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HomeMy WebLinkAbout2018 ContractNON-EXCLUSIVE AGREEMENT for CONTINUING PROFESSIONAL PLANNING AND LANDSCAPE ARCHITECT CONSULTING SERVICES THIS AGREEMENT, entered into this` day of _, 2018 by and between CITY OF SEBASTIAN, a Florida municipal corporation, hereinafter referred to as the "CITY", and Redevelopment Management Associates, LLC hereinafter referred to as the "PLANNING AND LANDSCAPE ARCHITECT CONSULTANT" and also known herein as one of the "Continuing Consulting Services Firms". WITNESSETH That the CITY and the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT, in consideration of their mutual covenants, herein agree with respect to the performance of professional engineering services by the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT, and the payment for those services by the CITY, as set forth below and in individual Work Orders. This agreement shall be referred to as the "MASTER AGREEMENT" under which future Work Orders will apply. The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall provide the CITY with professional planning and landscape architect services and such other related services as defined in specific Work Orders, in all phases of each project unless specified otherwise. The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall serve as the CITY'S professional representative for the project(s) as set forth in each Work Order, and shall give professional advice to the CITY during the performance of the services to be rendered and as to the fulfillment of project requirements. The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT is retained by the CITY to perform these consulting services under this non-exclusive continuing contract with the CITY. SECTION I — SCOPE OF SERVICES The Scope of Services shall be identified in individual Work Orders prepared by the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT and approved by the CITY. Each Work Order will be sequentially numbered and initiation of work thereunder shall be subject to a Notice -to -Proceed being issued by CITY. Basic services required of the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT for the project will be described in other appropriate sections of this Agreement and in individual Work Orders. SECTION II - CITY OBLIGATIONS The CITY agrees to provide the following material, data, and/or services as required in connection with the work to be performed under this Agreement: A. Provide the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT with a copy of any pertinent preliminary data or reports available to the CITY. B. The CITY shall be responsible for obtaining only those permits delineated in the individual Work Orders or those required to complete the project if such permit requirements are made into law and established by regulatory agencies after the effective date of the Work Order. C. The CITY will promptly execute all completed permit applications required to expedite the acquisition of any local, state or federal permits made necessary by the project. D. The CITY shall make all provisions for the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT to enter upon public or private property as reasonably required for the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT to perform its services. SECTION III - CITY'S ALLOTMENT OF PROJECT WORKLOAD TO THE SELECTED CONTINUING CONSULTING SERVICE FIRMS The CITY shall, in its sole discretion, distribute the project workload among the selected Continuing Consulting Services Firms as the CITY sees fit. The CITY'S decision may be based on project type, project continuity, available man-hours assigned to CITY projects by the selected Continuing Consulting Services Firms, and/or special expertise or knowledge possessed by one of the Continuing Consulting Services Firm that may be pertinent to the particular project, inter alia. The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall have no right to appeal or challenge the CITY'S decision(s) regarding distribution of work. SECTION IV - SCOPE OF SERVICES The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT agrees to perform all necessary professional consulting services in connection with the assigned project(s) as required and as set forth in the following: 1. The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT will endeavor not to duplicate any previous work done on any project. Before issuance of a Work Order and written authorization to proceed, the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall consult with the CITY to clarify and define the CITY'S requirements for the project(s) and review all available data. 2. In order to accomplish the work under the time frames and conditions set forth in this Agreement, the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall observe the following requirements: a) The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall complete its work on the project(s) within the time allowed by maintaining an adequate staff of registered landscape architects, certified planners, and other employees and/or sub consultants on the project(s) at all times. b) The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall comply with all federal, state, and local laws applicable to the project(s). c) The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT'S work product shall conform with all applicable federal, state and local laws applicable to the project(s). d) The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall