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HomeMy WebLinkAboutResolution - 2018-R0180 - Wenger Corporation - 05/24/2018Resolution No. 2018-RO180 Item No. 5.15 May 24, 2018 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, Purchase Order No. 27600013 for the purchase of.Riser Decks and Legs for the Civic Center as per ITB 18-14032-MA, by and between the City of Lubbock and Wenger Corporation of Owatonna, Minnesota, 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 May 24, 2018 JEFF GRIFFITH, MAYOR PRO TEM ATTEST: t A Fw'� IRV Rebecca Garza, City Secretary APPROVED AS TO CONTENT: VA Scott Snider, Assistant City Manager APPROVED AS TO FORM: Rdnjfroolre, Assistant City Attorney ccdocs/RES.PO 27600013.Riser Decks and Legs for the Civic Center 04.27.2018 Lubbock TEXAS PURCHASE ORDER TO: WENGER CORPORATION BOX 448 OWATONNA MN 55060 SHIP TO: Page - I Date - 4/26/2018 Order Number 27600013 000 OP 195 CITY OF LUBBOCK P O BOX 2000 LUBBOCK TX 79457 INVOICE TO: CITY OF LUBBOCK ACCOUNTSPAYABLE P.O. BOX 2000 LUBBOCK, TX 79457 BY*-4r Marta Al arez, Director of Purchasing & Contract Management Ordered 4/26/2018 Freight Requested 7/2/2018 Taken By Delivery M VILLAGRANA REQ 52100 ITB 18-14032-MA F MONCADA Description/Supplier Item Ordered Unit Cost UM Extension Request Date Riser Decks 100.000 485.0000 EA 48,500.00 7/2/2018 1 Legs 8" 100.000 12.0000 EA 1,200.00 7/2/2018 2 Legs 16" 100.000 22.0000 EA 2,200.00 7/2/2018 3 Legs 24" 100.000 29.0000 EA 2,900.00 7/2/2018 4 Legs 32" 100.000 38.0000 EA 3,800.00 7/2/2018 5 Leg Storage Devises for under 200.000 9.0000 EA 1,800.00 7/2/2018 6 deck no less 8 legs per deck Riser Charts that accommodate 17.000 EA 7/2/2018 7 the 100 riser decks Fixed 2-step units that accomm 5.000 268.0000 EA 1,340.00 7/2/2018 8 16"-24" heights Fixed 3-step units that accomm 5.000 318.0000 EA 1,590.00 7/2/2018 9 24"-32" heights Riser Legs Locks 2 leg connect 40.000 16.0000 EA 640.00 7/2/2018 City of T ubb®C TEXAS TO PURCHASE ORDER WENGER CORPORATION BOX 448 OWATONNA MN 55060 SHIP TO: Page - Date - Order Number CITY OF LUBBOCK P O BOX 2000 LUBBOCK TX 79457 2 4/26/2018 27600013 000 OP 195 INVOICE TO: CITY OF LUBBOCK ACCOUNTSPAYABLE P.O. BOX 2000 LUBBOCK, TX 79457 BY: Marta lva z, Director of Purchasing & Contract Management Ordered 4/26/2018 Freight Requested 7/2/2018 Taken By Delivery M VILLAGRANA REQ 52100 Description/Supplier Item 10 hand hand brackets 750x50' Velco Self -Adhesive 11 hook in Bulk for Drapery/skirt Freight /Handling Tenns NET 30 F MONCADA ITB 18-14032-MA Ordered Unit Cost UM Extension Request Date 768.000 .8000 FF 614.40 7/2/2018 1.000 7,945.0000 EA 7,945.00 7/2/2018 Total Order 72,529.40 This purchase order encumbers funds in the amount of $72,529.40 awarded to Wenger Corporation of Owatonna, MN, on May 24 , 2018. The following is incorporated into and made part of this purchase order by reference: ITB 18-14032-MA dated April 6, 2018 from Wenger Corporation of Owatonna, MN. Resolution # 901 R-R(11 go CITY OF LUBBOCK JEFF GRIFFITH, MAYOR PRO TEM ATTEST: V Rebecca Garza, City Secretary Seller and Buyer agree as follows: PURCHASE ORDER TERMS AND CONDITIONS IMPORTANT: READ CAREFULLN' STANDARD TERMS AND CONDITIONS CITY OF LUBBOCK, T\ L SELLER TO PACKAGE GOODS, Sella will package goods in accordance with good coro racial practice. Each shipping container shall be clearly and permanently marked as fct:ows (a) Seller's name and adudss. (b) Corsigoce's name, address and purchase order orpurhase release number and the supply alaeemeat member ifapplicable.(e) Container mmc:t and total number of containers, e.g. box I of boxes, and (d) the number of the container hearing the packing slip. Sella shall bear cost afpackxging un:ess ctherxise prof ided Goods shall be suitably packed to secure lowest tratuporation costs and to ennfacrs with requiraneat-, of common carriers and arty applicable sprlftcaricns. Buyer's court or waght shall be final and ccectutive on shipmenta net accompanied by packing lists 2. SFHPMENT UNDER RFSFRYATION PROHIBITED Sella is cot autharized to ship the coed-. undo 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 umil Buya actually receives and takes passas:ou of the goods at the point or points of delivery. 4. NO REPLACEME\T OF OF.F'ECTIYE TENDER Fvay tender of del:very of goods must fully cu.