Loading...
HomeMy WebLinkAboutResolution - 2022-R0418 - Contract 16700 with Bill Williams Tire 10.11.22Resolution No. 2022-RO418 Item No. 6.11 October 11, 2022 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, Service Contract No. 16700 for tire purchase and service for city vehicles and equipment as per ITB 22-16700-SB, by and between the City of Lubbock and Bill Williams Tire of Lubbock, TX 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 ATTEST: )�'- Rebefca Garza, City Secr to APPROVED AS TO CONTENT: Brooke Witcher, Assistant City Manager APPROVED AS TO FORM: lli Leisure, Assistant City Attorney October 11, 2022 ccdocs/RES.ServiceContract 16700- Tire Purchase and Service for City Vehicles and Equipment 09.13.22 Resolution No. 2022-RO418 Contract 16700 City of Lubbock Contract for Tire Purchase and Service for City Vehicles and Equipment THIS CONTRACT made and entered into this 1 lth day of October , 2022, by and between the City of Lubbock ("City"), and Bill Williams Tire, ("Contractor"). WITNESSETH: WHEREAS, the City of Lubbock duly advertised for bids for Tire Purchase and Service for City Vehicles and Equipment 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 Tire Purchase and Service for City Vehicles and Equipment. 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 serve the City for Tire Purchase and Service for City Vehicles and Equipment and more specifically referred to in Exhibit A 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 (1) year, with the option of two (2), one year extensions, said date of term beginning upon formal approval. This Contract will renew automatically for the additional terms, unless either Party gives 90-day written notice to terminate the Contract. 4. 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. 5. 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. 6. A) Prices quoted shall be guaranteed for a period for six (6) months upon City approval. The rate may be adjusted at the City's discretion for the effective change in Consumer Price Index (CPI) or Product Price Index (PPI) as appropriate. B) Further, if the Contractor can provide documentation for actual charges for material, labor, etc. that demonstrates that the change in CPI or PPI is not sufficient, the Contractor shall provide such documentation to the City, and at the City's sole discretion, the contractual rate may be further adjusted. If agreement regarding a new rate cannot be reached, the City shall terminate at the end of the current contract period. C) If an adjustment to pricing is granted under this section, the Contractor must provide the Director of Purchasing and Contract Management written, quarterly documentation to justify the ongoing adjustment. If no such documentation is timely received, the rate will automatically revert to the initial, awarded rate. 7. 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. 8. 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. 9. Insurance Requirements 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. 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. 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): Commercial General Liability Requirements: $1 M occurrence $2M aggregate (can be combined with an Excess Liability to meet requirement). CGL is required in ALL contracts. It is perhaps the most important of all insurance policies in a contractual relationship. It insures the Contractor has broad liability coverage for contractual activities and for completed operations. Automobile Liability Requirements: $1 M;'occurrence is needed Workers Compensation and Employer Liability Requirements: Statutory. If the vendor is an maepenaent contractor with no employees and are exempt from providing Workers' Compensation coverage, they must sign a waiver (obtained from COL Purchasing) and include a copy of their driver's license. Special Insurances Garage Liability Requirements: No less than $2,000,000 combined single limit. * The City of Lubbock (including its officials, employees and volunteers) shall be afforded additional insured status on a primary and non-contributory basis on all liability policies except professional liabilities and workers' comp. * Waivers of Subrogation are required for CGL, AL, and WC. * To Include Products of Completed Operations endorsement. * Carrier will provide a 30-day written notice of cancellation, 10-day written notice for non- payment. * Carriers must meet an A.M. Best rating of A- or better. * Subcontractors must carry same limits as listed above. 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 1314 Avenue K, 91h Floor Lubbock, Texas 79401 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. 