HomeMy WebLinkAboutResolution - 2023-R0103 - Contract 17123 with Williams Brake, Tune & Tire 2.28.23Resolution No. 2023-R0103
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. 17123 for Secondary Tire
Purchase and Service as per ITB 23-16981-SB, by and between the City of Lubbock and
Williams Brake Tune & Tire, LLC of Lubbock, TX 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
TRAY PA)M, MAYOR
ATTEST:
J(�?f
Re ecca Garza, City Secretary
APPROVED AS TO CONTENT:
'T f
Brooke Witcher, Assistant City Manager
APPROVED AS TO FORM:
1 i isure, Assistant City Attorney
ccdocs/RES.ServiceContract 17123 Secondary Tire Purchase and Service
01.31.23
Resolution No. 2023-RO103
Contract 17123
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 Williams Brake, Tune & Tire, 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 CK Zuthori
BY:
Tray Payne, a r sentative
0
Print Name
RebYcca Garza, City
ZPPROVED AS TO CON T:
Dominic Esperat, Director d Fleet Operations
APPROVED AS TO FORM
YA 'hjo k
elli Leisure, Assistant City Attorney
City of Lubbock, TX
RFP 23-16981-SB
Secondary Tire Purchase and Service
GENERAL REQUIREMENTS
SCOPE OF WORK
Exhibit A
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 Ouality_
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, etcetera, 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
Williams Brake Tune and Tim
Location
Lubbock, TX
Total Cost
$632,577.52
Quantity
Tire
Unit
Total
#
Items
(+%)
UOM
Brand
Price
Cost
# I- I
P 155/80R 13
A/S
4
EA
Sallen
$60.50
$242.00
#1-2
P195n5RI4
A/S
5
EA
Hankook
$86.58
$432.90
41-3
P205/75R15
A/S
14
EA
Hankook
$121.00
$1,694.00
#1-4
P205165R15
A/S
8
EA
Hankook
$104.00
S83200
#1-5
P205f70HR15 A/S
Pursuit Tire
12
EA
Hankook
$106.00
$1,272,00
#1-6
P215/70HR15 A/S
Pursuit Tire
30
EA
Hankook
$91.00
$2,730.00
#1-7
P215/75R15
A/S
7
EA
Toyo
$82.00
$574.00
# 1-8
P215/65R 15
A/S
13
EA
BFG
$110.04
$1,430.52
#1-9
P215160R16
A/S
6
EA
Toyo
$82.00
$492.00
#1-10
P225/60R16
A/S
Pursuit Tire
80
EA
Uniroyal
$128.00
$10,240.00
#I -II
P235170R16
A/S
Pursuit Tire
25
EA
BFG
$169.00
$4,225.00
#1-12
P235/75R16
A/T
4
EA
Yokohama
$132.00
$529.00
#1-13
P235/75RI6
A/S
65
EA
Yokohama
$132.00
$8,580.00
#1-14
P255/70RI6
A/S
4
EA
Americus
$132.00
$52800
#1-15
P235155RI7
A/S
Pursuit Tire
250
EA
Prinx
S12300
S30,750.00
#1-16
P245/65R17
A/S
10
EA
Landsail
S120.00
$1,200.00
#1-17
P265160R17
A/S
Pursuit Tire
500
EA
BFG
$189.00
$94,500.00
#1-18
265f10R17
A/S
21
EA
Americus
$146.00
$3,066.00
# 1-19
265f70R 17
H/r
28
EA
Americus
$218.00
$6,104.00
# 1-20
265/65 R 17
A/S
12
EA
Americus
$155.00
S L 860.00
#1-21
265/60R18
A/S
8
EA
Landsail
S170.00
51.360.00
# 1-22
215/65R17
A/S
4
EA
Americus
$105.00
$420.00
#1-23
235f75R17
A/S
24
EA
Toyo
$204.00
S4,896.00
#I-24
235/75R17
Hfr
16
EA
Kenda
$202.00
$3,232.00
#1-25
255/70R17
A/S
8
EA
Kenda
$202.00
$1,616.00
#1-26
265/70R16
A/S
24
EA
Americus
$141.00
$3.384.00
#1-27
235150R18
A/S
Pursuit Tire
