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HomeMy WebLinkAboutResolution - 2021-R0067 - PO 31057524 with Grapevine DCJ 2.23.2021Resolution No. 2021-R0067 Item No. 7.19 February 23, 2021 RESOLUTION IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute for and on behalf of the City of Lubbock, Purchase Order No. 31057524 for the purchase of various 4X4 pickup trucks as per ITB 21-15738-RR, by and between the City of Lubbock and Grapevine DCJ, LLC, of Grapevine, Texas, and related documents. Said Purchase Order is attached hereto and incorporated in this resolution as if fully set forth herein and shall be included in the minutes of the City Council. Passed by the City Council on February 23, 2021 FW -j7W:� r ATTEST: ;-�? '0�� &7� Rebec a Garza, City Secre ry • �=���[iZK�h�`Yw City Manager APPROVED AS TO FORM: Wk Kelli Leisure, Assistant City Attorney ccdocs/RES.-PurchaseOrd 31057524 — Various 4X4 pickup trucks February 5, 2021 `lE clty of Lubbock TEXAS PURCHASE ORDER TO: GRAPEVINE DCJ LLC 2601 WILLIAM D TATE GRAPEVINE TX 76051 Page - I Date - 2/5/2021 Order Number 31057524 000 OP Branch/Plant 3526 SHIP TO: CITY OF LUBBOCK FLEET SERVICES 206 MUNICIPAL DRIVE LUBBOCK TX 79404 INVOICETO: CITYOFLUBBOCK ACCOUNTSPAYABLE P.O. BOX 2000 LUBBOCK, TX 79457 Marta I , Director of Purchasing & Contract Management Ordered 2/5/2021 Freight Requested 6/23/2021 Taken By Delivery J LOERWALD REQ 57018 ITB 21-15738-RR/PUR 15738 Description/Supplier Item Ordered Unit Cost UM 2021 RAM Crew Cab 1500 1.000 28,640.0000 EA CC 5711 2021RAM 1500 1.000 27,265.0000 EA CC 5719 2021 RAM 1500 Crew Cab 1.000 28,640.0000 EA CC 6417 Terms NET 30 K MORGAN Extension Request Date 28,640.00 6/23/2021 Total Order 27,265.00 6/23/2021 28,640.00 6/23/2021 84,545.00 This purchase order encumbers funds in the amount of $84,545.00 awarded to Grapevine DCJ of Grapevine, TX, on February 23 , 2021. The following is incorporated into and made part of this purchase order by reference: ITB 21-15738-RR from Grapevine DCJ of Grapevine, TX, TX, dated February 4, 2021. Resolution# 2021-R0067 CITY OF LUBBOCK Dame , Major ATTEST: Rebecca Ga ity Secretary Rev. 1/2020 Seller and Buyer agree as follows: PURCHASE ORDER TERMS AND CONDITIONS IMPORTANT: READ CAREFULLY STANDARD TERMS AND CONDITIONS CITY OF LUBBOCK, TX I. SELLER TO PACKAGE GOODS. Seller will package goods in accordance with good commercial practice. Each shipping container shall be clearly and permanently marked as follows (a) Seller's name and address, (b) Consignee's name, address and purchase order or purchase release number and the supply agreement number if applicable, (c) Container number and total number of containers, e.g. box 1 of 4 boxes, and (d) the number of the container bearing the packing slip. Seller shall bear cost of packaging unless otherwise provided. Goods shall be suitably packed to secure lowest transportation costs and to conform with requirements of common carriers and any applicable specifications. Buyer's count or weight shall be final and conclusive on shipments not accompanied by packing lists. 2. SHIPMENT UNDER RESERVATION PROHIBITED. Seller is not authorized to ship the goods under reservation and no tender of a bill of lading will operate as a tender of goods. 3. TITLE AND RISK OF LOSS. The title and risk of loss of the goods shall not pass to Buyer until Buyer actually receives and takes possession of the goods at the point or points of delivery. 4. NO REPLACEMENT OF DEFECTIVE TENDER. Every tender of delivery of goods must fully comply with all provisions of this contract as to time of delivery, quality and the like. If a tender is made which does not fully conform, this shall constitute a breach and Seller shall not have the right to substitute a conforming tender, provided, where the time for performance has not yet expired, the Seiler may reasonably notify Buyer of his intention to cure and may then make a conforming tender within the contract time but not afterward. 5. INVOICES & PAYMENTS. a. S e 11 e r shall submit separate invoices, in duplicate, one each purchase order or purchase release after each delivery. Invoices shall indicate the purchase order or purchase release number and the supply agreement number if applicable. Invoices shall be itemized and transportation charges, if any, shall be listed separately. A copy of the bill of lading, and the freight waybill when applicable, should be attached to the invoice. Mail To: Accounts Payable, City of Lubbock, P. 0. Box 2000, Lubbock, Texas 79457. Payment shall not be due until the above instruments are submitted after delivery. 