List of Deliverables. The following deliverables will be prepared by the PM and submitted to the County as part of the Project: Scope of Services for each Project. The Content and format will be approved by the County Engineer. Project Schedule updated each month. Project Status Report updated each month. The Content and format will be approved by the County Engineer. Preliminary Engineering Report format and guidelines. Facilitate the delivery of a complete Project including Design, ROW, Environmental Permits, Utilities Cleared and approval of other agencies (TxDOT, City, MUD, LID, Etc.) And all other tasks as assigned. The PM will perform other tasks as assigned by Fort Bend County. EXHIBIT C SCHEDULE OF HOURLY RATES and EXPENSES ADMINISTRATIVE ASSISTANT $77.00 /HOUR SURVEYOR I $66.00 /HOUR SURVEYOR II $88.00 /HOUR SURVEYOR III $116.00 /HOUR CONSTRUCTION REPRESENTATIVE I $88.00 /HOUR CONSTRUCTION REPRESENTATIVE II $121.00 /HOUR CONSTRUCTION REPRESENTATIVE III $154.00 /HOUR DESIGN TECHNICIAN I $66.00 /HOUR DESIGN TECHNICIAN II $94.00 /HOUR DESIGN TECHNICIAN III $121.00 /HOUR DESIGN TECHNICIAN IV $149.00 /HOUR ENGINEER I / II $127.00 /HOUR ENGINEER III $143.00 /HOUR ENGINEER IV $171.00 /HOUR ENGINEER V $193.00 /HOUR ENGINEER VI $220.00 /HOUR ENGINEER VII $248.00 /HOUR ENGINEER VIII $270.00 /HOUR ENGINEER IX $292.00 /HOUR REIMBURSABLE EXPENSES Mileage IRS Allowable Rate Travel and Meals N/A Misc. Reimbursable Expenses Actual Cost OUTSIDE CONSULTANT RATES Associate Engineer Civil, Electrical, Environmental, Mechanical, etc. up to $225.00/HOUR Subconsultants Actual Cost Schaumburg & Polk, Inc. furnishes General Liability Insurance, Professional Liability Insurance and State of Texas mandatory limits of Worker's Compensation insurance. Preparation for and furnishing expert witness testimony will be billed at three times the hourly rates shown above for the various classifications. December 4, 0000 Xxxx Xxxx Xxxxxx Xxxxxxxxxxx XXXX XXXX XXXXXX, XXXXX J. Xxxxx Xxxxxxxxx, P.E. County Engineer MEMORANDUM TO: Members of the Commissioners Court RE: Schaumburg & Polk Agreement – Project Management, 2020 Mobility The total cost of the Agreement is $1,000,000. The funding will be transferred from the following projects: Project No. Project Name Xxxxxx 00000 XX XX 00 Xxxxxxxx Xxxx $130,444 00000 Xxxxxx Xxxxx Xxxx. $40,691 20303a NB Sh 99 Frontage Design $162,911 20303b NB SH 99 Frontage Design $142,739 00000 Xxxxxxxx Xxxxxxxx $21,078 00000 Xxxxxx Xxxxxx 59,655 00000 Xxxxxx Xxxx $148,774 20307 SB XX 00 Xxxxxxxx Xxxx $221,509 20308 Sidewalk Improvements $19,874 00000 Xxxxxx Xxxx $6,625 00000 Xxxxxxxx Xxxxxx Xxxx $6,625 20313x Bellaire Right Turn Lanes $9,343 20314x Bois d’Arc $13,832 20315x 2 Signals $10,599 20316x 1 Signal $5,301 Project ManagementFee $1,000,000 000 Xxxxxxx Xx. | Xxxxxxxx, XX 00000 Phone 000-000-0000 CERTIFICATE OF INTERESTED PARTIES FORM 12951 of 1 Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Schaumburg & Polk Certificate Number: 2020-696162 Houston, TX United States Date Filed: 12/07/2020 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Fort Bend County Date Acknowledged: 12/15/2020 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2020 Mobility Bond Program Management 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Xxxx , Xxxxx Tyler, TX United States X Xxxxxx, Xxxxxxx Beaumont, TX United States X 5 Check only if there is NO Interested Party.
