HomeMy WebLinkAboutResolution - 2019-R0273 - PO For West Gaines Seed - 08/13/2019 Resolution No. 2019-R0273
Item No. 6.14
August 13, 2019
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL. OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of'Lubbock is hereby authorized and directed to execute for
and on behalf of the City of Lubbock, Purchase Order No. 23105081 for the purchase of
Beardless Triticale Seed VNS as per ITB 19-14807-RR, by and between the City of Lubbock and
West Gaines Seed, Inc., of Lubbock, Texas, and related documents. Said Purchase Order is
attached hereto and incorporated in this resolution as if fully set forth herein and shall be
included in the minutes of the City Council.
Passed by the City Council on Anm,ct 1-3), 2-019
r
JEFF FFI H, MAYOR Ab TEM
ATTEST:
A-
Rebe
ca Garza, City Secretar
APPROVED AS TO CONTENT:
Jesica c,achern, Assistant City Manager
APPROVED AS TO FORM:
� 1
41 Leisure, Assistant City Attorney
ccdocs/RES.-PurchaseOrd 23105081 Beardless Triticale Seed VNS
July 25, 2019
Cite c>f Page - 1
4fLubb o e k Date - 7/25/2019
TEXAS PURCHASE ORDER
Order Number 23105081 000 OP
Manclu'Plam -- 415
TO: SHIP TO:
WEST GAINES SEED INC CITY OF LUBBOCK
5017 122ND STREET LAND APPLICATION SITE
LUBBOCK TX 79424 4602 ECR 6700
1/2 MILE EAST OF LOOP 289 ON 191 H STR
LUBBOCK TX 79403
INVOICE TO: CITY OF LUBBOCK
ACCOUNTSPAYABLE
P.O.BOX 2000
LUBBOCK,TX 79457 BY:
Nlirta AV-arez,Director of Purchasing&Contract Management
Ordered 7/25/2019 Freight
Requested 8/22/2019 Taken By R ROCHA
Delivery B WELCH ITB 19-14807-RR PUR 14807
Description/SLipp tier Item Ordered Unit Cost UM Extension Request Date
Beardless Triticale Seed VNS 175,000.000 .3200 EA 56,000.00 8/22/2019
Total Order
Terms NET 30 56.000.00
This purchase order encumbers funds in the amount of$56,000.00 awarded to West Gaines Seed, Inc.of Lubbock,TX on
August 13 ,2019. The following is incorporated into and made part of this purchase order by reference: ITB 19-14807-RR
dated July 15, 2019, from West Gaines Seed, Inc. of Lubbock,TX. Resolution# 2014-R0273
CITY OF LUBBOCK ATTEST:
MA
JEF RI T , MAYOR PRO TEM Rebe a Garza, City Secretary
PURCHASE ORDER
TER-NIS ANiD CONIDITIONS
DIPORTANT:READ CAREFLLLY
ST INI DARD TER-NIS AND CONDITIONS
Seller And Buyer agree as CITY OF LLBBOCK,TY
follows:
1.SELLER TO PACKAGE GOODS. Seller will package goods in accordance with good commercial practice. lieu of any other remedies which Buyer may have in lair or equity.
Each shipping container shall be clearly and permanently marked as follows (a) Seller's mime and address. 15.TERMINATION_The performance of work under this order maybe terminated inwhole,or m art by the
(b)plicabblr_(s came,address and purchase orderer of purchase release number and the supply agreement member Buyer in accordance with this provision Teni»ation of work hereunder hall be effected by the delivery
if applicable,(c)Container number and total number of containers,e.g.box I le 4 boxes,and(d) ed mtmber of the Seller of a Notice of Termination'specifyiug the extent to which permmunce of work under the
of the containerbzarigthepatlingsgp.Selkrshallbearcostofpackagingunlessothern•iseprotidtd.Goods
shall be suitably packed to secure lowest transportation costs and to conform with requirements of common order is terminated and the date upon which such termination becomes effective. Such right or term inalio¢is
carriers and any applicable specifications. Buyers count or weight shall be final and conclusive on shipments in addition to and mt in lieu of the rights of Buyer set forth is Clause 14.lutein.
not accompanied byparking lists. 16.FORCE MAJEURE. Neither party shall be held responsible for losses. resultmg if the fulfillment
2.SHIPMENT UNIDER RESERVATION PROHIBITED. Seller is not authorized to ship the goods under of any aims of provisions of this contract is delayed or prevented by an}•cause not within the control of the
reservation and no tender ofa bill of lading will operate as a tender of goods. party whose performance is interfered with and which by the exercise of reasonable diligence said party is
unable to prevent.