32
EA
Prinx
$136.00
$4,352.00
#1-28
215/70R16
A/S
12
EA
Hankook
$127.00
$1,524.00
#1-29
235/70R16
A/S
8
EA
Hankook
S164.00
$1.312.00
41-30
245/55R18
A/S
Pursuit Tire
32
EA
Prinx
$136.00
$4,352.00
# 1-31
255160RIS
A/S
Pursuit Tire
100
EA
Hankook
$199.00
$19,900.00
In shop - flat repair Price to be on a Per fire basis and to
#2-1
include all ancillary costs associated with normal repair 1
EA
$15.00
$15.00
Road side flat repair. Price to be on a Per fire basis and to
#2-2
include all ancillary costs associated with "Road side repair " I
EA
No Bid
No Bid
No Bid
#2-3
Front End Alignment I
EA
$110.00
$110.00
Roadside repairs for vehicles traveling outside of City of
#24
Lubbock city limits, cost per mile. I
EA
No Bid
No Bid
No Bid
After hours Service call. Price to be on a per unit basis for
#2-5
complete call. 1
EA
No Bid
No Bid
No Bid
#2-6
Mounting of Tire Supplied by City of Lubbock 1
EA
$20.00
$20.00
#2-7
Balancing of Tire Supplied by City of Lubbock I
EA
57.50
$7.50
#3-1
LT225MR19.5
AfT
24
EA
Americus
$222.00
$5,328.00
#3-2
LT225nOR19.5
H/r
32
EA
Leao
5222.00
$7,104.00
#3-3
LT2351801117
AR'
16
EA
Landsail
$215.00
$3,440.00
#34
LT235/80R17
H/r
12
EA
Landsail
$184.00
$2,208.00
#3-5
LT245/70R19.5
A/r
28
EA
Americus
$265.00
$7,420.00
#3-6
LT245/70R19.5
HIT
36
EA
Americus
$260.00
$9,360.00
#3-7
LT295n5R22.5
A/T
16
EA
Americus
$428.00
$6,848.00
#3-8
LT295/75R22.5
H:T
24
EA
Americus
$428.00
$10,272.00
#3-9
LT235/75R17.5
A/T
32
EA
Kenda
$212.00
$6,784.00
#3-10
LT235n5R17.5
Hfr
8
EA
Kenda
$212.00
$1,696.00
#3-11
LT215f15R15
A/T
4
EA
Yokohama
$138.00
$552.00
#3-12
LT235/75R15
Hfr
3
EA
Yokohama
$138.00
$414.00
#3-13
LT235n5R15
Afr
16
EA
Yokohama
$14100
$2,256.00
#3-14
LT215/85R16
Hfr
27
EA
Americus
$142.00
$3,834.00
#3-15
LT215/85R16
Afi'
19
EA
Americus
S185.00
$3,515.00
City of Lubbock
RFP 23-16981-SB
Secondary Tire Purchase and Service
Best and Final Offer
Quantity
Tire
i nit
Total
#
Items
;
(+14
U0M
Brand
Price
Cost
#3-16
LT225/75R16
H/T
21
EA
Hankook
$202.00
$4,242.00
#3-17
LT225/75R16
A/T
25
EA
Hankook
$199.00
$4,975.00
#3-18
LT235/70R16
A/T
4
EA
Hankook
$224.00
$896.00
#3-19
LT235/85R16
H/T
14
EA
Cooper
$231.00
$3,234.00
#3-20
LT235/85R16
A/T
22
EA
Hankook
$224.00
$4,928.00
#3-21
LT235/85RI6
M/T
20
EA
Hankook
$224.00
$4,480.00
#3-22
LT245/75R16
H/T
66
EA
Hankook
$224.00
$14,784.00
#3-23
LT245/75R16
A/r
117
EA
Hankook
$238.00
$27,846.00
#3-24
LT245/75R16
M/T
10
EA
Hankook
$258.00
$2,580.00
#3-25
LT255/70R16
A/T
4
EA
Yokohama
$192.00
$728.00
#3-26
LT245/70R17
A/r
4
EA
Americus
$206.00
$824.00
#3-27
LT265/75R16
H/T
6
EA
Americus
$154.00
$924.00
#3-28
LT265/75R16
A/1'
35
EA
Americus
$171.00
$5,985.00
#3-29
LT245/70R17
H/T
33
EA
Americus
$154.00
$5,082.00
#3-30
LT245nOR17
A/f
20
EA
Americus
$180.00
$3,600.00
#3-31
LT275/65R18
A/T
4
EA
Americus
$208.00
$832.00
#3-32
LT265/70R17
H/T
24
EA
Americus
$184.00
$4,416.00
#3-33
LT265/70R17
A/T
30
EA
Americus
$205.00
