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HomeMy WebLinkAboutResolution - 2021-R0296 - Contract 16071 with Utility Contractors of America, Inc. 8.24.21Resolution No. 2021-R0296 Item No. 7.11 August 24, 2021 RESOLUTION BE 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, Service Contract No. 16071 for pipeline construction services as per RFP 21-15916-TF, by and between the City of Lubbock and Utility Contractors of America, Inc., of Lubbock, Texas, and related documents. Said Contract 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 August 24, 2021 "(V --- DANIEL M. POPE, MAYOR A ST: Rebecca Garza, City Secretary APPROVED AS TO CONTENT: r- A e ' c chern, Assistant City Manager APPROVED AS TO FORM: elli Leisu e, Assistant City Attorney ccdocs/RES.ServiceContract 16071-UCA pipeline 08.12.21 Resolution No. 2021-R0296 City of Lubbock, TX Pipeline Construction Services Agreement Contract 16071 This Service Agreement (this "Agreement') is entered into as of the24th day of August 2021 ("Effective Date") by and between Utility Contractors of America, Inc., (the Contractor), and the City of Lubbock (the "City"). RECITALS WHEREAS, the City has issued a Request for Proposals 21-15916-TF, Pipeline Construction Services; and WHEREAS, the proposal submitted by the Contractor has been selected as the proposal which best meets the needs of the City for this service; and WHEREAS, Contractor desires to perform as an independent contractor to provide Pipeline Construction Services, upon terms and conditions maintained in this Agreement; and NOW THEREFORE, for and in consideration of the mutual promises contained herein, the City and Contractor agree as follows: City and Contractor acknowledge the Agreement consists of the following exhibits which are attached hereto and incorporated herein by reference, listed in their order of priority in the event of inconsistent or contradictory provisions: 1. This Agreement 2. Exhibit A -- General Requirements 3. Exhibit B — Best and Final Offer 4. Exhibit C -- Insurance Requirements Scope of Work Contractor shall provide the services that are specified in Exhibit A. The Contractor shall execute services as the named secondary provider. The Contractor shall comply with all the applicable requirements set forth in Exhibit B and Exhibit C attached hereto. Article 1 1.1 The contract shall be for a term of one year, with the option of four, one-year extensions, said date of term beginning upon formal approval. All stated annual quantities are approximations of usage during the time period to be covered by pricing established by this bid. Actual usage may be more or less. Order quantities will be determined by actual need. The City of Lubbock does not guarantee any specific amount of compensation, volume, minimum, or maximum amount of services under this bid and resulting contract. The Contractor must maintain the insurance coverage required during the term of this contract including any extensions. It is the responsibility of the Contractor to ensure that valid insurance is on file with the Purchasing and Contract Management Department as required by contract or contract may be terminated for non-compliance. 1.2 Prices quoted shall be set for a period for one (1) year, said date of term beginning upon City Council date of formal approval. The rate may be adjusted upward or downward at this time at a percentage not to exceed the effective change in Consumer Price Index (CPI) or Product Price Index (PPI), whichever is most appropriate for the specific contract for the previous 12-months at the City's discretion, the effective change rate shall be based on either the local or national index average rage for all items. If agreement cannot be reached, the contract is terminated at the end of the current contract period. 1.3 The Contractor shall not assign any interest in this Agreement and shall not transfer any interest in the Agreement, whatsoever, without prior consent of the City. 1.4 All funds for payment by the City under this Agreement are subject to the availability of an annual appropriation for this purpose by the City. In the event of non -appropriation of funds by the City Council of the City of Lubbock for the goods or services provided under the Agreement, the City will terminate the Agreement, 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 Agreement is spent, whichever event occurs first. If at any time funds are not appropriated for the continuance of this Agreement, cancellation shall be accepted by the contractor on 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 Agreement beyond the date of termination. 1.5 This contract shall remain in effect until the first of the following occurs: (1) the expiration date, (2) performance of services ordered, or (3) termination of by either party with a 30 day written notice. The City of Lubbock reserves the right to award the canceled contract to the next lowest and best bidder as it deems to be in the best interest of the city. Article 2 Miscellaneous. 2.1 This Agreement is made in the State of Texas and shall for all purposes be construed in accordance with the laws of said State, without reference to choice of law provisions. 2.2 This Agreement is performable in, and venue of any action related or pertaining to this Agreement shall lie in, Lubbock, Texas. 2.3 This Agreement and its Exhibits contains the entire agreement between the City and Contractor and supersedes any and all previous agreements, written or oral, between the parties relating to the subject matter hereof. No amendment or modification of the terms of this Agreement shall be binding upon the parties unless reduced to writing and signed by both parties. 2.4 This Agreement may be executed in counterparts, each of which shall be deemed an original. 2.5 In the event any provision of this Agreement is held illegal or invalid, the remaining provisions of this Agreement shall not be affected thereby. 2.6 The waiver of a breach of any provision of this Agreement by any parties or the failure of any parties otherwise to insist upon strict performance of any provision hereof shall not constitute a waiver of any subsequent breach or of any subsequent failure to perform. 2.7 This Agreement shall be binding upon and inure to the benefit of the parties and their respective heirs, representatives and successors and may be assigned by Contractor or the City to any successor only on the written approval of the other party. 