HomeMy WebLinkAboutResolution - 2017-R0124 - West Texas Services Dba Tom's Tree Place - 04/13/2017Resolution No.2017-R0124
Item No.6.11
April 13,2017
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 behalf of the City of Lubbock, a Contract related to mowing services
at North Water Treatment Plant (Class A), by and between the City of Lubbock and West
Texas Services,Inc.dba Tom's Tree Place,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 April 13 2017
DANIEL M.POPE,MAYOR
ATTEST:
yk^^
ReWecca Garza,City Secretary
APPROVED AS/TO CONTENT:
lin,P.E.,Director of Public Works
APPROVED AS TO FORM:
RES.Contract-Nbr 13346-West Texas Svcs dba Tom's Tree Place-North Water Treatment Plant (Class A)
(3.20.17)
Resolution No. 2017-R0124
Contract 13346
City of Lubbock, TX
Contract for Services
Mowing Services at North Water Treatment Plant (Class A)
TIES CONTRACT made and entered into this 13th day of Anril, 2417, by and between the City of
Lubbock ("City"), and West Texas Services, Inc. dha Tom's Tree Place, ("Contractor").
WITNESSETH:
WHEREAS, the City of Lubbock duly advertised for bids for Mowing Services at North Water
Treatment Plant 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 Mowing Services at North Water Treatment Plant.
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, Mowing Services at North Water
Treatment Plant and more specifically referred to as Class A, Items 1 thru 3 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 Contractor shall perform the work according to the procedures outlined in the Bid Form and
Specifications attached hereto. The contract shall be for a term of one year, with the option of
four, one year extensions, said date of term beginning upon formal approval. The City does not
guarantee any specific amount of compensation, volume, minimum or maximum amount of
services under this contract.
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. Such written notice must state the reason for cancellation. 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: 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.
INSURANCE COVERAGE REQUIRED
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. 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):
TYPE OF INSURANCE
GENERAL LIABILITY
® Commercial General Liability ❑ Other
❑ Claims Made ® Occurrence
❑ W/Heavy Equipment
❑ To Include Products of Complete Operation Endorsements
PROFESSIONAL LIABILITY
EJ
AUTOMOTIVE LIABILITY
® Any Auto
❑ Scheduled Autos
❑ Non -Owned Autos
EXCESS LIABILITY
❑ Umbrella Form
GARAGE LIABILITY
❑ Any Auto
❑ BUILDER'S RISK
❑ INSTALLATION FLOATER
❑ POLLUTION
❑ CARGO
❑ 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 $
Combined Single Limit
Each Occurrence $1,000,000
Each Occurrence
Aggregate
Auto Only - Each Accident
Each Accident Aggregate
❑ 100% of the Total Contract Price
❑ 100% of the Total Material Costs
® 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 basis.
® To include products ofcompleted operations endorsement.
® Waiver of subrogation in favor of the City of Lubbock on all coverages, except
The City of Lubbock shall be named as an additional insured on a primary and non-contributory
basis and shall include waivers of subrogation in favor of the City on all coverage's. Copies of
the Certificates of Insurance and all applicable endorsements are required.
ADDITIONAL POLICY ENDORSEMENTS
The City shall be entitled, upon request, and without expense, to receive copies of the policies
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.
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 thirty (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.
PLIIYH"[
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 and Contract Management
City of Lubbock
1625 13th 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 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 thirty
(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. This Contract consists of the following documents set forth herein; Invitation to Bid No.17-13288-
KM, Specifications, and the Bid Form.
IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed the day and
year first above written. Executed in triplicate.
CI OF LUBB C
DANIEL M. POPE, MAYOR
A TEST:
� -",k
Re ecca Garza, City SecretAL)
CONTRACTOR
BY r L ,—
Authors epresentative
CdZ �,
Print Name
5 o 04
Address
AP VED AS TO CO ENT: City, State, Zip Code
Aubrey A. Spear E.,
Director of Wa Utilities
jJ r BID FOIL
4
Mowing Services atNorthWater Treatment Plant
City of Lubbock, Texas
ITB No. 17-13288-KM
In compliance with the Invitation to Bid 17-13288-KM, the undersigned Bidder having examined the Invitation to Bid and
Specifications, and being familiar with the conditions to be met, hereby submits the following Bid for 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 to 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. The Invitation
to Bid 17-13288-KM is by reference incorporated in this contract. The Bid Form must be completed in blue or black Ink or by
typewriter.