6. GRATUITIES. The Buyer may, by written notice to the Seller, cancel this contract without liability to Seiler if it is determined by Buyer that gratuities, in the form of entertainment, gifts or otherwise, were offered or given by the Seller, or any agent or representative of the Seller, to any officer or employee of the City of Lubbock with a view to securing a contract or securing favorable treatment with respect to the awarding or amending, or the making of any determinations with respect to the performing of such a contract. In the event this contract is canceled by Buyer pursuant to this provision. Buyer shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by Seller in providing such gratuities. 7. SPECIAL TOOLS & TEST EQUIPMENT. If the price stated on the face hereof includes the cost of any special tooling or special tat equipment fabricated or required by Seiler for the purpose of filling this order, such special tooling equipment and any process sheets related thereto shall become the property of the Buyer and to the extent feasible shall be identified by the Seller as such. S. WARRANTY -PRICE. a. The price to be paid by the Buyer shall be that contained in Seller's bid which Seiler warrants to be no higher than Seller's current process on orders by others for products of the kind and specification covered by this agreement for similar quantities under similar of like conditions and methods of purchase. In the event Seller breaches this warranty, the prices of the items shall be reduced to the Seller's current prices on orders by others, or in the alterative. Buyer may cancel this contract without liability to Seller for breach or Seller's actual expense. b. The Seller warrants that no person or selling agency has been employed or retained to solicit or secure this contract upon an agreement or understanding for commission, percentage, brokerage, or contingent fee excepting bona fide employees of bona fide established commercial or selling agencies maintained by the Seller for the purpose of securing business. For breach of vitiation of this warranty the Buyer shall have the right in addition to any other right of rights to cancel this contract without liability and to deduct from the contract price, or otherwise recover without liability and to deduct from the contract price, or otherwise recover the full amount of such commission, percentage, brokerage or contingent fee. 9. WARRANTY -PRODUCT. Seller shall not limit or exclude any implied warranties and any attempt to do so shall render this contract voidable at the option of the Buyer. Seller warrants that the goods furnished will conform to the specification, drawings, and descriptions listed in the bid invitation, and to the samples) furnished by the Seller, if any. In the event of a conflict or between the specifications, drawings, and descriptions, the specifications shall govcrn. Notwithstanding any provisions contained in the contractual agnvement, the Seller represents and warrants fault -free performance and fault -free result in the processing date and date related data (including, but not limited to calculating, comparing and sequencing) of all hardware, software and firmware products delivered and services provided under this Contract, individually or in combination, as the case may be from the effective date of this Contract. The obligations contained herein apply to products and services provided by the Seller, its sub- Seller or any third party involved in the creation or development of the products and services to be delivered to the City of Lubbock under this Contract. Failure to comply with any of the obligations contained herein, may result in the City of Lubbock availing itself of any of its rights under the law and under this Contract including, but not limited to, its right pertaining to termination or default. The warranties contained herein are separate and discrete from any other warranties specified in this Contract, and are not subject to any disclaimer of warranty, implied or expressed, or limitation of the Seller's liability which may be specified in this Contract, its appendices, its schedules, its annexes or any document incorporated in this Contract by reference. 