HomeMy WebLinkAboutResolution - 2016-R0383 - Contract - Rochester Armored Car Co. Inc. - Armored Car Services - 10_27_2016Resolution No. 2016-RO383
Item No. 6.20
October 27, 2016
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. 12981 for Armored Car Services, by and
between the City of Lubbock and Rochester Armored Car Co., Inc., in Omaha, NE, 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
DANIEL M. POP ,MAYOR
ATTEST:
—'g -
Rebec a Garza, City Secretary
APPROVED AS TO CONTENT:
4Qncy�W�hitp_
uty City Manager
APPROVED AS TO FORM:
Imo__
RES.Contract-Nbr 1298 1 -Armored Car Services
9.28.16
Resolution No. 2016-R0383
Contract 12981
City of Lubbock, TX
Armored Car Services
Service Agreement
This Service Agreement (this "Agreement") is entered into as of the 27" day of October
2016 ("Effective Date") by and between Rochester Armored Car Co.. Inc., (the Contractor), and the
City of Lubbock (the "City").
RECITALS
WHEREAS, the City has issued a Request for Proposals 16-12981-TF, Armored Car Services.
WHEREAS, the proposal submitted by the Contractor has been selected as the proposal which
best meets the needs of the City for this service; and
WHEREAS, Contractor desires to perform as an independent contractor to provide Armored
Car Services, upon terms and conditions maintained in this Agreement; and
NOW THEREFORE, for and in consideration of the mutual promises contained herein, the
City and Contractor agree as follows:
City and Contractor acknowledge the Agreement consists of the following exhibits which are
attached hereto and incorporated herein by reference, listed in their order of priority in the event of
inconsistent or contradictory provisions:
1. This Agreement
2. Exhibit A — General Requirements
3. Exhibit B — Proposal
4. Exhibit C — Proposal Pricing Sheet
5. Exhibit D — Insurance Requirements
Scope of Work
Contractor shall provide the services that are specified in Exhibit A. The Contractor shall comply with
all the applicable requirements set forth in Exhibits B, C, and D attached hereto.
Article 1 Services
1.1 The contract shall be for a term of one year with the option of four, one year
extensions, with the initial term beginning upon issuance of written notice to proceed.
The rates may be adjusted upward or downward upon written notice at least 30 days
but not more than 90 days prior to the beginning of each term extension by a
percentage which does not to exceed the effective percentage change in the Consumer
Price Index (CPI) for the previous 12 months. The effective change rate shall be based
on the index average rate for all items. The City of Lubbock does not guarantee any
specific amount of compensation, volume, minimum, or maximum amount of services
under this proposal and resulting contract. Either party may at any time during the life
of this contract, or any extensions thereof, terminate this contract by giving a 90-day
notice in writing to the other party of its intention to cancel. During the term of this
contract, or any extensions thereof, the City may remove a specific service location
from this contract by giving a 30 day notice in writing. Remaining Service location
rates will not be altered by a specific service location being removed from the contract.
1.2 The Contractor shall not assign any interest in this Agreement and shall not transfer
any interest in the Agreement, whatsoever, without prior consent of the City.
1.3 All funds for payment by the City under this Agreement are subject to the availability
of an annual appropriation for this purpose by the City. In the event of non -
appropriation of funds by the City Council of the City of Lubbock for the goods or
services provided under the Agreement, the City will terminate the Agreement, without
termination charge or other liability, on the last day of the then -current fiscal year or
when the appropriation made for the then -current year for the goods or services
covered by this Agreement is spent, whichever event occurs first. If at any time funds
are not appropriated for the continuance of this Agreement, cancellation shall be
accepted by the contractor on 30 days prior written notice, but failure to give such
notice shall be of no effect and the City shall not be obligated under this Agreement
beyond the date of termination.
Article 2 Miscellaneous.
2.1 This Agreement is made in the State of Texas and shall for all purposes be construed
in accordance with the laws of said State, without reference to choice of law
provisions.
2.2 This Agreement is performable in, and venue of any action related or pertaining to this
Agreement shall lie in, Lubbock, Texas.
2.3 This Agreement and its Exhibits contains the entire agreement between the City and
Contractor and supersedes any and all previous agreements, written or oral, between
the parties relating to the subject matter hereof. No amendment or modification of the
terms of this Agreement shall be binding upon the parties unless reduced to writing
and signed by both parties.
2.4 This Agreement may be executed in counterparts, each of which shall be deemed an
original.