�S
Name
Address
Acreage
+/-Cycles
Annual Maint.
+/_
U/M
Unit Cost
Extended
Cost
1.
North Water Treatment
Plant 6001 North Guava
Plant Front Office & Parkin
0.65
25
Acre
S -7 50
16, -7 50
2.
Municipal Drive 404
Municipal Drive Water
Udlities/LP&L
.50
25
Acre
nt7
! O� t� 0
3.
South Water Treatment
5114 East FM 1585
4
25
Acre
1' 000
254 DOO
Total Class A Items 1-3
S
53, �5a
�'si ;�o� etiles
4.
Pump Station #32520 3rd
t
5.
Pump Station #4/Outside
1
6.
Pump Station #6402 E 66th
btreeEcre
7.
Pump Station #75102 24th
Drive
Acre
8.
Pump Station #83301 SE
20
cre
g,
ump Station
uaker
In
Rem-
10.
pStation #I U18W 82nd
Acre
I
Pump Station # 12PeacF—
.11—
Acre
12.
Pump Station #147310
cre
13.
—ump Station
Acre
14,
tun [anon r
cre
35th Elevated overhead
Avenue
ZU
50th Elevated Overhead
3418 50 Street
74th Genoa Overhead 7308
Name
Address
Acreage
Annual Maint.
U/M
Unit Cost
Extended
Cost
18.
Gligyn
Ave.
'
Total Class B Items 4-18
S
cla_:
Name
Address
Acreage
+!-
Annual Maint.
Cycles +/-
U/M
Unit Cost
Extended
Cost
19,
Shallowater Pump Station
Shallowater Microwave
U.S. H 84
Lill, OR14
o au tU.S. wy
5
Acre
22.
Amherst Microwave Bldg
•Acre
Detroit & Amherst Lot
i
0.5
& Amherst Intersection
Gary & Emory Lot 3119
S.
Jimmy
Flint & Clovis Lot 3105
0.25
Wash
Total Class C Items 19-25
o
Total Class A-C items 1-25
S
ro
Unless otherwise specified herein, the City may award the bid either Item -by —Item or on an all -or -none basis for any
Item or group of Items shown on the bid. Total $53,750
The City of Lubbock Is seeking a contract for Mowing Services at South Water Treatment Plant 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 %, neiLO calendar days.
Discounts will not be considered in determining low bid. Unless otherwise indicated on the Bid Form, payment terms will be
NET THIRTY DAYS. The City will pay the successful 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 FAVOURED PRICING: The Bidder certifies that the price quoted is not in excess of the lowest price charged anyone
else, including its most favoured customer, for like quality and quantity of the products/services; does not include an element of
profit on the sale in excess of that normally 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 all
deliveries made 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 Bid Form 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, City of Texarkana, Texas Tech University, West Texas Municipal Power Agency,
Lynn County, and City or Wolfforth.
YES NO
• If you (the bidder) checked YES, 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 materials/services 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 materials/service as needed.
THIS BID IS SUBMITTED BY 111:o Tr_xi. 'T.4,— s, WC•u corporation organized under the laws of the State of
�u c. JF� HJ , or a partnership consisting of N f a or individual trading as
Al IA of the City of (Ayrt;Sou...
Firm: to ,rc-j'7 ?E 6_r 1�6:-ui r,t-'
Address: 15$IZ4' � f S �•
City:l.ug6oc.w State: Zip-711L+1"
Bidder acknowledges receipt of the following addenda:
Addenda No. Date
Addenda No. Date
Addenda No. Date
Addenda No. Date
M/WBE Firm:1 I Woman I I Black American I I Native American
Hispanic American I I Asian Pacific Americl I Other (Specify)
ERE
AuthorLed Representative - mast sign by hand
Officer Name and Title:
Please Print / /� n (� n l f;
Business Telephone Number �p �aq'' 1, } FAX: 0b"t g,'t'-3
E-mail
FOR CITY USE ONLY
Bid Form Item Number(s) Awarded to Above Named Finn/Individual:
GO rn
Date of Award by City Council (for bids over $15,000): Date P.O./Contract Issued:
RETURN COMPLETED & SIGNED BID FORM ALONG WITH CITY OF LUBBOCK SPECIFICATIONS.