10. SAFETY WARRANTY. Seller warrants that the product sold to the Buyer shall conform to the standards promulgated by the U. S. Department of Labor under the Occupational Safety and Health Act of 1970. In the event the product does not conform to OSHA standards, Buyer may return the product for correction or replacement at the Seller's expense. In the event Seller fails to make the appropriate correction within a reasonable time, correction made by Buyer will be at the Seller's expense. 11. NO WARRANTY BY BUYER AGAINST INFRINGEMENTS. As part of this contract for sale Seller agrees to ascertain whether goods manufactured in accordance with the specifications attached to this agreement will give rise to the rightful claim of any third person by way of infringement of the like. Buyer makes no warranty that the production of goods according to the specification will not give rise to such a claim, and in no event shall Buyer be liable to Seller for indemnification in the event that Seller is sued on the grounds of infringement of the like. If Seller is of the opinion that an infringement or the like will result, he will notify the Buyer to this effect in writing within two weeks after the signing of this agreement. If Buyer does not receive notice and is subsequently held liable for the infringement or the like, Seller will save Buyer harmless. If Seller in good faith ascertains the production of the goods in accordance with the specifications will result in infringement or the like, the contract shall be null and void. 12. NON APPROPRIATION. All funds for payment by the City under this contract are subject to the availability of an annual appropriation for this purpose by the City. In the event of nonappropriation of funds by the City Council of the City of Lubbock for the goods or services provided under the contract, the City will terminate the contract, without termination charge or other liability, on the last day of the then -current fiscal year or when the appropriation made for the then -current year for the goods or services covered by this contract is spent, whichever event occurs first. If at any time funds are not appropriated for the continuance of this contract, cancellation shall be accepted by the Seller on thirty (30) days prior written notice, but failure to give such notice shall be of no effect and the City shall not be obligated under this contract beyond the date of termination 13. RIGHT OF INSPECTION. Buyer shall have the right to inspect the goods at delivery before accepting them 14. CANCELLATION. Buycr shall have the right to cancel for default all or any part of the undelivered portion of this order if Seller breaches any of the teems hereof including warranties of Seller or if the Seller becomes insolvent or commits acts of bankruptcy. Such right of cancellation is in addition to and not in lieu of any other remedies which Buyer may have in law or equity. 15. TERMINATION. The performance of work under this order may be terminated in whole, or in part by the Buyer in accordance with this provision. Termination of work hereunder shall be effected by the delivery of the Seller of a "Notice of Termination" specifying the extent to which performance of work under the order is terminated and the date upon which such termination becomes cf ective. Such right or termination is in addition to and not in lieu of the rights of Buyer set forth in Clause 14, herein 16. FORCE MAJEURE. Neither party shall be held responsible for losses, resulting if the fulfillment of any terms of provisions of this contract is delayed or prevented by any cause not within the control of the party whose performance is interfered with, and which by the exercise of reasonable diligence said party is unable to prevent. 17. ASSIGNMENT -DELEGATION. No right or interest in this contract shall be assigned or delegation of any obligation made by Seller without the written permission of the Buyer. Any attempted assignment or delegation by Seller shall be wholly void and totally ineffective for all purpose unless made in conformitywith this paragraph. 18. WAIVER. No claim or right arising out of a breach of this contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. 