CTR060467_Contract_Amendment_Summary_Three__3_.pdf

ARIZONA DEPARTMENT OF TRANSPORTATION

1655 W. Jackson Street, MD 100P

Phoenix, AZ 85007 602.712.7211

Contract Amendment Summary CONTRACTOR: Burgess AMENDMENT NO. Three (3) DESCRIPTION: CTR060467 Multimodal Transportation Planning On-Call

Rev. 04/2020

Procurement

Pursuant to the Uniform Terms and Conditions, Section 5, Contract Changes, the above referenced contract is amended. Summary of changes is as follows:

1. The following sub-contractor(s) are hereby be added to the contract:

• Jacobs Engineering Group Inc.

2. All other terms, conditions and provisions of this contract remain unchanged.

javascript:void('0') javascript:void('0')

JACOBS - LOBBYING CERTIFICATIONS & STANDARD FORM LLL

ADOT | HSIP PA SFY25: Highway Safety Improvement Program (HSIP) Application Scoping

Lobbying Certification for Contracts, Grants, Loans, and Cooperative Agreements Pursuant to 49 CFR 20, Subpart F, Appendix A

The undersigned certifies, to the best of his or her knowledge and belief, that:

(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

DATE

TITLE

Please indicate here if you are required to submit Standard Form LLL as required in item (2) above: Yes No

MPD Tracking Number and Project Name

FIRM NAME

06/24/2024

Vice President

Task Assignment HSIP PA SFY25: Highway Safety Improvement Program (HSIP) Application Scoping

Jacobs Engineering Group

A2

HSIP PA SFY25: Highway Safety Improvement Program (HSIP) Application Scoping

SUBCONTRACTOR ADDITION TO PROCUREMENT CONTRACT LETTER - JACOBS ENGINEERING GROUP INC.

ADOT | HSIP PA SFY25: Highway Safety Improvement Program (HSIP) Application Scoping

1500 N. Priest Drive | Suite 102 | Tempe, AZ 85288 | 602.244.8100

June 24, 2024

ADOT Procurement RE: CTR060467 HSIP PA SFY24:

1801 W. Jefferson Street Highway Safety Improvement Program Phoenix, AZ 85007 (HSIP) Application Scoping

To Whom It May Concern:

Burgess & Niple (B&N) respectfully requests the inclusion of Jacobs Engineering Group Inc.

(Jacobs) for task assignment HSIP PA SFY25 Highway Safety Improvement Program (HSIP) Application Scoping under ADOT Planning Contract Number CTR060467. Jacobs’ services are needed due to their experience with ADOT scoping and cost estimating. Jacobs is not currently included in the B&N Transportation Planning On-Call Consultant Services Contract CTR060467.

Jacobs has worked extensively on numerous ADOT projects, both directly and as a sub-consultant. The contact information for Jacobs is:

Shanthi Krishnan, Transportation Department Leader Jacobs Engineering Group, Inc.

1501 West Fountainhead Parkway, Suite 401 Tempe, AZ 85252 Shanthi.Krishnan@jacobs.com Phone: 480.707.2984 Not an AZ DBE-certified firm

Jacobs and B&N have worked together on previous projects and have an excellent working relationship. For specific questions regarding our contract, please contact me at 602.244.8100 ext. 5332 or Jason.Pagnard@burgessniple.com.

Sincerely, Jason Pagnard, P.E.

Contract Manager

A3

JACOBS - SUBCONTRACTOR COMMITMENT LETTER

ADOT | HSIP PA SFY25: Highway Safety Improvement Program (HSIP) Application Scoping A3

Visit OpenBooks (https://openbooks.az.gov) Ombudsman-Citizens Aide (https://www.azoca.gov)

Register to Vote (https://azsos.gov/elections/voters/register-vote-update-voter-information/registerupdate-vote)

AZ.Gov (https://az.gov/search/) (https://az.gov)

Home (/) » Compliance (/compliance) » Debarred and Suspended Firms (/compliance/debarred-and-suspended-firms)

Debarred and Suspended Firms SPO is responsible for maintaining a list of firms that are suspended or debarred from doing business with the State of Arizona.

THERE ARE NO SUSPENDED OR DEBARRED FIRMS AT THIS TIME.

COMPLIANCE

Agency Procurement Authority (/compliance/agency-procurement-authority)

Control Self-Assessment (CSA) (/compliance/control-self-assessment-csa)

Procurement Compliance Reviews (PCR) (/compliance/procurement-compliance-reviews-pcr)

Compliance Hotline (/compliance/compliance-hotline)

Debarred and Suspended Firms (/compliance/debarred-and-suspended-firms)

