HomeMy WebLinkAboutResolution - 2023-R0095 - Contract 17008 with Agri-Waste Technology 2.28.23Resolution No. 2023-R0095
Item No. 5.12
February 28, 2023
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock BE and is hereby authorized and directed to
execute for and on behalf of the City of Lubbock a Professional Services Contract No. 17008
related to water/nitrogen balance modeling and cropping consulting services and related
services, by and between the City of Lubbock and Agri -Waste Technology, Inc. ("AWT") , and
all related documents. Said Agreement is attached hereto and incorporated in this Resolution as
if fully set forth herein and shall be included in the minutes of the Council.
Passed by the City Council on the 28th day of February, 2023 ,2021
A EST:
AA " �Y.
Rebecca Garza, City Secret
APPROVED AS TO CONTENT:
Erik Rejino, Assistant City Manager
APPROVED AS TO FORM:
Amy Si epu i Attorney
RES.Agreement-Agri Waste Technology 17008
Resolution No. 2023-R0095
PROFESSIONAL SERVICES AGREEMENT
This Professional Services Agreement("Agreement") # 17008 is entered into this 28th
day of February, 2023, by and between the City of Lubbock (the "City"), a Texas home rule
municipal corporation, and Agri -Waste Technology, Inc. (the "Engineer" or "AWT"), a North
Carolina corporation.
WITNESSETH
WHEREAS, Engineer has substantial skill and experience in the fields of agronomy
and soil science and the management, evaluation and remediation of land application of
effluent (the "Activities");
WHEREAS, after consideration of the work experience and other qualifications of the
Engineer, the City has determined that the Engineer possesses significant abilities and
experience in regard to the Activities and has agreed to perform services related to the
Activities for a fair and reasonable price;
WHEREAS, the City desires to contract with the Engineer to perform services related
to the Activities and the Engineer desires to provide the services related to same.
NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency
of which is hereby acknowledged, the City and the Engineer agree as follows:
ARTICLE I
Services
1.01 Engineer shall conduct all activities, as set forth on Exhibit "A", "Scope of Work",
attached hereto (the "Services"). The Services shall be completed by the Engineer as
provided in the Scope of Service. In addition to the specifically described tasks, the
Engineer shall also conduct the activities described in the Scope of Work relating to
described specific tasks (the "Task -5 Additional Services"), as requested by the City.
1.02 The services related to the Activities, including any product deliverable thereof, is
performed at the direction of the City Attorney of the City and such work is privileged
under the attorney -client privilege and the attorney work product privilege. The work, or
any aspect thereof, related to the Activities shall not be disclosed to any other party or
entity without the express approval of the City Attorney of the City.
ARTICLE II
Compensation and Term
2.01 The consideration to be paid for the Services to be provided to the City as described in
Article I shall be as provided on Exhibit "A", attached hereto, not to exceed the sum of
Three Hundred and Fifty Nine Thousand Nine Hundred and 00/100 ($359,900.00). The
Task 5 Additional Services shall be payable upon the hourly rates and fees as set forth in
Exhibit "A"; provided, however, the Engineer agrees to obtain City's prior written approval
of all fees and charges for Task 5 Additional Services shall not exceed the total
accumulated sum of Twenty Thousand and 00/100 ($20,000). If, during the term of this
Agreement, it is determined that the Engineer's total accumulated fees and charges for
Additional Services will exceed the sum of Twenty Thousand and 00/100 ($20,000), then,
upon mutual agreement of the parties at such time, this Agreement may be amended setting
forth the payment of compensation to the Engineer for Task 5 Additional Services in excess
of said sum. The amount payable hereunder shall be invoiced to the City on a monthly
basis as the work is performed, and shall be payable by the City within thirty (30) days
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after receipt of same. Except as differentiated in Section 1.01 and Section 2.01, the terms
"Services" and "Additional Services" shall be collectively referred to herein as "Services".
