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Item 4J - MemoItem 4J Page 1 of 2 M E M O R A N D U M (December 6, 2022) To: Shana Yelverton, City Manager From: Rob Cohen, Director of Public Works Subject: Approve an Advance Funding Agreement (AFA) with the Texas Department of Transportation (TxDOT) to receive a cost reimbursement for North White Chapel Boulevard from Bluestem Drive to Wingate Lane in an amount not to exceed $3,491,520. Action Requested: Approve an Advance Funding Agreement (AFA) with the Texas Department of Transportation (TxDOT) to receive a cost reimbursement for North White Chapel Boulevard from Bluestem Drive to Wingate Lane in an amount not to exceed $3,491,520. Background Information: The purpose of this item is to seek City Council approval of an AFA with TxDOT to receive a cost reimbursement for roadway crossing improvements to address local flooding on North White Chapel Boulevard from north of Bluestem Drive to south of Wingate Lane. TxDOT has agreed to reimburse the City for construction in an amount not to exceed $3,491,520 or 80% of the total cost, whichever is less. In 2018, a storm event overtopped, damaged, and closed the crossing over Kirkwood Branch. Emergency repairs were made to restore it back in service until a permanent solution could be implemented. The improvements on North White Chapel Boulevard include elevating the crossings at Kirkwood Branch and South Fork Kirkwood Branch above the 1% storm event, and the addition of sidewalks on North White Chapel Boulevard to improve connectivity to Bob Jones Park. The design is anticipated to be completed in early Q2 FY 2023 and the bidding phase to begin in Q3 FY 2023. This project was identified to enhance the drainage capabilities of Critical Drainage Structure #2 and Critical Drainage Structure #3 Item 4J Page 2 of 2 and the proposed sidewalks were identified in the 2035 Mobility Master Plan (ID# 306, Tier 2). Financial Considerations: Under the terms of the AFA, TxDOT will reimburse the City for up to $3,491,520 or 80% of the construction cost, whichever is less. The current opinion of the probable construction cost (OPCC) for the North White Chapel Boulevard is currently $4,364,400. The resources provided by TxDOT result in cost savings for the City of Southlake. Funding for this project is budgeted as part of the FY 2023 Capital Improvement Program. Strategic Link: This item links to the City’s Strategy Map strategic focus areas of Mobility, Infrastructure and Partnerships & Volunteerism. It specifically relates to the City’s Corporate Objectives, B2: Collaborate With Select Partners To Implement Service Solutions, C2: Provide Travel Convenience Within City And Region and F2: Invest To Provide & Maintain High Quality Public Assets. The Critical Business Outcomes are, CBO2: Enhance Mobility Through Aggressive Traffic Management Initiatives and Capital Project Implementation and CB05: Improve Quality Of Life Through Progressive Implementation Of Southlake’s Comprehensive Plan Recommendations. Citizen Input/ Board Review: Upon approval by Southlake City Council, the AFA will then be executed by TxDOT for approval. Legal Review: This agreement has been reviewed by legal counsel. Alternatives: The City Council may approve or deny the AFA with TxDOT. Staff Recommendation: Approve an Advance Funding Agreement (AFA) with the Texas Department of Transportation (TxDOT) to receive a cost reimbursement for North White Chapel Boulevard from Bluestem Drive to Wingate Lane in an amount not to exceed $3,491,520. Supporting Documents: Attachment A: Advance Funding Agreement Staff Contact: Rob Cohen, Director of Public Works Kevin Ferrer, P.E., Deputy City Engineer Kevin Taylor, P.E., Project Manager TxDOT:: CSJ # 0902-90-249 District # 02-Fort Worth AFA ID Z00004030 Code Chart 64 # 40050 Project Name N White Chapel Blvd; Bluestem to Wingate AFA Not Used For Research & Development RTR Off System Page 1 of 9 Revised 4/24/2013 STATE OF TEXAS § COUNTY OF TRAVIS § ADVANCE FUNDING AGREEMENT FOR A PROJECT USING FUNDS HELD IN THE STATE HIGHWAY 121 SUBACCOUNT— RECONSTRUCT ROADWAY (Off State System) THIS AGREEMENT (the Agreement) is between the State of Texas, acting by and through the Texas Department of Transportation (the State), and City of Southlake (Local Government), collectively, the “Parties.” WITNESSETH WHEREAS, the State has received money from the North Texas Tollway Authority for the right to develop, finance, design, construct, operate, and maintain the SH 121 toll project from Business SH 121 in Denton County to US 75 in Collin County (“SH 121 payments”); and WHEREAS, pursuant to Transportation Code, 228.006 the State shall authorize the use of surplus revenue of a toll project for a transportation project, highway project, or air quality project within the district of the Texas Department of Transportation in which any part of the toll project is located; pursuant to Transportation Code, §228.012 the State has created a separate subaccount in the state highway fund to hold such money (SH 121 Subaccount), and the State shall hold such money in trust for the benefit of the region in which a project is located, and may assign the responsibility for allocating money in the subaccount to a metropolitan planning