10. 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. 11. 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. 12. 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 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. 13. 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. 14. 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. 15.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 terms and conditions and any terms and conditions provided by the Contractor, the terms and conditions provided herein shall prevail. The terms and conditions provided herein are the final terms agreed upon by the parties, and any prior conflicting terms shall be of no force or effect. 16.The Contractor (i) does not engage in business with Iran, Sudan or any foreign terrorist organization and (ii) it is not listed by the Texas Comptroller under Section 2252.153, Texas Government Code, as a company known to have contracts with or provide supplies or services to a foreign terrorist organization. As used in the immediately preceding sentence, "foreign terrorist organization" shall have the meaning given such term in Section 2252.151, Texas Government Code. 17. The requirements of Subchapter J, Chapter 552, Government Code, may apply to this contract and the contractor or vendor agrees that the contract can be terminated if the contractor or vendor knowingly or intentionally fails to comply with a requirement of that subchapter. To the extent Subchapter J, Chapter 552, Government Code applies to this agreement, Contractor agrees to: (1) preserve all contracting information related to the contact as provided by the records retention requirements applicable to the governmental body for the duration of the contract; (2) promptly provide to the governmental body any contracting information related to the contract that is in the custody or possession of the entity on request of the governmental body; and (3) on completion of the contract, either: (A) provide at no cost to the governmental body all contracting information related to the contract that is in the custody or possession of the entity; or (B) preserve the contracting information related to the contract as provided by the records retention requirements applicable to the governmental body. 18. Pursuant to Section 2271.002 of the Texas Government Code, a) This section applies only to a contract that: (1) is between a governmental entity and a company with 10 or more full-time employees; and (2) has a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity. (b) A governmental entity may not enter into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. 19. By entering into this Agreement, Contractor verifies that: (1) it does not, and will not for the duration of the contract, have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association or (2) the verification required by Section 2274.002 of the Texas Government Code does not apply to the contract. If Contractor is a company with 10 or more full-time employees and if this Agreement has a value of at least $100,000 or more, Contractor verifies that, pursuant to Texas Government Code Chapter 2274, it does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and will not discriminate during the term of the contract against a firearm entity or firearm trade association. Contractor represents and warrants that: (1) it does not, and will not for the duration of the contract, boycott energy companies or (2) the verification required by Section 2274.002 of the Texas Government Code does not apply to the contract. If Contractor is a company with 10 or more full-time employees and if this Agreement has a value of at least $100,000 or more, Contractor verifies that, pursuant to Texas Government Code Chapter 2274, it does not boycott energy companies; and will not boycott energy companies during the term of the Agreement. This verification is not required for an agreement where a governmental entity determines that these requirements are inconsistent with the governmental entity's constitutional or statutory duties related to the issuance, incurrence, or management of debt obligations or the deposit, custody, management, borrowing, or investment of funds. 