HomeMy WebLinkAboutResolution - 2019-R0227 - Contract 14784 - 6/25/2019Resolution No. 2019-RO227
Item No. 6.20
June 25, 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, Contract No. 14784 for Towing Services as per ITB
19-14711-SG, by and between the City of Lubbock and Lubbock Wrecker Service, Inc., 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 June 25, 2019
DANIEL M. POPE, MAYOR
ATTEST:
Rebe ca Garza, City Secreta
APPROVED AS TO CONTENT:
Mark Y ood, an City Manager
asuly II 100we] 3- M
li Leisu, Assistant City Attorney
ccdocs�PES.Contract 14784 Towing Services
June 6, 2019
Resolution No. 2019-RO227
Contract 14784
City of Lubbock, TX
Contract for
Towing Service
THIS CONTRACT made and entered into this 2,2bday of June . 2019, by and between the
City of Lubbock ("City"), and Lubbock Wrecker Service Inc., ("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.
6. 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 followine tvpe(s) and amount(s):
TYPE OF INSURANCE
COMBINED SINGLE LIMIT
GENERAL LIABILITY
® Commercial General Liability
General Aggregate
$1,000,000
❑ Claims Made ® Occurrence
Products-Comp/Op AGG
X
❑ W/Heavy Equipment
Personal & Adv. Injury
X
® To Include Products of Complete Operation Endorsements
Contractual Liability
X
Fire Damage (Any one Fire)
Med Exp (Any one Person)
PROFESSIONAL LIABILITY
❑
General Aggregate
AUTOMOTIVE LIABILITY
® Any Auto ❑ All Owned Autos
❑ Scheduled Autos ❑ Hired Autos
❑ Non -Owned Autos
Per Occurrence
$1,000,000
EXCESS LIABILITY
❑ Umbrella Form
GARAGE LIABILITY
Each Occurrence
Aggregate
® Any Auto Auto Only - Each Accident $1,000.000
❑......................................... Other than Auto Only:
Each Accident
Aggregate
❑ BUILDER'S RISK ❑ 100% of the Total Contract Price
❑ INSTALLATION FLOATER ❑ 100% of the Total Material Costs
❑ CARGO
® WORKERS COMPENSATION -- STATUTORY AMOUNTS OR
OCCUPATIONAL MEDICAL AND DISABILITY
® EMPLOYERS' LIABILITY $1,000,000
OTHER; COPIES OF ENDOSEMENTS ARE REQUIRED
® 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 ofsubrogation 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.
The City reserves the right to exercise any right or remedy available 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.
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 LUBBOCK
Ln4 y BY:
Daniel M. Pope, Mayor
ATTEST:
Rebkco Garza, City Secretry
APPROVED AS TO CONTENT:
Billy Taylor, Director o °leet Operations
APPROVED AS TO FORM:
Kelli Leis' e, Assistant City Attorney
CONTRACTOR
Authorized Representative
Print Name
.m ,,,,,,, >
Address
City, State, Zip Code
City of Lubbock, TX
ITB 19-14711-SG
Towing Services
Specifications
Scope 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 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
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.
Requirements:
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 Reauests for Towins 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.
Type 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 Towinji E ui meet
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.
131FIXOM
City of Lubbock,'[-X Purchasing and
Contract Management To%%%ing
Services
ITl3 no. 19-14711-SG
In conip hanee mth Ilic Invitation to Rid 19.1471 I-`(:. the undersigned Bidder haying examined the Iimiation to Bid and
*ectic:uoun%,, and hcInI! Lid IIIIIln u%&III the conditions Iu lroc rnet, IIlk: rehV %IINIII ; the li+lka+►Jig BId for furnishing the maIcria.L.
equiprnent, labor ail d ecc"Ihing mce:wr% forprm cling IIit! hctns fisted below and agrces it) delo er said Item: at the location:
and for flit: prices set forth nil this liirm .1 hid %sill he .uhtcct to lacing considered irregular and niav be rejected if if slums
omissions: alterations of turns, ctindmonal ahcrrrnc bids. additions or alienates In lieu of the vents specified. A the unit
prices are ob%iously unbalanced wither Ili recess of or belo%% reasonably expected Value), or iirregulariues ofany kind 1"he
Imnauon to Bid 19.14711-SG I, bV icteremi: rntorporaied In this contract. The Bid Form most he completed in hlue or
black ink or by i%pv%%racr.