7/1/24, 3:16 PM Debarred and Suspended Firms | SPO Intranet https://spointra.az.gov/compliance/debarred-and-suspended-firms 1/2 https://openbooks.az.gov/ https://openbooks.az.gov/ https://www.azoca.gov/ https://www.azoca.gov/ https://azsos.gov/elections/voters/register-vote-update-voter-information/registerupdate-vote https://azsos.gov/elections/voters/register-vote-update-voter-information/registerupdate-vote https://az.gov/search/ https://az.gov/search/ https://az.gov/ https://az.gov/ https://spointra.az.gov/ https://spointra.az.gov/ https://spointra.az.gov/compliance https://spointra.az.gov/compliance https://spointra.az.gov/compliance/debarred-and-suspended-firms https://spointra.az.gov/compliance/debarred-and-suspended-firms https://spointra.az.gov/compliance/agency-procurement-authority https://spointra.az.gov/compliance/control-self-assessment-csa https://spointra.az.gov/compliance/procurement-compliance-reviews-pcr https://spointra.az.gov/compliance/compliance-hotline https://spointra.az.gov/compliance/debarred-and-suspended-firms https://spointra.az.gov/

ENTITY INFORMATION

Search Date and Time: 7/1/2024 3:17:02 PM

Entity Details

Entity Name:

JACOBS ENGINEERING GROUP INC.

Entity ID:

F00378680

Entity Type:

Foreign For-Profit (Business) Corporation

Entity Status:

Active

Formation Date:

3/3/1987

Reason for Status:

In Good Standing

Approval Date:

3/3/1987

Status Date:

1/6/2023

Original Incorporation Date:

3/3/1987

Life Period:

Perpetual

Business Type:

Other - Other - The business was founded by Dr Joseph J Jacobs in 1947 and was originally incorporated in the State of CA in 1974. It reincorporated in DE using the same name in 1987 and changed name from JEG Acquisition Company to Jacobs Engineering Group Inc.

Last Annual Report Filed:

Domicile State:

Delaware

Annual Report Due Date:

1/3/2025 Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

7/1/24, 3:17 PM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=F00378680 1/3 http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts http://azcc.gov/corporations/corporation-contacts

Title Name Attention Address Date of Taking Office

Last Updated

Director Stephen A.

Arnette

1999 BRYAN STREET, Suite 3500, DALLAS, TX, 75201, Dallas County, USA

12/22/2023

Director Claudia Jaramillo

1999 BRYAN STREET, Suite 3500, DALLAS, TX, 75201, Dallas County, USA

12/22/2023

Director Robert V.

Pragada

1999 BRYAN STREET, Suite 3500, DALLAS, TX, 75201, Dallas County, USA

12/22/2023

President Stephen A.

Arnette

1999 BRYAN STREET, Suite 3500, DALLAS, TX, 75201, Dallas County, USA

12/22/2023

Treasurer Chin Chang (Mike) Hsu

1999 BRYAN STREET, Suite 3500, DALLAS, TX, 75201, Dallas County, USA

12/22/2023

Years Due:

Original Publish Date:

4/9/1987

Statutory Agent Information

Name:

C T CORPORATION SYSTEM

Appointed Status:

Active

Attention:

Address:

3800 N CENTRAL AVE SUITE 460 , PHOENIX, AZ 85012, USA

Agent Last Updated:

12/22/2023

E-mail:

Attention:

Mailing Address:

County:

Maricopa

Principal Information

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

7/1/24, 3:17 PM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=F00378680 2/3 http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts

< Previous ... 1 2 ... Next > Page 1 of 2, records 1 to 5 of 8 Go to Page

Back Return to Search

Return to Results

Document History Name/Restructuring History

Pending Documents Microfilm History

Address

Attention:

Address: 3800 N CENTRAL AVE SUITE 460, PHOENIX, AZ, 85012, USA

County: Maricopa

Last Updated: 12/22/2023

Entity Principal Office Address

Attention:

Address: 1999 BRYAN STREET, Suite 3500, DALLAS, TX, 75201, USA

County: Dallas

Last Updated: 12/22/2023

Privacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

7/1/24, 3:17 PM Arizona Corporations Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=F00378680 3/3 javascript:$xhtml.paging(2) javascript:$xhtml.paging(2) http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts

Home / Jacobs Engineering Group Inc.

Jacobs Engineering Group Inc.

Registration Number 11111 Branch ID 0 Initial Registration November 1, 2002 Expiration Date November 30, 2024 Contact Information 120 S Central Avenue Suite 350 Clayton Missouri 63105 866-441-8538 Firm Status Active

Firm Services LAND SURVEYOR, ENGINEER/STRUCTURAL, ENGINEER/ELECTRICAL, ENGINEER/CIVIL, ENGINEER/SANITARY

7/1/24, 3:18 PM Jacobs Engineering Group Inc. | State Board of Technical Registration https://btr.az.gov/firms/clayton/jacobs-engineering-group-inc 1/1 https://btr.az.gov/ tel:866-441-8538 https://btr.az.gov/taxonomy/term/9165

An official website of the United States government Here’s how you know

Important Reps and Certs Update Show Details Mar 1, 2024

Planned Maintenance Schedule Show Details May 21, 2024

See All Alerts

Home Search Data Bank Data Services Help

Core Data

Business Information

Entity Types

Financial Information

Points of Contact

Assertions

Reps and Certs (FAR/DFARS)

Reps and Certs (Financial Assistance)