2.02 This Agreement shall expire 730 days after the date of execution. If the Engineer
determines that additional time is required to complete the Services, the Director of Water
Utilities may, but is not obligated to, in his discretion, execute an agreement to grant up to
an additional six (6) months of time so long the amount of the consideration does not
increase. An amendment to this Agreement resulting in an increase in the amount of the
consideration must be approved by the City acting through its governing body. Either party
may terminate this Agreement for convenience by providing written notice to the other
party at least five (5) days prior to the effective date of termination as provided in such
notice. In the event this Agreement is so terminated, the City shall pay the Engineer only
for services actually performed by the Engineer up to and including the effective date of
termination.
ARTICLE III
Independent Contractor
3.01 It is understood and agreed that the Engineer is to perform the Services in a sound and
professional manner and exercising the degree of care, skill and diligence in the
performance of the Services as a reasonable and prudent engineer; and the Engineer hereby
warrants to the City that the Services shall be so performed. Further, the Engineer is and
shall be considered at all times an independent contractor under this Agreement and/or in
its services, hereunder. During the performance of the Services under this Agreement, the
Engineer and Engineer's employees shall not be considered, for any purpose, employees
or agents of the City within the meaning or the application of any federal, state or local law
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or regulation, including without limitation, laws, rules or regulations regarding or related
to unemployment insurance, old age benefits, workers compensation, labor, personal injury
or taxes of any kind.
ARTICLE IV
Events of Default/Remedies
4.01 Engineer's Defaults/City's Remedies. In the event either party shall default in the
performance of any term or provision of this Agreement for any reason other than failure
by the other party to perform hereunder, the non -defaulting party may, if said default shall
be continuing after five (5) days notice of such default is delivered to the defaulting party,
exercise any right or remedy available to it by law, contract, equity or otherwise, including
without limitation, the right to terminate this Agreement without additional notice.
The remedies set forth herein are cumulative and not exclusive, and may be
exercised concurrently.
ARTICLE V
Insurance/Indemnity
5.01 The Engineer shall procure and carry, at its sole cost and expense through the life of this
Agreement, insurance protection as hereinafter specified, in form and substance
satisfactory to City, carried with an insurance company authorized to transact business in
the state of Texas, covering all aspects and risks of loss of all operations in connection with
this Agreement, including without limitation, the indemnity obligations set forth herein.
The Engineer shall obtain and maintain in full force and effect during the term of
this Agreement, commercial general liability and professional liability coverage with
insurance carriers admitted to do business in the state of Texas. The insurance companies
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must carry a Best's Rating of A-VII or better. The policies will be written on an occurrence
basis, subject to the following minimum limits of liability:
Commercial General Liability:
Per Occurrence Single Limit: $1,000,000
General Aggregate Limit: $2,000,000
Professional Liability (to include Environmental Liability):
Combined Single Limit: $1,000,000
Automotive Liability (AU Auto)
Combined Single Limit: $1,000,000
Employer's Liability:
Per Occurrence Single Limit: $1,000,000
Work Comp $500,000
The City shall be listed as an additional insured on a primary of non-contributory basis
with respect to the Commercial General Liability. The Engineer shall provide a Certificate
of Insurance to the City as evidence of coverage. The Certificate shall provide 30 days
notice to City of cancellation. A copy of the primary and non-contributory additional
insured endorsement and waiver of subrogation attached to the policy will be included in
the Certificate.
The Engineer shall elect to obtain worker's compensation coverage pursuant to
Section 406.002 of the Texas Labor Code. Further, the Engineer shall maintain said
coverage throughout the term of this Agreement and shall comply with all provisions of
Title 5 of the Texas Labor Code to ensure that the Engineer maintains said coverage. The
Engineer may maintain Occupational Accident and Disability Insurance in lieu of Worker's
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Compensation. In either event, the policy must be endorsed to include a waiver of
subrogation in favor of the City of Lubbock.
Employer's Liability with limits of at least $100,000 each accident, $500,000 by
disease policy limit, and $100,000 by disease each employee shall also be obtained and
maintained throughout the term of this Agreement.
If at any time during the life of the Agreement or any extension hereof, the Engineer
fails to maintain the required insurance in full force and effect, the Engineer shall be in
breach hereof and all work under this Agreement shall be discontinued immediately.
