Ordinance No. 15,278 ORDINANCE NO. 15,278
AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF BAYTOWN,
TEXAS, AUTHORIZING CHANGE ORDER NO. 6 TO THE CITIZENS BANK
RENOVATION PROJECT WITH CONSTRUCTION MASTERS OF
HOUSTON, INC., IN AN AMOUNT NOT TO EXCEED SIXTY-ONE
THOUSAND THREE HUNDRED AND 701100 DOLLARS ($61,300.70); AND
PROVIDING FOR THE EFFECTIVE DATE THEREOF.
******************************************************************************
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF BAYTOWN,TEXAS:
Section 1: That the City Council of the City of Baytown, Texas, does hereby authorize
Change Order No. 6 to the Citizens Bank Renovation Project with Construction Masters of
Houston, Inc., in an amount not to exceed SIXTY-ONE THOUSAND THREE HUNDRED AND
701100 DOLLARS ($61,300.70). A copy of said change order is attached hereto, marked Exhibit
"A" and made a part hereof for all intents and purposes.
Section 2: This ordinance shall take effect immediately from and after its passage by the
City Council of the City of Baytown.
INTRODUCED, READ and PASSED by the affirmative vote of the City Council of the
City of Baytown this the 22"d day of November, 2022.
o&ep,Y70 yyy TF
NDON .APE L , Mayor
N
ATTEST:
ANGELA ACKSOI '
APPROVED jiS O FORM:
SCOTT LEM ND, City Attorney
RAKaren Anderson.ORDINANCES\2022\2022.11.22 ChangeOrderNo6-CitizensBankRenovationProject.docx
EXHIBIT "Att CITY OFBAYTOWN
1 PUBLIC WORKS&ENGINEERING
mlamk 2123 Market St.
Baytown,Texas 77520
BMTOWN CHANGE ORDER
Citizen's Bank Renovation
Date of Issuance: 11/22/2022 Change Order No.: 6
Contractor: Construction Masters of Houston.Inc. CoB Project No.: FA1801
Designer: Element Architects,LLC P.O.No.: 2203812
Explanation:
This change order encompasses the following:
6.1) addition of three(3)pipe bollards for protection of new gas meter location
6.2) addition of concrete paving(1 OOSF)per changes to site modication plan shifting pavement area 2-feet off perimeter
6.3) deduct per change in the material(TLOI and TL022)
6.4) addition of three(3)overflow scuppers and blocking materials per roofing manufacturer requirements
6.5) deduct per re-use of meter test lockers from current Utility Services building
6.6) addition of remobilization fee to install permanent water meter due to supply availability of meter and vault
6.7) addition of Owner requested modifications to glass teller line speak through details
6.8) addition of Owner/IT requested electrical revisions,including added quad&UPS receptacles,changes to main
breaker,Connectrac extension,conduit for interior cameras,etc.
6.9) addition of canopy supports at west exterior wall for proper bracing of canopy
6.10) addition of IT equipment rack per Owner requested changes to the furnish schedule
6.11) addition per Hamilton Vaultronics for ADA compliance of walk-up night depository drop
6.12) addition of V backflow preventer to water line in meter test set-up required per City of Baytown building code
enforcement
6.13) addition of Owner requested glass enclosure for three(3)salvaged vault doors to be displayed in building
6.14) addition of Owner requested insert and support for salvaged limestone material to be displayed in building
Description of Work Cost Time
6.00 Change Order 06 per the itemized description above $ 61,300.70 0 Days
Please attach back-up documentation:CPR-006:Quotes from GTS and Miscellaneous Specialties,Ft Bend Drywall.
Emails regarding added concrete,Dk Hardware,WSOT,Leggio.Jarrar,Spring Creek
Cost&Time Change Summary Cost Time
Original Contract: $ 3,467,695.00 559 Days
Previous Change Order(s): $ 106,225.36 35 Days
Contract prior to this change order: $ 3,573,920.36 594 Days
Net increase(decrease)from this change order $ 61,300.70 0 Days
Revised Contract: $ 3,635,221.06 594 Days
Finance Approval: Date:
RECOMMENDED: RECOMMENDED:
B). :� Date. 11/10/22 By: Z"Date: 11/10/2022
Design Engineer Architect Director of Public Works&Engineering
r
ACCEPTED*: `_6_ 11-10-2022 APPROVED:
By: Pamwza�- eFadc4 ate: 11/9/2022 By: Date:
Contractor City Manager
*Contractor agrees to perform change(s)included in this Change Order for the price and time indicated The prices for changes included all costs associated with this
Change Order
Construction I oft D16 Revised 2021
No work is to be done until this change order is executed No payment to the Contractor(or Consultant)shall be made for work included in the change order until the
Contractor's pay estimate is updated
Revise the project plans and specifications as referenced and insofar as the original project drawings and specifications are inconsistent this Change Order governs Upon
execution by all parties,the following changes identified for the contract value and/or contract time shown,are made part of the contract
Construction '-of 2 D16 Revised 2021
ONSTRUCTION
ASTERS
OF HOUSTON, INC.
P.O. Box 1587—Pearland, Texas 77588—281/997-2640—Fax: 281 i 485-4702
Change Proposal Request
Project: City of Baytown Utility Service Building
Date:11/9/22
Change Proposal No: 6
To: Gregerz Joseph
Construction Masters proposes to make the following changes to the original scope of work to
provide labor, materials, and supervision to provide changes.
Site Changes and Tile Changes and Other changes
Pipe Bollard Material (Misc. Specialties) $ 795.00
Pipe Bollard Labor(GTS) $ 405.00
Added Concrete(GTS) $ 850.00
TL01 Tile Change approved in CPR 3 $ (1,926.88)
TL01 Tile Change during sample review $ 1,408.00
TL02 Tile Change during sample review $ (2,100.00)
Added overflow scuppers (Ft Bend) $ 600.00
Locker Credit(Global Industrial) $ (985.90)
Meter Vault Installation Remobilization (Spring Creek) $ 3,000.00
Teller Line Speak Thru (DK Hardware) $ 472.47
Teller Line Speak Thru (WSOT) $ 378.13
Electrical Changes(Leggio) $ 21,529.37
Canopy Supports(Misc.Specialties&Ft Bend) $ 5,590.00
IT Rack $ 4,758.36
Night Deposit Modifications (Hamilton) $ 1,837.00
Added BFP (Jarrar) $ 1,770.94
Labor for Speak Thru and IT Rack(Ft Bend) $ 800.00
Vault Door Glass (Ft Bend &WSOT)-$3,717.50 x 3 $ 11,152.50
Granite Insert(Ft Bend&Axis) $ 7,213.00
Subtotal $ 57,546.99
OH&P $ 2,877.35
Additional Bond Premium (2.5%up to$100K; 1.5% up to$500K) $ 906.37
Total Change Proposal Request $ 61,330.70
www.cmhou.com
1) Supply and install 3 additional bollards around new gas meter location.
