CONTRACT 2015-031 WITH DIBBLE ENGINEERING.PDF
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ON-CALL PROFESSIONAL ENGINEERING AND DESIGN SERVICES
BETWEEN
MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
AND
DIBBLE ENGINEERING
CONTRACT NO. 2015-031
Agenda No. C-64-
ON CALL PROFESSIONAL ENGINEERING AND DESIGN SERVICES
CONTRACT NO. 2015-031
TABLE OF CONTENTS
SECTION | SERVICES OF CONSULTANT on.sccsssecsetssnnssce covssessreseresnessessaneenseastesusessesesenseennes
SECTION Il WORK ASSIGNMENTS AND PERIOD OF SERVICE......ccscsssescsssseessereercesranns
SECTION Ill PAYMENTS TO THE CONSULTANT ..sccsssse cssssssessnersscosseersesnsstessuessnesssuesnersnes
SECTION IV THE COUNTY’S RESPONSIBILITIES ...sscsss srsssssessssassersesveseaseesusessnsssenseneessennens
SECTION V ALTERATION IN SCOPE OF WORK uu.cssecsses cssstsssescsnssnsssssserssstescessnessesuseesesenees
SECTION Vi RECORDS. ......essscssssscsscsnsessseresccnsssesnsesessesseonsy sarsuseareeersssereserauesarseaseasecaneeseranatensen
SECTION VI] WORK ASSIGNMENT COMPLETION .....csuss csssesssscsncsstesceeseesesesesnreanseeceesesrinaes
SECTION VII TERMINATION .....ssssscsscsssecsserssrseostsssssescesse sesceessersasenvesssenssatenneesnuetssszeseesnertnass
SECTION IX OWNERSHIP OF DOCUMENTS .....csscssscsscssse snevesssesrosssserarseresrensransateesseanennenserees
SECTION X COMPLIANCE WITH LAWS .....sssssscssscrsatssstees onsusessenssssonsonesssernernernessencessusenertaas
SECTION XI GENERAL CONSIDERATIONS ......sssscsssssnsess srossescsserensassesrassattssnsescesssseraaeesvensans
SECTION XII SUCCESSORS AND ASSIGNS....c.sescesesse cescsesecseseeesnenssensecseresneaneesesneanessenns
SECTION XIll NO KICK-BACK CERTIFICATION ....c.sscsscuse scssssssessneseessersussssssssseeessesnessetesnees
SECTION XIV ANTI-DISCRIMINATION PROVISIONS 02... ssssssssrcsssssssssssvssssesssecsaronserssssenneosees
SECTION XV INDEMNIFICATION ......sessscescesresteesseensssnseansee snranceneeaereseeneeaceaseancancancenmeneeneencenss
SECTION XVI INSURANCE REQUIREMENTS.......cccscse: sesessenessesmeasneneasenssaecsseneny
SECTION XVII INFLUENCE. ...csssssssscssrssssesssssessosessessssecsvere sessesssuscancesstneouceessesnessvntessusernesoacenay
SECTION XVIII TITLE V1 wc tsttscescseteetemeceereseeres cneee canearaisiesasaeaersarasaersareueeaeraen
SECTION XIX PERFORMANCE EVALUATIONS ....csssesessse csersssssersnconcnereenssssnensenssssrensnteeronsens
SIGNATURE PAGE a... cscssssesssssecssessssssezeevssscesceaeseueeseeseesey seeseseensseesuaseesunsausaesseescessveaceseesuessees
ATTACHMENTS
EXHIBIT A - SCOPE OF WORK
EXHIBIT B - CONSULTANT’S FEE SCHEDULE
Contract No. 2015-031 Page 2 of 12
CONTRACT NO, 2015-031
ON CALL PROFESSIONAL ENGINEERING AND DESIGN SERVICES
Pursuant to the provisions of the Arizona Revised Statutes § 11-201 the Board of Supervisors has the
authority to enter into contracts.
The Maricopa County Department of Transportation, hereinafter called the “COUNTY”, is desirous of
having ON CALL PROFESSIONAL ENGINEERING AND DESIGN SERVICES performed when requested
by the Maricopa County Department of Transportation through a specific Work Assignment for those
services more fully described in Exhibit A, General Scope of Work, and Exhibit B, Fee Schedule, attached;
and DIBBLE ENGINEERING, hereinafter called “CONSULTANT”, with its principal offices located at 7500
North Dreamy Draw Drive, Suite 200, Phoenix, Arizona 85020, Telephone Number: (602) 957-1155 is
desirous of performing said services;
THEREFORE, the parties hereto mutually agree as follows:
SECTION I—SERVICES OF THE CONSULTANT
The CONSULTANT, under the general supervision of the COUNTY Transportation Systems Management
Division Manager, shail perform On-Call Professional Engineering and Design Services as are necessary for
the Work Assignment and according to the directions and designated standards of the COUNTY, and in
accordance with Exhibit A, General Scope of Work. It is understood and agreed that the COUNTY’s
authorized representative shall be the Transportation Systems Management or his/her duly authorized
representative, hereinafter called the “Agent”. For purposes of this contract, the Agent's duly authorized
representative shall be the Project Manager and he/she shall be the sole contact for administering this
contract.
The CONSULTANT shall meet periodically with the Agent so as to keep the COUNTY informed of the
progress of the work in accordance with each work assignment.
SECTION llI— WORK ASSIGNMENTS AND PERIOD OF SERVICE
Within the guidelines set forth in Exhibit A, General Scope of Work, a detailed scope of work will be
developed for each Work Assignment and incorporated herein by reference. A not-to-exceed fee will be
negotiated for each Work Assignment consistent with Exhibit B, Fee Schedule.
The CONSULTANT shall complete all work in accordance with the provisions of Exhibit A, General Scope
of Work and the detailed Scope of Work as negotiated for each specific Work Assignment. Performance
for a Work Assignment shall commence only upon receipt of the Agent's written notice to proceed.
Any work specified in a Work Assignment under this Contract, which commenced prior to the expiration
date of this Contract, shall be satisfactorily completed within the performance period of the Contract. If an
extension of the Performance Period is granted as provided in Section VII, the performance period of the
Contract shall be automatically extended to allow for the satisfactory completion of such work.
Contract performance will be for a period of seven hundred thirty (730) calendar days from the Board award
date and may be renewed, if mutually agreed fo by both the CONSULTANT and the COUNTY, for an
additional three (3) one-year periods or the expenditure of $2,000,000.00, whichever occurs first.
Contract No. 2015-031 Page 3 of 13
SECTION Ill—PAYMENTS TO THE CONSULTANT
The CONSULTANT shall be paid a fee not-to-exceed TWO MILLION DOLLARS AND NO CENTS
($2,000,000.00) for complete and satisfactory performance of work under this contract in accordance with
the General Scope of Work and the detailed Scope(s) of Work. Payments will be made for the actual hours
worked and/or other costs incurred or provided for in accordance with Exhibit B, Fee Schedule.
The COUNTY does not guarantee any minimum or maximum fee during the period of this contract, and
CONSULTANT, in accepting this contract, does not anticipate any minimum or maximum fee.
The COUNTY shall pay the CONSULTANT in full for each Work Assignment upon satisfactory completion
and acceptance by the COUNTY, provided the CONSULTANT returns the executed Certificate of
Performance furnished by the Agent. Should an assignment require more than thirty (30) days to complete,
the CONSULTANT may invoice progress payments based on COUNTY approved monthly progress
reports and subject fo the limitations set forth in the Scope of Work negotiated for each Work Assignment.
No retention shall be withheld from the contract.
The CONSULTANT shall provide back-up documentation with each invoice progress payment. The back-
up documentation shall clearly indicate the hours worked, date, and employee’s name, including sub-
consultants. All backup documentation shall include copies of any sub-consultants or vendor invoices,
The Small Business Enterprise Participation Form {Attachment 1) is to be submitted with each pay
application or invoice. Any pay application or invoice without this form attached is subject to rejection as
not being a completed pay application or invoice pursuant to the terms of the contract.
The final invoice shall be paid fo the CONSULTANT for each Work Assignment, as applicable, within forty-
five (45) calendar days after:
A. final completion of all work per Exhibit A, General Scope of Work and the detailed Scope of
Work,
B. acceptance of the work by the COUNTY,
C. the COUNTY’s receipt of the Certificate
5 1 11 1 2 8 1191 2205 33 38 96.489922 of
5 1 11 1 2 9 1237 2205 244 38 62.526691 Performance”
5 1 11 1 2 10 1494 2205 78 38 96.921646 form
5 1 11 1 2 11 1587 2205 165 38 96.428932 furnished
5 1 11 1 2 12 1768 2205 41 47 97.007339 by
5 1 11 1 2 13 1822 2205 55 38 96.792847 the
5 1 11 1 2 14 1890 2205 114 47 96.470078 Agent,
2 1 12 0 0 0 299 2319 1942 164 -1
3 1 12 1 0 0 299 2319 1942 164 -1
4 1 12 1 1 0 300 2319 1941 50 -1
5 1 12 1 1 1 300 2322 26 38 96.932877 A
5 1 12 1 1 2 340 2322 181 38 96.810638 Certificate
5 1 12 1 1 3 535 2321 35 37 97.008820 of
5 1 12 1 1 4 583 2321 229 37 96.970955 Performance
5 1 12 1 1 5 826 2321 53 37 96.088417 will
5 1 12 1 1 6 895 2321 43 37 96.958565 be
5 1 12 1 1 7 954 2321 152 48 96.854645 provided
5 1 12 1 1 8 1122 2321 68 37 96.644470 with
5 1 12 1 1 9 1204 2321 86 37 96.276543 each
5 1 12 1 1 10 1305 2321 93 37 96.919952 Work
5 1 12 1 1 11 1411 2321 223 46 95.659515 Assignment.
