HomeMy WebLinkAboutResolution - 2017-R0112 - Pevey Lawn & Landscape - 03_23_2017Resolution No. 2017-RO112
Item No. 6.8
March 23, 2017
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. 13232 and related documents for landscape
maintenance services at the City of Lubbock Cemetery as per ITB 17-13232-KM, by and
between the City of Lubbock and Pevey Lawn & Landscape, Inc., of Lubbock, Texas. 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 March 23, 2017
DANIEL M. POPE MAYOR
ATTEST:
Rebe ca Garza, City Secretary
APPROVED
Bill
TO CONTENT:
APPROVED AS TO FORM:
Justi Prui t, Assist nt City Attorney
ccdocs/RES. Contract 13232 — Pevey Lawn & Landscape, Inc. — Cemetery Landscape Maintenance
February 27, 2017
Resolution No. 2017-RO112
Contract 13232
City of Lubbock, TX
Contract for Services
Cemetery Landscape Maintenance Services
THIS CONTRACT made and entered into this 23rd day of March, 2017, by and between the City of
Lubbock ("City"), and Pevey Lawn & Landscape, Inc., of Lubbock, TX, 2017, ("Contractor").
WITNESSETH:
WHEREAS, the City of Lubbock duly advertised for bids for Cemetery Landscape Maintenance
Services 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 Cemetery Landscape Maintenance Services.
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, Cemetery Landscape Maintenance Services
and more specifically referred to as item one thru six on the bid submitted by the Contractor or in the
specifications attached hereto.
2. The City promises and agrees to employ, and does employ, the Contractor to cause to be done the
work provided for in this Contract and to complete and finish the same according to the attached
specifications, offer, and terms and conditions contained herein.
3. The Contractor shall perform the work according to the procedures outlined in the Bid Form and
Specifications attached hereto. The contract shall be for a term of one year, with the option of three, one
year extensions, said date of term beginning upon formal approval. The City does not guarantee any
specific amount of compensation, volume, minimum or maximum amount of services under this contract.
4. This contract shall remain in effect until the first of the following occurs: (1) the expiration date, (2)
performance of services ordered, or (3) termination of by either party with a 30 day written notice.
Such written notice must state the reason for cancellation. 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.
INSURANCE SECTION A. Prior to the approval of this contract by the City, the Contractor shall
furnish a completed Insurance Certificate to the City, which shall be completed by an agent
authorized to bind the named underwriter(s) to the coverages, limits, and termination provisions
shown thereon, and which shall furnish and contain all required information referenced or 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):
TYPE OF INSURANCE
GENERAL LIABILITY
E Commercial General Liability ❑ Other
❑ Claims Made ® Occurrence
❑ W/Heavy Equipment
❑ To Include Products of Complete Operation Endorsements
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)
Med Exp (Any one Person)
PROFESSIONAL LIABILITY
❑ General Aggregate $
AUTOMOTIVE LIABILITY
E
Any Auto
❑
Scheduled Autos
❑
Non -Owned Autos
EXCESS LIABILITY
❑
Umbrella Form
GARAGE LIABILITY
❑ Any Auto
❑ BUILDER'S RISK
❑ INSTALLATION FLOATER
❑ POLLUTION
❑ CARGO
❑ All Owned Autos
❑ Hired Autos
Combined Single Limit
Each Occurrence $1,000,000
Each Occurrence
Aggregate
Auto Only - Each Accident _
Each Accident Aggregate _
❑ 100% of the Total Contract Price
❑ 100% of the Total Material Costs
E WORKERS COMPENSATION — STATUTORY AMOUNTS OR 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 aprimary 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 in favor of the City on all coverage's. Copies of the Certificates of
Insurance and all applicable endorsements are required.
ADDITIONAL POLICY ENDORSEMENTS
The City shall be entitled, upon request, and without expense, to receive copies of the policies and all
endorsements thereto and may make any reasonable request for deletion, revision, or modification of
particular policy terms, conditions, limitations, or exclusions (except where policy provisions are established
by law or regulation binding upon either of the parties hereto or the underwriter of any of such policies).
Upon such request by the City, the Contractor shall exercise reasonable efforts to accomplish such changes
in policy coverages, and shall pay the cost thereof.