ITEM
DESCRIPTION
QT
Unit
Per Unit
Extended Cost
l m
Light Duts Vehicles
including Cara. Trucks &
250
Each
S70,00
S 17.500.00
2..
OILS,% 6-7-8 I9.501 Ihs.
33.001 01 lbs. and o%er
251)
Each
S250.00
S62.i00,00
3,
Compaction Equipment
l'l
Each
S325.00
$3.900.00
a.
Earthmov ing Equipment
12
Each
S325.00
S3.900.00
5.
Listing& Material handling
Eguipment
6
Each
S325.00
SI,950.00
0.
Road Maintenance Equipment
12
kaclt
$325.00
S3.900.00
7.
Per mule charge Im more than 25 miles moside of city limits
53„50
Unless othem ise specified herein. the C'it► ilia} at%and flit" bid either item -hp items or on an all -or -none basis for anN
The Cite of Lubbock is seel.ing a contract for TnVVing Services With one or more contractors. In order to assurt
adequate coverage, the City may make multiple a»aids, selecting multiple Vendors to provide the products desired, if
multiple awards are in the hest intereu or the City. A decision to make a multiple aAard of this Bid. ho%%e%er, is an
option reserved by the C'it%, haled on the needs of the Oft.
PAYMENT TFRMS AND DIS('01INTS - Bidder ttflers a prompt pa% nient dl.cOnnt of net _ calendar days
Discounts Will not be con,idert°d Ili dovi-mttng IoVV Ind I'iless uthcrwi.e indicated oil the Kid Form, payment icrins wIII
be \L l 'I'I IIRT1` DAYS I he ('It% Will pa► the .ucecs.Iul bidder vollim thine days titter Ih,c receipt of a correct invoice or
after the date of avvepianee ttlucheccr c%ens occur, laic•r Discounts for prompt paynieni requiring payment by the City
VVtihin a stipulated nunilhei of clay, N%III Ise micipreted a% applying a Muth rite sttptatlued number of calendar days after tlhe date
of receipt by the ('if% oI a correct inwice air after the date of aeccptance shut tuects contract requirements. %%hichewr cVcnt
occurs later Discounts fur pavnient In less than tcn day, +till not be considered
MOST FAVORL•D PRWIN(r The Bidder ecrillies tlwo'I the price quoted IS not uh execs oflhe loysest price charged arnone
cisc. Including its nitist tavored eustoincr. for htie gtcdnV and gtmiirny of the products %cry I -..cc ',; dues nut Include an elcltient
of profit on the sale Ili excess of that normally obtahnetl by tilt: Bidder on the sale of products sees ices of like quality and
quanili): and discs nut Include any prmismiri 10r thscuunh. tit ,ellmg igerus It aI any time during the contract tieru>d. the
.upplter ,should sell ur ulna hit +ale htM any uiht'r cuautner, in cqu.hl or Ic.a quantity of'similar contrach products of like ur
better tluahiv, at a Io%wr net prscei,I than pr %ided herein, supplier agrees to motif)' the Cny and sell same producusi at file
tosser pnccixi OR all d4:1J%t;IWS [Made din'IItj� tile Iteriutl in touch :uch loner prumsI I, effecinc
IN H-RLOCAI. l'I!RC'IIASING (optional), The ( it-, desires to make a%ailable to other local gutiernntental entities of the
State of Texas. by tnutn4►1 Agrcelucitt with the success litl bidder. and pruperly authorized tnterlocal ptirehasink abrecmcnt. as
Pn7ctdcd for by the luterloral Cooperation Act tChapter 791. (irncnnnent ('odc ). the right Its purchase the same >ervicc+, at
the prices quoted. fi}r the period ul dos courratit );Lich htildcr shall Indicate on the Bait I urnt to the .pace 1)ro%Wed belim u l
he she will honor Political Sub&ision order,. sit :lddttiun ICY order. Irotn the City of Lubbock, Should these olhct
governmental cntitte> decide in participate In d►is CuniraCI woaild you (the bidder) agree that Lill terms, conditions.
specifications, and pricing %+ould apply'?
