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HomeMy WebLinkAboutMark Dudley, President of the General PartnershipCONFLICT OF INTEREST 6UESTIONNAIRE For vendor or other person doing business with local governmental entity FORM CIQ OFFICE USE ONLY This questionnaire is being filed in accordance with chapter 176 of the Local Government Code by a person doing business with the governmental entity. By law this questionnaire must be fil d with the records administrator of the local government not later than the 7 h business day after the date the person becomes aware of facts that require Oie statement to be filed. See Section 176.006, Local Government Code. A person committs an offense if the person violates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor. Date Received 1. Name of person doing business Mark Dudle. 'PreSid ith local governmental entity. 2. of 'tint gc.nefa. l Isar -h irxEti p Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than September 1 of the year for which an activity described in Section 176.006(a), Local Government Code, is pending and not later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.) 3. Describe each affiliation or business relationship with an employee or contractor of the local governmental entity who makes recommendations to a local government officer of the local governmental entity with respect to expenditure df money. ❑ Glenn Brown, City Manager ❑ Robert Alley, Fire Chief ❑ Pete Caler, Landfill Mgr. ❑ David Gwin, Economic Dev. ❑ David Massey, Electric ❑ Bob Cowell, Planning & Dev ❑ Cheryl Turney, Purchasing Mgr. ❑ Terry Childers, Deputy City Mgr ❑ Steve Beachy, Parks & Rec ❑ Harvey Cargill, City Attorney ❑ Connie Hooks, City Secretary ❑ Becky Nugent, Public Relations ❑ Mark Smith, Public Works ❑ John Woody, W/WW ❑ Kathy Merrill, Asst. City Mgr. ❑ Ben Roper, Inf. Tech. ❑ Michael Clancey, Police Chief ❑ Jeff Kersten, Chief Fin.Officer ❑ Julie O'Connell, Human Resources ❑ Ed Spillane, Municipal Judge NONE Describe each affiliation or business r elationship with an employee checked in Question 3 above: 4. Describe each affiliation or business relationship with a person who is a local government officer and who appoints or employs a local go ernment officer of the local government entity that is the subject of this questionnaire. City of College Station Elected Officials ❑ Ben White, Mayor ❑ Ron Gay, Place 3 ❑ David Ruesink, Place 6 City of Colle ❑ Larry Ringer, Chairman O Mary Fran Troy ❑ Sonio Margarita Gangotena O Sarah Adams, Chair O James Batenhorst O David Chester ❑ Donald Braune O Dan B. Sears, Chairman ❑ Mike Lane 2❑ teve Parker, alternate Q NONE College Station City Council O OPEN, Place 1 ❑/Lynn Mcllhaney, Place 4 Q NONE O James Massey, Place 2 O Chris Scotti, Place 5 Station Committees, Boards, and Commissions B/CS Library Committee O Katherine Edwards ❑ Jeanne Mitchell ❑ James Bradford Cemetery Committee ❑ Virginia Reese ❑ Weldon Kruger 0 R Slocum Q/NONE Construction Board of Adjustments and Appeals/Building & Standards Commission ❑ Frank Cox O Larry D. Patton ❑ Glenn Thomas, alternate O Don Scherr O B. Carroll Johnson 12/NONE ❑ Kevin Myers O Joe Wallace O James Matson ❑ David Hart ❑ Charles Thomas, alternate O Quinn Williams ❑ Hillary Jessup, Chairman ❑ Haskell Monroe ❑ Ernie Wright Q/NONE ❑ Tedi Ellison ❑ Rusleen Maurice Et`NONE ❑ Jodi Warner, Chair ❑ Shawn Rhodes ❑ ,I6hn Crompton Lle NONE ❑ John Nichols, Chair ❑ Marsha Sanford ❑ Harold Strong ❑ Rick Heaney ❑ Alan King ❑ Susie Cox, alternate ❑ Jay Goss, Chair O wise Whisenant meNONE Historic Preservation Committee ❑ Bill Lancaster ❑ Jane Hughey ❑ Neal Nutall, Jr. Joint Relief Funding Review Committee ❑ Marguerite Anthony ❑ Meredith Waller ❑ Colleen Risinger ❑ J. Kevin Byrne ❑ Deborah Deitering ❑ Reba Ragdale ❑ Parks and Recreation Board ❑ Kathleen Ireland O Jody Ford O Harry Green Planning and Zoning Commission ❑ Glenn Schroeder ❑ Dennis Christiansen ["NONE Design Review Board ❑ Joan Perry ❑ Gary Thomas ❑ Gary Erwin El Derek Dictson ❑ Bill Davis ❑ Hunter Goodwin ❑ Nancy Sawtelle ❑ Ward Wells ❑ John Nichols O Robert Rayburn, alternate 2/NONE Zoning Board of Adjustments ❑ Joshua Benn ❑ Donald Braune ❑ John Richards ❑ Thomas Mather ❑ Larry Hodges ❑ Glenn Brown, City Manager ❑ Sharon Colson, Chair ❑ Kenny Mallard ❑ Don Lewis ❑ Gregg Baird ❑ Chad Jones ❑ Stephen Syptak, Chair ❑ Tom Kirkland C" NONE ❑ Hugh Lindsay, Area I ❑ John Crompton, Area II ❑ Steve Arden, Area III ❑ Hugh Stearns, Area IV ❑ Andrew Burleson, Student Resident ❑ Dorthea Robinson, Alternate, ETJ Resident ❑ Chris Scotti, Councilmember ❑ Hillary Jessup, Historic Preservation ❑ Lloyd Wasserman, County Commission Research Valley Partnership Board of Directors ❑ arry Mariott 6d NONE Wolf Pen Creek TIF Board ❑ Marsha Sanford, Vice Chair ❑ James Massey Outside Agency Funding Review O Charles Taylor eryl Welford NONE Northgate Tax Increment Finance Board ❑ David Scarmardo ❑ Glenn Thomas Comprehensive Plan Committee ❑ John Richards, Area I ❑ Brian Bochner, Area II ❑ Laurie Corbelli, Area III ❑ Jerry Cooper, Area IV ❑ Kristina Campbell, Alternate, Student Resident ❑ Craig Hall, Resident -At -Large ❑ Lynn Mcllhaney, Alternate, Councilmember O Gary Erwin, Parks & Rec ❑ Larry Haskins, Northgate District Assoc. ❑ Chris Scotti, Councilman ❑ //Marc Chaloupka IONONE ❑ Roger Reese ❑ Carolyn Berrow ❑ Anne Jackson ❑ Dale O'Reiley ❑ David Hart, Alternate, Area I ❑ Dennis Corrington, Alternate, Area II ❑ Tom Taylor, Alternate, Area III ❑ Adrian Williams, Alternate, Area IV ❑ Douglas Rape', ETJ Resident ❑ Mike Guido, Alternate, Resident -At -Large ❑ Bill Davis, P&Z ❑ Kathleen Ireland, Parks & Rec Alternate ❑ Bo Miles, Building & Land Development ❑ Larry Marriott, Home Builders Assoc. ❑ Tedi Ellison, Intergovernmental Comm/Chamber of Commerce ❑ James Massey, Intergovernmental Comm/TAMU Admin ❑ Dr. Clark Ealy, Intergovernmental Comm/CSISD ❑ Chuck Martinez, Intergovernmental Comm/ Research Valley Patnership ❑ Linda LaSut, Intergovernmental Comm/MPO ❑ Lindsey Guindi, Intergovernmental Comm/Chamber of Commerce ❑ Rodney Weis, Intergovernmental Comm/TAM U Transit ❑ Dr. Colleen Netterville, Intergovernmental CommBISD ❑ Margie Lucas, Intergovernmental Comm/ Brazos Transit District ❑ Chad Bohne, Intergovernmental Comm/TxDOT ❑ Michael Parks, Intergovernmental Comm/BVCOG ❑ Gary Arnold, Intergovernmental Comm/Brazos County Sheriff ❑ Gary Teston, Intergovernmental Comm/ Easterwood Airport NONE The following individuals are appointed by the City Council to represent the City of College