Appears in 1 contract
Samples: Project Management Agreement
List of Deliverables. The following deliverables will be prepared by the PM and submitted to the County as part of the Project: • Scope of Services for each Project. The Content and format will be approved by the County Engineer. • Project Schedule updated each month. • Project Status Report updated each month. The Content and format will be approved by the County Engineer. • Preliminary Engineering Report format and guidelines. • Facilitate the delivery of a complete Project including Design, ROW, Environmental Permits, Utilities Cleared and approval of other agencies (TxDOT, City, MUD, LID, Etc.) • And all other tasks as assigned. The PM will perform other tasks as assigned by Fort Bend County. EXHIBIT C SCHEDULE OF HOURLY RATES and EXPENSES ADMINISTRATIVE ASSISTANT $77.00 /HOUR SURVEYOR I $66.00 /HOUR SURVEYOR II $88.00 /HOUR SURVEYOR III $116.00 /HOUR CONSTRUCTION REPRESENTATIVE I $88.00 /HOUR CONSTRUCTION REPRESENTATIVE II $121.00 /HOUR CONSTRUCTION REPRESENTATIVE III $154.00 /HOUR DESIGN TECHNICIAN I $66.00 /HOUR DESIGN TECHNICIAN II $94.00 /HOUR DESIGN TECHNICIAN III $121.00 /HOUR DESIGN TECHNICIAN IV $149.00 /HOUR ENGINEER I / II $127.00 /HOUR ENGINEER III $143.00 /HOUR ENGINEER IV $171.00 /HOUR ENGINEER V $193.00 /HOUR ENGINEER VI $220.00 /HOUR ENGINEER VII $248.00 /HOUR ENGINEER VIII $270.00 /HOUR ENGINEER IX $292.00 /HOUR REIMBURSABLE EXPENSES Mileage IRS Allowable Rate Travel and Meals N/A Misc. Reimbursable Expenses Actual Cost OUTSIDE CONSULTANT RATES Associate Engineer Civil, Electrical, Environmental, Mechanical, etc. up to $225.00/HOUR Subconsultants Actual Cost Schaumburg & Polk, Inc. furnishes General Liability Insurance, Professional Liability Insurance and State of Texas mandatory limits of Worker's Compensation insurance. Preparation for and furnishing expert witness testimony will be billed at three times the hourly rates shown above for the various classifications. December 4, 0000 Xxxx Xxxx Xxxxxx Xxxxxxxxxxx XXXX XXXX XXXXXX, XXXXX J. X. Xxxxx Xxxxxxxxx, P.E. County Engineer MEMORANDUM TO: Members of the Commissioners Court RE: Schaumburg & Polk Agreement – Project Management, 2020 Mobility The total cost of the Agreement is $1,000,000. The funding will be transferred from the following projects: Project No. Project Name Xxxxxx 00000 XX XX 00 Xxxxxxxx Xxxx $130,444 00000 Xxxxxx Xxxxx Xxxx. $40,691 20303a NB Sh 99 Frontage Design $162,911 20303b NB SH 99 Frontage Design $142,739 00000 Xxxxxxxx Xxxxxxxx $21,078 00000 Xxxxxx Xxxxxx 59,655 00000 Xxxxxx Xxxx $148,774 20307 SB XX 00 Xxxxxxxx Xxxx $221,509 20308 Sidewalk Improvements $19,874 00000 Xxxxxx Xxxx $6,625 00000 Xxxxxxxx Xxxxxx Xxxx $6,625 20313x Bellaire Right Turn Lanes $9,343 20314x Bois d’Arc $13,832 20315x 2 Signals $10,599 20316x 1 Signal $5,301 Project ManagementFee $1,000,000 000 Xxxxxxx Xx. | Xxxxxxxx, XX 00000 Phone 000-000-0000 CERTIFICATE OF INTERESTED PARTIES FORM 12951 of 1 Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Schaumburg & Polk Certificate Number: 2020-696162 Houston, TX United States Date Filed: 12/07/2020 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Fort Bend County Date Acknowledged: 12/15/2020 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2020 Mobility Bond Program Management 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Xxxx , Xxxxx Tyler, TX United States X Xxxxxx, Xxxxxxx Beaumont, TX United States X 5 Check only if there is NO Interested Party.1,000,000