5 1 12 1 1 12 1663 2321 92 46 96.497566 Upon
5 1 12 1 1 13 1771 2319 203 48 96.276825 Completion
5 1 12 1 1 14 1989 2319 35 38 96.931885 of
5 1 12 1 1 15 2036 2321 54 36 96.509590 the
5 1 12 1 1 16 2105 2319 136 48 96.509590 specific
4 1 12 1 2 0 300 2378 1941 48 -1
5 1 12 1 2 1 300 2379 94 38 96.918503 Work
5 1 12 1 2 2 408 2379 222 47 96.865295 Assignment,
5 1 12 1 2 3 648 2379 54 38 96.106316 the
5 1 12 1 2 4 720 2379 277 36 96.405876 CONSULTANT
5 1 12 1 2 5 1012 2378 54 37 95.241829 will
5 1 12 1 2 6 1083 2378 119 37 96.744781 furnish
5 1 12 1 2 7 1218 2379 32 36 96.979874 to
5 1 12 1 2 8 1266 2378 56 37 96.092247 the
5 1 12 1 2 9 1338 2378 170 37 96.092247 COUNTY
5 1 12 1 2 10 1525 2388 20 27 92.511627 a
5 1 12 1 2 11 1560 2378 185 46 92.511627 completed
5 1 12 1 2 12 1762 2378 182 37 95.539261 Certificate
5 1 12 1 2 13 1959 2378 36 37 96.947830 of
5 1 12 1 2 14 2009 2378 232 37 96.317841 Performance
4 1 12 1 3 0 299 2435 847 48 -1
5 1 12 1 3 1 299 2459 24 4 87.584763 ~
5 1 12 1 3 2 334 2436 94 38 96.659370 Work
5 1 12 1 3 3 440 2436 213 47 96.592583 Assignment
5 1 12 1 3 4 667 2436 64 38 96.215988 and
5 1 12 1 3 5 747 2436 158 47 96.624092 Payment
5 1 12 1 3 6 918 2435 35 37 96.626740 of
5 1 12 1 3 7 964 2436 37 36 96.568344 all
5 1 12 1 3 8 1017 2435 129 37 96.697403 Claims.
2 1 13 0 0 0 301 2549 1939 211 -1
3 1 13 1 0 0 301 2549 1939 154 -1
4 1 13 1 1 0 301 2549 1939 51 -1
5 1 13 1 1 1 301 2552 94 48 96.745667 Upon
5 1 13 1 1 2 421 2552 193 46 96.556374 completion
5 1 13 1 1 3 639 2550 36 38 96.923706 of
5 1 13 1 1 4 694 2550 43 47 95.226135 all
5 1 13 1 1 5 759 2550 93 38 96.896614 Work
5 1 13 1 1 6 876 2550 231 48 96.225319 Assignments
5 1 13 1 1 7 1134 2550 101 38 96.753395 under
5 1 13 1 1 8 1258 2550 61 38 96.927086 this
5 1 13 1 1 9 1344 2552 152 42 96.722832 contract,
5 1 13 1 1 10 1522 2550 55 38 96.185776 the
5 1 13 1 1 11 1603 2550 277 36 96.659058 CONSULTANT
5 1 13 1 1 12 1904 2550 52 36 94.701683 will
5 1 13 1 1 13 1982 2550 120 36 96.840469 furnish
5 1 13 1 1 14 2129 2550 31 36 96.182739 to
5 1 13 1 1 15 2186 2549 54 37 96.182739 the
4 1 13 1 2 0 301 2607 1939 48 -1
5 1 13 1 2 1 301 2609 169 37 96.554703 COUNTY
5 1 13 1 2 2 486 2619 41 27 96.606522 an
5 1 13 1 2 3 544 2609 163 37 95.679955 executed
5 1 13 1 2 4 724 2609 181 37 96.455589 Certificate
5 1 13 1 2 5 919 2609 35 36 97.009399 of
5 1 13 1 2 6 969 2607 228 38 96.520340 Performance
5 1 13 1 2 7 1213 2607 220 48 96.136955 (Attachment
5 1 13 1 2 8 1447 2607 43 48 95.869423 2).
5 1 13 1 2 9 1519 2607 70 38 95.869423 The
5 1 13 1 2 10 1605 2607 179 38 96.540634 Certificate
5 1 13 1 2 11 1800 2607 35 38 97.003586 of
5 1 13 1 2 12 1849 2607 230 38 96.375717 Performance
5 1 13 1 2 13 2096 2609 87 36 96.414032 must
5 1 13 1 2 14 2198 2607 42 36 96.850563 be
4 1 13 1 3 0 301 2666 175 37 -1
5 1 13 1 3 1 301 2666 175 37 93.302612 notarized.
3 1 13 2 0 0 789 2721 962 39 -1
4 1 13 2 1 0 789 2721 962 39 -1
5 1 13 2 1 1 789 2723 177 37 88.809219 SECTION
5 1 13 2 1 2 982 2723 158 36 88.809219 IV—THE
5 1 13 2 1 3 1153 2723 208 36 91.949478 COUNTY’S
5 1 13 2 1 4 1375 2721 376 38 96.473358 RESPONSIBILITIES
2 1 14 0 0 0 786 2765 965 3 -1
3 1 14 1 0 0 786 2765 965 3 -1
4 1 14 1 1 0 786 2765 965 3 -1
5 1 14 1 1 1 786 2765 965 3 95.000000
2 1 15 0 0 0 300 2837 1938 105 -1
3 1 15 1 0 0 300 2837 1938 105 -1
4 1 15 1 1 0 300 2837 1938 46 -1
5 1 15 1 1 1 300 2840 69 37 95.028229 The
5 1 15 1 1 2 385 2838 170 38 95.028229 COUNTY
5 1 15 1 1 3 571 2838 80 38 96.769211 shall
5 1 15 1 1 4 667 2838 119 38 96.381912 furnish
5 1 15 1 1 5 802 2838 56 38 95.751198 the
5 1 15 1 1 6 874 2838 287 44 96.432137 CONSULTANT,
5 1 15 1 1 7 1179 2838 33 36 93.574120 at
5 1 15 1 1 8 1225 2847 44 27 93.574120 no
5 1 15 1 1 9 1284 2838 75 36 95.991577 cost
5 1 15 1 1 10 1373 2840 31 34 95.791611 to
5 1 15 1 1 11 1421 2837 54 37 96.465652 the
5 1 15 1 1 12 1492 2837 287 43 96.298317 CONSULTANT,
5 1 15 1 1 13 1796 2837 55 37 96.939819 the
5 1 15 1 1 14 1866 2837 155 46 96.348373 following
5 1 15 1 1 15 2040 2837 198 37 96.740807 information
4 1 15 1 2 0 301 2895 695 47 -1
5 1 15 1 2 1 301 2906 35 28 96.742393 or
5 1 15 1 2 2 348 2895 147 38 96.742393 services
5 1 15 1 2 3 508 2895 50 38 96.971916 for
5 1 15 1 2 4 568 2895 86 38 96.885628 each
5 1 15 1 2 5 669 2895 93 38 96.581543 Work
5 1 15 1 2 6 774 2895 222 47 96.647461 Assignment:
2 1 16 0 0 0 294 3091 1953 9 -1
3 1 16 1 0 0 294 3091 1953 9 -1
4 1 16 1 1 0 294 3091 1953 9 -1
5 1 16 1 1 1 294 3091 1953 9 95.000000
2 1 17 0 0 0 301 3113 1229 42 -1
3 1 17 1 0 0 301 3113 1229 42 -1
4 1 17 1 1 0 301 3113 1229 42 -1
5 1 17 1 1 1 301 3116 157 33 96.637245 Contract
5 1 17 1 1 2 468 3116 66 31 96.595116 No.
5 1 17 1 1 3 549 3114 167 33 95.696320 2015-031
5 1 17 1 1 4 1305 3114 87 41 96.516495 Page
5 1 17 1 1 5 1404 3114 22 32 95.022148 4
5 1 17 1 1 6 1440 3113 42 33 95.022148 of
5 1 17 1 1 7 1494 3114 36 32 96.690819 13
2 1 18 0 0 0 2540 15 10 3283 -1
3 1 18 1 0 0 2540 15 10 3283 -1
4 1 18 1 1 0 2540 15 10 3283 -1
5 1 18 1 1 1 2540 15 10 3283 95.000000
A. One copy of on-hand maps, records, survey ties, benchmarks, or other data pertinent to the Work
Assignment. This does not, however, relieve the CONSULTANT of the responsibility of searching
records for additional information, for requesting specific information, or for verification of that
information provided. The COUNTY does not warrant the accuracy or comprehensiveness of any such
information.
B. All available information and data relative to policies, standards, criteria, and studies, etc. impacting the
Work Assignment as identified by the CONSULTANT.
C. Available staff for consultation with the CONSULTANT during the performance of the work in order to
identify the problems, needs, and other functional aspects of the Work Assignment.
D. Prompt examination of documents submitted by the CONSULTANT and rendering of decisions
pertaining thereto in order to avoid unreasonable delay in the progress of the work by the
CONSULTANT. The COUNTY will keep the CONSULTANT advised concerning the progress of the
COUNTY’s review of work.
SECTION V—ALTERATION IN SCOPE OF WORK
This contract may be amended by mutual agreement of the COUNTY and the CONSULTANT.
Any alteration in the General Scope of Work and/or the detailed Scope(s) of Work that will result in a
substantial change in the nature of the Work Assignment so as to materially increase or decrease the
contract fee will require negotiation of an amendment to the contract to be executed by the COUNTY and
the CONSULTANT. No work shall commence on the change until the contract amendment has been
approved by the COUNTY and the CONSULTANT has been notified to proceed by the Agent. It is
distinctly understood and agreed that no claim for extra work done or materials furnished by the
CONSULTANT will be allowed by the COUNTY except as provided herein, nor shail the CONSULTANT do
any work or furnish any materials not covered by this agreement unless such work is first authorized in
writing by the COUNTY and in accordance with the Maricopa County Procurement Code. Any such work
or materials furnished by the CONSULTANT without such written authorization first being given shall be at
CONSULTANT’S own risk, cost, and expense, and CONSULTANT hereby agrees that without such written
authorization to make no claim for compensation for such work or materials furnished.
SECTION VI-RECORDS
Records of the CONSULTANT’S expenses pertaining to this contract and records of accounts between the
COUNTY and the CONSULTANT shall be kept on a generally recognized accounting basis and shall be
available upon request to the COUNTY or its authorized representative for audit during normal business
hours.
The CONSULTANT shall maintain procurement records for a period of two (2) years after the completion of
the contract unless applicable Federal regulations require a longer period of retention.