20. The Contractor shall retain all information received from or concerning the City and the City's business in strictest confidence and shall not reveal such information to third parties without prior written consent of the City, unless otherwise required by law. 21. The Contractor shall indemnify and save harmless the city of Lubbock and its elected officials, officers, agents, and employees from all suits, actions, losses, damages, claims, or liability of any kind, character, type, or description, including without limiting the generality of the foregoing, all expenses of litigation, court costs, and attorney's fees, for injury or death to any person, or injury to any property, received or sustained by any person or persons or property, to the extent arising out of, related to or occasioned by, the negligent acts of the Contractor, its agents, employees, and/or subcontractors, related to the performance, operations or omissions under this agreement and/or the use or occupation of city owned property. The indemnity obligation provided herein shall survive the expiration or termination of this agreement. 22. This Contract consists of the following documents set forth herein; Invitation to Bid No. 22- 16700-SB, Specifications, and the Bid Form. 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. A/C Rebec a Garza, City Secreta PPROVED AS TO CONTE. T: g" Dominic Esperat, Direc or of Fleet Operations ,AVPROVEDAS TO FORM: [Kell-1 Leisure, Assistant City Attorney CONT OR 2 �6ffZy BY Z2 Authorized Representative &M 11iL4A09FAL Print Name 120 SE. LOOP 2$ 9 Address __JA bbdc L 1 TX 7gLloq City, State, Zip Code City of Lubbock ITB 22-16700-SB Tire Purchase and Service for City Vehicles and Equipment BID FORM Bill Williams Tire Location Lubbock, TX Total $918,695.00 Quantity Tire Unit Total # Items (+1-) UOM Brand Price Cost Group 1 Passenger Tires #1-1 P155.101113 A/S 4 EA Firestone 50.00 200.00 #1-2 P195/75R14 A/S 5 EA Firestone 50.00 250.00 #1-3 1`205/751115 A/S 14 EA Firestone 60.00 840.00 #1-4 P205/65R15 A/S 8 EA Firestone 60.00 480.00 #1-5 P205/70HR15 A/S PURSUIT TIRE 12 EA Firestone 65.00 780.00 #1-6 P215/70HR15 A/S PURSUIT TIRE 30 EA Firestone 65.00 1,950.00 #1-7 P215/75R15 A/S 7 EA Firestone 70.00 490.00 #1-8 P215165RI5 A/S 13 EA Firestone 70.00 910.00 #1-9 P215160R16 A/S 6 EA Firestone 70.00 420.00 #1-10 P225160R16 A/S PURSUIT TIRE 80 EA Firestone 90.00 7,200.00 #1-11 P235/70R16 A/S PURSUIT TIRE 25 EA Firestone 90.00 2,250.00 #1-12 P235/751116 A/r 4 EA Firestone 116.00 464.00 #1-13 P235/75R16 A/S 65 EA Firestone I11.00 7,215.00 #1-14 P255/70R16 A/S 4 EA Firestone 117.00 468.00 #1-15 P235/55R17 A/S PURSUIT TIRE 250 EA Firestone 112.00 28,000.00 #1-16 1`2451651117 AIS t0 EA Firestone 94.00 940.00 #1-17 P265/60R17 A/S PURSUIT TIRE 500 EA Firestone 128.00 64,000.00 #1-18 265/70R17 A/S 21 EA Firestone 127.00 2,667.00 #1-19 265/70R17 H/T 28 EA Firestone 127.00 3,556.00 #1-20 2651651117 A/S 12 EA Firestone 105.00 1,260.00 #1-21 265160R18 A/S 8 EA Firestone 112.00 896.00 #1-22 215/65R17 A/S 4 EA Firestone 67.00 268.00 #1-23 235/75R17 AIS 24 EA Firestone 110.00 2,640.00 #1-24 235/751117 H/r 16 EA Firestone 110.00 1,760.00 #1-25 255/70R17 AIS 8 EA Firestone 120.00 960.00 #1-26 265/70R16 A/S 24 EA Bridgestone 122.00 2,928.00 #1-27 235150R18 A/S Pursuit 32 EA Firestone 145.00 4,640.00 #1-28 215/701116 A/S 12 EA Firestone 82.00 984.00 #1-29 235/70R16 A/S 8 EA Firestone 101.00 808.00 #1-30 245155R18 AIS Pursuit 32 EA Firestone 147.00 4,704.00 #1-31 255160R18 A/S Pursuit 100 EA Firestone 147.00 14,700.00 Group 1 Passenger - Additional Services In shop - flat repair. Price to be on a Per tire basis and to include all ancillary costs associated #2-1 with normal repair. I EA BWTC 18.00 18.00 Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs #2-2 associated with "Road side repair". 1 EA BWTC 40.00 40.00 #2-3 Front End Alignment 1 EA BWTC 65.00 65.00 #2-4 Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile i EA BWTC 2.00 2.00 #2-5 After hours Service call. Price to be on a per unit basis for complete call. I EA BWTC 95.00 95.00 #2-6 Mounting of Tire Supplied by City of Lubbock I EA BWTC 20.00 20.00 #2-7 Balancing of Tire Supplied by City of Lubbock I EA BWTC 20.00 20.00 Group 2 Light Truck Tires #3-1 LT225/70R19.5 A/r 24 EA No Bid No Bid No Bid #3-2 LT225170R19.5 H/T 32 EA No Bid No Bid No Bid #3-3 LT235/80R17 A/T 16 EA Firestone 139.00 2,224.00 #34 LT235180R17 H/r 12 EA Firestone 125.00 1,500.00 #3-5 LT245/70R19.5 A/r 28 EA Cooper 275.00 7,700.00 #3-6 LT245/70R19.5 H/r 36 EA Cooper 250.00 9,000.00 #3-7 LT295/75R22.5 A/T 16 EA Cooper 250.00 4,000.00 #3-8 LT295175R22.5 H/T 24 EA Cooper 250.00 6,000.00 #3-9 LT235/75R17.5 A/T 32 EA Cooper 195.00 6,240.00 #3-10 LT235/75R17.5 H/r 8 EA Cooper 250.00 2,000.00 #3-11 LT215/75R15 A/T 4 EA Firestone 70.00 280.00 #3-12 LT235/75R15 H/T 3 EA Firestone 105.00 315.00 #3-13 LT235/75R15 A/r 16 EA Firestone 110.00 1,760.00 #3-14 LT215/85R16 H/r 27 EA Firestone 97.00 2,619.00 #3-15 LT215/85R16 A/T 19 EA Firestone 135.00 2,565.00 #3-16 LT225/75R16 H/T 21 EA Firestone 121.00 2,541.00 #3-17 