Appears in 1 contract
Samples: Project Management Agreement
List of Deliverables. The following deliverables will be prepared by the PM and submitted to the County as part of the Project: Scope of Services for each Project. The Content and format will be approved by the County Engineer. Project Schedule updated each month. Project Status Report updated each month. The Content and format will be approved by the County Engineer. Preliminary Engineering Report format and guidelines. Facilitate the delivery of a complete Project including Design, ROW, Environmental Permits, Utilities Cleared and approval of other agencies (TxDOT, City, MUD, LID, Etc.) And all other tasks as assigned. The PM will perform other tasks as assigned by Fort Bend County. EXHIBIT C RPS FORT BEND COUNTY MOBILITY 2020 BOND PROGRAM RATE SCHEDULE OF HOURLY RATES and EXPENSES ADMINISTRATIVE ASSISTANT 2020 Labor Category Hourly Rate Principals $77.00 /HOUR SURVEYOR I 300.00 Department Manager $66.00 /HOUR SURVEYOR II 280.00 Senior Project Manager $88.00 /HOUR SURVEYOR III 240.00 Project Manager $116.00 /HOUR CONSTRUCTION REPRESENTATIVE I 205.00 Senior Project Engineer $88.00 /HOUR CONSTRUCTION REPRESENTATIVE II 185.00 Project Engineer $121.00 /HOUR CONSTRUCTION REPRESENTATIVE III 155.00 Associate Engineer $154.00 /HOUR DESIGN TECHNICIAN I 130.00 GIS Specialist $66.00 /HOUR DESIGN TECHNICIAN II 125.00 CADD Manager $94.00 /HOUR DESIGN TECHNICIAN III 150.00 Senior Designer $121.00 /HOUR DESIGN TECHNICIAN IV 140.00 Designer $149.00 /HOUR ENGINEER I / II 100.00 Senior CADD Technician $127.00 /HOUR ENGINEER III 110.00 CADD Technician $143.00 /HOUR ENGINEER IV 90.00 Senior Environmental Planner $171.00 /HOUR ENGINEER V 200.00 Environmental Planner $193.00 /HOUR ENGINEER VI 135.00 Clerical $220.00 /HOUR ENGINEER VII $248.00 /HOUR ENGINEER VIII $270.00 /HOUR ENGINEER IX $292.00 /HOUR 105.00 RPS Infrastructure, Inc. 2020 REIMBURSABLE EXPENSES Category Contract Rate Plan Sheet Reproduction • Commercial B/W $0.15 Per Square Foot • In-House B/W $0.25 Per Square Foot Photocopying • Commercial B/W $0.20 Per Sheet • In-House B/W $0.12 Per Sheet Per-Diem Subsistence $50.00 Per Day Lodging $120.00 Per Night Mileage Current IRS Allowable Rate Travel and Meals N/A Misc. Reimbursable Expenses Actual Cost OUTSIDE CONSULTANT RATES Associate Engineer CivilPlotting • Draft $3.00 Per Square Foot • Mylar $6.00 Per Square Foot CD’s $3.00 Per Each Digital Copy Deliveries, ElectricalTelephone, Environmental, Mechanical, etc. up to $225.00/HOUR Subconsultants Actual Cost Schaumburg & Polk, Inc. furnishes General Liability Insurance, Professional Liability Insurance and State of Texas mandatory limits of Worker's Compensation insurance. Preparation for and furnishing expert witness testimony will be billed at three times the hourly rates shown above for the various classifications. December 4, 0000 Xxxx Xxxx Xxxxxx Xxxxxxxxxxx XXXX XXXX XXXXXX, XXXXX J. Xxxxx