$6,150.00
#3-34
LT275/70R 18
H/T
13
EA
Kenda
$274.00
$3,562.00
#3-35
LT265/65R18
A/r
4
EA
Kenda
$270.00
$1,080.00
#3-36
LT225/75R15
A/T
4
EA
Toyo
$173.00
$692.00
#3-37
LT245/75R17
HIT
24
EA
Americus
$161.00
$3,864.00
#3-38
LT245/75R17
A/T
40
EA
Americus
$201.00
$8,040.00
#3-39
LT245/75R17
M/T
32
EA
Americus
$223.00
$7,136.00
In shop -flat repair. Price to be on a Per tire basis and to include
#4-1
all ancillary costs associated with normal repair. I
EA
$35.00
$35.00
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
No Bid
No Bid
No Bid
#4-3
Front End Alignment I
EA
125 to
$218.00
$218.00
Roadside repairs for vehicles traveling outside of City of
#44
Lubbock city limits, cost per mile. I
EA
No Bid
No Bid
No Bid
After hours Service call. Price to be on a per unit basis for
#4-5
complete call. I
EA
No Bid
No Bid
No Bid
#4-6
Mounting of Tire Supplied by City of Lubbock I
EA
$25.00
$25.00
#4-7
Balancing of Tire Supplied by City of Lubbock 1
EA
$15.00
$15.00
#54
215n5R17.5
H/T
16 PLY
32
EA
No Bid
No Bid
No Bid
#5-2
225/70R19.5
H/T
12 PLY
20
EA
No Bid
No Bid
No Bid
#5-3
225/70R19.5
A/T
12 PLY
39
EA
No Bid
No Bid
No Bid
#54
10.00/20
HWY
14 PLY
4
EA
No Bid
No Bid
No Bid
#5-5
10.00/20
M/S
14 PLY
4
EA
No Bid
No Bid
No Bid
#5-6
24R21 Specialized Fire
Truck - Michelin Tire Onh
2
EA
No Bid
No Bid
No Bid
45-7
10.001122 5
HWY
16 PLY
4
EA
No Bid
No Bid
No Bid
#5-8
10.001122.5
M/S
16 PLY
3
EA
No Bid
No Bid
No Bid
#5-9
I LOOR22.5
HWY
16 PLY
77
EA
No Bid
No Bid
No Bid
#5-10
l LOOR22.5
MIS
16 PLY
320
EA
No Bid
No Bid
No Bid
#5-11
I LOOR22.5
F/T
16 PLY
40
EA
No Bid
No Bid
No Bid
#5-12
1 I.00R22.5
M/S
16 PLY
48
EA
No Bid
No Bid
No Bid
#5-13
12.001122.5
HWY
16 PLY
37
EA
No Bid
No Bid
No Bid
#5-14
12.00R22.5
M/S
16 PLY
80
EA
No Bid
No Bid
No Bid
45-15
255/70R22.5
HWY
16 PLY
4
EA
No Bid
No Bid
No Bid
#5-16
31510R22.5
M/S
20 PLY
62
EA
No Bid
No Bid
No Bid
45-17
315/SOR22.5
FT
20 PLY
28
EA
No Bid
No Bid
No Bid
#5-18
315/8OR22.5
M/S
20 PLY
12
EA
No Bid
No Bid
No Bid
#5-19
385/65R22.5
HWY
18 PLY
16
EA
No Bid
No Bid
No Bid
95-20
425/65R22.5
HWY
20 PLY
36
EA
No Bid
No Bid
No Bid
#5-21
11.0OR24.5
HWY
16 PLY
18
EA
No Bid
No Bid
No Bid
#5-22
295/75R22.5
HWY
16 PLY
32
EA
No Bid
No Bid
No Bid
#5-23
315/8OR22.5
HWY
18 PLY
76
EA
No Bid
No Bid
No Bid
#5-24
I IR22.5 H Closed Shoulder AT
4
EA
No Bid
No Bid
No Bid
#5-25
1 IR22.5 Closed Shoulder HWY
52
EA
No Bid
No Bid
No Bid
#5-26
12R22.5 Closed Shoulder HWY
16
EA
No Bid
No Bid
No Bid
City of Lubbock
RFP 23-16981-SB
Secondary Tire Purchase and Service
Best and Final Offer
Quantity
Tire
Unit
Total
#
Items
(VI--)
UOM
Brand
Price
Cost
#5-27
425/65R22.5 Closed Shoulder HWY
12
EA
No Bid
No Bid
No Bid
#5-28
385/65R22.5 Closed Shoulder HWY
8
EA
No Bid
No Bid
No Bid
#5-29
315/8OR22.5 Closed Shoulder HWY
20
EA
No Bid
No Bid
No Bid
In shop - flat repair. Price to be on a per tire basis and to include
#6-1
all ancillary costs associated with normal repair.
