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HomeMy WebLinkAboutResolution - 2017-R0240 - Williams Brake Tune And Tire - 07/13/2017Resolution No.2017-R0240 Item No.6.12 July 13,2017 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT City of Lubbock Bid No.ITB 17-13351-SG is awarded to Williams Brake, Tune and Tire,LLC,of Lubbock,Texas,forFlatTire Repair Services,and further THAT the Mayor of the City of Lubbock is authorized and directed to execute,for and on behalf of the City of Lubbock a contract for said activities with the terms of the bid submittal attached hereto and incorporated herein,and related documents. Passedbythe CityCouncilon July 13,2017 . ATTEST: .§^L(^c- Refyecca Garza,City Secrete APPROVED AS TO CONTENT: Scott Snider,Assistant City Manager APPROVED AS TO FORM: Kdli Leisure,Assistant City Attorney DANIEL M.POPE,MAYOR RES.Bid AwardContractl3351WilliamsBrakeTuneandTire 06.22.17 Resolution No. 2017-RO240 Contract 13351 City of Lubbock, TX Flat Tire Repair Services THIS CONTRACT made and entered into this 13th day of July, 2017, by and between the City of Lubbock ("City"), and Williams Brake, Tune and Tire, LLC, ("Contractor"). WITNESSETH: WHEREAS, the City of Lubbock duly advertised for bids for Flat Tire Repair Services and bids were received and duly opened as required by law; and WHEREAS, after careful consideration of the bid submitted by Contractor, the City of Lubbock has heretofore adopted a resolution authorizing the acceptance of such bid, and the execution, in the name of the City of Lubbock a contract with said Contractor covering the purchase and delivery of the said Flat Tire Repair Services. 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 specifications and bid form are attached hereto and made part hereof, Contractor will deliver to the City, Flat Tire Repair Services, and more specifically referred to as Groups 1 thru 8 on the bid submitted by the Contractor or in the bid form attached hereto. 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 contract shall be for a term of one year, with the option of two, one year renewals, said date of term beginning upon formal approval. 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. 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. 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 old 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. At any time during the term of the contract, or thereafter, the City, or a duly authorized audit representative of the City, 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 the 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. 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 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) PROFESSIONAL LIABILITY ❑ General Aggregate $ 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 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 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. 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 13' 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. 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. 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 nonappropriation 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 thirty (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 of 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 17-13351-SG, Bid Form and Specifications. IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed the day and year first above written. Executed in triplicate. CITY OF L BOCK Daniel M. Pope,"Nlayor ATTEST: Febl cca Garza, City Secreta CO O Y Autho 'Representative Y / Print Nam 14) , r,(( / � A ress 64. 