LABEL THE OUTSIDE OF YOUR SEALED BID WITH THE ITB NUMBER, THE CLOSING DATE AND TIME,
AND YOUR COMPANY NAME AND ADDRESS.
City of Lubbock, TX
ITB 17-13288-KM
Mowing Services at North Water Treatment Plant
Specifications
Class "A" Areas and Properties
1.0 Class A Maintenance Standards
1.1 General: Successful contractor shall have five working days (5) days from receipt of the Notice to
Proceed to commence contract maintenance activities. The decision to end the maintenance season shall
be made by the Equipment Maintenance Supervisor or his Agent. The Contractor shall be notified of the
City's decision by email, letter or text messaging to their contact number.
1.1.1 The areas to be serviced for each site include all right of ways adjoining the site and to the center
line of all alleys adjoining the site, and extending two -feet from back of curb into all streets.
Contractor is responsible for safe and careful operation of mowing equipment around plant material
and structures to prevent damage and to prevent clippings from contaminating plant beds.
1.2 Mowing: Mowing frequency shall be determined by the Equipment Maintenance Supervisor or his Agent,
determined by turf growth. Turf shall be cut at a height of one -inch to two inches and will increase to
one and one-half inches at the discretion of the Equipment Maintenance Supervisor or Agent.
Clippings shall be bagged or mulched, direct discharge from a rotary mowing deck will not be allowed.
All hand scrapes shall be cleaned after each service. Mowing equipment shall be reel mowers or turf
type full flotation rotary mowers that will not leave ruts or tracks on lawn and shall be approved by the
Equipment Maintenance Supervisor or his Agent.
1.2.1 All "A" class areas my contain flower beds/hedges areas. These areas will be keep free of weeds,
dead leaves / foliage will be removed, grass other undesired vegetative growth. Flower bed will be
keep free of blow sand to maintain desirable appearance. All hedges, flowers etc. will be trimmed
to maintain a desirable appearance.
1.2.2. Anticipated Mowing Frequencies (Estimate of Schedule):
January — 0
Jul — 2
February— 1
August — 4
March —1
September — 3
April — 2
October — 2
May-2
November —1
June — 2
December - 0
1.3 Edging: All sidewalks and curbs shall be edged to a depth of one -inch and shall be performed
concurrently with mowing operations. String trimmers or curb dressers may not be used for edging.
Chemical edging is not permitted on Class A areas.
1.4 Trimming: All string trimming must be done to achieve a height uniform with the mowing height.
Trimming must be performed around trees, plant beds, buildings, equipment, signs, both sides of fences
when possible, and any other plants or structures. All surfaces, streets and areas must be kept free of
grass, weeds, trees & shrubs out of fence line plus debris removal. This task must be completed the same
day the mowing is performed.
1.5 ** Weed Control: Pre -emergent will be applied three times a year; post emergent and fertilizer will
be applied two times a year or as seen necessary by the Water Utilities staff. We expect the vendor to
apply the proper amount at the proper time, so any additional applications of pre -emergent or herbicide used
as a result of inadequate strength or improper time of applications will be at the vendor's expense. Emergent
should also be applied to sidewalk cracks, around handicap ramps, and any other paved areas where weeds
are likely to appear. CONTRACTOR MUST POSSESS AND MAINTAIN CURRENT LICENSURE
FOR ALL CHEMICAL APPLICATIONS INVLOLVED IN THIS CONTRACT.
1.6 ** Litter: The Contractor shall realize that litter or debris may accumulate prior to mowing with no fault
to either Party. The contractor shall remove all trash or debris before mowing. The Contractor shall
instruct mower operators to police sites to prevent dangerous or unsightly conditions. Litter and Debris
removal shall be performed Concurrently with other maintenance operations.
1.7 Disposal: Contractor shall be responsible for the disposal of Litter and Debris from the areas maintained.
Disposal shall be accomplished by delivery to the City of Lubbock Landfill or by placement in dumpsters
belonging to the Contractor. No Litter or Debris shall be disposed of in Residential dumpsters or of
those belonging to Commercial Businesses.
1.8 Clean-up: All work shall be cleaned up and waste material removed from the site. No equipment shall be
left at neighborhood area sites and all material shall be removed from the job site the same day of mowing.
