HomeMy WebLinkAboutResolution - 2019-R0243 - Compliance Sampling And Analysis - 07/09/2019Resolution No. 2019-RO243
Item No. 6.13
July 9, 2019 RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute
for and on behalf of the City of Lubbock, Service Contract No. 14610 for Asbestos
Consulting Services as per RFP 19-14610-SG, by and between the City of Lubbock and
Compliance Sampling and Analysis, Inc., of Lubbock, Texas, and related documents. Said
Contract is attached hereto and incorporated in this resolution as if fully set forth herein and
shall be included in the minutes of the City Council.
Passed by the City Council on July 9, 2019
1
ATTEST:
AQ -0-
Rebe ca Garza, City Secr ary
APPROVED AS TO CONTENT:
Mark Ye ood, Assistant ity Manager
APPROVED AS TO FORM:
Kelli Leisure, Assistant City Attorney
ccdocsiRP-S.Contract 14610 - Asbestos Consulting Services
May 28, 2019
Resolution No. 2019-RO243 Contract 14610
City of Lubbock, TX
Asbestos Consulting Services
Agreement
This Service Agreement (this "Agreement") is entered into as of theq day of , 2019
("Effective Date") by and between Compliance Sampling and Analysis.91hc., (the Cori r), and the
City of Lubbock (the "City").
RECITALS
WHEREAS, the City has issued a Request for Proposals RFP 19-14610-SG, Asbestos Consulting
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 Asbestos
Consulting 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 — Best and Final Offer
4. Exhibit C — Insurance
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 Exhibit B and C attached hereto.
Article 1
1.1 The contract shall be for a term of one year, with the option of four, one-year extensions, said
date of term beginning upon formal approval. The initial term of this Contract shall be from
August 28, 2019 through August 27, 2020. The subsequent periods covered by the optional,
one-year renewals shall be August 28 of the current year to August 27 of the next year. All
stated annual quantities are approximations of usage during the time period to be covered by
pricing established by this proposal. 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 proposal
and resulting contract. The Contractor must maintain the insurance coverage required during
the term of this contract including any extensions. It is the responsibility of the Contractor to
ensure that valid insurance is on file with the Purchasing and Contract Management
Department as required by contract or contract may be terminated for non-compliance. The
rates may be adjusted upward or downward at this time at a percentage not to exceed the
effective change in the Consumer Price Index (CPI) or Product Price Index (PPI), whichever
is most appropriate for the specific contract for the previous 12-months. At the City's
discretion, the effective change rate shall be based on either the local or national index
average rate for all items. If agreement cannot be reached, the contract is terminated at the
end of the current contract period.
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.
1.4 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. The City of Lubbock reserves the right to award the canceled contract to the
next lowest and best proposal as it deems to be in the best interest of the city.
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. In the event that the Parties are unable to resolve the
claims, disputes, or other matters in question within 30 days of written 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 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.
2.10 The City reserves the right to exercise any right or remedy 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 do.
2.11 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 of insurance
from the Subcontractor that complies with all contract Insurance requirements document, this
provision shall control.
2.12 Contractor acknowledges by supplying any Goods or Services that the Contractor has read,
fully understands, and will be in full compliance with all terms and conditions and the
descriptive material contained herein and any additional associated documents and
Amendments. The City disclaims any terms and conditions provided by the Contractor
unless agreed upon in writing by the parties. In the event of conflict between these 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.
2.13 Pursuant to Section 2270.002 of the Texas Government Code, Respondent certifies that
either (i) it meets an exemption criteria under Section 2270.002; or (ii) it does not boycott
Israel and will not boycott Israel during the term of the contract resulting from this
solicitation. Respondent shall state any facts that make it exempt from the boycott
certification in its Response
2.14 SB 252 prohibits the City from entering into a contract with a vendor that is identified by
The Comptroller as a company known to have contracts with or provide supplies or service
with Iran, Sudan or a foreign terrorist organization.
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IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed the day and
year first above written. Executed in triplicate.