3.IT=AND RISK OF LOSS. The title and risk of loss of the goods shill mt pass to Buyer until BuNer 17.ASSIGNMENT-DELEGATION. No right or interest in this contract shall be assigned or delegation of
actually revxivxs and takes possession of the goods at the point or points of dehtery. any obligation made by Seller without the written permission of the Buyer. Any attempted assignment or
4.NO REPLACEMENT OF DEFECTIVE TENDER- Every tender of delivery of goods must fully comply delegation by Seller shall be wholly void and totally ineffective for all purpose unless made inconformity with
with allprovisions of this contract as to time of defivery.quality and the like.Ifs tender is made which does not this paragraph
fully conform,this shall constitute a breach and Seller shall not have the right to substitute a conformal¢tender, IS WAIVER.No claim or right arising out of a breach of this contract can be dixbarged in whole or in pan
provided.whore the[ince for performance has not yet expand-the Seller mat•a but not
a terwa Buyer of his by a waiver or renunciation of the claim or right unless the waiter or renunciation is supported by
intention to gyre.and may then make a toafomuuig trader walmu the contract time but not afrerward
consideration and is in writing signed b}'the ae_grieved party.
5.IN VOICES&PAYMENTS.a.Seller shall submit separate invoices.in duplicate.one each pwrbase
order or purchase release after each delivey. Invoices shall indicate the purchase order or purcha, release 19. IMERPP,ETATION•PAROLE EVIDENCE. This wntmg, plus any specifications for bids and
mmber and the supply agreement number if applicable. Invoices shall be itemized and transportation charges, performance provided by Buyer in its advertisement fir bids, and am otter donue¢ts provided by
if any:shall be listed separately- A copy of the bill of lading•and the freight waybill when applicable,should Seller as pan of Ws bid,is attended by the parties as a final expression of their agreement and intended also
be attached to the invoice- Mad To:Accounts Payable,City of Lubbock.P.O.Box 2000,Lubbock-Texas as a complete and exclusive statement of the terms of flea agreement. Whenever a term defined by the
79457. Payment shall not be die until the above instruments are submitted after delivery. Uniform Commercial Code is used in this agreement,the definition contained in the Code is to control
6.GRATUITIES. The Buyer my.by written notice to the Seller,camel this contract without liability to 20.APPLICABLE LAW. This agreement stall be governed by the Uniform Commercial Code.Whereever
Seger if it is determined by Buyer that gratuities,6 the form of ewertaimmew,gifts or otherwise,were offered the term"Uniform Commercial Code-is used it slap be consorted as meaning the Uniform Commercialor given by the Seller,or any agent or representative of the Seller,to any officer or employee of the City of Code as adopted in the State of Teets as effective and in force on the date of this agreement.
Lubbock with a view to securing a contract or securing favorable treatment with respect to the awarding or 21.RIGHT TO ASSURANCE. Whenever one parr•to this contract in good faith has reason to question
amending,or the making of any determinations with respect to the performing of such a contract. In the event the other party's intent to perform he may demand that the other pant,give written assurance of his intent to
this contact is canceled by Buyer pursuant to this provision.Buyer shall be entitled in addition to any other -s.In the event that a demind is made and no assurance is green within five(5)days.the demanding
rights and remedies,to recoverornilhholdthe amount ofthecost cuurredbySellerinprotidingsuch gratuities. partymtytreatthisfailuteasananicipalory-repudiationoftheconhact.
