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HomeMy WebLinkAboutResolution - 2024-R0023 - Contract 17728, With Mighty Wash Operations LLC - 01/09/2024Resolution No. 2024-R0023 Item No. 6.21 January 9, 2024 RESOLUTION B� IT RESOLVED BY 1'HL CITY COIJNCIL OI� TTII; CITY OP LiJBI30CK: 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. 17728 for Car Wash Services for Light and Medium Duty Vehicles, as per RFP 24-17728-SI3, by and between thc City of Lubbock and Mighty Wash Operations, LLC, and related documents. Said Contract is attached hereto and incorporated in this resolution as if fully set forth hcrein and shall bc included in thc minutes of thc City Council. Passcd by the City Council on January 9�2024 AT"f�S"1': Courtney Paz, City Secretary � nPPROVCD ns "1'O l� ORM: � Rachael Poste , Assistant City Attorney TRAY PA Nl � ccdocsllJRES.ServiccContract 17728- Mighty Wash Operations, LI.0 12.29.23 APPROVLD AS TO CON"1'1;N"1': Resolution No. 2024-R0023 City of Lubbock Car Wash Services for Light and Medium Duty Vehicles Agreement Contract 17728 This Service Agreement (this "Agreement") is entered into as of the9th day of January 2024 ("Effective Date") by and between Mighty Wash Operations, LLC (the Contractor), and the City of Lubbock (the "City"). RECITALS WHEREAS, the City has issued a Request for Proposals 24-17728-SB, Car Wash Services for Light and Medium Duty Vehicles 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 Car Wash Services for Light and Medium Duty Vehicles, 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 E�chibit C attached hereto. Article 1 1.1 The contract shall be for a term of one (1) year, with the option of two (2), one year extensions, said date of term beginning upon formal approval. This Contract will renew automatically for the additional terms, unless either Pariy 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 fndings, or the City, at its option, reserves the right to deduct such amounts owing the City from any payments due Contractor. 2.10 The City reserves the right to exercise any right or remedy to it by law, contract, equity, or otherwise, including without limitation, the right to seek any and all forms of relief in a court of competent jurisdiction. Further, the City shall not be subject to any arbitration process prior to exercising its unrestricted right to seek judicial remedy. The remedies set forth herein are cumulative and not exclusive, and may be exercised concurrently. To the extent of any conflict between this provision and another provision in, or related to, this document, this provision shall control. 2.11 The contractor shall not assign or sublet the contract, or any portion of the contract, without written consent from the Director of Purchasing and Contract Management. Should consent be given, the Contractor shall insure the Subcontractor or shall provide proof of insurance from the Subcontractor that complies with all contract insurance requirements document, this provision shall control. 2.12 Contractor acknowledges by supplying any Goods or Services that the Contractor has read, fully understands, and will be in full compliance with all terms and conditions and the descriptive material contained herein and any additional associated documents and Amendments. The City disclaims any terms and conditions provided by the Contractor unless agreed upon in writing by the parties. In the event of conflict between these terms and conditions and any terms and conditions provided by the Contractor, the terms and conditions provided herein shall prevail. The terms and conditions provided herein are the final terms agreed upon by the parties, and any prior conflicting terms shall be of no force or effect. 2.13 Contracts with Companies Engaged in Business with Iran, Sudan, or Foreign Terrorist Organization Prohibited. Pursuant to Section 2252.152 of the Texas Government Code, prohibits the City from entering into a contract with a vendor that is identified by The Comptroller as a company known to have contracts with or provide supplies or service with Iran, Sudan or a foreign terrorist organization. 2.14 Texas Public Information Act. The requirements of Subchapter J, Chapter 552, Government Code, may apply to this contract and the contractor or vendor agrees that the contract can be terminated if the contractor or vendor knowingly or intentionally fails to comply with a requirement of that subchapter. To the extent Subchapter J, Chapter 552, Government Code applies to this agreement, Contractor agrees to: (1) preserve all contracting information related to the contract as provided by the records retention requirements applicable to the governmental body for the duration of the contract; (2) promptly provide to the governmental body any contracting information related to the contract that is in the custody or possession of the entity on request of the governmental body; and (3) on completion of the contract, either: (A) provide at no cost to the governmental body all contracting information related to the contract that is in the custody or possession of the entity; or (B) preserve the contracting information related to the contract as provided by the records retention requirements applicable to the governmental body. 2.15 No Boycott of Israel. Pursuant to Section 2271.002 of the Texas Government Code, a) This section applies only to a contract that: (1) is between a governmental entity and a company with 10 or more full-time employees; and (2) has a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity. (b) A governmental entity may not enter into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. 