2) Add concrete along back of the building.
3) TLO1 and TL02 Changes
4) Added overflow roof scuppers per manufactures requirements.
5) Credit for Lockers
6) Remobilization charge for Meter Vault Installation
7) Teller Line Speak Thru
8) Electrical Changes.
i) This pricing excludes site change include in revise drawings. These items where
addresses in a previous CPR.
9) Canopy Supports
10)IT Rack and Accessories
11)Night Deposit Modifications
12) 1"Backflow Preventor
13)Vault Door Glass
14)Granite Insert
Attachments: Quotes from GTS and Miscellaneous Specialties, Ft Bend Drywall. Emails
regarding added concrete, Dk Hardware, WSOT, Leggio, Jarrar, Spring Creek
Clarifications: Numerus items on this change proposal affect the schedule on a daily basis any
delay in approval past 11/20 will result in pricing and schedule changes and this document will
be void after that date.
Dennis Busby,
Construction Masters of Houston, Inc
www.cmhou.com
P.O.BOX 24011 SPRING,TX 77383
(281)351-1177(FAX(281)351-1144
DATE: 7-21-22
Construction Masters
RE: Bollards
PROJECT: Baytown Utility Services
Attn: Josh ARCHITECT:
ADDENDA:
We Propose To Furnish Material Only Outlined As Follows:
3 ea 6"Pipe x T-0-Galy
$795.00
EXCLUSIONS AS FOLLOWS:
a a.ERECTION ❑ e. I.
❑✓ b.SALES TAX ❑ f. ❑ j.
❑✓ c.FINISH PAINT/COATING 9. k.
Eld. � h. � I.
C
te
Project: Baytown USB Change Order#: 5
Date: 8/3/2022
TO: Construction Masters
Attention: Dennis Busby Phone: 281-780-3871
The work covered by this proposal shall be performed under the same terms and conditions of the original contract
Reference:
Description of Change: Installation of 3 Pipe Bollards
Item Description Quantity Unit Cost Item Total
1 linstal 3 Pipe Bollards $ 405.00
TOTAL 405.00
Kindly acknowledge receipt of this Change Order Proposal by signing and returning a copy to our office
NOTE:The Change Order Proposal becomes part of and in conformance with the existing contract.
Signature of the General Contractor indicates agreement herewith,including adjustment of contract sum
Notes:
GTS Concrete LLC
Greg Schoener,Partner (Authorized GC Signature and Date)
1183 Brittmoore, Suite 200 Houston, Texas, 77043 Tel:281.974.4774
GTS Concrete
Project: Baytown USB Change Order#: 6
Date: 8/11/2022
TO: Construction Masters
Attention: Dennis Busby Phone: 281-780-3871
The work covered by this proposal shall be performed under the same terms and conditions of the original contract
Reference:
Description of Change: Added Sidewalk
Item Description Quantity Unit Cost Item Total
1 JAdded 100sf of 4.5"Sidewalk $ 850.00
TOTAL 850.00
Kindly acknowledge receipt of this Change Order Proposal by signing and returning a copy to our office
NOTE:The Change Order Proposal becomes part of and in conformance with the existing contract.
Signature of the General Contractor indicates agreement herewith,including adjustment of contract sum
Notes:
GTS Concrete LLC
Greg Schoener, Partner (Authorized GC Signature and Date)
1183 Brittmoore, Suite 200 Houston, Texas, 77043 Tel:281.974.4774
Thanks,
Tyler Ray, P.E.
Partner
VrA
CONSULTM■E1mMelr!'i
2500 Tanglewilde, Suite 120 1 Houston, TX 77063
13: 713-489-9505 1 C: 254-913-7796
From: Patrick Helemann<p.helemann@elementarchitects.com>
Sent:Thursday,July 28, 2022 4:20 PM
To:Tyler Ray<tray@wga-Ilp.com>;Jessica Lara<jlara@wga-Ilp.com>
Cc:Oberst, Heather<Heather0berst@hillintl.com>; Marvaughon.Bolin<Marvaughon.Bolin@baytown.org>; Pearson,
Stephen<StephenPearson@ hill intl.com>; Dennis Busby<dennis@cmhou.com>;Josh Moore<josh@cmhou.com>;
Heather Currie<h.currie@elementarchitects.com>
Subject: Baytown Utility Service Building-Updated site plan
Tyler/Jessica,
On the Baytown utility services building project,we had to shift the parking lot and driveway to the south by 24". The
driveway is shown right up against the building,which is obviously not ideal for vehicular traffic. None of the site utility
locations have to change. We are simply shifting the paved area to the south by 24". The contractor has requested
revised elevation points/drainage slopes as needed. Can you please review the attachments and provide the requested
information? They are starting to lay out the parking, so your immediate attention would be greatly appreciated.
Please let us know. Sorry about the short notice.
Thanks,
T emxeo%igq errZr-E$$
T evxr iv$3$r vcr9rrf er$
DELEMENT
ARCHITECTS
5694$[ ssh!iF`,ergl$L'exc iv*yn2d$8<4(�Lsywksr(3x\M- 4;=$
<762;/442%67;%� avi94
;572x;82%; ;9= erir$
<762B872$:<=4 sftqi$
O T COUGAR�Ooin
2
Dennis Busby
From: Patrick Helemann <p.helemann@elementarchitects.com>
Sent: Monday,August 8, 2022 11:59 AM
To: Dennis Busby
Cc: Josh Moore; Marvaughon (Moe) Bolin
Subject: RE: Baytown Utility Service Building - Updated site plan
Dennis,
There is a 6"curb shown on the approved drawings. We are pushing everything 18" plus the width of the curb,for a
total of approx.. 24". The width of new concrete is 18". The thickness of concrete will be the same as the other
sidewalks.