REQUIRED PROVISIONS
The Contractor agrees that with respect to the above required insurance, all insurance contracts and
certificate(s) of insurance will contain and state, in writing, on the certificate or its attachment, the
following required provisions:
a. Name the City of Lubbock and its officers, employees, and elected representatives as additional
insureds, (as the interest of each insured may appear) as to all applicable coverage;
b. Provide for thirty (30) days' notice to the City for cancellation, nonrenewal, or material change;
c. Provide for notice to the City at the address shown below by registered mail;
d. The Contractor agrees to waive subrogation against the City of Lubbock, its officers, employees, and
elected representatives for injuries, including death, property damage, or any other loss to the extent
same may be covered by the proceeds of insurance;
e. Provide that all provisions of this contract concerning liability, duty, and standard of care together
with the indemnification provision, shall be underwritten by contractual liability coverage sufficient
to include such obligations within applicable policies.
NOTICES
The Contractor shall notify the City in the event of any change in coverage and shall give such notices
not less than 30 days prior the change, which notice must be accompanied by a replacement
CERTIFICATE OF INSURANCE.
All notices shall be given to the City at the following address:
Marta Alvarez, Director of Purchasing and Contract Management
City of Lubbock
1625 1311' Street, Room 204
Lubbock, Texas 79401
SECTION D. Approval, disapproval, or failure to act by the City regarding any insurance supplied
by the Contractor shall not relieve the Contractor of full responsibility or liability for damages and
accidents as set forth in the contract documents. Neither shall the bankruptcy, insolvency, or denial
of liability by the insurance company exonerate the Contractor from liability.
7. Neither the City nor the Contractor shall assign, transfer or encumber any rights, duties or interests
accruing from this Contract without the written consent of the other.
8. The City reserves the right to exercise any right or remedy available to it by law, contract, equity, or
otherwise, including without limitation, the right to seek any and all forms of relief in a court of
competent jurisdiction. Further, the City shall not be subject to any arbitration process prior to
exercising its unrestricted right to seek judicial remedy. The remedies set forth herein are cumulative
and not exclusive, and may be exercised concurrently. To the extent of any conflict between this
provision and another provision in, or related to, this document, this provision shall control.
9. At any time during the term of the contract, or thereafter, the City, or a duly authorized audit
representative of the City or the State of Texas, at its expense and at reasonable times, reserves the
right to audit Contractor's records and books relevant to all services provided to the City under this
Contract. In the event such an audit by the City reveals any errors or overpayments by the City,
Contractor shall refund the City the full amount of such overpayments within thirty 30 days of such
audit findings, or the City, at its option, reserves the right to deduct such amounts owing the City
from any payments due Contractor.
10. All funds for payment by the City under this contract are subject to the availability of an annual
appropriation for this purpose by the City. In the event of non -appropriation of funds by the City
Council of the City of Lubbock for the goods or services provided under the contract, the City will
terminate the contract, without termination charge or other liability, on the last day of the then -current
fiscal year or when the appropriation made for the then -current year for the goods or services covered
by this contract is spent, whichever event occurs first. If at any time funds are not appropriated for
the continuance of this contract, cancellation shall be accepted by the Seller on 30 days prior written
notice, but failure to give such notice shall be of no effect and the City shall not be obligated under
this contract beyond the date of termination.
11. The Contractor shall not assign or sublet the contract, or any portion of the contract, without written
consent from the Director of Purchasing and Contract Management. Should consent be given, the
Contractor shall insure the Subcontractor or shall provide proof on insurance from the Subcontractor
that complies with all contract Insurance requirements.
12. This Contract consists of the following documents set forth herein; Invitation to Bid No. 17-13232-
KM Specifications, and the Bid Form.