19. INTERPRETATION -PAROLE EVIDENCE. This writing, plus any specifications for bids and performance provided by Buyer in its advertisement for bids, and any other documents provided by Seller as part of his bid, is intended by the parties as a final expression of their agreement and intended also as a complete and exclusive statement of the temrs of their agreement. Whenever a term defined by the Uniform Commercial Code is used in this agreement, the definition contained in the Code is to control. 20. APPLICABLE LAW. This agreement shall be governed by the Uniform Commercial Code. Wherever the term "Uniform Commercial Code' is used, it shall be construed as meaning the Uniform Commercial Code as adopted in the State of Texas as effective and in force on the date of this agreement. 21. RIGHT TO ASSURANCE. Whenever one party to this contract in good faith has reason to question the other party's 'intent to perform he may demand that the other party give written assurance of his intent to perform, in the event that a demand is made and no assurance is given within five (5) days, the demanding party may treat this failure as an anticipatory repudiation of the contract. 22. INDEMNIFICATION. Seller shall 'indemnify, keep and save harmless the Buyer, its agents, officials and employees, against all injuries, deaths, loss, damages, claims, patent claims, suits, liabilities, judgments, costs and expenses, which may in anywise accrue against the Buyer in consequence of the granting of this Contract or which may anywise result therefrom, whether or riot it shall be alleged or determined that the act was caused through negligence or omission of the Seller or its employees, or of the subSeller or assignee or its employees, if any, and the Seller shall, at his own expense, appear, defend and pay all charges of attonrcys and all costs and other expenses arising therefrom of incurred in connection therewith, and, if any judgment shall be rendered against the Buyer in any such action, the Seller shall, at its own expenses, satisfy and discharge the same Seller expressly understands and agrees that any bond required by this contract, or otherwise provided by Scaler, shall in no way limit the responsibility to indemnify, keep and save harmless and defend the Buyer as herein provided. 23. TIME. It is hereby expressly agreed and understood that time is of the essence for the performance of this contract, and failure by contract to meet the time specifications of this agreement will cause Seller to be in default of this agreement. 24. MBE. The City of Lubbock hereby notifies all bidders that in regard to any contract entered into pursuant to this request, minority and women business enterprises will be afforded equal opportunities to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, sex or natural origin in consideration for an award. 25. NON -ARBITRATION. The City reserves the right to exercise any right or remedy to it by law, contract, equity, or otherwise, including without limitation, the right to seek any and all forms of relief in a court of competent jurisdiction. Further, the City shall not be subject to any arbitration process prior to exercising its unrestricted right to seek judicial remedy. The remedies set forth herein are cumulative and not exclusive, and may be exercised concurrently. To the extent of any conflict between this provision and another provision in, or related to, this document, this provision shall control. 26. RIGHT TO AUDIT. At any time during the term of the contract, or thereafter, the City, or a duly authorized audit representative of the City or the State of Texas, at its expense and at reasonable times, reserves the right to audit Contractor's records and books relevant to all services provided to the City under this Contract. In the event such an audit by the City reveals any errors or overpayments by the City, Contractor shall refund the City the full amount of such overpayments within thirty (30) days of such audit findings, or the City, at its option, reserves the right to deduct such amounts owing the City from any payments due Contractor. 