CITY OF LUBBOCK
CONTRACTOR
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JE F FZG�R4 ITI , . AYOPR yM Authorized Representative
ATTEST:
Reb cca Garza, City Secr ar
APPROVED AS TO CONTENT:
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Wesley veret , Direc or of Facilities
Management
AP OVED AS TO FORM
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Kel i Leisure, Assistant City Attorney
Print Name
Address
City, State, Zip Code
Exhibit A
City of Lubbock, TX
RFP 19-14610-SG
Asbestos Consultant Services
II. General Requirements
1 INTENT
a) The City of Lubbock (hereinafter called "City") is seeking proposals from interested
firms and individuals, (hereinafter called "Proposer") to provide Asbestos Consultant
Services. Asbestos consulting services shall be provided on an "as needed" basis without
a minimum quality of work specified. The work shall include the provision of "turn -key"
asbestos consulting services for the City. The City is interested in securing the most
qualified fimn/personnel to perform the required services.
b) Offerors are invited to submit demonstrated competence and qualifications of their firm for
providing these services.
c) The information contained within this document is intended to provide interested firms
with the requirements and criteria that. will be used to make the selection.
d) The City of Lubbock is seeking a contract for asbestos consulting services with one or more
contractors. In order to assure adequate coverage, the City may make multiple awards,
selecting multiple vendors to provide the services desired, if multiple awards are in the best
interest of the City. A decision to make a multiple award, however, is an option reserved by
the City, based on the needs of the City.
2 PROJECT DESCRIPTION
A. Testing
a) The inspection of the properties for asbestos -contain materials.
b) All work shall be performed in strict accordance with Texas Department of State
Health Services (TDSHS) rules and requirements for asbestos related consulting service
by personnel approximately licensed by TDSHS .
c) Services related to National Emission Standards for Hazardous Air Pollutants
(NESHAP) compliance should be considered priority issues.
d) The evaluation and selection of appropriate asbestos abatement methods and project
layout;
e) The review of environmental controls, abatement procedures for personal protection
employed during the project;
f) Consultation regarding compliance with various regulations and standards;
g) The evaluation and selection of appropriate asbestos abatement methods and project layout.
h) Within thirty (30) days following completion of field activities, provide a final report
(one original and one copy) which includes the purpose(s), summary of results,
conclusion, recommendations, summary of dates in table form, field notes,
methodologies, sample data sheets, laboratory reports and/or other appropriate data.
B. Project Process
a) The designing of asbestos abatement projects which is the creating and writing of
specifications and development of drawing for the abatement of asbestos for the
demolition projects. The City may require the Consultant to prepare the entire
proposal package which includes the plans, specifications, and contract documents or
quotes. Make revisions at the City's request.
b) The Consultant will be required to attend all Pre -Proposal Conferences to explain the
specifications and answer questions. Consultant will be required to bring all the
proposals to each location to show contractors what is required.
C. Construction
a) The Consultant will be responsible to meet with the contractor and have a pre -
construction meeting.
b) During the project the Consultant will be responsible for monitoring the contractor while
work is being done. Must make sure the area is secure and take air samples.
c) Consultation regarding compliance with various regulations and standards.
d) Recommendations for abatement options.
e) Any inspection, management planning, air monitoring, or project management.
f) Project site investigation.
D. Records
a) Records shall be kept in the office of the Consultant for a period of not less than five (5)
years and shall be made available to the CITY for inspection and copying upon
reasonable request.
b) Written and electronic copies of final documentation is required on all projects.
E. Ownership of Documents
a) All documents, including original drawings, estimates, specifications, field notes and data
are property of OWNER. CONSULTANT may retain reproducible copies of drawings
and other documents.
F. Contract
a) This is a one year contract with the option to renew for four additional one year periods.
The initial term of this Contract shall be from August 28, 2019 through August 27, 2020.
The subsequent periods covered by the optional, one-year renewals shall be August 28 of
the current year to August 27 of the next year.
3 PROJECT PRICE
A. Small Projects
a) Small Projects with a combined amount of asbestos containing materials equal to or less
than one hundred sixty (160) square feet of surface area, two hundred sixty (260) linear
feet of pipe length or one (1) cubic yard of material. Subject materials shall be isolated to
one specific work area.