7.SPECIAL.TOOLS&TEST EQLIPNXIT. If the price stated on the face hereof includes the cost of my 22.INDEMNIFICATION. Seller shall mdemnit'y,keep and sate harmless the Buyer,its agents,officials and
special tooling or special test equipment fabricated or required by Seller for the purpose of filling this order, aliplo}ees,against all injuries,deaths.loss.damages.claims.patent claims,suits,liabilities,judgments,costs
such special tooling equipment and any process sheets related thereto shall become the property of the Buyer and expenses,which may in anywise accts against the Buyer in consequence of the graining of this Contract
and to the extent feasible shall be idewified by the Seller as such or which vary anyavise result therefrom whether or not it shall be alleged or determmed ilia?the act was
8.WARRANTY-PRICE.a The price to be paid by the Buyer shall be that contained in Seller's bid caused through negligence or omission of the Seller or its employees,or of the subSeller or assignee or its
which Seller warrants to be no higher than Seller's cur-rent process on orders by others for products of the kind employees,if any,amid the Seller shall,at his own expense.appear,defend and pay all charges of attomeys
and specification covered by this aEetmemt for similar quantities under similar of lil:e conditions and methods and all costs and other expenses arising therefrom of incurred in connection therewith and if a¢}•Ndgmznt
of purchase In the event Seller Greaches this warranty.the prices of the items shun be reduced to the shall be rendered against the Buyer in any such action the Seller shall,at its own expenses-satisfy and
Sella's current prices on orders by others,or w the alternative. Buyer may cancel this contract without disthargt the same Seller expressly understands and agrees that any bond required by this contract, or
liability to Seller for breach or Seller's actual expense.b The Seller wairmas that no person or selling agency othenvtse provided by Seller.shall in no way limit the respomtbilit�to indemnify.keep avid save harmless
has been employed or retained to solicit or see this contract upon an agreement or uodastaudatg for end defend the Buyer as herein provided.
cur
commission percentage,brokerage,or contingent fee excepriug bona fide employees of bona fide established23.TIhIE. It is hereby expressly agreed and understood that time is of the essence for the performance of
commercial or selling agencies maintained by the Sella for the purpose of searing business. For breach of thus contract•asd failuue b}-coact to meet the.time specifications of plus agreement will cause Sella to
tuition of this warranty the Buyer shall have the right m addition to au}'other right of rights to camel plus be in default of this agreement.
contract without liability and to deduct from the contract price,or othemise recover without liability and to
deduct from the contract price.or otherwise recoverth a fidl amount of such commission percentage,brokerage 24.%ffiE. The City of Lubbock hereby notifies all bidders the in regard to any contract entered mo
or contingent fee. pursuant to this request,minority and women business enterprises will be afforded equal opporhmities to
submit bids in response to this invitation and will not be discriminated against on the grounds ofrace,color,
9.WARR.4Iv iY-PRODUCT. Seller shall not limit or exclude any implied warranties and any attempt to do sex or mhual origin in consideration for an award-
so
wardso shall tender this contract voidable at the option of the Buyer. Seller warrants that the goods f limished will 25.NON•ARBITRATION.The City resumes the right to exercise am right or rented to it bylaw,compact.
conform to the specification.drawings,and descriptions listed in the bid imitation and to the ample(s)fianished )'
by the Sella,if any. In the event of a conflict or between the specifications.drattings,and desaiplions,the equity,or otherwise,including without limitation the right to seek any and all fonts of relief m a court of
specifications shall govern Notwithstanding any provisions contained in the contractual agreement.the Seller competent jurisdiction.Further,the City shall not be subject to any arbitration process prior to exercising
represents and warrants fauh-free performance and fault-free result in the processing date and date related data its unrestricted right to seek judicial remedy.The remedies set forth herein are cumulative and not exclusive,
(including,but not limited to calculating comparing and sequencing)of allhardtyue.software and tirmttare and may be exercised concurrently To the extent of any conflict between this provision and anotherprovision
products deluged and services provided under this Contract,individually or in combination.as the case may in or related to,this document,this provision shall control.
be from the effective date of this Contract.The obligations contained herein apply to products and services 26.RIGHT TO AUDIT.At any time chums the term of the contract.or thereafter.the City,or a duly
provided by the Seller.its sub-Seller or any third party involved in the creation or development of the products authorized audit representative of the City or the State of Texas,at its expense and at reasonable times.