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 LUBB
DANIEL M. POPE MAYOR
A TTFcsT;
Re ecca Garza, City Secreta�_)
APP�PVED AS TO NT T:
Jaim oy, Director of e tery and
Vector Control
APPROVED AS TO FO
Justin Pruio i stani City Attorney
CONTRACTOR
BY?eV�...AkslrJ E
Authorized Itepresentative
Print Name
G So 4 l l 4SX46-
Address
.bb 7 X -7'Fq I (o
City, State, Zip Code
BID FORM
Cemetery Landscape Maintenance Services
City of Lubbock, TX
ITB 17-13232-KM
In compliance with the Invitation to Bid 17-13232-KM, the undersigned Bidder having examined the invitation to Bid
and Specifications, and being familiar with the conditions to be met, hereby submits the following Bid for furnishing the
material. equipment, labor and everything necessary for providing the items listed below and agrees to deliver said items at
the locations and for the prices set forth on this form. A bid will be subject to being considered irregular and may be
rglectcd 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 am, kind. The Invitation to Bid 17-13232-KM is by reference incorporated in this contract. The Bid Form
must be completed in blue or black ink or by typewriter.
Approx
Cycles Approx.
Unit Cost
Extended
Item
Description
Acreage
Per Year(+/.)
Cost
(+r_)
(C)
=(B X C)
(A)
(B)
Area A
I
Forsvtltiato West Entrance. Dogwood to North
26
19
$ f ^
llJ
n
rJr` �Q
Pro a Line
oC`7 V
Area B
2
Forsythia to Canyon Lakes Dr, Dogwood North to
26
18
Pro e n Line
l tY
3
Area C
26
18
14 S
a I
Dogwood to Gallaradia. Forsythia to Office
lO
Area D
4
Dogwood to Gallardia, Forsythia to Canyon lake
26
18
(,
Dr
1
I
�l oo
5
Area 1
Gallardia to South Property line, Forsythia West
26
18
`r - C)
! �Y lJ
- V
�Un
to Office
I
6
Area F
Gallardia to South Property Line, Forsythia to
26
18
I _r;�
�j� -( cc
East Pro line
W
Ot f
Total Cost (Items 1-6)
$
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.
PAYMENT" TERMS .AND DISCOUNTS - Bidder offers a prompt payment discount of %, net _ calendar days.
Discounts will not be considered in determining low bid. Unless otherwise indicated on the Bid Form, payment terms will
he 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 Iater. Discounts for prompt payment requiring payment by the City
within a stipulated number of days will be interpreted as applying within the stipulated number of calendar days after the
date of receipt by the City of a correct invoice or after the date of acceptance that meets contract requirements, whichever
event occurs later. Discounts for payment in less than ten days will not be considered.
MOST FAVOURED PRICING; The Bidder certifies that the price quoted is not in excess of the lowest price charged
anyone else, including its most favoured customer, for like quality and quantity of the products/services: does not include
an clement of profit on the sale in excess of that normally obtained by the Bidder on the safe 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 PURCI LASING (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 property authorized interlocal purchusing 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
ITB 17-13232-KM Cemetery Landscape Maintenance Services
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 apple?
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'Nolfforth.
YES NO
• If you (the bidder) checked YES. the following will apply:
• Governmental entities utilizing Interlocal Agreements for Cooperative Purchasing % ith the City of Lubbock will
be eligible. but not obligated, to purchase materials/serrices under the contract(s) awarded as a result of this
solicitation. All purchases b) 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 deb'ach governmental entity will order their own materialsiservicc as needed.
THIS BID IS SUBMITTED BY �- LL4 L _a corporation organized under the laws of the State of
or a partnership consisting of or individual trading as
of the City of L4had—
Firm: rr'�a)' !� f
P Address- `V ()') I t [ C !I
City:
Bidder acknov�ledges receipt of the following addenda:
Addenda No. Date
Addenda No. Date
Addenda No. Date
Addenda No. Date
hl/" BE Firm:
State:
Zip
k/ Woman Black American I I Native American �
Hispanic American Asian Pacific American Other (Specify)
By'`r---
Authorized Representative - must sign
Officer Name and Title -
Please Print
Business Telephone Number
E-mail Address:
11
FAX:
FOR CITY USE ONLY
Bid Form Item Number(s) Awarded to Above Named Firm/Individual: _
Date ofAv,ard by City Council (for bids over $50,000): Date P.O./Contract Issued:
RETURN COMPLETED & SIGNED Bib FORM ALONG WITH CITY OF LUBBOCK SPECIFICATIONS.