B. Large Projects
b) Large Project with a combined amount of asbestos containing materials equal to or
greater than one hundred sixty (160) square feet of surface area, two hundred sixty (260)
linear feet of pipe length or one (1) cubic yard of material.
C. Analytical Related Fees/Charges
a) ASBESTOS AIR SAMPLES — Phase Contract Microscopy (PCM)
i. 3-day, in -lab
ii. 24-hour, in -lab
iii. 2- hour, in -lab
b) ASBESTOS AIR SAMPLES — Transmission Electron Microscopy (TEM)
i. 24-hour, in -lab
c) ASBESTOS BULK MATERIALS SAMPLES — Polarized Light Microscopy (PLM)
i. 3-day, in -lab
ii. 24-hour, in -lab
4 LABOR RATES
Labor rates shall represent complete hourly labor rate including taxes, benefits, overhead,
profit, etc. Labor rates shall represent standard rates, NOT overtime (premium) rates. Rate
provided shall be applicable to hourly rate regardless of minimum charge.
a) State the standard hourly rate and overtime hourly rate for the following:
1) Individual Consultant
2) Inspector
3) Inspector Assistant
4) Air Monitoring Technician (include five (5) 24-hour, in -lab PCM samples per work
shift
b) State the minimum number of hours and minimum hourly charge per call-out/site visit
for the following:
1) Asbestos Consultant
2) Inspector
3) Project Manager
4) Air Monitoring Technician (include five (5) 24-hour, in -lab PCM samples per work
shift
c) State the hourly rate for Report Development/Preparation as required.
5 EXPERIENCE
A. The offeror shall provide the following information.
a) Experience evaluating and designing asbestos abatement projects.
b) The number of years in business.
c) Professional affiliations.
d) Recent examples of abatement projects.
B. Consultant(s) assigned by the offeror shall specialize in Asbestos Consulting. This
experience shall be documented in a resume for each staff member of the organization that will
The offeror shall briefly describe the firm's experience and qualifications to deliver the
requested services. The offerors' description shall also describe the proposed staffing level
required to perform the services and a list of all key members of the offeror's team (except
administrative support staff) and any consultant who will be committed to the project.
Indicate the level of effort and function of each member of the project, and the length of each
staff member's direct experiences. Prepare organization structure to show how the key
members will be involved.
C. Include resumes of these individuals. The resumes should include the following
minimum information:
a) Name
b) An explanation of the function they will perform and their title by classification.
c) Their relevant educational background.
d) Their relevant work experience.
e) Their work experience with local, state and federal government clients.
f) Any specialized skills, training, and/or credentials that is relevant to the required
services; (e.g., degrees, certificates, etc).
6 REFERENCES
A. Include five (5) business references for which similar services have been provided. Include
the following:
a) The term (beginning and ending dates) of your contract agreement(s);
b) A brief description of the scope of work; and
c) Contact name, title, address, and telephone number.
The offeror(s) hereby authorize(s) and request(s) any person, firm, corporation and/or
government entity to furnish any information requested by the City in verification of the
references provided and for determining the quality and timeliness of providing the
services.
7 EVALUATION CRITERIA
The following criteria will be used to evaluate and rank submittals:
Tab A) 50 Points — Qualifications/Experience
The following information shall be provided to allow the City to determine whether the.
proponent is qualified to perform the work specified.
a. Provide a complete list of asbestos consulting services within the past five years
involving your firm. Include the names of the participants as well as a contact
person and his/her phone number.
b. Identify any projects in which the respondent's contract was terminated for any
reason;
c. Identify any claims or lawsuits that have been brought against your organization as
a result of any services provided within the last 5 years;
d. Provide an organization chart indicating the key personnel who will provide
services resulting from this RFP. All employees of the Contractor shall have
knowledge and experience including all applicable current licenses, certifications,
and permits necessary to perform assigned duties under the contract.
e. Provide a list of equipment available for this service. Contractor shall own or have
access to all equipment and instrumentation required for work performed under the
contract, and that equipment and instrumentation shall be available for the duration
of the contract.