1
EA
No Bid
No Bid
No Bid
Road side flat repair. Price to be on a Per tire basis and to
R6-2
include all ancillary costs associated with -'Road side repair."
I
EA
No Bid
No Bid
No Bid
46-3
Front End Alignment
I
EA
No Bid
No Bid
No Bid
Roadside repairs for vehicles traveling outside of City of
#64
Lubbock city limits. cost per mile.
I
EA
No Bid
No Bid
No Bid
After hours Service call. Price to be on a per unit basis for
#6-5
complete call
1
EA
No Bid
No Bid
No Bid
#6-6
Mountinp. of Tire Supplied by City of Lubbock
1
EA
No Bid
No Bid
No Bid
47-1
7.00 - 15 LT HWY 10 PLY
8
EA
Zeemax
$119.00
$952.00
#7-2
7.50- IS LT HWY 10 PLY
2
EA
Zeemax
$119.00
$238.00
#7-3
ST225/751115 HWY 10 PLY
4
EA
Zeemax
S113 00
$452.00
#7-4
7.00 - 16LT HWY 10 PLY
4
EA
Zeemax
$117 00
S468.00
#7-5
7.50 - 16 LT HWY 10 PLY
19
EA
Zeemax
$148.00
$2,812.00
#7-6
ST215/751114 HWY 10 PLY
4
EA
Zeemax
$108.00
$432.00
#7-7
ST235/80RI6 HWY 10 PLY
12
EA
Zeemax
$141.00
$1,692.00
#7-8
4 80 - 8 HWY 10 PLY
4
EA
Zeemax
$17.40
S69.60
#7-9
ST185/70R13 HWY 10 PLY
6
EA
Zeemax
$5600
S336.00
#7-10
480-12 HWY 10 PLY
8
EA
Zeemax
S38 00
$304 00
#7-I1
ST225/901116 HWY 10 PLY
4
EA
Zeemax
$148.00
$592.00
47-12
ST235n5R17.5 HWY 10 PLY
8
EA
Zeemax
$205.00
$1,640.00
#7-13
ST205/90D15E HWY 10 PLY
4
EA
Zeemax
$136.00
$544.00
#7-14
ST205/751114 HWY 10 PLY
6
EA
Zeemax
$105.00
S630.00
#7-15
ST205/75R15 HWY 10 PLY
8
EA
Zeemax
$108.00
$864.00
In shop - flat repair. Price to be on a per tire basis and to include
#8-1
all ancillary costs associated with normal repair
1
EA
$20.00
$20.00
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
No Bid
No Bid
No Bid
Roadside repairs for vehicles traveling outside of City of
#8-3
Lubbock city limits, cost per mile
1
EA
No Bid
No Bid
No Bid
After hours Service call. Price to be on a per unit basis for
#84
complete call.