•aply with, al'. provsons of :his contract as to time of delivery. quality and the like If a tenders made which does rot fully cechrm, this shall constitute a breach and Sella shall oat have the right to substtuce a conformine tea drier. provided - where the time for pafosmurce has not yet expired, the Sella may reasonably notify Buyer cl his inicoric . to cure and may then makes corfitro ing tender withic the contract licaebut cct a5crvard 5. INI'OICES & PAYNTENTS. a. S el let shall submit separate iMvices. in duplicate, one each purchase order or purchase release after each delivery Invoices shall indicate the purchase order or purchase release aumher and the supply agreement nitabim if applicable. F-Dia shall be hemimd and transportation charges, Unity. shall be listed scpzrately A copy of the bill of lading, and the height wa)btil when apphcab.e• should be attached to the invoice Mail To Accounts Payable. Cit; of Lubt ccl.. P O Box 20W. Lubbock. Texas 79-57. Payment shall not be due until the above ustrvcxn;s arc subnined aF.er dehvery 6 GRATUITIES The Buyer may, by writac , notice to the Sella, cancel this contras vrahout lia'7day to Seller if a is determined by Burn that grahaitiec in the form of rerataim ,% g,ns or otherwise. were offered or given by the Sella, or any ageat or representative of the Sella, to any officer or employee of the City of Lubbock with a vine to securing a contract or securing favorable treat' 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 Buyrr pursuant to this provision. Buyer shall be entitled. in addition to any other rights and rcmrdim to mcova or withhold the amount of the cost incurred by Sella in prarding such graruit:es 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 Sella for the purpose of filling this order. such special tooling equipment and any process sheets related thereto shall became the property of the Buyer and to the extent feasible shall be identified by the Sella as such S. WARRANTY -PRICE. a The price to be paid by the Buya shall be that contained in Seller's bid which Sella warrants to be no higher than Sella's currerit process on orders by others far prod t of the kh:d and specification covered by this abTccment for similar quantities under similar of Iii:c Conditions and merhods of purchase In the e+ent Sella breaches this warranty. the prices cf the items shag be reduce' to the Sella s current prices on orders by others, or in the alternative. Buyer may cancel this contract without liability to Seiler for breach or Seller's actual expense. to The SeLta warrants that to penman or selling agency has been employed or retained to solicit or secure this coattact 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 Sella for the purpose of securing business. For breach of xiciatioa of this warranty the Buyer shall have the right in addition to ar.y oL%m nigh' of nghis to Cmiccl this contras walrour liability and to deduct from the contract price, or otherwise recover without liability and to deduct From the conractprice, err otherwise cecava the full amount Of such commssten. percentage. brokerage or coatmgcat fee. 9 WARRANTY -PRODUCT Sella shall not limit or exclude any implied warranties and any attempt to do so shall rerda this contract voidable at the option of Ike Buyer Seller warrants that the goods furnished will conform to the specification, drawings, and descriptions listed in the bid in% itation. and to thesample(s) furnished by the Sella, if any. To the event of a conflict or bet+eca the specificatious, drawings, and descriptions, the specifications shall govern. Net, ithstaniling nay provisions contained in the camractunl agreement. the Sella represents and warmis fiuk-free performance and fault -flee result in the processing date and date related data (including. but not limited to calculating. Comparing and se ptencing) of al. hardware, so fiware and firmware products ddivad and services pruvidcd under this Conran, iedividua:h' or in combinxioa as the case may be from the effective date of this Contract. The cbbgstieas contained herem apply to products and services provided by the Sella, its sub- Seca or any third parry involved in the creation or development of the products and simian to be delivered