2.8 All claims, disputes, and other matters in question between the Parties arising out of or relating to this Agreement or the breach thereof, shall be formally discussed and negotiated between the Parties for resolution. In the event that the Parties are unable to resolve the claims, disputes, or other matters in question within 30 days of written notification from the aggrieved Party to the other Party, the aggrieved Party shall be free to pursue all remedies available at law or in equity. 2.9 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 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. 2.10 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 do. 2.11 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 of insurance from the Subcontractor that complies with all contract Insurance requirements document, this provision shall control. 2.12 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. 2.13 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. 2.14 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. 2.15 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. To the extent Subchapter J, Chapter 552, Government Code applies to this agreement, Contractor agrees to: (1) preserve all contracting information related to the contract as provided by the records retention requirements applicable to the governmental body for the duration of the contract; (2) promptly provide to the governmental body any contracting information related to the contract that is in the custody or possession of the entity on request of the governmental body; and (3) on completion of the contract, either: (A) provide at no cost to the governmental body all contracting information related to the contract that is in the custody or possession of the entity; or (B) preserve the contracting information related to the contract as provided by the records retention requirements applicable to the governmental body. 2.16 No Boycott of Israel. Pursuant to Section 2271.002 of the Texas Government Code, a) This section applies only to a contract that: (1) is between a governmental entity and a company with 10 or more full-time employees; and (2) has a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity. (b) A governmental entity may not enter into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. 2.17 Confidentiality. The Contractor shall retain all information received from or concerning the City and the City's business in strictest confidence and shall not reveal such information to third parties without prior written consent of the City, unless otherwise required by law. 2.18 Indemnify. The Contractor shall indemnify and save harmless the city of Lubbock and its elected officials, officers, agents, and employees from all suits, actions, losses, damages, claims, or liability of any kind, character, type, or description, including without limiting the generality of the foregoing, all expenses of litigation, court costs, and attorney's fees, for injury or death to any person, or injury to any property, received or sustained by any person or persons or property, to the extent arising out of, related to or occasioned by, the negligent acts of the Contractor, its agents, employees, and/or subcontractors, related to the performance, operations or omissions under this agreement and/or the use or occupation of city owned property. The indemnity obligation provided herein shall survive the expiration or termination of this agreement. INTENTIONALLY LEFT BLANK----- IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed the day and year first above written. Executed in triplicate. CITY OF LU OCK Daniel M. Pope, Mayor A ST: Rebecca Garza, City Secretary APPROVED AS TO CONTENT: Mike Keenum, P.E. CFM, Division Director of Engineering/City Engineer APPROVED AS TO FORM Y& � 00F. Kel i Leisure, Assistant City Attorney CONTRACTOR C BY: A orized Repres ntati Lin"- `e kv-/` Print Name 6ii,o5- 6C 7740 Address ' / t11,��, iW -Tw'1 t City, State, Zip Code EXHIBIT A City of Lubbock, TX RFP 21-15916-TF Pipeline Construction Annual Services GENERAL REQUIREMENTS INTENT The City of Lubbock Public Works & Engineering Department is seeking a contract(s) for installation of various water and sanitary sewer components. Major contract items are: installation of water lines and valves, installation of fire hydrants, installation of sanitary sewer lines and manholes, boring and casing installation, and rental of various pieces of construction equipment with operators. Construction materials are to be provided by the City of Lubbock and installed by the successful offeror. 1. SCOPE OF WORK 1.1 WORK INCLUDED A. Contractor to provide water and sanitary sewer utility installation services as specified, including: 1. Sanitary sewer service connections. 2. Water service connections. 3. Potable water main construction. 4. Sanitary sewer main construction. 5. Boring services. 6. Hydro excavation services. 7. Equipment and operator rental services. 8. Testing services and equipment for water and sanitary sewer construction. 9. Compaction or 1 % sack controlled low strength material (flowable fill) 10. Contractor is responsible for all traffic control devices. Traffic control shall meet or exceed the TMUTCD for all work on City of Lubbock streets and roads. All TXDOT streets or roads must also meet or exceed standards unique to TxDOT permit requirements. 11. SCBA equipment for confined space entry 12. Contractor is responsible for providing a testing lab for density tests. The testing will be subsidiary to the items of this contract. B. Materials will be provided by the City of Lubbock to the Contractor's designated receiving area. 1. Water tap material. 2. Potable water main pipe, valves, fittings, fire hydrants and accessories. 3. Sanitary sewer main pipe, manholes and manhole covers and accessories. 4. Steel casing, casing spacers and end seals, if used. 5. Gravel embedment. 