ENGINEER HEREBY RELEASES THE CITY AND THE CITY'S ELECTED
OFFICIALS, OFFICERS, AGENTS, EMPLOYEES AND INDEPENDENT
CONTRACTORS, FOR ITSELF, ITS EMPLOYEES AND AGENTS, AND SHALL
INDEMNIFY AND HOLD CITY AND CITY' S ELECTED OFFICIALS, OFFICERS,
AGENTS, EMPLOYEES AND INDEPENDENT CONTRACTORS HARMLESS, TO
THE FULLEST EXTENT PERMITTED BY LAW, FROM AND AGAINST ANY AND
ALL CLAIMS, DEMANDS, DAMAGES, COSTS, LIABILITIES AND EXPENSES,
AND INCLUDING REASONABLE ATTORNEY' S FEES, AS A RESULT OF,
RELATED TO, ARISING FROM, OR RELATED TO ENGINEER'S USE OR
OCCUPATION OF CITY OWNED LANDS, AND/OR ANY MATTER RELATED TO
ENGINEER'S ACTIVITIES, PERFORMANCES, OPERATIONS OR OMISSIONS
UNDER THIS AGREEMENT.
ARTICLE VI
Miscellaneous
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6.01 The Engineer shall comply with all laws, statutes, regulations, ordinances, rules and any
other legal requirement related to, in any way, manner or form, the performance of the
Services contemplated herein.
6.02 Any notice required by this Agreement shall be deemed to be properly served, if (i)
provided in person or by telephonic facsimile; or (ii) deposited in the United States mail
by certified letter, return receipt requested, addressed to the recipient at recipient's address
shown below, subject to the right of either party to designate a different address by notice
given in the manner just described. Notice shall be deemed to be received when delivered
if provided in person or by telephonic facsimile or, if deposited in the United States mail,
as set forth above, three (3) days after depositing such notice in the United States mail, as
set forth above.
For City:
Mary Gonzales, Wastewater Superintendent
City of Lubbock
P.O. Box 2000
Lubbock, TX 79457
Facsimile: 806-775 -3 229
For Engineer:
Chris Mosley, CEO
501 N. Salem St., Suite 203
Apex, NC 27502
Facsimile: (919) 233-1970
6.03 THIS AGREEMENT IS TO BE CONSTRUED UNDER TEXAS LAW WITHOUT
REGARD TO CONFLICT OF LAW RULES THAT WOULD DIRECT APPLICATION
OF THE LAWS OF ANY OTHER JURISDICTION. THE OBLIGATIONS OF THE
PARTIES CREATED BY THIS AGREEMENT ARE PERFORMABLE, AT LEAST IN
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PART, IN LUBBOCK COUNTY, TEXAS. VENUE FOR ANY ACTION BROUGHT
PURSUANT TO THIS AGREEMENT, OR ACTIVITY CONTEMPLATED HEREBY,
SHALL EXCLUSIVELY BE IN LUBBOCK COUNTY, TEXAS.
6.04 This Agreement represents the entire and sole agreement between the City and the Engineer
with respect to the subject matter hereof and supersedes any and all prior negotiations,
understandings, representations or other agreements, whether written or oral. This
Agreement may not be modified or amended except in writing and duly executed by each
party hereto.
6.05 Nothing contained herein shall be construed to imply a joint venture, joint enterprise,
partnership or principal — agent relationship between the Engineer and the City.
6.06 If any provision of this Agreement is declared invalid or unenforceable, such provision
shall be deemed modified to the extent necessary to render it valid and enforceable so long
as said modification is reasonably within the intent the parties as originally expressed. In
the event such provision may not be so modified, the unenforceability or invalidity of any
provision shall not affect any other provision of this Agreement, and this Agreement shall
continue in force and effect as if such provision had not been included in this Agreement.
6.07 Any and all work product prepared by the Engineer as part of the Services hereunder, shall
become the property of the City when the Engineer has been compensated as set forth in
Section 2.01, above.
