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HomeMy WebLinkAboutResolution - 2019-R0226 - Contract 14711 - 6/25/2019Resolution No. 2019-RO226 Item No. 6.20 June 25, 2019 RESOLUTION BE TT RESOLVED BY THE CITY COUNCIL OF TILE 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, Contract No. 14711 for Towing Services as per i,rB 19-1471 I -SG, by and between the City of Lubbock and South Plains Towing, LLC, of Lubbock, Texas, 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 --- --- J-ui)-(-, 25,2019, DANIF'l- M. POPE, AYOR ATTEST: Rebec 1 Garza, City Secretary APPROVED AS TO CONTI-NT: �0 Var Mar arwood, Assista Manager APPROVED AS TO FORM: .� n --- ---- ---- elli Leisure, Assistant City Attorney ccdocs/REIS.Contract 14711 Towing Services June 6, 2019 Resolution No. 2019-RO226 City of Lubbock, TX Contract for Towing Service Contract 14711 THIS CONTRACT made and entered into this 25thday of June 2019, by and between the City of Lubbock ("City"), and South Plains Towing_LLC, ("Contractor"). WITNESSETH: WHEREAS, the City of Lubbock duly advertised for bids for Towing Service and bids were received and duly opened as required by law; and WHEREAS, after careful consideration of the bid submitted by Contractor, the City authorized the execution, in the name of the City of Lubbock a contract with said Contractor covering the purchase and delivery of the said Towing Service. NOW, THEREFORE, in consideration of the mutual agreement contained herein, as well as the financial consideration hereinafter referred to, the parties hereby covenant and agree as follows: 1. In accordance with City's specifications and Contractor's bid, copies of which are attached hereto and made part hereof, Contractor will deliver to the City, Towing Service and more specifically referred to as Items one through seven on the bid submitted by the Contractor or in the specifications attached hereto. 2. The City promises and agrees to employ, and does employ, the Contractor to cause to be done the work provided for in this Contract and to complete and finish the same according to the attached specifications, offer, and terms and conditions contained herein. 3. The contract shall be for a term of one year, with the option of two, one year extensions, said date of term beginning upon formal approval. 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. 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. 4. 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. 5. Contractor shall at all times be an independent contractor and not an agent or representative of City with regard to performance of the Services. Contractor shall not represent that it is, or hold itself out as, an agent or representative of City. In no event shall Contractor be authorized to enter into any agreement or undertaking for or on behalf of City. b. Insurance Requirements SECTION A. 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. SECTION B. 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. SECTION C. 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 tvoe(s) and amount(s): TYPE OF INSURANCE GENERAL LIABILITY ® Commercial General Liability ❑ Claims Made ® Occurrence ❑ WlHeavy Equipment ® To Include Products of Complete Operation Endorsements PROFESSIONAL LIABILITY El AUTOMOTIVE LIABILITY ® Any Auto ❑ Scheduled Autos ❑ Non -Owned Autos EXCESS LIABILITY ❑ Umbrella Form GARAGE LIABILITY ❑ All Owned Autos ❑ Hired Autos COMBINED SINGLE LIMIT General Aggregate $1,000,000 Products-Comp/Op AGG X Personal & Adv. Injury X Contractual Liability X Fire Damage (Any one Fire) Med Exp (Any one Person) General Aggregate Per Occurrence $1,000,000 Each Occurrence Aggregate ® Any Auto Auto Only - Each Accident $1,000,000 ❑...........................................� Other than Auto Only: Each Accident Aggregate ❑ BUILDER'S RISK ❑ 100%6 of the Total Contract Price ❑ INSTALLATION FLOATER ❑ 1000% of the Total Material Costs ❑ CARGO ® WORKERS COMPENSATION - STATUTORY AMOUNTS OR OCCUPATIONAL MEDICAL AND DISABILITY ® EMPLOYERS' LIABILITY $1,000,000 COPIES OF ENDOSEMENTS ARE REQUIRED L9 City of Lubbock named as additional insured on Auto/General Liability on a primary and non-contributory bases. ® To include products of completed operations endorsement. ® Waiver of subrogation in favor of the City of Lubbock on all coverages, except 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 1625 131h Street, Room 204 Lubbock, Texas 79401 SECTION D. 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. 7. Neither the City nor the Contractor shall assign, transfer or encumber any rights, duties or interests accruing from this Contract without the written consent of the other. 8. The City reserves the right to exercise any right or remedy available to it by Iaw, 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. 