Thanks,
TemMo%iFiq erroW,
T ewr iv$i$CvnrgriteF$
ELEMENT
ARCHITECTS
5694$[ ssh!F�,ergl$Cepo$ivWyma$3<4C$,sywxsrC%\($; ;4;=$
<762j/442%67;$*Imrigx$
;572$�;82$I; ;9$;W erws
<762$8874:<=4= sfr�$
COUGAN100
From: Dennis Busby<dennis@cmhou.com>
Sent: Monday,August 8,2022 11:31 AM
To: Patrick Helemann<p.helemann@elementarchitects.com>
Cc:Josh Moore<josh@cmhou.com>; Marvaughon (Moe) Bolin<Marvaughon.Bolin@baytown.org>
Subject: Re: Baytown Utility Service Building-Updated site plan
'-'.��tion External Sender"
Patrick
Can you confirm the concrete dimensions from back of curb to back of building that was added?Also want would the
thickness be?
Thank You
1
CITY OF BAYTOWN
PUBLIC WORKS& ENGINEERING
l 2123 Market St.
Baytown,Texas 77520
BETTER
BAYTOWN CHANGE ORDER
Citizens Bank Renovation
Date of Issuance: 7/14/2022 Change Order No.: 3
Contractor: Construction Masters of Houston. Inc. CoB Project No.: FA1801
Designer: Element Architects, LLC P.O. No.: 2203812
Explanation:
This change order encompasses the following:
During construction the contractor identified the need for a weatherproof electrical junction box required for external
cameras on parking lot light poles The Information Technology department provided exact specification for equipment
needed to house components relating to external security monitoring hardware. Mounting hardware and subsequent
accessories Included in proposal. Additionally,the need for an alternative tile for the bathrooms is been required due to
material shortages for the specified tile. The new the alternative(Timeless White) has been identified, final pricing
may indicate a lower cost than included on this change, and if possible, the lower cost will be reflected and any savings
will be returned to the project.
Description of Work ED11 'time
I All labor, material and equipment to complete install of two(')
secure Nema junction boxes for camera equipment, on parking lot
light poles. $ 10,097.98 0 Days
2 All labor, material to complete installation of' 1,160 sf off l-01
Timeless White alternative to impact stone. $ 1,926.88
Total $ 12,024.86 0 Days
Please attach back-up documentation: Additional Electrical Seri ices & Impact stone Change proposal request dated
6/14/2022, Information Technology Supplied Specification Sheet
Cost & Time Chan a Summary cost Time
Original Contract: $ 3,467,695.00 559 Days
Previous Change Order(s): $ 46.164.22 35 Days
Contract prior to this change order: $ 3,513,859.22 594 Days
Net (increase) decrease from this ch ge order $ 12,024.86 0 Days
Revised Contract: S 1525.884.08 594 Days
Finance Approval: t Date: �2
RECOMMENDED. RECOMMENDED:
By: !N Pat, k He a:,i-.r Date: `7-0ts-22 B ,,G✓�( , _ .
`. Y Date: 07/06/2022
Design En!sneer au,r•: Director of Public w.+rks&Engineering
ACCEPTED* APPROVED:
By: Date, 7/5/2022 By: Dated .2
Contractor
City Manager
'Contractor a rees to perform change(s)included in this Cliange Order for the price and time indicated The prices for changes included all costs associated a ith
this Change Order
No work is to be done until this change order is executed.No payim:nt to the Contractor(or Consultant)shall be made for work included in the change order until
the Contractors pay estimate is updated.
Revise the project plans and specifications as referenced and insofar a,the original project drawings and specifications are inconsistent,this Change Order go%ems
Upon execution by all parties,the following changes identified for the contract value and/or contract time shown,are made part of the contract
Construction I of I D16 Revised 2021
PROPOSAL
September 8,2022
T o E
RE: City of Baytown Utility Services Building
315 West Texas Avenue,
Baytown,TX 77520
From: Impact Stone Design,Inc. Contact:Veronica Reyna
3118 Golfcrest Boulevard Phone:713-731-7222
Houston,TX 77087
Pursuant to your request,the following is price for the above-mentioned project.
Impact Stone Design,Inc.shall supply material for the areas discussed.
ITEM DESCRIPTION
09 30 00-Tiling
1. ALTERNATE TL-01 ADD COST $1,408
Installation: 1,160 SF of TL-01,Daltile Rhetoric Odyssey Aristotle White RT05 8"x24"
Locations: RR A120,RR A121,RR A128,RR A159
2. ALTERNATE TL-02 CREDIT $2,100
Installation: 570 SF of TL-02, Crossville State Of Grace 12x24 Satin CROGRC01 1224SA T
Locations:LOBBY Al 12,CIRC.A157
Excludes:SALES-1AX
Thank you for the opportunity to bid this project.
Impact Stone Design,Inc.prices are firm for 30 days from date on Proposal
Any changes will require a revised bid.
Impact Stone Design,Inc.is HUB,SBE.&WBE Certified
Fort Bend Drywall, LLC
3014 The Highlands Drive,Sugar Land,Texas 77478
Phone: 713-702-7258 Fax: 281-605-5869
Date: Monday, September 19, 2022
Job No.:
Proposal to: Construction Masters of Houston Project: Utility Services Building
Justin Davis 315 W, Texas Ave.
3908 3rd street Baytown,
Pearland, Texas 77581 Added Scuppers Change Proposal
Plans Date Monday, September 19, 2022
Phone: 281-997-2640
Fax: 281-485-4702
We appreciate the opportunity to bid on this project. This proposal is based on normal working hours and uninterrupted
conditions while working as close as possible with other trades. Price is valid for 30(thirty) days.All bonding is excluded.
General Contractor to furnish one set of construction drawings and documents.
SCOPE OF WORK:
06100 Rough Carpentry: 600.00
Add 3 overflow scuppers including blocking.