SECTION VII—-WORK ASSIGNMENT COMPLETION
lf, during the course of this Contract, situations beyond the control and not the result of delay attributable to
CONSULTANT arise which prevent completion of a work assignment within the allotted time, the Agent
may grant an extension of the Performance Period.
Contract No, 2015-031 Page 5 of 13
SECTION VII—TERMINATION
The COUNTY may terminate this contract at any time upon reimbursement to the CONSULTANT of
expenses that include reasonable charges for tine and material for the percentage of work satisfactorily
completed and turned over to the COUNTY.
The COUNTY reserves the rights to postpone, terminate, or abandon this contract for the CONSULTANT'S
failure to complete any Work Assignment on time, or failure to comply with the provisions of the contract.
The COUNTY also reserves the right to terminate any or all parts of this contract for its own convenience
as the COUNTY may determine at its sole discretion.
The COUNTY hereby gives notice that pursuant to A.R.S. § 38-511 “A” this contract may be canceled
without penalty or further obligation within three (3) years after execution if any person significantly involved
in initiating, negotiating, securing, drafting, or creating a contract on behalf of the COUNTY is, at any time
while the contract or any extension of the contract is in effect, an employee or agent of any other party to
the contract in any capacity or a consultant to any other party of the contract with respect to the subject
matter of the contract. Cancellation under this section shall be effective when written notice from the
COUNTY Transportation Director is received by all of the parties of the contract. In addition, the COUNTY
may recoup any fee or commission paid or due to any person significantly involved in initiating, negotiating,
securing, drafting, or creating the contract on behalf of the COUNTY from any other party to the contract
arising as a result of the contract.
The CONSULTANT may ferminate this contract in the event of nonpayment of fees as specified in
SECTION III, PAYMENTS TO THE CONSULTANT.
SECTION iIX—OWNERSHIP OF DOCUMENTS
A. All original documents including, but not limited to studies, reports, tracings, drawings, physical and
computer models, estimates, field notes, investigations, design analysis, calculations, computer
software, and specifications, prepared in the performance of this contract are to be and remain the
property of the COUNTY and are to be delivered to the Agent before final payment is made to the
CONSULTANT. The COUNTY will not reuse, alter or modify these documents without noting such
modifications, alterations, or intent of their reuse, and will hold the CONSULTANT harmless from any
claims arising from such reuse, modifications, or alterations of the documents. The CONSULTANT
may retain reproducible copies of all such documents delivered to the COUNTY.
B. If the CONSULTANT retains reproducible copies of all such documents delivered to the COUNTY, the
CONSULTANT may not use those documents in regard to current or future claims or litigation against
the COUNTY brought by another party or parties unless the documents are independently produced in
accordance with a court order or procedural rules and notice of such production is given to the
COUNTY immediately and prior to their production.
C. Copies retained by the CONSULTANT, sub-consultant(s), or any related entities are governed by
Arizona Law regarding the use of public records and may not be used for commercial purpose without
additional written permission from the COUNTY and the payment of all applicable fees.
D. The COUNTY reserves the right to reuse the documents as it sees fit.
Contract No. 2015-031 Page 6 of 13
SECTION X—COMPLIANCE WITH LAWS
The CONSULTANT is required to comply with all Federal, State, and local laws, local ordinances and
regulations. The CONSULTANT’S signature on this contract certifies compliance with the provisions of the
|-9 requirements of the Immigration Reform and Control Act of 1986 for all personnel that the
CONSULTANT and any subconsultants employ to complete any Work Assignment. It is understood that
the COUNTY shall conduct itself in accordance with the provisions of the Maricopa County Procurement
Code.
The CONSULTANT warrants that it is in compliance with A.R.S. §41-4401 and further acknowledges:
(1) That the CONSULTANT and its sub-consultants, if any, warrant their compliance with all federal
immigration laws and regulations that relate to their employees and their compliance with A.R.S.
§23-214, subsection A; After December 31, 2007, every employer, after hiring an employee, shall
verify the employment eligibility of the employee through the e-verify program and shall keep a
record of the verification for the duration of the employee's employment or at least three years,
whichever is longer.
That a breach of a warranty under subsection 1 above, shall be deemed a material breach of the
contract that is subject to penalties up to and including termination of the contracts;
That the contracting government entity retains the legal right to inspect the papers of any
CONSULTANT or sub-consultant employee who works on the contract to ensure that the
CONSULTANT or sub-consultant is complying with the warranty provided under subsection 1
above and that the CONSULTANT agrees to make all papers and employment records of said
employee(s) available during normal working hours in order to facilitate such an inspection.
(4) That nothing herein shall make any CONSULTANT or sub-consultant an agent or employee of
the contracting government entity.
CERTIFICATION REGARDING DEBARMENT AND SUSPENSION:
(1) The undersigned (authorized official signing for the CONSULTANT) certifies to the best of his or
her knowledge and belief, that the CONSULTANT, defined as the primary participant in
accordance with 45 CFR Part 76, 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 3-year period preceding this Contract 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 statues or
commission of embezzlement, theft, forgery, bribery, falsification or destruction of records,
making false statements, or receiving stolen property;
(c) are not presently indicted or otherwise criminally or civilly charged by a government entity
(Federal, State or local) with commission of any of the offenses enumerated in paragraph (2) of
this certification; and
Contract No. 2015-031 Page 7 of 13
(d} have not within a 3-year period preceding this Contract had one or more public transaction
(Federal, State or local) terminated for cause of default.
(2) Should the CONSULTANT not be able to provide this certification, an explanation as to why should
be attached to the Contact.
(3) The CONSULTANT agrees to include, without modification, this clause in all lower tier covered
transactions (i.e. transactions with subcontractors) and in all solicitations for lower tier covered
transactions related to this Contract.
SECTION XI—GENERAL CONSIDERATIONS
. The CONSULTANT shall furnish to the COUNTY for approval, the names of its key employees, and of
its subconsultants and their key employees, to be used on the Work Assignment prior to beginning the
work under this contract. Any subsequent changes are subject to the written approval of the COUNTY.
. The CONSULTANT shall perform, with its own firm, work amounting to fifty percent (50%) or more of
the total amount of the contract value. Any deviation may be approved, in writing, at the discretion of
the Agent.
. The failure of either party to enforce any of the provisions of this contract or to require performance of
the other party of any of the provisions hereof shall not be construed to be a waiver of such provisions,
nor shall it affect the validity of this contract or any part thereof, or the right of either party to thereafter
enforce each and every provision.
. The CONSULTANT shail be responsible for the cost of any additional design, field layout, testing,
construction and supervision necessary to correct those errors or omissions attributable to the
CONSULTANT, and for any damage incurred by the COUNTY as a result of additional construction
costs caused by such consultant errors or omissions.
. The fact that the COUNTY has accepted or approved the CONSULTANT’S work shall in no way
relieve the CONSULTANT’S responsibility.
. It is mutually understood and agreed that this contract shall be governed by the laws of the State of
Arizona, both as to interpretation and performance. Any action at law, suit in equity, or judicial
proceeding for the enforcement of this contract, or any provision thereof, shall be instituted only in the
courts of the State of Arizona.
. When this contract requires the CONSULTANT to study specific geographic areas of Maricopa County,
the CONSULTANT agrees during the term of this contract and any extensions thereof that
CONSULTANT will not perform similar services for any clients other than the COUNTY within that
specific geographic area without the written authorization and approval of the Transportation Director of
the COUNTY.
. The CONSULTANT agrees that it, its principals, employees, sub-consultants, agents and assigns,
shall not accept employment as consultants, expert witnesses or otherwise in any pending or
contemplated litigation against the COUNTY during the term of this contract and any extensions thereof
without the written authorization and approval of the Transportation Director of the COUNTY.
Contract No. 2015-031 Page 8 of 13
|. The CONSULTANT agrees that it, its principals, employees, sub-consultants, agents and assigns,
shall not accept employment as consultants, expert witnesses or otherwise in any future litigation
against the COUNTY in regard to the subject matter of this contract without the written authorization
and approval of the Transportation Director of the COUNTY.
J. It is understood that the COUNTY shall have the right to seek and obtain in any court of competent
jurisdiction an injunction to restrain a violation or alleged violation by the CONSULTANT, its principals,
employees, sub-consultants, agents or assigns, of the provisions of G., H., and |. of this section or of
the provisions of B. of Section IX, and the right of action for full damages at law, in addition to any other
remedies provided by this contract. In no case shall a waiver by the COUNTY of the right to seek relief
under this provision constitute a waiver of any other or further violation.
K. The Consultant shall incorporate stormwater quality best management practices (BMPs) in the design
of the project and comply with the Maricopa County Stormwater Quality Management and Discharge
Control Regulation, the Maricopa County Drainage Policies and Standards, and the Maricopa County
Drainage Regulations, using guidance from the Maricopa County Drainage Design Manual, Vol. Ill,
Erosion Control.
SECTION XII—SUCCESSORS AND ASSIGNS
This contract shall not be assigned by either party without prior written approval of the other except that the
CONSULTANT may use in the performance of this contract without prior approval of the COUNTY,
personnel or services of its related entities and affiliated companies as if they were an integral part of the
CONSULTANT; and it shall extend to and be binding upon the heirs, executors, administrators, successors
and assigns of the parties hereto.
SECTION XIIL—NO KICK-BACK CERTIFICATION
The CONSULTANT warrants that no person has been employed or retained to solicit or secure this
contract upon any agreement or understanding for a commission, percentage, brokerage, or contingent fee;
and that no member of the Board of Supervisors or any employee of the COUNTY has any interest,
financially or otherwise, in the CONSULTANT'S firm.
For breach or violation of this warranty, the COUNTY shail have the right to annul this contract without
liability or at its discretion to deduct from the contract price or consideration, the full amount of such
commission, percentage, brokerage, or contingent fee.
SECTION XIV—ANTI-DISCRIMINATION PROVISION
The COUNTY will endeavor to ensure in every way possible that minority and women-owned business
enterprises shall have every opportunity to participate in providing professional services, purchased goods,
and contractual services to the COUNTY without being discriminated against on the grounds of race,
religion, gender, age, disability, or national origin.
