HomeMy WebLinkAboutResolution - 2023-R0466 - Service Contract 17428, West Texas Services, Inc. Dba Tom's Tree Place - 09/26/2023Resolution No. 2023-R0466
Item No. 5.15
September 26, 2023
RESOLUTYON
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. 17428 for the Day Estates
Detention Basin Maintenance Agreement as per RFP 23-17428-YB, by and between the City
of Lubbock and West Texas Services, Inc. dba Tom's Tree Place, 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 Se�tember 26, 2023
TRAY PA �, R
ATTEST:
Paz, City S
APPROVED AS TO CONTLNT:
�� ` .
Erik Rejino, Assistant City Manager
APPROVED AS TO FORM:
Am . im , eputy City o
RES.ServiceContract-West Texas Services 17428
8.29.23
Resolution No. 2023-R0466
City of Lubbock
Day Estates Detention Basin Maintenance
Agreement
Contract 17428
This Service Agreement (this "Agreement") is entered into as of the Sept. 26 day of
2023("Effective Date") by and between West Texas Services, Inc. dba Tom's Tree Place (the Contractor),
and the City of Lubbock (the "City").
RECITALS
WHEREAS, the City has issued a Request for Proposals 23-17428-YB, Day Estates Detention Basin
Maintenance Agreement 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 Day Estates
Detention Basin Maintenance Agreement, 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 four (4), 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 andlor the use or occupation of
city owned property. The indemnity obligation provided herein shall survive the expiration
or termination of this agreement.
INTENTIONALLY LEFT BLANK-----
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
I:
Tray Payne,
EST: l
Courtney Paz, City Secr
APPROVED AS TO CONTENT:
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Trenia Harris, Stormwater Compliance
Department Head
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Address
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City, State, Zip Code
APPROVED AS TO FORM
Exhibit A
City of Lubbock
RFP 23-17428-YB
Day Estates Detention Basin Maintenance Agreement
GENERAL REQUIREMENTS
SPECIFICATIONS
1. MAINTENANCE STANDARDS
1.1. General: The contractor shall proceed upon the approved "Notice to Proceed" to commence
contract maintenance activities. The decision to end the maintenance season shall be made by the
Stormwater Program Manager or hislher designee. The contractor shall be notified of the City's
decision by letter.
1.1.1. The area to be serviced for the site include all right of way adjoining the site and extending
two (2) feet from back of curb into all streets. The contractor is responsible for safe and
careful operation of equipment around plant material and structures to prevent damage.
Prevent pollutants from entering the Municipal Separate Storm Sewer System (MS4) such as
streets, curbs, gutters and storm sewers and contaminating the aquatic life and plant beds.
1.1.2. The contractor shall inform the Stormwater Program Manager via email the projected
annual schedule.
1.1.3. Pesticides, herbicides, and fertilizers must be applied in a manner that minimizes direct or
indirect entrance into the MS4. The handling, use, storage, and disposal of such materials,
containers, or residues shall be in strict conformance with manufacturer's and/or supplier's
instructions. A Material Safety Data Sheet (MSDS) shall be available upon request by the
Stormwater Program Manager.
1.2. Irrigation Assessment and Repair: The contractor shall be responsible for conducting an
assessment on the existing irrigation system, complete with everything past the well pumps at least
once per year. This includes checking vaults to make sure valves and double check are exposed,
checking sand separators, and checking heads. The annual assessment will be paid as a lump sum
(LS). The annual assessment includes programming the irrigation system in a reasonable manner
in order to provide adequate water to vegetation, while minimizing nuisance flow down the curb
and gutter throughout the year. Broken heads, parts, etc., will be paid as labor (HR) and materials
(% Markup), as specified in the bid tab. Prior to completing the irrigation repair, an estimate of
the work shall be provided to the Stormwater Program Manager for approval.
1.2.1. If the Contractor identifies an issue with the well pump(s), the Contractor shall notify the
Stormwater Program Manager, and provide a change proposal to this contract for
consideration. The Contractor understands that there is no guarantee the change proposal will
be accepted, and the City has the option to address the pump issue outside of this contract if
the City so chooses.
1.3. Tree Maintenance: Trees will be maintained by removing tree stakes, building water rings,
pruning (for tree health and aesthetics, in addition to any trimming necessary to perform mowing),
and fertilizing when necessary. This line item will be per tree (EA) no more than once per tree per
year. This bid line item includes all equipment, labor, and tools necessary to do the work, and
disposal of debris.