organization (MPO); and WHEREAS, in Minute Order 110727, dated October 26, 2006, the Texas Transportation Commission (the “Commission”) approved a memorandum of understanding (MOU) with the Regional Transportation Council (RTC), which is the transportation policy council of the North Central Texas Council of Governments (NCTCOG) and a federally designated MPO, concerning in part the administration, sharing, and use of surplus toll revenue in the region; under the MOU the RTC shall select projects to be financed using surplus revenue from a toll project, subject to Commission concurrence; and WHEREAS, the Local Government has requested money from the SH 121 Subaccount to reconstruct Bridge and roadway approaches to include adding of sidewalks of North White Chapel Boulevard from North of Bluestem Drive to South of Wingate Lane. (Project); the DocuSign Envelope ID: 2D0B3980-B03E-412D-B8A0-5FD8FBBB1932 In Process ATTACHMENT A TxDOT:: CSJ # 0902-90-249 District # 02-Fort Worth AFA ID Z00004030 Code Chart 64 # 40050 Project Name N White Chapel Blvd; Bluestem to Wingate AFA Not Used For Research & Development RTR Off System Page 2 of 9 Revised 4/24/2013 RTC has selected the Project to be funded from the SH 121 Subaccount; and the Commission concurred in the selection and authorized the expenditure of money with 116272, dated June 23, 2022; and WHEREAS, the Local Government is a political subdivision and governmental entity by statutory definition; and WHEREAS, Government Code, Chapter 791, and Transportation Code, §201.209 authorize the State to contract with municipalities and political subdivisions to perform governmental functions and services; and WHEREAS, NCTCOG and the RTC should have authority to assist the Local Government’s implementation of financial reporting and environmental review related to a transportation project funded by the State using money from the SH 121 Subaccount. NOW, THEREFORE, the Parties agree as follows: AGREEMENT Article 1. Time Period Covered This Agreement becomes effective when signed by the last party whose signing makes the agreement fully executed, and the State and the Local Government will consider it to be in full force and effect until the Project described herein has been completed and accepted by all parties or unless terminated, as hereinafter provided. Article 2. Project Funding The State will pay money to the Local Government from the SH 121 Subaccount in the amounts specified in Attachment A, Payment Provision and Work Responsibilities. Except as provided in the next succeeding sentence, the payments will begin no later than upon the later of the following: (1) fifteen days after the Legislative Budget Board and the Governor each approve the expenditure, in accordance with Rider 25 of the Texas Department of Transportation bill pattern in Senate Bill 1, 87th Legislature; and (2) thirty days after execution of this Agreement. If Attachment A shows that the RTC has allocated payments to the Local Government for a certain expenditure (e.g. construction) for the Project in a certain fiscal year, then the State will make the payment from the SH 121 Subaccount to the Local Government for such expenditure no later than 30 days after the beginning of the designated Fiscal Year. A Fiscal Year begins on September 1 (for example, the 2013 Fiscal Year began September 1, 2012). Article 3. Separate Account; Interest All funds paid to the Local Government shall be deposited into a separate account, and interest earned on the funds shall be kept in the account. Interest earned may be used only for the purposes specified in Attachment A, Payment Provision and Work Responsibilities, and only after obtaining the written approval of the RTC. The Local DocuSign Envelope ID: 2D0B3980-B03E-412D-B8A0-5FD8FBBB1932 In Process TxDOT:: CSJ # 0902-90-249 District # 02-Fort Worth AFA ID Z00004030 Code Chart 64 # 40050 Project Name N White Chapel Blvd; Bluestem to Wingate AFA Not Used For Research & Development RTR Off System Page 3 of 9 Revised 4/24/2013 Government’s use of interest earned will not count towards the 20 percent local match requirement set forth in this Agreement. Article 4. Shortfalls in Funding The Local Government shall apply all funds to the scope of work of the Project described in Attachment A, Payment Provisions and Work Responsibilities, and to none other. All cost overruns are the responsibility of the Local Government. However, should the funds be insufficient to complete the work contemplated by the Project, the Local Government may make further request to the RTC and the State for additional funds from the SH 121 Subaccount. Funds may be increased only through an amendment of this Agreement. If the SH 121 Subaccount does not contain sufficient funds to cover the balance necessary to complete the Project, or if the RTC or the Commission decline the request for any other reason, then the Local Government shall be responsible for any shortfall. Article 5. Return of Project Funding The Local Government shall reimburse the State for any funds paid under this Agreement that are not expended in accordance with the requirements of this Agreement. Upon completion of the Project, the Local Government will issue a signed “Notification of Completion” document to the