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HomeMy WebLinkAboutResolution - 2023-R0100 - Contract 16981 with Southern Tire Mart 2.28.23Resolution No. 2023-RO100 Item No. 5.16 February 28, 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, Service Contract No. 16981 for Secondary Tire Purchase and Service as per ITB 23-16981-SB, by and between the City of Lubbock and Southern Tire Mart, LLC of Columbia, MS 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 February 28, 2023 ATTEST: Re cca Garza, City Secretary :l�7Z�lil�l�7:T.�1��ZK�]�f111�1�1� Brooke Witcher, Assistant City Manager APPROVED AS TO FORM: I&A0vt, elli Leisure, Senior Assistant City Attorney ccdocs/RES.ServiceContract 16981 Secondary Tire Purchase and Service 2.6.23 Resolution No. 2023-ROI OO Contract 16981 City of Lubbock Secondary Tire Purchase and Service for City Vehicles and Equipment Agreement This Service Agreement (this "Agreement") is entered into as of the 28day of February 2023 ("Effective Date") by and between Southern Tire Mart, LLC (the Contractor), and the City of Lubbock (the "City"). RECITALS WHEREAS, the City has issued a Request for Proposals 23-16981-SB Secondary Tire Purchase and Service for City Vehicles and Equipment and 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 Secondary Tire Purchase and Service for City Vehicles and Equipment, 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 Requirements 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 Exhibit C attached hereto. Article 1 1.1 The contract shall be for a term of one (1) year, with the option of two (2), one (1) year extensions, said date of term beginning upon formal approval. This Contract will renew automatically for the additional terms, unless either Party gives 90-day written notice to terminate the Contract. 1.2 All stated annual quantities are approximations of usage during the time period to be covered by pricing established by this bid. 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 bid and resulting contract. 1.3 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. 1.4 A) Prices quoted shall be guaranteed for a period for six (6) months upon City approval. The rate may be adjusted at the City's discretion for the effective change in Consumer Price Index (CPI) or Product Price Index (PPI) as appropriate. B) Further, if the Contractor can provide documentation for actual charges for material, labor, etc. that demonstrates that the change in CPI or PPI is not sufficient, the Contractor shall provide such documentation to the City, and at the City's sole discretion, the contractual rate may be further adjusted. If agreement regarding a new rate cannot be reached, the City shall terminate at the end of the current contract period. C) If an adjustment to pricing is granted under this section, the Contractor must provide the Director of Purchasing and Contract Management written, quarterly documentation to justify the ongoing adjustment. If no such documentation is timely received, the rate will automatically revert to the initial, awarded rate. 1.5 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 bidder 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 document, this provision shall control. 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 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. 2.14 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 contract as provided by the records retention requirements applicable to the governmental body. 2.15 No Boycott of Israel. Pursuant to Section 2271.002 of the Texas Government Code, a) This section applies only to a contract that: (1) is between a governmental entity and a company with 10 or more full-time employees; and (2) has a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity. (b) A governmental entity may not enter into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. 2.16 Texas Government Code 2274. By entering into this Agreement, Contractor verifies that: (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, 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. 2.17 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. 