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HomeMy WebLinkAboutResolution - 2018-R0251 - Slateco Inc. - 08/09/2018Resolution No. 2018-RO251 Item No. 6.8 August 9, 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, Contract No. 14087 for Mowing Services at North Water Treatment Plant Class B Properties as per ITB 18-14087-RR, by and between the City of Lubbock and Slateco Inc., of Farwell, 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 9, 2018 DANIEL M. POPE, MA OR ATTEST: Reb ca Garza, City Secretary APPROVED AS TO CO Assistant City Manager APPROVED AS TO FORM: Amy , Deputy tt orney vw:ccdocs/RES.Contract 14087.Mowing Services at North Water Treatment Plant Class B Properties 07.24.2018 Resolution No. 2018-RO251 City of Lubbock, TX Contract for Services Mowing Services at North Water Treatment Plant Contract 14087 THIS CONTRACT made and entered into this 9th day of August, 2018, by and between the City of Lubbock ("City"), and Slateco Inc., ("Contractor"). WITNESSETH: WHEREAS, the City of Lubbock duly advertised for bids for Mowing Services at North Water Treatment Plant and bids were received and duly opened as required by law; and WHEREAS, after careful consideration of the bid submitted by Contractor, the City authorized the execution, in the name of the City of Lubbock a contract with said Contractor covering the purchase and delivery of the said Mowing Services at North Water Treatment Plant. NOW, THEREFORE, in consideration of the mutual agreement contained herein, as well as the financial consideration hereinafter referred to, the parties hereby covenant and agree as follows: 1. In accordance with City's specifications and Contractor's bid, copies of which are attached hereto and made part hereof, Contractor will deliver to the City, Mowing Services at North Water Treatment Plant and more specifically referred to as Items 1 thru 16 on the bid submitted by the Contractor or in the specifications attached hereto. 2. The City promises and agrees to employ, and does employ, the Contractor to cause to be done the work provided for in this Contract and to complete and finish the same according to the attached specifications, offer, and terms and conditions contained herein. 3. The Contractor shall perform the work according to the procedures outlined in the Bid Form and Specifications attached hereto. 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. The City does not guarantee any specific amount of compensation, volume, minimum or maximum amount of services under this contract. 4. 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. 5. Contractor shall at all times be an independent contractor and not an agent or representative of City with regard to performance of the Services. Contractor shall not represent that it is, or hold itself out as, an agent or representative of City. In no event shall Contractor be authorized to enter into any agreement or undertaking for or on behalf of City. 6. INSURANCE: SECTION A. 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 thereon. THE CITY SHALL HAVE NO DUTY TO PAY OR PERFORM UNDER THIS CONTRACT UNTIL SUCH CERTIFICATE SHALL HAVE BEEN DELIVERED TO THE CITY. INSURANCE COVERAGE REQUIRED SECTION B. 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. SECTION C. 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 ❑x Commercial General Liability ❑ Other General Aggregate $1,000,000 ❑ Claims Made ❑x Occurrence Products-Comp/Op AGG X ❑ Wilieavy 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) PROFESSIONAL LIABILITY ❑ General Aggregate S AUTOMOTIVE LIABILITY Any Auto ❑ All Owned Autos Combined Single Limit ❑ Scheduled Autos ❑ Hired Autos Each Occurrence $1,000.000 ❑ Non -Owned Autos EXCESS LIABILITY ❑ Umbrella Form Each Occurrence Aggregate a RAGE LIABILITY Any Auto Auto Only - Each Accident $1,000,000 Each Accident Aggregate BUILDER'S RISK ❑ 100*o of the Total Contract Price INSTALLATION FLOATER ❑ 100*o of the Total Material Costs POLLUTION CARGO WORKERS COMPENSATION — STATUTORY AMOUNTS OR OCCUPATIONAL MEDICAL AND DISABILITY EMPLOYERS' LIABILITY $1,000,000 OTHER: COPIES OF ENDOSU-TENTS ARE REQUIRED ❑ Ca), of Lubbock nan+ed as additional insured on.)uto/General Liability on a primary and non -contributor, basis ❑x To include products of completed operations endorsement. x❑ 11aiver of subrogation in favor of the City of Lubbock on all coverages, except The City of Lubbock shall be named as an additional insured on n nrimary and nnn-rnntrit,ntn", kno- ..,a shall include waivers of subrogation in favor of the City on all coverage's. Copies of the Certificates of Insurance and all applicable endorsements are required. ADDITIONAL POLICY ENDORSEMENTS The City shall be entitled, upon request, and without expense, to receive copies of the policies 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. 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 thirty (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 and Contract Management City of Lubbock 1625 13°i Street, Room 204 Lubbock, Texas 79401 SECTION D. 