and services to be delivered to the City-of Lubbock under this Contract. Failure to comply with any of the reserves the right to audit Contractors records and books relevant to all services provided to the City wider
obligations contained hereim.may result in the City of Lubbock availing itself of any of its rights under the this Contract. In the event such an audit by the City reseals any errors or overpayments by the City:
law and under this Contract including,but not limited to.its right pertaining to termirutton or defauh ThtCowroctot stall refitnd the City the fug'wat of such overpayments tvhl»n thirty(30)days of such
wammi•s contained herein are separate and discrete from any other warranties specified in this Contract, audit findings.or the City,at its option.reserves the right to deduct such amoums owing the City from any
and are mt subject to ant-disdaima of warrawy,implied or expressed or limitation of the Sellers liability payments due Contractor.
which my be specified in this Contract,as appendices,as schedules,its annexes or any document incorporated
in this Contract by refereme. 27.HOUSE BILL 2015. House Bill 2015,signed by the Governor on June la.2013 and effective on January
10.SAFETY WARRANTY. Seller warrants that the product sold to the Boner steal!conform to the standards
1,2014.authorizes a penalty to be imposed on a person who contracts for certain services with a governmental
oat red by the U.S.Y. of Labor much the du ad to
Safe and Health Act of the standards
In tut entity and who fails to properly classify their workers.This applies to subcontractors as w•eR Conoacton and
In lam enP h' subcontractors who Evil to properly classify individuals performing work under a govemmemal contract will be
event the product does not conform to OSHA standards,Buyer may return the product for correction or penalized 5200 for each individual that has been misclassified.(Texas Government Code Section 2155.001).
replacement at the Sellas expense. In the event Seller fails to make the appropriate correction within a
reasonable tine,correction made by Buyer will be at the Seller's expense. 28.ASSIGNING OR SUBLETTING THE CONTRACT.The Contractor shall not assfe¢or sublet the contract.
11.NO WAYJLANTY BY BUYER AGAINST LNTRL\GEVENTS. As pan of this contract for sale Seller 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 proofou
agrees to ascertain whether goods mamfacttred in accordance with the specifications attached to this agreement insarraurce from the Subcontractor that complies with all contract Imurance requirements.
Will give rise to the rightful claim of any third person by way of infringement of the laic- Buyer makes no
warranty that the production of gcods according to the specification will not give rise to such a claim and in no 29.HOUSE BILL 1295 DISCLOSURE OF INTERESTED PARTIES. House Bill 1295.adopted by the 84th
event shall Buyer be liable to Seller for indemnification in the event that Seller is sued on if*grounds of Leeislature,created§2252.908.Texannm
Government Code.Section 2252.908 requires a business entity entering
infringemem of the like. If Seller is of the opinion that an infrinsemem or the 11e will result,he will mtif}'the i mo certain contracts with a governmental entity-or state agency to file with the governmental entity or state
Buyer to this effect in writing within two weeks after the simimg ofthis agreement. If Btwer does not receive agency a disclosure of interested parties at the time the business entity mbmus the signed contract to the
notice and is subsequeml}•held liable for the infringement or the hike.Seller will save Buyer harmless. If governmental entity or state agency. Instructions for completing Form 1295 are available at:
Seller in good Euth ascertains the production of the goods in accordance with the specifications will result in httplhtuaw.ei.Iubbocl•.tx.us'deoantnental-websitesidepartmemsptrchising'vendor-information
infringement or the like.the contract shall be null android. 30.CONTRACTOR ACKNOWLEDGES.by supplying my Goods or Saysces that the Contractor has read.