2.18 Confidentiality. The Contractor shall retain all information received from or concerning the City and the City's business in strictest confidence and shall not reveal such information to third parties without prior written consent of the City, unless otherwise required by law. 2.19 Indemnify. The Contractor shall indemnify and save harmless the city of Lubbock and its elected officials, officers, agents, and employees from all suits, actions, losses, damages, claims, or liability of any kind, character, type, or description, including without limiting the generality of the foregoing, all expenses of litigation, court costs, and attorney's fees, for injury or death to any person, or injury to any property, received or sustained by any person or persons or property, to the extent arising out of, related to or occasioned by, the negligent acts of the Contractor, its agents, employees, and/or subcontractors, related to the performance, operations or omissions under this agreement and/or the use or occupation of city owned property. The indemnity obligation provided herein shall survive the expiration or termination of this agreement. 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 L t Tray PayWAlair A EST: Rebecca Garza, City Secretary PPROVED AS TO CONTEN : Dominic Esperat, Direqkr of Fleet Operations A R VED AS O FORM eIli Leisure, Assistant City Attorney CON TOR BY: 77 Authorized Representative Richard Conwill Print Name Boo HK Y_ 48 Address Columbia, MS 39429 City, State, Zip Code Exhibit A City of Lubbock, TX RFP 23-16981-SB Secondary Tire Purchase and Service GENERAL REQUIREMENTS SCOPE OF WORK The City of Lubbock (the "City") is seeking proposals for the purchase of a secondary vendor for the purpose of tire purchase, installation, 24-hour flat repair services and tire disposal for City vehicles and equipment. These vehicles and equipment include: light, medium, and heavy duty vehicles, trailers, turf equipment, construction equipment, and farm implement equipment. The following specifications describe the approximate fleet tires needed by the City per the current fleet, which may increase/decrease in numbers and type over the intended contract period. In order to assure adequate coverage for multiple locations throughout the City and our worksite locations outside of the city limits, the City may select multiple vendors to provide the services desired, if multiple awards are determined to be in the best interest of the City. These worksite locations include, but are not limited to, Muleshoe, Wilson, and Lake Alan Henry. Level of Quality: The successful vendor must be able to furnish NEW tires, domestically manufactured only, as required by the City. Tires bid shall be of the highest quality rating per specific brand offered by the bidding vendor. An estimated usage is included on the bid form for bid purposes. Tires must be manufacturer's brand. Private or associated brands are not acceptable. National name brands only. No retreads or used tires will be accepted. Federal Specifications: For each applicable category, all tires shall meet the performance requirements for the Federal Specifications. Warranty: Manufacturers standard warranty shall apply. Bidder MUST submit a copy of tire warranty policies with the bid. Minimum Quantities: The Contractor agrees that the City has made no representation, guaranty, or commitment that the City will purchase any minimum quantity of products under this Contract. The Contractor further agrees that any inventories, residual or otherwise, which the Contractor may establish or which may otherwise arise from the Contractor's performance under this Contract, shall be at the sole risk and responsibility of the Contractor. Tire Casing: Any credit for a reusable tire casing must be listed separately on the invoice. If there is no credit for a tire casing, the reason will be listed on the invoice. Pricing: Bid form pricing is price per tire for each of the listed tire sizes. This price is the amount that will be expected on the invoices. The "per tire" bid price will include COMPLETE installation. This consists of all mounting, balancing, wheel weights, valve stems. et cetera, and any applicable rebate for reusable tire casing. No additional costs associated with normal replacement and/ or installation will be approved. 