prepare and complete all necessary sketches, permit application drawings, calculations, and application forms to accompany the CITY'S applications for any required federal, state, or local permits. The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall reply to all permitting agency's requests for additional information related to a permit 2 application. e) The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall cooperate fully with the CITY in order that all phases of the work may be properly scheduled and coordinated. f) The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall provide the appropriate quantities of complete preliminary sets of plans to any city, county, state or federal regulatory agency from which a permit or other approval is required, prior to final approval of the plan/design by the CITY MANAGER or his/her designee, and shall coordinate the project with all agencies. g) The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall report the status of the project(s) to the CITY MANAGER or his/her designee upon request and hold all drawings, calculations, and related work open to the inspection of the CITY MANAGER or his/her authorized agent at any time, upon reasonable request. 3. The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall furnish additional copies of reports, drawings, specifications, and other pertinent items as required by federal, state and local agencies from which approval of the project(s) must be obtained, but may charge only for the actual cost of providing such copies. The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall furnish to the CITY the necessary number of sets of the drawings, specifications, reports, and other pertinent items as set forth in individual Work Orders. The cost of these sets of documents are not included in the basic compensation paid to the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT, but will be paid as a direct expense. All original documents, including all items furnished to the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT by the CITY pursuant to this Agreement, are and shall remain the property of the CITY, and shall be delivered to the CITY upon completion of the work or at any time upon request. All items prepared by the PLANNING AND LANDSCAPE ARCHITECT shall be created, maintained, updated, and provided in the format as specified by the CITY. 4. The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT acknowledges that preparation of all applicable permits for the CITY'S submittal to governmental regulatory agencies, and the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT'S written responses to all regulatory agencies' questions, are included within the scope of basic compensation in each particular Work Order. Any additional work required by regulatory agencies which establish such regulations after the effective date of the particular Work Order, shall be an additional service, and the CITY shall compensate the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT in accordance with Section VII - "Additional Work," of this Agreement, and in accordance with the fee schedule in an approved Work Order. Approval by the CITY shall be required prior to commencement of any additional work. 5. Compensation to the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT for basic services shall be in accordance with each Work Order, as mutually agreed upon by the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT and the CITY. A schedule of approved hourly billing rates is included in "Exhibit A" attached, and will be included as part of each Work Order when approved. 9 SECTION V - TIME FOR COMPLETION The time for completion of each project shall be defined in the Work Order. SECTION VI — COMPENSATION The CITY agrees to pay, and the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT agrees to accept, for services rendered pursuant to this Agreement, fees in accordance with the following: A. Professional Services Fee: The basic compensation shall be mutually agreed upon by the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT and the CITY prior to issuance of each Work Order and the amount shall be included in the Work Order to be formally approved by the CITY, in accordance with the approved Professional Fee Structure (Exhibit A). B. Direct Payment for Additional Services: The CITY does not foresee nor intend paying the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT any travel expenses under this Agreement. Any such payment shall not be made except as specifically authorized in extraordinary circumstances by prior approval of the CITY and, in any such case, bills for any travel expenses shall be submitted in accordance with the CITY travel policy as adopted by Resolution. SECTION VII -ADDITIONAL WORK Additional work occurs when the CITY requests changes after it has formally approved a Work Order. Additional work shall not commence until a further Work Order for the additional work has been formally issued by the CITY, and the additional work shall be performed in accordance with the Professional Fee Schedule set forth in that Work Order. SECTION VIII — PAYMENTS The CITY shall make monthly partial payments to the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT as provided for in the Work Order. Unless otherwise stated in the Work Order, the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall submit duly certified monthly invoices to the CITY MANAGER or his/her designee or such City Staff or City Representative as