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. 7. Neither the City nor the Contractor shall assign, transfer or encumber any rights, duties or interests accruing from this Contract without the written consent of the other. 8. The City reserves the right to exercise any right or remedy available to it by law, contract, equity, or otherwise, including without limitation, the right to seek any and all forms of relief in a court of competent jurisdiction. Further, the City shall not be subject to any arbitration process prior to exercising its unrestricted right to seek judicial remedy. The remedies set forth herein are cumulative and not exclusive, and may be exercised concurrently. To the extent of any conflict between this provision and another provision in, or related to, this document, this provision shall control. 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 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. 10. 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 non -appropriation 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 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. 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 on insurance from the Subcontractor that complies with all contract Insurance requirements. 12. The Contractor warrants that it complies with Chapter 2270, Subtitle F, Title 10 of the Texas Government Code by verifying that: (1) The Contractor does not boycott Israel; and (2) The Contractor will not boycott Israel during the term of the Agreement 13. SB 252 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. 14. This Contract consist of the following documents set forth herein; Invitation to Bid No. 18-14087- RR Specifications and the Bid Form. Intentional Left Blank IN WITNESS WHEREOF, the parties hereto have caused this Contract o be executed the day and year first above written. Executed in triplicate. CITY OF LUBBOCK Daniel M. Pope, May r EST: Re ecca Garza, City Secretar APP VED AS TO ON ENT: NJIVRII Aubrey A. S , Director of Water Utilities APPROVED AS TO FORM: CONTRACT R BY Authorize {{Representative , Print Name Address City, State, Zip Code Addendum #2 City of Lubbock, TX ITB 18-14087-RR Mowing Services at North Water Treatment Plant Specifications Class "B" Area and Properties 1.0 Class B Maintenance Standards 1.1 General: Successful contractor shall have ten days from receipt of the Notice to Proceed to commence contract maintenance activities. The decision to end the maintenance season shall be made by the Equipment Maintenance Supervisor or his Agent. The Contractor shall be notified of the City's decision by letter. 1.1.1 The areas to be serviced for each site include all right of ways adjoining the site and to the centerline of all alleys adjoining the site, and extending two -feet from back of curb into all streets. Contractor is responsible for safe and careful operation of mowing equipment around plant material and structures to prevent damage and to prevent clippings from contaminating plant beds. 1.2 Mowing: Mowing frequency shall be determined by the Equipment Maintenance Supervisor or his Agent. Turf shall be cut at a height of one and one-half to two -inches and no higher than three (3) inches, at the discretion of the Equipment Maintenance Supervisor or his Agent in writing IE: email or registered mail. Clippings shall not be bagged and placed in dumpster. All hand scraps shall be cleaned after each service. No clumps or windrows of grass shall be left by the mowers. Mowing equipment shall be a shredder or a full flotation rotary mower that will not leave ruts or tracks on lawn and shall be approved by the Equipment Maintenance Supervisor or his Agent. Mulching blades may be used at the discretion of the Equipment Maintenance Supervisor or Agent. 1.2.1 Anticipated Mowing Frequencies (Estimate only of Schedule): Janus —0 July-2 February — 2 August — 2 March — 2 September-2 April — 2 October — 2 May-2 November —1 June-2 December - 0 1.3 Edeine: All sidewalks and curbs shall be edged to a depth of one -inch and shall be performed concurrently with mowing operations. String trimmers or curb dressers may not be used for edging. Chemical edging is permitted on Class B Areas. 1.4 Fence lines: All fence lines shall be cleaned and cut free of grass, weeds, Tree's, vines, & etc.: chemical weed eating is acceptable (exception of clear-well/potable water storage tanks)or mechanical means of keeping the fence line and reservoirs clean of weeds, trees and grasses 1.5 Trimming: All string trimming must be done to achieve a height uniform with the mowing height. Trimming must be performed around trees, plant beds, buildings, sidewalks, curbs, equipment, and both sides of fences when possible, and any other plants or structures. All surfaces, streets, fence lines and areas must be kept free of grass, weeds and debris. This task must be completed the same day as the mowing is performed. 