24 Hour Service Calls: The Contractor should agree to stand ready to ably, professionally and promptly respond to any and all after hours road service, tire repair or replacement requests made by the City regardless of the time of such request or the number of such requests. The Service call price will be charged on a per unit basis for all completed calls at any time of day. Group 1— Passenger Tires: 60,000 mile Limited Warranty, All Season Tread (A/S), OR All Terrain Tread (A/T), Standard Load Range, OEM tires only. Group 2 — Light Truck Tires: 50,000 mile Limited Warranty, All Season Tread (A/S), (H/T), All Terrain Tread (A/T), or Aggressive Block Tread (M/T), with 3 Ply Side Wall Minimum. Load Range as Indicated, OEM tires only. Group 3 — Heavy Truck Tires: Standard Manufacturers Limited Warranty, Tubeless, Commercial Steer Tire (HWY), Commercial Deep Drive Tires (M/S), Load Range as indicated, Firetruck Rated Tires (FT), OEM tires only. NOTE: Bid Form's corresponding Group 3 — Heavy Truck Tires, line items 5-24, 5-25, 5-26, 5-27, 5- 28, and 5-29 are not to be Goodyear G296. Group 4 — Trailer Tires: Standard Manufacturers Limited Warranty, Steel Tire Rib Tread Design, Load Range as indicated. Group 5 — Mower Turf Tires: Standard Manufacturers Limited Warranty, Nylon Rib Saw Tooth Tread, Soft Turf Saver Tire Tread, and Load Range Standard. Group 6 - 8 — Industrial Tires, Construction, Earth Moving Tires and Farm Implement Tires: Standard Manufacturers Limited Warranty and Load Range as indicated. Group 9 — Tire Disposal: The vendor shall be responsible for pick up and proper disposal of all used and scrap tires per applicable laws. They should provide this service for both tires that the vendor supplies and installs, as well as the tires that the City purchases and replaces in house. Used tires should be picked up at time of service or from a designated area at Fleet garage located at 206 Municipal Drive, Lubbock TX 79457, when notified by Fleet. The City will not be responsible for any Vendor's illegal action in handling disposal of the tires. City of Lubbock Exhibit B RFP 23-16981-SB Secondary Tire Purchase and Service Best and Final Offer Southern Tire Mart, LLC Location Columbia, MS Total Cost $1,132,082 20 Quantity Tire Unit Total # Items (+/-) UOM Brand Price Cost # 1-1 P 155/80R 13 A/S 4 EA Westlake 24160017 $49.00 $196.00 #1-2 P195/75R14 A/S 5 EA Toyo Extasa Toyo 147 100 $89.00 $445.00 #1-3 P205/751115 A/S 14 EA Firestone F148980 $82.39 $1,153.46 #1-4 P205165R15 A/S 8 EA 'Firestone F004012 $85.71 $685.68 #1-5 P205/70HR15 A/S Pursuit Tire 12 EA 'Firestone F004044 $85.64 $1,027.68 #1-6 P215/70HR15 A/S Pursuit Tire 30 EA FirestoneF004014 $101.10 $3,033.00 #1-7 P215/75R15 A/S 7 EA Firestone F148368 $84.35 $590.45 #1-8 P215165RI5 A/S 13 EA WESTLAKE24545025 $80.00 $1,040.00 #1-9 P2151601116 A/S 6 EA Firestone F003816 $97.90 $587.40 #I-10 P22516OR16 A/S Pursuit Tire 80 EA FirestoneF098388 $110.00 $8,800.00 #1-11 P2351701116 A/S Pursuit Tire 25 EA FirestoneF003024 $126.15 $3,153.75 #1-12 P235/75R16 A/T 4 EA Firestone F005284 $130.37 $521.48 #1-13 P235/75R16 A/S 65 EA Firestone F005336 $121.93 $7,925.45 #1-14 P255/70R16 A/S 4 EA Bridgestone B007168 $129.65 $518.60 #1-15 P2351551117 A/S Pursuit Tire 250 EA Firestone F01 1687 $113.90 $28,475.00 #1-16 P2451651117 A/S 10 EA Firestone F005370 $102.00 $1,020.00 #1-17 P265/60R17 A/S Pursuit Tire 500 EA Firestone F01 1685 $126.89 $63,445.00 #1-18 265/70R17 A/S 21 EA Firestone F148351 $120.01 $2,520.21 #1-19 265/70RI7 H/T 28 EA FirestoneF005374 $135.25 $3,787.00 #1-20 265/65R17 A/S 12 EA FirestoneF005375 $119.50 $1,434.00 #1-21 265/6011I8 A/S 8 EA FirestoneF003058 $142.51 $1,140.08 #1-22 215/651117 A/S 4 EA Firestone F004050 $115.75 $463.00 #1-23 235/751117 A/S 24 EA Firestone F014315 $123.72 $2,969.28 #1-24 235/75R17 H/T 16 EA Firestone F014315 $123.72 $1,979.52 #1-25 255/70R17 A/S 8 EA FirestoneF0050I2 $118.14 $945.12 #1-26 265/70R16 A/S 24 EA FirestoneF148317 $120.31 $2,887.44 #1-27 235/50R18 A/S Pursuit Tire 32 EA Firestone F011686 $142.84 $4,570.88 #1-28 215/701116 A/S 12 EA FirestoneF003036 $103.50 $1,242.00 #1-29 235/70R16 A/S 8 EA FirestoneF003024 $126.15 $1,009.20 #1-30 245155R18 A/S Pursuit Tire 32 EA FirestoneF000702 $133.39 $4,268.48 #1-31 25516OR18 A/S Pursuit Tire 100 EA id FirestoneF012114 $124.37 $12.437.00 In shop - flat repair. Price to be on a Per tire basis and to #2-1 include all ancillary costs associated with normal repair. I EA NA $25.00 $25.00 Road side flat repair. Price to be on a Per tire basis and to #2-2 include all ancillary costs associated with "Road side repair " 1 EA NA $50.00 $50.00 #2-3 Front End Alignment I EA No Bid No Bid No Bid Roadside repairs for vehicles traveling outside of City of #24 Lubbock city limits, cost per mile. 1 EA 1.75 PLUS SERVICE CALL D $75.00 $75.00 After hours Service call. Price to be on a per unit basis for #2-5 complete call. 1 EA 135.00 PER HOUR MIN OF 2 $135.00 $135.00 #2-6 Mounting of Tire Supplied by City of Lubbock 1 EA NA $25.00 $25.00 #2-7 Balancing of Tire Supplied by