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HomeMy WebLinkAboutResolution - 2017-R0242 - Mcwhorter's - 07/13/2017Resolution No.2017-R0242 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 McWhorter's Ltd., of Lubbock,Texas,for Flat Tire 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. Passed bytheCity Council on July 13.2017 . ATTEST: U&4X -d-o Refcecca Garza,City Secret APPROVED AS TO CONTHN'l Scott Snider,Assistant City Manager APPROVED AS TO FORM: (fjAMMy Kelli Leisure,Assistant City Attorney RES.Bid AwardContractl3497McWhorter'sLtd 06.22.17 DANIEL M.POPE,MAYOR Resolution No. 2017-RO242 Contract 13497 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 McWhorter's LTD., ("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. 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 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. 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 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. 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 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 R ® 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 131h 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. 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 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. CIT O�LUCII_ Daniel M. Pope, Mayor ATTEST: ReBec a Garza, City Secretar C?6n' TOR B�f ARepresenative Print Name Address Gu�ja ��77�i'fo APPROVED AS TO CONTENT: City, State, Zip Code Billy Taylor, Director of Fleet Services A. PROVED AS O FORM: dac' Ke li Leisure, Assistant City Attorney Revised City of Lubbock, TX Flat Tire Repair Services ITB 17-13351-SG Bid Form In compliance with the Invitation to Bid No. 17-13351-SG, 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. The Invitation to Bid No. 17-13351- SG is by reference incorporated in this contract. The Bid Form mast be completed in blue or black ink or by typewriter. GROUP 1 PASSENGER TIRES Provide a price per dre for each of the below listed tire sizes. This price is the amount that will be expected on the invoices. The "per tire' bid price will include: disposal disposal fee etc and any applicable rebate for reusable tire casine No additional costs associated with normal replacement and/or installation will be approved 60,000 mile Limited Warranty, All Season Tread (A'S), OR All Terrain Tread (A/T), Standard load Range, OEM Tires Only, National Name brand tires only. No retreads or used tires will be accepted, ITEM A. TIRE SIZE I DtFG 8. EST. QTV +t , C. PER TIRE COST D. I- 81C) EXTDIDED COST E. btOti\TING COST y F. BALANCING COST (WILL I.NCLLME COST OF WHEE1. WEIGIVIS IF NEEDED) I P]5518OR13 A/S 4 $ $ $ $ Tire Mfg. 2 P195/75RI4 A/S 5 Tire Mfg. 3 P205/751115 A'S 14 1�17Z S"C"' I � U Tire Mfg. i:,O l 4 P205/65RI5 AS 8 tP 524, Tire Mfgt or-O h 5 P205/70HR15 A/S S ced Rated 12 ` �— Tire Mfg. 6 P215/70HRI5 A/S Seed Rated 30 �— Tire Mfg. 7 P215/75R15 AIS 7 fl Tire Mfg. E 8 P215/65RI5 0 13 / —7 1-74 (� , r iv ci ^ R Tire Mfg 'Goy � 9 1`215/6011I6 S 6 / Tire M fg pV £,'i ► l0 P225/60R16 A/S PURSUIT TIRE 80 Z C I , Q t 0 t; O S /cc',C.' Tire MfgA(r0 fK I 1 P235t70R16 ASS Seed Rated 