LT225/75R16 A/T 25 EA Firestone 118.00 2,950.00 #3-18 LT235/70R16 A/T 4 EA Firestone 100.00 400.00 #3-19 LT235/85R16 H/T 14 EA Firestone 104.00 1,456.00 #3-20 LT235185R16 A/r 22 EA Firestone 128.00 2,816.00 #3-21 LT235185R16 M/r 20 EA Firestone 149.00 2,980.00 #3-22 LT245/75R16 H/T 66 EA Firestone 106.00 6,996.00 City of Lubbock ITB 22-16700-SB Tire Purchase and Service for City Vehicles and Equipment BID FORM #3-23 LT245/75R16 A/r 117 EA Firestone 122.00 14,274.00 #3-24 LT245/75R16 M/r 10 EA Firestone 141.00 1,410.00 #3-25 LT255170R16 A/r 4 EA Firestone 134.00 536.00 #3-26 LT245/70R17 A/T 4 EA Firestone 134.00 536.00 #3-27 LT265/75R16 HIT 6 EA Firestone 118.00 708.00 #3-28 LT265/75R16 A/T 35 EA Firestone 137.00 4,795.00 #3-29 LT245/70R17 H/r 33 EA Firestone 121.00 3,993.00 #3-30 LT245/70R17 A/r 20 EA Firestone 134.00 2,680.00 #3-31 LT275165R18 A/r 4 EA Firestone 170.00 680.00 #3-32 LT265/70R17 H/r 24 EA Firestone 136.00 3,264.00 #3-33 LT265/70R17 A/T 30 EA Firestone 134.00 4,020.00 #3-34 LT275/70R18 H/T 13 EA Firestone 152.00 1,976.00 #3-35 LT265165R18 A/r 4 EA Firestone 158.00 632.00 #3-36 LT225/75R15 A/T 4 EA No Bid No Bid No Bid #3-37 LT245/751117 H/r 24 EA Firestone 138.00 3,312.00 #3-38 LT245/75R17 A/T 40 EA Firestone 140.00 5,600.00 #3-39 LT245/75R17 M/r 32 EA Firestone 156.00 4,992.00 Group 2 Light Truck Tires - Additional Services In shop -flat repair. Price to be on a Per tire basis and to include all ancillary costs associated #4-1 with normal repair. 1 EA BWTC 18.00 18.00 Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs #4-2 associated with "Road side repair'. I EA BWTC 40.00 40.00 #4-3 Front End Alignment 1 EA BWTC 65.00 65.00 #44 Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile 1 EA BWTC 2.00 2.00 #4-5 After hours Service call. Price to be on a per unit basis for complete call. I EA BWTC 95.00 95.00 #4-6 Mounting of Tire Supplied by City of Lubbock I EA BWTC 20.00 20.00 #4-7 Balancing of Tire Supplied by City of Lubbock I EA BWTC 20.00 20.00 Group 3 Heavy Truck Tires #5-1 215/751117.5 HIT 16 PLY 32 EA Cooper 200.00 6,400.00 #5-2 225/70R19.5 HIT 12 PLY 20 EA Cooper 220.00 4,400.00 #5-3 225/70R19.5 A/T 12 PLY 39 EA Cooper 230.00 8,970.00 #54 10.00/20 HWY 14 PLY 4 EA No Bid No Bid No Bid #5-5 10.00/20 MIS 14 PLY 4 EA No Bid No Bid No Bid #5-6 24R21 Specialized Fire Truck - Michelin Tire Only 2 EA Michelin 3,842.00 7,684.00 #5-7 10.00R22.5 HWY 16 PLY 4 EA Cooper 350.00 1,400.00 #5-8 10.00R22.5 M/S 16 PLY 3 EA Cooper 350.00 1,050.00 #5-9 1 LOOR22.5 HWY 16 PLY 77 EA Cooper 345.00 26,565.00 #5-10 1 LOOR22.5 MIS 16 PLY 320 EA Cooper 345.00 110,400.00 #5-11 1 LOOR22.5 FIT 16 PLY 40 EA Cooper 345.00 13,800.00 #5-12 I LOOR22.5 M/S 16 PLY 48 EA Cooper 345.00 16,560.00 #5-13 12.00R22.5 HWY 16 PLY 37 EA Cooper 390.00 14,430.00 #5-14 12.00R22.5 M/S 16 PLY 80 EA Cooper 495.00 39,600.00 #5-15 255170R22.5 HWY 16 PLY 4 EA Cooper 200.00 800.00 #5-16 315/80R22.5 M/S 20 PLY 62 EA Cooper 571.00 35,402.00 #5-17 315180R22.5 FT 20 PLY 28 EA Cooper 571.00 15,988.00 #5-18 315180R22.5 MIS 20 PLY 12 EA Cooper 571.00 6,852.00 #5-19 385165R22.5 HWY 18 PLY 16 EA Cooper 630.00 10,080.00 #5-20 425165R22.5 HWY 20 PLY 36 EA Cooper 695.00 25,020.00 #5-21 1 LOOR24.5 HWY 16 PLY 18 EA Cooper 345.00 6,210.00 #5-22 295/75R22.5 HWY 16 PLY 32 EA Cooper 250.00 8,000.00 #5-23 Balancing of Tire Supplied by City of Lubbock I EA BWTC 35.00 35.00 #5-24 315/80R22.5 HWY 18 PLY 76 EA Cooper 571.00 43,396.00 Group 3 Heavy Truck Tires - Additional Services In shop - flat repair. Price to be on a per tire basis and to include all ancillary costs associated #6-1 with normal repair. 1 EA BWTC 40.00 40.00 Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs #6-2 associated with "Road side repair' I EA BWTC 60.00 60.00 #6-3 Front End Alignment 1 EA BWTC 100.00 100.00 #64 Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile I EA BWTC 2.00 2.00 #6-5 After hours Service call. Price to be on a per unit basis for complete call. 1 EA BWTC 95.00 95.00 #6-6 Mounting of Tire Supplied by City of Lubbock 1 EA BWTC 45.00 45.00 Group 4 Trailer Tires #7-1 7.00 - 15 LT HWY 10 PLY 8 EA Power King 105.00 840.00 #7-2 7.50 - 15 LT HWY 10 PLY 2 EA Power King 105.00 210.00 #7-3 ST225/75R15 HWY 10 PLY 4 EA Summit 85.00 340.00 #74 7.00- 16LT HWY 10 PLY 4 EA No Bid No Bid No Bid #7-5 7,50 - 16 LT HWY 10 PLY 19 EA Super Cargo 115.00 2,185.00 #7-6 ST215175R14 HWY 10 PLY 4 EA Summit 65.00 260.00 #7-7 ST235180R16 HWY 10 PLY 12 EA Summit 120.00 1,440.00 City of Lubbock ITB 22-16700-SB Tire Purchase and Service for City Vehicles and Equipment BID FORM #7-8 4.80-8 HWY 10 PLY 4 EA Deestone 15.00 60.00 #7-9 ST185/701113 HWY 10 PLY 6 EA No Bid No Bid No Bid #7-10 480-12 HWY 10 PLY 8 EA Deestone 35.00 280.00 #7-11 ST225/90RI6 HWY 10 PLY 4 EA Summit 200.00 800.00 #7-12 ST235/75R17.5 HWY 10 PLY 8 EA Cooper 195.00 1,560.00 #7-13 ST205/90D15E HWY 10 PLY 4 EA Power King 105.00 420.00 #7-14 ST205/751114 HWY 10 PLY 6 EA Summit 85.00 510.00 #7-15 ST205/751115 HWY 10 PLY 8 EA Summit 85.00 680.00 Group 4 Trailer Tires - Additional Services In shop - flat repair. Price to be on a per tire basis and to include all ancillary costs associated #8-1 with normal repair. 