City of Lubbock 1 EA NA $25.00 $25.00 #3-I LT225/70R19.5 A/T 24 EA Firestone F004195 $319.91 $7,677.84 #3-2 LT225/70RI9.5 H/T 32 EA Firestone F248409 $316.31 $10,121.92 #3-3 LT235/80R17 A/T 16 EA Firestone F000185 $152.15 $2,434.40 #34 LT235/80R17 HIT 12 EA Firestone F002766 $136.94 $1,643.28 #3-5 LT245/70R19.5 A/T 28 EA Firestone F004197 $349.99 $9,799.72 #3-6 LT245/70R19.5 H/T 36 EA Firestone F248477 $341.79 $12,304.44 #3-7 LT295/75R22.5 A/T 16 EA Firestone F281050 $446.48 $7,143.68 #3-8 LT295/75R22.5 H/T 24 EA Firestone F156566 $414.98 $9,959.52 #3-9 LT235/75R17.5 A/T 32 EA WestLakeTH94545 $195.00 $6,240.00 #3-10 LT235/75R17.5 H/r 8 EA WestLakeTH94545 $195.00 $1,560.00 #3-11 LT215/75R15 A/T 4 EA Firestone F005343 $102.89 $411.56 #3-12 LT235/75RI5 H/T 3 EA Firestone F005346 $120.71 $362.13 #3-13 LT235/75R15 A/T 16 EA Firestone F0I4043 $110.76 $1,772.16 #3-14 LT215185R16 H/T 27 EA Firestone F002758 $111.69 $3,015.63 #3-15 LT215185R16 A/T 19 EA Firestone F000178 $147.86 $2,809.34 #3-16 LT225175R16 H/T 21 EA Firestone F002760 $133.70 $2,807.70 #3-17 LT225175R16 A/T 25 EA Firestone F000180 $130.19 $3,254.75 #3-18 LT235/70R16 A/T 4 EA WestLake AT24265013 $119.00 $476.00 #3-19 LT235M51116 H/T 14 EA Firestone F002759 $115.85 $1,621.90 #3-20 LT235185R16 A/T 22 EA Firestone F000179 $140.27 $3,085.94 #3-21 LT235185R16 M/T 20 EA Firestone F003462 $163.64 $3,272.80 #3-22 LT245/75R16 H/r 66 EA firestone F002761 $118.63 $7,829.58 City of Lubbock RFP 23-16981-SB Secondary Tire Purchase and Service Best and Final Offer # #3-23 #3-24 #3-25 #3-26 #3-27 #3-28 #3-29 #3-30 #3-31 #3-32 #3-33 #3-34 #3-35 #3-36 #3-37 #3-38 #3-39 Items LT245/75R16 A/T LT245/75R16 MIT LT255170R16 A/T LT245/70R17 A/r LT265/751116 H/r LT265/75R16 A/T LT245/70R17 H/r LT245170R17 Afr LT275165R18 A/r LT265/70R17 H/T LT265/70R17 A/T LT275/70R18 H/r LT2651651118 A/1' LT225175R15 A/T LT245/75R17 H/r LT245/75RI7 A/r LT245/75R17 M/r Quantity (+/-) 117 10 4 4 6 35 33 20 4 24 30 13 4 4 24 40 32 UOM EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA Tire Brand Firestone F000181 FirestoneF245587 FirestoneF014264 FirestoneF000186 FirestoneF002762 Firestone F000182 Firestone F002767 Firestone F000186 FirestoneF000190 FirestoneF002768 Firestone F000187 FirestoneF002778 Firestone F014689 No Bid Firestone F002777 Firestone F000184 FirestoneF003459 Unit Price $141.16 $150.25 $150.78 $147.12 $130.45 $149.30 $133.82 $147.12 $178.97 $155.61 $161.90 $164.96 $166.00 No Bid $146.82 $153.20 $172.84 Total Cost $16,515.72 $1,502.50 $603.12 $588.48 $782.70 $5,225.50 $4,416.06 $2,942.40 $715.88 $3,734.64 $4,857.00 $2,144.48 $664.00 No Bid $3,523.68 $6,128.00 $5,530.88 In shop -flat repair. Price to be on a Per tire basis and to #4-1 include all ancillary costs associated with normal repair. I EA NA $25.00 $25.00 Road side flat repair. Price to be on a Per tire basis and to #4-2 include all ancillary costs associated with "Road side repair" I EA NA $50.00 $50.00 #4-3 Front End Alignment 1 EA No Bid No Bid No Bid Roadside repairs for vehicles traveling outside of City of #44 Lubbock city limits, cost per mile. 1 EA 1.75 PER MILE ROUNDTRIP $75.00 $75.00 After hours Service call. Price to be on a per unit basis for #4-5 complete call. 1 EA 135.00 PER HOURS MIN OF: $135.00 $135.00 #4-6 Mounting of Tire Supplied by City of Lubbock I EA NA $25.00 $25.00 #4-7 Balancing of Tire Supplied by City of Lubbock I EA NA $25.00 $25.00 #5-1 215.175R17.5 H/T 16 PLY 32 EA Firestone F248511 $301.58 $9,650.56 #5-2 225'70R19.5 Hfr 12 PLY 20 EA Firestone F248409 $316.31 $6,326.20 #5-3 225`70RI9.5 A/r 12 PLY 39 EA Firestone F004195 $319.91 $12,476.49 #54 10.00 20 HWY 14 PLY 4 EA No Bid No Bid No Bid #5-5 10.0020 MIS 14 PLY 4 EA No Bid No Bid No Bid #5-6 24R21 Specialized Fire Truck - Michelin Tire Only 2 EA No Bid No Bid No Bid #5-7 1O.00R22.5 HWY 16 PLY 4 EA No Bid No Bid No Bid #5-8 I O.00R22.5 M/S 16 PLY 3 EA No Bid No Bid No Bid #5-9 1 LOOR22.5 HWY 16 PLY 77 EA Firestone F156558 $427.38 $32,908.26 #5-10 1 LOOR22.5 M/S 16 PLY 320 EA Firestone F211206 $460.40 $147,328.00 #5-11 11.00R22.5 F/r 16 PLY 40 EA Firestone F248324 $421.25 $16,850.00 #5-12 11.001122.5 MIS 16 PLY 48 EA Firestone F211206 $460.40 $22,099.20 #5-13 12.00R22.5 HWY 16 PLY 37 EA Firestone F012715 $522.26 $19,323.62 #5-14 12.00R22.5 MIS 16 PLY 80 EA Firestone F151009 $536.28 $42,902.40 #5-15 255170R22.5 HWY 16 PLY 4 EA Firestone F192982 $394.30 $1,577.20 #5-16 315180R22.5 M/S 20 PLY 62 EA Bridgestone B249038 $698.60 $43,313.20 #5-17 315180R22.5 FT 20 PLY 28 EA Bridgestone