HomeMy WebLinkAboutResolution - 2019-R0118 - Lydick-Hooks Roofing - 04/09/2019 Resolution No. 2019-RO118
Item No. 7.9
April 9, 2019
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. 14602 for Minor Repair Service
Contracts — Section I Roofing Repair as per ITB 19-14499-FM, by and between the City of
Lubbock and Lydick-Hooks Roofing Co. of Lubbock, 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 April 9, 2019
Lj)�Y�
DANIEL M. POPE, MAYOR
ATTEST:
Re cca Garza, City Secr tary
APPROVED AS TO CONTENT:
Mark arw- d Assi Cant City Manager
er
APPROVED AS TO FORM:
�-
Aelli Leisure, Assistant City Attorney
ccdocs/RES.Contract 14602—Minor Repair Service Contracts Section I Roofing Repair
March 12,2019
Resolution No. 2019-RO l IS Contract 14602
City of Lubbock,TX
Contract for
Minor Repair Service Contracts
THIS CONTRACT made and entered into this�day of 4 Pa.it , 2019, by and between the
City of Lubbock ("City"), and Lydick-Hooks Roofing Co. of Lubbock, Inc., ("Contractor").
WITNESSETH:
WHEREAS, the City of Lubbock duly advertised for bids for Minor Repair Service Contracts
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 Minor Repair Service Contracts.
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, Minor Repair Service Contracts and
more specifically referred to as Section I-Roofing Repair 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 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.
4. This contract shall remain in effect until the first of the following occurs: (1)the expiration date,
(2) perfornance 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 Requirements
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 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.
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. 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 General Aggregate $1.000,000
❑ Claims Made ® Occurrence 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)
PROFESSIONAL LIABILITY
❑ General Aggregate
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
Aggregate
GARAGE LIABILITY
❑ Any Auto Auto Only-Each Accident
❑ Other than Auto Only:
Each Accident
Aggregate
❑ BUILDER'S RISK ❑ 100%of the Total Contract Price
❑ INSTALLATION FLOATER ❑ 100%of the Total Material Costs
❑ CARGO
® WORKERS COMPENSATION—STATUTORY AMOUNTS OR $500.000
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 primacy and non-contributory bases.
® To include products of completed operations endorsement.
® Waiver ofstibrogation in favor of the City ofLubbock on all coverages, except
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
1625 13"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 tenn 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.
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. 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 terns and conditions and any terms and
conditions provided by the Contractor, the terms and conditions provided herein shall prevail.
The terns and conditions provided herein are the final terns agreed upon by the parties, and any
prior conflicting terms shall be of no force or effect.
13. SB252
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. HB 89
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.
15. This Contract consists of the following documents set forth herein; Invitation to Bid No. 19-
14499-FM, Bid Form, and General Requirements.
-----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 LUBBOCK CONTRA-C R
BY:
Daniel M. Pope, Mayor Authorize Represent tive
ATTEST:
Print Name
Rebec arza, City Secret ry
Address
APPROVED AS TO CONTENT:
Ty -7 /4i-A
City, State, Zip Code
Wesley Everet , irector of Facilities
Management
APP OVED AS O FORM
'fi9wl�—
Kel i Leisure, Assistant City Attorney
BID FORM
Minor Repair Service Contracts
City of Lubbock,TX
ITB 19-14499-FM
Section I-Roofing Repair
Item Description Est.Number of Hourly Rate Total Price
Hours
1 Labor—Regular 8-5 200 $60.00 $12,000.00
2 Labor—After Hours/Holida 50 $75.00 $3,750.00
3 Labor—Emergency 50 $75.00 $3,750.00
4 Material/Parts—Percentage of markup on estimated$15,000
parts/material based on actual cost to contractor. 15 %Markup.
If no markup is intended,write the word"None"in the space $17,250.00
provided. $15,000 x 15 %markup equals$15,000+ 2,250.00
Grand Total of Section I—Roofing Services(Items 14)T$ 36,750.00
For reimbursement of rental of equipment,prior approval must be authorized by the City Department
representative. If applicable: 15 %markup.A copy of the receipt for the rental of the equipment
must be attached to the invoice. Will you comply?Yes ® No❑
Materials are to be quoted on a cost-plus basis; percentage of markup to be based on net cost to Contractor,
allowing for full credit for trade and/or cash discounts to the, prior approval must be authorized by City
Department representative. Use Attachment A for approval. Will you comply?Yes® No 0
Did you meet the requirement to submit a copy of your state license with your bid?Yes O No
How long has your company been in this business? 128 years _
How many consecutive years of experience do you have in providing these services? 10 years
Do you have a local service shop? Yes® No O
Adddress: 1924 Clovis Road-Lubbock,TX 79415
If emergency service is required at night or on weekends,can you respond? Yes ® No 0
What is your response time for an emergency?_90 minutes _
What is your response time for calls other than emergency? Varies-usually within 2 days
What is your response time to begin a project after receipt of order? Varies-usually within 2 days
List any additional information to be considered in evaluating your bid.