1.6 Litter: The Contractor shall realize that litter or debris may accumulate prior to mowing with no fault to either party. The contractor shall remove all trash or debris before mowing. Contractor shall instruct mower operators to police sites to prevent dangerous or unsightly conditions. Litter and Debris removal shall be performed prior to mowing and concurrently with other maintenance operations. 1.7 Disposal: Contractor shall be responsible for the disposal of litter and debris from the areas maintained. Disposal shall be accomplished by delivery to the City of Lubbock Landfill or by placement in dumpsters belonging to the Contractor. No Litter or Debris shall be disposed of in Residential dumpsters or of those belonging to Commercial Businesses. 1.8 Weed Control: Pre -emergent will be applied in the spring, post emergent and fertilizer will be two times per year. Emergent will be applied as needed to control any weed growth as needed to eliminate weed growth on sidewalks, fence lines, general ground control and ramps. The cost for weed control is estimated into the twenty-two cycles as lawn care. 1.9 Clean up: All work shall be cleaned up and waste material removed from the site. No equipment shall be left at neighborhood area sites and all material shall be removed from the job site the same day of mowing. 1.10 Invoicine: Every thirty days or after each rotation cycle. Invoices will include the day of the work, work location, and what work was performed at each site. Invoices will include contract number, invoice numbers and insurance expiration date. Number of cycles preformed IE: 1 of 22, 2 of 22 etc. for each site. THE CITY REPRESENTATIVE REQUESTS THAT ANY BID RECEIVED IS BASED ON THE FACT THAT THE BIDDER HAS ACCOMPLISHED A SITE SURVEY OF THE PROPERTIES AND THEY ACCEPT THE BID SPECIFICATIONS AS PROPER. THE CONCRATOR WILL ISSUE THEIR EMPLOYEES, PHOTO IDENTITY CARDS TO BE WORN IN THE OPEN AT ALL TIMES WHILE THEY ARE ON CITY PROPERTY. THIS PHOTO IDENTITY CARD SHOULD BE WORN WHILE ON CITY PROPERTY. ALSO THE CONTRACTORS AND THEIR EMPLOYEES SHALL CALL THE CITY WATER DEPARTMENT CONTROL ROOM AT 775-3416 AND LET THEM KNOW OF YOUR ARRIVAL AND DEPARTURE FROM THE CITY PROPERTY. In making bid for Contract Turf Maintenance Mowing I hereby agree to and understand the following: 1. The bid is for the entire season, not just for one mowing. 2. All the yards will be mowed with some type of mowing equipment such as a power mower or a shredder. 3. All sidewalks, reservoir, valve boxes and fencerows must be edged with a line trimmer or an edger. 4. All valve box tops and sidewalks will be swept or cleaned -off after all mowing is completed. 5. Sites/properties must be cleaned of papers, boxes and other trash before mowing. 6. After mowing, yard must be inspected and approved by a City employee before payment is made. 7. Contractor will be contacted by a City employee when yards require mowing. 8. I understand that some properties may have to be cut more frequently. 9.1 understand this agreement is between the contractor and the Water Treatment Plant. 10. The bid is based on a unit -mowing price (one time charge per site), and the contractor will be paid for each property 11. Bidder is required personally to inspect each of the listed property, prior to submitting his bid. Bidder will be required to sign off on his prior inspection. By not inspecting each property and signing off on the Inspection form. The city reserves the right void any bid submitted. 12. AlI work is schedule driven; therefore, the Contractor's work force and equipment needs shall vary throughout the contract's time period. The normal work schedule shall fall within the time frame of Monday through Friday, 8:00 a.m. to 5:00 p.m. Work on weekends, holidays, and nights shall be at the discretion of the Equipment Maintenance Supervisor by email or text messing prior to work. Should the Contractor find it necessary to work during this time, notice of his intention to do so shall be given to the Equipment Maintenance Supervisor or his Agent at least 48 hours/two working days prior to doing so. The City reserves the right to deny such work at such time. 13. Properties listed in this document are scheduled demolished IE: Pump Station 7 or vacant lots sold. IF the demo!sold properties falls in a contract period or yearly cycle the City reserves the right to remove that property from the contract list without penalty for the duration of the contract. EQUIPMENT MAINTENANCE SUPERVISOR REVISED BID FORM Mowing Services at North Water Treatment Plant City of Lubbock, Texas ITB No. 18-14087-RR In compliance with the Invitation to Bid 18-14087-RR, the undersigned Bidder having examined the Invitation to Bid and Specifications, and being familiar with the conditions to be met, hereby submits the following Bid for furnishing the material, equipment, labor and everything necessary 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 18-14087-RR is by reference incorporated in this contract. The Bid Form must be completed in blue or black ink or by typewriter. Class B Properties Annual Item Address Acreage Maint. Cycles U/M Unit Cost Extended Cost (BxD)= A B C D I. Pump Station #3 4.25 22 Acre $ /�S� ``77 �� 700 2520 3'd Street 2_ Pump Station #4 9 22 Acre goes )7,600 202 North I-27 3. Pump Station #4 5 22 Acre Sv q ?Oo 202 North I-27 / 4. Pump Station #6 0.50 22 Acre 3 �o —1/ 7� 402 East 66d' Street 5. Pump Station #7 0.50 22 Acre 3 S0 �r 7/ / d d 29' Drive & MSF 6. Pump Station #8 3.5 22 Acre ©O Q QQ `� o 3301 SE Loop289 v r 7. Pump Station #9 4 22 Acre y Od <3 goo ! 