B249038 $698.60 $19,560.80 #5-18 315180R22.5 M/S 20 PLY 12 EA Bridgestone B249038 $698.60 $8,383.20 #5-19 385165R22.5 HWY 18 PLY 16 EA Firestone F247780 $691.62 $11,065.92 #5-20 425165R22.5 HWY 20 PLY 36 EA Firestone F241235 $792.15 $28,517.40 #5-21 11.00R24.5 HWY 16 PLY 18 EA Firestone F156582 $469.16 $8,444.88 #5-22 295/75R22.5 HWY 16 PLY 32 EA Firestone F233755 $486.55 $15,569.60 #5-23 315/80R22.5 HWY 18 PLY 76 EA Firestone F004168 $695.65 $52,869.40 #5-24 11 R22.5 H Closed Shoulder AT 4 EA Firestone F211206 $460.40 $1,941.60. #5-25 11R22.5 Closed Shoulder HWY 52 EA Firestone F006504 $435.10 $22,625.20 #5-26 121122.5 Closed Shoulder HWY 16 EA Firestone F012715 $522.26 $8,356.16 #5-27 425165R22.5 Closed Shoulder HWY 12 EA Firestone F241235 $792.15 $9,505.80 #5-28 385165R22.5 Closed Shoulder HWY 8 EA Firestone F247780 $691.62 $5,532.96 #5-29 315180R22.5 Closed Shoulder HWY 20 EA ;A Bridgestone B2479038 $698.60 $13,972.00 In shop - flat repair. Price to be on a per fire basis and to #6-1 include all ancillary costs associated with normal repair. 1 EA NA $50.00 $50.00 Road side flat repair. Price to be on a Per tire basis and to #6-2 include all ancillary costs associated with "Road side repair." 1 EA NA $50.00 $50.00 #6-3 Front End Alignment 1 EA No Bid No Bid No Bid Roadside repairs for vehicles traveling outside of City of #64 Lubbock city limits, cost per mile. 1 EA 1.75 PER MILE ROUND TRIP $75.00 $75.00 After hours Service call. Price to be on a per unit basis for #6-5 complete call. 1 EA 135.00 PER HOUR MIN OF 2 $135.00 $135.00 #6-6 Mounting of Tire Supplied by City of Lubbock 1 EA NA $40.00 $40.00 City of Lubbock RFP 23-16981-SB Secondary Tire Purchase and Service Best and Final Offer Quantity Tire Unit Total # Items (+/-) UOM Brand Price Cost #7-1 7.00- 15 LT HWY 10 PLY 8 EA Solidway SWI505HI030-10 $90.00 �- $720.00 #7-2 7 50 - 15 LT HWY 10 PLY 2 EA Carlisle Road Roller CA60127- $199.00 $398.00 #7-3 ST225/75R15 HWY 10 PLY 4 EA WestLake Th16776 $89.00 $356.00 #74 7 00 - 16LT HWY 10 PLY 4 EA No Bid No Bid No Bid #7-5 7.50 - 16 LT HWY 10 PLY 19 EA Solidway SW I506HI030 $110 00 $2,090 00 #7-6 ST215/75R14 HWY 10 PLY 4 EA TrailmasterTMST17 $75.00 $300.00. #7-7 ST23510R16 HWY 10 PLY 12 EA WestLake TH 16783 $109.00 $1,308.00 #7-8 480-8 HWY 10 PLY 4 EA HIRunWD1083 $14.00 $56.00 #7-9 ST185/70R13 HWY 10 PLY 6 EA WestLake 24221016 $55.00 $330.00 #7-10 480-12 HWY 10 PLY 8 EA OTR T4812002 $38.00 $304.00 #7-11 ST225i90R16 HWY 10 PLY 4 EA Co Partner HD169 $159.00 $636.00 #7-12 ST235/75R17.5 HWY 10 PLY 8 EA WestLake TH 194545 $195.00 $1,560.00 #7-13 ST205/90D15E HWY 10 PLY 4 EA Solidway SW I 505H 1030- 10 $90.00 $360.00 #7-14 ST205/75R14 HWY IO PLY 6 EA WestLake TH17650 $69.00 $414.00 #7-15 ST205/75R15 HWY 10 PLY 8 EA WestLake TH16752 $75.00 $600.00 c- Tires - Additional Costs In shop - flat repair. Price to be on a per tire basis and to #8-1 include all ancillary costs associated with normal repair. 1 EA NA $25.00 $25.00 Road side flat repair. Price to be on a Per tire basis and to #8-2 include all ancillary costs associated with "Road side repair " 1 EA NA $50.00 $50.00 Roadside repairs for vehicles traveling outside of City of #8-3 Lubbock city limits, cost per mile. I EA 1.75 PER MILE ROUNDTRIP $75.00 $75.00 After hours Service call. Price to be on a per unit basis for #84 complete call. I EA 135.00 PER HOUR MIN OF 2 $135.00 $135.00 #8-5 Mounting of Tire Supplied by City of Lubbock 1 EA NA $25.00 $25.00 #8-6 Balancing of Tire Supplied by City of Lubbock 1 EA NA $25.00 $25.00 #9-1 4 10 ' 3 50 -4 Saw Tooth 4 EA Carlisle CA5110251 $14.00 $56.00 #9-2 45 - 6.00 - 6 Turf Saver 4 EA No Bid No Bid No Bid #9-3 5.70 - 8 Saw Tooth 4 EA TowMaster T0865E $36.00 $144.00 #94 20 -10 00 - 8 Turf Saver 4 EA OTR T20108008 $95.00 $380.00 #9-5 22.5 - 10 00 - 8 Turf Saver 2 EA OTR T225108001 $75.00 $150.00 #9-6 25 -13.00 - 9 Turf Saver 2 EA Carlisle Ca588394 $139.00 $278.00 #9-7 6.50 -10 Turf Saver 4 EA No Bid No Bid No Bid #9-8 23 - 8.50 - 12 Turf Saver 4 EA Carlisle CA574372 $119.00 $476.00 #9-9 23 - 10 50 - 12 Turf Saver 3 EA OTR T23105012004 $78.00 $234.00 #9-10 23 - 10 50 - 12 Turf Saver 3 EA OTR T23105012004 $78.00 $234.00 #9-11 24 -12.00 -12 Turf Saver 4 EA OTR T241212006 $89.00 $356.00 #9-12 26 - 12.00 - 12 Turf Saver 4 EA OTR T261212017 $119.00 $476.00 #9-13 25 -12.00 - 12 R1 Tractor 4 EA No Bid No Bid No Bid #9-14 25 - 10.00 -12 Turf Saver 4 EA Deestone T251012010 $99.00 $396.00 #9-15 25XIOR12 8 PLY RTV 12 EA Deestone T2510123010 $99.00 $1,188.00 #9-16 13 650 - 6 Turf Saver 4 EA OTR T13656011 $25.00 $100.00 #9-17 11.400 - 5 Turf Saver 4 EA OTR T1145003 $11.00 $44.00 urf Tires - Additional Costs In shop flat repair. Price to be on a Per tire basis and to include IL #10-1 all ancillary costs associated with normal repair. 