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. 10. All funds for payment by the City under this contract are subject to the availability of an annual appropriation for this purpose by the City. In the event of non -appropriation of funds by the City Council of the City of Lubbock for the goods or services provided under the contract, the City will terminate the contract, without termination charge or other liability, on the last day of the then -current fiscal year or when the appropriation made for the then -current year for the goods or services covered by this contract is spent, whichever event occurs first. If at any time funds are not appropriated for the continuance of this contract, cancellation shall be accepted by the Seller on 30 days prior written notice, but failure to give such notice shall be of no effect and the City shall not be obligated under this contract beyond the date of termination. 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 on insurance from the Subcontractor that complies with all contract Insurance requirements. 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. 13. SB 252 prohibits the City from entering into a contract with a vendor that is identified by The Comptroller as a company known to have contracts with or provide supplies or service with Iran, Sudan or a foreign terrorist organization. 14. Pursuant to Section 2270.002 of the Texas Government Code, Respondent certifies that either (i) it meets an exemption criteria under Section 2270.002; or (ii) it does not boycott Israel and will not boycott Israel during the term of the contract resulting from this solicitation. Respondent shall state any facts that make it exempt from the boycott certification in its Response. 15. This Contract consists of the following documents set forth herein; Invitation to Bid No. 19- 14711-SG, Specifications, and the Bid Form. 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 LUI BOCK BY: Daniel M. Pope, Mayor ATTEST: 4Q. J"'o 4 - — - - - — "' - - - Reb)�cca Garza, City Secr APPROVED AS TO CONTENT: Billy Taylor, Director of Fleet Operations AP 'ROVED AS TQ FORM: Kell . Leisure Assistant City ity Attorney CONT Au 'zed Representative Print Name Address z,&J ............................... City, State, Zip Code City of Lubbock, TX ITB 19-14711-SG Towing Services Specifications Scone of Work The contract shall be for a term of one year, with the option of two, one year extensions, said date of term beginning upon format approval. 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. 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 The City may select two contractors to perform towing services. The second contractor will be back-up for the first contractor should they not be able to respond or fail to meet expectations. Contractor's Duties and Responsibilities The work covered by this bid consists of towing services for disabled City -owned vehicles or equipment identified by designated City personnel. The disabled vehicles or equipment will range from light duty vehicles and will include Class 6 up to Class 8, including but not limited to cars, trucks, SUV's vans, tractors trailers, including vehicles with or without trailers or other equipment and vehicles that may be unloaded or loaded with materials and/or equipment. The towing contract will also include construction equipment such as bulldozers, backhoes, tractors, etc. The Bidder shall provide tow vehicles capable of towing light duty vehicles up to one ton and heavy- duty vehicles and equipment (from 19,501 lbs. to 33,001 lbs. gross vehicle weight and greater). The Bidder will be notified of the approximate location of the vehicle or equipment type including make, model, color, and if possible the vehicle license plate number. Towed vehicles or equipment shall be moved to the City's Fleet Department, unless another location is specified. (a) Towing Services shall be available 24 hours per day. The towing company will be given one hour to respond to the call. No exceptions will be allowed. (b) The Bidder will be responsible for any work required to render the disabled vehicle or equipment for towing such as retrieval, up righting, removal of parts, etc. In addition, the Bidder shall be responsible for the removal of any debris including, but not limited to, glass, and other items at the site of the required towing. (c) The charge for a local tow shall cover any towing for a vehicle or equipment within a 25 mile radius of Lubbock County. Any additional mileage shall be indicated on the bid form under additional mileage. (d) The Bidder shall have and maintain appropriate insurance to cover any damage done to any vehicle or equipment being towed under this contract