1.4. Turf Maintenance: Turf will be maintained by mowing (under a separate contract), a reasonable
irrigation schedule (see item 1.2), pre-emergent applied twice per year, fertilizer applied twice per
year, and reseeding unhealthy areas as needed. Pre-emergent treatment and fertilizer treatment
shall be paid per event (EA), including all equipment, materials, labor and tools to perform the
work. Reseeding shall be paid per square foot (SF), not to exceed $3,000 per year.
1.5. Mowing: Turf shall be cut at a height of four (4) inches. Clippings shall be mulched or bagged
and all hardscapes shall be cleaned after each service. The mowers shall leave no clumps or
windrows of grass. Mowing equipment shall be deternuned by site conditions and shall be
approved by the Stormwater Program Manager. Mowing will be paid per event (EA), and edging,
trimming, picking up litter and debris, and disposal, is subsidiary to the mowing line bid tab line
item.
1.5.1. ANTICIl'ATED MOWING EVENT FREQUENCIES:
January 0 April 1 July 1 October 1
February 0 May 1 August 1 November 0
March 0 June 1 September 1 December 0
1.5.2. During wet weather months, additional mowing's may be required by the Stormwater
Program Manager. This task is subsidiary to the mowing bid tab line item.
1.5.3. Edging: Street curb and drainage channel edging shall be accomplished the same day as
mowing, and all debris from this activity shall be removed the same day the task is performed.
Curb dressers may be used for this task. This task is subsidiary to the mowing bid tab line
item.
1.5.4. Litter & Debris: All litter and other types of debris such as trash, motor vehicle parts,
rocks, gravel, and dirt, shall be removed by the contractor. Hard surface areas shall be swept.
Clippings and trimmings may not be blown into the street as a means of disposal. Report the
number of bags and/or pounds of litter and debris removed for each mowing event to the
Stormwater Program Manager. This task is subsidiary to the mowing bid tab line item.
1.5.5. Trimming: All string trimming must be done to achieve a height uniform with the mowing
height. Trirruning must be performed around trees, plant beds, buildings, signs, fences, and
any other plants or structures. All streets and parking areas must be kept free of grass, weeds
and debris. This task must be completed the same day the mowing is performed. This line
item is subsidiary to the mowing bid tab line item.
1.6. Disposal: The contractor shall be responsible for the disposal of litter and debris from the areas
maintained. Disposal shall be accomplished by delivery to the City of Lubbock Landfill. This task
is subsidiary to the tree & turf maintenance bid tab line items.
1.7. Photographic Documentation: (Pre and post activity): Submit a complete set of digital image
electronic files with each activity. Identify electronic media with date photographs were taken.
Submit images that have the same aspect ratio as the sensor, uncropped. The City allows no more
than 6 MB total per email.
1.7.1. Before starting activity, take color photographs of project site and surrounding properties
from different vantage points, or as directed by the Stormwater Program Manager.
1.7.2. Take photographs to show existing conditions adj acent to the property before starting work.
1.7.3. Periodic Activity Photographs: As needed to document damage either directly related to or
inadvertently related to the Contractor's operations, photograph the area in question and
provide to Stormwater Program Manager.
1.7.4. The mowing contractor shall take a minimum of five (5) date stamped photos at consistent
locations around the perimeter of the detention basin for each mowing event. The photos shall
be taken prior to commencement of any work and then after the mowing event is completed.
Photos shall be submitted to the Stormwater Program Manager no later than five (5) days
after all work is completed. This task is subsidiary to the mowing bid tab line item.