4
ITB 17-13232-KM Cemetery Landscape Maintenance Smices
City of Lubbock, TX
ITB 17-13232-KM
Cemetery Landscape Maintenance Services
Specifications
A. Intent
The City is seeking landscape maintenance services for the Lubbock City Cemetery for approximately
18 maintenance cycles annually, twice per month. The standards to which these services are requested
are contained in these specifications. The property is located at 2011 East 31" Street Lubbock, TX
79404.
B. General Cemetery Maintenance Standards
Mowing, edging, and trimming of Cemetery property shall be performed during a concurrent seven-day
time period (or less), unless the Cemetery Supervisor or his Agent approves a schedule change.
Cemetery mowing contract will consist of approximately 18 maintenance Cycles annually between the
months of March and November, approximately. Mowing, edging, and trimming of Cemetery property
shall be performed between 8:00 a.m. and 5:00 p.m. weekdays during a concurrent maximum seven-day
time period. Maintenance will not be performed on City holidays or weekends. Contractor requests for
exceptions to this schedule must be made in writing by Contractor and approved by the Owner's
Representative or Agent(s).
The areas of the Cemetery property to be serviced includes all rights of way adjoining the site and to the
centerline of all alleys adjoining the property and extending a minimum of six (6) inches from the lip of
the gutter of all streets with curb and gutter.
Contractor is responsible for safe and careful operation of mowing equipment around headstones,
footstones, memorials, monuments, cemetery markers, facilities, funeral set-ups, trees, shrubs, utilities,
all public art, and the irrigation system.
Contractor is responsible for preventing clippings from contaminating plant beds or providing an
unsightly appearance around the Cemetery Office.
It is the Contractor's responsibility to report any damage to the Owner's Representative or Agent(s) as
soon as possible, but not exceeding twenty-four (24) hours from the time the damage occurred.
If damage occurs as a result of Contractor's actions, the Contractor shall be held responsible to repair or
replace the damaged property at Contractor's own expense and to the approval of the Owner's
Representative or Agent(s). Time required to repair damaged property shall be expedient and to the
approval of the Owner's Representative or Agent(s). If the damage is not repaired in the agreed upon
time period, the City may after forty-eight (48) hours' notice from the Owner's Representative, proceed
to repair the damage. The Contractor shall be held financially responsible for the repair work and the
cost shall be deducted from the Contractor's payment.
Contractor will designate and make the Owner's Representative or Agent(s) aware of the Contractor's
designated representative (crew supervisor). The Contractor's designated representative (crew
supervisor) will be on the property during maintenance operations. Owner's Representative or Agent(s)
must be able to access and contact the Contractor's designated representative (crew supervisor) during
Contractor's maintenance operations.
Mowing:
Mowing commencement and conclusion shall beat the discretion of the Cemetery Supervisor or his
Agent. Mowing height shall be determined by turf growth, but may be adjusted as necessary at the
29
ITB 17-13232-KM Cemetery Landscape Maintenance Services
discretion of the Cemetery Supervisor. Height shall be adjusted for final freeze cut at the discretion of
the Cemetery Supervisor or his Agent.
All hard surfaces shall be cleaned after each Cycle. Mowers shall leave no clumps or windrows of grass.
Mowing equipment shall be Zero turn, riding and batwing mowers or their approved equal. Decks for
zero turn and riding mowers shall not exceed 60" so that they can pass safely through the rows of
monuments and headstones.
Push mowers only allowed to mow around Cemetery office.
Hard surfaces, sidewalks, and areas around the Cemetery Office and the mausoleum shall be cleaned
with a broom or leaf -blower after each cycle.
Edin:
Cremation garden, Cemetery Office Building, the Mausoleum, sidewalks, and curbed plant material
beds shall be edged to a depth of one inch.
All edging shall be performed concurrently with mowing on Cemetery property.
Contractor will use a "stick edger" or similar equipment per the Owner's Representative or Agent(s)'
approval. String trimmer or curb dressing may not be used for these tasks. Chemical edging is not
permitted.
Street curb edging shall be accomplished concurrently with mowing operations and all debris from this
activity shall be removed the same day that the task is performed. Curb dressers may not be used for this
task.