The CONSULTANT agrees not fo discriminate against any employee or applicant for employment because
of race, religion, gender, age, disability, or national origin, and further agrees not fo engage in any unlawful
Contract No. 2015-031 Page 9 of 13
employment practices. The CONSULTANT further agrees to insert the foregoing provisions in all
subcontracts hereunder.
SECTION XV—INDEMNIFICATION
To the fullest extent permitted by law, CONSULTANT shall defend, indemnify, and hold harmless
COUNTY, its agents, representatives, officers, directors, officials, and employees from and against all
claims, damages, losses and expenses, including reasonable attorney fees and court costs, but only to the
extent caused by the negligence, reckless or intentional wrongful conduct of the consultant or others
persons employed or used by the consultant in the performance of the contract or subcontract. “Other
persons employed or used” means a subconsultant to a consultant or design professional in any tier, or any
other person or entity who performs work or design professional services, or provides labor, services,
materials or equipment in connection with the contract.
The amount and type of insurance coverage requirements set forth herein will in no way be construed as
limiting the scope of the indemnity in this paragraph. The scope of this indemnification does not extend to
the sole negligence of COUNTY.
SECTION XVI - INSURANCE REQUIREMENTS
CONSULTANT, at CONSULTANT'S own expense, shall purchase and maintain the herein stipulated
minimum insurance from a company or companies duly licensed by the State of Arizona and possessing a
current A.M. Best, Inc. rating of B++. In lieu of State of Arizona licensing, the stipulated insurance may be
purchased from a company or companies, which are authorized to do business in the State of Arizona,
provided that said insurance companies meet the approval of COUNTY. The form of any insurance policies
and forms must be acceptable to COUNTY.
All insurance required herein shall be maintained in full force and effect until all work or service required to
be performed under the terms of the Contract is satisfactorily completed and formally accepted. Failure to
do so may, at the sole discretion of COUNTY, constitute a material breach of this Contract.
CONSULTANT'S insurance shall be primary insurance as respects COUNTY, and any insurance or self-
insurance maintained by COUNTY shall not contribute to it.
Any failure to comply with the claim reporting provisions of the insurance policies or any breach of an
insurance policy warranty shall not affect the COUNTY’S right to coverage afforded under the insurance
policies.
The insurance policies may provide coverage that contains deductibles or self-insured retentions. Such
deductible and/or self-insured retentions shall not be applicable with respect to the coverage provided to
COUNTY under such policies. CONSULTANT shall be solely responsible for the deductible and/or self-
insured retention and COUNTY, at its option, may require CONSULTANT to secure payment of such
deductibles or self-insured retentions by a surety bond or an irrevocable and unconditional letter of credit.
COUNTY reserves the right to request and to receive, within 10 working days, certified copies of any or all
of the herein required insurance policies and/or endorsements. COUNTY shall not be obligated, however,
to review such policies and/or endorsements or to advise CONSULTANT of any deficiencies in such
policies and endorsements, and such receipt shall not relieve CONSULTANT from, or be deemed a waiver
of COUNTY’S right to insist on strict fulfillment of CONSULTANT’S obligations under this Contract.
Contract No. 2015-031 Page 10 of 13
The insurance policies required by this Contract, except Workers’ Compensation, and Errors and
Omissions, shall name COUNTY, its agents, representatives, officers, directors, officials and employees as
Additional Insureds.
The policies required hereunder, except Workers’ Compensation, and Errors and Omissions, shall contain
a waiver of transfer of rights of recovery (subrogation) against COUNTY, its agents, representatives,
officers, directors, officials and employees for any claims arising out of CONSULTANT’S work or service.
CONSULTANT is required to procure and maintain the following coverages indicated by a checkmark:
ti 1. Commercial General Liability. Commercial General Liability insurance and, if necessary,
Commercial Umbrella insurance with a limit of not less than $2,000,000 for each occurrence,
$4,000,000 Products/Completed Operations Aggregate, $4,000,000 General Aggregate Limit and
$2,000,000 Personal and Advertising Injury. The policy shall include coverage for bodily injury,
broad form property damage, personal injury, products and completed operations and blanket
contractual coverage, and shall not contain any provision which would serve to limit third party
action over claims. There shall be no endorsement or modification of the CGL limiting the scope of
coverage for liability arising from explosion, collapse, or underground property damage.
bs 2. Automobile Liability. Commercial/Business Automobile Liability insurance and, if
unnecessary, Commercial Umbrella insurance with a combined single limit for bodily injury and
property damage of not less than $2,000,000 each occurrence with respect to any of the
CONSULTANT’S owned, hired, and non-owned vehicles assigned to or used in performance of
the CONSULTANT’S work or services under this Contract.
3. Workers’ Compensation. Workers’ Compensation insurance to cover obligations
imposed by federal and state statutes having jurisdiction of CONSULTANT’S employees engaged
in the performance of the work or services under this Contract; and Employer's Liability insurance
of not less than $1,000,000 for each accident, $1,000,000 disease for each employee, and
$1,000,000 disease policy limit.
CONSULTANT waives all rights against COUNTY and its agents, officers, directors and
employees for recovery of damages to the extent these damages are covered by the Workers’
Compensation and Employer's Liability or commercial umbrella liability insurance obtained by
CONSULTANT pursuant to this agreement.
3) 4, Errors and Omissions Insurance. Errors and Omissions insurance and, if
necessary, Commercial Umbrella insurance, which will insure and provide coverage for errors or
omissions of the CONSULTANT, with limits of no less than $2,000,000 for each claim.
CERTIFICATES OF INSURANCE
Prior to commencing work or services under this Contract, CONSULTANT shall furnish COUNTY with
Certificates of Insurance in a form acceptable to COUNTY, or formal endorsements as required by the
Contract in the form provided by the COUNTY, issued by CONSULTANT’S insurer(s), as evidence that
policies providing the required coverages, conditions and limits required by this Contract are in full force
and effect. Such certificates shall identify this contract number and title.
Contract No. 2015-031 Page 11 of 13
In the event any insurance policy (ies) required by this contract is (are) written on a claims
5 1 1 1 1 18 2009 258 112 38 78.534081 made”
5 1 1 1 1 19 2139 259 102 44 96.459457 basis,
4 1 1 1 2 0 301 316 1942 50 -1
5 1 1 1 2 1 301 328 166 38 96.699608 coverage
5 1 1 1 2 2 482 318 81 38 96.772751 shall
5 1 1 1 2 3 579 318 119 38 96.898216 extend
5 1 1 1 2 4 714 318 48 38 97.000389 for
5 1 1 1 2 5 775 319 61 37 96.783119 two
5 1 1 1 2 6 850 328 98 38 97.009880 years
5 1 1 1 2 7 964 319 74 46 96.736732 past
5 1 1 1 2 8 1053 318 194 47 96.587364 completion
5 1 1 1 2 9 1264 318 64 36 96.400787 and
5 1 1 1 2 10 1345 318 206 47 96.795860 acceptance
5 1 1 1 2 11 1566 316 35 38 93.301735 of
5 1 1 1 2 12 1614 316 317 38 88.787766 CONSULTANT’S
5 1 1 1 2 13 1945 316 86 37 96.189201 work
5 1 1 1 2 14 2045 325 36 28 96.829987 or
5 1 1 1 2 15 2094 316 149 38 96.829987 services
4 1 1 1 3 0 301 375 967 48 -1
5 1 1 1 3 1 301 375 65 38 96.398712 and
5 1 1 1 3 2 381 385 39 28 96.629990 as
5 1 1 1 3 3 435 375 183 38 96.620285 evidenced
5 1 1 1 3 4 634 375 40 48 96.391380 by
5 1 1 1 3 5 688 375 118 38 96.883774 annual
5 1 1 1 3 6 822 375 200 38 96.546761 Certificates
5 1 1 1 3 7 1035 375 36 38 96.675728 of
5 1 1 1 3 8 1084 375 184 36 96.150345 Insurance.
2 1 2 0 0 0 301 488 1940 108 -1
3 1 2 1 0 0 301 488 1940 108 -1
4 1 2 1 1 0 303 488 1938 51 -1
5 1 2 1 1 1 303 490 21 38 70.586784 If
5 1 2 1 1 2 348 501 9 27 96.617096 a
5 1 2 1 1 3 373 490 101 49 96.893402 policy
5 1 2 1 1 4 489 490 86 38 96.913612 does
5 1 2 1 1 5 591 490 108 47 96.689056 expire
5 1 2 1 1 6 715 490 110 47 96.691765 during
5 1 2 1 1 7 841 490 55 38 96.393913 the
5 1 2 1 1 8 912 490 48 37 96.725395 life
5 1 2 1 1 9 976 489 34 38 95.767349 of
5 1 2 1 1 10 1023 490 54 37 95.767349 the
5 1 2 1 1 11 1093 490 161 43 93.697075 Contract,
5 1 2 1 1 12 1272 499 18 28 93.697075 a
5 1 2 1 1 13 1306 489 140 38 95.605774 renewal
5 1 2 1 1 14 1462 489 173 38 96.069443 certificate
5 1 2 1 1 15 1651 490 86 37 96.830605 must
5 1 2 1 1 16 1752 489 42 36 96.830605 be
5 1 2 1 1 17 1809 489 77 36 96.874001 sent
5 1 2 1 1 18 1900 490 32 35 78.527626 to
5 1 2 1 1 19 1948 489 170 36 96.331261 COUNTY
5 1 2 1 1 20 2133 488 108 37 95.858917 fifteen
4 1 2 1 2 0 301 547 664 49 -1
5 1 2 1 2 1 301 547 68 49 85.051628 (15)
5 1 2 1 2 2 385 549 83 47 96.311661 days
5 1 2 1 2 3 483 549 81 47 94.380516 prior
5 1 2 1 2 4 575 549 33 36 84.320518 fo
5 1 2 1 2 5 621 548 54 37 95.285149 the
5 1 2 1 2 6 688 547 173 49 96.825081 expiration
5 1 2 1 2 7 877 547 88 38 96.345604 date.