1 EA BWTC I8.00 18.00 Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs #8-2 associated with "Road side repair" I EA BWTC 40.00 40.00 #8-3 Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile 1 EA BWTC 2.00 2.00 #84 After hours Service call. Price to be on a per unit basis for complete call. I EA BWTC 95.00 95.00 #8-5 Mounting of Tire Supplied by City of Lubbock I EA BWTC 20.00 20.00 #8-6 Balancing of Tire Supplied by City of Lubbock 1 EA BWTC 20.00 20.00 Group 5 Mower Turf Tires #9-1 4.10 / 3.50 - 4 Saw Tooth 4 EA Deestone 10.00 40.00 #9-2 45 - 6 00 - 6 Turf Saver 4 EA No Bid No Bid No Bid #9-3 5.70 - 8 Saw Tooth 4 EA Deestone 35.00 140.00 #94 20 - 10.00 - 8 Turf Saver 4 EA Deestone 45.00 180.00 #9-5 22.5 - 10 00 - 8 Turf Saver 2 EA Deestone 95.00 190.00 #9-6 25 -13.00 - 9 Turf Saver 2 EA Carlisle 135.00 270.00 #9-7 6 50 - 10 Turf Saver 4 EA No Bid No Bid No Bid #9-8 23 - 8.50 - 12 Turf Saver 4 EA Deestone 65.00 260.00 #9-9 23 - 10.50- 12 Turf Saver 3 EA Deestone 70.00 210.00 #9-10 23 - 10 50 -- 12 Turf Saver 3 EA Deestone 70.00 210.00 #9-1 1 24 - 12.00 - 12 Turf Saver 4 EA Deestone 87.00 348.00 #9-12 26 - 12.00 - 12 Turf Saver 4 EA Deestone 145.00 580.00 #9-13 25-12.00-12 RITractor 4 EA Deestone 138.00 552.00 #9-14 25 - 10 00 -12 Turf Saver 4 EA Deestone 125.00 500.00 #9-15 25XIOR12 8 PLY RTV 12 EA Deestone 155.00 1,860.00 #9-16 13 650 - 6 Turf Saver 4 EA Deestone 25.00 100.00 #9-17 11 400 - 5 Turf Saver 4 EA Deestone 15.00 60.00 Group 5 Mower Turf Tires - Additional Services In shop flat repair. Price to be on a Per tire basis and to include all ancillary costs associated #10-1 with normal repair. I EA BWTC 25.00 25.00 Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs #10-2 associated with "Road side repair" I EA BWTC 40.00 40.00 #10-3 Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile I EA BWTC 2.00 2.00 #104 After hours Service call. Price to be on a per unit basis for complete call. 1 EA BWTC 95.00 95.00 #10-5 Mounting of Tire Supplied by City of Lubbock 1 EA BWTC 20.00 20.00 Group 6 Industrial Tires #11-1 31115.5 - 15 Lug 10 PLY 4 EA Deestone 335.00 1,340.00 #11-2 7.00112 Lug 14 PLY 4 EA Deestone 160.00 640.00 #11-3 12/16.5 HWY 12 PLY 4 EA Deestone 220.00 880.00 #1 I-4 10116.5 LUG 10 PLY 4 EA Deestone 170.00 680.00 #11-5 10.00116.5 L-2 8 PLY 4 EA Deestone 170.00 680.00 #11-6 28-9-15 10 PLY 4 EA Deestone 155.00 620.00 #11-7 650-10 10 PLY 4 EA Deestone 120.00 480.00 Group 6 Industrial Tires - Additional Services In shop flat repair. Price to be on a Per tire basis and to include all ancillary costs associated #12-1 with normal repair. I EA BWTC 40.00 40.00 Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs #12-2 associated with "Road side repair'. 1 EA BWTC 60.00 60.00 #12-3 Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile I EA BWTC 2.00 2.00 #12-4 Mounting of Tire Supplied by City of Lubbock 1 EA BWTC 45.00 45.00 Group 7 Construction, Earth Moving Tires #13-1 9.51-- 15SL Contractor 4 EA Harvest King 480.00 1,920.00 #13-2 I IL- 15 Contractor 9 EA Harvest King 135.00 1,215.00 #13-3 9.50- 16.5 Contractor 2 EA Deestone 155.00 310.00 #134 I IL- 16 Contractor 24 EA Deestone 175.00 4,200.00 #13-5 13.00124 GraderG-2 9 EA Titan 395.00 3,555.00 City of Lubbock ITB 22-16700-SB Tire Purchase and Service for City Vehicles and Equipment BID FORM #13-6 14.00 / 24 Grader G-2 #13-7 17.5'25 Loader #13-8 20.5125 Loader #13-9 23.5125 Loader #13-10 20.51125 Loader #13-11 33.25R29 Grader #13-12 IIR24.5 Loader #13-13 17.5L-24 Loader #13-14 14.00R24 Loader #13-15 29.5R25 Loader #13-16 23.5R25 Loader Group 7 Construction, Earth Moving Tires - Additional Services In shop flat repair. Price to be on a Per tire basis and to include all ancillary costs associated #14-1 with normal repair. Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs #14-2 associated with "Road side repair" #14-3 Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile #14-4 Mounting of Tire Supplied by City of Lubbock Group 8 Farm Implement Tires #15-1 14.9124 Sprinkler 6 PLY #15-2 16.9124 Tractor 8 PLY #15-3 17.5124 Tractor 8 PLY #154 18.4IP26 Tractor 8 PLY #15-5 16.9128 Tractor 10 PLY #15-6 11.2138 Tractor 4PLY #15-7 18.41138 Tractor PLY Group 8 Farm Implement Tires - Additional Services In shop flat repair. Price to be on a Per tire basis and to include all ancillary costs associated #16-1 with normal repair. Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs #16-2 associated with "Road side repair" #16-3 Roadside repairs for vehicles traveling outside of City of Lubbock city limns, cost per mile # 16-4 Mounting of Tire Supplied by City of Lubbock #16-5 Liquid Filled or Wet Tire - Flats. and Mounting Group 9 Tire Disposal #17-1 Light to Medium Duty Tires #17-2 Heavy Duty #17-3 Off Road 20 EA Titan 675.00 13,500.00 8 EA Titan 795.00 6,360.00 6 EA Titan 1,300.00 7,800.00 4 EA Titan 1,900.00 7,600.00 16 EA Michelin 2,100.00 33,600.00 4 EA Michelin 12,010.00 48,040.00 16 EA No Bid No Bid No Bid 4 EA Titan 650.00 2,600.00 8 EA Michelin 1,560.00 12,480.00 5 EA Titan 5,200.00 26,000.00 6 EA Titan 2,800.00 16,800.00 t EA BWTC 0.00 0.00 1 EA BWTC 0.00 0.00 I EA BWTC 2.00 2.00 1 EA BWTC 0.00 0.00 24 EA Harvest King 455.00 10,920.00 6 EA Deestone 650.00 3,900.00 3 EA Titan 675.00 2,025.00 4 EA Deestone 850.00 3,400.00 3 EA Deestone 685.00 2,055.00 4 EA Harvest King 400.00 1,600.00 4 EA Titan 1,000.00 4,000.00 1 EA BWTC 100.00 100.00 I EA BWTC 125.00 125.00 1 EA BWTC 2.00 2.00 1 EA BWTC 150.00 150.00 1 EA BWTC 150.00 150.00 1 EA BWTC 10.00 10.00 I EA BWTC 15.00 15.00 1 EA BWTC 50.00 50.00 �iu.W►llia�ns life, City of Lubbock, TX ORIGINAL Purchasing and Contract Management Bid Submission Information In compliance with the Invitation to Bid, the undersigned Bidder having examined the Invitation to Bid, instructions to bidders, General Conditions of the Agreement, 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 and agrees to deliver said items at the locations and for the prices set forth on the bid form and/or the bid table associated with this bid. 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 is by reference incorporated in this contract. Where applicable, prices are quoted as: F.O.B. Destination, Freight Pre -Paid and Allowed Where applicable, delivery days are: Days After Receipt of Order (ARO) Unless otherwise specified herein, the City may award the bid either item -by —item or on an all -or - none basis for any item or group of items shown on the bid. The City of Lubbock is seeking a contract for 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 _M&_—°io, net W/R 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 price(s) is effective. INTERLOCAL PURCHASING (optional): The City desires to make available to other local governmental entities of the State of Texas, by mutual agreement with the successful bidder, and properly authorized interlocal purchasing agreements as provided for by the Interlocal Cooperation Act (Chapter 791, Government Code), the right to purchase the same services, at the prices quoted, for the period of this contract. Each bidder shall indicate on the Bid Form in the space provided below if he/she will honor Political Subdivision orders in addition to orders from the City of Lubbock. Should these other governmental entities decide to participate in this contract, would you (the bidder) agree that all terms, conditions, specifications, and pricing would apply? Other governmental entities that might have interests in this contract are Frenship Independent School District, Lubbock Housing Authority, Lubbock County, Lubbock County Hospital District, Lubbock Independent School District, South Plains Association of Governments, City of Texarkana, Texas Tech University, West Texas Municipal Power Agency, Lynn County, and City of Wolfforth. YEs_F*_e NO F 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. Addenda Bidder acknowledges receipt of addenda issued in regard to this solicitation: Addenda No. Date '-- IOLZ Addenda No. Date 0 Addenda No. Date Addenda No. Date Insurance Requirements I, the undersigned Bidder certify that the insurance requirements contained in this bid document have been reviewed by me and my Insurance Agent/Broker. If I am awarded this contract by the City of Lubbock, I will be able to, within ten (10) business days after being notified of such award by the City of Lubbock, furnish a valid insurance certificate to the City meeting all of the requirements defined in this bid. If the time requirement specified above is not met, the City has the right to reject this proposal and award the contract to another contractor. If you have any questions concerning these requirements, please contact the Director of Purchasing & Contract Management for the City of Lubbock at (806) 775-2572. Suspension and Debarment Certification Federal Law (A-102 Common Rule