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HomeMy WebLinkAboutResolution - 2023-R0078 - PO 33001714 with Granicus for Open Records Requests 2.14.23Resolution No. 2023-R0078 Item No. 5.29 February 14, 2023 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, Purchase Order 33001714, for the renewal of the GovQA FOIA Module, by and between the City of Lubbock and Granicus of Palatine, Illinois, and all related documents. Said Purchase Order 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: A Ntj_.4 A - Rebec a Garza, City Secre APPROVED AS TO CONTENT: >tcp U) r+6'� Brooke Witcher, Assistant City Manager APPROVED AS TO FORM: RyAn Br ke, Se io ssistant City Attorney RESTO 33001714, GovQA Renewal 2.3.23 February 14, 2023 City of .Lubbock PURCHASE ORDER TO: GRANICUS DEPT CH -BOX 19634 PALATINE IL 60055-9634 Page - Date - 1 of 2 2/2/2023 Order Number 33001714 000 OP Branch/Plant SHIP TO: CITY OF LUBBOCK INFORMATION TECHNOLOGY 1314 AVENUE K - BASEMENT LUBBOCK TX 79401 INVOICE TO: CITY OF LUBBOCK ACCOUNTSPAYABLE P.O. BOX 2000 LUBBOCK, TX 79457 BY: Af Marta Alvarez, Director of Purchasing & Contract Management Ordered 2/2/2023 Freight Requested 2/17/2023 Taken By D HEATH Delivery Per J Zhine / Req # 59840 Quote#Q-237476/NCPA 01-115 INSURANCE REQUIRED: Commercial General Liability: $1,000,000 occurrence:' $2,000,000 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. Workers Compensation and Emalover Liability: Statutory. If the vendor is an independent 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. Employer Liability ($1,000,000) is required with Workers Compensation. Commercial General Liability to include Products — Additional Policies: Completion/OP, Personal and Advertising Injury, Contractual Cyber Liability Requirements: $1M of coverage is Liability, Fire Damage (any one fire), and Medical Expenses needed for Cyber Liability (any one person). Automotive Liability: N/A Technology Errors and Omissions Requirements: $1M of coverage is needed *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. This purchase order encumbers funds in the amount of $51,843.75 awarded to Granicus of Palatine, IL, on February 14 , 2023. The following is incorporated into and made part of this purchase order by reference: Quote dated February 02, 2023, from Granicus of Palatine, IL, and Contract NCPA 01-115. Resolution # 2023-R0078 CITY VZ70 CK: Tray Pa e, or ATTEST: DI& J eb ca Garza, City ecre 3410 City of7 Lubboc PURCHASE ORDER TEXAS GRANICUS TO: DEPT CH -BOX 19634 PALATINE IL 60055-9634 Page - 1 of 2 Date - 2/2/2023 Order Number 33001714 000 OP Branch/Plant 3410 CITY OF LUBBOCK SHIP TO: INFORMATION TECHNOLOGY 1314 AVENUE K - BASEMENT LUBBOCK TX 79401 INVOICE TO: CITY OF LUBBOCK ACCOUNTSPAYABLE P.O. BOX 2000 LUBBOCK, TX 79457 4BY:f Marta A) , Director of Purchasing & Contract Management Ordered 2/2/2023 Freight Requested 2/17/2023 Taken By D HEATH Delivery Per J Zhine / Req # 59840 Quote#Q-237476/NCPA 01-115 Ijyou have any questions please contact Jay Zhine at JZhine(a)tnaiLcL1ubbockMus or by phone at 806-775-2366 Description/Supplier Item Ordered Unit Cost U_M Extension Request Date GovQA FOIA Module NonEntrprise 1.000 51,843.7500 EA 51,843.75 2 2.'2023 Annual 01 /24/23-01 /23:'24 Fortress-CJIS HIPAA compliant 1.000 EA 2/2/2023 Legacy -Annual 1/24/23-1/23/24 Invoicing module 1.000 EA 2/2.'2023 Annual O l '24: 23-01 /23/24 Payments module 1.000 EA 2/2'2023 Annual 01 '24. 23-0 L'23!24 Redaction Lic per Named User 5.000 EA 2/2/2023 Annual 01 /24/23-01:23.'24 Total Order Terms NET DUE ON RECEIPT 51,843.75 Rev. 32022 Seller and Buyer agree as follows: ACCEPTANCE OF THIS PURCHASE ORDER. CONTRACTOR ACKNOC env Goods or Services that understands, and will be in full comnliance with all terms and conditions and the desr and any additional associated documents and Amendments. The City disclaims any i the Contractor unless agreed upon in wrnina by the Dames. In the event of confln PURCHASE ORDER TERMS AND CONDITIONS STANDARD TERMS AND CONDITIONS 1 SELLER TO PACKAGE GOODS Seller will package goods in accordance with good commercial practice Each shipping container shall be clearly and permanently marked as follows (a) Seller's name and address, (b) Consignee's name, address and purchase order or purchase release number and the supply agreement number if applicable, (c) Container number and total number of containers, a g. box I of 4 boxes, and (d) the number of the container bearing the packing slip. Seller shall bear cost of packaging unless otherwise provided. Goods shall be suitably packed to secure lowest transportation costs and to conform with requirements of common carriers and any applicable specifications. Buyer's count or weight shall be final and conclusive on shipments not accompanied by packing lists. 