2.16 Texas Government Code 2274. By entering into this Agreement, Contractor verifies that: (1) it does not, and will not for the duration of the contract, have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association or (2) the verification required by Section 2274.002 of the Texas Government Code does not apply to the contract. If Contractor is a company with 10 or more full-time employees and if this Agreement has a value of at least $100,000 or more, Contractor verifies that, pursuant to Texas Government Code Chapter 2274, it does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and will not discriminate during the term of the contract against a firearm entity or firearm trade association. 2.17 Contractor represents and warrants that: (1) it does not, and will not for the duration of the contract, boycott energy companies or (2) the verification required by Section 2274.002 of the Texas Government Code does not apply to the contract. If Contractor is a company with 10 or more full-time employees and if this Agreement has a value of at least $100,000 or more, Contractor verifies that, pursuant to Texas Government Code Chapter 2274, it does not boycott energy companies; and will not boycott energy companies during the term of the Agreement. This verification is not required for an agreement where a governmental entity determines that these requirements are inconsistent with the governmental entity's constitutional or statutory duties related to the issuance, incurrence, or management of debt obligations or the deposit, custody, management, borrowing, or investment of funds. 2.18 Confidentiality. The Contractor shall retain all information received from or concerning the City and the City's business in strictest confidence and shall not reveal such information to third parties without prior written consent of the City, unless otherwise required by law. 2.19 Indemnify. The Contractor shall indemnify and save harmless the city of Lubbock and its elected officials, officers, agents, and employees from all suits, actions, losses, damages, claims, or liability of any kind, character, type, or description, including without limiting the generality of the foregoing, all expenses of litigation, court costs, and attorney's fees, for injury or death to any person, or injury to any property, received or sustained by any person or persons or property, to the extent arising out of, related to or occasioned by, the negligent acts of the Contractor, its agents, employees, and/or subcontractors, related to the performance, operations or omissions under this agreement and/or the use or occupation of city owned property. The indemnity obligation provided herein shall survive the expiration or termination of this agreement. City of Lubbock, TX RFP 24-17728-SB Car Wash Services for Light and Medium Duty Vehicles GENERAL REQUIREMENTS 1 INTENT Attachment A a) This specifcation is for car washing services for the City of Lubbock, hereinafter referred to as "City," owned vehicles. The City of Lubbock would like to utilize a Radio-Frequency Identification (RFID) system, provided by the vendor to insure proper billing of each vehicle run through the car wash. b) City owned vehicles are grouped so that the appropriate washing charges can be determined and applied. This Contract is to be used for City Vehicles only, not personal. 2 SCOPE OF WORK a) The City is seeking proposals for Car Washing Services utilizing an RFID system or City approved alternative to include unlimited monthly wash with a monthly fee. The City reserves the right to make multiplecontracts. b) All detergents/soaps/rinses utilized by the vendor shall not contain any acids. All products utilized by the vendor shall be environmentally friendly. c) Vendor shall provide car washing services strategically located throughout the City. 1) Vendor shall provide fully-equipped facilities located strategically throughout the City where any City employee, operating a City owned vehicle, may drive-thru and wash their vehicle. Each facility shall accommodate the washing of any type and size, as specifed on Price Proposal Sheet. Each facility shall include, at a minimum but not limited to, the following equipment: vacuum, brush or brushless washing system and trashreceptacles. � Exterior cleaning of vehicles shall include, but not be limited to, the following: wash vehicles with soapy water and rinse with clear water; tires, rims, and lower exterior panels around vehicles will be steam cleaned; and all exterior surfaces, including windows and mirrors, are to be cleaned and be free of streaks, spots, andlint. 