Provide information regarding firm's safety record, and describe the specific safety
measures/plan to be used in this project to protect personnel, public, structures, and
infrastructure
Tab B) 20 Points References
a. Please include in this section the names of five (5) organizations that have utilized
your services. Include the size and contract value of each project. Please include
the name, address, telephone number and contact person of the five organizations
listed above. (Do not use the City of Lubbock as a reference.)
Tab C) 30 Points - Cost
a. Respondents will submit the Proposal Price Sheet.
8 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 heishe 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, but not limited to the City of Lubbock Wage Determinations.
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.
xii) Offerors are strongly encouraged to explore and implement methods for the
utilization of local resources, and to outline how they would address outreach issues
in their proposal.
xiii) List your equipment available for this project.
xiv) Provide resumes of key personnel who will be assigned to the contract, including
photocopies of all licenses and/or certifications.
xv) Provide contact person who will be directly responsible for this contract and direct
telephone number.
xvi) Have you ever failed to complete a project and/or defaulted on a contract? If so,
specify when, where and with whom.
City of Lubbock, TX Exhibit B
RFP 19-14610-SG
Asbestos Consulting Services
Best and Final Offer
PRICE
A. Small Projects $ 46c) n
a) Small Projects with a combined amount of asbestos
containing materials equal to or less than one hundred
sixty (160) square feet of surface area, two hundred
sixty (260)1 inear feet of pipe length or one ( i ) cubic
yard of material. Subject materials shall be isolated to
one specific worts area.
B. Large Projects
b) Large Project with a combined amount of asbestos $ 7bO. O G
containing materials equal to or greater than one
hundred sixty (160) square feet of surface area. two VPWALIA
hundred sixty (260) linear feet of pipe length or one
(1) cubic yard of material.
C. Analytical Related Fees/Charges
a) ASBESTOS AIR SAMPLES — Phase
Contract Microscopy (PCM)
iv. 3-day, in -lab
V. 24-hour, in -lab
vi. 2- hour, in -lab
b) ASBESTOS AIR SAMPLES —
Transmission Electron Microscopy (TEM)
ii. 24-hour, in -lab
c) ASBESTOS BULK MATERIALS
SAMPLES — Polarized Light Microscopy (PIN)
iii. 3-day, in -lab
iv. 24-hour, in -lab
b) $ -l6 . obi-
;2J4 *0 0A.-_
E
F.
City of Lubbock, TX
RFP 19-14610-SG
Asbestos Consulting Services
Best and Final Offer
Labor rates shall represent complete
hourly labor rate including taxes, benefits,
overhead, profit, etc. Labor rates shall
represent standard rates, NOT overtime
(premium) rates. Rate provided shall be
applicable to hourly rate regardless of
minimum charge.
a) State the standard hourly rate and a) Standard 1 Overtime Hourly
overtime hourly rate for the following: I Rates:
1) Individual Consultant
I) $qo, 60 " )A=
2) Inspector
2) $ e -10c / 04=-_
3) Inspector Assistant
3) $ $l57> ,' htrzz--
4) Air Monitoring Technician (include five (5)
4) $�,�.� a ��
24-hour, in -lab PCM samples per work shift
b) State the minimum number of hours and b) Minimum iiours)Hourly
minimum hourly charge per call-out/site visit Charge
for the following:
1) Asbestos Consultant 1) $ V1 0 arri er
2) Inspector 2) $
3) Project Manager 3) $
4) Air Monitoring Technician (include five (5) 4) $
24-hour, in -lab PCM samples per work shift
c) State the hourly rate for Report
Development/Preparation as required.
Written Specifications
Phase 1 Site Assessment
c) Hourly Rate Report
1) $ or) C_�?O-rzlG
$ -7c O , o0
$
Name of Company: )r�
Prepared By:
Title:
Date: vr-
Exhibit C
REVISED
City of Lubbock, TX
RFP 19-14610-SG
Asbestos Consultant Services
INSURANCE COVERAGE REQUIRED
SECTION A. Prior to the approval of this contract by the City, the Contractor shall furnish a completed
Insurance Certificate to the City, which shall be completed by an agent authorized to bind the named
underwriter(s) to the coverages, limits, and termination provisions shown thereon, and which shall furnish and
contain all required information referenced or indicated thereon. THE CITY SHALL HAVE NO DUTY TO
PAY OR PERFORM UNDER THIS CONTRACT UNTIL SUCH CERTIFICATE SHALL HAVE BEEN
DELIVERED TO THE CITY.