City of Lubbock
RFP 23-17398-YB
Day Estates Detention Basin
Maintenance Agreement
Price Proposal Sheet
BAFO
# Items
Quantity
Required
(+/-)
Locallon
Total Cost
UOM
Tom's Tree Place
Lubbock, TX
$ 75,735.15
Unit Total
Price Cost
Mowing, edging, litter, debris, trimming, including all
#1-1 material, equipment and labor to perform the work to be
completed - Per Specifications 7 EA $5,500.00 $38,500.00
Annual Irrigation Assessment - Including all material,
#1-2 equipment and labor to perform the work to be completed -
Per Specifications 1 EA $8,500.00 $8,500.00
Tree Maintenance for 133 - Including all material,
#1-3 equipment and labor to perform the work to be completed -
Per Specifications 1 EA $3,600.00 $3,600.00
Turf Maintenance/Pre-Emergent - Including all material,
#1-4 equipment and labor to perform the work to be completed -
Per Specifications 2 EA $2,400.00 $4,800.00
Turf Maintenance/Fertilizer - Including all material,
#1-5 equipment and labor to perform the work to be completed -
Per Specifications 2 EA $10,100.00 $20,200.00
• •. �
Irrigation Repairs - Including all labor, equipment, and
#2-1 tools to perform the work to be completed - Per
Specifications 1 Hourly $100.00 $100.00
Turf Maintenance/Reseeding - Including all material,
#2-2 equipment and labor to perform the work to be completed -
Per Specifications 1 SF $ 0.15 $ 0.15
Parts/Material Mark Up: Irrigation Repairs - Including all
materials to perform the work the be completed - Per
#2-3 Specifications 1 Percentage $35.00 $35.00
#2-4 Parts/Material Discount - If Applicable 1 Percentage $ 0 $ 0
Exhibit C
32. INSURANCE REQUIREMENTS
32.1. 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.
32.2. 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.
32.3. 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 Liabilitv Requirements: $1M occurrence 1$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 Liabilitv Requirements: $1 M/occurrence is needed.
Workers Compensation and Emplover Liabilitv Repuirements: 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 ($1M) is required with Workers Compensation.
Pollution Liabilitv Requirements: $1 M occurrence 1$2M aggregate.
* The City of Lubbock (including its officials, employees and volunteers) shall be afforded
additional insured status on a primary and non-contributory basis on all liability policies
except professional liabilities and workers' comp.
* Waivers of Subrogation are required for COL, AL, and WC.
* To Include Products of Completed Operations endorsement.
* Carrier will provide a 30-day written notice of cancellation, 10-day written notice for
non-payrnent.
Carriers must meet an A.M. Best rating of A-or better.
Subcontractors must carry same limits as listed above.
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
msurance;
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 1NSURANCE.
All notices shall be given to the City at the following address:
Marta Alvarez, Director of Purchasing & Contract Management
City of Lubbock
1314Avenue K, 9�h 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 FORnn 1295
1 of 1
Complete Nos. i- 4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos. i, 2, 3, 5, and 6 i( 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 Ce►tificate Number:
of business. 2023-1060816
West Texas Services, Inc.
Lubbock, TX United States �ate Filed:
2 Name o governmenta ent ry or state agency that is a party to the contract for which t e orm is 08/16/2023
being tiled.
City of LubboCk Date Acknowledged:
g Provide the identification number used by the governmental entity o� 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.
RFP 23-17428-YB
Day Estates Detention Basin Maintenance
4 Nature of interest
Name of Interested Party City, State, Country (place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party. ❑
X
6 UNSWORN DECLARATION
My name is L►�� �'� v� �0 �" � . and my date of birth is `� `( �/
My address is � �"! J 1 Y �� 1`—'`^ . � . �, �• �,�
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury lhat the foregoing is true and correct. �
Executed in � Y County. State of . on lhe �day of , 2d��
(mon (year)
�+tJ�
Signature oi authorized agent of contracting 6us s entiry
(Declaranl)
Forms provitletl by Texas Ethics Commissfon www.etnfcs.state.tx.us version vs.5.l.saebrbzu
CERTIFICATE OF INTERESTED PARTIES
FORnn 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
1 Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number:
of business. 2023-1060816
West Texas Services, Inc.
Lubbock, TX United States �ate Filed:
2 Name of governmental entiry or state agency that is a party to the contract for which the form is 08/16/2023
being filed.
City of Lubbock Date Acknowledged:
09/05/2023
3 Provide the identification number used by the governmental entiry 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.
RFP 23-17428-YB
Day Estates Detention Basin Maintenance
4 Nature of interest
Name of Interested Party City, State, Country (place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party. ❑
X
6 UNSWORN DECLARATION
My name is , and my date of birth is
My address is ,
(street) (ciry) (state) (zip code) (country)
I declare under penalry 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 entiry
(Declarant)
FOff11S pfOVldetl by 12XaS EtI11CS GOmmisslOfl www.etrncsstate.tx.us Verslon V3.5.1.39e6f62U