2 1 3 0 0 0 301 720 845 38 -1
3 1 3 1 0 0 301 720 845 38 -1
4 1 3 1 1 0 301 720 845 38 -1
5 1 3 1 1 1 301 720 317 38 95.968391 CANCELLATION
5 1 3 1 1 2 633 720 86 38 95.967537 AND
5 1 3 1 1 3 735 720 245 38 96.093796 EXPIRATION
5 1 3 1 1 4 996 720 150 36 96.838142 NOTICE
2 1 4 0 0 0 298 759 850 6 -1
3 1 4 1 0 0 298 759 850 6 -1
4 1 4 1 1 0 298 759 850 6 -1
5 1 4 1 1 1 298 759 850 6 95.000000
2 1 5 0 0 0 299 832 1945 98 -1
3 1 5 1 0 0 299 832 1945 98 -1
4 1 5 1 1 0 303 832 1941 50 -1
5 1 5 1 1 1 303 835 174 37 92.214027 Insurance
5 1 5 1 1 2 493 835 145 47 96.875191 required
5 1 5 1 1 3 655 834 110 38 96.752602 herein
5 1 5 1 1 4 781 834 80 38 95.779930 shall
5 1 5 1 1 5 877 836 56 36 96.925209 not
5 1 5 1 1 6 946 834 119 48 96.727844 expire,
5 1 5 1 1 7 1083 834 42 38 96.989113 be
5 1 5 1 1 8 1140 834 170 43 96.972557 canceled,
5 1 5 1 1 9 1326 843 38 27 96.648544 or
5 1 5 1 1 10 1377 833 171 48 96.909012 materially
5 1 5 1 1 11 1563 833 153 48 96.792206 changed
5 1 5 1 1 12 1732 832 130 38 96.931984 without
5 1 5 1 1 13 1875 832 87 48 96.583633 thirty
5 1 5 1 1 14 1979 832 67 49 80.527473 (30)
5 1 5 1 1 15 2063 832 84 47 96.939423 days
5 1 5 1 1 16 2165 832 79 47 96.166061 prior
4 1 5 1 2 0 299 892 480 38 -1
5 1 5 1 2 1 299 892 117 38 96.535545 written
5 1 5 1 2 2 432 892 105 38 96.921478 notice
5 1 5 1 2 3 552 894 32 36 95.837914 to
5 1 5 1 2 4 598 892 181 38 96.635201 COUNTY.
2 1 6 0 0 0 1005 1006 531 38 -1
3 1 6 1 0 0 1005 1006 531 38 -1
4 1 6 1 1 0 1005 1006 531 38 -1
5 1 6 1 1 1 1005 1006 173 38 92.743340 SECTION
5 1 6 1 1 2 1191 1006 72 38 63.706856 XVil
5 1 6 1 1 3 1275 1026 23 6 63.273148 -
5 1 6 1 1 4 1311 1006 225 37 96.467979 INFLUENCE
2 1 7 0 0 0 1002 1047 534 6 -1
3 1 7 1 0 0 1002 1047 534 6 -1
4 1 7 1 1 0 1002 1047 534 6 -1
5 1 7 1 1 1 1002 1047 534 6 95.000000
2 1 8 0 0 0 298 1107 1943 206 -1
3 1 8 1 0 0 298 1107 1943 149 -1
4 1 8 1 1 0 298 1107 1943 50 -1
5 1 8 1 1 1 298 1110 47 36 96.328079 As
5 1 8 1 1 2 360 1110 186 47 96.082344 prescribed
5 1 8 1 1 3 562 1110 26 36 92.828773 in
5 1 8 1 1 4 606 1108 186 38 92.727745 MC1-1202
5 1 8 1 1 5 805 1108 35 38 97.010498 of
5 1 8 1 1 6 852 1108 54 38 96.048271 the
5 1 8 1 1 7 921 1108 165 47 96.470436 Maricopa
5 1 8 1 1 8 1101 1108 125 47 96.441490 County
5 1 8 1 1 9 1240 1108 233 37 95.916428 Procurement
5 1 8 1 1 10 1486 1107 104 44 96.258400 Code,
5 1 8 1 1 11 1606 1117 64 38 96.926262 any
5 1 8 1 1 12 1683 1107 92 38 96.787209 effort
5 1 8 1 1 13 1787 1108 31 37 93.035912 to
5 1 8 1 1 14 1834 1107 161 38 93.035912 influence
5 1 8 1 1 15 2010 1117 41 28 96.251801 an
5 1 8 1 1 16 2066 1107 175 48 96.890320 employee
4 1 8 1 2 0 300 1156 1941 50 -1
5 1 8 1 2 1 300 1170 36 27 96.961327 or
5 1 8 1 2 2 351 1161 99 45 96.732719 agent
5 1 8 1 2 3 466 1161 32 36 72.736649 to
5 1 8 1 2 4 516 1159 120 38 96.982864 breach
5 1 8 1 2 5 654 1159 54 38 96.913467 the
5 1 8 1 2 6 726 1159 164 47 96.233307 Maricopa
5 1 8 1 2 7 907 1159 127 47 96.941093 County
5 1 8 1 2 8 1051 1158 118 38 96.868805 Ethical
5 1 8 1 2 9 1186 1158 95 38 96.865730 Code
5 1 8 1 2 10 1297 1158 35 38 96.883957 of
5 1 8 1 2 11 1347 1158 150 38 96.837654 Conduct
5 1 8 1 2 12 1512 1167 36 27 96.808273 or
5 1 8 1 2 13 1563 1167 63 38 96.923584 any
5 1 8 1 2 14 1642 1158 115 38 96.968925 ethical
5 1 8 1 2 15 1773 1157 152 43 96.349190 conduct,
5 1 8 1 2 16 1945 1167 74 38 96.969429 may
5 1 8 1 2 17 2037 1157 41 37 97.015190 be
5 1 8 1 2 18 2096 1156 145 49 96.947838 grounds
4 1 8 1 3 0 299 1207 844 49 -1
5 1 8 1 3 1 299 1209 48 38 93.279442 for
5 1 8 1 3 2 360 1209 207 38 91.612015 Disbarment
5 1 8 1 3 3 579 1219 36 28 96.995132 or
5 1 8 1 3 4 628 1209 208 47 96.456192 Suspension
5 1 8 1 3 5 852 1209 104 38 92.966255 under
5 1 8 1 3 6 969 1207 174 40 89.172058 MC1-902.
3 1 8 2 0 0 298 1263 950 50 -1
4 1 8 2 1 0 298 1263 950 50 -1
5 1 8 2 1 1 298 1265 49 37 95.400970 An
5 1 8 2 1 2 361 1266 136 47 96.117943 attempt
5 1 8 2 1 3 508 1266 32 36 96.912979 to
5 1 8 2 1 4 555 1264 160 38 95.954865 influence
5 1 8 2 1 5 730 1264 155 44 96.789780 includes,
5 1 8 2 1 6 901 1264 56 38 95.434654 but
5 1 8 2 1 7 970 1264 26 38 95.434654 is
5 1 8 2 1 8 1011 1266 54 36 96.053192 not
5 1 8 2 1 9 1080 1263 113 38 95.019173 limited
5 1 8 2 1 10 1207 1265 41 36 96.833588 to:
2 1 9 0 0 0 385 1371 1732 105 -1
3 1 9 1 0 0 385 1371 1732 105 -1
4 1 9 1 1 0 385 1371 1732 48 -1
5 1 9 1 1 1 385 1372 27 38 94.202553 1.
5 1 9 1 1 2 447 1372 27 38 63.879807 A
5 1 9 1 1 3 489 1372 125 38 63.879807 Person
5 1 9 1 1 4 628 1372 133 47 96.885628 offering
5 1 9 1 1 5 775 1381 37 28 96.968590 or
5 1 9 1 1 6 825 1371 161 48 96.946747 providing
5 1 9 1 1 7 1002 1381 18 28 96.047005 a
5 1 9 1 1 8 1033 1371 143 48 96.047005 gratuity,
5 1 9 1 1 9 1191 1371 62 47 96.012810 gift,
5 1 9 1 1 10 1267 1371 50 48 93.425545 tip,
5 1 9 1 1 11 1335 1372 143 46 96.655983 present,
5 1 9 1 1 12 1492 1371 164 44 96.473434 donation,
5 1 9 1 1 13 1672 1380 130 38 96.943672 money,
5 1 9 1 1 14 1816 1371 251 38 96.748474 entertainment
5 1 9 1 1 15 2079 1380 38 27 96.881950 or
4 1 9 1 2 0 456 1428 1352 48 -1
5 1 9 1 2 1 456 1429 207 38 96.706757 educational
5 1 9 1 2 2 679 1440 125 36 96.838791 passes
5 1 9 1 2 3 818 1440 36 27 96.810654 or
5 1 9 1 2 4 865 1429 124 44 96.847832 tickets,
5 1 9 1 2 5 1003 1439 37 27 96.811119 or
5 1 9 1 2 6 1053 1438 63 38 96.811119 any
5 1 9 1 2 7 1129 1430 74 46 96.071465 type
5 1 9 1 2 8 1217 1428 150 38 96.386879 valuable
5 1 9 1 2 9 1381 1428 208 38 97.001778 contribution
5 1 9 1 2 10 1603 1438 37 28 96.996117 or
5 1 9 1 2 11 1651 1428 157 48 9.414501 subsidy,
5 1 9 1 2 12 1796 1424 15 57 9.414501 ;
2 1 10 0 0 0 382 1555 1808 107 -1
3 1 10 1 0 0 382 1555 1808 107 -1
4 1 10 1 1 0 382 1555 1808 50 -1
5 1 10 1 1 1 382 1558 29 37 96.278770 2.
5 1 10 1 1 2 447 1558 82 38 54.586792 That
5 1 10 1 1 3 543 1558 26 37 54.586792 is
5 1 10 1 1 4 582 1557 123 38 95.832581 offered
5 1 10 1 1 5 721 1567 37 28 96.872078 or
5 1 10 1 1 6 769 1557 94 48 96.872078 given
5 1 10 1 1 7 876 1557 71 38 96.968811 with
5 1 10 1 1 8 961 1557 55 38 96.949814 the
5 1 10 1 1 9 1030 1557 100 38 95.216339 intent
5 1 10 1 1 10 1141 1558 32 37 95.216339 to
5 1 10 1 1 11 1188 1557 159 38 96.713394 influence
5 1 10 1 1 12 1362 1566 20 27 96.930717 a
5 1 10 1 1 13 1395 1556 158 45 96.653145 decision,
5 1 10 1 1 14 1567 1556 109 37 96.653145 obtain
5 1 10 1 1 15 1692 1566 20 27 96.790527 a
5 1 10 1 1 16 1725 1557 152 42 96.152283 contract,
5 1 10 1 1 17 1892 1566 118 36 95.806763 garner
5 1 10 1 1 18 2022 1555 168 38 96.854744 favorable
4 1 10 1 2 0 456 1614 971 48 -1
5 1 10 1 2 1 456 1617 182 42 96.219345 treatment,
5 1 10 1 2 2 652 1624 37 28 96.219345 or
5 1 10 1 2 3 700 1615 74 47 96.308701 gain
5 1 10 1 2 4 787 1614 167 38 96.308701 favorable
5 1 10 1 2 5 967 1614 239 38 96.230774 consideration
5 1 10 1 2 6 1221 1614 35 38 97.006241 of
5 1 10 1 2 7 1267 1624 65 38 96.960617 any
5 1 10 1 2 8 1345 1614 82 38 88.128967 kind.
