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HomeMy WebLinkAboutResolution - 2004-R0484 - Construction Contract With Federal Express Of Sanitary Sewer Line - 10_11_2004Resolution No. 2004-RO484 October 11, 2004 Item No. 16 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the City Manager of the City of Lubbock BE and is hereby authorized and directed to execute for and on behalf of the City of Lubbock a Construction Contract with Federal Express for construction of a sanitary sewer line at Lubbock International Airport, and associated Supplier Profile. Said documents are attached hereto and incorporated in this Resolution as if fully set forth herein and shall be included in the minutes of the Council. Passed by the City Council this 11th day of October , 2004. AARCIXFcDOAL, MAYOR ATTEST: Reb ca Garza, City Secretary AS TO CONTENT: Loomis, 3r of Aviation APPROVED AS TO FORM: -�.1- Linda L. Chamales, Senior Attorney Office Practice Section Shlcityatt/LindAecdocslRes-Fed Ex Sewer contraction September 23, 2004 �� " • ' C I 'iZ q� �T Resolution No. 20041-RO484 r > _ DO NOT WRITE IN THIS BLOCK * � Q v For Legal Dept Um ONLY CONSTRUCTION CONTRA8Tl'�r - _27ji�) Contract No. re To be used for Construction (including changes) not to exceed $125,000. Date Received { REQOESTOR'S INFORMATION Name Title Employee Number Steve Shores Sr. Project Manager 40W6 Department COMAT Telephone Number PPM 6304$]ALNHQIMO 3141770-3620 VENDOR INFORMATION Name of Contracting Party (Company or Individual)) Address Citj of Lubbock 1623 13th Street, Lubbock, 7X 79401 Federal Tax ID Number or Social Security Number Contact Person (and Company if different from above) r lephone Number ;-%5-60GC59#�_5 David Jones 806/775.3128 Remit To: NOTE: It is essential that the following government -related Information be completed. City of Lubbock 1625 13th Street ❑ Nonminority-and Nonfemaie-Dwned Hess nority-Owned Business %' y 7Ci� i Lubbock, TX 79401 ❑ Female -Owned Business ❑ M arfd Fe�rt;a� Owned Business ©Federel o11 Ic_ I t Entity CONSTRUCTION SITE Name of Facility/Three-Letter ID Street Address LBBA 7802 N Birch St City state Zip Contact Name Telephone Number Lubbock T 79403 Paul Scheuer 806-746-6005 t - � (in accordance`with documents listed (If any) and the Construction Agreement.) Commencement Date Completion Date DESCRIPTION OF �tif�RIC provide as much information as possible."Attach additional sheets, if necessary, �— 'Tterfized Cost Extend 6" sanitary sewer line approx- 500' east from the main to a manhole indicated on the $10,000.00 _ attached site plan (exhibit A). Work includes all necessary labor, materials and permits. -work -Includes dhWo0I0n:0f.0xistieg_eptW system inAccordanc"ItILTeps C�ouLlmission on Environmental Qusity (TCEO),requirements. City to maintain Installed sewer line. Install 4^ sanitary sewer line from building to manhole. Work includes all labor, $325.00 material an-J pennii s. .— — — — — ___. — — — — ` _._. — ACCOUNTINUIPOOMWW INVOICE TO^ ( pt. Name, COMAT, and C Address) Payrrrent Terms TOTAL MAXIMUM FEE (Subject to Terms and Conditions Fed x E e Net 30 on Reverse Side.) $10,325 3300 RI r T South Ste`350 Account Code Cost Center Project Number (if applicable) Earth City, M0 63045 ATTN: Steve Shores 169950 2S6-794 212745 AUTHORIZATION (Appropriate signatures required. Refer to Finance P&P F6 - 31) Requestor pnature Date Employee Number Finance Matri&434act AdministRillor Sibnature Date Employee Number cxX+YUoC�L Vice P pident/Managing Director Signature mate Employee Number VeruiortCon ac3or Signa a Date Al FedEx M-2026 11189 LOGOS F 135556 /' DISTRIBUTION: Original - Contract Administrator; Canary - Vendor; Pink - Legal; Gottlemod - Properties `APPROVED,AS. APF)iTF?C"rTF' .. l"rA ' 1-. CAn_ma I Ea usi nY nrn fJ U NAME (PrinVType) - FedEx M,21 IS B192 LOGOS& 142753 FecMz. SUPPLIER PROFILE Federal Express [2 NEW DATE 9/16/04 El REViSED (HishfiliM chantles), ALL ANSWERS SHOULD BE TYPED 611 PRINTED. THlifFORIYI IAUSTBE'.16OMPLETED tH ITS ENTIRETY BEFORE ANY PAYMENTS ARE PROFESSED.,,, - FEDERAL EXPRESS CORPOPA64 P. O. BOX 727, MEMPHIS, TN 3ii Resolution No, 2004-R0484 AJP VENDOR NUMBER DATE ENTERED BY BUYERFEDEX CONTACT: City of Lubbock TAWAYER,'S,FEDEW .