12.NON APPROPRIATION.All funds for payment by the City under this contract are subject to the fully understands,and will be in full compliance with all terms and conditions and the descriptive material
availability of an annual appropriation for this pupose by the City. In the event of nooappropriatmn of funds contained herein and any additional associated documents and Amerdnews.The City disclaims any terms and
by the City Council of the City of Lubbock for the goods or services provided under the contract,the City will conditions provided by the Contractor unless agreed upon in writing by the parties. In the event of conflict
terminate the contract.without termination charge or other liability.on the last day of the then-current fiscal between these terms and conditions and any terms and conditions provided by the Contractor,the terms and
year or when the appropriation made for the then-current year for the goods or services cowered by this contract conditions provided herem shall prevahL Thu terms and conditions provided herein me the final terms aerad
is spew,whichever event occurs first. If at am•time fiords are not appropriated for the continuance of this upon by the parties,and any prior conflicting terms shall be ofao force or effect.
contract,cancellation shall be accepted by the Seller on thin}•(30)days prior written notice,but failure to give 31.By accepting this PO,contractor acknowledges that pursuant to Section 22 70.002,Government Cade.(a)
such notice shall be of no effect and the Cay shall not be obhi_gazed under this contract beyond the date of
Thissection applies only to a contract thtt(1)is between a governmental entity and a company with 10
termmatton or more full-time employees;and (2)las a value of S100.000or more that is to be paid wholly or panty
13.RIGHT OF INSPECTION. Buyer shall have the right to inspect the goods at delivery before accepting from public funds of the governmental entity. (b)A governmental entity my mt ewer into a contract with
them a company for goods or services unless the contract contains a written verification from the commpany that
14.CANCELLATION. Buyer shall have the right to cancel for default all or any part of the undelivered n:(1)does not boycott Israel and(2)will not boycott Israel during the term of the contract.
portion of this order if Seller breaches anv of the terms hereof including warranties of Seller or if the Seger
becomes=solvent or commits acts of banknrptcy Such right of cancellation is in addition to and not in
Rev.0749
BID FORM
City of Lubbock, TX
Purchasing and Contract Management
BEARDLESS TRITICALE SEED VNS
ITB No. 19-14807-RR
In compliance with the Invitation to Bid 19-14807-RR, the undersigned Bidder having examined the Invitation
to Bid and Specifications, and being familiar with the conditions to be met, hereby submits the following Bid for
furnishing the material,equipment, labor and everything necessary for providing the items listed below and agrees
to deliver said items at the locations and for the prices set forth on this form. A bid will be subject to being
considered irregular- and may be rejected if it shows omissions, alterations of form, conditional alternate bids,
additions or alternates in lieu of the items specified, if the unit prices are obviously unbalanced (either in excess
of or below reasonably expected values), or irregularities of any kind. The Invitation to Bid 19-14807-RR is by
reference incorporated in this contract. The Bid Form must be completed in blue or black ink or by typewriter.
PRICE PER
QTY 1 UOM POUND EXTENDED **Delivery
ITEM DESCRIPTION
((a)) ONLY* (ax b) days ARO
(b)
Beardless Triticale Seed VNS—
I Minimum 85%germination, no 175,000 LB
noxious weeds, purity 97%. Per i 32- 5A,
specification herein.
*PRICE: F.O.B. Destination, Freight Pre-Paid and Allowed **Days After Receipt of Order(ARO)
Unless otherwise specified herein,the City may award the bid either item-by—item or on an all-or-none
basis for any item or group of items shown on the bid.
The City of Lubbock is seeking a contract for BEARDLESS TRITICALE SEED VNS with one or more
contractors. In order to assure adequate coverage, the City may make multiple awards, selecting multiple
vendors to provide the products desired, if multiple awards are in the best interest of the City. A decision
to make a multiple award of this Bid, however, is an option reserved by the City, based on the needs of the
City.
PAYMENT TERMS AND DISCOUNTS- Bidder offers a prompt payment discount of d %,net_calendar days.
Discounts will not be considered in determining low bid. Unless otherwise indicated on the Bid Form, payment terms will
be NET THIRTY DAYS. The City will pay the successful bidder within thirty days after the receipt of a correct invoice or
after the date of acceptance, whichever event occurs later. Discounts for prompt payment requiring payment by the City
within a stipulated number of days will be interpreted as applying within the stipulated number of calendar days after the date
of receipt by the City of a correct invoice or after the date of acceptance that meets contract requirements, whichever event
occurs later. Discounts for payment in less than ten days will not be considered.