to the City of Lubbock under this Contract. Failure to Comply w ith any of the Obligations contained herein my result in the City of Lubbock availing itself of any of its rights under the law and under this Contract including. but net luailed In. its right pertaining to temninat on or default. Tbc warranties Contained herein are separate and discrete from arty other, wauw::i s saecified is this Contras, and are not subject to my disclaimer of warranty- implied or expressed or limitat:O t of the Seller's liability which may be specified in this Cnmract, as appendices, its schedules. its annexes at any document incorperatcd in this Contract by reference. 10 SAFETY WARRANTY. Seiler warrants that the product solo to the Buya shall conform to the standards pramulgmed by the U. 5 Department of Labor under the Occupational Safety and Health Act of 1970 In the oast the prduct does tot conform to OSHA standards. Buyer may returnthe product for correction or replacement at the Seller's expense. In the vent Seller fails to crake the appropriate correction within a censurable time, correction made by Buyer will beat the Seller's expense 11. NO WARRANTY BY BUYER AGAINST LNTRINGESIEIPfS As part of this contract for sale Sella agrees to axeatam whether goods manufactured in accordance with the specifications altachcd to this agreement wn71 give rise to the rightful claim of my Third person by way of infringement of the like. Buya makes no warranty that the pmductiov of goods according to the speciftcal:on will not give rise to such a claim, and in no evrar shall Buyer be liable to Sella for indemnification in the rent that Sena is sued on the grounds of infringement of the like If Sella is n f the opinion that an mfiingemst or the lice will result, he will notify the Buyer to this eFer, in writing within two weeks after the signing ofthei agreement. If Buyerdoes sal raeive notice and is subsequently held Gable for the infringement or the like. Sena will save Buya harmless if Seder in good faith ascertains the production of the goods in accordance with the specifications %-at result in infringemct or the like the contrite. shall be nun and void. 12 NON APPROPRIATION All fluids for payment by the City under this contract are subject To the availability of an acaml appropriation for this purpose by the City In the Cent of mnappaoprumon of funds by the Cry Council of the City of Lubbock for the goods or services provided under the contract. The City will terminate the contract withnm termmmion charge or other liability, on the Icon day of the thin -current fiscal year or when the appropr scion made for Elie then- Carat year for the goods or sevices cit—d b,, this eantrav: is spent, whichever even occurs fist. If at any time funds are not Appropriated for the cootmnance of this comma, cancellation shall be accepted by the Sella on thirty (30) days prior written active. but failure to give well rtnlien sttAl' I,r of ..v'K.d n,.,' 'In, Cam shall not 1.: 13. RIGHT OF INSPECTION'. Buyer shall have the right to inspect the goods at delivery before accepting them It C�i;C'iiLl 'e�iCt:; Etc vc shall L.:.v )r .:era ; , cl f:: dci;uit c)I , . a,�l i•an ci Ib: :,nJai:cxd pinion Of this ordct if Seiler tceaches any of the terms hereof including warranties of Seller or if the Serer hecomes inanlwnr or oimmirs mots ehmnknmicv Such richr Of mr.celtation ix in ahthim to and nor in lira of any olha ranedies which Buyer may have m law or equity. 15 TER'x4NATION. The performanceof work medc tbis order maybe ternnated le whole, Orin part by the Buyer in sccurdmee with this provision Tennmation of work hereunder shall be effccted by the delivery of the St!ler of a "Notice of Termination'- specifying the extent to which paformance of work under the order is terminated and the date upee which such terminal ion becomes effective. Such right or termination is to addition to and not in lien of the rights of Buye, set forth in Clause 14, hernia. 