1 EA NA $25.00 $25.00 Road side flat repair. Price to be on a Per tire basis and to #10-2 include all ancillary costs associated with "Road side repair." 1 EA NA $50.00 $50.00 Roadside repairs for vehicles traveling outside of City of #10-3 Lubbock city limits, cost per mile. I EA 1.75 PER MILE ROUNDTRIP $75.00 $75.00 After hours Service call. Price to be on a per unit basis for #10-4 complete call. I EA 135.00 PER HOUR MIN OF 2 $135.00 $135.00 #10-5 Mounting of Tire Supplied by City of Lubbock I EA NA $25.00 $25.00 • #11-1 31115.5 - 15 Lug 10 PLY 4 EA Firestone F314420 S434 56 $1,738 24 #11-2 7.00i 12 Lug 14 PLY 4 EA Solidway SW2005F1430 $149.00 $596.00 #11-3 12/16.5 HWY 12 PLY 4 EA Regency 378712 $168.47 $673.88 #11-4 10116.5 LUG 10 PLY 4 EA Solidway SW1713GI030 $135.00 $540.00 #11-5 10.00116.5 L-2 8 PLY 4 EA Regency 378389 $140.39 $561.56 #11-6 28-9-15 10 PLY 4 EA Galaxy GAL256134 $229.00 $916.00 #11-7 650-10 10 PLY 4 EA Solidway SW2004FI030 $89.00 $356.00 alTires - Additional Costs In shop flat repair. Price to be on a Per tire basis and to include #12-1 all ancillary costs associated with normal repair. 1 EA NA $50.00 $50.00 Road side flat repair. Price to be on a Per tire basis and to #12-2 include all ancillary costs associated with "Road side repair." I EA NA $50.00 $50.00 .Roadside repairs for vehicles traveling outside of City of #12-3 Lubbock city limits, cost per mile I EA 1.75 PER MILE ROUNDTRIP $75.00 $75.00 City of Lubbock RFP 23-16981-SB Secondary Tire Purchase and Service Best and Final Offer Quantity Tire Unit Total # Items (+/-) UOM Brand Price Cost # 12-4 Mounting of Tire Supplied by City of Lubbock I EA NA $50.00 $50.00 # 12-5 Balancing of Tire Supplied by City of Lubbock 1 EA NA $25.00 $25.00 # 13-1 9.51, - 15SL Contractor 4 EA Firestone F008523 $206.81 S827 24 # 13-2 11L -15 Contractor 9 EA No Bid No Bid No Bid # 13-3 9.50 - 16.5 Contractor 2 EA No Bid No Bid No Bid # 134 11 L - 16 Contractor 24 EA Regency 378372 $126 76 $3,042 24 #13-5 13.00 24 GraderG-2 9 EA FirestoneF429209 $532.73 $4,794.57 #13-6 14.00 , 24 GraderG-2 20 EA Firestone F425214 $679.63 $13,592.60 #13-7 17.5 / 25 Loader 8 EA Firestone F425129 $782.89 $6,263.12 #13-8 20.5125 Loader 6 EA Firestone F408492 $1,366.12 $8,196.72 #13-9 23.5125 Loader 4 EA Firestone F404969 $2,010.54 $8,042.16 #13-10 20.5R25 Loader 16 EA Firestone F005499 $1,956.60 $31,305.60 #13-11 33.25R29 Grader 4 EA Bridgestone B427645 $11,549.04 $46,196.16 #13-12 I1R24.5 Loader 16 EA Firestone F157147 $608.52 $9,736.32 #13-13 17.5L-24 Loader 4 EA Firestone F325880 $586.09 $2,344.36 #13-14 14.001124 Loader 8 EA Firestone F005639 $1,195.11 $9,560.88 #13-15 29.51125 Loader 5 EA Bridgestone B419680 $6,093.08 $30,465.40 #13-16 23.5R25 Loader 6 EA -Firestone F005501 $2,526.07 $15,156.42 In shop Flat repair. Price to be on a Per tire basis and to include #14-1 all ancillary costs associated with normal repair. I EA No Bid No Bid No Bid Road side flat repair. Price to be on a Per tire basis and to #14-2 include all ancillary costs associated with "Road side repair" I EA No Bid No Bid No Bid Roadside repairs for vehicles traveling outside of City of #14-3 Lubbock city limits, cost per mile. 1 EA No Bid No Bid No Bid #14-4 Mounting of Tire Supplied by City of Lubbock 1 EA No Bid No Bid No Bid #15-1 14.9124 Sprinkler 6 PLY 24 EA Pq Firestone F008559 $494.94 $11,878.56 #15-2 16.9124 Tractor 8 PLY 6 EA Firestone F359505 $928.40 $5,570.40 #15-3 17.5 124 Tractor 8 PLY 3 EA Firestone F315486 $864.29 $2,592.87 # 15-4 18.4 /R26 Tractor 8 PLY 4 EA Firestone F340421 $1,925.99 $7,703.96 #15-5 16.9128 Tractor 10 PLY 3 EA No Bid No Bid No Bid #15-6 11.2138 Tractor 4PLY 4 EA FirestoneF355003 $498.84 $1,995.36 #15-7 18AR38 Tractor PLY 4 EA Firestone F362341 $1,702.51 $6,810.04 iencrircs #16-1 - Additional Costs In shop Flat repair. Price to be on a Per tire basis and to include t 1 EA No Bid No Bid No Bid #16-2 Road side Flat repair. Price to be on a Per tire basis and to includ 1 EA No Bid No Bid No Bid #16-3 Roadside repairs for vehicles traveling outside of City of Lubba I EA No Bid No Bid No Bid # 16-4 Mounting of Tire Supplied by City of Lubbock I EA No Bid No Bid No Bid 916-5 Liquid Filled or Wet Tire- Flats, and Mounting 1 EA No Bid No Bid No Bid Tire