I
EA
No Bid
No Bid
No Bid
#8-5
Mounting of Tire Supplied by City of Lubbock
I
EA
$20.00
$20 00
#8-6
Balancing of Tire Supplied by City of Lubbock
1
EA
$15.00
$ I5 00
#94
4.10 / 3.50 - 4 Saw Tooth
4
EA
Deestone
$16.00
S64.00
#9-2
45 - 6.00 - 6 Turf Saver
4
EA
Deestone
$17 40
$69.60
#9-3
5.70 - 8 Saw Tooth
4
EA
Deestone
$34.60
$138 40
#94
20 - 10.00 - 8 Turf Saver
4
EA
Deestone
$41.00
$ I64.00
#9-5
22.5 - 10.00 - 8 Turf Saver
2
EA
Carlisle
$104 00
$208.00
#9-6
25 -13.00 - 9 Turf Saver
2
EA
Carlisle
$140 00
$280.00
#9-7
6.50 - 10 Turf Saver
4
EA
Carlisle
$151 00
S604.00
#9-8
23 - 8.50 - 12 Turf Saver
4
EA
Carlisle
$95.00
$380.00
#9-9
23 - 10.50 - 12 Turf Saver
3
EA
Deestone
$86.00
S258.00
#9-10
23 - 10.50 - 12 Turf Saver
3
EA
Deestone
$81.00
S243.00
#9-11
24 - 12 00 - 12 Turf Saver
4
EA
Carlisle
$122.00
S488.00
#9-12
26 - 12.00 - 12 Turf Saver
4
EA
Carlisle
S 118.00
$472 00
#9-13
25 -12.00 - 12 Rl Tractor
4
EA
BKT
$188.00
$752.00
#9-14
25- 10.00-12 Turf Saver
4
EA
Deestone
$161.00
$644.00
#9-15
25XIOR12 8 PLY RTV
12
EA
Deestone
S168.00
$2,016.00
99-16
131650 -- 6 Turf Saver
4
EA
Deestone
$28.00
$112.00
#9-17
111400 - 5 Turf Saver
4
EA
Deestone
$28.00
$112 00
In shop flat repair. Price to be on a Per tire basis and to include
# 10-1
all ancillary costs associated with normal repair.
I
EA
$20.00
$20.00
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
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."
I
EA
No Bid
No Bid
No Bid
Roadside repairs for vehicles traveling outside of City of
# 10-3
Lubbock city limits, cost per mile.
1
EA
No Bid
No Bid
No Bid
After hours Service call. Price to be on a per unit basis for
# 10-4
complete call.
1
EA
No Bid
No Bid
No Bid
# 10-5
Mounting of Tire Supplied by City of Lubbock
1
EA
$20.00
$20.00
#11-1
31/15.5 - 15 Lug 10 PLY
4
EA
Deestone
$398.00
$1,592.00
#11-2
7.00/12 Lug 14 PLY
4
EA
Deestone
$154.00
$616.00
#11-3
12/16.5 HWY 12 PLY
4
EA
Deestone
$229.00
$916.00
#1 l-4
10 16.5 LUG lO PLY
4
EA
Deestone
$169.00
$676.00
#11-5
10.00 16.5 L-2 8 PLY
4
EA
Deestone
$188.00
$752.00
#11-6
28-9-15 10 PLY
4
EA
Carlisle
$315.00
$1,260.00
#11-7
650-10 10 PLY
4
EA
Deestone
$106.00
$424.00
In shop flat repair. Price to be on a Per tire basis and to include
#12-1
all ancillary costs associated with normal repair.
I
EA
$20.00
$20.00
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."
1
EA
No Bid
No Bid
No Bid
.Roadside repairs for vehicles traveling outside of City of
# 12-3
Lubbock city limits, cost per mile
1
EA
No Bid
No Bid
No Bid
# 12-4
Mounting of Tire Supplied by City of Lubbock
1
EA
$20.00
$20.00
# 12-5
Balancing of Tire Supplied Ci of Lubbock
I
EA
No Bid
No Bid
No Bid
#13-1
9.5L- I5SL Contractor
4
EA
GRL
$166.00
$664.00
# 13-2
1 I L - 15 Contractor
9
EA
GRL
$163.00
$1,467.00
# 13-3
9.50 - 16.5 Contractor
2
EA
GRL
$204.00
$408.00
# 13-4
I 1 L - 16 Contractor
24
EA
Maxdura
$184.00
$4,416.00
# 13-5
13.00 / 24 Grader G-2
9
EA
GRL
$477.00
$4,293.00
# 13-6
14.00 / 24 Grader G-2
20
EA
GRL
$769.00
$15,380.00
#13-7
17.5/25 Loader
8
EA
Zeemae
$1,881.00
$15,048.00
# 13-8
20.5 / 25 Loader
6
EA
Maxdura
$912.00
$5,472.00
# 13-9
23.5 / 25 Loader
4
EA
BKT
$2,070.00
$8,280.00
#13-10
20.5R25 Loader
16
EA
Deestone
$1,805.00
$28,880.00
#13-11
33.25R29 Grader
4
EA
No Bid
No Bid
No Bid
# 13-12
11 R24.5 Loader
16
EA
Deestone
$1,707.00
$27,312.00
#13-13
17.5L.24 Loader
4
EA
Deestone
$707.00
$2,828.00
#13-14
14.00R24 Loader
8
EA
Deestone
$1,769.00
$14,152.00
# 13-15
29.5R25 Loader
5
EA
Deestone
$5,325.00
$26,625 00
#13-16
23.51125 Loader
6
EA
BKT
$2,939.00
$17,634.00
In shop flat repair. Price to be on a Per tire basis and to include
#14-1
all ancillary costs associated with normal repair.