6/ov OF— APPROVED AS TO CONTENT: City, State, Zip Code Billy Taylor, Director of Fleet Services APq9VED AS O FQRM: lwll�� I 1�� Kel i Leisure, Assistant City Attorney I'I, s I,i CAN of Lubbock. T_l" Flat Tire Repair Seri ices ITB 17-13351-SG Bid Forth In c:umpli.vlice �tIIII the In" Id1101110 Bid \�t. 17-13?. 1-S(i. the uttder,Igmd Bidder haling examined the Imitatwit to Bid and Specifications, and hetn�, I'amthar etith the ctinditions to be tnet" hereL, Submit: the fr1ll(,win­ Bid J'Or furnishing the material. equipment" laht)r and e%en'titin� pr o,idim-, the item, listed bel,i« and (<�rei> to deliver said items at the Iti atimi, and f,ir the priccs set tbrth c)n tht, limn 1-he Intiitannn to titd No 17-1 115 1- S(i is by reference nte,+rpurated in thi, i(mtract -Ili,: Bid [(um must he c(rmpleted in blur nr black inl, t,r h, tnicn rater. GROPE' 1 PASSENGER "TIRES Pnn t,te a P11"! PQ'l Urr foi ea,h n! the bdw.% Ii.t;•d ill" w,. 11u• plies 1, 11w ant<•unt that ss 111 hr cgo_lid 11 thy: ut,ui c> 7 hits i+rt_e (sill indu,L disposal• disposal fee, etc. and •its auplictbte re13te for reusable lire casing, No additional costs • ssoci l d »ith tiormaI replacement aad'or ill ciallutiou sill he apprised nn.un1t mile Luu(t_d 1\arrant,, :Ali Sea i,II head i \ ti i. t )R 111 fCliam I rntad 4 Ti Sianda+cl Luau Rangy, l71'M Itic, 01n1% National Nance brand tires onh. No retreads or used tires sill he iteceplcd tit\I A.TllitSIIt s1t(. Mkt(W,I 1" It I IM 1.t nr ( ()SI tit tst ll l [sr I I I1F I Clsi ui I 1 f(1,1 AU'.t ♦I rtl�. ti ♦I l Ili (it itiat ll P.If:.tlT�Er �r.rUrri) I ,t)RII A S 1 5 ^ p0 92 �� • /CJ.�O Ttr� �tf_ P 19; -; R I •i 3 56•00 ^ ]-ire Mt,_. 53� -74.? �. AD .Tire \t(e -�rz)Ya a 1'20� i RIB \ S ;. (p.2 .00 4(?6.00 lire 111'- _--- 1"il:�s 7O11RtS _sctd Raicd _ __ ICirc '' n�a n/A Sa /a /Oao Mty. t, P2157011RI A5 _ ,cz 1 R.t_cd n AD 'OD Tirc'slta. . -- ____ �Cir� �Ait�� (05 455@° p2l; F,R 1 7�i-•°b y44.�° / 'sue /v,tT+' lire',lf_?. 9_._ '- lU 225 ht RSt�)111)IRL S I ru 8 90 7840'° % �• /0 en , sf,«d Rated 156 •°° oa 3goC Tim ♦lf� 12 112.1 R I o \1 dire Mt 4 13 P_" ; R 16 .a4 _..Tire O, /n3'___. 1 �% °° 10�7_.✓__'Oo 46y•°° --- /.�.�j� /a.� �O 00 l O as �lt�' QnKoaK Tkl'NfgA hb ti Nu,ebat.r tied Un_, Ifti I1 5'S1 Sli 1 I:u llte Rchan 5enur> Initial IS f-�i. I Q11 11 t \t A I IRt slzl Nil (, C-PfR I IRt C 011 tt i=N tt 1AIt-Atl}1) F til(11 1I111f.(OsI t-[3Vi-NNCIM,CO,,t i 1 ivtit11v1I IIII , IIt, I Ut (N ill 1vfllhF:ft»r Uf UN L 111: Mn It"t:l1 nr tt 11 t: F.l t\Et4ftr5 It �t:EUP.11i PI:RSl.l7 FIRE Tire \Y 11, 1124 ()^RI" A S Itt �� �•� ��p0 o� --- I ire M!"_.gabKoo I- 1'rl5 N1RI' :r S 131 11Stj I I IR1. ;Iltl Tire, 1rt. 1'� ?r,j'OR I- A S 21 99.°° q f oo �, 07 . 7 7P. Ca �� •� a , sa io,°° % o • co LIre,If 7trR1- II T —=--- Tire AI1�_ 241 'ai (61W AS I � �.2 . /gyp oo /)-. la.� �o,°ID lire 'Lla 21 '_h> 611R (4 S147w 7000 �� 1746O Gt � gpo l a •� l cv o0 rr rlfr---Ah--- Tire \1fa 23 235'7 5 R1- AS 21 357 3, �2qo. /.� .6_v /o ." Tile Vf --t 235'1Rl- HT 16 ��oo d.�toop9 1;?.5 /0.00 Tire \1f , oo�I -' �3> -ORI A S Tirc \ife - r �n ,/VpD �r 040 5-0 �o ` ,r, ,r,, 71 tR l (, r S 24 // JC � / }� 9, IWO l6 Fire,Mfu, 7315IfRI�, All II /.pp � lire �11�------ 215701zI(, AS 1_' J� Tirc\1f -- '143;R11 S ,) Tire MtL, l.,t tl Emcildcd cior Gr.,ull 1 1 ire, S 1 0 _ _ : DDIT10`'.1f. COST PER TIRE: 1. In ih(,P -11-t, ,, pTI PrICt� to he on a PCI' ory "fid It, include all ,illt'111,n CUSts ,it oChltcd t1)CI7 IIEIi"IIIAI rc air A sa 2. R« ad �idc llat rcpail Price to he on LI PCr url h_l'i Ind to 111.1 ludo 'all IIt1CII k1rA It ItI, RUa(l .idc re pair �� �� 3. Front End Alilunment DO T. Roadside repair, for tratelin_ k�ul,ide u1 (11% „f I tthht"k citt Unlit: c<Ist Per mile .