2 1 11 0 0 0 300 1692 1941 164 -1
3 1 11 1 0 0 300 1692 1941 164 -1
4 1 11 1 1 0 301 1692 1940 48 -1
5 1 11 1 1 1 301 1694 22 37 80.314384 lf
5 1 11 1 1 2 354 1704 9 27 95.504601 a
5 1 11 1 1 3 387 1695 123 36 96.700813 Person
5 1 11 1 1 4 535 1695 154 45 96.830261 attempts
5 1 11 1 1 5 711 1695 33 36 96.138870 to
5 1 11 1 1 6 768 1693 159 38 96.438110 influence
5 1 11 1 1 7 951 1702 62 38 96.370461 any
5 1 11 1 1 8 1035 1692 174 48 96.343781 employee
5 1 11 1 1 9 1231 1702 38 28 96.963150 or
5 1 11 1 1 10 1290 1694 101 46 96.702301 agent
5 1 11 1 1 11 1411 1692 35 38 96.759277 of
5 1 11 1 1 12 1468 1692 164 47 96.616531 Maricopa
5 1 11 1 1 13 1654 1692 136 48 96.616531 County,
5 1 11 1 1 14 1815 1692 54 38 96.859947 the
5 1 11 1 1 15 1893 1692 96 38 96.879227 Chief
5 1 11 1 1 16 2010 1692 231 38 96.429222 Procurement
4 1 11 1 2 0 300 1749 1941 48 -1
5 1 11 1 2 1 300 1750 126 44 96.125946 Officer,
5 1 11 1 2 2 454 1761 38 27 96.125946 or
5 1 11 1 2 3 517 1750 50 38 96.887733 his
5 1 11 1 2 4 594 1750 174 47 96.448700 designee,
5 1 11 1 2 5 798 1759 153 29 96.749947 reserves
5 1 11 1 2 6 978 1750 54 38 96.969925 the
5 1 11 1 2 7 1060 1749 79 48 96.451851 right
5 1 11 1 2 8 1165 1752 31 35 95.599266 to
5 1 11 1 2 9 1223 1749 84 38 96.905083 seek
5 1 11 1 2 10 1335 1759 65 38 96.261192 any
5 1 11 1 2 11 1426 1749 134 48 96.414719 remedy
5 1 11 1 2 12 1588 1749 151 47 96.425964 provided
5 1 11 1 2 13 1768 1749 41 47 96.469856 by
5 1 11 1 2 14 1836 1749 54 38 96.136375 the
5 1 11 1 2 15 1920 1749 165 47 96.587471 Maricopa
5 1 11 1 2 16 2114 1749 127 47 96.269699 County
4 1 11 1 3 0 301 1806 1718 50 -1
5 1 11 1 3 1 301 1809 230 38 96.694427 Procurement
5 1 11 1 3 2 544 1807 105 46 96.993088 Code,
5 1 11 1 3 3 666 1818 63 38 96.503487 any
5 1 11 1 3 4 744 1807 132 49 96.738609 remedy
5 1 11 1 3 5 889 1807 28 38 95.704491 in
5 1 11 1 3 6 933 1807 106 47 95.704491 equity
5 1 11 1 3 7 1051 1817 38 27 96.900414 or
5 1 11 1 3 8 1102 1807 26 38 96.900414 in
5 1 11 1 3 9 1144 1807 53 38 96.948616 the
5 1 11 1 3 10 1212 1807 68 44 95.246826 law,
5 1 11 1 3 11 1294 1816 37 28 96.965027 or
5 1 11 1 3 12 1344 1816 63 38 96.672127 any
5 1 11 1 3 13 1422 1806 132 48 96.568367 remedy
5 1 11 1 3 14 1569 1806 152 48 96.889153 provided
5 1 11 1 3 15 1737 1806 39 48 96.959167 by
5 1 11 1 3 16 1789 1806 62 38 96.708160 this
5 1 11 1 3 17 1866 1807 153 37 96.501854 contract.
2 1 12 0 0 0 1025 1921 487 38 -1
3 1 12 1 0 0 1025 1921 487 38 -1
4 1 12 1 1 0 1025 1921 487 38 -1
5 1 12 1 1 1 1025 1921 178 38 96.373383 SECTION
5 1 12 1 1 2 1217 1921 85 38 74.471840 XVIII
5 1 12 1 1 3 1315 1941 23 8 72.836243 -
5 1 12 1 1 4 1351 1921 112 37 96.335869 TITLE
5 1 12 1 1 5 1476 1921 36 37 94.223343 VI
2 1 13 0 0 0 1022 1962 492 6 -1
3 1 13 1 0 0 1022 1962 492 6 -1
4 1 13 1 1 0 1022 1962 492 6 -1
5 1 13 1 1 1 1022 1962 492 6 95.000000
2 1 14 0 0 0 298 2028 1943 279 -1
3 1 14 1 0 0 298 2028 1943 279 -1
4 1 14 1 1 0 298 2028 1943 50 -1
5 1 14 1 1 1 298 2031 77 36 95.531281 The
5 1 14 1 1 2 391 2031 191 47 96.642395 Maricopa
5 1 14 1 1 3 598 2033 146 43 96.240906 County
5 1 14 1 1 4 760 2033 235 43 96.152405 Department
5 1 14 1 1 5 1012 2030 45 36 96.342598 of
5 1 14 1 1 6 1068 2030 303 46 96.428635 Transportation,
5 1 14 1 1 7 1391 2030 37 36 96.428635 in
5 1 14 1 1 8 1446 2030 221 36 96.638550 accordance
5 1 14 1 1 9 1683 2030 89 36 96.990349 with
5 1 14 1 1 10 1788 2030 60 36 96.908615 the
5 1 14 1 1 11 1865 2030 207 45 96.881638 provisions
5 1 14 1 1 12 2090 2030 46 36 96.802994 of
5 1 14 1 1 13 2148 2028 93 36 96.926521 Title
4 1 14 1 2 0 299 2087 1939 46 -1
5 1 14 1 2 1 299 2091 51 35 95.322609 VI
5 1 14 1 2 2 370 2088 46 36 95.322609 of
5 1 14 1 2 3 429 2088 60 36 96.298439 the
5 1 14 1 2 4 511 2088 98 36 96.550293 Civil
5 1 14 1 2 5 628 2088 128 45 96.086411 Rights
5 1 14 1 2 6 778 2090 71 34 95.861549 Act
5 1 14 1 2 7 868 2088 46 36 96.653419 of
5 1 14 1 2 8 933 2088 92 36 96.653419 1964
5 1 14 1 2 9 1047 2088 63 45 96.306892 (78
5 1 14 1 2 10 1134 2088 84 36 95.889816 Stat.
5 1 14 1 2 11 1240 2088 136 35 96.325066 252.42
5 1 14 1 2 12 1397 2088 130 35 93.168968 U.S.C.
5 1 14 1 2 13 1552 2088 44 45 91.046242 §§
5 1 14 1 2 14 1618 2087 179 46 91.462547 2000d-4)
5 1 14 1 2 15 1819 2087 71 36 96.667252 and
5 1 14 1 2 16 1910 2087 60 36 96.077599 the
5 1 14 1 2 17 1989 2087 249 45 96.684990 Regulations,
4 1 14 1 3 0 298 2144 1942 48 -1
5 1 14 1 3 1 298 2147 134 45 96.684509 hereby
5 1 14 1 3 2 452 2145 148 38 96.531929 notifies
5 1 14 1 3 3 622 2145 49 36 96.963745 all
5 1 14 1 3 4 691 2145 289 44 96.150932 advertisement,
5 1 14 1 3 5 1002 2145 282 45 96.133865 disadvantaged
5 1 14 1 3 6 1305 2145 167 36 96.259186 business
5 1 14 1 3 7 1494 2144 213 46 96.323547 enterprises
5 1 14 1 3 8 1728 2144 75 37 96.710869 will
5 1 14 1 3 9 1824 2144 47 36 96.399086 be
5 1 14 1 3 10 1891 2144 169 36 96.755272 afforded
5 1 14 1 3 11 2079 2144 69 36 95.977806 full
5 1 14 1 3 12 2171 2144 69 36 95.977806 and
4 1 14 1 4 0 299 2202 1942 48 -1
5 1 14 1 4 1 299 2204 69 37 96.723328 fair
5 1 14 1 4 2 381 2204 231 46 96.325783 opportunity
5 1 14 1 4 3 625 2208 37 32 96.325783 to
5 1 14 1 4 4 679 2204 134 36 96.431816 submit
5 1 14 1 4 5 827 2202 81 38 97.006081 bids
5 1 14 1 4 6 922 2204 40 34 96.984863 in
5 1 14 1 4 7 973 2214 174 35 96.459320 response
5 1 14 1 4 8 1161 2208 36 30 96.982208 to
5 1 14 1 4 9 1212 2202 71 36 96.692657 this
5 1 14 1 4 10 1299 2202 191 36 96.308472 invitation
5 1 14 1 4 11 1504 2202 68 36 96.810699 and
5 1 14 1 4 12 1587 2202 74 36 96.528366 will
5 1 14 1 4 13 1677 2207 63 31 96.850395 not
5 1 14 1 4 14 1754 2202 45 36 96.918877 be
5 1 14 1 4 15 1815 2202 269 36 96.200760 discriminated
5 1 14 1 4 16 2100 2202 141 45 96.972069 against
4 1 14 1 5 0 300 2259 1545 48 -1
5 1 14 1 5 1 300 2274 48 24 96.920784 on
5 1 14 1 5 2 360 2262 60 36 96.596916 the
5 1 14 1 5 3 434 2261 159 46 96.760643 grounds
5 1 14 1 5 4 607 2261 46 36 96.760643 of
5 1 14 1 5 5 660 2273 93 31 96.894188 race,
5 1 14 1 5 6 769 2261 111 43 96.547691 color,
5 1 14 1 5 7 895 2273 41 24 96.861145 or
5 1 14 1 5 8 950 2261 159 36 96.861145 national
5 1 14 1 5 9 1123 2259 118 47 96.864166 origin
5 1 14 1 5 10 1254 2259 38 36 96.177490 in
5 1 14 1 5 11 1305 2259 267 36 96.177490 consideration
5 1 14 1 5 12 1586 2259 57 36 96.737144 for
5 1 14 1 5 13 1656 2271 47 24 96.946999 an
5 1 14 1 5 14 1716 2259 129 36 96.532875 award.