25 _ Tire Mfg. 12 P235.151116 Alf 4 Tire Mfg. 13 P235;751116 A/S 65 Tire Mfg c, 14 P255/701116 S 4 �7 q3�.C%�' Tire Mfg uv' 't S: PurchaceiBid Doc%4TB 17-1335I-SG Flat Tire Repair Services Initials �---� L ITEM A. TIRE SIZE / tIF(; B. EST. QTY 'f`- C.PER 71KE COST D. (— a-C) EXTENDED COST E. MOUNTING COST F. BALANCING COST (MILL INCLUDE COST OF WHEEL NEIGIFTS IF NEEDED) 15 P235/55R17 A/S PURSUIT TIRE Tire M fg.COO' s�/L 150 5 j �1 ZSd < O/ �$ t ' 16 P245/65R17 AIS 10 �- Tire Mfg.:i(VU /j- l7 P265/6OR17 A/S PURSUIT TIRE 500 C' _ Tire Mfg C7C.' 18 21 / �4Z �gt✓5�1 T65e,Mfgi7�✓�A/S 19 265/70R17 !T 28 PL ff Tire Mfg. cT-V 20 265;65R 17 AS 12 Tire Mfg <7,y 4y7 21 265/60R18 A1S 8 Z Tire Mfg 0 Er►I 22 215/651117 A/S 4 Tire Mfg 1Q-,f% 23 235/75R17 A! 24 (' �3q3� (� Tire Mf&� t fi 24 235/75 R 17 Wr 16 - � vI1500° Tire Mfg.CC+Zid "i 25 25.5/70R17 A/9 8 Tire Mfg. 26 265/701116 A! 24 Tire Mfg.(tc 1_0 fff 27 235/501118 A/ Pursuit 32 Tire Mfg aa) 28 215/70R16 A/S 12 Tire Mf :' pvl� 29 245/551118 AS Pursuit 32 " 2) � /� /� 'Tz�d l( Tire Mfin, 9i) TP Total Extended Cost for 15roup 1 Tires S 13 -7% `f -- 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 �� 2. Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs associated with "Road side repair". Z� 3. Front End Alignment t 1 Li'1 C = L,,q,c c' ro _,Q.�ed Oki 6 4. Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile 5. After hours Service call. Price to be on a per unit basis for complete call. S: Purchase/Bid t3ocs/ITB 17-13351-SG Flat lire Repair Services Initials 1 .u- SC:eV,,-L ;z' ReAsed City of Lubbock, TX Flat Tire Repair Services ITB 17-13351-SG Bid Form GROUP 2 LIGHT TRUCK TIRES Provide a price per tire for each of the below listed fire sizes. This price is the amount that will be expected on the invoices. The "per tire" bid price will include: disposal disposal fee etc and any anulicable rebate for reusable tire c2slog. No additional gostc as3ociated with normal replacement and/or Installation will be approved 50,000 mile Limited Warranty, All Season Tread, (HT), All Terrain Tread (A/T) or Aggressive Block Tread (MIT), With 3 Ply Side Wall Minimum. Load Range us Indicated, OEM Tires Only. National Name brand tires only. No retreads or used tires will be acce ted. ITEM A. TIRE SIZE 7 SIFG e. EST. Q n, +11 C. PER TIRE COST D. (-B-C) EXTENDED COST E. NIOUN'TING COST F. BALANCING COST (WILL MCLUDE COST OF WHEEL\!T'.IGHTS IF HEEDED) I LT235/$OR17 All" 16 S jt�c�l ( S 7 , 6 $ $ QCS U Tire Mf 6e01P TA?,I- 2 LT235/8OR17 Hrr 12 , 152-"0 15311�` 'v j TireMf ( 6,0— 3 LT2i5/75R15 APT 4 l sZ$7 q`i Tire Mfg. Ub�D 4 LT235/75R15 3 2� g7 3Sl G �C%6C' Tire Mf 5 LT235/75R15 Alf 16 M" 2 3.7114j 5b cj Tire Mf ,. 6 LT215/85R16 27 S� " 0�' Tire M ,,V 7 LT215/85R16 19 I I Z 1,3713" U �� S CCI G Tire Mf .