16 FORCE NLAJEURF. Neither party shall be held responsible for losses, resuNr:g if the fuifilu, of any terms of provisions of this cataract is delayed or praentcd by any cause not within. the control of the Party whose pafermarce is interfered with. and which by the exercise of reasonable diligence said party is unable to RC: ¢t. 17 ASS lCiMAENT-DELEGATION. No right or in:ctl in this contract shall be assigned or delegation of any obligation made by Sella without tic Cart:rn permission o(the Buyer. Are atteTnptd assignment or delegntloa'oy Set la shall bc who Itpvaid and Totals ineffective for all purpose unless made in conformity ugh this paragraph 18 WAIVER No claim or right arising our of a breach of this contract can be discharged it. whole cr it.. par, by a wawa or renunciation of the claim or right unless the waiver or renunciation is supported by considler. shoe and is in writing signed by the aggrieved party. 19. INTERPRETATION -PAROLE EVIDENCE. This writing, plus any specifications for bids and performance provided by Bu}er in its advarnerear, fur bids, and any otha doctanentsprovidedby Seller as part of his hid is intended by the parties as a final exprcssioa of thcv agreement and intended also as a complete and exclusive stat=Mt of the terns of Illicit agreement. Wheneva a team defined by the Uniform Commercial Code s rued' in this agreement, the defu'ation ccatsed in the Code is to conrol. 20. APPLICABLE LAW. This ajrreement shall he governed by tic Uniform Commercial Cede Wha—a the term "Uniform Commercial Code- is used, it shall be construed as meaning the Unificm Commercia! Code w adopted in the State of Texas as of calve and in fierce on the dzte of thin agrccmcat. 21. RIGHT TO ASSURANCE. Whenever one party to Its contract in good faith has reason to question the other parry's intent to perform he may demand that the other party give urticm assuratca of his intent to perform. la Elk' event that a demand is made and no assurance is given within five (5) days. the demanding party may vat the failure as an anticipatoryrepudiation of the cantraC.. 22 INDENINIFICATION. Sella shall indemnify, keep and save barmless the Buyer, its sgrn;s. officials and employees, agniast all injuries, deaths, loss, damages, claims. patent clairrs, suits. liabilities, judgments, costs and exptmses. which mayin anynv se acaue agaimt be Buya inco. of the granting of this Contract or which may anywise result thae@om whether or not it shall be alleged or determined that the act was Caused through acgligence or emission of the Seller or as employees• or of the whSeller or assignee or its employees, if any, and the Sella shall. at his nun expense, appear, defend and pay all charges of attorneys and all costs and other expenses arising therefrom of interred in connection d:earwith. and, if any judgment shall be rendaed against the Buyer in am• such action, ttr Sella shall. at its own expenses, satisfy and discharge the same Sella expressly understands and agrees that err=) bond requited by this comma, or Mherwise provided by Seller, shall in no way limit the responsibility to itidemnifyt keep and save harmless oral defend the Buyer as herein provided. 23. TIME. It is hereby expressly agreed and understood that time is of the cistnec for the performance of This contract, and facture by contrxt to mess the time specifications of this agreement will cause Seller to be in default otths agreement. 24 MBF The City of Lubbock hereby notifies all bidders that in rcawd to any contract entered into punuam to this request, minority and women business enterprises will be afforded equal opportunities To subma bids in response to this invitation and will not be dacruninafd against on the grounds of racy colon sex or natural origin in towidaatica for an award. 25. NON -ARBITRATION. The Ctty, resco es the right to exercise any right or randy, to it by law, c^,ntract. equity, or otheruse. including without Imitation the right at seek any and all forms of rehef in a court of competent jurisdictinrt Further, the City shall not be subject to my arbitration process prior to exercising its uarcstrcted righttn seek judicial rraedy The remedies set forth herein are cumulafive cold oat exclusive, and may be exerciscd 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 tam of the comma, or thereafter, the City, or a duty authorized audit rrpresrnlarixe of the City or the State of Texas, at its expense and at reasooab:e times, roffv' c the right to audit Contractor's records acd books rcleram to all services provided to the City ;coda this Contract. In the near