State acknowledging the Project’s completion. If at project end, or upon termination of this Agreement, excess SH 121 Subaccount funds exist, including interest earned, such funds shall be returned to the State within 30 days. Except for funds the Local Government has already expended in accordance with the Agreement, the Local Government shall return to the State the funds paid under this Agreement together with any interest earned on the funds if the Project is not completed within 10 years of execution of the Agreement. Article 6. Local Match The Local Government shall be responsible for the required 20 percent local match as described in Attachment A, Payment Provisions and Work Responsibilities. The costs incurred by the Local Government prior to the execution of this Agreement will count towards the 20 percent local match requirement provided such costs are for RTC- approved phases as shown in Attachment A. At the end of each Fiscal Year the Local Government’s cumulative expenditures of local match funds must be no less than 20 percent of the cumulative SH 121 Funds received by the Local Government up to that date under the Agreement, and must be for the uses approved for payments of SH 121 Funds up to that date as specified in Attachment A, Payment Provision and Work Responsibilities Article 7. Procurement and Contracting Process The State may review the Local Government’s procurement of professional services for engineering, surveying, and right of way acquisition, letting of construction contracts, and conduct of construction management and inspection. The Local Government shall certify compliance with state law and regulations, and with local laws, regulations, rules, policies, and procedures. The Local Government shall maintain a copy of the certification in the project files. DocuSign Envelope ID: 2D0B3980-B03E-412D-B8A0-5FD8FBBB1932 In Process TxDOT:: CSJ # 0902-90-249 District # 02-Fort Worth AFA ID Z00004030 Code Chart 64 # 40050 Project Name N White Chapel Blvd; Bluestem to Wingate AFA Not Used For Research & Development RTR Off System Page 4 of 9 Revised 4/24/2013 Article 8. Design Standards and Construction Specifications The Local Government shall implement the Project using the Local Government’s established design standards, construction specifications, procurement processes, and construction management and inspection procedures. Article 9. Right of Way Except for right of way owned by the State or to be acquired by the State according to the plans of the Project as approved by the State, the Local Government shall acquire all necessary right of way needed for the Project. Right of way acquisition is an eligible cost for reimbursement provided such cost is an RTC-approved phase as shown in Attachment A. Article 10. Utilities The Local Government shall be responsible for the adjustment, removal, or relocation of utility facilities in accordance with State laws and regulations and local laws, regulations, rules, policies, and procedures applicable to the Local Government. The Local Government must obtain advance approval for any variance from established procedures. The RTC-approved costs for utilities as shown in Attachment A, if any, shall be used to adjust, remove, or relocate utility facilities. Article 11. Compliance with Laws, Environmental Review and Public Involvement Each Party shall comply with all federal, state, and local laws, statutes, ordinances, rules and regulations, and the orders and decrees of any courts, administrative bodies or tribunals affecting the performance of this Agreement as applicable to it. When required, the Local Government shall furnish the State with satisfactory proof of compliance. As provided in 43 TAC 2.3(b)(1)(A), the State’s environmental review requirements do not apply to the Project because the State is funding the Project solely with money held in a project subaccount created under Transportation Code, Section 228.012. However, the Local Government shall ensure that the project complies with all environmental review and public involvement requirements applicable to the Local Government under State and federal law in connection with the Project. The Local Government shall obtain the opinion of legal counsel showing the Local Government’s environmental review and public involvement for the Project complies with state law and regulations, and with local laws, regulations, rules, policies, and procedures applicable to the Local Government. The Local Government shall maintain a copy of the certification in the project files. Article 12. Compliance with Texas Accessibility Standards and ADA The Local Government shall ensure that the plans for and the construction of the Project is in compliance with the Texas Accessibility Standards (TAS) issued by the Texas Department of Licensing and Regulation, under the Architectural Barriers Act, Article 9102, Texas Civil Statutes. The TAS establishes minimum accessibility requirements to be consistent with minimum accessibility requirements of the Americans with Disabilities Act (P.L. 101-336). DocuSign Envelope ID: 2D0B3980-B03E-412D-B8A0-5FD8FBBB1932 In Process TxDOT:: CSJ # 0902-90-249 District # 02-Fort Worth AFA ID Z00004030 Code Chart 64 # 40050 Project Name N White Chapel Blvd; Bluestem