6.08 A waiver by either City or Engineer of a breach of this Agreement shall be in writing. In
the event either party shall execute and deliver such waiver, such waiver shall not affect
the waiving parry's rights with respect to any other or subsequent breach.
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6.09 The Engineer may not assign this Agreement, in whole or in part, without the written
consent of such assignment by the City. City and the Engineer each bind itself or himself,
their legal representatives and permitted assigns in respect to all provisions of this
Agreement.
6.10 Nothing in this Agreement shall be construed to provide any rights or benefits whatsoever
to any party other than City and the Engineer.
6.11 Engineer represents and warrants to City that it has taken all actions necessary to authorize
the party executing this Agreement to bind, in all respects, the Engineer to all terms and
provisions of this Agreement, and that such person possesses authority to execute this
Agreement and bind the Engineer hereto.
6.12 The City reserves the right to exercise any right or remedy available to it by law, contract,
equity, or otherwise, including without limitation, the right to seek any and all forms of
relief in a court of competent jurisdiction. Further, the City shall not be subject to any
arbitration process prior to exercising its unrestricted right to seek judicial remedy. The
remedies set forth herein are cumulative and not exclusive, and may be exercised
concurrently. To the extent of any conflict between this provision and another provision
in, or related to, this document, the former shall control.
6.13 Non -Appropriation. 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 services provided
under the Agreement, the City will terminate the Agreement, without termination charge
or other liability, on the last day of the thencurrent fiscal year or when the appropriation
made for the then -current year for the services covered by this Agreement is spent,
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whichever event occurs first (the "Non -Appropriation Date"). If at any time funds are not
appropriated for the continuance of this Agreement, cancellation shall be accepted by the
Engineer 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 Agreement beyond the Non -
Appropriation Date.
6.14 SB 252. 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.
6.15 No Boycott of Israel. The Consultant warrants that it complies with Chapter 2270, Subtitle
F, Title 10 of the Texas Government Code by Verifying that:
(1) The Consultant does not boycott Israel; and
(2) The Consultant will not boycott Israel during the term of the Agreement.
6.16 Texas Government Code 2274. By entering into this Agreement, Contractor verifies that:
O
(1) it does not, and will not for the duration of the contract, have a practice, policy,
guidance, or directive that discriminates against a firearm entity or firearm trade association
or (2) the verification required by Section 2274.002 of the Texas Government Code does
not apply to the contract. If Contractor is a company with 10 or more full-time employees
and if this Agreement has a value of at least $100,000 or more, Contractor verifies that,
pursuant to Texas Government Code Chapter 2274, it does not have a practice, Lake 7 —
USACOE 404 Pre -Application Phase Support Page 10 of 21 policy, guidance, or directive
that discriminates against a firearm entity or firearm trade association; and will not
discriminate during the term of the contract against a firearm entity or firearm trade
association.
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6.17 Contractor represents and warrants that: (1) it does not, and will not for the duration of the
contract, boycott energy companies or (2) the verification required by Section 2274.002
of the Texas Government Code does not apply to the contract. If Contractor is a company
with 10 or more full-time employees and if this Agreement has a value of at least $100,000
or more, Contractor verifies that, pursuant to Texas Government Code Chapter 2274, it
does not boycott energy companies; and will not boycott energy companies during the
term of the Agreement. This verification is not required for an agreement where a
governmental entity determines that these requirements are inconsistent with the
governmental entity's constitutional or statutory duties related to the issuance, incurrence,
or management of debt obligations or the deposit, custody, management, borrowing, or
investment of funds.
6.18 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. To the extent Subchapter J, Chapter 552,
Government Code applies to this agreement, Contractor agrees to: (1) preserve all
contracting information related to the contract as provided by the records retention
requirements applicable to the governmental body for the duration of the contract; (2)
promptly provide to the governmental body any contracting information related to the
contract that is in the custody or possession of the entity on request of the governmental
body; and (3) on completion of the contract, either: (A) provide at no cost to the
governmental body all contracting information related to the contract that is in the custody
or possession of the entity; or (B) preserve the contracting information related to the
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contract as provided by the records retention requirements applicable to the governmental
body.