3) If the vendor has an "extremely dirty, or a too muddy or dirty" wash policy, they must provide a copy of the policy with their proposal to the City with an explanation of the reasons and use of this policy. d) The vendor will perform the duties necessary for washing, to include the washing of wheels, tires, wheel wells, front and rear bumper areas, and the entire exterior body of the vehicle, or provide the operator of the vehicle the availability of a high-pressure vehicle washer and/or heavy-duty, high- powered vacuum cleaner. 1) The vendor shall be open for business for a minimum of eight (8) hours per day, six (6) days a week, excluding holidays. � The City of Lubbock Fleet Services Deparnnent will provide the vendor a list of vehicles with license plate numbers, divided by City departments. 3 OTHER REQUIREMENTS a) Vendor Qualifications 1) The City reserves the right to visit the proposer's facility or facilities to determine if the proposer is capable of providing these services and at the level of volume as specified herein. IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed the day and year first above written. Executed in triplicate. CITY O� LUBBOCK Tray e, o ATT T: Cou y Paz, City Secretary CONTRAC R BY: � Authorized Representative � �, �� � � Print Name �7 �,,/r � �G � �/1, �l �% � _ _` Address APPROVED AS TO CONTE , Dominic Esperat, Director of leet Services �� �� ��� �� City, State, Zip Code APPROVED AS TO FORM Rachael Foster, s istant City Attorney City of Lubbock, TX RFP 24-17728-SB Car Wash Services for Light and Medium Duty Vehicles b) Invoices 1) For unlimited monthly washes � Invoices shall include, at a minimum, the vehicle license plate number, the department name, the description of service(s) provided during the billing cycle, the monthly price and total price(s). u� City employees utilizing this service shall be equipped with an RFID vehicle tagprior to service. Monthly billing invoices will be required to be mailed to the FleetServices Department for departmental review prior to payment. The vendor shall provide a detailed, monthly invoice each month for all services performed the previous month. The vendor agrees to accept purchasing card payments for services without any additions or surcharges. c) Locations, Hours, and Contact 1) Proposal shall include a list of local locations, the hours of operation, and contactname/ phone number. It is the responsibility of the vendor to update this information should it change during the term of the contract. City of Lubbock, TX RFP 23-17728-5B Car Wash Services for Light and Medium Duty Vehicles Proposal Price Sheet (To be completed and returned with Proposal) QTY I j MONTHLY iTEM I�+�_� � UOM � DESCRIPTION p�CE 1 I ' Class 1— 2 Vehicles: '/: tons trucks and $ i. ! 1055 � EA ( smaller vehicles, aud'/. ton trucks a�, Q 6 � . Class 3— 5 Vehictes: 1-ton trucks and $ 2. 352 EA medium duty trucks: 9,800 GVWR — 33,000 GVWR ��• � � Exhibit B Best and Final Offer EXTENDED COST �y� 26 � �� � �'U �� . '�. , �. � � � City of Lubbock, TX Purchasing and Contract Management Vendor Acknowledgement Form The City of Lubbock reserves the right to accept or reject any and all. The City of Lubbock Charter states that no officer or employee of the City can benefit from any contract, job, work or service for the municipality or be interested in the sale to the City of any supplies, equipment, material or articles purchased. Will any officer or employee of the City, or member of their immediate family, benefit from the award of this proposal to the above firm? YES �NO THE OFFEROR HEREBY ACKNOWLEDGES RECEIPT INSURANCE REQUIREMENTS I, the undersigned Vendor certify that the insurance requirements this bid document have been reviewed by me and my Insurance AgendBroker. If 1 am awarded this contract by the City of Lubbock, I will be able to, within ten (]0) business days after being notified of such award by the City of Lubbock, furnish a valid insurance certificate to the City meeting all of the requirements defined in this bid. If the time requirement specified above is not met, the City has the right to reject this proposal and award the contract to another contractor. If you have any questions concerning these requirements, please contact the Director of Purchasing & Contract Management for the City of Lubbock at (806) 775-2572. SUSPENSION AND DEBARMENT CERTIFICAT[ON Federal Law (A-102 Common Rule and OMB Circular A-110) prohibits non-Federal entities from contracting with or making sub-awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement contracts for goods or services equal to or in excess of $25,000 and all non-procurement transactions (e.g., sub-awards to sub-recipients). Contractors