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HomeMy WebLinkAboutResolution - 2017-R0125 - Lone Star Mowing Service - 04/13/2017Resolution No.2017-R0125 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 forand on behalfof the Cityof Lubbock,a Contract related to mowing services at North WaterTreatmentPlant (Class B), byand betweenthe City of Lubbockand Lone Star Mowing Service,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: •1JtJ/A>*^ Rebeqba Garza,City Secretary/\ APPROVED AS TO CONTENT L.Wood Franklin,P.E.,Director of Public Works APPROVED AS TO FORM: Amy AttoJ^gtffitSiiy RES.Contract-Nbr 13347-Lone Star Mowing-North Water Treatment Plant (Class B) (3.20.17) Resolution No. 2017-RO125 Contract 13347 City of Lubbock, TX Contract for Services Mowing Services at North Water Treatment Plant (Class B) THIS CONTRACT made and entered into this 13th day of April, 2017, by and between the City of Lubbock ("City"), and Lone Star Mowing Service, ("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 B, Items 4 thru 18 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. 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 underwriters) 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 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 of completed operations endorsement. ® Waiver ofsubrogation in favor of the City of Lubbock on all coverages, except City as an on a primary ana non - 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. 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 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 dainages 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 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. CIT OF LU CK DANIEL M. POPE, MAYOR ATTEST: AD, 06� e cca Garza, City Secre ry VED AS t. � u' . _ '> Y _4A-- Aubrey A. ear, P.E., Director of Water Utilities APPROVED AS FO Amy Sims, De tto CONTRAC BY Aut zed Representative I f9A .i► i FJ Print Name q/0 5 z z S4_ Address City, State, Zip Code BID FORM 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 fallowing 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 farm. 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 tvpewriler. Class A Properties Name Address Acreage Annual Maint. U/M Unit Cost Extended Cost North Water Treatment Plant Front Office & Parkin Municipal Drive 404 Utilidcs/LP&L 7771 South Water Treatment Acre Total Class A Items 1-3 Class B Properties 4. Pump Station #32520 3rd �U r. Street 1.25 20 Acre S b 000 5. Pump Station #4/Outside Station Lot 202 North I.27 9 20 Acre 0 oo 16 U 00 a 6. Pump Station #6402 E 66th Street Street 1 20 Acre CC — C) o 00(7 Is- 7. PumpStation #75102 29th L 20 d r1 zz / 7010"D Drive Acre J�� 8. Pump Station #83301 SE 20 d� loop 289 2 Acre -3d0 000 ei 9 Pump Station Quaker 1 20 Acre 3 Z S �' (� S U0 dN)_ 10. ump tauon 1038U282nd Street 1 20 Acre .2 S (i c/ 50D0 ri P Station # 12Peach Ave 1 20 Acre S 3 S(70 12. Pump Station # 1473 10 Milwaukee 5.16 20 Acre c1 5�d% l 5,000 13. um Station North ivory 1 d� 20 Acre -5'U00 14. klum Canon r Me S 1.5 20 Acre o �11300✓ Oho 0.4 35th Elevated overhead ✓ 15. Tank 221835th Avenue 0.5 20 Acre 1950 3500 50th Elevated Overhead 16. Tank 3418 50th Street 1.56 20 Acre O�tfj i70[) o 17. 74th Genoa Overhead 7308 Genoa Ave 1 20 Acre v 9- S Q ,s-o a v °� Name Address Acreage +/- Annual Maint. cycles +/_ U/M Unit Cost Extended Cost 18 NWTP 6001 North Guava 7 20 Acre as(J 6 p60 Total Class B Items 4-18 S Do Class C Properties Name Address Acreage +/- Annual Maint, Cycles +/- U/M Unit Cost Extended Cost 19. Shallowater Pump Station lu Shallowater Microwave U.S. Hwy 84 21. Littlefield Microwave Bldg _ - Acre 22. Amherst Microwave 81dg Detroit & Amherst Lot 0.5 nA & Amherst Intersection Gary & Emory Lot 3119 0.25 Emo Flint & Clovis Lot 3105 0.2 Wash _ Total Class C Items 19-25 Total Class A-C Items 1-25 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 $111,500 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 %, net _ 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 afler 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 focal 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 of Wolfforth. YES_.X NO • If you (the bidder) checked YES, the following will apply: • Govemmental 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 B e a corporation organized under the laws of the State of KG f , or a partnership consisting of or individual trading as Firm: Z—""'e!L J 4 OW' Address: `/� % 9 l S h S City: S/6 1(d nl Bidder acknowledges receipt of the following addenda: Addenda No. Date Addenda No. Date_ Addenda No. Date Addenda No. Date of the City of State• / k— Zip M/WBE Firm: Woman Black American Native American Hispanic American Asian Pacific Americl I Other (Specify) t ,1•-y By Date: AIIthori=ed Representative - mast si y hand Officer Name and Title: G��� Please Print Business Telephone Number 2/ V - 73 / —' 0 0 47 � FAX: E-mail Address: A124 J/ I�/hi tiH e-}/(D . G-P h—► FOR CITY USE ONLY Bid Form Item Number(s) Awarded to Above Named Firm/Individual: Date of Award by City Council (for bids over S25,000): 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. Class "B" Areas and Properties 2. Class "B" Maintenance Standards 2.1 General: Successful contractor shall have five (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 letter. 