Xxxxxxxxx, P.E. County Engineer MEMORANDUM TO: Members of the Commissioners Court RE: Schaumburg & Polk Agreement – Project Management, 2020 Mobility The total cost of the Agreement is $1,000,000. The funding will be transferred from the following projects: Project No. Project Name Xxxxxx 00000 XX XX 00 Xxxxxxxx Xxxx $130,444 00000 Xxxxxx Xxxxx Xxxx. $40,691 20303a NB Sh 99 Frontage Design $162,911 20303b NB SH 99 Frontage Design $142,739 00000 Xxxxxxxx Xxxxxxxx $21,078 00000 Xxxxxx Xxxxxx 59,655 00000 Xxxxxx Xxxx $148,774 20307 SB XX 00 Xxxxxxxx Xxxx $221,509 20308 Sidewalk Improvements $19,874 00000 Xxxxxx Xxxx $6,625 00000 Xxxxxxxx Xxxxxx Xxxx $6,625 20313x Bellaire Right Turn Lanes $9,343 20314x Bois d’Arc $13,832 20315x 2 Signals $10,599 20316x 1 Signal $5,301 Project ManagementFee $1,000,000 000 Xxxxxxx Xx. | Xxxxxxxx, XX 00000 Phone 000-000-0000 CERTIFICATE OF INTERESTED PARTIES FORM 12951 of 1 Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5Parking, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Schaumburg & Polk Certificate Number: 2020-696162 Houston, TX United States Date Filed: 12/07/2020 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Fort Bend County Date Acknowledged: 12/15/2020 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2020 Mobility Bond Program Management 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Xxxx , Xxxxx Tyler, TX United States X Xxxxxx, Xxxxxxx Beaumont, TX United States X 5 Check only if there is NO Interested Party.Tolls Invoice
Appears in 1 contract
Samples: Project Management Agreement
List of Deliverables. The following deliverables will be prepared by the PM and submitted to the County as part of the Project: • Scope of Services for each Project. The Content and format will be approved by the County Engineer. • Project Schedule updated each month. • Project Status Report updated each month. The Content and format will be approved by the County Engineer. • Preliminary Engineering Report format and guidelines. • Facilitate the delivery of a complete Project including Design, ROW, Environmental Permits, Utilities Cleared and approval of other agencies (TxDOT, City, MUD, LID, Etc.) • And all other tasks as assigned. The PM will perform other tasks as assigned by Fort Bend County. EXHIBIT Exhibit C SCHEDULE OF HOURLY RATES and EXPENSES ADMINISTRATIVE ASSISTANT $77.00 /HOUR SURVEYOR I $66.00 /HOUR SURVEYOR II $88.00 /HOUR SURVEYOR III $116.00 /HOUR CONSTRUCTION REPRESENTATIVE I $88.00 /HOUR CONSTRUCTION REPRESENTATIVE II $121.00 /HOUR CONSTRUCTION REPRESENTATIVE III $154.00 /HOUR DESIGN TECHNICIAN I $66.00 /HOUR DESIGN TECHNICIAN II $94.00 /HOUR DESIGN TECHNICIAN III $121.00 /HOUR DESIGN TECHNICIAN IV $149.00 /HOUR ENGINEER I / II $127.00 /HOUR ENGINEER III $143.00 /HOUR ENGINEER IV $171.00 /HOUR ENGINEER V $193.00 /HOUR ENGINEER VI $220.00 /HOUR ENGINEER VII $248.00 /HOUR ENGINEER VIII $270.00 /HOUR ENGINEER IX $292.00 /HOUR REIMBURSABLE EXPENSES Mileage IRS Allowable Rate Travel and Meals N/A Misc. Reimbursable Expenses Actual Cost OUTSIDE CONSULTANT RATES Associate Engineer Civil, Electrical, Environmental, Mechanical, etc. up to $225.00/HOUR Subconsultants Actual Cost Schaumburg & PolkLJA Engineering, Inc. furnishes