Loading...
HomeMy WebLinkAboutResolution - 2021-R0269 - PO 10024209 with Joe Goddard Enterprises Inc.Resolution No. 2021-RO269 Item No. 6.25 July 27, 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 and on behalf of the City of Lubbock, Purchase Order No. 10024209 in the amount of 53,119.00 for the purchase of Outdoor Warning System Siren Poles per Contract 15988, and between the City of Lubbock and Joe Goddard Enterprises, Inc., of Edmond, OK, 1 related documents. Said Purchase Order is attached hereto and incorporated in this elution as if fully set forth herein and shall be included in the minutes of the City Council. by the City Council on TTEST: Garza, City AS TO CONTENT: , Emergency OVED AS TO July 27, 2021 DANIEL M. POPE, MAYOR S:\cityatt\CCI?OCS\RES.-PurchaseOrd 10024209 - Outdoor Warning System Siren Poles.2021.doc City of Lubbock PURCHASE ORDER TEXAS TO: JOE GODDARD ENTERPRISES LLC 11950 THOUSAND OAKS DR EDMOND OK 73034-9706 Page - Date - 7/7/2021 Order Number 10024209 000 OP Branch/Plant SHIP TO: CITY OF LUBBOCK CENTRAL FIRE STATION 1515 E URSULINE ST LUBBOCK TX 79403 INVOICE TO: CITY OF LUBBOCK ACCOUNTSPAYABLE P.O. BOX 2000 LUBBOCK, TX 79457 BY: 4f Marta Alvarez, Dn-ectorNI Purchasing & Contract Management Ordered 7/7/2021 Freight Requested 8/9/2021 Taken By Delivery J LONVICK REQ 57572 PUR #15988 Description/Supplier Item _ Outdoor Warning System Siren Poles ITB 21-15988-CM Terms NET 30 Ordered Unit Cost Um 45.000 4,958.2000 EA J MONTES Extension Request Date 223,119.00 8/9/2021 Total Order 223,119.00 2261 INSURANCE REQUIRED: Commercial General Liability, per occurrence- $1,000,000 General Aggregate. To include products of complete operations endorsement Automotive Liability- Combined Single limit for Any Auto - $1,000,000 Excess Liability/Umbrella Form -Worker's Compensation Amounts- $500,000 or Employer's Liability - $1,000,000. Copies of endorsements are required. City of Lubbock is named as an additional insured on a primary and non-contributory basis with a waiver of subrogation in favor of the City of Lubbock on liability coverages. To include products of completed operations endorsements. Waiver of subrogation provided on the workers' compensation. This purchase order encumbers funds in the amount of $223,119.00 awarded to Joe Goddard Enterprises, LLC of Edmond, OK, on July 27, 2021. The following is incorporated into and made part of this purchase order by reference: contract PUR 2021-15988 from Joe Goddard Enterprises, LLC of Edmond, OK. Resolution# 2021-RO269 CITY OF LUBBOCK ATTEST: Daniel M. Pope, Mayor __R h &P .4,0 - Rebe4 Garza, City Secr ary Rev.1/2020 Seller and Buyer agree as follows: ACCEPTANCE OF THIS PURCHASE ORDER PURCHASE ORDER TERMS AND CONDITIONS STANDARD TERMS AND CONDITIONS herein and any additional associated documents and Amendments. The City disclaim any terms aid conditions provid� the Contractor unless agreed upon in writing by the MiesIn the event of conflict between the City's terms and conditions and any terms and conditions provided by die Contractor, the terms and conditions provided herein shall prevail. The terns and conditions provided herein are the final terns agreed upon by t_gh parties, and any prior conflicting terns shall be of no force or effect. 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 ifapplicable, (c) Container number and total number of containers, e.g. box I 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 ofdelivery. 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 Seller 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 I 1 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. O. 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 Seller 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 recoveror withhold the amount of the cost incurred by Seller inprovidingsuch gratuities. 7. SPECIAL TOOLS & TEST EQUIPMENT. If the price stated on the face hereof includes the cost of any special tooling or special test equipment fabricated or required by Seller 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. 8. WARRANTY -PRICE. a The price to be paid by the Buyer shall be that contained in Seller's bid which Seller 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 alternative. 