Vendor's Signature ACompany's Name Lydick-Hooke Roofing Co.of Lubbock,Inc.
XW Hooks
PAYMENT TERMS AND DISCOUNTS-Bidder offers a prompt payment discount of -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 FAVORED PRICING:The Bidder certifies that the price quoted is not in excess of the lowest price charged anyone
else,including its most favored customer,for like quality and quantity of 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 prices)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,@it, Texas Tech University,
POW60 lkge t ,and City of Wolfforth.
YES X NO
• Ifyou(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 ofthis solicitation.
All purchases by governmental entities other than the City of Lubbock will be billed directly to that governmental
entity and paid by that governmental entity. City of Lubbock will not be responsible for another governmental
entity's debts. Each governmental entity will order their own materials/service as needed.
THIS BID IS SUBMIT'T'ED BY Lydick-Hooke Roofing Co of W ock,Inc. a corporation organized under die laws of the State of
Texas or a partnership consisting of or individual trading as
_ofthe City of Lubbock
Firm:_ Lydick-Hooks Roofing Co.of Lubbock,Inc.
Address: P.O. Box 2605
City: Lubbock State: TX Zip 79408
Bidder acknowledges receipt of the following addenda:
Addenda No. Addenda No. Addenda No. Addenda No.
Date Date Date Date
M1WBE Finn: I Woman Black American Native American
Hispanic American Asian Pacific American Other(Specify)
B Y Date: 2/20/2019
Authorized Representative-must sign by hand
Officer Name and Title:Reed Hooks-Vice President
Please Print
Business Telephone Number (806) 765-5577 FAX: (806) 765-5581
E-mail Address: lydick-hooks@sbcglobal.net
FOR CITY USE ONLY
Bid Form Item Number(s)Awarded to Above Named Firm/Individual:
Date of Award by City Council or bids over$50,000). 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.
City of Lubbock,TX
ITB 19-14499-FM
Minor Repair Service Contracts
General Requirements
Intent-The purpose of this bid is to provide the City of Lubbock with qualified contractors to perform
minor repairs for the following services: Roofing, HVAC, Electrical, Plumbing, Fence Repair, Glass
Repair and Overhead Door Repair. The bidder hereby agree to furnish all labor, materials, and supplies
and to provide the service in accordance with the bid document. This bid is broken down into seven
sections: Section I for Roofing Services; Section II for HVAC Services; Section III for Electrical
Services; Section IV for Plumbing Services; Section V for Fence Repair Services; Section VI for Glass
Repair Services; and Section VII for Overhead Door Repair Services.
Multiple Award—The city may award up to three vendors(primary, secondary, tertiary), as available,
by service. The City will endeavor to utilize vendors in order of award. However, the City may utilize
other vendor in the vendor that 1) a contract vendor is not or is unable to be in compliance with any
contract or delivery requirement; 2) it is in the best interest of the City to do so regardless of reason.
Estimates: The City reserves the right to secure pricing prior to commencement of work and solicit
competitive bidding, if in the opinion of the City, pricing received is determined to be unreasonable
compared to industry standards.
Repairs and New Installations Firm Quotes: The City will request price quotes for new installation
and repair projects.These quotes shall be firm pricing and are not to exceed the specified amount quoted
for any specific project unless the scope of the project changes and the change order(s) are approved in
writing by the respective City department. Prior to the City issuing a notice to proceed, Contractor shall
provide the City with a written proposal detailing the scope of services and providing the cost for the
proposed work. These quotes must utilize the contracted labor rates and contracted materials cost
plus markup in order to utilize this contract.
The omission, within a bid submittal, of specific reference to any equipment, materials, or labor
necessary for performance of contract per specifications,shall not relieve contractor of responsibility for
furnishing such equipment, materials or labor. The Contractor shall assign only the necessary personnel
to complete the required work. The City Department representative reserves the right to question and
audit the number of personnel assigned to a particular job and the number of hours that are being billed.
At the time the work order is issued, Contractor must inform the requesting City Department
representative of the approximate start-time and estimated job completion time. Contractor must handle
any call-backs at no additional charges unless charges are authorized by the requesting City Department
representative. Contractor's work must be completed to the satisfaction of the using department.
Payment may be withheld until work is done in a satisfactory manner.
Tools/Equipment - All tools and equipment necessary to perforin contract work shall be provided by
the Contractor.
Equipment Rental/Lease-No separate charges shall be allowed for rental/lease of equipment
unless specifically approved by the City Department representative.