such an audit by the City reveals any errors or ovcrpaymcn:s by the City. Contractor shall refund the City the full amount ofs.Kh overpayments within thim (30) days of such audit findings, or the City. at to option. resmes the right to deduct such amounts ouing the City from any payments due Coat -.actor 27. HOUSE BILL 2015. House Bill 2015, signed by The Go, —ear an June 14, 2013 and effective on Januar•: 1, 2014. authorizes a penalty to be imposed on a person uho contracts for certain saviees with a go ,,r mental amity and who fails to propaly c:assify their workers, This applies to subcontractors as well. Conuaaors and subcoatracton who fail to propaly 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 SUBLETTLNG THE C0N7RACf The Contractor shall not maign or sublet the contract, or any portion of the contract. without writ¢ consent from the Dhectw of Purchasing and Contract Management Should consent be given, the Contractor shall insure the Subcontractor or shall provide proof ou insurance from tke Subcontractor that complies with an comrnr. Insurance requicmen,s. 29. HOUSE BILL 1295 DISCLOSURE OF INTERESTED PARTIES. House Bill 1295, adopted by the 84th j.egslslure. Created §2Ls2.908. Texas Govemmem Code. Section 2252.9138 requires a busmess notify catering into certain coniraos with a governmental entity or state agency to file with the gavvmmemal entity or state agency a disclosure of iclecond parties at the time the business Gamy submits the signed Contract to the governmental anitp or state agent; Instructions for completing Form 1295 are available at hnp.cwuw e' Ieb r•h tx„ r ,n aJsidI-w•c "t a-muent<- rs �'p>vSh� ggyen�{,fnformmioa 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 desciptive malwal contained herein and any addirioral assuclatal documents and Amendments The City disclaim. my terms and conditions provided by the Cormactor unless agreed upon in writing by the parties. Ia the nenr of cau ict between these terms and ccru itow and any terns and ccaditiens provided by the Contractor, the terns and condhioas prnv ided haein shall pm%ai:. The terns and conditions provided herrit are the final terns oareed upon by the patsies. and any prior conflicting tans shall be cf oo force or effect 31 By neceplmr fh s pnr. hnse order. file 4'endor verif"m that it dies not 13ovcon Israel. and no, ees that darine ll:v tetra rllf:;: A., ean-t .Co'd, �.I ., ytL, :dri .gilt .— 1:...,., Is•..., •I:at tr�, ,, ;Ic!iuc-1 in Tins., l lo. rran.cnt Coe-: Simon SCS 01, as a , de,r BID FORM Riser Decks and Legs for the Civic Center City of Lubbock, TX ITB No. 18-14032-MA In compliance with the Invitation to Bid 18-14032-MA, 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 for providing the items listed below and agrees to deliver said items at the locations and for the prices set forth on this form. A bid will be subject to being considered irregular and may be 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 18-14032-MA is by reference incorporated in this contract. The Bid Form must be completed in blue or black Ink or by typewriter. ITEM DESCRIPTION QTY (+/-) U/M UNIT EXTENDED DELIVERY COST* COST Da s ARO** 1 _ Riser Decks, per specifications 100 EA $ 2. Legs 8", per specifications 100 EA 485.00 48500.000-45 days RO A 3. Legs 16", per specifications 100 EA 4. Legs 24", per specifications 100 EA 30-45 days ARO 5. Legs 32",per specifications 100 EA 30-45 days ARO 6. Leg Storage Devises for under deck 200 EA m no I goo on 30-45 days ARO storage, no less than 8 legs per deck. *2 per deck 9.00 1 800.00 30-45 days ARO 7. Riser Charts that will accommodate 17 EA Free with -the 100 riser decks 0.00 purchase of pkg. n/a 8. Fixed 2-step units that accommodate 5 EA 16"-24" heights 268.00 1 340.00 -45 days ARO 9. Fixed 3-step units that accommodate 5 EA 24"-32" heights 318.00 1 590.00 10. Riser Legs Locks 2 Leg connector hand 40 EA *Optional hand brackets 16.00 640.00 30-45 days A 11. 