2.5 In the event any provision of this Agreement is held illegal or invalid, the remaining
provisions of this Agreement shall not be affected thereby.
2.6 The waiver of a breach of any provision of this Agreement by any parties or the failure
of any parties otherwise to insist upon strict performance of any provision hereof shall
not constitute a waiver of any subsequent breach or of any subsequent failure to
perform.
2.7 This Agreement shall be binding upon and inure to the benefit of the parties and their
respective heirs, representatives and successors and may be assigned by Contractor or
the City to any successor only on the written approval of the other party.
2.8 All claims, disputes, and other matters in question between the Parties arising out of or
relating to this Agreement or the breach thereof. shall be formally discussed and negotiated
between the Parties for resolution. h1 the event that the Parties are unable to resolve the
claims. disputes, or other matters in question within 30 days ofwritten notification from the
aggrieved Party to the other Party, the aggrieved Party shall be free to pursue all remedies
available at law or in equity.
2.9 At any time during the term of the contract, or thereafter, the City, or a duly authorized
audit representative of the City or the State of Fexas. 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 rcycals a17V errors or
overpayments by the City. Contractor shall refund the City the full amount Of Slleh
overpayments within 30 days of such audit findings, or the Citv. at its option. reserves the
right to deduct such amounts owing the City from any payments due Contractor.
2.10 The Cite reserves the right to exercise any right or remedy to it by Iaw, 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 rcnled)'. The remedies set
forth herein are cumulative and not exclusive. and may be exercised concurrently. To the
extent of any conflict betw-cen this provision and another provision in. or related to. this do.
2.11 The contractor shall not assign or sublet the contract. or any portion of the contract, without
w,rlttcn consent fr0111 the Director Of PU-ChaS111Y0 And Contract Management. Should
consent be iven, the Contractor shall insure the Subcontractor or shall provide proof of
insurance from the Subcontractor that complies with all contract Insurance requirements
document, this provision shall control.
IN WFI-LESS WHEREOF. this Agreement is executed as of the l;ltectiye Date.
CITYLA
—I_iiOCK
Daniel M. Pope. Mayor
ATTEST:
0,_O, - —1/1, C\
Rebel a Garza. City Seer to
APP OVED AS TO CONTENT:
..� ram-.
Linda Cuellar.
Interim Executive Director of 1'inance
APPROVED AS TO I'ORM:
An-iy Siy cliuty C*t AttQi-�cv
CONTRACTOR
Authorized Representative
,%/ AXen -
Print Name
Address
City, State. /,ill Code
City of Lubbock, TX
RFP 16-12981-TF
Armored Car Services
General Requirements
A. PROJECT OVERVIEW INFORMATION
The City of Lubbock is seeking armored car services, including all terms and charges for the receipt of
sealed or locked shipments containing currency, coins, checks, securities, and other valuables and
transport and delivery of same in like condition to the consignee designated by the City at specified
locations
B. CONTRACT TERM
The contract shall be for a term of one year with the option of four, one year extensions, with the initial
term beginning upon formal approval. The rates may be adjusted upward or downward upon written
notice at least 30 days but not more than 90 days prior to the beginning of each term extension by a
percentage which does not to exceed the effective percentage change in the Consumer Price Index
(CPI) for the previous 12 months. The effective change rate shall be based on the index average rate for
all items. The City of Lubbock does not guarantee any specific amount of compensation, volume,
minimum, or maximum amount of services under this proposal and resulting contract. Either party
may at any time during the life of this contract, or any extensions thereof, terminate this contract by
giving a 90 day notice in writing to the other party of its intention to cancel. During the term of this
contract, or any extensions thereof, the City may remove a specific service location from this contract
by giving a 30 day notice in writing. Remaining Service location rates will not be altered by a specific
service location being removed from the contract.
