procurement as the Highway Agencies or the Federal
Nighway Adminisfiration may direct as a means of enforcing such provisions including
sanctions for noncomplionce; provided, however, that, in the event the Controctor
becomes involved in, or is threaten�d with.litigation with a subcontroctor or supplier
as a result of such direction, the Contractor may request the Highway Agencies to
enter into such litigation to protect the interesh of the Highway Agencies and, in
� oddition, the Controctor moy request the United States to enter into such litigation
� to protect the interest of the United States. '
APPENDiX D
City Contract No.
, Federal-Aid Project
City & State _
CERTIFICATION OF CONSULTANT
I hereby certify that I am the j'�'1C�? , �c•�c.��7Ci'ac�l-5 and duly authorized representative of the fum �
, whose address is lC¢�j�if c ���nR��►p•�K' ai`�r.�+ti (�.�
an t at neit er nor t e a d m I here represent has:
(a) employed or retained for a commission, percentage, brokerage, contingent fee� or other con�deration, any fu�
or person (other than a bona fide employee working solely for me or the above consultant) to solicit or secure t}u
contnct,
(b). agreed, as an express or implied condition for obtaining this contract, to employ or retain the services of an�
firm or person in connection with carrying out the contract, or
(c) paid, or agreed to pay, to any fum, organization or persons (other than a bona fide employee wor}dng sokl�,
� for me or the above consultant) any fee, contribution, donation, or consideration of any kind tor, or in conneaio-
with, procuring or carrying out the contract;
except as here expressly stated (if any):
, I acknowledge that this certificate is to be fumished to th� City of � the Missouri Sate
Iighway Department and the Federal Highway Administration� U. S. Department of Transportation, in connection Git°t
tlria contract invoIving participation of Federal-aid highway funds, and is subject to applicable Caty, State and Fec�ra
laws, both cri ' al and civ�. /
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(Date) Sign ure �
CERTIFICATION OF CITY
I 3�ereby ccrtify that I am the of the City of
and that the above consulting firm or his representative has not been required, directly or indirectly as an expres or
implied conditian in connection with obtaining or carrying out this contract to
, (a) employ or retain, or agree to employ or retain, any fum or person, or
(b) pay, or agree to pay, to any fum. person, or organization, any fee, contribution, donation, ot consider�ior
of any ldnd;
except as here expressly stated (if any):
I acknowledge that this certificate is to be fumished the Missouri State I-�ghway Department and the Federal Higtr�+a�
Administration, U. S. Departrr�nt of Transportation, in connection with this contract involving participation of Federa}-ai
hdghway funds, and is subject to applicable 6ty, State, and Federal laws, both criminal and civil.
(�t�� Signature
. APPENDIX D (CONT.)
Federa]-Aid Project
I.ocation -
Contracting Agcncy �—
State
CERTIFICATION OF STATE HIGHWAY DEPARTMENT
I�hereby certify that I am the Chief En�neer of the I-�ghway Department of the State of Nfissouri, and that the consult�
fum of
or his representative,has not be
required, directly or indirect�y as an express or implied condition in connection with obtaining or carrying out this contr�
to
' (a) employ or retain, or agree to empToy or retain� in any fum or person, or
�b) paY. or agree to pay� to any fum, person, or organization, any fee, contnbution, donation or consideratio
of any land;
exapt az here expressly stated (if any):
I acknowledge that this certificate is to be fumished the Federal I-iighway Administration, U. S. Deparimeut o
Transportation� in connection with this contrad involving participation of Federal-Aid highway funds� and is subjeet tc
�pplicable State and Federal laws, both criminal and civil.
.i • _
(Date) _
(Signature)
,