2. SHIPMENT UNDER RESERVATION PROHIBITED Seller is not authorized to ship the goods under reservation and no tender of a bill of lading will operate as a tender of goods 3. TITLE AND RISK OF LOSS The title and risk of loss of the goods shall not pass to Buyer until Buyer actually receives and takes possession of the goods at the point or points of delivery 4. NO REPLACEMENT OF DEFECTIVE TENDER Every tender of delivery of goods must fully comply with all provisions of this contract as to time of delivery, quality and the like If a tender is made which does not fully conform, this shall constitute a breach and Seller shall not have the right to substitute a conforming tender, provided where the time for performance has not yet expired the Seller may reasonably notify Buyer of his intention to cure and may then make a conforming tender withm the contract time but not afterward. 5 INVOICES & PAYMENTS. a S e I 1 e r shall submit separate invoices, in duplicate, one each purchase order or purchase release after each delivery Invoices shall indicate the purchase order or purchase release number and the supply agreement number if applicable Invoices shall be itemized and transportation charges, if any, shall be listed separately A copy of the bill of lading, and the freight waybill when applicable, should be attached to the invoice. Mail To Accounts Payable, City of Lubbock, P 0 Box 2000, Lubbock, Texas 79457 Payment shall not be due until the above instruments are submitted after delivery 6 GRATUITIES The Buyer may, by women notice to the Seller, cancel this contract without liability to Seller if it its deterinmed by Buyer that gratuities, in the form of emertanment, gifts or otherwise, were offered or given by the Seller, or any agent or representative of the Seller, to any officer or employee of the City of Lubbock with a view to securing a contract or securing favorable treatment with respect to the awarding or amending, or the making of any determinations with respect to the perfomung of such a contract In the event this contract is canceled by Buyer pursuant to this provision. Buyer shall be entitled in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by Seller in providing such gratuities 7 SPECIAL TOOLS & TEST EQUIPMENT If the price stated on the face hereof includes the cost of any special tooling or special test equipment fabricated or required by Seller for the purpose of filling this order, such special tooling equipment and any process sheets related thereto shall become the property of the Buyer and to the extent feasible shall be identified by the Seller as such. 8 WARRANTY -PRICE. a The price to be pad by the Buyer shall be that contained in Seller's bid which Seller warrants to be no higher than Seller's current process on orders by others for products of the kind and specification covered by this agreement for similar quantities under snriular of like conditions and methods of purchase In the event Seller breaches this warranty, the prices of the hens shall be reduced to the Seller's current prices on orders by others, or in the alternative Buyer may cancel this contract without liability to Seller for breach or Seller's actual expense b The Seller warrants that no person or selling agency has been employed or retained to solicit or secure this contract upon an agreement or understanding for commnsson, percentage, brokerage, or contingent fee excepting bona fide employees of bona fide established commercial or selling agencies maintained by the Seller for the purpose of secunng business For breach of vicnatnon of this warranty the Buyer shall have the right in addition to any other right of rights to cancel this contract without liability and to deduct from the contract price, or otherwise recover without Inability and to deduct from the contract price, or otherwise recover the full amount of such commission, percentage, brokerage or contingent fee. 9 WARRANTY -PRODUCT Seller shall not limit or exclude any implied warranties and any attempt to do so shall render this contract voidable at the option of the Buyer Seller warrants that the goods famished will conform to the specification, drawings, and descriptions listed in the bid invitation, and to the sample(s) fumnshed by the Seller, if any In the event of a conflict or between the specifications, drawings, and descriptions, the specifications shall govem Notwithstanding any provisions contained in the contractual agreement, the Seller represents and warrants fault -free performance and fault -free result in the processing date and date related data (including, but not limited to calculating, comparing and sequencing) of all hardware, software and firmware products delivered and services provided under this Contract, individually or in combination, as the case may be from the effective date of this Contract. The obligations contained herein apply to products and services provided by the Seller, its sub- Seller or any third party involved in the creatnonor development ofthe productsand services to be delivered to the City of Lubbock under this Contract Failure to comply with any of the obligations