750 x 50' Velcro Self -Adhesive hook in Bulk For drapery/skirt 768 FT. .80 614.40 30-45 days ARO 12. Warranty 5 years Subtotal 64,584.4 7,945.00 Total Cost *This $ 72,529.40 system comes with velcro wraps to connect legs to each other. *nnrrz+. F O B . . . Destutation, Freight Pre -Paid and Allowed **Days After Receipt of Order (ARO) Unless otherwise specified herein, the City may award the bid either item -by —Item or on an all -or -none basis for any Item or group of items shown on the bid. PAYMENT TERMS AND DISCOUNTS - Bidder offers a prompt payment discount of n/a %, net _ calendar days. Discounts will not be considered in determining low bid. Unless otherwise indicated on the Bid Form, payment terms will be NET THIRTY 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 will be interpreted as applying within the stipulated number of calendar days after the date of receipt 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 FAVOURED PRICING: The Bidder certifies that the price quoted is not in excess of the lowest price charged anyone else, including its most favoured customer, for like quality and quantity of the products/services; does not include an element of profit on the sale in excess of that 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 similar contract products of like or better quality, at a lower net price(s) than provided herein, supplier agrees to notify the City and sell same product(s) at the lower price(s) on all deliveries made during the period in which such lower price(s) is effective. INTERLOCAL 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 interlocal purchasing agreements as provided for by the Interlocal Cooperation Act (Chapter 791, Government Code), the right to purchase the same services, 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 Frenship Independent School District, Lubbock Housing Authority, Lubbock County, Lubbock County Hospital District, Lubbock Independent School District, South Plains Association of Governments, City of Texarkana, Texas Tech University, West Texas Municipal Power Agency, Lynn County, and City of Wolfforth. YES_ NO • If you (the bidder) checked YES, the following will apply: • Governmental entities utilizing Interlocal Agreements for Cooperative Purchasing with the City of Lubbock will be eligible, but not obligated, to purchase materials/services under the contract(s) awarded as a result of this 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 Wenger Corporation a corporation organized under the laws of the State of Minnesota _ , or a partnership consisting of n/a or individual trading as _n/a of the City of n/a Firm: Wenger Corporation Address: 555 Park Drive City: Owatonna State: MN zip Bidder acknowledges receipt of the following addenda: None Addenda No. Date _ Addenda No. Date Addenda No. Date WTt: E FirmWoman I I Black American n/4 Hispanic American I I Asian Pacific American By VY1N" _ Authorized Repres er ative - must sign by hand WftW Name and Title: Vanessa Jensen, Sales Representative Please Print 55060 Native American Other (Soecifv) Business Telephone Number 507.774.8298 or 800.733.0393, Ext. 8298 FAX: 507.774.8575 E-mail Address: vanessa.jensen@wengercorp.com 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: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2018-357047 Wenger Corporation Owatonna, MN United States Date Filed: 05/22/2018 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Memorial Civic Center Date Acknowledged: 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. Purchase order # 2760013 Purchase order # 2760013-ITB 18-14032-MA Riser Decks and Legs for City of Lubbock 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION My name is Vanessa Jensen and my date of birth is My address is 555 Park Drive Owatonna Mn 55060 USA . (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Steele County, State of MN on the 22 day of May 2018 (month) (year) Signature of aut6rded agent of contracting business entity (Declarant) Forms Drovided by Texas Ethics Commission www.ethics.state.tx.us Versinn V1 n 5573 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. 2018-357047 Wenger Corporation Owatonna, MN United States Date Filed: 05/22/2018 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Memorial Civic Center Date Acknowledged: 05/22/2018 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. Purchase order # 2760013 Purchase order # 2760013-ITB 18-14032-MA Riser Decks and Legs for City of Lubbock 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. ❑ X 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 V1.0.5523