( o s,;zn- 8 Ln25n5R16 WT 21 1),813 276333 �60 TireMf ' , gw 9 LT225/751116 25 j2�U I .01750 1-7 [) ��GC Tire Mf - Z- 10 LT235/70R16 kT 4 /O%9/ 413/ 6Y � () /G 00 Tire Mf ,' 11 LT235/85Ri6 /T 14 13t 5y I Z L, g,v —O 0 Gn Tire Mf .F� 12 LT235/851116 &r 22 !2 5,26 2 757 C 1 t; o O Ll Tire Mf k t 13 LT235/851116 gifr 20 l ,� `f 0 J Z��S��, 0 /�op Tire Mfg;Cof/ 4 14 LT245175R16 Aa 66 13�s 42- 9�s j'GC' /G Tire Mf jvol 9/0 15 L1-245/75.R16 Afr 117 a 77 e ��� �p C" /C 00 Tire 16 LT245/75Ri6 MIT 10 /L ib C� /�fQU Tire Mfg, 17 LT255170R16 d Tire M0 f 18 LT265n5R16 /T 6 / SO<� (jl' �� Tire S: PurchaselBid DocATB 17-13351-SG Flat Tire Repair Services Initials Ptnzt►-ic()vi y City of Lubbock Bid ITB 17-13351-SG ITEM A. TIRE SIZE / MFG B. EST. QTY +�- C. PER TIRE COST D. (— B`C) EXTENDED COST E. MOUNTING COST (WILL INCLUDE COST of v ) F. BALANCING COST (WILL rNr.LUDE COST OF WHEEL WEIGHTS IF NEEDED) 19 LT265175RI6 A/T 35 i3l gwE'v a Tire Mfg. 6 20 LT245/701117 AT 33 I r 7 - _ 2� 5�5� Soo Tire Mf . ' " ? 21 LT245/70R17 20 ) 2! 13?Z %i �� ` a Tine Mfg('ive),O.£ 22 L7275/651118 A/T 4 V/9�7 V 77 _> TireMf •'vc:,0 f 23 LT265/70R17 HIT 24 Tire M 24 30 r�Sl 7JSS3 , l oo v Tire g-66-110� 25 LT275/70R18 & 13 / _ l 7S S 2-2SO Tire Mfg avU' -W 26 LT265/65R18 kT 4 S,- _ c 0 Tire Mfg. 27 LT225/75R15 A/T 4 �(J� 3�� 5 /� cJ Tire Mfg U- 28 LT245/75R17 Atr 24 / 2 _ J Tire Mfgi 4 29 LT245/75R17 AIT 40 �u Tire Mf U�% 30 LT245/75R17 32 /C% 3l L217 Tire Mf Total Extended Cost for 4broup 2 Tires S q$ J S3 79 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 tire basis and to include all ancillary costs associated with "Road side repair". �y 3. Front End Alignment OZF 71MUC - 7V pvt i% V 4. Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile 5. After hours Service call. Price to be on a per unit basis for complete call. 75— 6)0 "k-55,041E AfT=r-1'G-4miry?5- In qy /i?, re cArns. S: Purchase/Bid Docs/ITB 17-13351-SG Flat Tile Repair Services "m e-fl-tc " I Y V,," hC (7v\ J / Initial 5/5/2017 1:34 PM p. 72 City of Lubbock Bid ITB 17-i3351-SG Revised City of Lubbock, TX Flat Tire Repair Services ITB 17-13351-SG Bid Form GROUP 3 HEAVY TRUCK TIRES Provide a price per tire for each of the below listed tiro sizes. This price is the amount that will be expected on the invoices. The "per tire" bid price will include., disposal. disposal fee. etc. and anv applicable rebate for reusable tine casing. No additional costs associated uritb normal replacement and/or installation wM be approved. .Standard Mg. Limited Warranty, Tubeless, Commercial Steer Tire (HWY), Commercial Deep Drive Tires (M/S); I Load Ranee as Indicated, Firetruck Rated, 0EM Tires Only. 4 National Name brand tires only. No retreads or used tires will be acre )ted. B. EST, C. PER D. (-B-C) E. MoU\TtNC cos-r F. BALANCIING CUSP ITEM A. TIRESI7-E11IFC QTV TIRE EX'TEN'oE (%7LLMC'LUDBCOST (R'rLLL\CLUDECOSTAF +r- cos•r rs cosT O VALVE SMMSIF WiiM %McFIT5IE NEEDED) I 215/75R17,5 Hrr 16 PLY 32 S S 5 S Tire mf � i'6a� �19in ZZZS° ? 2Cc,� �s�J DOC, 2 225nOR19.5 Hrl 12 PLY 20 ZI25L `faSp�O SG lb�� Tire Mfg. auMLds° 225170RI9.5 AT 12 PLY 39 3 c 7,,Z- 1060 Tire Mfg ix AA'10 4 10,00M HWY 14 PLY 4 Z.