3000 N. Quaker Ave. 8. Pump Station #10 .50 22 Acre 9 700 3802 82"d Street / 9. Pump Station 412 5.16 22 Acre ys d / 700 7310 Milwaukee 10. Pump Station 414 7310 Milwaukee 5.16 22 Acre n// Q►QO ``�� 7 qEO I Class B Properties Acreage Annual j Item Address (+!-) Maint.Cycles U/M Unit Cost Extended (+/-) D Cost A B C { (BxD)= 11. Pump Station #15 1.81 ?7 Acre $ 02 So s sou 10223 North Ivory!_ 12. Pump Station # 16 5.16 22 Acre Vs-0 9 VU 291h Drive & MSF 1 / 13. 35" Elevated Storage Tank 0.5 22 Acre 2218 35'h Avenue 14. 501° Elevated Storage Tank 1.56 22 Acre � �v 61600 3418 501h Street 15. 74°i Elevated Storage Tank 1.25 22 Acre �6 5/ 500 7308 Genoa 16. North Water Treatment Plant 9 22 Acre 0^0 (Jv 6001 North Guava Ave. Total Items 1-16 $ 1 y06. 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 or items shown on the bid. The City of Lubbock is seeking a contract for Mowing Services at South Water Treatment Plant with one or more contractors. In order to assure adequate coverage, the City may make multiple awards, selecting multiple vendors to provide the products desired, if multiple awards are in the best interest of the City. A decision to make a multiple award of this Bid, however, is an option reserved by the City, based on the needs of the City. PAYMENT TERMS AND DISCOUNTS - Bidder offers a prompt payment discount of _%, nett 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 favored 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 inutual agreement with the successful bidder, and properly author ized inter local purchasing agreements as provided foe by the Inter local 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 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, an ity 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 <1 %e,0 /✓G a corporation organized under the laws of the State of ?-(XS5 , or a partnership consisting of of the City of /'-11,A-f Firm: Sq7rC6 '^/C Address: City: Bidder acknowledges receipt of the following addenda: Addenda No. Date. Addenda No. Date Addenda No. Date Addenda No. Date M/WBE Firm: I I Woman or individual trading as State: Tx Zip 7y-e-25^ Black American I I Native American American I I Asian Pacific Americ I Other (Snecifv) BY Date: A _X'IX Authorized 'presentative - must sign by hand Officer Name and Title: /fib/,4r Please Print Business Telephone Number (G� J / FAX: E-mail Address: dew 8sl0) y /'yjA•/ (..0�% FOR CITY USE ONLY Bid Form Item Number(s) Awarded to Above Named Firm/Individual: Date of Award by City Council (forbids over $25, 000): Date P.O./Contract Issued: RETURN COMPLETED & SIGNED BID FORM ALONG WITH CITY OF LUBBOCK SPECIFICATIONS. LABEL THE OUTSIDE OF YOUR SEALED BID WITH THE ITB NUMBER, THE CLOSING DATE AND TIME, AND YOUR COMPANY NAME AND ADDRESS. CERTIFICATE OF INTERESTED PARTIES FORM 1295 lofl 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: 12018-388841 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. SlateCo Inc Farwell, TX United States Date Filed: 08/07/2018 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: 08/08/2018 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. ITB-14087-RR Mowing services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary City of Lubbock 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) 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 — (Dcciara,nt) -- --- Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711 CERTIFICATE OF INTERESTED PARTIES FORM 1295 lotl 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. 2018-388841 SlateCo Inc Farwell, TX United States Date Filed: 08/0712018 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: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. ITB-14087-RR Mowing services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary City of Lubbock Lubbock , TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION ��- My name is_ VIt, '� �p TG� and my date of birth is My address is ��G X S'J I (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in IMA 4County, Stale of � �f , on the __eday of 2041 (month) (year) 1 Signature of a rized agent of contracting business entity VV(Declarant) Forms provided by Texas Ethics Commission www.etliics.state.tx.us t Version V1.0.6711