-after hour; Sort ice call Price to he nn a Pet- uuw hasis I' K omllPloc calt. h Lek I'ur,ha-c13100',-1111,1 -I' I-StyiIC IH,L'.rl,,u1�_...._ Islip 11 IA'C'i is£(I City of Lubbock, TX Flat Tire Repair Services ITB 17-13351-SG Bid Form GROUP 2 LIGHT TRUCK TIRES Pir,4ide )puce per Lire I rr each (.(thc lie lox li>tcd Irs• WA." 11)1, price i, tlr: aorrnnit that still 11c cNi—ted Alt, IIIC II,voi,Ct Tlie pci tit <' bill price will includc: disposal, disposal fee, etc. and itns applicable rebate for- reusabic tire cjli!m. No additional costs asspciated with normal replacement and.or installation Still he approsed it UOfi niilc L imiteLt A,�'an.tuty..AU sraxm Trc.id Al T}. Alt 1 errain l read (A or 'setrc,xice Block T-read (,'Al TA' Will) 3 Ph site �k'all Xllpinmm Lttad Range a� Indicated. OEM 1 ur> t_htl} National Same brand tires ouh. No retreads or used tires +sill be accepted —_ _ ---- --- — ..... ..___..... R.FtiC. 1'I_N [).t ISYI i F-.blot\11\(, osI 1.litt 1\C1\t.(osu C.CE,til A. TINE SIZE. • N111(l, i (,l11 t:\ fhV1f'.I) rupl !�t'l.t'OF. ( OSI OF I- In r\('t,t pE ( 041 of IIRE COS S.tl.�kSTF.�l5It.FE141)) VMEELItLIGIIISIF\E:t1*0) 1 L'1235 ,OR I 7 .A T 10 g �.. $ _ Tirc Mt„ 0 � 1-73 � 7 2 LT',; ,URl l H T 12 1ir� titf� h p G 170*6 00 l at iJ , 00 3 LT21 5 775R15 A T 4-.__._... Tire t1fs. ooK { 1. A °° -1 LT2 3; -5 R 15 i t T00 12 �o0 5" Tirc f4an koo K I A 1 16 ; Tircllt#. _..� tro OK h } L'I_1;851116 HT ( '_- {00/L Tire M tgl4mikao k 700 L.T'Ii 85RIO AT Tire i�.41000 s LT22; '5R 16 H T 21 Tile LTAlf• 1 �� 07��; �� jb /D•itb .n _ r.... ..._.._._.. t) -'2 ?5RI6 AT l r- e<,bo0q" /O -- Tire \tt�'.... µank00.._ - 1ta L1' >'trRl6 .AT 47�.°° I Sb f 0Tirc fits LT•235 `151R16 ELT 14 Q l l Tireitfy. �j k _ � l 21n°° 12 LT2,,145R16 .AT 22 Tirc 11t1 (�( 31.00 I , 1.1'23, ,5 16 Ni I '-tt ! °� 6WO Tirc tits. l _ /O 14 1 T24 R 16 I t T hb -_� l 11 LT245 75RI6 AT 117 1 Tirc NI ',Awl j 16 L.T245 -SRI(a m T Eti 1 `!' Ob I (>IO� Tirc �It�. ✓ l 1' �I T_5� 701116 AT T .i obi! 117.010 IS LT26; ^R16 [IT 6 '4� /_12AOb / �- � ( , ay Tire. Mfg. f� --- --I-- — tQ`VQ_�f ! j 5 S Purchase Liid Does tl b Scmccs. Initi � ��/ ITEM A. TINE SIZE I MFG B. EST. QT1 +_ C. PER TIRE COST D. (= B'C) EXTENDED COST E. MOUNTING COST (WILL INCLUDE COST OF VALVE. STEMS IF NEEDED) F. BALANCING COST (WILL INCLUDE COST OF WHEEL WEIGHTS IF NEEDED) 19 LT265/75RI6 A/T 35 V ,_ / O Tire Mf ./, 20 LT245/76117 H/T 33 /� /o?, t �D Tire Mf . 21 LT245l70R17 A!T 20 j� hO� aS Tire Mfg. 22 LT275/6511I8 A/T 4 ! (D��D / . V 4o " Tire Mfg. 23 LT265;70R17 HfT 24 / J 3,6 12 09 Tire Mfg. 24 25 LT265/70R17 A/T 30 hh BD f Oo l Tire Mf . LT275,`70 l8 H 1 13 �L6 a2,634.° �' /� Tire Mfg. 26 LT265/65R18 A/T 4 Tire Mfg. 27 LT225/75R15 A/T 4 V Tire Mfg. ' 28 LT245/75R17 H/T 24 / 3.7.a000S`� �V 0D Tire Mf . 29 LT245/75R17 A/T 40 I %� W .� , J`—� /0 o v Tire Mfg. 30 LT245/75R17 M/T 32 Tire Mfg. Total Extended Cost for Group 2 Tires rA ��n 5, 376' /D OD $ ADDITIONAL COST PER TIRE 1. In shop -flat repair. Price to be on a Per tire basis and to include all ancillary costs associated with normal repair 2. Road side flat repair. Price to be on a Per tirc basis and to include all ancillary costs associated with "Road side repair". [�y 3. Front End Alignment 4. Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile . $O 5. After hours Service call. Price to be on a per unit basis for complete call. in 161 S: Purchase/Bid DocATB 17-13351-SG Flat Tire Repair Services lniti City of Lubbock. TX Flat Tire Repair Scn ices ITB 17-13351-SC: Bid Form ..................... ................. GROUP 3 111 A,V I'RC C 1: TIRES Pr,tt-I(le a price per the it,l cacil Of tllr 111241a t1T-e I lur % price IN the arliourlt Out 1t Ill be expected on the inCtllcc'ti. the "per lire" bid price ttlll Include disposal. disposal fee, etc. and :mN applicable rehate for reus•tbie tiro casin,-. No additional costs associated NNith normal replacement and'or installation iNill be approved Sttuidaid lig. Limited \karrallll. -1 uhcle>,1. Ctlmnlcrcial Sicci f ire (II\ N). Ctlnunercial Deel, I)rrtc I m2N im S(. Load Ram_=e a> Indicated. I iremick Raied, ()l `4I hre . I rk �I l{Rk \I!t \. NM, IS ! N C. tjll (. i'rk Ilkt Il. (=ID'C l t\tt\I)F t . NIM \ I I\(, f 011 i ILL I I Ill I oli fir t11t I ♦ I I Nil 11 I:li t.til I . It tl 1\t I\I. ((1� I nul l IN( I I Ili f (ill(lr tt 111 LI tt I It'll la it \1: 1.111 If I 15 00 3,o�oP' a5 a 1nj)On 6, i�U7 a Tire Nlt'; . io.ofl'n I V'1 la I'I1 2301' I{ Ctaco ` �n i% a88� 400 caw IiI'e\1[�- (, _'-lrt_' 1 5pcci, l7Cd 1: e 1 nlcl -' aftp- t 5�.. ����° va �� � l ire �lt�e� \{ichrlin �(�irc ,+r Tier I { u 111II:'2 I lti } n (', A ° ° 0 � a�� lIFC :Att lu.tnlit_'".� \1-.4 it, A lsrr\l{_ (Art koo� f1 1 I thtlt'_'.•l'1_A 90� vq lire \It�z {u 11` n I'I 1 711 ap v- OW ' �� o, Mt-' Tire \1f� t7 nA I I 1 1 cult_" F;;t�uci, ! i• '1. l -u' JLri/ �� V /� � A Q��t/ lire \ l t a I l Lot)R'1 � \l S if, 1'1 1' i, nh, n 1 �. s (ifinflFCi11 1)ur., �C�i, On k IM {f, PIL'I I1 loo - o2p l lrc \,tLinei lonA3dv'- 1 _' ifoR_'_' 3 \1 i - PI ICI_ v11= hlldle.c ki;tf E7„r• 1113 I' -I ; �I-Al_i 1 i,i If)L I:.111W >.r.r.: Initlal I I ft 11 j t Ilkf lI/t ill (. i Iikl 11 1- BJ 1 I (till 1 IN( i t Itt t (1,1 ("if 1 f\( I I fit I rill (11 tell t\It N111 of \t(\t NI ltl, 11 HItFFI \t 1. IG111, If lire \ihm Loo lu I tt 31 ,; XOR?_' � H" ), i � III girt ail'=ala Iona ':I 1 ) C 3S ep .-��O�Oa. a5� ao� Tire \ti 1 313 nR_"-� Firctnlck 'U P[ Y �.o t>C . lirr`ilY- I SIIR„ 5 li (Ol. Illll AJA 50 °° goa- tie.;i 1It:1. _n 11, PI 1 -- - Tile Ott=. h 455to 112 ece � � o0 O a, O � o --rire ` 33b`' S`f9�0 02� sir_-1,061onaI ap Tire \irL- 14 2,;'11Ri(t T oo �7 !0 35G '1 j °� l lrr %ttpt 24 6. ?(� .� 'I Ire Fitz - _ I (1 / / 6 �{Q CP - Z� ,:R, - : it [ i nc \1t_ri I(It,ll Of A1-M)I'll IC)N,-kL. COSTPER TIRE i IIf) ,hop Nat ncpau Price 1" he ou I IV tiro ha,k and t(I ne udc Ill ancil11rt c+l t, a,,00alcd wnh norms 1 I, any t ( < _ Roud side tbI repaIr Pricc I,, he I,I, .r Pei lire ha>I, anvI t(\ iII Iudc all arlcIl kr, col I. a, i:wIcd uiil; " Rk"Id Idc rctloir. 8 Oo ? I n/nt Slid Ah,-,nincnl p 4. Roadside rep,flr, Cor t;uveliii�, (\ut:rlc (If Of% of 1 ubhock euv liner,. c:O,t per nllc O ARCr h(ulr> See ire call. Pricc to he (m a Iel will I'M cent picle ca11 p� 1 PIPLIM11 131,E Ills 1 •f"�i iniii .:, I t l.•� 11,n I . rl I -)I I, 1.1$111 ,�(i pt'j rc{��it,{v i) ,�54� ALL t tt tlti(iI CO-O! oS 77 .71 oo'O I I chB�G I I `Id It os'� „�41 .\.11fI l,tl of A Idol 1/� �/ - -- �l 1d�It)1 ) \-1i3I :I?lu� sKl -S r� .l Id 111Hr t - ii� fi 1.11I1 9121U s,Z,Ls `,Wl tide C{z15 �'0 ( 9S lId Ili 111Ii L 191 4.5 C �11\,jlj oe 0r QS l� 00 /J 4�'b r 7 )1 V 71, -1 __tl Id 'if oA' \111I �• �/ 4s _ 1Id+i1 _ � 0 1 Q l Id III luau rls tl tir,tltt tt;ust 10 Ian )Y�Itli11 ill il) htt�ltts it �It il� 11,t tit) (13tI�:1.lS 1,AO.) ') Ilk 1/1%s AM-l- LNO) w iu t t ist , u++l itIL1 21:Li ' ) �1 N i 8 `AI )'vA I\ u 15O) `)I%l I-A-101\ '-4 A •pautaa.�e aq Ijlu saa!) pass ro slmllpi o\, •iluo saalt purit awry IT null I �_!1\ 1'il'Puc,� •paw-j c e a9 1pl % uoneljr)su! .roper )uamaarµ as lutu.tuu grist pair -posse slsw Isnoluppr. o� r�ulsp., a3ll aI<Ittsna.t jol a)eya.t algeall(t tt sup. pup. -ala -aa.l Itssut "j) •Icsot s!p �pni Sul II: ,, ,»I;d piq :'.nl .ta.l•. 