General Liability InsuranceMaximum Salary Rates JOB CLASSIFICATION Maximum Sa Project Manager $ 260.00 Senior Engineer $ 230.00 Senior Structural Engineer $ 235.00 Senior Traffic Engineer $ 235.00 Project Engineer $ 174.00 Design Engineer $ 155.00 Engineer in Training- EIT $ 115.00 Designer, Professional Liability Insurance and State of Texas mandatory limits of Worker's Compensation insurance. Preparation for and furnishing expert witness testimony will be billed at three times the hourly rates shown above for the various classifications. December 4Senior Tech $ 170.00 Engineering Technician $ 111.00 Clerical $ 77.00 xxxx Rate Maximum Reimbursable Expense Mileage Delivery Reproduction: Per mile Each IRS Approved Rate At cost Color Plotting {Lg Format/ Roll Plots) SF $2.00 Color Plots (11" x 17") Each $1.25 Photocopy (8 W' x 11 ") Each $0.10 Photocopy {11" x 17'') Each $0.20 Photocopy Color (8 JI," x 11") Each $0.70 Mylar Plots (11" x 17'') Each $1.50 November 17, 0000 Xxxx Xxxx Xxxxxx Xxxxxxxxxxx XXXX XXXX XXXXXX, XXXXX J. Xxxxx Xxxxxxxxx, P.E. County Engineer MEMORANDUM TO: Members of the Commissioners Court RE: Schaumburg & Polk Agreement LJA – Project Management, Management Agreement 2020 Mobility The total cost of the Agreement is $1,000,000. The funding will be transferred from the following projects: Project No. Project Name Xxxxxx Amount 20401 West Bellfort at Sh 6 $32,000 00000 XX XX 00 Xxxx Xxxxxxx Xxxxxxxxx $29,000 20403 West Bellfort at SH 99 $20,000 20404 US ()A $13,000 00000 Xxxxxxxxx Xxxxxxxxx $96,000 00000 Xxxxxxxxxx Xxxx $84,000 20407 SH 6 at Xxxxxxxx Park $6,000 00000 XxXxxxxx Xxxx $91,000 00000 Xxx Xxxxxxxx Xxxx $130,444 215,000 20410 Bullhead Slough $62,000 00000 Xxxxxx Xxxxx Xxxx. Xxxxx Lane $40,691 20303a NB Sh 99 Frontage Design 212,000 00000 Xxxx Xxxxx Drive $162,911 20303b NB SH 99 Frontage Design 140,000 Project Management Fee $142,739 00000 Xxxxxxxx Xxxxxxxx $21,078 00000 Xxxxxx Xxxxxx 59,655 00000 Xxxxxx Xxxx $148,774 20307 SB XX 00 Xxxxxxxx Xxxx $221,509 20308 Sidewalk Improvements $19,874 00000 Xxxxxx Xxxx $6,625 00000 Xxxxxxxx Xxxxxx Xxxx $6,625 20313x Bellaire Right Turn Lanes $9,343 20314x Bois d’Arc $13,832 20315x 2 Signals $10,599 20316x 1 Signal $5,301 Project ManagementFee $1,000,000 000 Xxxxxxx Xx. | Xxxxxxxx, XX 00000 Phone 000-000-0000 CERTIFICATE OF INTERESTED PARTIES FORM 12951 of 1 Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Schaumburg & Polk Certificate Number: 2020-696162 Houston, TX United States Date Filed: 12/07/2020 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Fort Bend County Date Acknowledged: 12/15/2020 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2020 Mobility Bond Program Management 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Xxxx , Xxxxx Tyler, TX United States X Xxxxxx, Xxxxxxx Beaumont, TX United States X 5 Check only if there is NO Interested Party.1,000,000
Appears in 1 contract
Samples: Project Management Agreement