designated by the CITY MANAGER. The Agreement shall be divided into units of deliverables, which shall include, but not be limited to, reports, findings, drawings, and drafts, that must be received and accepted by the CITY MANAGER or his/her designee prior to payment. SECTION IX - RIGHT OF DECISIONS All services shall be performed by the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT to the satisfaction of the CITY MANAGER or his/her designee who shall decide all questions, difficulties, and disputes of whatever nature which may arise under or by reason of this Agreement, according to the prosecution and fulfillment of the service hereunder, and the character, quality, amount and value thereof. The CITY MANAGER or his/her designee's decision upon all claims, questions, and disputes shall be final, conclusive, and binding. Adjustments of compensation and contract time because of any major changes in the work that might become necessary or be deemed desirable as the work progresses shall be reviewed by the CITY MANAGER or his/her designee, and require that a Change Order (a further Work Order) be n processed in accordance with the CITY'S legal and administrative procedures. If the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT does not concur in the judgment of the CITY MANAGER or his/her designee as to any decisions made by him/her, it shall present written objections to the City Manager, who shall make a decision, and the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall abide by the City Manager's decision. SECTION X - OWNERSHIP AND REUSE OF DOCUMENTS Ownership and copyright of all reports, tracings, plans, specifications, survey information, maps, contract documents, and other data developed by the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT pursuant to this Agreement, shall be vested in the CITY. Said materials shall be made available by the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT at any time upon request of the CITY. On or before the tenth day after all work contemplated under a Work Order is complete; all of the above materials shall be delivered to the CITY MANAGER or his/her designee. SECTION XI - NOTICES Any notices, reports or other written communications from the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT to the CITY shall be considered delivered when posted by certified mail or delivered in person to the CITY MANAGER or his/her designee. Any notices, reports or other communications from the CITY to the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT, shall be considered delivered when posted by certified mail to the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT at the last address left on file with the CITY or delivered in -person to said PLANNING AND LANDSCAPE ARCHITECT CONSULTANT or its authorized representative. Any notices in either direction made by email transmittal shall be considered delivered as of the time of transmittal upon confirmation of the receipt of such email transmittal. SECTION XII — TERMINATION Either party may terminate this agreement upon seven (7) days' written notice to the other party, except that in the event PLANNING AND LANDSCAPE ARCHITECT CONSULTANT terminates this agreement such termination shall not be effective, absent the CITY'S consent, until PLANNING AND LANDSCAPE ARCHITECT CONSULTANT'S completion, to the CITY'S satisfaction, of any pending Work Order. SECTION XIII - AUDIT RIGHTS The CITY reserves the right to audit the records of the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT related to this Agreement at any time during the prosecution of the work included herein and for a period of three years after final payment is made. SECTION XIV — SUBLETTING / OUTSOURCING / TRANSFER The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall not sublet, assign, outsource or transfer any work under this Agreement without the written consent of the CITY. When applicable and upon receipt of such consent in writing, the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall cause the names of the firms responsible for the major portions of each separate specialty of the work to be inserted on the reports or other data. Any such assignment / outsourcing Wi shall not release the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT from its role, duties, responsibilities, and obligations as Consultant -of -Record for the project work performed. SETION XV —WARRANTY The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT warrants that it has not employed or retained any company or person other than a bona fide employee working solely for the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT, to solicit or secure this Agreement, and that it has not paid or agreed to pay any company or person other than a bona fide employee working solely for the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT any fee, commission, percentage fee, gift(s) or any other consideration(s), contingent upon or resulting from the award or making of this Agreement. For the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT'S breach / violation of this warranty, the CITY shall have the right to annul this Agreement without liability. SECTION XVI - DURATION OF AGREEMENT This Agreement shall remain in full force and effect for a period of three years after the date of execution thereof, or until completion of all project phases as defined by the CITY MANAGER or his/her designee, whichever occurs first, or unless otherwise terminated by mutual consent of the parties hereto, or terminated pursuant to Section XII. This Agreement may be extended for a period of two additional years at the discretion of the CITY. SECTION XVII — INSURANCE At least ten days prior to commencement of the first work authorization, the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall provide the CITY with a certificate of insurance from a company rated A+ VII or better, per the Best's Key Rating Guide for the following: 1) Worker's Compensation — Coverage to apply to all employees for Statutory Limits in compliance with the applicable state and federal laws. In addition, the policy must include Employer's liability with a limit of $1,000,000 each accident and disease. 