6. Testing supervision for water and sewer construction projects 7. Water will be provided (if readily available) C. Material Ownership 1. All materials will be delivered to the Contractor's designated receiving area by City of Lubbock forces. Once the Contractor takes possession of the materials provided by the City of Lubbock, the materials then become the responsibility of the Contractor. Any materials requiring replacement due to damage, theft, or any reason will be the responsibility of the Contractor to replace. If additional materials are needed the contractor must request these items from the City of Lubbock. All additional materials will be delivered to the Contractor's designated area by City of Lubbock forces. D. Unit Prices 1. Work will be paid for on the basis of the unit prices submitted in the documents. 2. Unit bid prices are to include all equipment, labor and ancillary components necessary for a complete and functional installation. 3. Invoicing to the City of Lubbock must be itemized, based on the unit price list. 1.2 QUALITY ASSURANCE A. Regulatory Requirements. All work will conform to the most recent version of the City of Lubbock Engineering Minimum Design Standards and Specifications. 2. Contractor is required to provide proper notification to the State of Texas One Call network and comply with State regulatory notification requirements in addition to the City of Lubbock While Line Ordinance. 3. All work shall conform to the most recent version of applicable standards of the Occupational Health and Safety Administration (OSHA). 4. Contractor performing work shall be Confined Space Certified as regulated by the Occupational Health and Safety Administration (OSHA). 5. Traffic control measures shall conform to the most recent version of the Texas Manual on Uniform Traffic Control Devices. 6. All work shall conform to the most recent version of applicable requirements of the Texas Commission of Environmental Quality (TCEQ). 7. All work shall be in compliance with other local, state and federal regulations as appropriate. 8. All work within public rights of ways will require a completed permit with the City of Lubbock call 806-775-2352. 9. All work within TxDOT (Texas Department of Transportation) rights of ways will have a completed permit before any work can begin. The contractor must keep this permit at the job site while construction is ongoing. In addition the contractor must notify TxDOT 48 hours in advance of construction activities call 806-745-4411. 1.3 SEQUENCING AND SCHEDULING A. Installation Time 1. Water and sanitary sewer main construction will begin within a minimum of 14 calendar days of issuance of a job order and shall be completed within 28 days. Liquidated damages will be assessed at $500 a day per job. Contractor can request written approval to extend construction time. 2. Normal installation will require 48 hours waiting period before work may begin to comply with the State notification requirements. 1.4 WARRANTY A. Contractor shall meet current City of Lubbock warranty standards as specified in the City of Lubbock Minimum Design Standards and Specifications. B. The Contractor will be notified of deficiencies which occurred within the warranty period. Contractor is responsible for performing any repairs necessary for work found defective at no added cost to the City of Lubbock, even for repairs are accomplished outside of the warranty period. C. Warranty start date will be 60 days from the issuance of Job Order unless changed by written approval. 1.5 EXPERIENCE A. Contractor will have a minimum of five (5) years experience in Municipal water and sanitary sewer construction of a similar nature to the scope of work herein specified and must list five (5) major projects constructed within the past five (5) years that illustrate Contractor's experience with projects similar to the project herein specified. B. Contractor will have experience working in alleys or other congested environments and good public interaction as determined by reference checks. C. In order to comply with state regulations the contractor must have at a minimum 1 staff member licensed by the TCEQ (Texas Commission of Environmental Quality) with a class A, B, C or D water operators license on site during any construction activities. If the license holder is a class D on site, an employee of the contractor company with a class C or greater license must be within 5 miles of City of Lubbock and available at all times during installation activities. PART 2 SERVICES 2.1 Potable Water Main Construction A. Contractor will excavate and install water mains, fittings, valves and accessories as required for a complete installation. B. Contractor will comply with the most recent version of the City Of Lubbock Engineering Minimum Design Standards and Specifications. Typical burial depth is 5 feet to the top of pipe or encasement. C. Backfill in accordance with the most recent City of Lubbock Engineering Minimum Design Standards and Specifications. Density testing of compacted areas must be performed at least once per installation and for every 50'of pipe length and every 2 feet of lift. D. Contractor has the option use 1 %2 sack controlled low strength material (flowable fill) with pea gravel in areas paved or proposed to be paved. All flowable fill shall be T- Capped in accordance with the City of Lubbock Ordinance and most recent City of Lubbock Engineering Minimum Design Standards and Specifications. Use of optional flowable fill for mains construction is at the contractors cost. The contractor is responsible for haul off of excess material when flowable fill is used. E. Use of flowable fill as a contractor's means and methods will not result in additional charges to the City. All use of flowable fill for utility backfill shall comply with the most recent release of the City of Lubbock Minimum Design Standards and Specifications. Use of item for additional flowable fill by cubic yard must have billed quantities approved by the City inspector prior to payment. F. Pavement repair shall meet the most recent City of Lubbock Engineering Minimum Design Standards and Specifications. G. Contractor is responsible for all costs associated mobilization, demobilization, removal and disposal of excess excavation material and construction debris, and pavement cuts, and all other work necessary for a complete and functional installation no additional compensation other than the associated pay items above will be given. H. The contractor may request to refuse work. Refusal of work will be granted on a case by case bases and must be approved in writing by City of Lubbock Division Director of Public Works. I. The Contractor must demonstrate the necessity for special provisions due to rock excavation. Upon City approval, allowance shall be made for the application of 50,OOO1b excavator unit pricing. 