Loading...
HomeMy WebLinkAboutResolution - 2023-R0080 - PO 31071763 with Daco Fire Equipment for Fire RescueResolution No. 2023-R0080 Item No. 5.31 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 No. 31071763 in accordance with HGAC' Contract FS12-19 for the purchase of Rosenbauer 1500 GPM custom pumper trucks by and between the City of Lubbock and DACO Fire Equipment of Lubbock, Texas and related documents. Said Purchase Order is attached hereto and incorporated in this resolution as if full set forth herein and shall be included in the minutes of the City Council. Passed by the City Council on ATTEST: �Pd')�c Rebe ca Garza, City Secre APPROVED AS TO CONTENT: February 14, 2023 Brooke Witcher, Assistant City Manager APPROVED AS TO FORM: elli Leisure, Assistant City Attorney ccdocs/RES.PurchaseOrd 31071763 HGAC FS12-19 pumper trucks 2.1.23 �_.. City of Lubbock TEXAS PURCHASE ORDER DACO FIRE EQUIPMENT TO: P O BOX 5006 LUBBOCK TX 79456 Page - Date - 1 /27/2023 Order Number 31071763 000 OP Branch/Plant CITY OF LUBBOCK SHIP TO: FLEET SERVICES 206 MUNICIPAL DRIVE LUBBOCK TX 79404 INVOICE TO: CITY OF LUBBOCK ACCOUNTSPAYABLE P.O. BOX 2000 LUBBOCK, TX 79457 4BY:YO Marta , Director of Purchasing & Contract Management Ordered 1/27/2023 Freight Requested 12/16/2024 Taken By Delivery PER B RODRIGUEZ, REQ 59804 INSURANCE REQUIRED: SBALLANCE PUR 17133/ HGAC CONTRACT FS12-19 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 EmDlover Liabilitv: 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: N/A Completion/OP, Personal and Advertising Injury, Contractual Liability, Fire Damage (any one fire), and Medical Expenses (any one person). Automotive Liability: Combined Single limit for Any Auto - $1,000,000/ occurrence as 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. 3526 This purchase order encumbers funds in the amount of $2,697,156.00 awarded to DACO Fire Equipment of Lubbock, TX, on February 14 , 2023. The following is incorporated into and made part of this purchase order by reference: Quote dated January 20, 2023, from DACO Fire Equipment of Lubbock, TX, and HGAC Contract FS 12-19. Resolution # 2023-R0080 C17 70CK: TW;7e, ayor ATTEST: Rebe f a Garza, City Secretary = City of PURCHASE ORDER Lubbock V TEXAS DACO FIRE SAFETY EQUIPMENT TO: PO BOX 5006 LUBBOCK TX 79456 Page - Date - Order Number Branch/Plant 2 1 /27/2023 31071763 000 OP 3526 CITY OF LUBBOCK SHIP TO: FLEET SERVICES 206 MUNICIPAL DRIVE LUBBOCK TX 79404 INVOICE TO: CITY OF LUBBOCK ACCOUNTSPAYABLE P.O. BOX 2000 LUBBOCK, TX 79457 BY: Marta , Director of Purchasing & Contract Management Ordered 1/27/2023 Freight Requested 12/16/2024 Taken By Delivery PER B RODRIGUEZ REO 59804 SBALLANCE PUR 17133/ HGAC CONTRACT FS 12-19 Ifyou should have any questions, please contact Breana Rodriguez: BRodr1guez@,my1,ubbock.us or 806-775-2374 Description/Supplier Item Ordered Unit Cost UM Extension Request Date Rosenbauer 1500 GPM Custom Pumper Truck 3.000 883,703.0000 EA 2,651,109.00 12/16/2024 Pre -Pay Savings post Chassis Build 3.000 15,349.0000 EA 46,047.00 12/16/2024 Total Order Terms NET 30DAYS 2,697,156.00 Rev. 3/2022 Seller and Buyer agree as follows: PURCHASE ORDER TERMS AND CONDITIONS STANDARD TERMS AND CONDITIONS ACCEPTANCE OF THIS PURCHASE ORDER: CONTRACTOR ACKNOWLEDGES. by suoolvine any Goods or Services that the Contractor has readfully 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 writine by the parties. In the event of conflict between the City's terms and conditions and anv terms and conditions provided by the Contractor, theterms_ and _condiiions provided herein shall I. 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, e.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 ofdelivery, 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 within the contract time but not afterward. 5. INVOICES & PAYMENTS. a S e I I 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 afterdelivery. 6. GRATUITIES. The Buyer may, by written notice to the Seller, cancel this contract without liability to Seller if it is determined by Buyer that gratuities, in the form of entertainment, 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 performing 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. S. WARRANTY -PRICE. a The price to be paid 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 similar of like conditions and methods of purchase. In the event Seller breaches this warranty, the prices of the items 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 commission, 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 securing business. For breach of vitiation 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 liability 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 furnished will conform to the specification, drawings, and descriptions listed in the bid invitation, and to the sample(s) furnished by the Seller, if any. In the event of a conflict or between the specifications, drawings, and descriptions, the specifications shall govern Notwithstanding any provisions contained in the contractual agreement, the Seller represents and warrants fault -five perfomanceandfault-free result in the processing date and date related data (including, but not limited to calculating, comparing and sequencing) of all hardware, software and finmware products delivered and services provided under this Contract, individually or in combination, as the case may be from the effective dale 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 creation or development of the products and 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 City 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 liability 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 riot 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. 