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 sample(s) furnished by the Seller, if any. In the event of a conflict or between the specifications, drawings, and descriptions, the specifications shall govern Notwithstanding any provisions contained in the contractual agreement, 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 warramies 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 nay 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 par 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 ofthis 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 rionappropriation 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. Buyer 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 terms 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 effective. 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 terns 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 thew agreement and intended also as a complete and exclusive statement of the terns of them agreement. Whenever a term defined by the Uniform Commercial Code is used in this agreement, the definition contained in the Code is to control. 10. 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 parry'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 not 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 attorneys 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 is own expenses, satisfy and discharge the same Seller expressly understands and agrees that any bond required by this contract, or otherwise provided by Seller, 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 isunrestricled right to seek judicial remedy. The remedies set Forth herein am 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 tern 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 Contractors 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. 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. 28. Contracts with Companies Engaged in Business with Iran, Sudan, or Foreign Terrorist Organization Prohibited. Pursuant to Section 2252.152 of the Texas Government Code, prohibits the City from entering into a contract with a vendor that is identified by The Comptroller as a company known to have contracts with or provide supplies or service with Iran, Sudan or a foreign terrorist organization 29. Texas Government Code. Section 2252.908 requires a business entity entering into certain contracts with a governmental entity orstate 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. Instroctions for completing Form 1295 are available at: hwS :, l•.tifttpback.tx.us:deoanmenial- websiea'deeanmeMs�nµrcln3s; nc r•c ndor-infmnmaiid n 30. No Boycott of IsraeL Pursuant to Section 2271.002 of the Texas Government Code, Respondent certifies that either (i) it meets an exemption criteria under Section 2271.002; or (ii) it does not boycott Israel and will not boycott Israel during the term of the contract resulting from this solicitation. Respondent shall state any facts that make it exempt from the boycott certification in its Response. 31. Contracts with Companies Engaged in Business with Iran, Sudan, or Foreign Terrorist Organization Prohibited. Pursuant to Section 2252.152 of the Texas Government Code, prohibits the City from entering into a contract with a vendor that is identified by The Comptroller as a company known to have contracts with or provide supplies or service with Iran, Sudan or a foreign terrorist organization 32. 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. 33. Pursuant to Section 552.301(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 emailed request: amTq m) lu6bock. us. Please send this request to this email address Por it to be processed. REV. 1 2020 # Description #0-1 Steel Poles per specifications Joe Goddard Enterprises, LLC Edmond, OK Total Cost $223,119.00 Total Cost UOM QTY Unit Price Cost EA 45 $4,958.20 $ 223,119.00 DETAIL 1 DETAIN a DETAIL I DETAIL T GROUND LINE - r E DEPTH cPONI 0'-B' LETA1L 3 NO E THIS DETAIL IS FOR REPRESENTATION PUPPOSES OWr. ITS SOLE E IS TO GIVE A GENERAL OVERVIEW O: NOW THE FINAL PRINS. WILL APPEAR AT ET WNUFACIURIw. DETAIL IS NOT TO SLUE OESTGx AiAAIS `RI iEPIA: AASHTO 2013 • IGUE CATEGOir I .IND VELOCITY ..0 WOH RECWRENCE IN' AL: 50 SMO ICE. ES TOTAL POLE TCR EPA: 15 SA W/FT TOTAL POLE TOP KIWI 2769 LBS 1.