2.2 Sanitary Sewer Main Construction A. Contractor will excavate and install sanitary sewer mains, manholes and accessories as required for a complete installation. B. Contractor will comply with the most recent version of the City Of Lubbock Engineering Minimum Design Standards and Specifications. Bury depth will vary, but minimum cover shall be 4 feet. C. Backfill in accordance with the most recent City of Lubbock Engineering Minimum Design Standards and Specifications. Density testing of compacted areas must be performed at least once per installation and for every 50'of pipe length and every 2 feet of lift. D. Contractor has the option use 1 %2 sack controlled low strength material (flowable fill) with pea gravel in areas paved or proposed to be paved. All flowable fill shall be T- Capped in accordance with the City of Lubbock Ordinance and most recent City of Lubbock Engineering Minimum Design Standards and Specifications. Use of optional flowable fill for mains construction is at the contractors cost. The contractor is responsible for haul off of excess material when flowable fill is used. E. Use of flowable fill as a contractor's means and methods will not result in additional charges to the City. All use of flowable fill for utility backfill shall comply with the most recent release of the City of Lubbock Minimum Design Standards and Specifications. Use of item for additional flowable fill by cubic yard must have billed quantities approved by the City inspector prior to payment. F. Pavement repair shall meet the most recent City of Lubbock Engineering Minimum Design Standards and Specifications. G. Contractor is responsible for all costs associated mobilization, demobilization, removal and disposal of excess excavation material and construction debris, and pavement cuts, and all other work necessary for a complete and functional installation no additional compensation other than the associated pay items above will be given. H. The contractor may request to refuse work. Refusal of work will be granted on a case by case bases and must be approved in writing by City of Lubbock Division Director of Public Works. I. The Contractor must demonstrate the necessity for special provisions due to rock excavation. Upon City approval, allowance shall be made for the application of 50,OOO1b excavator unit pricing. 2.3 Boring Services A. Contractor will provide all equipment and labor necessary to bore, install steel casing, install pipe in casing, and install pipe spacers as needed. B. Casing may be in joints 40 feet in length or shorter. Contractor shall provide labor, materials and equipment necessary to weld casing segments together. C. Contractor shall be responsible for all costs associated with mobilization, demobilization, removal, disposal of excess excavation material and construction debris, pavement cuts and repairs, and all other work necessary for a complete and functional installation. D. Contractor shall comply with the most recent version of the City of Lubbock Engineering Minimum Design Standards and Specifications. Any changes that are made while unit price contract is in effect shall be addressed on a case -by -case basis. E. Backfill in accordance with the most recent City of Lubbock Engineering Minimum Design Standards and Specifications. Density testing of compacted areas must be performed at least once per installation and for every 50'of pipe length and every 2 feet of lift. F. Contractor shall use 1 'h sack controlled low strength material (flowable fill) with pea gravel in all paved areas or areas proposed to be paved. The contractor is responsible for haul off of excess material is used. Pavement repair shall meet the City of Lubbock Engineering Minimum Design Standards and Specifications. G. Use of flowable fill as a contractor's means and methods will not result in additional charges to the City. All use of flowable fill for utility backfill shall comply with the most recent release of the City's Design Standards. Use of item for additional flowable fill by cubic yard must have billed quantities approved by the City inspector prior to payment. H. Payment for boring service will be based on length of casing installed or beginning and ending stations as staked by the Owner when not encased. I. Boring operations do not supplement work of City crews. No refusal of work will be allowed with requests to bore. 2.4 HYDRO EXCAVATION A. Contractor shall have a maximum of 5 days to respond to each work request. Delays in response will affect performance reports and yearly contract renewal. Weather and other factors causing delays will be evaluated on a case -by -case basis. B. Hydro excavator shall be Super Products Mud Dog 1200, or equal, and proven capable of at least: a. 2500 psi water pressure b. 1000 gallons on -board water supply c. 25" Hg vacuum pressure and 5000 cfm air capacity d. 12 cubic yards on -board spoils volume C. Contractor shall provide all equipment and labor necessary to complete the work assigned including necessary tools, equipment. D. Contractor shall provide their own supply of water, unless the City makes water available and prior arrangements have been approved. The City will not guarantee water supply for excavation prior to, during, or after the job. E. The City shall white line proposed area to be potholed, but Contractor shall be responsible for requesting locates as well as verifying and protecting underground utilities. F. Contractor may only dispose of spoils on site with permission City project manager or inspector. G. Unit prices for labor & equipment associated with hydro excavation will be paid for on an hourly basis for work accomplished on site only. All other charges will be paid, once per job, to the mobilization line item. 2.5 Electronic Communication A. Contractor shall be capable of communicating with the City of Lubbock through email and have access to the Internet. PART 3 EXECUTION 3.1 Examination A. Contractor is responsible for inspecting each construction site to determine the conditions are suitable for the planned activity. B. Unsuitable conditions shall be brought to the attention of the Owner prior to the commencement of any work. 3.2 Preparation