Disposal #17-1 Light to Medium Duty Tires 1 EA N9 NA $4.00 $4.00 # 17-2 Heavy Duty I EA NA $12.00 $12.00 #17-3 Off Road I EA No Bid No Bid No Bid Other governmental entities that might have interests in this contract are Frenship Independent School District, Lubbock Housing Authority, Lubbock County, Lubbock County Hospital District, Lubbock Independent School District, South Plains Association of Governments, City of Texarkana, Texas Tech University, West Texas Municipal Power Agency, Lynn County, and City of Wolfforth. YES ✓ NO I If you (the bidder) checked YES, the following will apply: Governmental entities utilizing Interlocal Agreements for Cooperative Purchasing with the City of Lubbock will be eligible, but not obligated, to purchase materials/services under the contract(s) awarded as a result of this solicitation. All purchases by governmental entities other than the City of Lubbock will be billed directly to that governmental entity and paid by that governmental entity. City of Lubbock will not be responsible for another governmental entity's debts. Each governmental entity will order their own materials/service as needed. Addenda Bidder acknowledges receipt of addenda issued in regard to this solicitation: Addenda No. i Date 12-1-22 Addenda No. Date Addenda No. Date Addenda No. Date Insurance Requirements I, the undersigned Bidder certify that the insurance requirements contained in this bid document have been reviewed by me and my Insurance Agent/Broker. If I am awarded this contract by the City of Lubbock, I will be able to, within ten (10) business days after being notified of such award by the City of Lubbock, furnish a valid insurance certificate to the City meeting all of the requirements defined in this bid. If the time requirement specified above is not met, the City has the right to reject this proposal and award the contract to another contractor. If you have any questions concerning these requirements, please contact the Director of Purchasing & Contract Management for the City of Lubbock at (806) 775-2572. Suspension and Debarment Certification Federal Law (A-102 Common Rule and OMB Circular A-1 10) prohibits non -Federal entities from contracting with or making sub -awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement contracts for goods or services equal to or in excess of $25,000 and all non -procurement transactions (e.g., sub -awards to sub -recipients). Contractors receiving individual awards of $25,000 or more and all sub -recipients must certify that their organization and its principals are not suspended or debarred by a Federal agency. Before an award of $25,000 or more can be made to your firm, you must certify that your organization and its principals are not suspended or debarred by a Federal agency. I, the undersigned agent for the firm named below, certify that neither this firm nor its principals are suspended or debarred by a Federal agency. TEXAS GOVERNMENT CODE SECTION 2252.152 The undersigned representative of the undersigned company or business, being an adult over the age of eighteen (18) years of age, pursuant to Texas Government Code, Chapter 2252, Section 2252.152, certify that the company named above is not listed on the website of the Comptroller of the State of Texas concerning the listing of companies that are identified under Section 806.051, Section 807.051 or Section 2253.153. I further certify that should the above -named company enter into a contract that is on said listing of companies on the website of the Comptroller of the State of Texas, which do business with Iran, Sudan or any Foreign Terrorist Organization, I will immediately notify the City of Lubbock Purchasing and Contract Department. TEXAS GOVERNMENT CODE SECTION 2271.002 Company hereby certifies the following: 1. Company does not boycott Israel; and 2. Company will not boycott Israel during the term of the contract. The following definitions apply to this state statute: (1) 'Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli -controlled territory, but does not include an action made for ordinary business purposes; and (2) "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or limited liability company, including a wholly owned subsidiary, majority -owned subsidiary, parent company, or affiliate of those entities or business associations that exists to make a profit. Vendor Acknowledgment In compliance with this solicitation, the undersigned bidder having examined the invitation to bid, instructions to