2.1.1 The areas to be serviced for each site include all right of ways and to the center line of all alleys adjoining the site, and extending 2 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. 2.2 Mowing: Mowing frequency shall be determined by the Equipment Maintenance Supervisor his Agent. Turf shall be cut at a height of two (2) inches, at the discretion of the Equipment Maintenance Supervisor or Agent. Clippings shall not be bagged and all hand scrapes shall be cleaned after each service. No clumps or windrows of grass shall be left by the mowers. Mowing equipment shall be a reel mowers or turf type full flotation rotary mower that will not leave ruts or tracks on lawn and shall be approved by the Equipment Maintenance Supervisor or his Agent. Mulching blades may be used at the discretion of the Equipment Maintenance Supervisor or Agent. 2.2.1 Anticipated Mowing Frequencies (Estimate of Schedule): January — 0 Jul — 2 February— I August — 4 March —1 September — 3 April — 2 October — 2 May-2 November —1 June — 2 December - 0 2.3 Edging: All sidewalks and curbs shall be edged to a depth of one -inch and shall be performed concurrently with mowing operations. String trimmers, curb dressers may not be used for edging. Chemical edging is not permitted on Class B Areas unless approved in writing by Maintenance Supervisor. 2.4 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 and debris. This task must be completed the same day the mowing is performed. 2.5 Litter: The Contractor shall realize that litter or debris may accumulate prior to mowing with no fault to either party. All trash or debris shall be removed by the contractor. 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. 2.6 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. 2.7 Clean-up: All work shall be cleaned up and waste material IE: (paper products, plastic tree limbs) 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. 2.8 ** 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, fence lines and any others/paved areas where weeds are likely to appear. CONTRACTOR MUST POSSESS AND MAINTAIN CURRENT LICENSURE FOR ALL CHEMICAL APPLICATIONS INVLOLVED IN THIS CONTRACT. 2.9 Billing: Payment for work completed must be submitted every thirty days 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 of cycles/rotation being performed at each site 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 I hereby agree to and understand the following: 1. The bid is for the entire season, not just for one mowing. 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. I understand that some properties may have to be cut more frequently. 9. I understand 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. Bidder is required personally to inspect each of the listed property, prior to submitting his bid. B idder 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 Contractor'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. Should the Contractor 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 1ui1 Complete Nos. 1 - 4 and 6 it there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 it there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2017-175000 Date Filed: 03/06/2017 Date Acknowledged: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Lone Star Mowing Services Slaton, 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. Lone Star Mowing Services 3 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. 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 Intermediary 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear, or affirm, urld6r4(enaliy of perjury, that the above disclosure is true and correct. BRENDA K. FIELDS V Notary Public, State of Texas My Commission Expires 05-08.2018 � � r � Signature of authorized agent of contracting business entity ID # 12981282.E AFFIX NOTARY STAMP / SEAL A 1 1 Sworn to and subscribed before me, by the said i % ' (;1 1 _ this the t 1 day of 20 'v to certify which, witness my hand and seal of office. '}� r .�' �•�-.� I�� t � � �'t � ��� �' � L� -.1 � t� � � \ �4� { 1 . j 1 . �. _> I Signature of officer administering oath Printed name of officer administering oath Title of officer adminrstef ooath Forms provided by Texas Ethics Commission www. ethics. state. tx. us versruri V l.V.G/ r CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 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: 2017-175000 Date Filed: 03/06/2017 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. Lone Star Mowing Services Slaton, 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. Lone Star Mowing Services 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 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. 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 Ethics Commission www.einics.state,ix.us vcraiuu vl.u.c 1