contained herein, may result in the Cnry of Lubbock availing itself of any of its rights under the law and under this Contract including, but not limited to, its right pertaining to termination or default The warranties contained herein are separate and discrete from any other warranties specified in this Contract, and are not subject to any disclaimer of warranty, implied or expressed, or limitation of the Seller's Inability which may be specified in this Contract, its appendices, its schedules, its annexes or any document incorporated in this Contract by reference 10 SAFETY WARRANTY Seller warrants that the product sold to the Buyer shall conform to the standards promulgated by the U S Department of Labor under the Occupational Safety and Health Act of 1970 In the event the product does not conform to OSHA standards, Buyer may return the product for correction or replacement at the Seller's expense In the event Seller fails to make the appropriate correction within a reasonable time, correction made by Buyer will be at the Seller's expense I I NO WARRANTY BY BUYER AGAINST INFRINGEMENTS As part of this contract for sale Seller agrees to ascertain whether goods manufactured in accordance with the specifications attached to this agreement will give rise to the nghtful clam of any third person by way of infringement of the like Buyer makes no warranty that the production of goods according to the specification will not give rise to such a clam and in no event shall Buyer be liable to Seller for indemnification in the event that Seller is sued on the grounds of infringement of the like If Seller its of the opinion that an infringement or the like will result, he will notify the Buyer to this effect in writing within two weeks after the signing of this agreement If Buyer does not receive notice and its subsequently held liable for the infringement or the like, Seller will save Buyer harmless If Seller in good faith ascertains the production of the goods in accordance with the specifications will result in infringement or the like, the contract shall be null and void. 12 NON APPROPRIATION 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 nonappropnatnon of funds by the Cnry Council of the Cnry of Lubbock for the goods or services provided under the contract, the City will terminate the contract, without termination charge or other Inability, 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 its spent, whichever event occurs first If atany time funds are not appropriated for the continuance of this contract, cancellation shall be accepted by the Seller on thirty (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. 13 RIGHT OF INSPECTION Buyer shall have the right to inspect the goods at delivery before accepting them 14 CANCELLATION Buyer shall have the right to cancel for default all or any pat of the undelivered portion of this order of Seller breaches any of the terms hereof including warranties of Seller or of the Seller becomes insolvent or commuts acts of bankruptcy Such right ofcancellation is in addition to and not in lieu of any other remedies which Buyer may have in law or equity in accordance with this provision. Temunation of work hereunder shall be effected by the delivery of the Seller of a "Notice of Termination" specnfynng the extent to which performance of work under the order is terminated and the date upon which such ternunation becomes effective Such right or termination is in addition to and not in imu of the rights of Buyer set forth in Clause 14. herein 16 FORCE MAJEURE Neither party shall be held responsible for losses, resulting if the fulfillment of any terns of provisions of this contract is delayed or prevented by any cause not within the control of the party whose performance is interfered with, and which by the exercise of reasonable diligence said parry its unable to prevent 17 ASSIGNMENT -DELEGATION No right or interest in this contract shall be assigned or delegation of any obligation made by Seller without the written permission of the Buyer Any attempted assignment or delegation by Seller shall be wholly void and totally ineffective for all purpose unless made in conformity with this paragraph 18 WAIVER No claim or right arising out of a breach of this contract can be discharged in whole or in pan by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party 19 INTERPRETATION -PAROLE EVIDENCE This writing, plus any specifications for bids and performance provided by Buyer in its advertisement for bids, and any other documents provided by Seller as part of his bid. its intended by the parties as a final expression of their agreement and intended also as a complete and exclusive statement of the tents of their agreement Whenever a term defined by the Uniform Commercial Code is used in this agreement, the definition contained in the Code is to control. 