BASE BID AMOUNT 600.00
Thank You
Mike Pant
X
Global IndustrialTm Infinity®Double Tier 6 Price:$492.95
Door Locker,12"Wx12"Dx36"H,Gray, Save$24 65 wdh 5%off when you u--
Assembled Global Industrial Credit Card
Save 5%t Apply Now
Item#T91`968265GY
_ Qty= 2
. � f
Infinity®Steel Lockers with catch-free recessed handle offer improved safety,security and appearance Door handle with fingertip lift latch is recessed into the door face to
create a smooth catch-free surface.to discourage the padlock from being cut off and to provide a neat clean look.The results are improved safety,security and appearance
These quality lockers feature 16 gauge steel doors,5-knuckle security hinge and welded,reinforced frame-and-door assemblies.Extra wide louvers promote ventilation Legs
add 6"to height.Durable,attractive powder coat finish Lockers feature finished sides;no need for decorative end panels.Lockers must be anchored securely to floors 1-wide
and 3-wide lockers have four foot plates included.Foot plates bolt to outside locker leg supports and maybe anchored to the Floor.Anchors sold separately
Lockers have secure 3-point positive locking system,hat shelf,stainless steel door latch and one double and two single-prong coat hooks.Includes blank number plates.
Assembled lockers are not returnable.
Optional locker accessories(Numbered Plates,Closed End Bases,Slope Top Kits and Locks)sold separately.Due to various layouts you may select,locker accessories
ship in a separate box instal Numbered Plate by simply removing the blank number plate
Click here to see the select.ons of Unassembled Lockers.
Weights&Dimensions
Depth 12 in
Compartment Height 36 in
Width 36 in
Compartment Depth 12 in
Compartment Width 12 in
Height 78 in
Weight 153 lbs
Product Details
Configuration 3 Wide
Construction Type Assembled
Lock Type Padlock Hasp B Built-in Lock Latch
Number of Compartments 6
Tier Type Double i,er
Brand Global industrial
Locker Type Steel Locker-Scrid Dow
Material Steel
Manufacturers Part Number 968265GY
Standard or Speciality Lockers Standard Lockers
Color Family Gray
Warranty
Warranty 1 yr
Baytown Utility Services Building
Date: October 31,2022
To: Construction Masters of Houston
From: Adam Sydnor
Spring Creek Contracting,LLC.
PO Box 690029
Houston,TX 77269
asydnor@springcreekllc.com
Re: Baytown Utility Services Building
Change Order Request No.5-Additional Mobilziation for Water Meter
ITEM DESCRIPTION UNIT QUANTITY UNIT COST TOTAL
1 jAdditional Mobilization for Water Meter LS 1.00 $ 3,000.00 $ 3,000.00
Total $ 3,000.00
Accepted By:
Company
Signature
Printed Name
Date
Spring Creek Contracting,LLC
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Grand Total: $472.47
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Project Description of Work:Drill 11 Hales in 114"Clear Tempered for Speak Thr=s__ Date:10/31P2022
Baytown Utility Services Reference(ASI CDR CPR RFI,RFP) _ ArchitecNral Drawings. WST CDR d:2240-03
GC CDR a Specifications:
Are additional shop drawings required _
General Contractor Material Dewery time 4 to 5 Days
Construction Master's Price firm for 30 days.
A contract time estenvon of 0 days is required.
Holes 4-1/4-Circle Hole Cut 0.00 11 Each 31.25 343.75 0.00 343.75 34375
0.00 0,00 000 0,00 000
0.00` - 0.00 0.00 0.00 000
0.00�- 0.00 000 0.00 000
Field Labor 4250 Frog 0.00 1 0.00 0.00 000 000
0.00 0.00 0.00 0.00 000
0.00 0.00 0.00 0.00 000
0,00 0,00 0.00 0.00 000
0,00�� 0,00 0,00 0.00 000
0,00 _ 0,00 0.00 0.00 aoa
0,00 I I _ 0.00 0.00 0.00 aoa
0.00 I 0.00 0.00 0.00 aoa
0.00 1 1 0.00 0.00 000 0 00
TOTAL TOTAL 343.75 343.75
Equipment Sheet Total
• 0 00 Labor S -
0 00 Material f .3.75
0 00 Equipment f
0-00 Subtotal 343.75
0-00 to% Mark-up/Burden f 34.38
SI
TOTALO Subcontractor Total D
10%Subcontractor Mark-up f
Sub-Subcontractor Work SUBTOTAL S 378.13
Bond 0 0000% f -
SHEET TOTAL 378.13
�,ae,L�ittna 1 e� 10/31/2022
TOTAL O Pnature Date
TOTAL O Signature Date
Le:ggi0 EIectrIc
POWWOW
Eatebll~1957
November 8, 2022
Baytown Utility Services Building
315 W. Texas Ave.
Baytown, Tx 77520
Per updated plans received to review the scope of work requested, we are pleased to offer
for your consideration the following change order quote for the electrical work at the
above address per NEC and Local Electrical Code. We propose to provide all labor,
material, and equipment needed to complete this work for the lump sum amount of
$21,529.37 taxes excluded.
Our scope includes the following:
Add main breaker, data conduits, outlets &conduit& wire.
• 1-400 amp main breaker kit
• 37-outlets&covers
• Conduit&wire
• Connectrac extension
• Data drops
• Breakers
• Labor
• Scissor Lift
To avoid confusion,we offer the following clarifications & exclusions:
1. Bond is not included; our rate is 3%.
2. Underground dedicated 3" conduit shown on E 1.1 &continuation on E3.1.
3. The current scope is limited to electrical work only, no structural modifications to
building (i.e., ceiling, walls, furniture, millwork, or floors).
4. Painting or cutting/patching of existing finishes, except factory finishes are excluded.
5. Data, fire alarm, security, telecom& low voltage equipment or wiring.
6. Covid-19 Pandemic dictates shipping dates for commodity items. Leggio Electric will
provide approximate lead times for specified items but will not be held liable for
items that are backordered or delayed due to the pandemic.
7. All coordination with Utility Electrical Distributor(i.e., Center Point) and the Retail
Electrical Provider(i.e., Reliant) is the customer's responsibility. All charges or fees
(if any) are also excluded. We will attend any meetings and/or site visits that the
customer schedules with the Electrical Utility Distributor.
(713)644-2051
6329 Dixie Drive
Houston,Tx 77087
Regulated by the Texas Department of Licensing and Regulation
Contractor's License#34472
PO Box 12157 Austin,TX 78711-2157
(800)803-9202 1(512)463-6599 E www
Adopted Administrative Rules:73.51 (c)Electrical Contractors'Responsibilities
- Legglo Electric
power ont
Batebllshed 19117
8. Title 8, Chapter 1305 of the Texas Occupation Code requires all electrical work to be
done under a Texas Electrical Contractor license.