• B' _ - - DETAIL I SEE NUTE 3 pETAIL I VIE. REAR V.E. 0 55' OIA HOLES IA REDID) 11 0a. BOLT -r— CIRCLE 1 12' S0 I L � PoLE TOR DIA 0 O6• 0 50a' THICK -�'1 1 00' I 2 S0- xALf — COORLINO ROLE IOBF WALL NM�ED iNOMu6' SID-BILK PIK 0 26- xAwMM1LE COVER YCllb •-• 5 19• I Y COVER AITACNENN LM- BiA K 1' .S. 0 SO' wI N0.0ER WI1M STEYERS FOM OBAND]w U 25' — HEAD PPoVIOEO ON BASE SCREW -RATED HANpIIE ON1r DETAIL 5 POLE COUPLING MEi Wl WITH N I EMEHAFT WALERED OVER ♦ Z I IN THE SHIFT KBAS HOLE SIZE IS EODU O THE BASIC AN" OIA OF THE BOLT • 0 06' DETAIL 1 POLE TOP PLATE DETAIL B HE% NU7 DETAIL 7 HaNDHOLE 'HOOK FOM KIPIw AND JNOLI, SO- DIA COWER- CIAL GPAOE NOT ROLLEO BAR J-MDOKPo S PVIDED IBO' ilMpu ILL HANEMELES COUPLING 6 NUT LOCATION �au' HOE SHIfI TYP DIA •1 00- SO• I-TA- DETAIL 6 BUTT PLATE FOR CpRlw AND NEX NOT ORIENTATION REASE SEE THE COUP, No G NOT LDCATION CHART S' ALL ANTES MEASOEO Eaa LLTRMgE�WNONOLES HOLLCL HAND- EISSVIEK0 FROM SMALL END OF POE RADIAL INDEX ALa RARE. V..., WS SEVERE ENOUGH 70 AUSE OuuGE CAN MCASIONALLr OCCW IN STWCIWES a ALL TYPES BECAUSE INAV APR INELLENCEO BY NAVY INTE.ACIIw VARIABLES. M:BPAIIONNS AR GENERALLY WPREDICTABLE THE USER S INTENANCE PRDGNAM SHOULD INCLUDE OBSEPVATION FOR EXCESSIVE VIBRATION AND EXA INAl1ON FOR AM SIRMTwAL DAMAGE OR BOLT LOOSENING 1. VALNONT WUP•NIV SPECIFICALLY EXCLUDES FA71NEE FAILLI E OR SIMILAR PHENOMENA RESMI Iw FROM INIWEO VISRA ION, RMONIC OSCILLATION OR °ESONIKE ASSOCIATED WITH MOVEMENT OF AIR CWRENIS APOOA PE PRODUCT. COUPLIw CAR 1EX FAIT SIZE FPOM LARY Ew ORIENIAl10H 2 50' COIRiw S'-11' 0• o 75' HEX wr Is•-o• 2200 0.15- MEX NUT 1• COUPLING16'-0' IS'-0' 90• IBO• 1' COUPLING16'-.' IBO• DETAIL 2 1 J HOOK COVER •TTAcwExr POLE fOBE xALI w G N GA 1' S BAR 0.25'X3' PAN MEAD W[HHE RI A 5 _ K HAxpxpLE I I CO ER -3- L1'IIj��--0 50' MIN �I F-1.•A• DETAIL 3 HANDHOLE I�O-�• 1' HALF WAS COLRtw 1• COPLIw .-so Teo• o I5• NE. wr "I, 16•-um• no• p, )S' IEX WI 16'-11 .5' 90• I' COUPLING 23'-0' 2I0• 1' C-1- 23'-0' "" 10 COIPLlw 23'-0' 9a• 1' COPLiw 234-D' 0• 1' COIIPLIw 260-0' 2)0• 1• LOURING 2B4-0• 90• 0 ]B' NEX wT 0-35' NEX WT 0 3B' NEX NUT 0 3B- HEX wi 2B'-6- xe'-6• 29•-0• 29'-0' Is.- a• 180' 0• 0 3B' NEa Wi M•-6• IBO• 0 3B- NEX Wi 29'-6- 0• MATERIAL DATA COPONENT ASTM DESIGNATION YIELD IKS[1 PALE HNFI GII • A59S 53 DETAIL 4 POLE COUPLING OP PLATE BUTT RATE A512 .3B w 3G VIBRATION DISCLAIMER Hm 1. PLEASE VERIFY ALL HEIGHTS AND ORIENTATIONS PRIOR TO RELEASE FOR PRODUCTION. 2. PROVIDE FINISH SPEC. PAINT CHIP OR RAL B PRIOR TO RELEASE FOR PRODUCTION. 3. THE EMBEOOEO PORTION (HATCHED AREA) TO HAVE A TAP-E%TENDEO POLYURETHANE COAT IVALNONT SPEC F-668) PLUS 1'-0• (OUTSIDE OF SHAFT ONLY) . POLE DATA MUNOMAIE-COATIw NDT DIP 2Iw -- ITEM Orr POLE ILBE FINISH DATA BAY DI♦ 1. TOP DIA (IM LENSTH WTI GAME BAT THY IINI SEE NOTE 2 I 1 13 00 6.0o s0 00 I WHIP TR 'RA 50 SIREN POLE POLE VUHE R GHT 70 IES. LL REYRVES HE RIGHT IO INSTALL VARIOUSvabnmtV Ex6INEER APPROVED. WAIERIAL HA EIHO ACCOMMODATIONS 10 FACILITATE THE MAWRFACItRiwPROCESs vAllev.NE 6806A I402) 359-"a •I3BI•-PI A 1 aF 1 °Moue MAMA Aar TX473874P1 — A. 02/IA/20 ATI O2/II/2o AHA50 - — — — — — — — — — — — — — - .Aa.O BOOOARD ENTERPRISES TINAa EMBEDDED SIGNAL 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 Certificate Number: 2020-695308 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Joe Goddard Enterprises LLC Edmond, OK United States Date Filed: 12/03/2020 2 Name of governmental entity or state agency that is a party to the contract for which the form is being fled. City of Lubbock, TX 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. RFP #21-15633 City of Lubbock, TX Outdoor Warning System 4 Name of Interested Party City, State, Country (place of business Nature of interest (check applicable) Controlling Intermediary Joe Goddard Enterprises LLC Edmond, OK United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION //�}� My name is �1��� and my date of birth is " My address is L)� S t L 0tJ1 (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. �9 '} Executed in County, State of "" on the day of 20 L� Y (rno�n h)h) (year) Signature of authorized agent of contracting business entity (Declarant) t-urrns provioea Dy i exas ttnics t-ommission www.etnics.state.tx.us Version V1.1.cd34673b CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 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: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2020-695308 Joe Goddard Enterprises LLC Edmond, OK United States Date Filed: 12/03/2020 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, TX Date Acknowledged: 08/19/2021 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. RFP #21-15633 City of Lubbock, TX Outdoor Warning System 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Joe Goddard Enterprises LLC Edmond, OK United States X 5 Check only if there is NO Interested Party. ❑ 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 www.ethics.state.tx.us Version V1.1.cd34673b