27. HOUSE BiLL 2015. House Bill 2015, signed by the Governor on June 14, 2013 and effective on January 1, 2014, authorizes a penalty to be imposed on a person who contracts for certain services with a governmental entity and who fails to properly classify their workers. This applies to subcontractors as well. Contractors and subcontractors who fail to properly classify individuals performing work under a governmental contract will be penalized $200 for each individual that has been misclassified. (Texas Government Code Section 2155.001). 28. ASSIGNING OR SUBLETTING THE CONTRACT. The Contractor shall not assign or sublet the contract, or any portion of the contract, without written consent from the Director of Purchasing and Contract Management. Should consent be given, the Contractor shall insure the Subcontractor or shall provide proof on insurance from the Subcontractor that complies with all contract Insurance requirements. 29. HOUSE BILL 1295 DISCLOSURE OF INTERESTED PARTIES. House Bill 1295, adopted by the 84th Legislature, created §2252.908, Texas Government Code. Section 2232.908 requires a business entity entering into certain contracts with a governmental entity or state agency to file with the governmental entity or state agency a disclosure of interested parties at the time the business entity submits the signed contract to the governmental entity or state agency. Instructions for completing Form 1295 are available at: hltm://www.ci.lubbocka x. us/departmental-websites/denartments/parchasinrl/vendor-informal ion 30. CONTRACTOR ACKNOWLEDGES, by supplying any Goods or Services that the Contractor has read, fully understands, and will be in full compliance with all terms and conditions and the descriptive material contained herein and any additional associated documents and Amendments. The City disclaims any terms and conditions provided by the Contractor unless agreed upon in writing by the parties. In the event of conflict between these terms and conditions and any terms and conditions provided by the Contractor, the terms and conditions provided herein shall prevail. The terms and conditions provided herein are the final terms agreed upon by the parties, and any prior conflicting terms shall be of no force or effect. 31. HB 89 The Contractor warrants that it complies with Chapter 2270.001 of the Texas Government Code by verifying that: (1) The Contractor does not boycott Israel; and(2) The Contractor will not boycott Israel daring the term of the Agreement. 32. The Contractor (i) does not engage in business with Iran, Sudan or any foreign terrorist organization and (ii) it is not listed by the Texas Comptroller under Section 2252.153, Texas Government Code, as a company known to have contracts with or provide supplies or services to a foreign terrorist organization. 33. TEXAS PUBLIC INFORMATION ACT. The requirements of Subchapter J. Chapter 552, Government Code, may apply to this contract and the contractor or vendor agrees that the contract can be terminated if the contractor or vendor knowingly or intentionally fails to comply with a requirement of that subchapter. 34. Pursuant to Section 552.234(c) of the Texas Government Code, the City of Lubbock has designated the following email address for which public information requests may be made by an entailed request: obi mvlubbock. is, Please send this request to this email address for it to be processed. REV. 12020 BID FORM City of Lubbock, TX Purchasing and Contract Management Various 4X4 Pickup Trucks ITB 21-15738-RR In compliance with the Invitation to Bid 21-15738-RR, the undersigned Bidder having examined the Invitation to Bid and Specifications, and being familiar with the conditions to be met, hereby submits the following Bid for furnishing the material, equipment, labor and everything necessary forproviding the items listed below and agrees to deliver said items at the locations and for the prices act forth on this form. A bid will be subject to being considered irregular and maybe rejected if it shows omissions, alterations of form, conditional alternate bids, additions or alternates in lieu of the items specified, if the unit prices are obviously unbalanced (either in excess of or below reasonably expected values), or irregularities of any kind. The Invitation to Bid 21-15738- RR is by reference incorporated in this contract. The Bid Form most be completed in blue or black iuk or by typewriter. ITEM QTY W-) UOM DESCRIPTION UNIT PRICE* EXTENDED PRICE **Delivery days ARO 1 1 EA PEC 5711 'A Ton Pickup Crew Cab, Short-bcd, [4X4:,,specified heroin g ^ Model Year, Brand Name, and Model Number: Ym 2 r. j2a,�• f roo c <• a_ �,r C lws r i � S 6Z 2 I EA SPEC 5719 '/, Ton Pickup Truck, Extended Cab, Short Bed, 4X4: as specified herein 21 Z6Y n '^ Z7 Z61 - Fd•(�1./ 1 Model Year, Brand Name, and Model Number: lea s, �a- r� i S o p C �� s 6 L Y 1 Cello73 1 EA 4XEC 6117 %: Ton Pickup Crew Cab, Short bed, S el G J,lbyC) L �tsy° r,•l,� Model Year, Brand Name. and Model Number: 2.62.1 C (°S P.:e C t�snl *PRICE: F.O.B. Destination, Freight Pre•Paid and Allowed ••days Afteer Receipt UAMIF(ARO)��l T' Total- S84,5 5 Unless otherwise specified herein, the City may award the bid either Item-b% Item or on an all -or -none basis for any item or group of items shown on the bid. The City of Lubbock is seeking a contract for with one or more contractors. In order to assure adequate coverage, the City may make multiple awards, selecting multiple vendors to provide the products desired, if multiple awards are in the best Interest of the City. A decision to make a multiple award of this Bid, however, Is an option reserved by the City, based on the needs of the City. PAYMENT TERMS AND DISCOUNTS -Bidder offers a prompt payment discount of r "�-Atdays. Discounts will not be considered in determining low bid. Unless otherwise indicated on the Bid Form, payment terms will be NET TH IRTY DAYS. The City will pay the successful bidder within thirty days after the receipt of a correct invoice or after the date of acceptance, whichever event occurs later. Discounts for prompt payment requiring payment by the City within a stipulated number of days wilt be interpreted as applying within the stipulated number of calendar days after the date ofreceipL by the City of a correct invoice or after the date of acceptance that meets contract requirements, whichever event occurs later. Discounts for payment in less than ten days will not be considered. MOST FAVORED PRICING: The Bidder certifies that the price quoted is not in excess of the lowest price charged anyone else, including its most favored customer, for like quality and quantity of theproducis/services; does not include an element of profit on the sale in excess orthat normally obtained by the Bidder on the sale of products/services of like quality and quantity; and does not include any provision for discounts to selling agents. If at any time during the contract period, the supplier should sell or offer for sale to any other customer, an equal or less quantity of sindlar contract products of like or better quality, at a lower net price(s) than provided herein, supplier agrees to notify the City and sell some product(s) at the lower price(s) on all deliveries made during the period in which such lower price(s) is effective. RMRLOCAL PURCHASING (optional): The City desires to make available to other local governmental entities of the State of Texas, by mutual agreement with the successful bidder, and properly authorized intedocal purchasing agreements as provided for by the Interlocal Cooperation Act (Chapter 791, Government Code), the right to purchase the same ser%ices, at the }prices quoted, for the period of this contract. Each bidder shall indicate on the Bid Form in the space provided below if he/she will honor Political Subdivision orders in addition to orders from the City of Lubbock. Should these other governmental entities decide to participate in this contract, would you (the bidder) agree that all terms, conditions, specifications, and pricing would apply? Other governmental entities that might have interests In this contract are F enship Independent School District, Lubbock Housing Authority, Lubbock County, Lubbock County Hospital District, Lubbock Independent School District, South Plains Associatlopof Governments, City of Texarkana, Texas Tech University, West Texas Municipal Power Agency, Lynn County, an of WolRorth. YES NO • ifyou (the bidder) checked YES, the following will apply: Governmental entities utilizing [nterlecal Agreements for Cooperative Purchasing with the City of Lubbock will be eligible, but not obligated, to purchase materials/senices under the contract(s) awarded as a result ofthis solicitation. All purchases by governmental entities other than the City of Lubbock will be billed directly to that governmental entity and paid by that governmental entity. City of Lubbock will not be responsible for another governmental entity's debts. Each governmental entity will order their own materials/service as needed. THIS BID IS SUBMITTED BY caxporation organized under the laws of the State of or a partnership consisting of �..