--This Quote is only valid for 30 days.—
Accepted by: Date:
Please print name: P.O. #:
If you have any questions or need additional information, please feel free to contact me at
(281) 967-8075.
Sincerely,
Steven Schonauer
General Manager
Leggio Electric
(713)644-2051
6329 Dixie Drive
Houston,Tx 77087
Regulated by the Texas Department of Licensing and Regulation
Contractor's License#34472
PO Box 12157 Austin,TX 78711-2157
(800)803-9202 1(512)463-6599 1 www.tdlr.texas.eov
Adopted Administrative Rules.73.51.(c)Electrical Contractors'Responsibilities
Charrige Proposal-Cost Detail
Project::Bay1shr.Utility Service Bldg. I Contractor/Subcontractor:Construction Master of Houston/ o Electric
Material Labor Burden 40% Equipment SLitotal Markup I Total
Total Labor Tetal C4NL Cost Mat Al,
Material Unit Unburdened Total labor F4u¢ment 2iatgial,
Description Unit Dty Cost Material Hours labor Burden .11 Unil XRS Unit Cest E4ui/ment Lk1ori Oil Labor&
Cost Amount Cost Zen, Material
I-Men Electridan 80 5 42.00 $ 16.80 $ 4,704.00 $ $ 4,704.00 $ 470.40 $ 5,174.40
I-Men Electrician low Voltage) 50$ 34.00 $ 13.60 $ 2,380.00 $ $ 2,380.00 $ 238.00 $ 2,618.00
A rent"Electrician Low Voltage) 40 5 24.00 $ 9.60 $ 1,344.00 $ $ 1,344.00 $ 134.40 $ 1,479.40
Service Truck $ $ 1 70 12 5 940.00 $ 940.00 $ 84.00 $ 924.00
Scissor LIk $ $ 1 48 16$ 768.00 $ 768.00 $ 76.BO $ 844.80
Breakers 1 Pole 20 Am EA S.$ 50.00 $ 250.00 $ $ $ $ 250.00 $ 25.00 $ 275.00
Outlets and Covers EA 37$ 7.45 $ 275.65 $ $ $ $ 275.65 $ 27.57 $ 303.22
3/4"EMT connectors,couplings,sts s PF 600$ 2.50 $ 1,500.00 $ $ $ $ 1,500.00 $ 150.00 $ 1,650.00
l"EMT PF 300$ 3.25 $ 975.00 $ 5 $ $ 975.OD $ 97.50 $ 1,072.50
2"EMT PF 4$ 9.50 $ 38.00 $ $ $ $ 38.00 $ 3.80 $ 41.90
012 Thin Wire PF I500$ 0.35 $ 525.00 $ $ $ $ 525.00 $ 52.50 $ 577.50
Boxes,T-Bars,Mud Rings&Covers LS 1$ 625.00 $ 625.00 $ $ $ 5 625.00 5 62.50 $ 687.50
Connedmd Extension LS 1$ 1,124.OD $ 1,124.00 $ $ $ $ 1,124.00 $ 112.40 $ 1.236.40
Breaker 2 p.l.2 Amp EA I S 100.00 $ 100.00 $ $ $ $ 100.00 $ 10.00 5 110.00
Motor Rated Switch EA I$ 45.00 S 45.00 $ S $ $ 45.00 $ 4.50 $ 49.50
Unis-Strut all thread,nuts IS washers PF 30$ 6.85 $ 205.50 $ $ 5 $ 205.50 $ 20.55 $ 226.05
Panel LI 400 amp Main Breaker Kit LS 1$ 3,250.00 $ 3,250.OD 5 $ $ $ 3,250.00 $ 325.00 5 3,575.00
12/2 MC cable&connectors PF 350$ 1,78 5 623.00 5 $ $ $ 623.00 $ 62.30 $ 685.30
S $ S $ $ S $
$ $ $ $ $ $ $
5 $ $ $ $ $ $
5 $ $ S $ Is $
S $ $ 5 $ Is 5
$ $ $ s $ 5 $
Total Change Pro osal Cost LS 9,536.151 1 8.428.00 1 $ 1,608.00 $39,572.15 $ 1,957.22 $ 2352937
Fort Bend Drywall, LLC
3014 The Highlands Drive,Sugar Land,Texas 77478
Phone: 713-702-7258 Fax: 281-605-5869
Date: Tuesday, November 8, 2022
Job No.:
Proposal to: Construction Masters of Houston Project: Utility Services Building
Dennis Busby 315 W, Texas Ave.
3908 3rd street Baytown,
Pearland, Texas 77581 Add 4 Change Proposal
Canopy Support
Phone: 281-997-2640
Fax: 281-485-4702
We appreciate the opportunity to bid on this project. This proposal is based on normal working hours and uninterrupted
conditions while working as close as possible with other trades. Price is valid for 30(thirty) days. All bonding is excluded.
General Contractor to furnish one set of construction drawings and documents.
SCOPE OF WORK:
09250 Drywall: $3,800
Remove Exterior Sheathing As Needed
Add studs and blocking as need to install GC supplied Knife Plate
Reinstall Sheathing
Supply Lift
Cleanup for above
BASE BID AMOUNT $3,800
Thank You
Mike Pant
V
P.O. BOX 24011 SPRING,TX 77383
(281)35141771 FAX(281)351-1144
DATE: 11-9-22
Construction Masters
RE: Knife Plate
PROJECT: Baytown Utility Services
Attn: Josh ARCHITECT:
ADDENDA:
We Propose To Furnish Material Only Outlined As Follows:
2 ea Knife plates per design
$895.00 x 2
Total $1,790.00
EXCLUSIONS AS FOLLOWS:
a. ERECTION e. i.
❑✓ b.SALES TAX f. j.
a✓ c.FINISH PAINT/COATING 9. k.
d. h. I.