SECTION B. The City reserves the right to review the insurance requirements of this section during the
effective period of the contract and to require adjustment of insurance coverages and their limits when deemed
necessary and prudent by the City based upon changes in statutory law, court decisions, or the claims history
of the industry as well as the Contractor.
SECTION C. The Contractor shall obtain and maintain in full force and effect for the duration of this contract,
and any extension hereof, at Contractors 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):
OF INSURANCE
GENERAL LIABILITY
® Commercial General Liability
❑ Claims Made ® Occurrence
❑ W.-Heavy Equipment
® To Include Products of Complete Operation Endorsements
® PROFESSIONAL LIABILITY
AUTOMOTIVE LIABILITY
® Any Auto
❑ Scheduled Autos
® Non -Owned Autos
EXCESS LIABILITY
❑ Umbrella Form
Is
.AGE LIABILITY
Any Auto
® Owned/Leased Autos
® Hired Autos
BUILDER'S RISK
INSTALLATION FLOATER
POLLUTION
CARGO
COMBINED SINGLE LIMIT
General Aggregate
Products Comp/Op AGG
Personal & Adv. Injury
Contractual Liability
Premises Operations
Independent Contractors
General Aggregate
Combined Single Limit
Each Occurrence
Each Occurrence
Aggregate
1,000,000
X
X
X
X
X
1,000,000
I ,000,000
Auto Only - Each Accident
Each Accident Aggreate
❑ 100% of the Total Contract Price
❑ 100% of the Total Material Costs
1,000,000
® WORKERS COMPENSATION — STATUTORY AMOUNTS OR OCCUPATIONAL, MEDICAL AND
DISABILITY
® EMPLOYERS' LIABILITY $500,000
COPIES OF ENDOSEMENTS ARE REQUIRED
® City of Lubbock named as additional insured on AtttolGeneral Liability on a primary and non-contributory bases.
® 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 131 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
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
i Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number:
of business. 12019-498577
Compliance Sampling and Analysis, Inc
Lubbock, TX United States Date Filed:
2 Name of governmental entity or state agency that Is a party tot the contract for is the foFm ss 05/31/2019
being filed.
City of Lubbock Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the conlraeL
RFP 19-14610-SG
Asbestos Consulting Services
4 Nature of interest
Name of Interested Party City, State, Country (place of business) (check applicable)
Controlling Intermediary
Delavan, Clark Lubbock, TX United States X
5 Check only if there Is NO Interested Party. ❑
6 UNSWORN DECLAMATION
f)
My name is r L (�� _ and my date of birth is
My address is—, e12 �a cy � A a ' ck- —r&,
(street) (city) (state) (zipcode _ j�
) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed In County, State of on the day of , 2p
(month) (year)
Signature of authorized agent of contracting business entity ~
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us VerSinn V1 1 nomnio,,
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
l of l
Complete Nos. 1- 4 and 6 if there are interested parties.
OFFICE USE ONLY
Complete Nos. 1, 2, 3, 5, and 6 it 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.
2019-498577
Compliance Sampling and Analysis, Inc
Lubbock, TX United States
Date Filed:
05/31/2019
2
Name of governmental entity or state agency that is a party tot the contract for which the form is
being filed.
City of Lubbock
Date Acknowledged:
06/03/2019
3
Provide the identification number used by the governmental entity or state agency to track or identity the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
RFP 19-14610-SG
Asbestos Consulting Services
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Intermediary
Delavan, Clark
Lubbock, TX United States
X
5
Check only if there is NO Interested Party. ❑
6
UNSWORN DECLARATION
My name is and my date of birth is
My address is
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in County, State of on the day of . 20
(month) (year)
Signature of authorized agent of contracting business entity
(Declarant)
Forms proviaea by i exas Ethics commission www.ethics.state.tx.us Version V1.1.3911`8039c