IN WITNESS WHEREOF, the parties have executed this Agreement by their duly
authorized representatives as of the date first written above.
CITY OF LUBBOCK
AT TEST:
AA
RebecW Garza, ity Secretary
APPROVED AS TO CONTENT:
Aubrey A. 5 , P.E., D' ector of Water Utilities
APPROVED AS TO FORM:
Amy L. ,Deputy City Attorney
Agri -Waste Technology, Inc.
. I - 9 zn� ---
Chris Mosley, CEO
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Exhibit A
SCOPE OF WORK
Task 1: Water / Nitrogen Balance Modeling and Reporting
Task 1.1 Weekly Activities
1. Weekly water and nitrogen application report shall be based on the output of the water
and nitrogen balance model and include:
a. Significant non -routine issues requiring attention
b. Reservoir levels for that week
c. Pumping summaries from WWTF
d. Pumping summaries to plots and outfalls
e. Available storage in reservoirs
f. Recommended applications to plots during the upcoming week
i. In gallons and inches
ii. Including special notes required
2. Data table updates to model, including effluent data updates and land application
spreadsheets
3. Weekly Summary Report shall include:
a. Summary of applications for the previous week
i. Recommended application
ii. Actual application
iii. Difference
iv. Planned annual PAN application (pounds of N per acre)
v. Year to date PAN application (pounds of N per acre and percent of
planned)
vi. Special notes and explanations for differences over 0.5 inches of irrigation
b. Significant non -routine issues requiring attention
Task 1.2 Quarterly Activities
1. Update of soil data in model — during the year the City of Lubbock will provide updated
soil analysis results. These results will be incorporated into the model.
2. Crop information updates — approximately quarterly the City will provide updated crop
information (crop location, condition, and harvest) to the contractor, these updates will be
incorporated into the model.
3. GIS updates
a. Delivery of updated shapefiles and other data to the City
4. The contractor's project manager will prepare a brief quarterly report. The project
manager will contact, by phone, the technical representative to briefly discuss the
quarterly report. The report should be approximately 1 to 2 pages and cover:
a. Needs from the client
b. Upcoming deliverables to client/others
c. Completed & upcoming milestones, events, and meetings
d. Outstanding issues
Task 1.3 Annual Activities
1. Annual model update and preparation (September) — each year the contractor will
completely update and prepare the model for use during the upcoming year. The revised
model upcoming year and the completed and closed -out model for the previous year will
be provided in electronic format to the technical representative.
2. Annual model projections by month — each year the contractor will use the updated
model, using historical average precipitation, the latest soil samples, effluent analyses for
the previous year and projected flows from the SEWRP, to provide a snapshot of the
projected applications needed for each plot on a monthly basis
Task 2 Model Simulations for Management Changes
Full rerun/update of model — during the year it is expected that the City will require a full
scale rerun or update to the model, either to simulate proposed management changes or
reflect actual management changes. This is expected to be required approximately four
times per year.
Task 3 Site Visits
1. Agronomist site visit to verify model parameters (winter and summer) — the contractor
will schedule two site visits by an agronomist (one accompanied by engineer) through the
technical representative. During these site visits the contractor's agronomist will verify
that conditions at LLAS and HLAS are consistent with the model parameters being used
for weekly recommendations.
2. Agronomist site visit report — the contractor will develop a report providing notes from
the visit and identifying any issues requiring attention.
3. HLAS SAR inspection and report (during a semi-annual site visit) — during one of the
semi-annual site visits described above, the contractor's agronomist will evaluate soil
profiles in 3-6 fields at HLAS for evidence of infiltration problems associated with high
sodium adsorption ratios.
Task 4 LLAS Recharge Estimates
LLAS recharge estimate (Spring) — the contractor will prepare an estimate of the leached effluent
and excess N applied at the LLAS for the previous year. This estimate will be based on actual
application records, effluent analyses and weather data. The contractor will prepare a projection
of similar information for the current year and the next 4 years.
Task 5 Additional Services
Upon request, additional services can be provided. The additional services may relate to TCEQ
compliance activities, additional model simulations, site visits, recharge estimates, or any other
related activity within the scope of services provided.