10/31/22 7 40 AM APC NetShelter SX Enclosure with Sides-rack-45U-AR3355--
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$M,595:be Lease Option(S89.63/month)
APC NetShelter SX Enclosure with Sides-rack-45U 3 038.38
MFG.PART AR3355 CDW PART+257136G ) 1 Add to Cart
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Tech Specs Accessories Services Reviews
Availability:5-7+Days
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APC-rack cable management kit-45U $436.90
MFG PART AR7585 DW PART:2959995 UNSPSC:26121668 1 Add to Cart Buy NOW
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10/31/22,7:37 AM CHECKOUT:BILLING&PAYMENT
CHECKOUT: BILLING&PAYMENT
Sign In 3ltems
Q Shipping Address Edit Order Summary
Dennis Busby
Construction Masters Of Housto
39083rdSt Subtotal $4,079.76
Pearland,TX 77581-4747 Shipping $678.60
Q Shipping Method Edit
Order Total $9asm
Note:Items will be delivered once they are in stock. $4,758.36
Drop Ship Common Carrier
2-5 business days$678.60 Review Your Order
O3 Billing & Payment
Expiry month is required
Expiry year is required
CW is required
Billing Address
�)Amt AS SHIPPING ADDRESS
Dennis Busby
Construction Masters Of Housto
3908 3rd St
Pearland,TX 77581-4747
Please provide a phone number in case we need to contact you about your order
PHONE ADD EXT
281-780-3871
Payment Method
O New Credit/Debit Card
Please make sure the billing address above matches what appears on this credit
card's statements.
CARD NUMBER
Please enter all numbers,no spaces or dashes
https://www.cdwg.com/checkout/guest/billingandpayment 112
(3E)NCR
(HAMILTON Moffr�� ^Ursoftw Romw
FINANCIAL EQUIPMENT AND SECURITY PRODUCTS
Baytown Utility and Construction Masters Proposal
#11032022.CO1
Walk Up Night Drop Unit Modifications
20"Hx 26"W x 26"D dimension with left swing door custom build.
TotalAdd ......................................................................................$1,837.00
Thank you for requesting this proposal. Please let me know if you have any
questions. Upon acceptance final drawings will be sent to you for review and
approval.
Mark Griffin
Account Manager
HAM - = JLTJ
Email:marke@hvaultronics.com I Web: www.hvaultronics.com
713-249-9242 Cell 1 281-445-3300 Office 1 281-445-3308 Fax
16507 Hedgecroft Dr. Suite#110, Houston,Texas 77060
16507 Hedgecroft Dr, Suite#110 - Houston TX 77060 - 713-249-9242 Cell -281-445-3308 Office
CHANGE PROPOSAL: 2205-04 DATE: 11/9/2022
PROJECT: BAYTOWN UTILITY SERVICES BUILDING
Description: Zurn Model 350 Double Check Valve
Quantity Size Description Unit Price Ext d. Manhours Ext'd.
1 iZURN BF-350 520.18 520.18 2.000 2.000
1 1COPPER ELBOWS 6.71 40.26 0.200 1.200
Copper Reducer 7.99 7.99 1.000 1.000
HANGER ASSEMBLY 350.00 350.00 0.400 0.400
00 Certification 500.00 500.00 0 0.000
00 �QO 0.000
0.000
0.000
DO �Q� 0.000
0 00� 0.000
Sub-total materials 1,418.43 Labor hrs. 3.600
Materials 1,418.43 OX hr. rate 53.20
Equip. Sub-totallabor 191.52
Sand
Misc.
Tools ALEX LOZANO- Project Manager
Labor 191.52 JARRAR& COMPANY
Lbr. Brdn. 0.00 9119 Emmott Rd.
Sub's Houston,Tx. 77040
Sub total 1,609.95 Ph.(832)467-4750
%OH 8tiP � 160.99 Fax(832)467-3482
0.00 =xclusions: SAME AS ORIGINAL SCOPE
Total 1,770.94
Bond 0.00
Total Amt. J $1,770.94
Fort Bend Drywall, LLC
3014 The Highlands Drive, Sugar Land,Texas 77478
Phone: 713-702-7258 Fax: 281-605-5869
Date: Tuesday, November 8, 2022
Job No.:
Proposal to: Construction Masters of Houston Project: Utility Services Building
Dennis Busby 315 W, Texas Ave.
3908 3rd street Baytown,
Pearland, Texas 77581 Add 6 Labor
Phone: 281-997-2640
Fax: 281-485-4702
We appreciate the opportunity to bid on this project. This proposal is based on normal working hours and uninterrupted
conditions while working as close as possible with other trades. Price is valid for 30(thirty) days. All bonding is excluded.
General Contractor to furnish one set of construction drawings and documents.
SCOPE OF WORK:
Labor: $800
Install 7 Speak Thrus
Install IT Rack and accessories
BASE BID AMOUNT $800
Thank You
Mike Pant
Fort Bend Drywall, LLC
3014 The Highlands Drive,Sugar Land,Texas 77478
Phone: 713-702-7258 Fax: 281-605-5869
Date: Wednesday, November 9, 2022
Job No.:
Proposal to: Construction Masters of Houston Project: Utility Services Building
Dennis Busby 315 W, Texas Ave.
3908 3rd street Baytown,
Pearland, Texas 77581 Add 5 Change Proposal
Phone: 281-997-2640
Fax: 281-485-4702
We appreciate the opportunity to bid on this project. This proposal is based on normal working hours and uninterrupted
conditions while working as close as possible with other trades. Price is valid for 30(thirty)days. All bonding is excluded.
General Contractor to furnish one set of construction drawings and documents.
SCOPE OF WORK:
09250 Drywall: $500/Each
Modify framing Glass at vault doors
Sheetrock and level 4 finish
Cleanup for above
BASE BID AMOUNT $1,500.00
Thank You
Mike Pant
r SyO� W.WDOWSYSTEMS OF TEXAS, INC
Change Order Worksheet
W T
YEXAS 111%
Project Description of Work Install Glass Vault Door Date.11/9/2022
Baytown Utility Services Reference•:AS1 COR CPR RF:.RFP) Architectural Dawngs. WST CORN:224-02R
GC CDR 0 Specifications: _
Are addibmal shop drawings required
General Contractor Meters]Delivery hme 4 to 8 Weeks
Construction Mastees Price firm for 30 days
A contract time extension of 0 days is required
25
Vault Doors Hercu its Goss Door with Patch Firings 0.00 1 Each.1.940.00 1.940.00 0.00 1.940.00 1 94000
Marc Items Screws,cau'kng and hammer gun bits _ 0.00_ 7 __f Order 175.00 135.00 0.00 135e0 13500
0.00 0.00 0.00 0.00 000
0.00 1 0.00 0.00 0.00 000
Labor to Instal Field Labor 2000 4250 Front 850.00 I 0.00 0.00 0.00 85000
0.00 I 0.00 0.00 0.00 000
0.00 0.00 0.00 0.00 000
_ 0.00 0.00 0.00 0.00 000
0.00f � 0.00 0.00 0.00 000
0.00 0.00 0.00 0.00 a o0
o.00 0.00 0.00 0.00 000
000 0.00 0.0o 0.00 0 00
000 1 0.00 0.00 0.00 g o0
TOTAL $ 850.00 TOTAL 2,075.00 2,925.00
Equipment Sheet Total
7� 00...