20 APPLICABLE LAW This agreement shall be governed by the Uniform Commercial Code Wherever the tern "Uniform Commercial Code' is used it shall be construed as meaning the Uniform Commercial Code as adopted in the State of Texas as effective and in force on the date of this agreement 21 RIGHT TO ASSURANCE Whenever one party to this contract in good faith has reason to question the other party's intent to perform he may demand that the other parry give written assurance of his intent to perform In the event that a demand is made and no assurance is given within five (5) days, the demanding party may treat this failure as an anticipatory repudiation of the contract 22 INDEMNIFICATION Seller shall indemnify, keep and save harmless the Buyer, its agents, officials and employees, against all injuries, deaths, loss, damages, claims, patent clams, suits, liabilities, judgments, costs and expenses, which may in anywise accrue against the Buyer in consequence of the granting of this Contract or which may anywise result therefrom whether or not it shall be alleged or determined that the act was caused through negligence or onussion of the Seller or its employees, or of the subSeller or assignee or its employees, if any, and the Seller shall, at his own expense, appear, defend and pay all charges of attorneys and all costs and other vper . arising therefrom of incurred in connection therewith, and if anyjudgment shall be rendered against the Buyer in any such action, the Seller shall, at its own expenses, satisfy and discharge the same Seller expressly understands and agrees that any bond required by this contract, or otherwise provided by Seller, shall in no way limit the responsibility to indemnify, keep and save harmless and defend the Buyer as herein provided. 23 TIME It its hereby expressly agreed and understood that time is of the essence for the performance of this contract, and failure by contract to meet the time specifications of this agreement will cause Seller to be in default of this agreement 24 MBE The City of Lubbock hereby notifies all bidders that in regard to any contract entered into pursuant to this request, minority and women business enterprises will be afforded equal opportunities to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, sex or natural origin in consideration for an award. 25 NON -ARBITRATION The Cnry reserves the right to exercise any right or remedy to it by law, contract, equity, its 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 tight to seek judicial remedy The remedies set forth herein are cumulative and not exclusive, and nary be exercised concurrently To the extent of any conflict between this provision and another provision in, or related to, this docuciant, this provision shall control 26 RIGHT TO AUDIT 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 Crry from any payments due Contractor 27 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 28 Contracts with Company Engaged in Business with Inn, Sudan, or Foreign Terrorist Organization Prohibited Pursuant to Section 2252 152 of the Texas Government Code, prohibits the City from entering into a contract with a vendor that its identified by The Comptroller as a company known to have contracts with or provide supplies or service with Iran, Sudan or a foreign terronst organization 29 Texas Government Code Section 2252 908 requires a business entity entering into certain contracts with a governmental entity or state agency to file with the governmental entity or stare agency a disclosure of interested parties at the time the business entity submits the signed contract to the governmental entity or state agency Instructions for completing Form 1295 are available at hnD'�wxwv Lubbock. icusdeoartmmtal_ websmes.denan rtxntsFurshinn vendor-miormnion 30 No Boycottof Israel Pursuant to Section 2271 002 of the Texas Government Code, Respondent certifies that either (i) it meets an exemption criteria under Section 2271 002, or (it) 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. 31 No Boycott of Energy Companies Pursuant to Section 2274 of the Texas Government Code, Respondent certifies that either (n) it meets an exemption criteria under Section 2274.002, or (u) it does not boycott Energy Companies and will not boycott Energy Companies 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 32 No Boycott of a Firearm Entity or Firearm Trade Association Pursuant to Section 2274 of the Texas Government Code, Respondent certifies that either (i) it meets an exemption criteria under Section 2274 002. or (u) it does not boycott a Firearm Entity or Firearm Trade Association and will not boycott a Firearm Entity or Firearm Trade Association 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 33 Contracts with Companies Engaged in Business with Iran, Sudan, or Foreign Terrorist Organization Prohibited. Pursuant to Section 2252 152 of the Texas Government Code, prohibits the City from entering into a contract with a vendor that its identified by The Comptroller as a company known to have contracts