List of Deliverables. The following deliverables will be prepared by the PM and submitted to the County as part of the Project: Scope of Services for each Project. The Content and format will be approved by the County Engineer. Project Schedule updated each month. Project Status Report updated each month. The Content and format will be approved by the County Engineer. Preliminary Engineering Report format and guidelines. Facilitate the delivery of a complete Project including Design, ROW, Environmental Permits, Utilities Cleared and approval of other agencies (TxDOT, City, MUD, LID, Etc.) And all other tasks as assigned. The PM will perform other tasks as assigned by Fort Bend County. EXHIBIT C SCHEDULE OF HOURLY RATES and EXPENSES ADMINISTRATIVE ASSISTANT $77.00 /HOUR SURVEYOR I $66.00 /HOUR SURVEYOR II $88.00 /HOUR SURVEYOR III $116.00 /HOUR CONSTRUCTION REPRESENTATIVE I $88.00 /HOUR CONSTRUCTION REPRESENTATIVE II $121.00 /HOUR CONSTRUCTION REPRESENTATIVE III $154.00 /HOUR DESIGN TECHNICIAN I $66.00 /HOUR DESIGN TECHNICIAN II $94.00 /HOUR DESIGN TECHNICIAN III $121.00 /HOUR DESIGN TECHNICIAN IV $149.00 /HOUR ENGINEER I / II $127.00 /HOUR ENGINEER III $143.00 /HOUR ENGINEER IV $171.00 /HOUR ENGINEER V $193.00 /HOUR ENGINEER VI $220.00 /HOUR ENGINEER VII $248.00 /HOUR ENGINEER VIII $270.00 /HOUR ENGINEER IX $292.00 /HOUR REIMBURSABLE EXPENSES Mileage IRS Allowable Rate Travel and Meals N/A Misc. Reimbursable Expenses Actual Cost OUTSIDE CONSULTANT RATES Associate Engineer Civil, Electrical, Environmental, Mechanical, etc. up to $225.00/HOUR Subconsultants Actual Cost Schaumburg & Polk, Inc. furnishes General Liability Insurance, Professional Liability Insurance and State of Texas mandatory limits of Worker's Compensation insurance. Preparation for and furnishing expert witness testimony will be billed at three times the hourly rates shown above for the various classifications. December 4, 0000 Xxxx Xxxx Xxxxxx Xxxxxxxxxxx XXXX XXXX XXXXXX, XXXXX J. Xxxxx Xxxxxxxxx, P.E. County Engineer MEMORANDUM TO: Members of the Commissioners Court RE: Schaumburg & Polk Agreement – Project Management, 2020 Mobility The total cost of the Agreement is $1,000,000. The funding will be transferred from the following projects: Project No. Project Name Xxxxxx 00000 XX XX 00 Xxxxxxxx Xxxx $130,444 00000 Xxxxxx Xxxxx Xxxx. $40,691 20303a NB Sh 99 Frontage Design $162,911 20303b NB SH 99 Frontage Design $142,739 00000 Xxxxxxxx Xxxxxxxx $21,078 00000 Xxxxxx Xxxxxx 59,655 00000 Xxxxxx Xxxx $148,774 20307 SB XX 00 Xxxxxxxx Xxxx $221,509 20308 Sidewalk Improvements $19,874 00000 Xxxxxx Xxxx $6,625 00000 Xxxxxxxx Xxxxxx Xxxx $6,625 20313x Bellaire Right Turn Lanes $9,343 20314x Bois d’Arc $13,832 20315x 2 Signals $10,599 20316x 1 Signal $5,301 Project ManagementFee $1,000,000 000 Xxxxxxx Xx. | Xxxxxxxx, XX 00000 Phone 000-000-0000 CERTIFICATE OF INTERESTED PARTIES FORM 12951 of 1 Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Schaumburg & Polk Certificate Number: 2020-696162 Houston, TX United States Date Filed: 12/07/2020 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Fort Bend County Date Acknowledged: 12/15/2020 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2020 Mobility Bond Program Management 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Xxxx , Xxxxx Tyler, TX United States X Xxxxxx, Xxxxxxx Beaumont, TX United States X 5 Check only if there is NO Interested Party.1,000,000
Appears in 1 contract
Samples: Project Management Agreement