MOST FAVORED PRICING: The Bidder certifies that the price quoted is not in excess of the lowest price charged anyone
else, including its most favored customer, for like quality and quantity of the products/services; does not include an element
of profit on the sale in excess of that normally obtained by the Bidder on the sale of products/services of like quality and
quantity; and does not include any provision for discounts to selling agents. If at any time during the contract period, the
supplier should sell or offer for sale to any other customer, an equal or less quantity of similar contract products of like or
better quality, at a lower net price(s)than provided herein, supplier agrees to notify the City and sell same product(s) at the
lower price(s)on all deliveries made during the period in which such Iower price(s) is effective.
INTERLOCAL PURCHASING (optional): The City desires to make available to other local governmental entities of the
State of Texas,by mutual agreement with the successful bidder,and properly authorized interlocal purchasing agreements as
provided for by the Interlocal Cooperation Act(Chapter 791,Government Code),the right to purchase the same services,at
the prices quoted,for the period of this contract. Each bidder shall indicate on the Bid Form in the space provided below if
he/she will honor Political Subdivision orders in addition to orders from the City of Lubbock. Should these other
governmental entities decide to participate in this contract, would you (the bidder) agree that all terms, conditions,
specifications,and pricing would apply?
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
• 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 governmentai
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.
THIS BID IS SUBMITTED BY WEST 6-�610eS6Qd-Ifwa corporation organized under the laws of the State of
�x C,S or a partnership consisting of or individual trading as
ofthe City of
Firm: I Q��/}�,•
Address: Sb �� fs 2Z
City: State: zip
Bidder acknowledges receipt of the following addenda:
Addenda No. Addenda No. Addenda No. Addenda No.
Date Date Date Date
M/WBE Firm: Woman Black American Native American
Hispanic American Asian Pacific Americ Other(Specify)
By4 " Date: 7/�/f
Authorized Representative-must sign by hand
Officer Name and Titled///Lr ey,
Please Print
Business Telephone Number A�4-- ��//� 3.sZ FAX �7oZ
E-mail Address:,f/2Or�i�le�Pi LG,s /rlQii�PSS£ � . �-
FOR CITY USE ONLY
Bid Form Item Number(s)Awarded to Above Named Firm/Individual:
Date of Award by City Council (for bids over S50,000): Date P.O./Contract Issued:
RETURN COMPLETED & SIGNED BID FORM ALONG WITH CITY OF LUBBOCK SPECIFICATIONS.
LABEL THE OUTSIDE OF YOUR SEALED BID WITH THE ITB NUMBER,THE CLOSING DATE AND
TIME,AND YOUR COMPANY NAME AND ADDRESS.
City of Lubbock,TX
ITB 19-14807-RR
BEARDLESS TRITICALE SEED VNS
Specifications
• 175,000 lbs./more or less
• No Noxious Weeds
• Minimum Germination 85%
• Purity 97%
• Seed must be conditioned but not treated
• Bagged in large bulk bags 2500 lbs. +/-
Non-conditioned seed will be refused
• Please provide test data
.Delivery Location:
Contact information will be provided once the quote has been awarded. Seed is to be delivered to
the following address:
City of Lubbock
Land Application Site
4602 ECR 6700
%i mile East of Loop 289 on 19°i Street
Lubbock, TX 79403
806-767-3157
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
101`1
Complete Nos.1-4 and o'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
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business.
2019-524238
West Gaines Seed
Lubbock,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 08/01/2019
being filed.
City of Lubbock Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
14807
Beardless Triticale Seed VNS
4
Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Prince, Bill Lubbock, TX United States X
Flicks, David Lubbock,TX United States X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION /
My name is ,i ��//I%G� and my date of birth is
My address is �l a tri✓S
(street) (city) (state) (zip code) (country)
I declare under penalty
/oof/f perjury that the foregoing is true and correct. r p
Executed in /�/fj�l�L County, State of �(i{s on the day of /If(f l�r 20 1
(month) (year)
Signature of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.39f8039c
CERTIFICATE OF INTERESTED PARTIES FORM 1295
10f1
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
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2019-524238
West Gaines Seed
Lubbock,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 08/01/2019
being filed.
City of Lubbock Date Acknowledged:
08/01/2019
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.
14807
Beardless Triticale Seed VNS
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Prince, Bill Lubbock,TX United States X
Hicks, David Lubbock,TX 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) (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 V1.1.391`8039c