C. EVALUATION CRITERIA
Each proposal will be evaluated for full compliance with the RFP instructions to the offeror and the
mandatory terms and conditions set forth within the RFP document. The objective of the evaluation
will be to recommend the firms who are most responsive to the herein described needs of the City. The
proposal will be evaluated on the following criteria:
A. 30% = Qualifications and Experience
B. 25% = Demonstrated system reliability
C. 25% = Cost
D. 20% = References
D. PROPOSAL FORMAT
a) Proposals should provide a straightforward, concise description of the Offeror's capabilities to
satisfy the requirements of the RFP. Emphasis should be on completeness, clarity of content,
and conveyance of the information requested by the City.
b) The proposal should be bound in a single volume where practical. All documentation
submitted with the proposal should be bound in that single volume.
c) If the proposal includes any comment over and above the specific information requested in the
RFP, it is to be included as a separate appendix to the proposal.
d) The proposal must be organized into the following response item sections and submitted in an
indexed binder.
i) Cover letter addressed to the Honorable Mayor and City Council that states the Offeror's
understanding of the services to be provided. Include any additional information believed
necessary that is not requested elsewhere in the RFP.
ii) A description of the methodology to be used to complete the project to include, but not be
limited to, how recommendations will be formulated and commitment of adequate
appropriate resources to the project.
iii) Offeror's specific expertise in areas pertinent to the project to include a listing and brief
description of similar projects completed (with the dates of completion) or in progress and
a list of references by name, address, and telephone number for each project listed. This
list of projects in progress shall include the phase of work that each project is currently in
(i.e. design, bid, construction), and the estimated completion date.
iv) A brochure of past work, with emphasis on comparable projects.
v) List of principal(s) of the Proposer and amount of time that principal(s) will be involved in
the project.
vi) List of other professionals to be used, if applicable, with a record of experience in projects
of this nature. Identification of principal(s) and percentage of time the principal(s) will be
involved in the project.
vii) The organizational structure of the employees who will be assigned to this project along
with resumes of those individuals. If a joint venture is expected, then provide the
organizational structure of the sub -contractor and resumes of those persons who will be
involved in the project.
viii) The Proposer must assure the City that he/she will to the best of his/her knowledge,
information and belief, be cognizant of, comply with, and enforce, where applicable and to
the extent required, all applicable federal or state statutes and local ordinances including,
but not limited to the Davis -Bacon Federal minimum wage requirements.
ix) Describe the Offeror's methodology for handling errors and omissions.
x) Disclosure of any obligations posing a potential conflict of interest, including service on
City boards and/or commissions and any current contracts with the City of Lubbock. This
would apply to the Proposer as well as consultants subcontracted by the Proposer.
xi) Any material which the proponent wishes to submit and which is not specifically requested
in the above categories.
EXHIBIT B
City of Lubbock
RFP 16-12981-TF, Armored Car Services
Contractor's Statement of Qualifications
Candidates must complete each of the following items in order to be considered.
1. FIRM NAME: Rochester Armored Car Co., Inc.
2. BUSINESS ADDRESS: 3937 Leavenworth Street, Omaha NE 68105
3. TELEPHONE, WITH AREA CODE: 800-558-9323
FAX, WITH AREA CODE: 402-558-9326
E MAIL ADDRESS: mRsbea@rocarmco.com
INTERNET URL ADDRESS: www.rochesterarmoredcar.com
4. TYPE OF ORGANIZATION: (CHECK ONE)
a. SOLE PROPRIETORSHIP ( )
b. PARTNERSHIP ( )
c. CORPORATION ( x )
d. JOINT VENTURE ( )
5. PRINCIPALS (P) AND ASSOCIATES (A):
(WRITE "P" OR "A" FOR EACH)
DEGREE OR
NAME P/A CERTIFICATE INSTITUTION
a.
b.
d.
e.
S uW chWBid DocsUtFP 16-IMI.7F Armored Car services
City of Lubbock
RFP 16-12981 TF, Armored Car Services
Contractor's Statement of Qualifications
Continued
LIST 5 MAJOR PROJECTS WITHIN THE PAST THREE YEARS THAT ILLUSTRATE YOUR
EXPERIENCE WITH PROJECTS SIMILAR TO THE CITY'S.
PROJECT OWNER YEAR COST
a.
b.
C.
d.
e.
7. REFERENCES:
(INCLUDE AT LEAST THREE REFERENCES FROM THREE PROJECTS SIMILAR TO THE
ONE FOR WHICH YOU ARE COMPETING)
NAME RELATIONSHIP PHONE NUMBER
a.
b.
C.
SUBMITTED BY:
Signature.-,&
Date: 8/30/2016
Printed Name: William P. (Bill) Shea
Title: Sales & Service
Firm Name: Rochester Armored Car Cn .. Inc .
Tel: 800-558-9323
Address: 3937 Leavenworth Street
City: Omaha State: NE Zip: 68105
S-WWzhUMW D=Uff I&IM1.7F Armored Ca Smim
City of Lubbock, TX
RFP 16-12981-TF
Armored Car Services
Reference Form
Please list three references of current customers who can verify the quality of service your company provides. The
City prefers customers of similar size and scope of work.
