Common use of Certificate of Interested Parties Clause in Contracts

Certificate of Interested Parties. FORM 1295 1 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. Tetra Tech, Inc. Certificate Number: 2023-986418 Houston, TX United States Date Filed: 02/22/2023 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, Texas Date Acknowledged: 03/14/2023 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. RFP 19-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra Tech, Inc. Cummins Southern Plains LLC Certificate Number: 2023-986418 977746 Houston, TX United States Date Filed: 02/22/2023 01/30/2023 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, Texas County Date Acknowledged: 03/14/2023 02/07/2023 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. RFP 1923-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT Fac-100187 Generator Maintenance & Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra TechSHI Government Solutions, Inc. Certificate Number: 20232022-986418 Houston840117 Austin, TX United States Date Filed: 02/22/2023 01/14/2022 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, Texas County Date Acknowledged: 03/14/2023 02/08/2022 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. RFP 1922-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT IT-100511 Cartegraph OMS Premium for Road & Bridge 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra TechBIO-WEST, Inc. Certificate Number: 20232021-986418 Houston707365 Rosenberg, TX United States Date Filed: 02/22/2023 01/19/2021 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, Texas County Date Acknowledged: 03/14/2023 02/09/2021 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. RFP 19-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT SOQ 14- 025 Environmental Consulting 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra TechXxXxxxxx Building Maintenance, Inc. Certificate Number: 20232024-986418 Houston1107869 HOUSTON, TX United States Date Filed: 02/22/2023 01/02/2024 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, Texas County Date Acknowledged: 03/14/2023 01/23/2024 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. RFP 19-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT TIPS 230103 Janitorial Services for Justice Center 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra TechEntech Civil Engineers, Inc. Certificate Number: 20232024-986418 1117281 Houston, TX United States Date Filed: 02/22/2023 01/29/2024 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, Texas County Date Acknowledged: 03/14/2023 02/13/2024 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. RFP 1924-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT Eng-100377 Professional Services - Mobility Bond Project 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra Tech, Inc. MPACT Strategic Consulting LLC Certificate Number: 2023-986418 1046409 Houston, TX United States Date Filed: 02/22/2023 07/14/2023 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, Texas County Date Acknowledged: 03/14/2023 08/08/2023 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. RFP 19-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT Triple R Grant Prog Monitoring Monitoring & Compliance Oversight of Triple R 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra Tech, Inc. Next Level Medical Certificate Number: 2023-986418 1045431 Houston, TX United States Date Filed: 02/22/2023 07/12/2023 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, Texas County Date Acknowledged: 03/14/2023 07/25/2023 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. RFP 19-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT 072 Health and Wellness Center, amendment 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra Tech, Inc. Fort Bend Green Certificate Number: 20232021-986418 Houston826180 Sugar Land, TX United States Date Filed: 02/22/2023 11/22/2021 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, Texas County Date Acknowledged: 03/14/2023 12/07/2021 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. RFP 19-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT 19898 Facilitate the development of Public Parks and Recreational Lands 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra TechTETRA TECH, Inc. INC. Certificate Number: 2023-986418 1070868 Houston, TX United States Date Filed: 02/22/2023 09/12/2023 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, Texas Date Acknowledged: 03/14/2023 09/26/2023 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. RFP 19-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra TechSWCA, Inc. Incorporated Certificate Number: 2023-986418 1037293 Houston, TX United States Date Filed: 02/22/2023 06/21/2023 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, Texas County Date Acknowledged: 03/14/2023 07/11/2023 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. RFP 1921-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT PURCH-100331-A4 Environmental Consulting Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra Tech, Inc. Certificate Number: 20232024-986418 1125528 Houston, TX United States Date Filed: 02/22/2023 02/19/2024 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, Texas Date Acknowledged: 03/14/2023 02/27/2024 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. RFP 19Contract No. 22-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT AUD-100682-A2 Infrastructure Investment and Jobs Act Consulting Support (IIJA) 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra Tech, Inc. Yellowstone Landscape Certificate Number: 2023-986418 1079115 Houston, TX United States Date Filed: 02/22/2023 10/03/2023 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, Texas County Date Acknowledged: 03/14/2023 10/24/2023 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. RFP 19-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT 20/030MR ROW Mowing 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra TechBrainfuse, Inc. Certificate Number: 20232022-986418 Houston912878 New York, TX NY United States Date Filed: 02/22/2023 07/20/2022 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, Texas County Date Acknowledged: 03/14/2023 08/23/2022 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. RFP 19B22-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT 002 Online Homework Tutor 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx

Certificate of Interested Parties. FORM 1295 1 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. Tetra Tech, Inc. Teal Construction Company Certificate Number: 20232022-986418 903090 Houston, TX United States Date Filed: 02/22/2023 06/23/2022 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, Texas County Date Acknowledged: 03/14/2023 07/05/2022 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. RFP 1921-041 CONTINGENCY ALL HAZARDS CONSULTING SERVICES PURSUANT 078 FBC Jail Repairs & Renovations 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is , and my date of birth is . My address is , , , , . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission xxx.xxxxxx.xxxxx.xx.xx