Labor $ 850.00
Material $ 2.076.00
Equipment $
Subtotal 2,925.00
10% Mark-up/Burden $ 292.5o
�����TOTALO Subcontractor Total
10%Subcontractor Mark-up 5
Sub-Subcontractor Work SUBTOTAL 5 3,217.b0
Bond 0.0000% $ -
SHEET TOTAL 3,217.60
11/9/2022
TOTAL O gnatur. Date
TOTAL O Signature Date
Fort Bend Drywall, LLC
3014 The Highlands Drive, Sugar Land,Texas 77478
Phone: 713-702-7258 Fax: 281-605-5869
Date: Wednesday, November 9, 2022
Job No.:
Proposal to: Construction Masters of Houston Project: Utility Services Building
Dennis Busby 315 W, Texas Ave.
3908 3rd street Baytown,
Pearland, Texas 77581 Add 3 Change Proposal
Plans Date Monday, July 11, 2022
Phone: 281-997-2640
Fax: 281-485-4702
We appreciate the opportunity to bid on this project. This proposal is based on normal working hours and uninterrupted
conditions while working as close as possible with other trades. Price is valid for 30(thirty) days. All bonding is excluded.
General Contractor to furnish one set of construction drawings and documents.
SCOPE OF WORK:
09250 Drywall: 3,400
Re-frame already framed walls
Add Furr Out for Stone Medallion
6" 16 gauge studs 12"on center
Sheetrock and level 4 finish
Cleanup for above
BASE BID AMOUNT 3,400
Thank You
Mike Pant
❑❑❑❑
AXIS
OO❑❑ # I
MASONRY&STUCCO
C�
Date: 11/9/2022
Axis Masonry&Stucco Project: Baytown Utility Building
P.O. Box 3984 Architect:
Humble,TX 77338 Plan Date:
Phone: 281-827-7222 Contact: Justin Davis
Contact: Connie Cox Company: Construction Masters
Email: connie@axismasonry.com Phone:
Specs Provided:
Item Description Amount
Granite $3,813.00
TOTAL $3,813.00
Additional Qualifications: Finish color coats are based on standard colors from the STO color chart. Custom colors
may require an additional charge.GC is to provide all necessary utilities and dumpster for construction debris.Axis
Masonry&Stucco reserves right to confirm material prices prior to accepting contract do to escalating
raw material prices.
Exclusions: License, permits, flashing, caulking, weatherproofing, sealants, preparation of substrate, shop drawings,
water and electricity,trash dumpster,site amenities,Gyp-board, compressible fillers, metal embeds, plates,all loose,
structural or welded lintels, labor to install mechanically fastened or welded lintels (only loose lintel installation
provided), cement board, painting, rebar dowels, rebar positioners, prevailing wages, all other standard exclusions
apply.
o OTMOR
City of Baytown
TEXAS GOVERNMENT CODE VERIFICATIONS
B (for Companies with 10 or more full-time employees entering into a contract with a value of$100,000 or more)
Pursuant to the Texas Government Code,I, Justin Davis _ the undersigned representative of
Construction Masters of Houston, Inc. (Company Name),do hereby verify the following for and on behalf of the above-
referenced company(the"Company"):
a. the Company does not boycott Israel and will not boycott Israel during the term of the contract to be entered into with the City
of Baytown;
b. the Company does not boycott energy companies and will not boycott energy companies during the term of the contract to be
entered into with the City of Baytown;and
c. the Company does not have a practice,policy,guidance,or directive that discriminates against a firearm entity or firearm trade
association and will not discriminate during the term of the contract against a firearm entity or firearm trade association.
In making this verification,I understand that the following definitions apply:
1. "Boycott Israel" means refusing to deal with,terminating business activities with,or otherwise taking any action that is intended to
penalize,inflict economic harm on,or limit commercial relations specifically with Israel,or with a person or entity doing business in
Israel or in an Israeli-controlled territory,but does not include an action made for ordinary business purposes.
2. "Boycott energy company"means,without an ordinary business purpose,refusing to deal with,terminating business activities with,
or otherwise taking any action that is intended to penalize, inflict economic harm on,or limit commercial relations with a company
because the company:
a. engages in the exploration,production,utilization,transportation,sale,or manufacturing of fossil fuel-based energy and does not
commit or pledge to meet environmental standards beyond applicable federal and state law;or
b. does business with a company described by Paragraph(a).
3. "Discriminate against a firearm entity or firearm trade association"means,with respect to the entity or association,to:
a. refuse to engage in the trade of any goods or services with the entity or association based solely on its status as a firearm
entity or firearm trade association;
b. refrain from continuing an existing business relationship with the entity or association based solely on its status as a firearm
entity or firearm trade association;or
C. terminate an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm
trade association;
but does not include:
a. the established policies of a merchant,retail seller,or platform that restrict or prohibit the listing or selling of ammunition,
firearms,or firearm accessories;and
b. a company's refusal to engage in the trade of any goods or services,decision to refrain from continuing an existing business
relationship,or decision to terminate an existing business relationship:
(1) to comply with federal,state,or local law,policy,or regulations or a directive by a regulatory agency;or
(2) for any traditional business reason that is specific to the customer or potential customer and not based solely on an
entity's or association's status as a firearm entity or firearm trade association.
EXECUTED this the 9th _ day of November ,2022.
Construction Masters of Houston,Inc.
Compan :me.::_-.-
Signat
Justin Davis,President
Printed Name/Title
STATE OF TEXAS §
COUNTY OF WA&W §
Before me, Marjorie Carns the undersigned notary public, on this day personally appeared
Su hLAI,i ,the (Title)of Construction Masters of Houston,Inc.