A. Contractor is responsible for verifying and protecting surrounding utilities and areas. B. Contractor is responsible for compliance with the Texas Excavation Safety System and the most current City of Lubbock Ordinance associated with white line notification. C. Any repair to damaged areas or utilities shall be at the Contractor's expense. D. Contractor is responsible for proper notification of other utilities before commencing work. E. Contractor is responsible for providing all traffic control setup, devices, barricades, preparation and submission of a traffic control plan to the governing agency as necessary at the expense of the contractor. F. All work shall include installation and maintenance of all BMP's (Best Management Practices) as necessary to comply with the City of Lubbock storm water ordinance and TCEQ (Texas Commission of Environmental Quality) construction general permits. This work is subsidiary to the various items of the contract. 3.3 Installation A. Contractor shall install components in accordance with the latest requirements of the City of Lubbock Engineering Design Standards and Specifications. B. Contractor shall disinfect water mains and components in accordance with the latest version of the City Of Lubbock Engineering Design Standards and Specifications, and the requirements of the Texas Council on Environmental Quality. Contractor is responsible for providing the disinfectant chemicals at no additional expense to the City of Lubbock. C. Backfill in accordance with the most recent City of Lubbock Engineering Minimum Design Standards and Specifications. Density testing of compacted areas must be performed at least once per installation and for every 50'of pipe length and every 2 feet of lift. D. Contractor shall use 1 '/z sack controlled low strength material (flowable fill) with pea gravel in all paved areas or areas proposed to be paved. The contractor is responsible for haul off of excess material is used. E. Use of flowable fill as a contractor's means and methods will not result in additional charges to the City. All use of flowable fill for utility backfill shall comply with the most recent release of the City's Design Standards. Use of item for additional flowable fill by cubic yard must have billed quantities approved by the City inspector prior to payment. 3.4 Field Quality Control A. Test installed components in accordance with the latest version of the City Of Lubbock Engineering Minimum Design Standards and Specifications, and the Texas Council on Environmental Quality. B. City of Lubbock personnel will inspect all aspects of construction for safety and compliance at the Engineers own discretion. C. Water main construction must be disinfected and pressure tested in accordance with the most recent version of the City Of Lubbock Engineering Minimum Design Standards and Specifications. D. Sanitary sewer mains must be mandrel tested in accordance with the most recent version of the City Of Lubbock Engineering Minimum Design Standards and Specifications. E. Sanitary sewer manholes must be vacuum tested in accordance with the most recent version of the City Of Lubbock Engineering Minimum Design Standards and Specifications. F. Sanitary sewer line mains must be pressure tested in accordance with the most recent version of the City Of Lubbock Engineering Minimum Design Standards and Specifications. G. Density testing will be performed for every 2 feet of lift and 50'of pipe length. At a minimum at least one test will be performed per installation. All density testing is at the contractor's expense. 2. EVALUATION CRITERIA 2.1. Each proposal will be evaluated for full compliance with the RFP instructions to the offeror and the mandatory terms and conditions set forth within the RFP document. The objective of the evaluation will be to recommend the contractor who are most responsive to the herein described needs of the City. The following criteria will be used to evaluate and rank submittals: 2.1.1. 50 pts. — Price 2.1.2. 25 pts. = Qualifications and Experience 2.1.3. 20 pts. = Equipment 2.1.4. 05 pts. = Safety Record Questionnaire 3. CONTRACT TERM The contract shall be for a term of one year, with the option of four, one year extensions, said date of term beginning upon formal approval. All stated annual quantities are approximations of usage during the time period to be covered by pricing established by this solicitation. Actual usage may be more or less. Order quantities will be determined by actual need. The City of Lubbock does not guarantee any specific amount of compensation, volume, minimum, or maximum amount of services under this solicitation and resulting contract City of Lubbock, TX EXHIBIT B RFP 21-15916-TF Pipeline Construction Services Utility Contractors of America, Inc. Best and Final Offer Q. :.lFr Group A: Main Construction, Bore & Install, Miscellaneous Equipment and Asphalt and Concrete - Potable Water Main Construction (as specified herein) #1-1 4" Class 150 Water Pipe. As specified herein 1000 FT $ 35.00 $ 35,000.00 #1-2 6" Class 150 Water Pipe. As specified herein 5000 FT $ 36.00 $ 180,000.00 #1-3 8" Class 150 Water Pipe. As specified herein 5000 FT $ 37.00 $ 185,000.00 #1-4 10" Class 150 Water Pipe. As specified herein 1000 FT $ 38.00 $ 38,000.00 91-5 12" Class 150 Water Pipe. As specified herein 1000 FT $ 39.00 $ 39,000.00 #1-6 16" Class 150 Water Pipe. As specified herein 500 1 1 $ 40.00 $ 20,000.00 #1-7 4" Gate 'Valve and Box. As specified herein 10 FA $ 550.00 $ 5,500.00 #1-8 6" Gate Valve and Box. As specified herein 30 F!A $ 600.00 $ 18,000.00 #1-9 8" Gate Valve and Box. As specified herein 30 EA $ 625.00 $ 18,750.00 #1-10 10" Gate Valve and Box. As specified herein 10 EA $ 650.00 $ 6,500.00 #1-11 12" Gate Valve and Box. As specified herein 10 EA $ 700.00 $ 7,000.00 #1-12 16" Gate Valve and Box. As specified herein 5 EA $ 1,000.00 $ 5,000.00 #1-13 6" x 4" Main Line Tap. As specified herein 50 EA $ 1,000.00 $ 50,000.00 #1-14 6" x 6" Main Line Tap. As specified herein 50 LA $ 1,050.00 $ 52,500.00 #1-15 8" x 4" Main Line Tap. As specified herein 50 FA $ 1,100.00 $ 55,000.00 #1-16 8" x 6" Main Line Tap. As specified herein 50 f-'A $ 1,150.00 $ 57,500.00 #1-17 8" x 8" Main Line Tap. As specified herein 50 FA $ 1,200.00 $ 60,000.00 #1-18 10" x 4" Main Line Tap. As specified herein 10 FA $ 1,250.00 $ 12,500.00 #1-19 