� U t= . LA. or individual trading as of the City ofo-Qss�+tt Address• o., w : �l, u.% i City: .G CQQ&P r : vQ State-, -0Q Zip n L e r, Bidder acknowledges receipt of the following addenda: Addenda No. Addenda No. Date Date NUWBE Firm: I I Woman Addenda No. Addenda No. _ Date Date Hispanic American I I Asian Pacific American I I Other (Specify) By Date: Autlsoriaed Representative —mmust sign by han�d---7 Officer Name and Title: l.X� v`: S l h O�% y-9� Please Print Business Telephone Number 1K4''Z —" i 1! '' 1 FAX: FOR CITY USE ONLY Bid Form Item Number(s) Awarded to Above Named Firm/individual: Date of Award by City Council (for bids over Date P.OJContract RETURN COMPLETED & SIGNED BID FORM ALONG WITH CITY OF LUBBOCK SPECIFICATIONS. LABEL THE OUTSIDE OF YOUR SEALED BID WITH THE ITB NUMBER. THE CLOSING DATE AND TIME, AND YOUR COMPANY NAME AND ADDRESS. City of Lubbock Fleet Services ITB 21-15738-RR Various 4X4 Pickup Trucks Item U/M Qty Description/Vendor Location Unit Cost Extended Cost I EA 1 1 /2 Ton Crew Cab, 4X4 Grapevine DCJ, LLC. Grapevine, TX $ 28,640 28,640 Sam Pack Five Star Ford Carrollton, TX 29,553 29,553 Caldwell Country Chevy Caldwell, TX 29,975 29,975 Randall Reed's Pretige Ford Garland, TX 31,850 31,850 Watsonville Fleet Group Watsonville, CA 39,847 39,847 2 EA 1 1 /2 Ton Extended Cab, 4x4 Grapevine DCJ, LLC. Grapevine, TX 27,265 279265 Caldwell Country Chevy Caldwell, TX 27,980 27,980 Sam Pack Five Star Ford Carrollton, TX 28,555 28,555 Randall Reed's Pretige Ford Garland, TX 29,190 29,190 Watsonville Fleet Group Watsonville, CA 32,373 32,373 3 EA 1 1 /2 Ton Crew Cab, 4X4 Grapevine DCJ, LLC. Grapevine, TX 289640 28,640 Sam Pack Five Star Ford Carrollton, TX 29,553 29,553 Caldwell Country Chevy Caldwell, TX 29,975 29,975 Randall Reed's Pretige Ford Garland, TX 31,850 31,850 Watsonville Fleet Group Watsonville, CA 39,235 39,235 Item by Item Grapevine DCJ, LLC. Grapevine, TX $ 84,545 Sam Pack Five Star Ford Carrollton, TX 87,661 Caldwell Country Chevy Caldwell, TX 87,930 Randall Reed's Pretige Ford Garland, TX 92,890 Watsonville Fleet Group Watsonville, CA 111,455 CERTIFICATE OF INTERESTED PARTIES FORm 2295 loll 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 i Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number. of business. 2021-715777 GRAPEVINE DCJ, LLC GRAPEVINE, TX United States Date FIIed: 2 Name of govemmentetl entity or state agency Mat Is a party to the contract for wh ch the Wirm is 02/10/2021 being filed. CITY OF LUBBOCK 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. ITB 21-15738-RR NEW VEHICLE PURCHASE 4 Name of Interested Party City, State, Country (piece of business) Nature of Interest (check applicable) Controlling intermediary BUEHLMAN, BRANDON GRAPEVINE, TX United States X 5 Check only if there is NO Interested Party. 6 UNSWORN DECLARATION Ally name Is �—4�n.r� �� e o-� , and my date of birth is My address Is TL O \ W ax� � (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing Is true and correct. Executed in County, State of t U&, S'_ , on the _]!g.__day of 20_JA—. yrtanth) (yQsir) Signature of Ihorfz d agent of contracdng business enIty (Dedarant) (-vans proviaea Dy texas Etnics commission www.ethics.state.tx.us Version V1.l.ceffd98a CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 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 Certificate Number: 2021-715777 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. GRAPEVINE DCJ, LLC GRAPEVINE, TX United States Date Filed: 02/10/2021 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. CITY OF LUBBOCK Date Acknowledged: 02/11/2021 g 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. ITB 21-15738-RR NEW VEHICLE PURCHASE 4 Name of Interested Parry City, State, Country (place of business) Nature of interest (check applicable) Controlling intermediary BUEHLMAN, BRANDON GRAPEVINE, TX United States X 5 Check only if there is NO Interested Parry. ❑ 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) r-