'lIJ u,t{ay Nui In 11Wc, Ir'1 .111I .;ad zalni �ht =��.td 4�1N!I-?1'7'11�N.1.t c1.10M9 flls-lc- iO-Ll 211 s1al.\.11s .gvd1M 1.11.E 111:1 X 1. `` Joq(ln"1 jo Cal._) City of Lubbock Bid ITB 17-13351-SG E. MOUNTING COST F. BALANCING B. EST. C. PER TIRE (RILL INCLUDE COST COST ITEM A. TIRE SIZE I NIFG QT] COST D. (= B*C) OF VALVE STEMS IF (RILL rNCLUDECOST +� EXTENDED NEEDED) OF WHEEL WEIGHTS COST IF NEEDED) 14 ST205/75R14 HWY 6 I0 PLY �© E38 /lr-%0o r I0 Oa Tire Mfg . 1 l/ 15 ST205/75R15 HWY 10 PLY 8 �j, �� Ob 3%�Ob t rjb I R'l ov V/ Tire Mfg. Total Extended Cost for Group 4 Tires $ Ob ADDITIONAL COST PER TIRE 1. In shop -flat repair. Price to be on a Per tire basis and to include all ancillary costs associated with normal repair. ^ ( of , SO 2. Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs associated with "Road -150 side air". Li , 3. Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile 4. After hours Service call, Price to be on a per unit basis for complete call. / l 10 S: Purchase.'Bid Docs.!ITB 17-13351-SG Flat Tire Repair Services Initials . / 1, 5/9/2017 2:50 PM p. 76 City of Lubbock. Tr Flat -Dire Repair Seri ices ITR 17-13351-SG Bid Form j GROUP 5 NIONVER TURF TIRES Pro%i& a lake per un tot cash of the nclini `ntcd urc .i/C.• I III, liricc c, 111CaIliio nu tlt,,t uill i+c c'pectcd un the Imoicc, lhC "IlCr lire hid price dill includr disposal disposal roc etc. and am applicable rebate for reusable lire casing!. Ao additional costs associated ssith normal replacement antl'or installation trill lie aliprmed "r,ind'od \li'l L-:nutcd m,mt�. ANhm Rtli S,m Youthbead. "oti 1u:-I S.r•.cr I Ir'clread. tnd I d R,utec St,nul.md \ational'wme brand tire% Innh _ Nn retreads or used tires sill be accented. B.VS1. 1).l-14'C) L,MOtSTIV;COtipt��ut Qr1 (.Ill ItIHU I'-AIENDED u,IM%c i%t,it�t�tt P111 S.'IIRE SIZE NIU(It� (INr (ONI �tloenl .1 lu >i >a�ti �,iinit d QS% 4, _ t5 t10 b 1 utf S.t.cr llrc Ait: -tt , _. --_ _ a a500 10060 a 06 l�re\lt� d ?{� tti fttt ut'atlct 4 �j �✓ �p ��p Tire \lia /� lii ltii ti [stri S., cr 4iLOAT•� Q�DB'J lnc AIf_ t (, ? 13 (I i 9 hurt Sat'.er _' vo p'a l ire M IIL' of (l lit lurt ti.ttcr u 0`° Mt,-,0 feSt tj s rt crTotia. __ --- -- -7 oo Iire \tfc _ Apiiq I trc �i i` a 3700 �& In :4 i 21 0 - 12 1urt - - ''% gCoD ev Tire 11f — — _S,1'.c:I / 31(o.00 i I o 12t11t 1 turf Crti.iti a oD 17 i' 4 ��O 00 �` h �D i; --12 00 12 RI Tractor Tire tilt„ I i ; ,, l tt tt�, I , I nrt a�.r _ _- t � a lnc Attu MIA 14 \It1RI [It_1 R�lV _ 1? 99 �� �W6U Cfl I2�" Tire \li_ -- l t"ti t' furl s;t,rt 4 Q lire \if_= I t' 1 1 you 5 Turf Say cr 4 � (n oz) lotai Extended C tt t far Group ? hrc S ADDITION At, COST PER TIRE I in shoo -flat repair Price to he on .t i'ct' tiro h,,�t� and it mclude al .mL:iIhr} co;t> a>sticiatcd ss ith normal �OvQ repair Ro,id ;idc' 11at rcp.ur Prt x to he un ,t r'ct ilrc' h,i<l� alld Ill 16CIUdC ail an01'Ar" CU,f>.i??UCta[Cd %%Illf "tivad side rC mIT" `' Road;idc repairs liir �efucic, tr:nclmer uut.ulc �d ( )1•. i,1 Luhbo,: citti !Awt;_ col per fill IC 1 ARcr hour, Son ier call pricy to he on a per unu ha,,l, ttu comhletc call � 5 1'utai.t,� t3td 1_)", ' l i 15 1 .-1 '"k, I cat I it, kgl'm Citi of Lubbock, TX Mat Tire Repair Services ITB 17-13351-S(i Biel Farm _...__............. _..... .._._....._._..____.__.._... _. _....................... 7 t GROUP (, INDUSTRIAL TIRES 1c1- 1 I'TIr1 her tnc I,'[ h,t"i ur: E ht. pz1.0 1, die Jma: 11 t[ tliai ,4 it hr espGwtcd on thc ' pc, tie i71'1 pelt .