HomeMy WebLinkAboutResolution - 2019-R0031 Hamilton Roofing CompanyResolution No. 2019-R0031
Item No. 8.12
February 12, 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, Public Works Contract No. 14401 for the
Reroofmg of Fire Station No. 7 as per RFP 19-14401-FM, by and between the City of
Lubbock and Hamilton Roofing Company, 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 February 12, 2019
DANIEL M. POPE, MAYOR
ATTEST:
Rebe(^a Garza, City Secretai
APPROVED AS TO CONTENT:
T- . A
dt Assistant CitMark Y^rwood; Assistant City Manager
APPROVED AS TO FORM:
c
Kelli Leisure, Assistant City Attorney
ccdocs/RES.Contract 14401 - Reroofing of Fire Station No. 7
January 18, 2019
Contract is viewable in the
Office of the City Secretary
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:
2019-446150
1
Name of business entity filing form, and the city, state and country of the business entity's place
of business.
H Construction Systems, Inc.
Lubbock, TX United States
Date Filed:
01/28/2019
2
Name of governmental entity or state agency that is a party to the contract for which the form is
being filed.
City of Lubbock
Date Acknowledged:
01/29/2019
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.
RFP 19-14401-FM
Reroof Fire Station #7
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(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 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 Drovided by Texas Ethics Commission www.ethics.state.tx.us Vprsinn V1.1.9RahR19;n
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
l of l
Complete Nos. 1- 4 and 5 it there are interested parties.
Complete Nos. 1, 2, 3, 5, and 6 il there are no interested parties.
OFFICE USE ONLY
CERTIFICATION OF FILING
Certificate Number.
2010435734
1 Name of business entity filing torte, and the city, state and country of the business entitys place
of business.
H Construction System, Inc.
Lubbock, TX United States
Date Filed:
2 Namo o govemnre enmy ar state agencyat is a party to a contract far a'form Is'
being filed.
1220f2018
City of Lubbock
Date Acknowledged:
a 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
14401
Drywall, Acoustical, Roofing, Sheet Metal
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Intermediary
5 Check only if there is NO Interested Party.
X
6 UNSWORN DECLARATION
My name is Monte S. Chitwood ,and mydateofWrthls
Myaddressis 710 10th Street Lubbock TX , 79401 US
(street) (City) (acme) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct
Exaoutedin Lubbock County, state of Texas onth,�Ot4ayof Dec. ,20 18.
l�h) lYaaO
�-.c��- —�"' )
Signature of authorized agent of contracting business entity
tDwiareno
Forms provided by Texas Ethics Commission www.ethics.state.or.us Version V1.0.6711