receiving individual awards of $25,000 or more and all sub-recipients must certify that their organization and its principals are not suspended or debarred by a Federal agency. Before an award of $25,000 or more can be made to your firm, you must certify that your organization and its principals are not suspended or debarred by a Federal agency. I, the undersigned agent for the firm named below, certify that neither this firm nor its principals are suspended or debarred by a Federal agency. TEXAS GOVERNMENT CODE SECTION 2252.152 The undersigned representative of the undersigned company or business, being an adult over the age of eighteen (18) years of age, pursuant to Texas Government Code, Chapter 2252, Section 2252.152, certify that the company named above is not listed on the website of the Comptroller of the State of Texas concerning the listing of companies that are identified under Section 806.051, Section 807.051 or Section 2253.153.1 further certify that should the above-named company enter into a contract that is on said listing of companies on the website of the Comptroller of the State of Texas, which do business with Iran, Sudan or any Foreign Terrorist Organization, I will immediately notify the City of Lubbock Purchasing and Contract Department. TEXAS GOVERNMENT CODE SECTION 2271.002 Company hereby certifies the following: 1. Company does not boycott Israel; and 2. Company will not boycott [srael during the term of the contract. The following definitions apply to this state statute: (1) "Boycott Israel" means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes; and (2) "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of those entities or business associations that exists to make a profit. 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. Contractor represents and warrants that: ( I) 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 $ I 00,000 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. Agreement Examule Review This sample Agreement has been reviewed and ( ) is acceptable ( ) is acceptable as noted -(Please provide a numbered list) Printed Name: Proposer: Date: VENDOR ACKNOWLEDGEMENT ln compliance with this procurement, the undersigned offeror having examined the request for proposal, instructions to offerors, documents associated with the request for proposals, and being familiar with the conditions to be met, has reviewed the information regarding: • Insurance Requirements • Suspension and Debarment Certification • Texas Government Code Section 2252.152 • Texas Government Code Section 2271.002 • Texas Government Code 2274 An individual authorized to bind the company must sign the following section. Failure to execute this portion may result in proposal rejection. Authorized Signat •�1 C�S� � T�� Print/Type Name o���er� GiM� Title I 2 -bs- �� 23 Date � �V`-' Company ame ���� L �►�e�s'�� �� 3 Add ress 1 �,�.1�(�c�� Tx '')`��� 13 City, State Zip Code Contact for questions, clarifications, etc. Name and Title: p w�� C�U Mailing Address: � j �p y � �� .5 � �. City, State, Zip: ���� -�' ( � Telephone No: _�O �— �' 3 U FaX rro: �_�� �_ I I 37 E-MaiL• ��`C� � (/�/�� �A �' (�l��i � � �OY�— Exhibit C INSURANCE REQUIREMENTS Prior to the approval of this contract by the City, the Contractor shall furnish a completed Insurance Certificate to the City, which shall be completed by an agent authorized to bind the named underwriter(s) to the coverages, limits, and termination provisions shown thereon, and which shall furnish and contain all required information referenced or indicated thereon. THE CITY S�IALL HAVE NO DUTY TO PAY OR PERFORM UNDER THIS CONTRACT UNTIL SUCH CERTIFICATE SHALL HAVE BEEN DELIVERED TO THE CITY. The City reserves the right to review the insurance requirements of this section during the effective period of the contract and to require adjustment of insurance coverages and their limits when deemed necessary and prudent by the City based upon changes in statutory law, court decisions, or the claims history of the industry as well as the Contractor. Subject to the Contractor's right to maintain reasonable deductibles in such amounts as are approved by the City, the Contractor shall obtain and maintain in full force and effect for the duration of this contract, and any extension hereof, at Contractor's sole expense, insurance coverage written by companies approved by the State of Texas and acceptable to the City, in the following type(s) and amount(s): Commercial General Liability Requirements: $1 M occurrence /$2M aggregate (can be combined with an Excess Liability to meet requirement). CGL is required in ALL contracts. It is perhaps the most important of all insurance policies in a contractual relationship. It insures the Contractor has broad liability coverage for contractual activities and for completed operations. Commercial General Liability to include Products — Completion/OP, Personal and Advertising �njury, Contractual Liability, Fire Damage (any one fire), and Medical Expenses (any one person). 