10" x 6" Main Line Tap. As specified herein 10 EA $ 1,300.00 $ 13,000.00 City of Lubbock, TX RFP 21-15916-TF Pipeline Construction Services Utility Contractors of America, Inc. Best and Final Offer #1-20 10" x 8" Main Line Tap. As specified herein 10 EA $ 1,350.00 $ 13,500.00 #1-21 10" x 10" Main Line Tap. As specified herein 10 EA $ 1,400.00 $ 14,000.00 #1-22 12" x 4" Main Line Tap. As specified herein 25 EA $ 1,400.00 $ 35,000.00 #1-23 12" x 6" Main Line Tap. As specified herein 25 EA $ 1,450.00 $ 36,250.00 #1-24 12" x 8" Main Line Tap. As specified herein 25 EA $ 1,500.00 $ 37,500.00 #1-25 12" x 10" Main Line Tap. As specified herein 25 EA $ 1,550.00 $ 38,750.00 #1-26 12" x 12" Maio Line Tap. As specified herein 25 EA $ 1,600.00 $ 40,000.00 #1-27 16" x 4" Main Line Tap. As specified herein 5 EA $ 1,650.00 $ 8,250.00 #1-28 16" x 6" Main Line Tap. As specified herein 5 EA $ 1,650.00 $ 8,250.00 #1-29 16" x 8" Main Line Tap. As specified herein 5 EA $ 1,650.00 $ 8,250.00 #1-30 16" x 10" Main Line Tap. As specified herein 5 EA $ 1,650.00 $ 8,250.00 #1-31 16" x 12" Main Line Tap. As specified herein 5 EA $ 1,650.00 $ 8,250.00 #1-32 5' Bury Fire Hydrant Set for new installation. As specified herein 50 EA $ 1,000.00 $ 50,000.00 #1-33 Additional Fire Hydrant Bury Depth. As specified herein 100 FT $ 100.00 $ 10,000.00 #1-34 Fire Hydrant Adjustment. As specified herein 20 EA $ 850.00 $ 17,000.00 #1-35 4" Ductile Iron Fitting (including ells, tees, bends, etc.). As specified herein 30 EA $ 350.00 $ 10,500.00 #1-36 6" Ductile Iron Fitting (including ells, tees, bends, etc.). As specified herein 30 EA $ 400.00 $ 12,000.00 #1-37 8" Ductile Iron Fitting (including ells, tees, bends, etc.). As specified herein 30 EA $ 425.00 $ 12,750.00 City of Lubbock, TX RFP 21-15916-TF Pipeline Construction Services Utility Contractors of America, Inc. Best and Final Offer #1-38 10" Ductile Iron Fitting (including ells, tees, bends, etc.). As 20 EA $ 450.00 $ 9,000.00 specified herein #1-39 12" Ductile Iron Fitting (including ells, tees, bends, etc.). As 30 EA $ 475.00 $ 14,250.00 specified herein #140 16" Ductile Iron Fitting (including ells, tees, bends, etc.). As 20 EA $ 500.00 $ 10,000.00 specified herein #141 Additional Water Main Depth in excess of 5 feet of cover (per 500 FT $ 50.00 $ 25,000.00 linear foot). As specified herein #1-42 One Inch Water Meter Service Connection. As specified herein 100 EA $ 900.00 $ 90,000.00 #1-43 Two inch Service Connection for One and one-half Inch Water 10 EA $ 1,200.00 $ 12,000.00 Meter. As specified herein #1-44 Two Inch Water Meter Service Connection. As specified herein 10 EA $ 1,200.00 $ 12,000.00 #1-45 Four inch Service Connection for Three Inch Water Meter. As 10 EA $ 1,500.00 $ 15,000.00 specified herein Group A: Main Construction, Bore & Install, Miscellaneous Equipment and Asphalt and Concrete - Sanitary Sewer Main Construction (as specified herein) #2-1 6" PVC Sanitary Sewer Pipe 0' to 4' Deep. As specified herein 200 FT $ 45.00 $ 9,000.00 #2-2 6" PVC Sanitary Sewer Pipe 4' to 6' Deep. As specified herein 200 FT $ 46.00 $ 9,200.00 #2-3 6" PVC Sanitary Sewer Pipe 6' to 8' Deep. As specified herein 300 FT $ 48.00 $ 14,400.00 #24 6" PVC Sanitary Sewer Pipe 8' to 10' Deep. As specified herein 300 FT $ 50.00 $ 15,000.00 #2-5 6" PVC Sanitary Sewer Pipe 10' to 12' Deep. As specified 300 FT $ 55.00 $ 16,500.00 herein #2-6 6" PVC Sanitary Sewer Pipe 12' to 14' Deep. As specified 200 FT $ 58.00 $ 11,600.00 herein City of Lubbock, TX RFP 21-15916-TF Pipeline Construction Services Utility Contractors of America, Inc. Best and Final Offer #2-7 8" PVC Sanitary Sewer Pipe 0' to 4' Deep. As specified herein 100 FT $ 46.00 $ 4,600.00 #2-8 8" PVC Sanitary Sewer Pipe 4' to 6' Deep. As specified herein 100 FT $ 47.00 $ 4,700.00 #2-9 8" PVC Sanitary Sewer Pipe 6' to 8' Deep. As specified herein 100 FT $ 49.00 $ 4,900.00 #2-10 8" PVC Sanitary Sewer Pipe 8' to 10' Deep. As specified herein 100 FT $ 55.00 $ 5,500.00 #2 11 8" PVC Sanitary Sewer Pipe 10' to 12' Deep. As specified 100 FT $ 58.00 $ 5,800.00 herein #2-12 8" PVC Sanitary Sewer Pipe 12' to 14' Deep. As specified 100 FT $ 61.00 $ 6,100.00 herein #2-13 8" PVC Sanitary Sewer Pipe 14' to 16' Deep. As specified 100 FT $ 66.00 $ 6,600.00 herein #2-14 8" PVC Sanitary Sewer Pipe 16' to 18' Deep. As specified 100 FT $ 80.00 $ 8,000.00 herein #2-15 8" PVC Sanitary Sewer Pipe 18' to 20' Deep. As specified 100 FT $ 120.00 $ 12,000.00 herein #2-16 10" PVC Sanitary Sewer Pipe 0' to 4' Deep. As specified herein 100 FT $ 47.00 $ 4,700.00 #2-17 10" PVC Sanitary Sewer Pipe 4' to 6' Deep. As specified herein 100 FT $ 48.00 $ 4,800.00 #2-18 10" PVC Sanitary Sewer Pipe 6' to 8' Deep. As specified herein 100 FT $ 50.00 $ 5,000.00 #2-19 10" PVC Sanitary Sewer Pipe 8' to 10' Deep. As specified 100 FT $ 58.00 $ 5,800.00 herein #2-20 10" PVC Sanitary Sewer Pipe 10' to 12' Deep. As specified 100 FT $ 60.00 $ 6,000.00 herein #2-21 10" PVC Sanitary Sewer Pipe 12' to 14' Deep. As specified 100 FT $ 78.00 $ 7,800.00 herein City of Lubbock, TX RFP 21-15916-TF Pipeline Construction Services Utility Contractors of America, Inc. Best and Final Offer #2-22 10" PVC Sanitary Sewer Pipe 14' to 16' Deep. As specified 100 FT $ 87.00 $ 8,700.00 herein #2-23 10" PVC Sanitary Sewer Pipe 16' to 18' Deep. As specified 100 FT $ 100.00 $ 10,000.00 herein #2-24 10" PVC Sanitary Sewer Pipe 18' to 20' Deep. As specified 100 FT $ 122.00 $ 12,200.00 herein #2-25 12" PVC Sanitary Sewer Pipe 0' to 4' Deep. As specified herein 100 FT $ 48.00 $ 4,800.00 #2-26 12" PVC Sanitary Sewer Pipe 4' to 6' Deep. As specified herein 100 FT $ 49.00 $ 4,900.00 #2-27 12" PVC Sanitary Sewer Pipe 6' to 8' Deep. As specified herein 100 FT $ 51.00 $ 5,100.00 #2 28 12" PVC Sanitary Sewer Pipe 8' to 10' Deep. As specified t00 FT $ 62.00 $ 6,200.00 herein #2-29 12" PVC Sanitary Sewer Pipe 10' to 12' Deep. As specified 100 FT $ 67.00 $ 6,700.00 herein #2-30 12" PVC Sanitary Sewer Pipe 12' to 14' Deep. As specified 100 FT $ 79.00 $ 7,900.00 herein #2-31 12" PVC Sanitary Sewer Pipe 14' to 16' Deep. As specified herein 100 FT $ 88.00 $ 8,800.00 #2-32 12" PVC Sanitary Sewer Pipe 16' to 18' Deep. As specified 100 FT $ 112.00 $ 11,200.00 herein #2-33 12" PVC Sanitary Sewer Pipe 18' to 20' Deep. As specified t00 FT $ 135.00 $ 13,500.00 herein #2-34 Standard Manhole 4' or less. As specified herein 100 