Scheduling/Response Time - The Contractor will be required to give free written job estimates for
specific projects within one (1) work day upon request. On an emergency basis, the Contractor shall
respond within a maximum of two (2) hours to arrange a same-day inspection and provide a written
estimate.Upon receipt of the Notice to Proceed,completion of repairs to remedy the emergency situation
must be completed within 24-72 hours. The definition of an emergency is as follows:
An emergency is a situation or condition that occurred without warning within two (2) weeks,
is detrimental to life,health or safety and requires immediate action. Immediate action is defined
as 24-72 hours. Contractor must provide a mobile phone,pager, or answering service so that the
City has a 24- hour a day access to the Contractor.
Permits—All work shall comply with all applicable state and local codes and ordinances,as well as any
other authorities that may have lawful jurisdiction pertaining to the work specified. The contractor shall
procure all necessary permits or licenses to carry out his work, and shall pay
any applicable fees for permits or inspections. There is no charge for City permits for services being
performed on City property.
Licenses/Certifications—Current State licenses/Certifications must be provided with bid.
Similar Experience— Bidder shall demonstrate previous experience in regard to the requirements of
this solicitation for a period of no less than(5) years.
Term of Contract - 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 term of contract shall remain in effect
until the expiration date,performance of services ordered, or termination of by either party with a thirty
(30) day written notice.
References-Bidder shall submit with the bid,the name,address,telephone number and point of contact
of at least three companies, for which the bidder has provided commercial services within the preceding
12 months.
Contact Person-The Contractor shall designate one of its employees to function in the role of primary contact
person.The contact person shall be the liaison for the Contractor for the term of the agreement,and shall handle
issues,problems,or questions arising from the performance of services.
Warranties - All work shall be guaranteed a minimum of thirty(30)days after final acceptance by the
department of any of the services, including any and all installations, repairs, additions, components or
parts thereof;
• The City will use its best efforts to notify the Contractor during the warranty period if any repair
or installation is not in good working order;
• For new installations,Contractor shall provide full manufactures warranty to the City.
• The Contractor shall provide and bear the cost of all labor, material, cost of transportation, and
insurance required to meet its obligations under this warranty;
• The Contractor shall either repair or replace at the City's sole option any installation,equipment,
or component part not in good working order, at no additional cost to the City;
City of Lubbock,TX
ITB 19-14499-FM
Minor Repair Service Contracts
Additional Requirements
Labor-Based on contracted hourly rate, time invoiced shall be for actual time worked subject to
verification/documentation approved by the City Department. Contractor may not exceed contracted
hourly rate. Should after hours/holiday hours be necessary or indicated, it shall be performed only after
obtaining specific authorization from the respective City Department. Unauthorized after hours/holiday
pay will not be paid.
Materials—Materials are to be quoted on a cost-plus basis; percentage of markup to be based on net
cost to Contractor, allowing for full credit for trade and/or cash discounts to the City. On any single item
in which the cost equals or exceeds$100.00, a copy of the supplier's invoice—which must be dated and
marked paid-shall be submitted as an attachment to the Contractor's invoice. All other invoices for less
amounts must be retained, by the Contractor, for at least the warranty period, for City inspection upon
written request. Copies of invoices for less than $100.00 shall be supplied to the City Department
representative when requested for any reason,within ten calendar days of the request.
No Additional Charges Allowed -No charges,such as miscellaneous charges, environmental charges,
fees,etc. will be paid by the City of if not listed in your bid response. However,charges imposed by the
State of Texas or Federal Government after the bid award will be honored. Any additional charges listed
in your bid response will be taken in consideration as part of the award evaluation.
Travel Time: The City will not compensate the contractor for travel or time between job sites.
Disposal of Refuse-Contractor shall clean the site and dispose of all refuse at a Texas Commission on
Environmental Quality(TCEQ) approved.
CERTIFICATE OF INTERESTED PARTIES FORM 1295
101`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
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2019-460998
Lydick-Hooks Roofing of Lubbock,Tx
Lubbock,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 03/07/2019
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.
#14602
Minor Repair Service Contract
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling I Intermediary
Hooks, Reed Lubbock,TX United States X
Hooks, Randy Lubbock,TX United States X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name is �� V0^-S and my dale of birth is
My address is 6(.;v, L, lV �)� �_�1��/1C7( � T X
(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)
tgnature of autho ized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.28ab6150
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
10f1
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
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2019-460998
Lydick-Hooks Roofing of Lubbock,Tx
Lubbock,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 03/07/2019
being filed.
City of Lubbock Date Acknowledged:
03/07/2019
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.
#14602
Minor Repair Service Contract
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Hooks, Reed Lubbock,TX United States X
Hooks, Randy 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
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.28ab6150