� mil diSPONJI tikprrsal fee. Cl(_ attd am at)triicsble rehatc fOr rtOSAIe fire casiue, Na 2ddititmal rash assaciah•tl with tutrnwi rcylacetneut and'or instaltatiatl will he apltrnl ell ht.wdatd Mh-, I ww,'ti tti:Inant}, ami Load R,;t;-,c.ir Iuat:.Itcd National Same hr„nd tires club. No retreads, ur used tires Mill he accepted. 13. ESl'. +'. PER 1). (=B'CI E. NIM M IING f OSI im[I i QT1 l IRE. EYI ICNIA D ftc t I M „r,l or v SI 3 t west, It I I EtI VI 1RJ` 'stl.E, AII.G € 0141 C OSI set_ut n) ! _ I � :`__...E•—flee _ _.__ It�Of�hR l �ap ���j� tih •�,��p ntt 12 to il'C. _— — __,. .... 1 nnQ��� vl /'�✓�� Of Tire Miz U - - 145� 5�►�. T-ire 11=.a ltl Iti� LI , lttPlS ; ���1,� -7(•OD 6-0 tilta-- Iti l s PI 1 _ __. � 114 -- P)Pt e� Q3) 0a rI r �n qr i Pt 5 �t ���•� �� � � �Cfa l t,tal Ettcudeil Ui)>( titr Group tt Ti 00 j A DI HONAL COS�I PER TIRE I III shop -tl,yi ri:p.ur Price it, he ntl a Pcr tier h_r>;; Md It' irtriudc All atici1LIJ_r cr �t, ..110ciJt':d +a ith none?d re mr Ktlad IldC IIaI rc,+air Prig. Ro he ,sTl ,t I'rr ttr:• h'Nt> at it] to indU& all it11k:iAl colt* ,I.,t�ci3OOd a ith " Rtll / +,t1G rcmir (p Road;ulc ivpmr: ror s chick, online n, (_it,, of t uhhock rite limit. t.o't pc! Inilu m SVIII,lr-"Bid L)tlitti,.It.,tII1�Kq"m4'nne. lnlM City of Lubbock, T\ Flat Tire Repair Services 11-B 17-13351-SC Bid Form GROUP 7 CONSTRUCTION, EART11 MOVING TIRES � PioN idc I price p r tirc fl,r catch of 111c bch,v, liacd iirr Icc, I hi, rrlcc I, thr <unelunt that ss ill he cslx•rrct.l on [tic inwicc, Ihr -Im tire" bid f'l'lcc si ill ntcludc. disimal. disposal fee. etc. and ant applicable rebatc for reusable tire casing. No additional caasts associated With normal replacement and or installation Isill lie approsed `;tand,trd %lr; Limi ckl �1arrlm}- and t oad Ramzc a, Indicated National Name brand tires onk. No retreads or used tires ss ill lie accepted. IFEA1 VI -IRE 1%I7.E NiH. It. I `11 Q I N t . Pt k 11W1 (0"1 D. I B`C } f Iill \hF.0 ( 0111 F:. WA N I IM; C0':�7- IN%it t I\tsrtsi,rt sttnr(1) INN Crmtcictor 4 s e6.00 ? 34DOD 5.ov liicNII� re r IIL 1> Contractor 1i IZQo° 1 �lol oo D �5 rilz �1r_ r rri �25°° n a50•°O �250U Tirc�lf_ i S It C1,nfrachn 12500 3ooc) S. a° Irc %I I:: ej ux(A- I ; i Ill 14 (Trader R 5.o* CID ( 14 1It; � i (i±,tdet 0 �1 423°� Q �/� S 6D .0- '✓ Tire cif oo � ITT 506+06 Lire iti V ?,i 2� Io,itfif 1 fire Vt-, lii 2oi R_- L:,.Idcr Ir, 27 � ��t� �. I ircAlfe T II zz,:R,,, Cir.adcr 1ircVf, n l - L. ,.4 L(,adcr 4c oe I & oo °' 00 i C) 5- i 14 tllffLd l t,adcr 32 8v°' Ch p Tire Zlta I irc %i L-, R (il 1 _'t ;R 1 o,u.icr 1 °O 9GDO� 'p 0-0 fire tilt, local Cost tin' Cin,u + - f ire, \DDI 1 10% \1 C'0, 1 PER I IRF I Ill `.l Till -flat ru lair Fit(,_ to he 11 a flo firs; ha',I� ind I" tilll lkk till ani illm% :—IN a,—L t,vod lk ith nornmi it' ,,tu �S _' Road >id,, flat rr,atr I tie e I,, ha on a Prr tic ha;i, ;and to till ,Ido R.atdadr ream t, r t.h, :. tra clltra ,nn,1 ,,f (lt% „I I uhh.,ci. 01� lunit>. 11„1 IM 11111r y I D flirt h.1,c ti,d Do" f I It I-, I,, `I I I1,r ft:l+,w .—v,1%r< - .; Cite of Luhhock, TX Flat Tire Repair Seri ices ITB 17-13351-SG Bid Form GROUP S FARM IMPLEMENT -FIRES 111 ,',nic a 1)11, c 111:1 !irr 1'" ,I'll nl f;lc I'CII�'d 1111 ',I (ir ,li;' I ill• I'i1,l11 lhL' JI!I1'u;lt lll.l( i1.11 111� , Ain,,!11 IV 11W !•..'n, The 'pci trr, ' hi,{ pn,< •1111 !n, lu.i; i o\IPI,En iv,iallati,in This coilsooi of all mount halaIm _, thsposd. disnrrsal Fee, a heel rseisius• %A%c sleet, etc. and am aunlicatrle rehare fill reusahlr tiro casin-'. No additional costs associated girth norn i replacement tuubor installation rsill he annrosed. `it.uidaid \tip I Imit !d 4ian:uit'. :uni I R.ot "'.r, IIll 1!Latr.l "�aru,..il >:,, � hr. pit if r,... nl. A„ rrr r.�,ui.. •.i tirrti •.ill li,� nrnd II E\1 v IIRE. 1117_E .tit[[. 