EA $ 2,000.00 $ 200,000.00 #2-35 Cost for Additional Vertical Feet Standard Manhole. As 50 FT $ 110.00 $ 5,500.00 specified herein #2-36 Drop Manhole 4' or less. As specified herein 50 EA $ 2,500.00 $ 125,000.00 City of Lubbock, TX RFP 21-15916-TF Pipeline Construction Services Utility Contractors of America, Inc. Best and Final Offer #2-37 Cost for Additional Vertical Feet Drop Manhole. As specified herein 100 FT $ 150.00 $ 15,000.00 #2-38 Cost to Tie to an Existing Manhole. As specified herein 100 EA $ 1,500.00 $ 150,000.00 #2-39 6" x 4" Wye with Plug. As specified herein 10 EA $ 550.00 $ 5,500.00 #2-40 8" x 4" Wye with Plug. As specified herein 10 EA $ 600.00 $ 6,000.00 #2-41 10" x 4" Wye with Plug. As specified herein 10 EA $ 650.00 $ 6,500.00 #2-42 12" x 4" Wye with Plug. As specified herein 10 EA $ 750.00 $ 7,500.00 #2-43 4" Service Extension to Property Line with Plug in excess of 15 feet. As specified herein 100 EA $ 600.00 $ 60,000.00 #2-44 6" Plug. As specified herein 10 EA $ 170.00 $ 1,700.00 #2-45 8" Plug. As specified herein 10 EA $ 175.00 $ 1,750.00 #2-46 10" Plug. As specified herein 10 EA $ 200.00 $ 2,000.00 #2-47 12" Plug. As specified herein 10 EA $ 300.00 $ 3,000.00 #2-48 Service Connection. As specified herein 50 EA $ 600.00 $ 30,000.00 Group A: Main Construction, Bore & Install, Miscellaneous Equipment and Asphalt and Concrete - Bore for and Install Casing and Pipe (as specified herein) #3-1 Bore on grade and Install 12" Steel Casing and install PVC pipe with spacers. As specified herein 100 FT $ 185.00 $ 18,500.00 #3-2 Bore on grade and Install 14" Steel Casing and install PVC pipe with spacers. As specified herein 100 FT $ 215.00 $ 21,500.00 #3-3 Bore on grade and Install 16" Steel Casing and install PVC pipe with spacers. As specified herein 100 FT $ 228.00 $ 22,800.00 #34 Bore on grade and Install 18" Steel Casing and install PVC pipe with spacers. As specified herein 100 FT $ 240.00 $ 24,000.00 #3-5 Bore on grade and Install 20" Steel Casing and install PVC pipe with spacers. As specified herein 100 FT $ 245.00 $ 24,500.00 City of Lubbock, TX RFP 21-15916-TF Pipeline Construction Services Utility Contractors of America, Inc. Best and Final Offer #3-6 Bore on grade and Install 24" Steel Casing and install PVC pipe 100 FT $ 275.00 $ 27,500.00 with spacers. As specified herein #3-7 Bore on grade and Install 6 Inch PVC pipe. As specified herein 100 FT $ 90.00 $ 9,000.00 #3-8 Bore on grade and Install 8 Inch PVC pipe. As specified herein 100 FT $ 100.00 $ 10,000.00 #3-9 Bore on grade and Install 10 Inch PVC pipe. As specified herein 100 FT $ 125.00 $ 12,500.00 #3-10 Bore on grade and Install 12 Inch PVC pipe. As specified herein 100 FT $ 140.00 $ 14,000.00 #3-11 Bore on grade and Install 16 Inch PVC pipe. As specified herein 100 FT $ 190.00 $ 19,000.00 Group A: Main Construction, Bore & Install, Miscellaneous Equipment and Asphalt and Concrete - Miscellaneous Equipment and Operator (as specified herein) #4 1 Backhoe & Operator for Miscellaneous Excavation John Deere 24 HR $ 135.00 $ 3,240.00 310 Extendahoe, or Equal (rate per hour). As specified herein #4-2 Backhoe & Operator for Miscellaneous Excavation John Deere 3 DY $ 1,100.00 $ 3,300.00 310 Extendahoe, or Equal (rate per day). As specified herein #4 3 Backhoe & Operator for Miscellaneous Excavation John Deere 1 WK $ 5,500.00 $ 5,500.00 310 Extendahoe, or Equal (rate per week). As specified herein #44 50,000 L.B. Excavator & Operator for Miscellaneous 8 HR $ 350.00 $ 2,800.00 Excavation (rate per hour). As specified herein #4 5 50,000 L.B. Excavator & Operator for Miscellaneous I DY $ 3,500.00 $ 3,500.00 Excavation (rate per day). As specified herein #4-6 50,000 L.B. Excavator & Operator for Miscellaneous 1 WK $ 15,000.00 $ 15,000.00 Excavation (rate per week). As specified herein Miscellaneous Man-hours Labor: Approved by Owner in #4-7 Writing Prior to the Commencement of Work As specified 10 HR $ 75.00 $ 750.00 herein Group A: Main Construction, Bore & Install, Miscellaneous Equipment and Asphalt and Concrete - Asphalt and Concrete Cut and Removal (as specified herein) City of Lubbock, TX RFP 21-15916-TF Pipeline Construction Services Utility Contractors of America, Inc. Best and Final Offer #54 Square Yard of non -thoroughfare Asphalt Cut, Removed and 300 SY $ 90.00 $ 27,000.00 Repaired. As specified herein #5-2 Square Yard of non -thoroughfare Concrete Cut, Removed and 100 SY $ 115.00 $ 11,500.00 Repaired. As specified herein #5-3 Square Yard of Thoroughfare Asphalt Cut, Removed and 300 SY - Repaired. As specified herein #54 Square Yard of Thoroughfare Concrete Cut, Removed and 100 SY $ 115.00 $ 11,500.00 Repaired. As specified herein #5-5 Linear Foot of Curb Cut, Removed and Repaired. As specified 200 LF $ 20.00 $ 4,000.00 herein Cost for ditch in Rock to be verified by City of Lubbock #5-6 Inspector prior to commencement of work (per hour 40 HR $ 1,000.00 $ 40,000.00 encountered). As specified herein Group A: Main Construction, Bore & Install, Miscellaneous Equipment and Asphalt and Concrete - Traffic Control (as specified herein) #64 Cost per job for complete setup of TXDOT approved and permitted barricades as specified herein. = (Cost plus 10% with #6-2 Cost per job for complete setup of barricade for City Arterial as specified herein. = (Cost plus 10% with City approved #6-3 Cost per job for complete setup of barricades for other City 25 EA street closures as specified herein. Group B: Hydro Excavation Services (as specified herein) Mobilization and demobilization of hydro -excavator and crew #74 to include water loading, waste deposition, and travel time. (one 12 EA $ 300.00 $ 3,600.00 mobilization per job) #7-2 Hydro -excavator and crew (on site) 100 HR $ 260.00 $ 26,000.00 Group B: Hydro Excavation Services -Traffic Control (as specified herein) #84 Cost per job for complete setup of TXDOT approved and permitted barricades as specified herein. = (Cost plus 10% with #8-2 Cost per job for complete setup of barricade for City Arterial as specified herein. = (Cost plus 10% with City approved #8-3 Cost per job for complete setup of barricades for other City 25 EA $ 850.00 $ 21,250.00 street closures as specified herein. 