to Wingate AFA Not Used For Research & Development RTR Off System Page 5 of 9 Revised 4/24/2013 Article 13. Work Outside the Project Site The Local Government shall provide both the necessary right of way and any other property interests needed for the Project. Article 14. Insurance If this agreement authorizes the Local Government or its contractor to perform any work on State right of way, before beginning work the entity performing the work shall provide the State with a fully executed copy of the State's Form 1560 Certificate of Insurance verifying the existence of coverage in the amounts and types specified on the Certificate of Insurance for all persons and entities working on State right of way. This coverage shall be maintained until all work on the State right of way is complete. If coverage is not maintained, all work on State right of way shall cease immediately, and the State may recover damages and all costs of completing the work. Article 15. Audit Within 120 days of completion of the Project, the Local Government shall perform an audit of the costs of the Project. Any funds due to the State will be promptly paid by the Local Government. Article 16. Maintenance The Local Government shall be responsible for maintenance of the Project. Article 17. Responsibilities of the Parties a. The State and the Local Government agree that neither party is an agent, servant, or employee of the other party and each party agrees it is responsible for its individual acts and deeds, as well as the acts and deeds of its contractors, employees, representatives, and agents. b. To the extent permitted by law, the Local Government agrees to indemnify and save harmless the State, its agents and employees from all suits, actions or claims and from all liability and damages resulting from any and all injuries or damages sustained by any person or property in consequence of any neglect, error, or omission in the performance of the design, construction, maintenance or operation of the Project by the Local Government, its contractor(s), subcontractor(s), agents and employees, and from any claims or amounts arising or recovered under the "Workers' Compensation laws"; the Texas Tort Claims Act, Chapter 101, Texas Civil Practice and Remedies Code; or any other applicable laws or regulations, all as from time to time may be amended. c. The Parties expressly agree that the Project is not a joint venture or enterprise. However, if a court should find that the Parties are engaged in a joint venture or enterprise, then the Local Government, to the extent provided by law, agrees to pay any liability adjudicated against the State for acts and deeds of the Local Government, its employees or agents during the performance of the Project. d. To the extent provided by law, the Local Government shall also indemnify and save harmless the State from any and all expense, including, but not limited to, attorney’s DocuSign Envelope ID: 2D0B3980-B03E-412D-B8A0-5FD8FBBB1932 In Process TxDOT:: CSJ # 0902-90-249 District # 02-Fort Worth AFA ID Z00004030 Code Chart 64 # 40050 Project Name N White Chapel Blvd; Bluestem to Wingate AFA Not Used For Research & Development RTR Off System Page 6 of 9 Revised 4/24/2013 fees which may be incurred by the State in litigation or otherwise resisting said claim or liabilities which may be imposed on the State as a result of such activities by the Local Government, its agents, or employees. Article 18. Notices All notices to either party by the other required under this Agreement shall be delivered personally or sent by certified or U.S. mail, postage prepaid or sent by electronic mail, (electronic notice being permitted to the extent permitted by law but only after a separate written consent of the parties), addressed to such party at the following addresses: Local Government: City of Southlake Attn: City Manager 1400 Main Street Suite 460 Southlake, Texas 76092 State: Texas Department of Transportation Attn: Director of Contract Services 125 East 11th Street Austin, Texas 78701 All notices shall be deemed given on the date so delivered or so deposited in the mail, unless otherwise provided herein. Either party may change the above address by sending written notice of the change to the other party. Either party may request in writing that such notices shall be delivered personally or by certified U.S. mail and such request shall be honored and carried out by the other party. Article 19. Right of Access If the Local Government is the owner or otherwise controls access to any part of site of the Project, the Local Government shall permit the State or its authorized representative access to the site to perform any activities authorized in this Agreement. Article 20. Project Documents Upon completion or termination of this Agreement, all documents prepared by the State shall remain the property of the State. All data prepared under this Agreement by the Local Government shall be made available to the State without restriction or limitation on their further use. All documents produced or approved or otherwise created by the Local Government shall be transmitted to the State in the form of photocopy reproduction as required by the State. The originals shall remain the property of the Local Government. At