with or provide supplies or service with Iran, Sudan or a foreign termnst organization 34 TEXAS PUBLIC INFORMATION ACT 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 35 Pursuant to Section 552.301(c) of the Texas Government Code, the City of Lubbock has designated the following email address for which public information requests may be made by an entailed request: Cmr�n, Jubt k. Please send this request to this email address for it to be processed 15 TERMINATION The performance of work under this order may be terminated in whole, or in part by the Buyer REV. 312022 lee GRAN ICUS 408 St. Peter St, Suite 600 St. Paul, MN 55102 ORDER DETAILS THIS IS NOT AN INVOICE Procurement Vehicle: NCPA (01-115) In Support of: Lubbock TX Prepared By: Justine Torres Phone: Email: justine.torres@granicus.com Omer M Q-237476 Prepared On: 02/02/2023 Expires On: 02/23/2023 ORDER TERMS Order Form Prepared for Lubbock TX Currency: USD Payment Terms: Net 30 (Payments for subscriptions are due at the beginning of the period of performance.) Current Subscription End Date: 01/23/2023 Period of Performance: 01/24/2023 - 01/23/2024 Order *: Q-237476 Prepared: 02/02/2023 Page 1 of 5 , GRANICUS PRICING SUMMARY Order Form Lubbock TX The pricing and terms within this Proposal are specific to the products and volumes contained within this Proposal. Renewing Subscription Fees _ Solution i �"�iy Quantity/Unit Annual Fee -- FOIA Module Non Enterprise Annual 1 Each $51,843.75 Fortress Host ng Annual 1 Each $0.00 Invoicing Module Annual 1 Each $0.00 Payments Module Annual 1 Each $0.00 Redaction License (per named user) Annual 5 Each $0.00 SUBTOTAL: $51,843.75 Order *: Q-237476 Prepared: 02/02/2023 Page 2 of 5 GRAN ICUS PRODUCT DESCRIPTIONS Order Form Lubbock TX Solution Description FOIA Module Non Enterprise FOIA Module Non Enterprise Fortress Hosting Legacy - Fortress Hosting Invoicing Module Invoicing Module Payments Module Payments Module Redaction License (per named user) Redaction License (per named user) Order #: Q-237476 Prepared: 02/02/2023 Page 3 of 5 GRAN ICUS TERMS & CONDITIONS Order Form Lubbock TX The terms and Conditions of the Agreement 01-115 effective December 8th 2020 between Granicus and NCPA govern this Quote and are incorporated herein by reference, including the Master Agreement and all exhibits thereto. • This quote is exclusive of applicable state, local, and federal taxes, which, if any, will be included in the invoice. It is the responsibility of Lubbock TX to provide applicable exemption certificate(s). • Any lapse in payment may result in suspension of service and will require the payment of a setup fee to reinstate the subscription. Notwithstanding anything to the contrary, Granicus reserves the right to adjust pricing at any renewal in which the volume has changed from the prior term without regard to the prior term's per -unit pricing. Order *: Q-237476 Prepared: 02/02/2023 Page 4of5 GRAN ICUS BILLING INFORMATION Order Form Lubbock TX Billing Contact: Purchase Order Required? PO Number: [ ] - No [ ] - Yes Billing Address: If PO required Y Billing Email: Billing Phone: If submitting a Purchase Order, please include the following language: The pricing, terms, and conditions of quote Q-237476 dated 0210212023 are incorporated into this Purchase Order by reference and shall take precedence over any terms and conditions included in this Purchase Order. AGREEMENT AND ACCEPTANCE By signing this document, the undersigned certifies they have authority to enter the agreement. The undersigned also understands the services and terms. Lubbock TX Signature: Order *: Q-237476 Prepared: 02/02/2023 Page 5 of 5 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. 2023-979196 Granicus SAINT PAUL, MN United States Date Filed: 02/03/2023 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. 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. 17143 Granicus products help to process FOIA requests (including automation and invoicing of said requests). 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 UNSWORN DECLARATION +J� ► ,� _ address is 3q ( S • { USA (street) 0( ) (state) (`zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Ramsey County, State of Minnesota on the 3 day of February 2023 (month) (year) Signature of aut ed agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.3ac88bc0 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: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2023-979196 Granicus SAINT PAUL, MN United States Date Filed: 02/03/2023 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. Lubbock Date Acknowledged: 02/16/2023 g 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. 17143 Granicus products help to process FOIA requests (including automation and invoicing of said requests). 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 Party. ❑ 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 provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.3ac88bc0