11, U.."T. (jll t . 11FR TIRE C0111 D j _ B,(i I\1T11DI D C )"T I . Mot N-1 IV; ! 01"T (sstt t mrul s sttt snst.n ♦trhtnl 1 14 1) _'-1 Sh1i!1kL:l b P1 304°6 Dp 0. � 3D • Oro I he \Ili IhO 2,4 1r.!c(ol ti Ill )1 " /� —1WGO —�VN 1&000o Coo Ti\11� ire 1. OIO( U l trc \11i i 1, = rz a I r. t, r�0Q0°0 Q4W. o0 -30060 p('7 Itr�A,l_ - I ti (j.: I loci ol l 1,(..1 Co 00 ✓[/. ° 5�0' Q CO l irc \E1'_ II -trill -i tt-(`1 _';I I'I l I n_,rl f \tCnded ( I,! I1,r (_irr,u;1 h T it CO ADDHIONA] CST PER HRY I In ;hop -fl,rt rchair Price to he on ;i Po !ire and u. urJudc ,ill anollan a,<t• ,:-nnii,uetl u:!h rnirmal rc air \ ��•� RU.Id z.idr 11m rep.ur Pi icc To he ,m a Per tine Ki,�, and to n duck all ;uicil(art c„<t� .t„i,ci,ttcii is all "R,ard ,Idc rc drr \q 7 sa 3 RiMLkicIC reI.url liir ssatiilL.. lrw.�:hmg cwi,idc ill'( uhhirc'k cits ,intit,. ,o„t per rtr;lr (� 4 Lu uid I'111CiI un k4Ct fi!r El.u' 09111 NIOWIti„� k I I a Ar7 1 Purlta,c b'd Do,, lilt I Ii-S(l i I.rk itt'i k.:}, n 5:i=lei, I luf City of Lubbock reserves the right to reject any or all bids, reject any particular item on a quote, and to waive immaterial formalities. 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. The City of Lubbock is seeking a contract for Flat Tire Repair 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 3 calendar days. 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, Vndity of 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 BYwi 1 hQpa5 i�t,j(G 'j'UJV 4''corporation organized under the laws of the State of or a partnership consisting of / ' or individual trading as of the City of 1 �y bbo C,C FirmAN', IItGlf>r1.s i3r"�1/�P +Tire, LLC Address:3 (1 - 1 6i*-4** 5+ City:_LA O Cie- State:�X zip-7C14t?) Bidder acknowledges receipt of the following addenda: Addenda No. Date��-e-_I'7 Addenda No. Date 5 -3- 1-1 Addenda No. Date S 'g-1'7 Addenda No. Date 14 S: Purchase/Bid Docs/ITB 17-13351-SG Flat Tire Repair Services M/WBE Firm: woman Black American Native American His anic American Asian Pacific Americi Other (Specify) Any entity or person that manufactures, distributes, converts new motor vehicles (or represents an entity that manufactures, distributes. or converts nevN motor vehicles) or is in the business of buying, exchanging, or selling new motor vehicles is required under the .fex. Occ. Code. Chapter 2301 to be licensed by Motor Vehicle Division of the Texas Department of Transportation. In order for a bid to be in compliance with the Motor Vehicle Commission Code, the bidder must hold and provide all applicable current \ alid licenses issued by the State of Texas: iA aln e 2. Name 3. Name Ge,Xral Distin:'uishi Ile Officer game and Title Plec v-_ I'#•int an Ne - must sign by hand Manufacture's License No. V er's License No. ntative's License No. se Dealer's License No. (Franchised TX dealer) Business Telephore Numb,:r 50& — -74-1— 211 3 FAX:to(p '3T7—oo�� E-mail -%ddieFs•_Wl I r _S ® T (,(�1(,Y% • Cyrn ~ FOR CITY USE ONLY Bid Ferm hvni Numb�yr's warded to Above Named Firm/Individual: Date of ? %i d by City Council (for bids over- S50,000): 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. 