2) Comprehensive General Liability — Coverage must be afforded on a form no more restrictive than the latest edition of the Comprehensive General Liability Policy, on an occurrence basis, filed by the Insurance Services Office and must include: Minimum limits of $500,000 per occurrence and $1,000,000 aggregate for Bodily Injury Liability and Property Damage Liability. 3) Comprehensive Automobile Liability — Coverage must be afforded on a form no more restrictive than the latest edition of the Business Auto Policy filed by the Insurance Services Office and must include: 4) Professional Liability — The Consultant shall maintain a professional liability insurance policy in the amount $1,000,000 during the term of this Contract. 5) Additional Insured — The City is to be specifically included as an additional insured. Consultant's insurance including that applicable to the City as an Additional Insured shall apply on a primary basis and any other insurance maintained by the City shall be in excess of and shall not contribute with Consultant's insurance. Consultant's insurance shall contain a severability of interest provision, providing that, except with respect to the total limits of liability, the insurance shall apply to each Insured or Additional Insured in the same manner as if 6 separate policies had been issued to each. 6) Notice of Cancellation and/or Restriction — Each policy must be endorsed to provide the City with a minimum of forty-five (45) days notice of cancellation and/or restriction. 7) Certificates of Insurance — Certificates of insurance evidencing the Insurance coverage specified in this section shall be filed with the City before operations are begun. The required certificates of insurance shall name the types of policies provided. If the initial insurance expires prior to the completion of the work, renewal certificates of insurance and required copies of policies shall be furnished thirty (30) days prior to the date of their expiration. SECTION XVIII — INDEMNIFICATION The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT shall Indemnify and hold harmless the CITY, and the CITY'S officers and employees, from liabilities, damages, losses, and costs, including, but not limited to, reasonable attorneys' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT and other persons employed or utilized by the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT in the performance of this contract agreement. The CITY shall Indemnify and hold harmless the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT, and the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT'S officers and employees, from liabilities, damages, losses, and costs, including, but not limited to, reasonable attorneys' fees, to the extent caused by the active negligence, recklessness, or intentionally wrongful conduct of the CITY and other persons employed or utilized by the CITY in the performance of this contract. SECTION XIX — SAFETY The PLANNING AND LANDSCAPE ARCHITECT CONSULTANT is responsible for safety training for the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT'S employees and their activities on the CITY'S property and construction sites. However, in accordance with generally accepted practices, the PLANNING AND LANDSCAPE ARCHITECT CONSULTANT may report any observed job site safety violations to the CITY. SECTION XX - CHOICE OF LAW AND VENUE This Agreement shall be governed by the laws of the State of Florida. Venue for any lawsuit brought by either party against the other party or otherwise arising out of this Contract Agreement shall be in Indian River County, Florida, or in the event of a federal jurisdiction, in the United States District Court for the Southern District of Florida. The parties hereto specifically waive any and all rights to trial by jury. SECTION XXI - ENTIRETY OF AGREEMENT This writing embodies the entire Agreement and understanding between the parties hereto, and there are no other Agreements and understandings, oral or written, with reference to the subject matter hereof that are not merged herein and superseded hereby. No alteration, change, or modification of the terms of this Agreement shall be valid unless made in writing and signed by both parties hereto. 