�ZS� ((O?U'6 2-0elz) ' 0 � Tire Mf�,? �� ,'i2 X 5 1 a.aa,�2o 0020 M/S i 4 PLY 4 L Z� 7 7� �� z Tire it. -E -.Iy fib 6 24R2I Specialized Fire Track 2 Tire Mfg. Micbelin Tire or Tier] 7 I0.00R22.5 H'Wl' 16 PLY 4 Z��SL) _ Qa ���j� �C'r,t ZOo Tire Mfg. (.t Al4C f' 3 10.00R22.5 MIS 16 PLY 3 So S�Z Tire Mfg. c 0'0 E� -16 9 1 LOOR22.5 H PLY 77 Tire Mfg. Vu4jevlo )-$1 � ZZ137S 10 1 LOOR22.5 M/S 16 PLY 320 1 1ZSv Oj,cil 00 o t i Tf . vdeirei�Idwi 1 - l /0,o, z�� z� 11 I1.O0R?2.7 Firetruck 16 PLY 40 33Zs 0 �,; (33� `� J 2 0 Tire Mfg. G1 C3 L? '��jZ 11.00R225 W5 16 PLY 48 12 �3� 5?! % �C, C' v T'ire Mfg. Gqadyear Durs Seal Onl � 4 ' 13 12.00R22.5 HV 16 PLY 37 z J57 �1-0 ��z St �(7G 0Tire © o 1MLg. A1Gc?p 14 12.00 0?.5 ,PSIS 16 PLY SO Tire Mfs. -,o o" A, , iw, S: PurehasefBid DocsilTB 17-15351-SG Flat Tire Repair Services Initial 5/5/2017 1:34 PM p. 73 ITEM A. TIRE SIZE / NIFG B. EST. QTY +4 C. PER TIRE COST D. (- B-C) UTENDE D COST E. MOUNTING COST (WILL IINCLLME COST OF VALVE STEMS OF NEEDED) F. BALANCING COST (WILL INCLUDE COST OF WHEEL WEIGHTS IF NEEDED) 15 255/701122.5 HWY 16 PLY 4 Z6�2( Tire Mf . Dv- k L,t' 16 315/801122.5 HWY 18 PLY 76 I^o.7SV l7G'" C t_ p l 4� �C1 Tire Mfg. 6�0- t) E 17 315/801122.5 M/S 20 PLY 62 �b7� ��Zl✓S` 50 TireMfg. �CC� 3>7 Ate' 18 315/801122.5 Firetruck 20 PLY 28 /� 432 2 Tire Mfg. �uv C,C /h'z- 19 315/801122.5 M/S • 20 PLY 12 / Q(�� D Z� 30 Tire Mfg. Goodyear Dura Seal Only 20 385/65R22.5 HWY 18 PLY 16 4s7�° 73zc�`` , 30 TireMfg. Jut hL45 21 425/651122.5 HWY 20 PLY 36 1 I / gZ76 G o � c o jU Tire Mfg. 0l l HL0 f 2` 11.00RW 24.5 HWY 16 PLY 18 317' _ 57r5`` Zoe �� "` Tire Mt' . bk vlcv f 23 295/75R22.5 HWY 16 PLY 32 TireMf . LTD C.-/t�'� 24 245/70RI9.5 A/T 28 L73% I's 2{2c Tirebtf . LtnL�' 5 245/70RI9.5 HIT 36 ZZ /�' �, � / d l � Ze>� Tire Mf . Pu Awf 26 295/75R22.5 A/T 16 Tire Mf . Q Au,,P 27 )95'75R22.5 HIT 24 �y Z�Gli`C cI c��c Tire Mfg. ,DLtn 28 235/75Ri 7.5 Alf 32� _ TireMf . dad 2q 235,75R17.5 H/T 8 -7�v / �`fCn f �� �� _ GCS ©�> Tire Mfg. Total Extended Cost for Group 3 Tires S 3 $ (2-7- cra 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. I--A-f REPA lit SOW- AS MC'MCV&l n 6 COST Yi ) 2. Roadside flat repair. Pri a to be on a Per tire basis and to include all ancillary costs associated with "Road side air". I sCO 5704 •C t �.�i�0✓� � 3. Front End Alignment f jS4�/V - " . �j & -f- 110 =,5-0 4. Roadside repairs for vehicles travel ing outside of City of Lubbock cit y I units, cost per n i e . Z� 5. After hours Service call. Price to be on a per unit basis for complete call. C At4- -1 pi tvS Fl-AT ge Al rZ S; Purchase/Bid DocsrlTB 17-13351-SG Flat Tire Repair Services Initi Revised City of Lubbock, TX Flat Tire Repair Services ITB 17-13351-SG Bid Form GROUP 4 TRAILER TIRES Provide a price per tire for each of the below listed tire sizes. This price is the amount that will he expected on the invoices. The "per tire" bid price will include: disposal, disposal fee, etc, and any applicable rebate for reusable tire casing. No additional costs associated with normal replacement and/or Installation will be approved Standard Mfg. Limited Warranty, Steel Tire Rib Tread Design, Load Range as Indicated. National Name brand tires only. No retreads or used tires will be accepted. E. F. B. EST. D. (= B-C) DIOUN-17ING COST BALANCING ITEM A. TIRE SIZE/ AIFG QTY C. PER TIRE EXTENDED (ssetttKtr[fie cosy' COST +/ COST COST Xw—% :¢saEMM {wua-INCLUDEcosr _ NEMEW OF K'nEEL M EIGHTS U NEEDED) 7.00 - 15 LT HWY S $ i 10 PLY 8 Tire Mf g. 2 7.50-15LT HWY 2 10 PLY TireMfg. 5 .7t 3 ST225/75R15 HWY 4 10 PLY Tire Mf . 