Exclusions

Responsibility / Qualification

Entity Registration

Core Data

Active Registration

Entity Information

7/1/24, 3:20 PM SAM.gov https://sam.gov/entities/view/GD4XMJ4KG4C5/coreData?status=Active&emrKeyValue=22536800~1717161307532585 1/5 https://sam.gov/ https://sam.gov/ javascript:void(0) javascript:void(0) https://sam.gov/content/home https://sam.gov/search/ https://sam.gov/reports/awards/standard https://sam.gov/data-services https://sam.gov/content/help https://sam.gov/workspace/profile/feeds https://sam.gov/workspace/profile/feeds/notification https://sam.gov/workspace javascript:void(0) javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

Expiration Date

BUSINESS INFORMATION

JACOBS ENGINEERING

GROUP INC.

Unique Entity ID

GD4XMJ4KG4C5

CAGE/NCAGE

9X8A3 Jun 3, 2025

Physical Address

5 Wentworth DR STE 3 Hudson, New Hampshire 03051-4929, United States

Mailing Address 5 Wentworth DR STE 3 Hudson, New Hampshire 03051-4929, United States

Purpose of Registration All Awards

Version

Current Record

Doing Business As (blank)

URL

(blank)

Division Name (blank)

Division Number (blank)

Congressional District New Hampshire 02

State/Country of Incorporation Delaware, United States

Owner CAGE Legal Business Name

Immediate Owner

9CNS9 JACOBS

SOLUTIONS INC

Highest Level Owner

(blank) (blank)

Registration Dates

Entity Dates

Activation Date Jun 5, 2024

Submission Date Jun 3, 2024

Initial Registration Date May 31, 2024

Entity Start Date Jan 1, 1947

Fiscal Year End Close Date Sep 30

7/1/24, 3:20 PM SAM.gov https://sam.gov/entities/view/GD4XMJ4KG4C5/coreData?status=Active&emrKeyValue=22536800~1717161307532585 2/5

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

SAM SEARCH AUTHORIZATION

Yes

ENTITY TYPES

FINANCIAL INFORMATION

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Business Types

Entity Structure Corporate Entity (Not Tax Exempt)

Entity Type Business or Organization

Profit Structure For Profit Organization

Organization Factors

(blank)

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the SBA supplemental pages during registration.

Payments

Accepts Credit Card Payments Debt Subject To Offset https://sam.gov/entities/view/GD4XMJ4KG4C5/coreData?status=Active&emrKeyValue=22536800~1717161307532585 3/5

ACCOUNT DETAILS

EFT Indicator 0000 CAGE Code 9X8A3

POINTS OF CONTACT

Electronic Business

Government Business

No No

Primary Point of Contact

Angie Lawson

Address 1100 N Glebe RD STE 500 Arlington, Virginia 22201 United States

Primary Point of Contact

Angie Lawson https://sam.gov/entities/view/GD4XMJ4KG4C5/coreData?status=Active&emrKeyValue=22536800~1717161307532585 4/5

WARNING

SAM.gov An official website of the U.S. General Services Administration

Address 1100 N Glebe RD STE 500 Arlington, Virginia 22201 United States

Our Website

About This Site

Our Community

Release Notes

System Alerts

Our Partners

Acquisition.gov

USASpending.gov

Grants.gov

More Partners

Policies

Terms of Use

Privacy Policy

Restricted Data Use

Freedom of Information Act

Accessibility

Customer Service

Help

Check Entity Status

Federal Service Desk

External Resources

Contact

This is a U.S. General Services Administration Federal Government computer system that is "FOR OFFICIAL USE ONLY." This system is subject to monitoring. Individuals found performing unauthorized activities are subject to disciplinary action including criminal prosecution.

This system contains Controlled Unclassified Information (CUI). All individuals viewing, reproducing or disposing of this information are required to protect it in accordance with 32 CFR Part 2002 and GSA Order CIO 2103.2 CUI Policy.

7/1/24, 3:20 PM SAM.gov https://sam.gov/entities/view/GD4XMJ4KG4C5/coreData?status=Active&emrKeyValue=22536800~1717161307532585 5/5 https://sam.gov/content/about/this-site https://interact.gsa.gov/group/integrated-award-environment-iae-industry-community https://www.fsd.gov/gsafsd_sp?id=kb_category&kb_category=ccf4380a1ba67410fe314000f54bcb16&kb_id=f66d8e6cdb76d4100d73f81d0f9619c https://sam.gov/alerts https://acquisition.gov/ https://usaspending.gov/ https://grants.gov/ https://sam.gov/content/about/partners https://sam.gov/content/about/terms-of-use https://sam.gov/content/about/privacy https://sam.gov/content/about/restricted-data-use https://www.gsa.gov/reference/freedom-of-information-act-foia https://sam.gov/content/about/accessibility https://sam.gov/content/help https://sam.gov/content/status-tracker https://www.fsd.gov/gsafsd_sp/?id=gsa_landing https://sam.gov/content/about/external-resources https://sam.gov/content/about/contact https://www.gsa.gov/