bidders, documents associated with the invitation to bid, and being familiar with the conditions to be met, has reviewed the information regarding: • Insurance Requirements • Suspension and Debarment Certification • Texas Government Code Section 2252AS2 • Texas Government Code Section 2271.002 An individual authorized to bind the company must sign the following section. Failure to execute this portion may result in bid rejection. Intentionally Left Blank THIS BID IS SUBMITTED BY Submission Information Southern Tire Mart LLC a corporation organized under the laws of the State of Mississippi , or a partnership consisting of the City of Columbia Tax ID No.: 06-1689011 individual trading as Address: 900 HWY 98 City: Columbia State: MS Zip: 39429 M/WBE Firm:] I Woman Black Amen( Hispanic American I Asian Pacific Please complete the information below. By Date: 12-2-2022 Authorize Representative - must sign by hand Officer Name and Title: Richard Conwill, Director of Government Sales Business Telephone Number 877-7864681 FAX: 601-651-0655 E-mail Address: gov-sales@stmtires.com of Exhibit C INSURANCE REQUIREMENTS 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. 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. Subject to the Contractor's right to maintain reasonable deductibles in such amounts as are approved by the City, the Contractor shall obtain and maintain in full force and effect for the duration of this contract, and any extension hereof, at Contractor's sole expense, insurance coverage written by companies approved by the State of Texas and acceptable to the City, in the following type(s) and amount(s): Commercial General Liability Requirements: $lM occurrence / $2M 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. Commercial General Liability to include Products — Completion/OP, Personal and Advertising Injury, Contractual Liability, Fire Damage (any one fire), and Medical Expenses (any one person). Automobile Liability Requirements: $1 M/occurrence is needed Workers Compensation and Employer Liability Requirements: 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 M) is required with Workers Compensation. Garage Liability Requirements: No less than $2,000,000 combined single limit. IMPORTANT: POLICY ENDORSEMENTS The Contractor will provide copies of the policies without expense, to the City 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. Any costs will be paid by the Contractor. 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 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 & Contract Management City of Lubbock 1314 Avenue K, 91'' Floor Lubbock, Texas 79401 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 Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2022-960375 Southern Tire Mart, LLC Columbia, MS United States Date Filed: 12/01/2022 2 Name of govemmental entity or state agency that is a party to the contract for which the form is being filed. City of Lubbock Date Acknowledged: 3 Provide the identification number used by the govemmental 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 23-16981-SB Secondary Tire Purchase and Service 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Duff, James Columbia, MS United States X Duff, Thomas Columbia, MS United States X 5 Check only it there is NO Interested Party. ❑ 6 t1NSWORN DECLARATION My name is Richard CoDwW and my date of birth is My address is 900 HWY 98 Wumbia MS 39429 USA (street) (City) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Marton County, State of Mississippi —on the 6 day of DecOmbff . 20 22 (month) (year) gnature of authorized agent of contracting business (Declarant) i-orms proviaea try I exas tmics t:ommission www.ethics.state.tx.us Version V3.5.1.eb87ef42 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: i Name of business entity filing form, and the city, state and country of the business entity's place of business. 2022-960375 Southern Tire Mart, LLC Columbia, MS United States Date Filed: 12/01/2022 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: 01/26/2023 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 23-16981-SB Secondary Tire Purchase and Service 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Duff, James Columbia, MS United States X Duff, Thomas Columbia, MS 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) (fie) (21p oode) (country) I declare under penalty of pedury 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 (Dedarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.eb87ef42