by whatever means. This shall include any damage done during retrieval, hauling/towing and disconnection or unloading or any other means. (e) The quantities on the bid form are estimates only. The City of Lubbock does not guarantee a certain number of calls. This contract shall be for any and all calls placed by the City regardless of the quantities indicated. (f) The Bidder will be required to cooperate with designated City personnel and to follow the instructions. Bidder's towing vehicles shall be able to tow using the method or other methods that are standards of the industry. (g) All firms bidding must have been in business for at least three years and meet all Federal, State and City laws, ordinances, licensing, and regulations relating to the wrecker service business. Re uirements• Federal Occupational Safety and Health Act: The Bidder agrees to comply with the conditions of the Federal Occupational Safety and Health Act of 1970, the Texas Industrial Safety and Health Act of 1970, and the standards and regulations issued thereunder, and certify that all items furnished or used under the order will conform to and comply with said standards and regulations. Bidder further agrees to indemnify and hold harmless the City of Lubbock and its employees from damages assessed as a result of Bidder's failure to comply with the Acts and the standards issued thereunder and for the failure of the items furnished under this order to so comply. (a) Bidder further agrees to indemnify and hold the City and its officers and employees harmless from any liability to the owner of the vehicle or equipment towed, Bidder's employees, and all other persons for any loss, costs, or injuries to persons or property resulting from the acts or omissions of Bidder or its agents. Bidder shall pay all damages to vehicles or equipment entrusted to its custody as the result of its negligence. (b) The Bidder is responsible for the hiring and training of qualified personnel. Bidder is responsible for maintaining and staffing the auto pound with sufficient personnel to ensure its efficient operation. The Bidder remains responsible for the conduct and actions of each of its employees. (c) Bidder's employees or representatives are prohibited from consuming any alcoholic beverages, using illicit drugs, or carrying/possessing any firearm or weapons in the tow truck or on City property. Response to Requests for Towing Service Bidder shall arrive at the location of the vehicle or equipment to be towed within one hour after being requested to provide towing services. If Bidder fails to arrive within the prescribed time, if necessary, another towing service may be contacted by the City and neither the City nor any of its officers or employees shall be liable for any fee, cost or expense incurred in such a situation. Failure to respond in a timely manner, as indicated above, more than three times in a thirty (30) day period shall be grounds for terminating this agreement. Tyne of Equipment Compaction Equipment to include but not limited to Static Compactors and Vibratory Compactors. Earthmoving Equipment to include but not limited to Articulated 4WD Loaders; Crawler Loaders; Crawler Tractors; Graders; Hydraulic Excavators; Scrapers; Skid Steer Loaders; Tractor Loader Backhoes; Tractor Loaders; Trenchers; and Wheel Dozers. Lifting & Material Handling Equipment to include but not limited to Aerial Lifts; Cranes and Forklifts. Road Maintenance Equipment to include but not limited to Asphalt Pavers; Hydraulic Breakers; Pavement Brooms; Pavement Millers; Reclaimers/Stabilizers; Road Wideners; and Concrete Cutters. Minimum Requirements on Towin E ui ment Bidder covenants that it has at the time this contract is executed and will maintain during the entire duration of this contract the following: Towing Equipment: The Bidder must have a sufficient tow truck to handle the call in time prescribed. Bidders tow truck must meet all Federal, State and City laws, ordinances, licensing, and regulations relating to the wrecker service business. (a) The tow -truck must be equipped with a dolly and a flashing light as well as the necessary equipment to clean possible debris from the ground, roadway, etc. and maintain safety at the tow scene, including a heavy duty push broom, dust pan or shovel, and flares. All towing equipment shall be maintained in good working order. The Bidder must be capable of towing all equipment owned by the City for any awarded class. (b) Any tow -truck to be used in performance of this contract shall be equipped with two-way communication. A communication device shall be maintained in operable condition at all times. BID FORM City of Lubbock, TX Purchasing and Contract Management Towing Services ITB No. 19-14711-SG In compliance with the Invitation to Bid 19-14711-SG, the undersigned Bidder having examined (lie Invitation to Bid and Specifications, and being familiar with the conditions to be met. hereby submits the following Bid fbr 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 10 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. 