the request of the State, the Local Government shall submit any information required by the State in the format directed by the State. Article 21. Inspection of Books and Records The Local Government shall keep a complete and accurate record to document the performance of the work on the Project and to expedite any audit that might be conducted. The Local Government shall maintain records sufficient to document that funds provided under the Agreement were expended only for eligible costs that were incurred in accordance with all applicable state and local laws, rules, policies, and procedures, and in accordance with all applicable provisions of this Agreement. The Local Government shall DocuSign Envelope ID: 2D0B3980-B03E-412D-B8A0-5FD8FBBB1932 In Process TxDOT:: CSJ # 0902-90-249 District # 02-Fort Worth AFA ID Z00004030 Code Chart 64 # 40050 Project Name N White Chapel Blvd; Bluestem to Wingate AFA Not Used For Research & Development RTR Off System Page 7 of 9 Revised 4/24/2013 maintain all books, documents, papers, accounting records and other documentation relating to costs incurred under this Agreement and shall make such materials available to the State for review and inspection during the contract period and for four (4) years from the date of completion of work defined under this Agreement or until any pending litigation or claims are resolved, whichever is later. Additionally, the State shall have access to all governmental records that are directly applicable to this Agreement for the purpose of making audits, examinations, excerpts, and transcriptions. Article 22. NCTCOG Acceptance of funds directly under the Agreement or indirectly through a subcontract under the Agreement acts as acceptance of the authority of NCTCOG and RTC to assist the Local Government’s implementation of financial reporting and environmental review concerning the Project. The Local Government shall provide to NCTCOG on a monthly basis a report of expenses, including the Local Government’s expenditure of local match funds. The report shall list separately the expenditures by project phase as shown in Attachment A, including but not limited to engineering, environmental review, right of way acquisition, and construction. The report shall also describe interest earned on money from the SH 121 Subaccount, including the interest rate, interest earned during the month, and cumulative interest earned. The report shall further describe the status of developing the Project. Not less than 60 days before the environmental review document is submitted to the governing body of the Local Government for final approval, the Local Government shall submit the document to NCTCOG for review and comment. NCTCOG may provide the Local Government technical assistance on the environmental review of the Project as mutually agreed between NCTCOG and the Local Government. Article 23. State Auditor The state auditor may conduct an audit or investigation of any entity receiving funds from the State directly under the Agreement or indirectly through a subcontract under the Agreement. Acceptance of funds directly under the Agreement or indirectly through a subcontract under this Agreement acts as acceptance of the authority of the state auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. An entity that is the subject of an audit or investigation must provide the state auditor with access to any information the state auditor considers relevant to the investigation or audit. Article 24. Amendments By mutual written consent of the Parties, this contract may be amended prior to its expiration. Article 25. Termination The Agreement may be terminated in the following manner: a. By mutual written agreement and consent of both parties; b. By either party upon the failure of the other party to fulfill the obligations set forth herein, after a 45-day period to cure after receiving written notice of non- compliance; DocuSign Envelope ID: 2D0B3980-B03E-412D-B8A0-5FD8FBBB1932 In Process TxDOT:: CSJ # 0902-90-249 District # 02-Fort Worth AFA ID Z00004030 Code Chart 64 # 40050 Project Name N White Chapel Blvd; Bluestem to Wingate AFA Not Used For Research & Development RTR Off System Page 8 of 9 Revised 4/24/2013 c. By the State if the Local Government does not let the construction contract for the Project within one year after the State first provides 121 Funds for construction as shown in Attachment A, Payment Provision and Work Responsibilities; d. By the State if the Local Government does not complete the Project within ten years after the effective date of the Agreement. Article 26. Work by Debarred Person The Local Government shall not contract with any person that is suspended, debarred, proposed for debarment, declared ineligible or voluntarily excluded from covered transactions by any federal agency or that is debarred or suspended by the State. Article 27. Sole Agreement The Agreement constitutes the sole and only agreement between the parties and supersedes any prior understandings or written or oral agreements respecting the Agreement’s subject matter. Article 28. Successors and Assigns The State and the Local Government each binds itself, its successors, executors, assigns, and administrators to the other party to this agreement