-1:4 "6000590-6 BUSINESSNA - TIFIC �YMBE�19 Ckfto AT" I-' A 1625' 3 N/A ADDRESS PAYMENTANSCOLINT TERMS CITY, STATE, ZIP Lubbock, Texas 79401 PRODUCT/SERVICE Install Sanitary Sewer Line REMITTANCE Install 6Sanitary "kIWe APAYMENT INFORMATION FP P.31AY CO DE (S ICJ% (as noted on our invoke at 7802 N. Birch St. . will cy SALESCONTACT H. David Jones q Aqq,�;REC CONTACT ME (666) 775.-3,128 TELEPHONE- TELEPHONE FAX (806) 775-3133 FAX 01, OWNERSHIP CLASSIFICATION: (See Pleverse to(Definitions) k ",,",_3 SFLFCtQNIFQNLX,,;1- .i CHECK ALL THAT MAY APPLY r 0- WOMEN -OWNED (NONMINCIA" 0 141SPiNIO AMERICAN (7) El SMALUDISADVANTAGED (1) ❑ VIETNAM ERkrV' G Ap5iEmCAN-(sp�- MW41WAMERICAN f' (a) E] HANDICAPPEDMISABLED (2) AFRICAN AMERICAN(S)- TYPE OF OMNERSHIe;-, SOLE I?ROPPJETORSHIP '%'P`A%TWfkSHJPCORP Q-, �fORATIPO,�- NQWROFjr VERNMENTAGENCY . , -,QVW' COMPANY OFFICERS/OWNERS TITLE %OWNERSHIP *Supplier is a unit of local goyer4f� i4hbfiiit authority Is vested in its charter. CEO ' P " elected - is the City Wtiager who Is responslbldltd �`ah e ecd . e City fc6tific I i ATTACH ADC1710NAL SHEETS AS NEEDED) E] The above owned and operaledby:g" K,nWAk.Jn1y"W11t0 pre.PM;lioc no ",lindpco piilf;ftilly: aged and has its management and daily builnese controlled by one or more such lndlvlduab: or El The above entity is corporation having at least 51% of Is stock owned by one or more Individuals who are both socially and economically disadvantaged and has Is management and daffy business controlled by one or more such Indh .4d yallst- ; or U ❑ The above entity Is at least 51% owned by a woman orwomn;WwWdd,cor&oliilWupqiaM'W'dr,' ',i L� ❑ The above entity is at'leait 51*4 Independently owned and Operated, is not dominant In'the'Wil of operallon-in which it is'bklWng, and qualities as a small business under the criteria and size standards as dellned under Section 3 of the Small Business Act. NOTE: `CONTROL' In this cgnlext rw;ris!9xprclslng the power to make nv* "TE' ip thia. cqn!air! ",part being I eoecoretK Im the day to day managemen*t'of-I'h'*6u-s-IW@'Sx'.�' CUSTOMER REFFBFNCFS COMPANY NAME TEI-FPHQNjE NI)MBER Area Code (ATTACH ADD T1014AL SHEETS AS W EDCO) CgSTIFICAJUN; Under the penalties of perjury, I cerlify that: (1)Tho nLftrdWs*n'off!hJfii1" ks rnyiffoeec:4 taxpayer klentilicallon number (or I am walling for a number to be issued to me). and (2)l am not subject to backup wdhholdipy becauir9(4 a* Ilm , cling, )ilfm. qnVt, mb"kqpvNhtM of (01-1-hwe not been notilled by the Internal Revenue Servtce(IRS) that I am subject to backup Withholding as a riiQA;;hiiIureto peW all inp�esl illy notified me that I am no longer subject to backup withholding. (You must cross aid Item (2) above 1 00W beiW'n6t iRt�iA y;u"'iiecuit'okily;iebj cti6b'atkupwithholding because of undwreportlglntergP�,a�i�dibkyo4ti7t-r�e-p-A!�)F�U THE l�i*nffy-'Ihafpl.WdoftKaohprovkladlsvw and eaftba to the best of my knowledge, Information, andba1W.—Y --- e�, - SIGNATURE OF COMPANY OFF r- E R/AUTHOAdEd RtMtk NtXTIVt' Chester Carthel Chief Engineer -Public Works 9/16/2004 TITLE (Pr]nVrype) DATE CISTRBUTIOlit While — Vendor Accourging Conery .-Procurerneril Pink --EECYAA