2 1 15 0 0 0 813 2375 915 37 -1
3 1 15 1 0 0 813 2375 915 37 -1
4 1 15 1 1 0 813 2375 915 37 -1
5 1 15 1 1 1 813 2375 177 37 96.708145 SECTION
5 1 15 1 1 2 1003 2375 67 37 90.513771 XIX
5 1 15 1 1 3 1089 2394 5 8 90.513771 -
5 1 15 1 1 4 1110 2375 315 37 96.320076 PERFORMANCE
5 1 15 1 1 5 1437 2375 291 36 95.764458 EVALUATIONS
2 1 16 0 0 0 810 2416 920 5 -1
3 1 16 1 0 0 810 2416 920 5 -1
4 1 16 1 1 0 810 2416 920 5 -1
5 1 16 1 1 1 810 2416 920 5 95.000000
2 1 17 0 0 0 298 2498 1894 189 -1
3 1 17 1 0 0 298 2498 1894 189 -1
4 1 17 1 1 0 298 2498 1894 48 -1
5 1 17 1 1 1 298 2499 70 38 93.224739 The
5 1 17 1 1 2 385 2499 310 38 90.745644 CONSULTANT’s
5 1 17 1 1 3 712 2498 227 48 96.255569 performance
5 1 17 1 1 4 955 2498 80 37 93.692482 shall
5 1 17 1 1 5 1054 2498 44 37 96.995750 be
5 1 17 1 1 6 1116 2498 173 37 96.654709 evaluated
5 1 17 1 1 7 1306 2498 204 46 96.585182 periodically
5 1 17 1 1 8 1527 2498 27 36 96.807137 in
5 1 17 1 1 9 1573 2498 209 36 96.742287 accordance
5 1 17 1 1 10 1798 2498 70 36 96.988304 with
5 1 17 1 1 11 1887 2498 54 36 96.933624 the
5 1 17 1 1 12 1959 2498 164 36 96.115936 schedule
5 1 17 1 1 13 2139 2498 53 36 96.838127 set
4 1 17 1 2 0 298 2547 1891 48 -1
5 1 17 1 2 1 298 2549 80 37 96.914047 forth
5 1 17 1 2 2 397 2549 26 37 96.841812 in
5 1 17 1 2 3 441 2549 56 37 96.236420 the
5 1 17 1 2 4 517 2549 124 46 96.625549 Project
5 1 17 1 2 5 657 2549 236 46 95.462898 Development
5 1 17 1 2 6 910 2547 128 38 93.019638 Manual
5 1 17 1 2 7 1057 2547 122 48 50.049496 (PDM}.
5 1 17 1 2 8 1224 2547 83 38 96.525589 Final
5 1 17 1 2 9 1330 2547 196 38 96.569748 Consultant
5 1 17 1 2 10 1543 2547 206 38 96.346031 evaluations
5 1 17 1 2 11 1767 2547 48 38 96.874405 for
5 1 17 1 2 12 1836 2549 168 36 96.980812 contracts
5 1 17 1 2 13 2025 2547 164 38 96.861465 executed
4 1 17 1 3 0 300 2597 1890 49 -1
5 1 17 1 3 1 300 2600 81 37 96.982849 after
5 1 17 1 3 2 397 2600 71 46 96.398132 July
5 1 17 1 3 3 489 2598 27 44 96.398132 1,
5 1 17 1 3 4 537 2598 99 44 96.878685 2015,
5 1 17 1 3 5 657 2598 80 38 96.952370 shall
5 1 17 1 3 6 757 2598 43 38 96.692482 be
5 1 17 1 3 7 817 2598 197 38 96.510239 considered
5 1 17 1 3 8 1035 2598 26 36 96.852303 in
5 1 17 1 3 9 1081 2598 56 36 96.861259 the
5 1 17 1 3 10 1152 2597 101 37 96.839432 future
5 1 17 1 3 11 1267 2598 278 36 96.590813 CONSULTANT
5 1 17 1 3 12 1557 2597 158 37 96.709991 selection
5 1 17 1 3 13 1729 2607 140 38 96.702316 process
5 1 17 1 3 14 1882 2607 41 27 96.949417 as
5 1 17 1 3 15 1936 2597 142 37 96.617401 outlined
5 1 17 1 3 16 2093 2597 27 37 96.361694 in
5 1 17 1 3 17 2136 2597 54 37 96.982109 the
4 1 17 1 4 0 301 2649 97 38 -1
5 1 17 1 4 1 301 2649 97 38 90.867310 PDM.
2 1 18 0 0 0 1084 2760 370 47 -1
3 1 18 1 0 0 1084 2760 370 47 -1
4 1 18 1 1 0 1084 2760 370 47 -1
5 1 18 1 1 1 1084 2760 95 47 96.931038 (END
5 1 18 1 1 2 1194 2760 53 38 96.993034 OF
5 1 18 1 1 3 1262 2760 192 47 96.396072 SECTION)
2 1 19 0 0 0 292 3096 1954 11 -1
3 1 19 1 0 0 292 3096 1954 11 -1
4 1 19 1 1 0 292 3096 1954 11 -1
5 1 19 1 1 1 292 3096 1954 11 95.000000
2 1 20 0 0 0 300 3119 1241 42 -1
3 1 20 1 0 0 300 3119 1241 42 -1
4 1 20 1 1 0 300 3119 1241 42 -1
5 1 20 1 1 1 300 3122 156 33 96.819122 Contract
5 1 20 1 1 2 466 3122 65 31 96.317055 No.
5 1 20 1 1 3 547 3120 167 33 93.479836 2015-031
5 1 20 1 1 4 1292 3120 88 41 96.634003 Page
5 1 20 1 1 5 1398 3120 38 32 96.763069 12
5 1 20 1 1 6 1450 3119 43 33 96.838570 of
5 1 20 1 1 7 1506 3120 35 32 96.988144 13
2 1 21 0 0 0 2541 21 9 3277 -1
3 1 21 1 0 0 2541 21 9 3277 -1
4 1 21 1 1 0 2541 21 9 3277 -1
5 1 21 1 1 1 2541 21 9 3277 95.000000
IN WITNESS WHEREOF, the parties herein have executed this contract.
DIBBLE ENGINEERING
By
Principal of the Firm
Printed Name
Title
Date
Tax Identification Number
MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
RECOMMENDED BY
By
Jennifer Toth, P.E. Date
Transportation Director
LEGAL REVIEW
Approved as to form and within the powers and
authority granted under the laws of the State of
Arizona to the Maricopa County Department of
Transportation.
Deputy County Counsel Date ACCEPTED AND APPROVED
By
Chairman, Board of Supervisors Date
ATTEST
By
Clerk of the Board Date
Contract No. 2015-031 Page 13 of 13
CONTRACT NO. 2015-031
ON CALL PROFESSIONAL ENGINEERING AND DESIGN SERVICES
ATTACHMENTS
1. SBE Program Participation Reporting Form
2. Certificate of Performance
3. Certificate of Insurance
4, On Call Consultant Contract Payment Request Form
5, Title Vi Assurances
Attachment 1
Maricopa County Small Business Enterprise Program
Participation Reporting Form
This for is ta bo submitted with each pay application or invoice. Any pay application or invoice without
this form attached is subject to refection at net being a completed pay anplication or Inveice pursuant to
the terms af tie contract.
Name of Prime Consultsnt’C outractor Contract No.
Contact Person Project No.
3,
Street Address Amount of this Pay Application ‘Inveice
Ciry, State ZIP
Complete below with infonmation on the SBE firms utilized as subcomsultants‘subcontractors for this pay
applicatiominveice. If work was self-perfonued and your finn, as the prime, is an SRE firm pursuant to
A.RS. § 41-1001, et seq. then you may bist your firm as the SBE firm.
SBE Fam Name SBE Finn Address
.
(0 A mark in this box certifies that uo SBE firms were utilized as the prime, subconsultant or
subcontractor with respect to this pay application inyaice.
Date:
Signatura
Printed Name & Telephone Nimber
Contract No. 2015-031
CERTIFICATE OF PERFORMANCE
ON CALL CONTRACT 2015-031
The Maricopa County Department of Transportation accepts the completed work by Dibble
Engineering or its subconsultants in connection with the scope of work described in Contract _No.
2015-031. Whereas the completion date for this On Call Contract has passed, Maricopa County
Department of Transportation will not authorize any new work assignments to this Contract.
(Name of Firm Signer) hereby certifies to the Maricopa
County Department of Transportation that all work covered in and required by Contract No. 2015-031
has been completed, payments requested and received, and that all claims of any nature or kind
against Maricopa County Department of Transportation arising out of performance of the Contract are
settled. The undersigned hereby certifies that no contractual disputes exist in regard to this Contract
and that there is no knowledge of any pending or potential claims in regard to this Contract.
This document hereby formally closes the contractual relationship between Maricopa County
Department of Transportation and Dibble Engineering for Contract No. 2015-031 for On-Call
Professional Engineering and Design Services. No further requests for payment will be entertained
by Maricopa County Department of Transportation.
By affixing signatures below, Maricopa County Department of Transportation and Dibble Engineering
mutually acknowledge completion and termination of Contract No. 2015-031.