REFERENCE ONE
Government/ Company Name:
City of Amarillo
Address: P.O. Box 1271, AMarilto, TX 79185
Contact Person and Title: Lisa Hyman / Purchasing
Phone: 806-378—IID28 Fax 806-378-9494
REFERENCE TWO
Government/Company Name: _ Amarillo National Bank
Address: P.O. Box 1, Amarillo, TX 79105
Contact Person and Title: Erik Schrader / AVP — Commercial Teller Manager
Phone: 806-378-8160
REFERENCE THREE
Govemment/CompanyName: Randall County
Address: 501 16th Street, Canyon, TX 79105
Contact Person and Title: Kelly Craig / Purchasing
Phone: 806-468-5530 ext: 4022
S.TurOmSe0id DMUWP 16-12981•TF Afcw d Car Sarica
City of Lubbock, TX EXHIBIT C
Pricing Proposal Sheet
RFP 16-12981-TF
Armored Car Services
Best and Final Offer
Armored Car Service, including all terms and charges for the receipt of sealed or locked shipments containing
currency, coins, checks, securities, and other valuables and transport and delivery of same in like condition to
the consignee designated by the City at locations and times as specified herein. PIease note the flexibility on
pickup times at the various locations
Monthly
Annual
Item
Service Location
Contract
Contract Rate
Rate
1.
Accounting Department, 1625 13th Street, Lubbock -
X12
Required Stops: Daily, Monday through Friday. Pickup times
$300.00
$3,600.00
are flexible but should adhere to a predetermined schedule.
2.
Lubbock Power & Light, 1301 Broadway, Lubbock -
X12
Required Stops: Daily, Monday through Friday. Pickup times
are flexible but should adhere to a predetermined schedule.
$300.00
$3,600.00
3.
Civic Center, 1501 Mac Davis Lane (City of Lubbock) -
X12
Pickup in conjunction with item 10. However, there is a
different delivery location than Item 10.
$300.00
$3,600.00
Required Stops: Daily, Monday through Friday. Pickup times
are flexible but should adhere to a predetermined schedule.
4.
Municipal Court, 915 Ave J -
X12
Required Stops: Daily, Monday through Friday. Pickup times
are flexible but should adhere to a predetermined schedule.
$300.00
$3,600.00
5.
Lubbock Landfill Permit #69, 8425 North Ave P -
XI2
Required Stops: Daily, Monday, Wednesday & Friday. Opens
at 7AM on these days. Pickup times are flexible but should
$194.85
$2,338.a0
adhere to a predetermined schedule.
6.
Abernathy Landfill Permit #2252, 17304 North FM 2528 -
X12
Required Stops: Daily, Monday, Wednesday & Friday. Opens
$389.70
$4,676.40
at 7AM on these days. Pickup times are flexible but should
adhere to a predetermined schedule.
7.
Parks & Recreation, 1611 101 Street -
X12
Required Stops: Daily, Monday through Friday. Pickup times
$300.00
$3,600.00
are flexible but should adhere to a redetermined schedule.
8.
Citibus, 801 Texas Avenue-
X12
Required Stops: Daily, Monday through Friday.
Request pickups on Mondays be after 10:30am. For other days,
$300.00
$3,600.00
pickup times are flexible but should adhere to a predetermined
schedule.
City of Lubbock, TX
Pricing Proposal Sbeet
RFP 16-12981-TF
Armored Car Services
Best and Final Offer
Monthly
Annual
Item
Service Location
Contract
Contract Rate
Rate
9.
Burgess -Rushing Tennis Center, 3030 66th Street -
X12
Required stops, Daily, Monday through Friday. Pickup times
$300.00
$3,600.00
are flexible but should adhere to a predetermined schedule.
10.
Civic Center, 1501 Mac Davis Lane (Civic Lubbock, Inc.) -
X12
Note that Civic Lubbock, Inc. would require separate billing.
Pickup in conjunction with Item 3. However, there is a
$220.00
$2,640.00
different delivery location than Item 3.
Required Stops: Daily, Monday through Friday. Pickup times
are flexible but should adhere to a predetermined schedule.
Total (1-10)
$ $34,854.60
The City or Civic Lubbock, Inc. may have a special event or occurrence that would require
an extra pick up after hours or on a Saturday or Sunday.