Trimminia:
All string trimming must be done to achieve a height uniform with the mowing height.
Trimming must be performed around monuments (both flat and upright), plaques, trees, plant buds,
buildings, signs, fences, and any other plants or structures. All hard surfaces, sidewalks, streets and
parking areas must be kept free of grass, weeds and debris. This task must be completed the same day as
the mowing is performed.
Contractor will string trim the Cemetery Office and the areas between the office and the bordering
monuments each mowing Cycle. Contractor will string trim the entire Cremation Garden area each
mowing Cycle. Contractor will string trim the entire Mausoleum area. Contractor will string trim the
entire area of Block 47 Baby Land each mowing Cycle.
C. Control of Work:
Funeral Services and Funeral Processions: The Contractor shall schedule and perform Work to enhance
public use, ensure the safety of visitors to the Cemetery, and to restrict conflict, interference, or
inconveniencing funeral services or funeral processions on the Cemetery property. Upon request, the
Cemetery will provide the Contractor with the locations and tirnes of pending funeral services 24 hours
in advance of their occurrence.
Citizen Contact: The Contractor is granted the privilege of doing Work on Cemetery property, but does
not have exclusive use of the property. The Contractor shall take all precautions that his maintenance
activities do not disturb funeral services or those visiting the Cemetery. Citizen contact with those
involved with funeral services as well as with visitors to the Cemetery requires sensitivity and
understanding. Contractor employees and agents should be aware of the location of the Cemetery
30
ITI3 17-13232-KM Cemetery Landscape Maintenance Services
office, and should politely instruct all citizens to direct inquiries there. Contractor employees should be
aware of the Cemetery Office location.
Cemetery maintenance shop has restroom facilities for Contractor's employees' use. Restroom facilities
at the Cemetery Business Office will not be used by Contractor's employees.
Contractor's employees will properly dispose of their beverage containers in a trashcan or dunnpster.
Any litter, such as, but not limited to shredded real or artificial flowers, Styrofoam ornaments, or other
grave adornments, created by the Contractor in the maintenance of the Cemetery property shall be
picked -up and disposed of properly and to the satisfaction of the Owner's Representative or Agent(s).
TENTATIVE MOWING FREQUENCIES:
January
0
July 2
February
0
August 2
March
2
September 2
April
2
October 2
May
2
November 2
June
2
December 0
D. Contract Period
The contract shall be for a term of one year, with the option of three, one year extensions, said date of
term beginning upon formal approval. The City does not guarantee any specific amount of
compensation, volume, minimum or maximum amount of services under this contract.
E. InvoicinE
All invoices shall be sent directly to the Cemetery at PO Box Lubbock, TX 79401.
31
1TB 17-13232-KM Cemetery Landscape Maintenance Services
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CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1of1
Complete Nos. 1- 4 and 6 if there are interested parties.
OFFICE USE ONLY
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
CERTIFICATION OF FILING
Certificate Number:
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
2017-175890
PEVEY LAWN AND LANDSCAPE, INC
LUBBOCK, TX United States
Date Filed:
03/07/2017
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.
17-13232KM
Maintenance 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.
.o.�.rc.s
TAMW ROARK i
NofelyPlllbBl:,,Sl�dTe>a�
Nl�ery � fZ618217�i Signature of _
authorized ag t of contracting business entity
AFFIX NOTARY STAMP / SEAL ABOVE
%� Q �}/�� �
Sworn to and subscribed before me, by the said l Cl rf� I �C� 1�Q LI• this the O day of o r tc,4 rc - Y"am..-
20_, to certify which, witness my hand and seal of office.
P—CA-4— -I& K Wk- C6 f i� f 9
Signature of offiM administering oath Printed name of officer administering oath Title of off r administering oath
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
lofl
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:
2017-175890
Date Filed:
03/07/2017
-
cknowledge
F03/09/2017
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
PEVEY LAWN AND LANDSCAPE, INC
LUBBOCK, TX 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
g Provide the identification number used by the governmental entity or state agency to track or identify
description of the services, goods, or other property to be provided under the contract.
17-13232KM
Maintenance Services
the contraztrand provide a
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
Sworn 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 Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277