HomeMy WebLinkAboutResolution - 2017-R0110 - Henthorn Commercial Construction - 03/23/2017Resolution No.2017-RO110
Item No.6.6
March 23,2017
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 behalfof the Cityof Lubbock,Contract No.13155 for Office Expansion ofthe 84th Street
Solid Waste Facility,by and between the City of Lubbock and Henthorn Commercial
Construction,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 March 23.2017
Rebecqa Garza, City Secreta
APPROVED AS TO CONTENT:
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Mark Yearwood,Assistant City Manager
APPROVED AS TO FORM:
Kelli Leisure,Assistant City Attorney
ccdocs/RES.Contractl3155HenthornCommercial
2.17.17
DANIEL M.POPE,MAYOR
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1of1
Complete Nos. 1 - 4 and 6 if there are interested parties.
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
OFFICE USE ONLY
CERTIFICATION OF FILING
Certificate Number:
2017-176487
Date Filed:
03/08/2017
ate-AcknwMedged:
03/09/2017
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Henthorn Commercial Construction, LLC
Lubbock, TX United States
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
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.
13155
RFP 17-13155-SS Office Expansion of the 84th Street Solid Waste Facility
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
I Intermediary
5
Check only if there is NO Interested Party.
X
6
AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said this the day of
20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
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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:
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
2017-176487
Henthorn Commercial Construction, LLC
Lubbock, TX United States
Date Filed-
03/08/2017
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:
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.
13155
RFP 17-13155-SS Office Expansion of the 84th Street Solid Waste Facility
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 AFFID, VITr _"' `
" I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
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41 KATHY VARNER
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My Commission Expires
August 31, 2018
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Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP / SEAL ABOVE
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Sworn to and subscribed before me, b the said eit jy,this the day of
20_, to certify which, witness my hand and seal of office.
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Sig ture of cer administering oath Printed name of o ' er administering oath Yitle of offiG6r administering oath
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