7 SECTION XXII — SEVERABILITY In the event any provision, section, or paragraph of this agreement is determined by a court of competent jurisdiction to be void, illegal, or unenforceable, the remaining portions not found to be void, illegal, or unenforceable, shall remain in full force and effect. IN WITNESS WHEREOF the parties hereto have executed these presents this 12th day of January 2018. PUBLIC RECORDS FORM Contract Name: Project Description: In accordance with the requirements of Chapter 119 Florida statutes, as amended, the contract between the City of Sebastian and the Contractor shall require the contractor to: a) Comply with the public records law of the State of Florida, as the same may be amended from time to time. b) Keep and maintain public records that ordinarily and necessarily would be required by the City in order to perform services, and c) Provide the public with access to public records on the same terms and conditions that the City would provide the records and at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law, and e) Meet all requirements of retaining public records and transfer, at no cost, to the City all public records in possession of the contractor upon termination of the contact and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the City in a format that Is compatible with the Information technology s rstem ity. Authorized Signature: Date Print Kim Briesemeister Title: principal Company/Firm: _ Redevelopment Management Associates, LLC DBA: RMA a AI i EST (SEAL): J nette Williams,.4wC ity Clerk Approved as to form and legality for reliance by the City of Sebastian only: V- A/% �U .Illy V 10A CynthiA V. Hall, City Attorney FOR CONSULTANT: Attest: AL, THE CITY OF SEBASTIAN By: Joseph GO in, City anager By: �p Title: 17YIn Ct� 6 Director of Business Attraction & Marketing $185.00 Sr. Business Attraction & Marketing Manager $150.00 ECONOMIC DEVELOPMENT f Direc or of Economic Development $185.00 Sr. Er gnomic Development Manager $175.00 Sr. Et 7nomic Development Associate $150.00 Econ •mic Development Coordinator $115.00 G04 -RNMENT MANAGEMENT a ADMINISTRATION y Prinraal $230.00 PRO ECT MANAGEMENT - Proje tDirector $185.00 URB N DESIGN & PLANNING Sr. Uian Designer/Architect $155.00 Planr er $125.00 - Jr. Pl. nner $115.00 Z�/x/'-7 'SST 291 TAB B I EXPERIENCE OF THE FIRM'S PROJECT MANAGER AND PERSONNEL orm YY�9 I Request for Taxpayer Give Form to the ec (Rev. Dember2014) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service 11 Name (as shown on your Income tax return). Name is required on this line; do not leave this line blank Redevelopment Management Associates, LLC N 12 Business name/disregarded entity name, if different from above n n 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: 4 Exemptions (codes apply only to 0 ❑ IndiWdual/sole proprietor or El Corporation ❑ S Corporetbn ❑ Partnership ❑ TmsVestt ae certain entities, not Individuals; see instructions on page 3): r4 m c go single -member LLC Q Limited liability company. Eller the tax classification (C=G corporation, S=S corporation, P=partnership) ► P Exempt payee code (if any)_ •U ti 2 Note. For a single -member LLC that is disregarded. do not check LLC; check the appropriate box in the line above for Exemption from FATCA reporting u the tax classification of the single -member owner. code (if any) a- c Other (see instructions) ► (bW., m.e,muiureeovin.n. usl 15 Address (number, street, and apt. or suite no.) Requester's name and address (optional) u 2302 E Atlantic Blvd. City of Sebastian 8 City, state, and ZIP code City Main Sebastian eet m Pompano Beach FL 33062 Sebastian FL 32958 List account numberts) here (optional) Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid I Smial security number I I I backup withholding. For individuals, or this this Is generally your social security number (SSN). However, fora resident alien, sole proprietor, or disregarded entity, see the Part I Instructions on page 3. For other entities, it is your employer Identification number (EIN). If you do not have a number, see How to get TIN on page 3. or Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for I Employer Identification number j guidelines on whose number to enter. 2 6 -1 4 13 16 17 I 1 I 0 12 JiM Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer Identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. I` Sign Signature of Here U.S. person► Date► General Instructions • Form 1098 (home mortgage Interest),1098-E (student loan Interest), 1098-T (tuition) Section references are to the Internal Revenue Code unless otherwise noted. • F 1099 C led deb t Future developments. Information about developments affecting Form W-9 (such as legislation enacted after we release it) Is at www1m.gov/hv9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an Information N) return with the IRS must obtain your correct taxpayer Identification number (rI which may be your social security number (SSN), Individual taxpayer Identification number (mM. adoption taxpayer identification number (ATIN. or employer identification number (Elf), to report on an Information return the amount paid to you, or other amount reportable on an Information return. Examples of information returns include, but are not limited to, the following: • Form 1099-INT (Interest earned or paid) • Form 1099-DN (dividends, including those from stocks or mutual funds) • Form 1099-MISC (varbus types of Income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) orm - (cance ) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only If you are a U.S. person (Including a resident alien), to provide your correct TIN. If you do not return Fbnm W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding? on page 2. By signing the filled -out form, you: 1. Certify that the TIN you are giving is correct for you are waiting for a number to bB issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding 0 you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this forth (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting? on page 2 for further information. Cat. No. 10231X Form W-9 (Rev. 12-2014)