Other governmental entities that might Katie interests in this contract are Frenship Independent School District,
Lubbock housing Authorily, Lubbock County, Lubbock County Hospital District, Lubbock Independent School
District, South Plains Association of Goycrnments, City of 1"exarkana, Texas Tech Cniy-ersity, 11'est Texas 3lunicipal
Power Agency. Lynn County. •and Cite of Wiliffurth.
1°E:S ✓ NU
Ifyou (I lie bidder) cice kcd YI S. the toIIots Dng will apply
Governmcnlal entities utilizing Inicrlocal--%grecinents lur Cooperative Purchasing %%lth the C itv of Lubbock ►dill be
eligible. hill nut obligated, litptirelt,ase Il alcrtah scne, Icunder the contract(+) WM-ded .I. a result (it dus.olicilation
All purchases by governnicturl cntitie. ether Ihan the City ol" l uhbock a ill be billed directly to that governmental
cntily and Patti by that govcrnntental entan City of 101lock will nut be re.ponsib'e for mother gmernnicival
entity's debts. i'ach governmental cntit> %till order tl►cir unit nialcrialsscr%Ice as needed
THIS lilt} IS SUI NUTTED BY Lubbock 11°re�l�y,r Seri lid ia>�� a corporation organvcd under the law: III the SWI.
of Texas or a partnership con.taling of .... _ or Individual trading as
ol'the City of Lubhuck
Firm _Lubbock Wrecker Service Inc
Address. 3209 Slatun I Itt
City: Lubbock Swie: Texan Lip 79404
Bidder a"no%%)ledges retc►pt of the following addenda
Addenda No. Addenda \o Addenda \o Addenda No
Date, _ Date Date Date
NIAVBE Firm.) I Woman
Anivrican
by ' —
.4w1h. ,--,.1 e/Fresrrth.1,ty- nnul qw? hi -hand
01*ftcet \ante and I site Scutt k3r tvn,_I'nsid .11J...
Please 1'vent
Bilack Anrcrican I I Natne Amertcan
As an Pacific Amend I Other (SriVettyt
1.. ---- . ...... _ ...._............... _
Business "fcicphonc Numbcr. 806.748-11)-4l FAX 806-7. 5-1362
G-aids) Address.(°+tgl�t►Itiultthbtieka°rc:cka�r.euttt
FORCIF) USL O.\IA
Rid Form licm Numberis) AHardr'd tct iAhote A-iinvd I irin lndnidu al ..,
}ate ul Award by CIL'.w ("1,unctl i/�o',q.l,% ,wer Siii 000) Rita P.O (''uriiract Is+ite<i ,,._ ,.,......, .
RETURN COSIPLF.7'EI) & SIGN VD RID FORM ALONG 1%IT11 CITY OF LUBBOCK SPECIFICA'I IONS.
LAREL THE OL. rSIDF: OF 1'OUR SF„,1LED BID W1 I`H'THE ITR NUMBER. THE CLOSING DATE AND
I INIE. ,$,ND 1011114 COMPANI NA.MV, 1NI) ADDRLSS. A
CERTIFICATE OF INTERESTED PARTIES
FORa+I 1295
loll
Complete Nos. i - 4 and B it there are Interested parties.
OFFICE USE ONLY
Complete Nos.1. 2, 3, S. and B ff there are no Interested partles.