2
Budget for Routine Services
Task 1: Water/Nitrogen Balance Modeling and Reporting Total of $94,600 per year
Task 1.1: Weekly Activities as indicated in the scope of services billed as a lump sum of.
$4,850 per month
Task 1.2: Quarterly Activities as indicated in the scope of services billed as a lump sum
of: $5,350 per quarter
Task 1.3: Annual Activities as indicated in the scope of services billed as a lump sum of-
$15,000 per year
Task 2: Model Simulations for Management Changes as indicated in the scope of services billed
as a lump sum of: $6,300 per quarter
Task 3: Site Visits as indicated in the scope of services billed as lump sums of:
$ 8,600 per/winter
$15,000 per/summer
Task 4: LLAS Recharge Estimates as indicated in the scope of services billed as a lump sum of:
$26,550 per year
Task 5: Additional Services requested by the City, AWT agrees to perform such work at the
hourly rates and fee reimbursements included in the schedule of fees and do not exceed a total of
$10,000 per year, paid at percent completed of rendered services.
Summary Table
Task
Description
Unit Amt.
Unit
Total Amt.
1
Water/Nitrogen Balance Modeling and Reporting
-
_
_
1.1
1 Weekly Activities
$4,850
24
$116,400
1.2
Quarterly Activities
$5,350
8
$42,800
1.3
Annual Activities
$15,000
2
$30,000
2
Model Simulations
$6,300
8
$50,400
3
Site Visits
-
_
_
3.1
LLAS and HLAS Winter
$8,600
2
$17,200
3.2/3.3
LLAS and HLAS Summer/HLAS SAR Inspection
$15,000
2
$30,000
4
LLAS Recharge Estimates
$8,850
6
$53,100
5
Additional Services as Requested by the City
I
Schedule of Fees
1
NA
1
$201,000
Total
$359,900
3
Staff
Chris Mosley
Jeff Vaughan
Julie Davidson
Engineering/CAD Technician
Field Technician
Administration Services
Reimbursable Expenses:
Air Travel
Lodging
Mileage
Meals
Miscellaneous Direct Project Expenses
Postage
Shipping (Fed Ex, UPS, etc.)
SCHEDULE OF FEES
Fees for the Year 2023-24
Rate
$145.00 per hr; $1,595.00 per day
$215.00 per hr (legal rate)
$145.00 per hr; $1,595.00 per day
$215.00 per hr (legal rate)
$115.00 per hr
$75.00 per hr
$70.00 per hr
$60.00 per hr
Cost
Cost
IRS Rate
Cost
Cost + 20%
Cost
Cost
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1:of i-
Complete Nos. i - 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
2023-980054
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Agri -Waste Technology, Inc.
Apex, INC United States
Date Filed:
02/06/2023
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, Texas
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.
17008
Agronomic consulting
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 L r► f M �f ri and my date of birth is� !
My address is 2713 Sad; n 1 `►1
(street) (dty) (ate) (zip oQde) (country)
I declare under penalty of pedury that the foregoing is true and correct.
Executed in Gt County, State of , on the 1�day of 't r%20 Z �
k Oz (month) (year)
ftM G. AN20
1.i G T (a nm NOTARY PUBLIC
WAKE COUNTY, ti
Q1j— 2 — 20Z CWM*Wbn Expires 01-21-2024 Signature of authorized of contracting business entity
( arant)
i-orms proviaeo Dy i exas unics commission www.etnics.state.tx.us Version V3.5.1.3ac88bcO
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.
2023-980054
Agri -Waste Technology, Inc.
Apex, NC United States
Date Filed:
02/06/2023
2 Name of governmental entity or state agency that is a parry to the contract for which the form is
being filed.
City of Lubbock, Texas
Date Acknowledged:
02/22/2023
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.
17008
Agronomic consulting
4
Name of Interested Parry
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Fintermediary
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)
rurrns provided by i exas tmics c-ommission www.etnlcs.state.tx.us Version V3.5.1.3ac88bc0