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 certifcate(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 conceming 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 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 ��� Complete Nos. i- 4 and 6 if there are interested partres. OFFICE USE ONLY Complete Nos. l, 2, 3, 5, and 6 if there are no interested parties CER7IRCATION OF FILING 1 Name of business entity tiling form, and the ciry, state and country of the business entity's place CertiRcate Number: of business. 2023-1104810 MightyWash Operations LLC Lubbock, TX United States �ate Fled: 2 Name o governmental enhty or state sgency t at is a party to the contract r �ch t e form is 12/15/2023 being filed. Cily of LubboCk Date Acknowledged: 3 Provide the identfication number used by the governmental entity or state agency to track or identity the contract, and provide a descrfption of the services, goods, or other property to be provided under the ca�tract. 24-17728-SB Car Washes Nature of interest 4 Neme of Interested Party City, State, Country (place of business) (check appllceble) Controllin Intermediary 5 Check only if there is NO Interested Party. a 6 UNSWORN DECLARATION My name is ��b�,�t..� �� __, and my date of blrth is ~ My address is � �G �� � , —�`�����— , �,-�� ��. (street) (city) (state) (ap code) (country) I deClare under penalry of pery'ury that the foregoing is true and correct. Executed in `� "� v✓ ��V County, State of ��_ �� , on the 4�day of ��,� � (month) (year) Signa r f a thoriz d e t of on �dng business entiry eda t) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.Of381ab6 CERTIFICATE OF INTERESTED PARTIES FORnn 1295 lofl Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. l, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING i Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number: of business. 2023-1104810 MighryWash Operations LLC Lubbock, TX United States oate Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 12/15l2023 being filed. City of Lubbock Date Acknowledged: 12/15/2023 g Provide the identification number used by the governmental entity or state agency to track or identity the contract, and provide a description of the services, goods, or other property to be provided under the contract. 24-17728-SB Car Washes 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 Counry, State of , on the day of , 20 (month) (year) Signature of authorized agent of contracting business entiry (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.Of381ab6 CERTIFICATE OF INTERESTED PARTIES FORnn 1295 1of1 Complete Nos. l- 4 and 6 if there are interested parues. OFFICE USE ONLY Complete No5.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity flling form, and the city, state and country of the business entity's place Certificate Number: of businesa 2023-1104810 MightyWash Operations LLC Lubbock, 7X United States Date Filed: 2 Name of governmental enttty or state agency t at is a party to the contract or ic t e orm �s 12/15/2023 being filed. City of LubboCk Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to uack or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 2417728-SB Car Washes 4 Nature af interest Name of Interested Party City, State, Country (place of business) (check applicable) Controllin Intermediary 5 Check only if there is NO Interested Party. a X 6 UNSWORN DECLARATION My name is ��I (l.t� A l,� .•l^�1 1 , and my date of birth is �, � C �(_�-- , �„� �� -4 , �. My address is �1 `� � � �� �� , l..�U` W)FiC /\ , 1'r' (sveet) (city) (state) (zip code) (country) I declare under penalry of perjury that the foregoing is true and correct. Executed in `� `�j v.�►'/UC� Counry, State of�� �� , on the 1 S/day oi 1,��,� `�,.�".�Qj�(2�� �' (month) (year) i � --------_ �, Signa ir f authoriz d a e it of .ontr ;dng business entity � edar it) Forms urovided bv Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.Of391ab6 CERTIFICATE OF INTERESTED PARTIES FORnn 1295 lofl Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. l, 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. 2023-1104810 MightyWash Operations LLC Lubbock, TX United States �ate Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 12/15/2023 being filed. City of Lubbock Date Acknowledged: 12/15/2023 g Provide the identification number used by the governmental entity or state agency to track or identi(y the contract, and provide a description of the services, goods, or other property to be provided under the contract. 24-17728-SB Car Washes 4 Nature ofinterest 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) (city) � (state) (zip code) (country) I declare under penally of perjury that the foregoing is true and correct. Executed in Counry, State of , on the day of , 20 (month) (year) Signature of authorized agent of contracting business entiry (Deciarent) Forms provided by Texas Ethics Commission www.ethics.state.Uc.us Version V3.5.1.Of381ab6