and to the successors, executors, assigns, and administrators of such other party in respect to all covenants of this agreement. The Local Government may assign its interests under the Agreement only with the written approval of the State. Article 29. Remedies The Agreement shall not be considered as specifying an exclusive remedy for a breach of the Agreement. All remedies existing at law or in equity are available to either Party and are cumulative. Article 30. Legal Construction If a provision of the Agreement shall be held invalid, illegal or unenforceable, such invalidity, illegality or unenforceability shall not affect any other provision, and the Agreement shall be construed as if it did not contain the invalid, illegal or unenforceable provision. Article 31. Signatory Warranty The signatories to this agreement warrant that each has the authority to enter into this agreement on behalf of the party they represent. DocuSign Envelope ID: 2D0B3980-B03E-412D-B8A0-5FD8FBBB1932 In Process TxDOT:: CSJ # 0902-90-249 District # 02-Fort Worth AFA ID Z00004030 Code Chart 64 # 40050 Project Name N White Chapel Blvd; Bluestem to Wingate AFA Not Used For Research & Development RTR Off System Page 9 of 9 Revised 4/24/2013 Each party is signing this agreement on the date stated next to that party’s signature. THE STATE OF TEXAS Executed for the Executive Director and approved for the Texas Transportation Commission for the purpose and effect of activating and/or carrying out the orders, established policies or work programs heretofore approved and authorized by the Texas Transportation Commission. By Date _______ Kenneth Stewart Director of Contract Services THE LOCAL GOVERNMENT: City of Southlake By Date John Huffman Mayor DocuSign Envelope ID: 2D0B3980-B03E-412D-B8A0-5FD8FBBB1932 In Process TxDOT:: CSJ # 0902-90-249 District # 02-Fort Worth AFA ID Z00004030 Code Chart 64 # 40050 Project Name N White Chapel Blvd; Bluestem to Wingate AFA Not Used For Research & Development Attachment A Page 1 of 1 ATTACHMENT A Payment Provision and Work Responsibilities For CSJ# 0902-90-249, the State will pay $3,491,520.00 from the SH 121 Subaccount to reconstruct Bridge and roadway approaches to include adding of sidewalks of North White Chapel Boulevard from North of Bluestem Drive to South of Wingate Lane. In accordance with the allocation of funds approved by the RTC, and concurred with by the Texas Transportation Commission, the State will make the payments for the following work in the following Fiscal Years: Fiscal Year Expenditure Preliminary Engineering Right of Way Acquisition Utilities Construction 2023 $0 $0 $0 $3,491,520.00 The Local Government shall contribute a required local match of $872,880.00. Upon completion of the Project, the Local Government will issue a signed "Notification of Completion" document to the State. The notice shall certify that the Project has been completed, all necessary inspections have been conducted, and the Project is open to traffic. DocuSign Envelope ID: 2D0B3980-B03E-412D-B8A0-5FD8FBBB1932 In Process Certificate Of Completion Envelope Id: 2D0B3980B03E412DB8A05FD8FBBB1932 Status: Sent Subject: Please DocuSign: Z00004030 – 0902-90-249 - RTR AFA PRIME - with City of Southlake Source Envelope: Document Pages: 13 Signatures: 0 Envelope Originator: Certificate Pages: 5 Initials: 0 Laura Gamboa AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 125 E. 11th Street Austin, TX 78701 laura.gamboa@txdot.gov IP Address: 209.112.106.2 Record Tracking Status: Original 11/1/2022 8:44:06 AM Holder: Laura Gamboa laura.gamboa@txdot.gov Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: Texas Department of Transportation Location: DocuSign Signer Events Signature Timestamp John Huffman mayor@cityofsouthlake.com Security Level: Email, Account Authentication (Optional) Sent: 11/1/2022 8:49:00 AM Viewed: 11/8/2022 4:24:52 PM Electronic Record and Signature Disclosure: Accepted: 11/8/2022 4:24:52 PM ID: 3ab6b52b-0f75-46c6-beff-4885b6de0434 Kenneth Stewart kenneth.stewart@txdot.gov Security Level: Email, Account Authentication (Optional) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Rose Rodriguez rose.rodriguez@txdot.gov District Contract Administrator Texas Department of Transportation Security Level: Email, Account Authentication (Optional) Sent: 11/1/2022 8:48:59 AM Viewed: 11/1/2022 9:02:04 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp In Process Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 11/1/2022 8:49:00 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure In Process ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Texas Department of Transportation (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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By checking the 'I Agree' box, I confirm that:  I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and  I can print on paper the disclosure or save or send the disclosure to a place where I can print it, for future reference and access; and  Until or unless I notify Texas Department of Transportation as described above, I consent to receive from exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to me by Texas Department of Transportation during the course of my relationship with you. In Process