State of Arizona )
)§
County of Maricopa )
Signed this day of , 20
Signature
Title
Subscribed and Sworn to before me this day of , 20
Notary Public
My Commission Expires:
Contract No. 2015-031
Attachment 3
MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
CERTIFICATE OF INSURANCE
CONTRACT NO. 2015-031 PROJECT TITLE: On-Call Professional and Engineering Services
NAME AND ADDRESS OF INSURANCE AGENCY: * COMPANIES AFFORDING COVERAGES:
Company | A
Letter
Company | p
Letter
Company i o
Letter
NAME AND ADDRESS OF INSURED: Company | p
Letter
Company | ¢
Letter
Company
Letter
This certificate of insurance certifies that policies of insurance listed below have been issucd to the insured named above and are in full force at this time,
*CO. EFFECTIVE EXPIRATIO
LTR. TYPE OF INSURANCE POLICY DATE N DATE LIMITS
NUMBER (MM/DD/YY) _| (MM/DD/YY)
GENERAL LIABILITY:
GENERAL AGGREGATE $4,000,000
COMMERCIAL GENERAL LIABILITY
1: Claims Made D1: Occur PRODUCTS/COMPLETED $4,000,000
x]: PREMISES OPERATIONS OPERATIONS AGGREGATE
[xd]: BLANKET CONTRACTURAL EACH OCCURRENCE $2,000,000
KX]: BROAD FORM PROPERTY
DAMAGE
J: PERSONAL INJURY
x]: PRODUCTS AND COMPLETED
OPERATIONS HAZARD
[Xx]: XCU Hazards
]: INDEPENDENT CONTRACTORS
AUTOMOBILE LIABILITY:
KK]: ANY AUTO Combined Single Limit $2,000,000
EI: ALL OWNED AND NON-OWNED Bodily Injury . $2,000,000
AUTOS Property Damage $2,000,000
Per person/Per accident $2,000,000
O: EXCESS LIABILITY Each occurrence $
(J: Umbrella Form Aggregate $
CI: Other than Umbrella Form
XI: WORKERS’ COMPENSATION STATUTORY LIMITS AND
AND EMPLOYERS’ LIABILITY oe ean $1,000,000
DISEASE: EACH EMPLOYEE | $1,000,000
DISEASE: POLICY LIMIT $1,000,000
Ix]: PROFESSIONAL Each Claim $2,000,000
LIABILITY/Errors & Omissions Ageregate $2,000,000
Except for Workers’ Compensation and Professional Liability Insurance, the Maricopa County Department
fl: _ OTHER: . of Transportation, and Maricopa County, their agents, representatives, officers, Directors, Officials, and
employees are named as Additional Insured’s.
Except for Workers Compensation and Professional Liability/Errors and Omissions, Maricopa County Department of Transportation, Maricopa County, their
agents, representatives, officers, Directors, Officials, and employees are included as Additional Insured. Any insurance available to the named insured shall be
primary of other sources that may be available. It is further agreed that no policy shall expire, be cancelled, or materially changed to affect the coverage available
to the County without thirty (0) days written notice to the County. THIS CERTIFICATE IS NOT VALID UNLESS COUNTERSIGNED BY AN
AUTHORIZED REPRESENTATIVE OF THE INSURANCE COMPANY.
Maricopa County Department of Transportation DATE ISSUED:
Contracts Branch
25901 West Durango Street AUTHORIZED REPRESENTATIVE
Phoenix, AZ, 85009-6357
ATTACHMENT 4
MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
ON CALL CONSULTANT PAYMENT REQUEST
Submit to: Maricopa County Department of Transportation
Financial Services Branch
2901 West Durango Street
Phoenix, Arizona 85009-6357
CONSULTANT’S NAME: DATE:
CONSULTANT’S ADDRESS:
PROJECT NAME: PAYMENT REQUEST NO.::
CONTRACT No.: WORK ASSIGNMENT NO.:
TIME PERIOD TO MCDOT Project Manager:
A. CONSULTANT’S CONTRACT DATA
1. Maximum Contract Amount
2. Prior Contract Work Assignments
3, Total Remaining Contract Amount
(A.1 minus A.2 minus B.1) $
B. CONSULTANT’S NTE FEE, THIS CONTRACT ASSIGNMENT
lL. NTE Fee, this Contract Work Assignment $
2. Requested Payment: (Attach Backup Documentation)
1. 3. 5.
2. 4. 6.
3. Total Fee Earned To Date, This Contract Work Assignment $
Cc, PAYMENT REQUEST DATA
1, Less Prior Payments, This Contract Work Assignment $
2. Less Prior Retainage $
3. Total Payment Request (B.3 minus C.1) $
4. Less Retainage this Payment Request $
5. Net Payment Request $
(C 3 minus C4)
Submitted by: Date:
Consultant
Payment Request Verification: Date:
MCDOT Project Engineer
Reviewed by: Date:
MCDOT Branch Manager
Approval to Pay: Date:
MCDOT Division Head
Contract No. 2015-031
K. Title VI Assurances
Maricopa County Department of Transportation
Titie VI Assurances
The Maricopa County Department of Transportation The Civil Rights Restoration Act of 1987 clarified the
(herein referred to as the “Recipient’), HEREBY original intent of Congress, with respect to Title VI
AGREES THAT, as a condition to receiving and other Non-discrimination requirements (The Age
any Federal financial assistance from the U.S. Discrimination Act of 1975, and Section 504 of the
Department of Transportation (DOT), through Federal Rehabilitation Act of 1973), by restoring the broad,
Highway Administration and Arizona Department of institutional-wide scope and coverage of these non-
Transportation, is subject to and wili comply with discrimination statutes and requirements to include all
the following: programs and activities of the Recipient, so long as
any portion of the program is Federally assisted.
Statutory/Regulatory Authorities
¢ Title VI of the Civil Rights Act of 1964 Specific Assurances
(42 U.S.C. § 2000d et seq., 78 stat. 252), More specifically, and without limiting the above
(prohibits discrimination on the basis of race, general Assurance, the Recipient agrees with and
color, national origin); gives the following Assurances with respect to its
¢ 49C.FR. Part 21 (entitled Non-discrimination In Federal Aid Highway Program.
Federally-Assisted Programs of the Department
of Transportation—Effectuation of Title VI of the The Recipient agrees that each “activity,”
Civil Rights Act of 1964); “facility,” or “program,” as defined in §§ 21.23 (b)
and 21.23 (e) of 49 C.F.R. § 21 will be
¢ 28C.FR. section 50.3 (U.S. Department of
(with regard to an “activity”) facilitated, or will
Justice Guidelines for Enforcement of Title Vi
be (with regard to a “facility”) operated, or will
of the Civil Rights Act of 1964);
be (with regard to a “program”) conducted in
¢ 23C.FR. Part 200 Subchapter C—Civil Rights
compliance with all requirements imposed by,
(Title VI program implementation and
or pursuant to the Acts and the Regulations.
related statues)
2. The Recipient will insert the following
The preceding statutory and regulatory cites
notification in all solicitations for bids, Requests
hereinafter are referred to as the ‘Acts” and
For Proposals for work, or material subject
“Regulations,” respectively.
to the Acts and the Regulations made in
connection with all Federal Aid Highway
General Assurances
Program and, in adapted form, in all proposals
In accordance with the Acts, the Regulations,
for negotiated agreements regardless of
and other pertinent directives, circulars, policy,
funding source:
memoranda and/or guidance, the Recipient hereby
gives assurances that it will promptly take any
“The Maricopa County Department of
measures necessary to ensure that: Transportation, in accordance with the
“No person in the United States shail, on the provisions of Title VI of the Civil Rights Act
grounds of race, color, or national origin, be of 1964 (78 Stat. 252.42 U.S.C. §§ 2000d-
excluded from participation in, be denied 4) and the Regulations, hereby notifies all
the benefits of, or be otherwise subjected to advertisement, disadvantaged business
discrimination under any program or activity,” for enterprises will be afforded full and fair
which the Recipient receives Federal financial opportunity to submit bids in response to
assistance from DOT, including the Federal this invitation and will not be discriminated
Highway Administration. against on the grounds of race, color, or
national origin in consideration for an award.”
The Recipient will insert the clauses of b. the period during which the Recipient retains
Appendix A and E of this Assurance in every ownership or possession of the property.
contract or agreement subject to the Acts and 9. The Recipient will provide for such methods
the Regulations. of administration for the program as are
The Recipient will insert the clauses of found by the Secretary of Transportation or
Appendix B of this Assurance, as a covenant the official whom he/she delegates specific
running with the land, in any deed from the authority to give reasonable guarantee that it,
United States effecting or recording a transfer of other recipients, sub-recipients, sub-grantees,
real property, structures, use, or improvements contractors, subcontractors, consultants,
thereon or interest therein to a Recipient. transferees, successors in interest, and other
That where the Recipient receives Federal participants of Federal financial assistance
financial assistance to construct a facility or under such program will comply with all
part of a facility, the Assurance will extend requirements imposed or pursuant to the Acts,
to the entire facility and facilities operated in the Regulations, and this Assurance.
connection therewith. 10. The Recipient agrees that the United States
That where the Recipient receives Federal has a right to seek judicial enforcement with
financial assistance in the form, or for the regard to any matter arising under the Acts, the
acquisition of real property or an interest in real Regulations, and this Assurance.
property, the Assurance will extend to rights to
space on, over, or under such property.
That the Recipient will include the clauses set
forth in Appendix C and Appendix D of this
Assurance, as a covenant running with the land,
in any future deeds, leases, licenses, permits,
or similar instruments entered into by the
Recipient with other parties:
a. for the subsequent transfer of real property
acquired or improved under the applicable
activity, project, or program; and
b. for the construction or use of, or access
to, space on, over, or under real property
acquired or improved under the applicable
activity, project or program.
That this Assurance obligates the Recipient
for the period during which Federal financial
assistance is extended to the program, except
where the Federal financial assistance is to
provide, or is in the form of, personal property,
or real property, or interest therein, or structures
or improvements thereon, in which case the
Assurance obligates the Recipient, or any
transference for the longer of the following
periods:
a. the period during which the property is used
for a purpose for which the Federal financial
assistance is extended, or for another
purpose involving the provision of similar
services or benefits; or