(Company Name),known to me to be the person whose name is subscribed to the foregoing instrument,who after by me being duly sworn,did
swear and affirm that the above is true and correct.
Given under my hand and seal of office this 9th day of A) Y,,6 12022.
MARJORIE CARNS llII i
Notary Public,State of Texas Notary Publ id in and for State of Texas
RVCoren llom"1Wcumen"lF'dcaWuchsnng\(io��omemCafeV<nf a�ionsCkandax r� {`� Comm.Expires 09-26-2025
Notary ID 123997309
Orig.Dept.: File/I.D.No.:
INSTRUCTION: ENTITIES USING AN ASSUMED NAME SHOULD DISCLOSE SUCH FACT TO AVOID
REJECTION OF THE AFFIDAVIT. THE FOLLOWING FORMAT IS RECOMMENDED:
CORPORATE/LEGAL NAME DBA ASSUMED NAME.
STATE OF TEXAS §
§ AFFIDAVIT OF OWNERSHIP OR CONTROL
COUNTY OF BWORIA §
BEFORE ME, the undersigned authority, on this day personally appeared
Justin Davis [FULL NAME] (hereinafter "Affiant"),
President [STATE TITLE/CAPACITY WITH
CONTRACTING ENTITY] of Construction Masters of Houston,Inc. [CONTRACTING
ENTITY'S CORPORATE/LEGAL NAME] ("Contracting Entity"), who being by me duly sworn on
oath stated as follows:
1. Affiant is authorized to give this affidavit and has personal knowledge of
the facts and matters herein stated.
2. Contracting Entity seeks to do business with the City in connection with
Citizens Bank Renovation [DESCRIBE PROJECT
OR MATTER] which is expected to be in an amount that exceeds $50,000.
3. The following information is submitted in connection with the proposal,
submission or bid of Contracting Entity in connection with the above
described project or matter.
4. Contracting Entity is organized as a business entity as noted below (check
box as applicable).
FOR PROFIT ENTITY: NON-PROFIT ENTITY:
[OSOLE PROPRIETORSHIP ANON-PROFIT CORPORATION
W CORPORATION UNINCORPORATED ASSN.
PARTNERSHIP
LIMITED PARTNERSHIP
�J JOINT VENTURE
❑LIMITED LIABILITY COMPANY
C]OTHER(Specify type in space below):
5. The information shown below is true and correct for the Contracting
Entity and all owners of 5% or more of the Contracting Entity and, where
the Contracting Entity is a non-profit entity, the required information has
been shown for each officer. [NOTE: IN ALL CASES, USE FULL NAMES,
LOCAL BUSINESS AND RESIDENCE ADDRESSES AND TELEPHONE
Affidavit of Ownership or Control,Page I
Orig.Dept.: File/I.D.No.:
NUMBERS. DO NOT USE POST OFFICE BOXES FOR ANY ADDRESS.
INCLUSION OF E-MAIL ADDRESSES 1S OPTIONAL, BUT RECOMMENDED.
ATTACH ADDITIONAL SHEETS AS NEEDED.]
Contracting Entity
Name: Construction Masters of Houston,Inc.
Business Address [NO./STREET]
3908 Third St.
[CITY/STATE/ZIP CODE] Pearland,TX 77581
Telephone Number U 997-2640
Email Address [OPTIONAL]
Residence Address [NO./STREET]
[CITY/STATE/ZIP CODE]
Telephone Number [OPTIONAL] L_)
Email Address [OPTIONAL]
5%or More Owner(s)/Officers of Non-Profit Corporation
(IF NONE,STATE "NONE.")
Name: None
Business Address [NO./STREET]
[CITY/STATE/ZIP CODE]
Telephone Number �)
Email Address [OPTIONAL]
Residence Address [NO./STREET]
[CITY/STATE/ZIP CODE]
Telephone Number[OPTIONAL] (:]
Email Address [OPTIONAL]
6. Optional Information
Contracting Entity and/or
[NAME OF
Affidavit of Ownership or Control,Page 2
Orig.Dept.: _ File/I.D.No.:
OWNER OR NON-PROFIT OFFICER] is actively protesting, challenging or
appealing the accuracy and/or amount of taxes levied against
[CONTRACTING ENTITY,
OWNER OR NON-PROFIT OFFICER] as follows:
Name of Debtor:
Type of Debt:
Account Nos.:
Case or File Nos.:
Attorney/Agent Name:
Attorney/Agent Phone No.:
Delinquent Years/Months:
Status of Appeal [DESCRIBE]:
Affiant certifies that he or she is duly authorized to submit the above information on
behalf of the Contracting Entity, that Affiant is associated with the Contracting Entity in the
capacity noted above and has personal knowledge of the accuracy of the information provided
herein, and that the information provided herein is true and correct to the best of Affiant's
knowledge and belief.
Justin Davi yx�
Affiant
SWORN TO AND SUBSCRIBED before me this_day of November ,2K� .
MARJORIE CARNS
Seal ,^,�Yp4N
,4"" �=Notary Public,State of Texas Mar Carns l�cw !.
Comm.Expires 09-26-2025 1 c+�i i
�� Notary ID 123997309 Notary Public in an for the State of
Texas
NOTE:
This affidavit constitutes a government record as defined by Section 37.01 of the Texas Penal
Code. Submission of a false government record is punishable as provided in Section 3 7.10 of the
Texas Penal Code.
Attach additional pages if needed to supply the required names and addresses.
R1KarenWileAContracts"diavit of Ownership or Control.doc
Affidavit of Ownership or Control,Page 3
CERTIFICATE OF INTERESTED PARTIES
FORM 1.295
loft
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2022-953595
Construction Masters of Houston,Inc.
Pearland,TX United States Date Filed:
2 Name o governmental entity or state agency that is a party tot the contract for which the form is 11/09/2022
being filed.
City of Baytown Date Acknowledged:
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.
CSP#22-1003
Citizens Bank Renovation/Utility Services Building
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling intermediary
Davis,Justin Pearland,TX United States X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name is Justin Davis and my date of birth is 12/7/81
My address is 3908 Third St. Pearland TX 77681 USA
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in Brazoria County, State of Texas 9th November
,on the day of ,20 22
(month) (year)
L��
rgnature of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.dlb92728