11. NO WARRANTY BY BUYER AGAINST INFRINGEMENTS. As pan 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 rightful claim of any third person byway 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 claim, and in no event shall Buyer be liable to Seller for indemnification in the event that Seller issued on the grounds of infringement of the like. If Seller is 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 is 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 nonappropniation 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 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 part of the undelivered portion of this order if Seller breaches any of the terms hereof including warranties of Seller or if the Seller becomes insolvent or commits acts of bankruptcy. Such right ofeancellation is in addition to and rat in lieu of any other remedies which Buyer may have in law or equity. in accordance with this provision. Termination of work hereunder shall be effected by the delivery of the Seller of a "Nonce of Termination" specifying the extent to which performance of work under the order is terminated and the date upon which such termination becomes effective. Such right or termination is in addition to and not in lieu 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 terms 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 party is 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 conformitywith this paragraph. 18. WAIVER- No claim or right arising out of a breach of this contract can be discharged in whole or in part 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, is intended by the parties as a final expression of then agreement and intended also as a complete and exclusive statement of the terms 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 term "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 party 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. 12. INDEMNIFICATION. Seller shall indemnify, keep and save harmless the Buyer, its agents, officials and employees, against all injuries, deaths, loss, damages, claims, patent claims, 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 omission 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 expenses arising therefrom of incurred in connection therewith, and, if any judgment 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 is 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 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 document, this provision shall control. 26. RIGHT TO AUDIT. At any time during the tern 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 ofsuch 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. 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 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 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 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 state agency a disclosure of interested parties at the time the business entity submits the signed contract to the governmental entity or state agency. Instructionsfor completing Form 1295 are available at: n aL- vrebsites duart mems'aurchwmz vendor -informal To 30. No Boycott of 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 (ii) it does not boycott Israel and will riot boycom 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 (i) it meets an exemption criteria under Section 2274.002; or (ii) 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 unification 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 mats an exemption criteria under Section 2274.002; or (it) 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 ofthe 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 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 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 emailed request: om u1n:lu4Ss�k.vs. 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 pan by the Buyer REV. 3/2022 January, 19, 2023 This proposal has been prepared for: LUBBOCK FIRE DEPT LUBBOCK, TEXAS We hereby propose to furnish to you, subject to proper execution of the attached agreement by you and by a representative of this Company in Lubbock, Texas the following apparatus built in accordance with the attached specifications: 11 QUANTITY I MODEL I UNIT PRICE THREE (3) ROSENBAUER 1500 GPM CUSTOM PUMPER, EA. $1,046.296.00 ➢ COMMANDER 4 DOOR CAB ➢ SEATING FOR FIVE ➢ 455HP CUMMINS ENGINE ➢ 4000 EVS ALLISON AUTOMATIC TRANS ➢ FX ALUMINNUM BODY WITH ROLL UP DOORS ➢ WHELEN WARNING LIGHTS ➢ ROSENBAUER N 1500 GPM PUMP ➢ POLY TANK, 500 GAL WATER, (2) 30 GAL FOAM PRICE, Ea. UNTIL MARCH 1, 2023 $1,046,296.00 $3,138,888.00 PRE -PAY SAVINGS, CHASSIS, Ea. $ (15,349.00) $ (46,047.00) MULTI TRUCK DISCOUNTS, EA. $ (40,203.00) $ (120,609.00) ADJUSTED PRICE, Ea. $ 990,744.00 $2,972,232.00 