Armored Car Service, including all terms and charges for the receipt of sealed or locked shipments
containing currency, coins, checks, securities, and other valuables and transport and delivery of same in
like condition to the consignee designated by Civic Lubbock, Inc. at locations and times as specified
herein.
Ite
Service Location
Per Occurrence
In
1.
Citibank Coliseum, 2720 Drive of Champions (Civic
$ $135.00
Lubbock, Inc.) -
Note that this Civic Lubbock, Inc. would require separate
billing.
Per Advance Call
2.
Civic Center, 1501 Mac Davis Lane (Civic Lubbock, Inc.) -
$ $135.00
Note that this Civic Lubbock, Inc. would require separate
billing.
Per Advance Call
Date: 9/23/2016
Authorized Signature: �<' a
Print/Type Name: William P. (Bill) Shea
Title: Sales & Service
EXHIBIT D
City of Lubbock, TX
RFP 16-12981-TF
Armored Car Services
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.
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):
INSURANCE (Copies of Endorsements will be Required)
TYPE OF INSURANCE
GENERAL LIABILITY
® Commercial General Liability ❑ Other
❑ Claims Made ® Occurrence
❑ W/Heavy Equipment ❑ XCU
❑ To Include Products of Complete Operation Endorsements
CRIME POLICY
® Crime Policy
AUTOMOTIVE LIABILITY
® Any Auto
EXCESS LIABILITY
❑ Umbrella Form
GARAGE LIABILITY
❑ Any Auto
El
COMBINED SINGLE LIMIT
General Aggregate $1,000,000
Products-Comp/Op AGG X
Personal & Adv. Injury X
Contractual Liability X
Fire Damage (Any one Fire)___X
Med Exp (Any one Person)
General Aggregate
Aggregate
Each Occurrence
Aggregate
Auto Only - Each Accident
Each Accident Aggregate
$2,000,000
$1,000,000
❑ BUILDER'S RISK ❑ 100% of the Total Contract Price
❑ INSTALLATION FLOATER ❑ 100% of the Total Material Costs
❑ POLLUTION
❑ CARGO
® WORKERS COMPENSATION — STATUTORY AMOUNTS
OR OCCUPATIONAL MEDICAL AND DISABILITY $1,000,000
® EMPLOYERS' LIABILITY $1,000.000
OTHER: COPIES OF ENDOSEMENTS ARE REQUIRED
® City of Lubbock named as additional insured on Auto/General Liability on a primary and non-contributory basis.
® To include products of completed operations endorsement.
® Waiver 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 a primary and non-contributory basis and shall include waivers
of subrogation on ALL coverages except Professional Liability. All Copies of the Certificates of Insurance and all applicable
endorsements are required.
ADDITIONAL POLICY ENDORSEMENTS
The City shall been, 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 30 day 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' 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
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
lofl
Complete Nos. 1- a and 6 if there are interested parties.
Complete Nos.1. 2, 3, 5, and 6 if there are no interested parties.
OFFICE USE ONLY
CERTIFICATION OF FILING
Certificate Number:
2016-118447
Date Filed:
09/30/2016
Date Acknowledged:
i Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Rochester Armored Car Co., Inc.
Omaha, NE United States
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
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.
12981
Armored Car Services
4
Name of Interested PartY
City, State, Count lace of business
Y� Country �P )
Nature of interest
check applicable)
i PP )
Controlling
I intermediary
5
Check only if there Is NO Interested Party.
X
6
AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
GENERAL. NOTARY • Me of Nebraska ' 4
WAYNE W. PETERSON h
NiyComm. Ev. Nov. 20, 2016 Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said -Fj u— this the 3 D day of
20to certitywhi , witness my hand and seal of office.
(/JA- t&r W �s �S�1J �� 2e4F &?2&A-.
SlgnatLW of offi r administering oath Printed name of officer administering oath Title of ofKcer administering oath
Forms provided by Texas Ethics Commission www.ethics.stateAx.us Version V1.0.277
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1 of 1
Complete Nos. 1- 4 and 6 if there are interested parties.
Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties.
OFFICE USE ONLY
CERTIFICATION OF FILING
Certificate Number:
2016-118447
Date Filed:
09/30/2016
Date Acknowledged:
09/30/2016
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Rochester Armored Car Co., Inc.
Omaha, NE United States
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
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.
12981
Armored Car Services
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
AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP / SEAL ABOVE
Swom to and subscribed before me, by the said this the day of
20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Tide of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277