'Fhe Invitation to Bid 19-1471 I -SG is by reference incorporated in this contract. The Bid Form must be completed in blue or black ink or by typewriter. ITEM DESCRIPTION Q'I Y Unit Per Unit Extended Cast I. Light Duty Vehicles including 250 Each $ S Cars.Ton .. Trucks & SUV's up to One p p 2. Class 6-7-8 19,501 lbs. — 33.001 250 Each $ $ lbs. and over 400 SCE/ "X-) 3. Compaction Equipment 12 Each $ Z 7S $ 309300 4. Eartlunoving Equipment 12 Each $ 5. Lifting & Material I landling 6 Each $ $ Equipment _ 6. Road Maintenance Equipment 12 Each I $ 7;z5— $ 3r» 7. Per mile charge Ibr more than 25 miles outside ol'city limits Unless otherwise specified herein, the City may award the bid either item -by —item or on an all -or -none basis for any The City of Lubbock is seeking a contract for Towing; Services 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 416, net — calendar days. Discounts will not he considered in detennining low bid. Unless otherwise indicated on the Bid Form, payment terms will be NET THIRTY DAYS, ilne City will pay the successlinl 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 productsa''services; does not include an element of profit on the sale in excess ol'that nonnally 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 ail deliveries nnade during the period in which such lower 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 laid Vornt 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, Cityof Texarkana, Texas Tech University, West Texas Municipal Power Agency Lynn County, and City of Wolfforth. YES ✓ , NO If you (the bidder) checked YL,S. 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 ntaterialseservices 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 materials1service as needed. THIS BID IS SUBMIT"n,'D BY 5A Pl`'"L" corporation organized snider the laws of the State i,f or a partnership consisting (if or individual trading as .�M ....... (If the City of INS City: Bidder acknowledges receipt of the following addenda: Addenda No. Date Officer Name and Titic Please Print Business Telephone Number "' I`AX: E-mail Address: Addenda No. Date State,, !� Gip `g 10 . Addenda No. Addenda No. Date Date Ui...,'..]'tiG� r G FOR CITY USE ONLY Bid Fonn Item Number(s) Awarded to Above Named I' irnilhtdividual: Date of Award by City Council (fur bids over S50.000): Date 11.0dContract Issued: RETURN COMPLETED & SIGNED BID FORM ALONG WITH CITY OF LUBBOCK SPECIFICATIONS. LABEL THE OUTSIDE OF YOUR SEALED BID WITH THE ITS NUMBER, THE CLOSING DATE AND TIME, AND YOUR COMPANY NAME AND ADDRESS. CERTIFICATE OF INTERESTED PARTIES FORM 1295 I Of l Complete Nos. 1- 4 and 6 N there are Interested parties. OFFICE USE ONLY Complete Nos. t 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number. 2019-493462 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. South Plains Towing Lubbock, TX United States Date Fled: 05/20/2019 2 being filed. Name of governmental en ty or state agency MR is a party to the contract for Which the form is]Date City of Lubbock, TX 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. 14711 Towing Service 4 Name of Interested Party C State, Country {place of business City, } Nature of Interest (check applicable) Controlling intermediary Luckie, David Lubbock, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECUIRATION My name isv{(/i e6a I.' G. and my date of birth is 1 /73 My address is / s7�? OZ�� �/JJI►r�— �l�Z _ (Street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing Is true and correct. Executed In County, State of -1-4-ywo , on the ry day or (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 1 of 1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos, 1, 2, 3, 5. and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2019-493462 1 blame of business entity filing form, and the city, state and country of the business entity's place of business. South Plains Towing Lubbock, TX United States Date Filed: 05/20/2019 2 Name of governmental entity or state agency that is a party tot the contract for which the form is being filed. City of Lubbock, TX Date Acknowledged: 06/10/2019 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. 14711 Towing Service 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary Luckie, David Lubbock, TX United States X 5 Check only if there is NO Interested Party. El 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 I exas Ethics commission www.ethics.state.tx.us Version V1.1.391`8039c