15 S: Purcha, 43d D /ITt? 17-I.'J51-SG Flat lire Repair Services City of Lubbock, TX Flat Tire Repair Services ITB 17-13351-SG Specifications SCOPE AND INTENT The City of Lubbock seeks bids for a one-year contract (with two (2) additional one-year extension options), to provide tire acquisition, installation and flat repair services for the City of Lubbock, servicing approximately 600 light duty vehicles and approximately 1,100 vehicles and pieces of equipment as listed in group 1-8 of the bid form to include heavy trucks, trailers, turf equipment, construction equipment and farm implement equipment. In order to assure adequate coverage for multiple locations throughout the City and our worksite locations outside of the Lubbock city limits, the City may select multiple vendors to provide the services desired, if multiple awards are determined to be in the best interest of the City. These worksite locations include, but are not limited to Muleshoe, Wilson and Lake Alan Henry. Cost and location will be used in making this determination. 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. Please initial the bottom of each page of the bid form in the place provided. A. LEVEL OF QUALITY Tires must be manufacturer's brand. Private or associated brands are not acceptable. B. FEDERAL SPECIFICATIONS For each applicable category, all tires shall meet the performance requirements for the Federal Specifications (F.S). C. WARRANTY Manufactures standard warranty shall apply. Bidder MUST enclose copy of tire warranty policy with the bid. D. DISPOSAL CHARGES Any charges for disposal of old tires must be included with the bid. E. MINIMUM QUANITIES The Contractor agrees that the City has made no representation, guaranty, or commitment that the City will purchase any minimum quantity of products under this Contract. The Contractor further agrees that any inventories, residual or otherwise, which the Contractor may establish or which may otherwise arise from the Contractor's performance under this Contract, shall be at the sole risk and responsibility of the Contractor. F. TIRE CASING Any credit for a reusable tire casing must be listed separately on the invoice. If there is no credit for a tire casing, the reason will be listed on the invoice. 36 S: Purchase/Bid Docs/ITB 17-13351-SG Flat Tire Repair Services 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: 2017-226746 Date Filed: 06/21/2017 Date Acknowledged: 06/23/2017 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Williams Brake, Tune & Tire 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. 13351 Flat Tire Repair Services 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 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.883 CERTIFICATE OF INTERESTED PARTIES FORM 1295 OFFICE USE ONLY %,-S, 1 2, 3 5 &-14 CERTIFICATION OF FILING Certificate Number: 1 Name of business entity tiling form, and the city, state and country of the business entity's place of business. 2317-226746 '.V : ams Erake, Tune & Tire L--tbo-,k, TX Ur-.Ied States Date Filed: 06Q" 417 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. C.,), cf Lubbock Date Acknovitedged: 3 Provide the identification number used by the governmentai entity or state agency to track or identify description of the services, goods, or other property to be provided under the contract. the contract, and provide a 13351 Fla. T re Repa,-, Ser;i�.es Nature of interest 4 Name of Interested Party City, State, Country (place of business) Icheck apphcaWe) Controlling —1---intermediary 5 Check only it there is NO Interested Party, 6 AFFIDAVIT fswe, ,oraffltm elially of perjury, that the auove 0�.idosule is twe ind co,zect, JAZMIN RICO ut, r. Teas nalut onzed agent of contractaig busi�iess en!,-j Cornm�kti Erpires 10-21-2017 F01' TARP STAMP I SEAL A-180!1E 5 orn 19,11d subscribed before me, by the said this the L day of i ILL, 20____i 1 to certify Miich, witness M hand and seal of nice. Signal: re of a Vcer admr iistering oath Ptinted name of officer adilliMstering oaih TiIle of 0 -ce, rk.i^�i,ttSten oath Forms provided by Texas Ethics Commission wvvvi.ethics,state.tx.us Version V1.0,883