and OMB Circular A-110) prohibits non -Federal entities from contracting with or making sub -awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement contracts for goods or services equal to or in excess of $25,000 and all non -procurement transactions (e.g., sub -awards to sub -recipients). Contractors receiving individual awards of $25,000 or more and all sub -recipients must certify that their organization and its principals are not suspended or debarred by a Federal agency. Before an award of $25,000 or more can be made to your firm, you must certify that your organization and its principals are not suspended or debarred by a Federal agency. I, the undersigned agent for the firm named below, certify that neither this firm nor its principals are suspended or debarred by a Federal agency. TEXAS GOVERNMENT CODE SECTION 2252.152 The undersigned representative of the undersigned company or business, being an adult over the age of eighteen (18) years of age, pursuant to Texas Government Code, Chapter 2252, Section 2252.152, certify that the company named above is not listed on the website of the Comptroller of the State of Texas concerning the listing of companies that are identified under Section 806.051, Section 807.051 or Section 2253.153. I further certify that should the above -named company enter into a contract that is on said listing of companies on the website of the Comptroller of the State of Texas, which do business with Iran, Sudan or any Foreign Terrorist Organization, I will immediately notify the City of Lubbock Purchasing and Contract Department. TEXAS GOVERNMENT CODE SECTION 2271.002 Company hereby certifies the following: 1. Company does not boycott Israel; and 2. Company will not boycott Israel during the term of the contract. The following definitions apply to this state statute: (1) 'Boycott Israel' means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli -controlled territory, but does not include an action made for ordinary business purposes; and (2) "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or limited liability company, including a wholly owned subsidiary, majority -owned subsidiary, parent company, or affiliate of those entities or business associations that exists to make a profit. Vendor Acknowledgment In compliance with this solicitation, the undersigned bidder having examined the invitation to bid, instructions to bidders, documents associated with the invitation to bid, and being familiar with the conditions to be met, has reviewed the information regarding: • Insurance Requirements • Suspension and Debarment Certification • Texas Government Code Section 2252.152 • Texas Government Code Section 2271.002 An individual authorized to bind the company must sign the following section. Failure to execute this portion may result in bid rejection. Intentionally Left Blank Submission Information THIS BID IS SUBMITTED BY Ut W t I I l AMC, ( i � a corporation organized under the laws of the State of -FeXA S , or a partnership consisting of or individual trading as the City of Tax IDNo.: -75 - d 1 5 4 80 Address: 121D SE Loop ZSsq City: 1A.6 h V J(- State: T>< zip: -N LIO �L M/WBE Firm: Woman I I Black American I I Native Amencan Hisnanic American I I Asian Pacific American I I Other (Specify) Please complete the information below. V/A4.Date: �ZZ ZVZ Z 7 Authorized Representative - must sign by hand Officer Name and Title: CVkAD V ll.lAMEAL Ge MAI IMAkajer Business Telephone Number g n' -%qg '0083 FAX: E-mail Address: shady@ 6 i n w i u° im S +i rt • Cone of City of Lubbock ITB 22-16700-SB Tire Purchase and Service for City Vehicles and Equipment General Specifications Scope: The City of Lubbock hereinafter referred to the ("City") is issuing this Invitation to Bid for the purchase of tires and services for vehicles and equipment listed in the Bid Form. It is the intent of the following specifications to describe the approximate fleet tires needed by the City per the current fleet which may increase/decrease in numbers and type over the intended contract period. In order to assure adequate coverage for multiple locations throughout the City and our worksite locations outside of the city limits, the City may select multiple vendors to provide the services desired, if multiple awards are determined to be in the best interest of the City. These worksite locations include, but are not limited to, Muleshoe, Wilson, and Lake Alan Henry. Level of Quality: The successful vendor must be able to furnish NEW tires, domestically manufactured only, as required by the City. Tires bid shall be of the highest quality rating per specific brand offered by the bidding vendor. An