ADDITIONAL DISCOUNTS $ (277,076.00) HGAC FEE $ 2,000.00 TOTAL FOR 3 PUMPERS $2,697,156.00 11 158 Delivery: The estimated delivery time for the completed apparatus, is to be made 657 days after receipt of order, subject to all causes beyond the Company's control. The quoted delivery time is based upon our receipt of the specified materials required to produce the apparatus in a timely manner. The Company cannot be held responsible for delays due to Acts of God, Labor Strikes, or Changes in Governmental Regulations that result in delayed delivery to our manufacturing facilities of these specified materials. Changes required or requested by the Buyer during the construction process may be cause for an increase in the number of days required to build said apparatus. Payment Terms: Final payment for the apparatus shall be made at time of delivery or pick up of the completed vehicle. It is the responsibility of the Buyer to have full payment ready when the apparatus is complete and ready to deliver. If payment is delayed or delivery is delayed pending payment, a daily finance and storage fee may apply. Upon delivery of the apparatus or upon pickup of the apparatus by the Buyer, Buyer agrees to provide all liability and physical damage insurance. It is further agreed that if on delivery and test, any defects should develop, the Company shall be given reasonable time to correct same. Guarantee of the chassis is subject to the guarantee of the chassis manufacturer. This proposal shall expire unless accepted within 30 days after the date first set above. This expiration date may be extended, in writing, at the discretion of the Company. BUYER We accept the above Proposal and enter into contract with signature below. DEALER REP. CUSTOMER REP. Title Date: Title Date: 21158 j,��C1 CONTRACT PRICING WORKSHEET 77 For MOTOR VEHICLES Only Contract FS12-19 No.: Date 1: 20 2023 Prepared: € This Worksheet is prepared by Contractor and given to End User. If a PO is issued, both documents MUST be faxed to H-GAC @ 713-993-4548. Therefore please type or print legibly. B°y10g :CITY OF LUBBOCK (TX) Agency: Contractor: iROSENBAUER SOUTH DAKOTA Contact !SANDRA BALLANCE Person: Prepared ED BEENE By: Phone: E806-775-3150 Phone:-817-2814172 Fax: Fax: Emaa:'SBallance@mail.ci.lubbock.tx.us Email: ied@dacofire.com Product : FS19ZC07 Code: Description: :Rosenbauer Commander, 4-Dr Full Tilt Alum Cab, Formed Alum Body, S/Axle, 1500 gpm . Product Item Base Unit Price Per Contractor's H-GAC Contract: 6 00765 B. Published Options - Itemize below - Attach additional sheet(s) if necessary - Include Option Code in description if applicable. (Note: Published Options are options which were submitted and priced in Contractor's bid.) Description Cost Description Cost Subtotal From Additional Sheet(s): IF 3244079 Subtotal B: 324409 C. Unpublished Options - Itemize below / attach additional sheet(s) if necessary. (Note: Unpublished options are items which were not submitted and priced in Contractor's bid.) Description Cost Description Cost Subtotal From Additional Sheet(s): 61122 Subtotal C: 61122 Check Total cost of Unpublished Options (C) cannot exceed 250,o of the total of the Base Unit Price plus Published Options (A+B). For this transaction the percentage is: 600 . Total Cost Before Any Applicable Trade -In / Other Allowances / Discounts (A+B+C) Quantity Order!!d-JLL=j X Subtotal of A + B + C: 1046296 = Subtotal D: 3138888 H-GAC Order Processing Charge (Amount Per Current Policy) Subtotal E: 12000 F. Trade -Ins / Other Allowances / Special Discounts / Freight / Installation Description Cost Description Cost Prepay Chassis Discount ($15349 ea Truck) 46,047 Factory and Dealer Discount-277076 Multi -Truck Order Discount ($40,203 ea Truck)-120609 €0 Subtotal F: i-443732 Delivery Date:: 455 G. Total Purchase Price (D+E+F): IF 269715611 CERTIFICATE OF INTERESTED PARTIES FORM 3295 1of1 Complete Nos. 1- 4 and 6 If there are interested parties. Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number. 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Daco Fire Equipment, INC. 2023-975130 Lubbock, TX United Stales Date Filed: OL24/2023 2 Name of governmental entity or state agency that is a party to the contract for which the fo n rs being filed. City of Lubbock 71 Date Acknowledged: 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. FS19ZC07 Fire Truck - Pumper 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 W name is t , and my date of birth is � MY address is ( Y) (state) (zip Dodo) (Country) I declare under penalty of perjury that the foregoing is true and correct Executed in County, State of on the(Zj:J_day ot(b a(]f(L pRB, (month) (year) ..�`"vP��.� BRIANA GARCIA 'r°,°.•�S=Notary Public, State of Texas :•° Comm. Expires 03-21 2026 Notary ID 133658747 S�ignaiure of authored agent of contracting business entity (Ded-ant) :Or= nrnvidP_d by Ttaxx r-thi— .........— vvvvvv.cunt3.Srdledx.uS Version V3.5.I.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. 2023-975128 Daco Fire Equipment, INC. Lubbock, TX United States Date Filed: 01/24/2023 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: 01/27/2023 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. FS19ZC07 Fire Truck - Pumper 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