1
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 Ci of Lubbock
1
EA
No Bid
No Bid
No Bid
I III IN ORION,
# 15-1
14.9 / 24 Sprinkler 6 PLY
24
EA
GRI
$310.00
$7,440.00
# 15-2
16.9124 Tractor 8 PLY
6
EA
Deestone
$424.00
$2,544.00
# 15-3
17.5 / 24 Tractor 8 PLY
3
EA
Deestone
$697.00
$2,091.00
# 15-4
18.4 IR26 Tractor 8 PLY
4
EA
CEAT
$849.00
$3,396.00
#15-5
16.9128 Tractor 10 PLY
3
EA
BKT
$770.00
$2,310.00
# 15-6
11.21 38 Tractor 4 PLY
4
EA
GRI
$371.00
$1,484.00
# 15-7
18.0,38 Tractor 4 PLY
4
EA
GRI
$1,248.00
$4,992.00
# 16-1
In shop flat repair. Price to be on a Per tire basis and to include a
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 Lubboc
1
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
#16-5
Liquid Filled or Wet Tire- Flats, and Mounting
I
EA
No Bid
No Bid
No Bid
City of 1.ubbock
RFP 23-16981-SB
Secondary Tire Purchase and Service
Best and Final Offer
Quantity Tire
# Items {+!-) UOM Brand
# 17-1 Light to Medium Duty Tires 1 EA
# 17-2 Heavy Duty 1 EA
# 17-3 Off Road 1 EA
Unit
Price
$5.00
$15.00
$55.00
Total
Cost
$5.00
$15.00
$55 00
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_R] _ NO ❑
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.
Date (2' -1.2.
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-110) 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 2252.152
• 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
Submission Information
THIS BID IS SUBMITTED BY 4 T1,
a corporation organized under the laws of the State of , or a partnership consisting
of
or individual trading as of
the City of 1"120 G%d.
Tax ID No.: f% r r)Q 5 _ 4.(o 9
Address: 5
f 1 - ►ti C' -
City:_ C,lll- State: TX Zip: -7
M/WBE Firm:
Woman Black American Native American
Hispanic American I I Asian Pacific American Other (Specify)
Please complete the information below.
�� Date:_�_� r oLiJo�
Representative - must sign by hand
ame and Title:
Business Telephone Number0Q(o- —7+%— $A(3_ FAX:IO —757- 33&a
E-mail Address: W-� i r G .S
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: $1 M 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, 91h 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 0f 1
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.
Williams Brake Tune & Tire, LLC
2023-977616
Lubbock, TX United States
2 Name of governmental entity or state agency at is a party to the contract for which the form is
being filed.
Date Filed:
01/30/2023
City of Lubbock
Date Acknowledged:
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.
17123
Tire Purchase and Service for City Vehicles and Equipment
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
j My name is ✓u- r % �/ Y V > I / Q. m s and my date of birth is
My address is�+ 1 r ! -� �T L b QG �i( % qz o I )
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that
that the foregoing is true and correct.
LAkbbo-{
Executed in County, State of I X on the day ofJA!QA: l--4W,:;Z p-
(month) 6 (year)
Si ature o authorized agent of contracting business entity
(Dederant)
Forms nrnvirtarl by T!]v9c Gthirc r.,..,..,�....:,...
.•....•C.1•�w�c•LA.ua version v3.5.1.3ac88bc0
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
loft
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.
2023-977616
Williams Brake Tune & Tire, LLC
Lubbock, TX United States
Date Filed:
01/30/2023
2
Name of g rnmental entity or state agency that is a party to the contract for which the form is
being filed.
City of Lubbock
Date Acknowledged:
01/30/2023
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.
17123
Tire Purchase and Service for City Vehicles and Equipment
4
Name of Interested Parry
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Intermediary
5
Check only if there is NO Interested Parry.
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