estimated usage is included on the bid form for bid purposes. Tires must be manufacturer's brand. Private or associated brands are not acceptable. National name brands only. No retreads or used tires will be accepted. Federal Specifications: For each applicable category, all tires shall meet the performance requirements for the Federal Specifications. Warranty Manufacturers standard warranty shall apply. Bidder MUST submit a copy of tire warranty policies with the bid. Minimum Quantities: The Contractor agrees that the City has made no representation, guaranty, or commitment that the City will purchase any minimum quantity of products under this Contract. The Contractor further agrees that any inventories, residual or otherwise, which the Contractor may establish or which may otherwise arise from the Contractor's performance under this Contract, shall be at the sole risk and responsibility of the Contractor. Tire Casing: Any credit for a reusable tire casing must be listed separately on the invoice. If there is no credit for a tire casing, the reason will be listed on theinvoice. Pricing: Bid form pricing is price per tire for each of the listed tire sizes. This price is the amount that will be expected on the invoices. The "per tire" bid price will include COMPLETE installation. This consists of all mounting, balancing, wheel weights, valve stems, et cetera, and any applicable rebate for reusable tire casing. No additional costs associated with normal replacement and/ or installation will be approved. Group 1 — Passenger Tires: 60,000 mile Limited Warranty, All Season Tread (A/S), OR All Terrain Tread (A/T), Standard Load Range, OEM tires only. Group 2 — Light Truck Tires: 50,000 mile Limited Warranty, All Season Tread (A/S), (H/T), All Terrain Tread (A/T), or Aggressive Block Tread (M/T), with 3 Ply Side Wall Minimum. Load Range as Indicated, OEM tires only. Group 3 — Heavy Truck Tires: Standard Manufacturers Limited Warranty, Tubeless, Commercial Steer Tire (HWY), Commercial Deep Drive Tires (M/S), Load Range as indicated, Firetruck Rated Tires (FT), OEM tires only. Group 4 — Trailer Tires: Standard Manufacturers Limited Warranty, Steel Tire Rib Tread Design, Load Range as indicated. Group 5 — Mower Turf Tires: Standard Manufacturers Limited Warranty, Nylon Rib Saw Tooth Tread, Soft Turf Saver Tire Tread, and Load Range Standard. Group 6 - 8 — Industrial Tires, Construction, Earth Moving Tires and Farm Implement Tires: Standard Manufacturers Limited Warranty and Load Range as indicated. Group 9 — Tire Disposal: The vendor shall be responsible for pick up and proper disposal of all used and scrap tires per applicable laws. They should provide this service for both tires that the vendor supplies and installs, as well as the tires that the City purchases and replaces in house. Used tires should be picked up at time of service or from a designated area at Fleet garage located at 206 Municipal Drive, Lubbock TX 79457, when notified by Fleet. The City will not be responsible for any Vendor's illegal action in handling disposal of the tires. CERTIFICATE OF INTERESTED PARTIES ORIGINAL FORM 1295 1of1 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: 2022-914194 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Bill Williams Tire Lubbock, TX United States Date Filed: 07/25/2022 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 22-16700-SB TIRES AND SERVICE Nature of interest 4 Name of Interested Parry City, State, Country (place of business) (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION \ 1 My name is CklAV V ( LI.AYEA L and my date of birth is My address is ZO S.E. LOOP Z%9 L L,66oCL Ty -7ggoq 6(5A (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. T Executed in �In �hoGc County, State of T,—* )(A i on the ZS day of TKL�V_, 20 22 . (month) (year) Signature of authorized agent of contracting business entity (Declarant) w Lr�J� Forms provided by Texas Ethics Commission www.etnics.state.tx.us VC1511j11 V1.1.1Dl WU%1U1. CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2022-914194 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Bill Williams Tire Lubbock, TX United States Date Filed: 07/25/2022 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: 09/07/2022 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 22-16700-SB TIRES AND SERVICE 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Parry. X 6 UNSWORN DECLARATION My name is and my date of birth is My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of on the day of , 20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms proviaeo Dy Texas Ethics Commission www.ethics.state.tx.us Version V1.1.191b5cdc