CERTIFICATION OF FILING
Cerdrmsts Number
12019-501359
1 Name of business entity filing form, and the city, state and cotrntry of the business emWe pleas
of business,
Lubbock Wrecker Service Inc.
Lubbock, TX United states
Date Fled:
(1411O x019
2 Name of governor entity or state agency that Is a party to the contract for Whiche Form is
being fled.
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
descollon of the services, goods, or other property to be provided under the eontmaL
14784
TaWhV Services
4 Name of Interested Party
City, State, Country (place of business)
Nature of Interest
(check applsshle)
Controlling
Intermediary
Wflson, Chad
Lubbock. TX United States
x
Brown. Scott
Lubbock, TX United States
X
5 Cheek only If there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name Is Scott Broom and my date of birth is 10/21 /61
my address is 12806 PR 2230 Lubbock TX 79423 Lubbock
i>"U 100 Itu"i iaPoode) (oauntry)
I declare under penalty of pe" that the foregoing is true and correct.
Executed in Lubbock county, Stm of Texas mr the 6th d y of _ June . 2q 9 .
% krnanrh) proar}
L•
��
Ipnature of authorized agent of comarAng business entity
(DedareM}
rurms prumiaeu Ry i exa3 ethics Commeston www.eth"-state tx.us Version V1.1.39f8039C
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1of1
Complete Nos. 1- 4 and 6 if there are interested parties.
OFFICE USE ONLY
Complete Nos, 1, 2, 3, 5, and 6 if there are no interested parties.
CERTIFICATION OF FILING
Certificate Number:
2019-501359
1
Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Lubbock Wrecker Service Inc.
Lubbock, TX United States
Date Filed:
06/06/2019
2
Name of governmental entity or state agency t at rs a party tot the contract for which the form is
being filed.
City of Lubbock
Date Acknowledged:
06/06/2019
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.
14784
Towing Services
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Intermediary
Wilson, Chad
Lubbock, TX United States
X
Brown, Scott
Lubbock, TX United States
X
5
Check only it 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)
rurmb pruvided by i exas ttmcs t-ommisslon www.etnlcs.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 paNes.
Complete Nos.1. 2, 3, 6, and 6 If there we no interested parties.
OFFICE USE ONLY
CERTIFICATION OF FILING
Certilicate Number
2019.501359
1 Name of business entity filing form, and the city, state and country of the business ertAly's piece
of business.
Lubbock Wrecker Service Inc.
Lubbock, TX United States
Dam Filed,
06/0612019
z Nameotgavemmentalen or slaWagency Big is a party to the convactlkw whiche term is
being filed.
City of Lubbock
Data Acimowledged:
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.
14784
Towing Services
4
Name of interested Party
City, State, Country (ph= of business)
Nature of interest
(check applicable)
Controlling
lortan *diary
Wilson, Chad
Lubbock, TX united States
x
Brown, Scott
Lubbock, TX United States
X
6 Check only U there is NO Interested Party.
6 UNSWORN DECLARAVON
*name is Scott Brown and my date of Binh is 10/21/61
my address is 12806 PR 2230 Lubbock TX _ 79423 Lubbock
(► (dw (stet$) (gyp arde) (eu+n")
I declare under penalty of perjury that Ne foregoing Is true and correct
Executed in Lubbock County, State of Texas ort tits fith day of June ao19 .
(moah) aeavl
ignacure of moorized agent of contracting business entity
ID$derans)
r►no,w N4WV1UiU ar I WPA `i r-IL"K S L'Ummnston WWW.t IMCS.Stat ALUS 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:
2019-501359
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Lubbock Wrecker Service Inc.
Lubbock, TX United States
date Filed:
06/06/2019
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
Date Acknowledged:
06/06/2019
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.
14784
Towing Services
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
I Intermediary
Wilson, Chad
Lubbock, TX United States
X
Brown, Scott
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)
t-urms proviaea oy i exas ttnics t.ommission www.etntcs.state.tx.us Version V1.1.391`8039c