1.9 Parking lots: Mowing activities around and on these areas shall be done when the parking lots are empty,
prior to work, after working hours, or on week ends
2.0 Billing: Payment for work completed must be submitted every thirty calendar days for payment.
Invoices must have the following information on the invoice for payment. IE; Contract number, insurance
expiration date, contract expiration date, what number/rotation of cycles being performed at each site/
location and date work was preform.
THE CITY REPRESENTATIVE REQUESTS THAT ANY BID RECEIVED IS BASED ON THE FACT THAT THE
BIDDER HAS ACCOMPLISHED A SITE SURVEY OF THE PROPERTY AND THEY ACCEPT THE BID
SPECIFICATIONS AS PROPER.
THE CONTRACTORS AND THEIR EMPLOYEES WILL HAVE PHOTO IDENTITY CARDS TO BE WORN IN THE
OPEN AT ALL TIMES WHILE THEY ARE ON CITY PROPERTY. THIS PHOTO IDENTITY CARD SHOULD BE
WORN WHILE ON CITY PROPERTY ONLY. ALSO THE CONTRACTORS AND THEIR EMPLOYEES SHALL
CALL THE CITY WATER DEPARTMENT CONTROL ROOM AT 775-3416
AND LET THEM KNOW OF YOUR ARRIVAL AND DEPARTURE FROM THE CITY PROPERTY. ANY
VIOLATION OF THIS RULE MAY TERMINATE THE CONTRACT.
In making bid for Contract Turf Maintenance Mowing the vendor hereby agrees to and understands the following:
1. The bid is for the entire season, not just for one mowing cycle.
2. All the yards will be mowed with some type of mowing equipment such as a mower or a shredder.
3. All sidewalks, reservoir, valve boxes and fencerows must be edged with a line trimmer or an edger.
4. All valve box tops and sidewalks will be swept or cleaned -off after all mowing is completed.
5. Yards must be cleaned of papers, boxes and other trash before mowing.
6. After mowing, yard must be inspected and approved by a City employee before payment is made.
7. Contractor will be contacted by a City employee when yards require mowing.
8. The vendor understands that some properties may have to be cut more frequently.
9. The vendor understands this agreement is between the contractor and the Water Treatment Plant.
10. The bid is based on a unit -mowing price (one time charge), and the contractor will be paid for each
time the property is mowed.
11. The vendor is required to inspect each of the listed property, prior to submitting his bid. The vendor will be
required to sign off on his prior inspection. By not inspecting each property and signing off on the Inspection form. The
city reserves the right void any bid submitted.
12. All work is schedule driven; therefore, the vendor's work force and equipment needs shall vary
throughout the contract's time period. The normal work schedule shall fall within the time frame of
Monday through Friday, 8:00 a.m. to 5:00 p.m. Work on weekends, holidays, and nights shall be at
the discretion of the Equipment Maintenance Supervisor.
13. Should the vendor find it necessary to work during this time, notice of his intention to do so shall be
given to the Equipment Maintenance Supervisor or his Agent at least seventy-two hours prior to doing
so. The City reserves the right to deny such work at such time.
CERTIFICATE OF INTERESTED PARTIES FORM 1295
1of1
Complete Nos. i - 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:
2017-175966
Date Filed:
03/08/2017
Date Acknowledged:
03/15/2017
1
Name of business entity filing form, and the city, state and country of the business entity's place
of business,
West Texas Services, Inc.
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.
13288
Mowing Services at North Water Treatment Plant
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 Parry.
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
Forms provided by Texas Ltnlcs commission www.cunc5.xnLc.u.ua -• •�
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
loll
Complete Nos. 1 - a 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.
2017-175966
West Texas Services, Inc.
Lubbock, TX United States
Date Filed:
03/08I2017
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.
13288
Mowing Services at North Water Treatment Plant
4 Name of Interested PartY
City, State Count lace of business
tY, r`i' �p i
Nature of interest
check applicable)
i PP
Controlling I
Intermediary
5 Check only if there is NO Interested Party. ❑
6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct
°r4T: F. JACK BRANHAM
My Notary ID # 5809770 r"
Expires August 17, 2020
Signature of authorized agent of contracting busines�entiry
AFFIX NOTARY STAMP I SEAL ABOVE
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Sworn to and subscribed before me, by the said �7 j t �-tl�,l�Pwe- i (, this the _ _ day of
201. to certify which, witness my hand and seal of office.
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Signature of officer administering oath 7 Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state,tx.us Version V1.0.277