Station on joint committees with other governmental agencies and community groups. Brazos County Health Department ❑ Lynn Mcllhaney ❑ Ben White I NONE Brazos Valley Council of Governments ❑ Mayor /NONE B/CS Metropolitan Planning Organization ❑ Mayor /NONE BVCOG TMPA Regional Park Project Advisory Board ❑ Lynn Mcllhaney 6a' NONE BVSWMA Policy Advisory Board ❑ Mayor ❑ Chris Scotti Ctrl NONE City Center Committee ❑ n Silvia ❑ Ben White ❑ Dave Ruesink La' NONE Intergovernmental Committee ❑ Ron Gay 0 Ben White 0 John Happ 01 NONE ❑ Dave Ruesink EN NONE ❑ Dave Ruesink Joint City/School Intergovernmental Committee ❑ Ben White ❑ John Happ Sister Cities Association (NONE Transportation Committee ❑ Ron Gay ❑ John Happ ❑ Lynn Mcllhaney ❑ Ken Fogle ❑ Linda LaSuit, MPO �❑ Dennis Christianson, TTI O Michael Parker, BVCOG 0 Bryan Woods, TxDOT 1: NONE ❑ Ron Gay O John Nichols ❑ Joan Perry Wolf Pen Creek Oversight Committee ❑ Chris Scotti ❑ Marsha Sanford ❑ Sharon Colson ❑ Marc Chaloupka ❑ Jodi Warner NONE Describe each affiliation or business relationship with an employee checked in Question 4 above: Adopted 01/13/06 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor or other person doing business with local governmental entity This section, item 5 including subparts A, B, C & D, must be completed for each officer with whom the filer has affiliation or other relationship. Attach additional pages to this Form CIQ as necessary. 5. Name of local government officer with whom filer has affiliation or business relationship. (Complete this section only if the answer to A, B, or C is YES. ij/,q A. Is the local government officer named in this section receiving or likely to receive taxable income from the filer of the questionnaire? Yes No B. Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction of the local government officer named in this section AND the taxable income is not from the local governmental entity? Yes No C. Is the filer of this questionnaire affiliated with a corporation or other business entity that the local government officer serves as an officer or director, or holds an ownership of 10 percent or more? Yes No D. Describe each affiliation or business relationship. 6. /Loll Signature of dtrson doing bu+s-ines with gergoerrrnmental entity Atipsi-' loo-) Date Adopted 01/13/06 CERTIFICATION CERTIFICATION OF BID The undersigned affirms that they are duly authorized to execute this contract, that this bid has not been prepared in collusion with any other bidder, and that the contents of this bid have not been communicated to any other bidder prior to the official opening of this bid. Additionally, the undersigned affirms that the firm is wi ii g to sign the enclosed Standard Form of Agreement (if applicable). Signed By: Typed Name: Mack Dudley Phone No.: 179- 77L - 2.135 Title: Q„esd of the En,era( Farther Company Name: 'Nab/ Coilstr.x..4,oa1 L*d • FaxNo.: alt -?7L -223S Email: mclualeug r1saciLtalet jconstruahoc .co n Bid Address: I 1370 5P4 3e) c5 , Tx 1181.5- P.O. 1'l8lS- P.O. Box or Street Order Address: I I 3/0 Zip Remit Address: (137o 5k 3O 514 3v P.O. Box or Street P.O. Box or Street Federal Tax ID No.: $ (— 615696 Sdit Date: END OF BID #07-111 City State Zip Cs( Tx 7784.E City State GS, Tx 775145 City State Zip