6. INSURANCE REQUIREMENTS 6.1. Prior to the approval of this contract by the City, the Contractor shall furnish a completed Insurance Certificate to the City, which shall be completed by an agent authorized to bind the named underwriter(s) to the coverages, limits, and termination provisions shown thereon, and which shall furnish and contain all required information referenced or indicated thereon. THE CITY SHALL HAVE NO DUTY TO PAY OR PERFORM UNDER THIS CONTRACT UNTIL SUCH CERTIFICATE SHALL HAVE BEEN DELIVERED TO THE CITY. 6.2. The City reserves the right to review the insurance requirements of this section during the effective period of the contract and to require adjustment of insurance coverages and their limits when deemed necessary and prudent by the City based upon changes in statutory law, court decisions, or the claims history of the industry as well as the Contractor. 6.3. Subject to the Contractor's right to maintain reasonable deductibles in such amounts as are approved by the City, the Contractor shall obtain and maintain in full force and effect for the duration of this contract, and any extension hereof, at Contractor's sole expense, insurance coverage written by companies approved by the State of Texas and acceptable to the City, in the following type(s) and amount(s): TYPE OF INSURANCE COMBINED SINGLE LIMIT GENERAL LIABILITY ® Commercial General Liability ® Occurrence General Aggregate $1,000,000 ❑ Claims Made ® XCU Products-Comp/Op AGG X ® W/Heavy Equipment Personal & Adv. Injury X ® To Include Products of Complete Operation Endorsements Contractual Liability X Fire Damage (Any one Fire) Med Exp (Any one Person) X AUTOMOTIVE LIABILITY ® Any Auto ❑ All Owned Autos ❑ Scheduled Autos ❑ Hired Autos ❑ Non -Owned Autos Per Occurrence $1,000,000 EXCESS LIABILITY ® Umbrella Form Each Occurrence $4,000,000 Aggregate ® WORKERS COMPENSATION — STATUTORY AMOUNTS OR OCCUPATIONAL MEDICAL AND DISABILITY ® EMPLOYERS' LIABILITY $1,000,000 OTHER: COPIES OF ENDOSEMENTS ARE REQUIRED ® City of Lubbock named as additional insured on Auto/General Liability on a primary and non-contributory bases. To include products of completed operations endorsement. Waiver of subrogation in favor of the City of Lubbock on all IMPORTANT: POLICY ENDORSEMENTS The Contractor will provide copies of the policies without expense, to the City and all endorsements thereto and may make any reasonable request for deletion, revision, or modification of particular policy terms, conditions, limitations, or exclusions (except where policy provisions are established by law or regulation binding upon either of the parties hereto or the underwriter of any of such policies). Upon such request by the City, the Contractor shall exercise reasonable efforts to accomplish such changes in policy coverages, and shall pay the cost thereof. Any costs will be paid by the Contractor. REQUIRED PROVISIONS The Contractor agrees that with respect to the above required insurance, all insurance contracts and certificate(s) of insurance will contain and state, in writing, on the certificate or its attachment, the following required provisions: a. Name the City of Lubbock and its officers, employees, and elected representatives as additional insureds, (as the interest of each insured may appear) as to all applicable coverage; b. Provide for 30 days notice to the City for cancellation, nonrenewal, or material change; c. Provide for notice to the City at the address shown below by registered mail; d. The Contractor agrees to waive subrogation against the City of Lubbock, its officers, employees, and elected representatives for injuries, including death, property damage, or any other loss to the extent same may be covered by the proceeds of insurance; e. Provide that all provisions of this contract concerning liability, duty, and standard of care together with the indemnification provision, shall be underwritten by contractual liability coverage sufficient to include such obligations within applicable policies. NOTICES The Contractor shall notify the City in the event of any change in coverage and shall give such notices not less than 30 days prior the change, which notice must be accompanied by a replacement CERTIFICATE OF INSURANCE. All notices shall be given to the City at the following address: Marta Alvarez, Director of Purchasing & Contract Management City of Lubbock 1314 Avenue K, 9"' Floor Lubbock, Texas 79401 6.4. Approval, disapproval, or failure to act by the City regarding any insurance supplied by the Contractor shall not relieve the Contractor of full responsibility or liability for damages and accidents as set forth in the contract documents. Neither shall the bankruptcy, insolvency, or denial of liability by the insurance company exonerate the Contractor from liability. 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: 2021-791440 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Utility Contractors of America, Inc. Lubbock, TX United States Date Filed: 08/17/2021 2 Name of governmental entity or state agency that Is a party to the contract for which e fo m s being filed. City of Lubbock 71 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. 16071 Pipeline Construction Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Lane, Ty Lubbock, TX United States X Ziegner, Jonathan Lubbock, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION f My name is xA't'lfurt �� , and my date of birth is / My address is 46/ l �y�L� �X 7Cf�/l J� L_LL'� (street) (may) (state) (zip code) (country) I declare under penal of perjury that the foregoing is true and correct. Executed in V, County, State of on the day of 202L, ( th) (Year) nature of authoriz gent of (Declarant) Forms oroviderf by Tpvne Frhi�� rr.,... tracting business entity — -- vrww.CuuG5.5u1 e.tX.us n V1.1.1 Version 91b5cdc CERTIFICATE OF INTERESTED PARTIES FORM 1295 10f 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: 2021-791440 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Utility Contractors of America, Inc. Lubbock, TX United States Date Filed: 08/17/2021 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: 08/17/2021 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. 16071 Pipeline Construction Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Lane, Ty Lubbock, TX United States X Ziegner, Jonathan Lubbock, TX 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) ry 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) runes wuviueu by i exas ttmcs t,ommisslon www.etnlcs.state.tx.us Version V1.1.191b5cdc