6c, c.) aR7t 4 7.00 — 16LT HWY 4 10 PLY Tire Mfg. 5 7.50 — 16 LT HWY 19 10 PLY Tire Mfg. 6 ST215/75 R 14 HWY 4 10 PLY :� �" 5' ��C• �/ v c c' O �, Tire Mf . ,ui(f/IyG- 7 ST23518OR16 HWY 12 10 PLY ?.�;' �� S J AD Tire Mfg. „�� I 8 4.80-8 HWY 4 10 PLY Tire Mfg. ST185/70R13 HWY 6 10 PLY Tire Mfg. 10 480-12 HWY 10 PLY.��� 8 ��c� �. l� C' =' Tire Mfg. ST225/901116 HWY 11 10 PLY 4 TireMf . l ST2HWY 8 10 PLY35/75R17.5 G�� , f —7i�/ /t7 o) Tire Mf . 7l G�>!Wc 13 ST205/90DISE HY 10 PLY 4 C� 1 Tire Mfg. �?�r S: PurctasciBid DoesT 13 17-13351-SG Flat Tire Repair Smicts Initials -pLyLN,`y 6,-X-yCrL. 14 ` E. MOUNTING COST F. BALANCING B. EST. (RILL INCLUDE COST COST ITEM A. TIRE SIZE I MFG QTY C.PER TIRE COST D. (= B-C) OF VALVE STET IS IF (RILL INCLUDE COST +�- EXTENDED NEEDED) OF WHEEL WEIGHTS COST IF NEEDED) 14 ST205/75R14 HWY 6 10 PLY Tire Mf . ST205/75R15 HWY 15 8 10 PLY Tire Mfg. (1,5�-,7) g&z Total Extended Cost for Grobn 4 Tires $ l ADDITIONAL COST PER TYRE 1. In shop -flat repair. Price to be on a Per tire basis and to include all ancillary costs associated with normal LJ repair. 2. Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs associated with "Road side air". 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. 10 S: Purchase/Bid Docs/ITB 17-13351-SG Flat Tire Repair Services Initials i� r� Re-0sed City of Lubbock, TX Fiat Tire Repair Services ITB 17-13351-SG Bid Form GROUP 5 MOWER TURF TIRES Provide a price per tire for each of the below listed tire sizes. This price is the amount that will be expected on the invoices. The "per tire" bid price will include: disposal, disposal fee, etc. and any applicable rebate for reusable lire casine. No additional costs associated with normal replacement and/or installation will be approved. Standard Mfg. Limited Warranty, Nylon Rib Saw Tooth Tread. Soft Turf Saver Tire Tread, and Load Range Standard. National Name brand tires only. No retreads or used tires will be aece ted. ITEM A. TIRE SIZE/ MFG B. EST. QTY +V C. PER TIRE COST D. (-B-C) EXTENDED COST E. MOUNTING COST (WILL rF- NEEDED) 1 4.10 / 3.50 - 4 Saw Tooth 4 $ (0 ? $ 5_p 6� Tirc Mf y. 7Uv1 2 45 - 6.00 - 6 Turf Saver 4 �- Tire Mfg. 3 5.70 - 8 Saw Tooth 4 -• C J Tire Mfl. 4 20 - 10,00 - 8 Turf Saver 4 z, -- TireMf . 12 ff5tzr1g 5 22.5 - 10.00 - 8 Turf Saver 2 fS,�> / �:, v C) TireMf . 6 25 -13.00 - 9 Turf Saver 2 Tire Mf . 7 6.50 - 10 Turf Saver 4 Tire Mfg. 8 23 - 8.50 - 12 Turf Saver 4 -L. Tire Mfg. 9 23 - 10.50 - 12 Turf Saver 3'� J� 1 �( S� Tire Mfq. STrri � 10 24 - 12.00 - 12 Turf Saver 4 C C c, TireMf . l_ n� 1 26 - 12.00 - 12 Turf Saver 4 ? w ., , ` 0 Tire Mfg. Srmx,E 12 25 -12.00 - 12 R1 Tractor 4 �. Tire -Mfg. 13 25- 10.00 -12 Turf Saver 4 Tire Mfg. 14 25XIOR12 8 PLY RTV 12 Tire Mfe. 15 13,1650 - 6 Turf Saver 4 Tire Mf . P STImL. 16 I 1 /400 - 5 Turf Saver 4 /7SO Tire Mfg. >Lhf Total Extended Cost for Grc 5 Tire 5 _j o 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 nomial repair. Z / 2 2. Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs associated with "Road side repair". E> Z � 3. Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile '• i 7 4. After hours Smice call. Price to be on a per unit basis for complete call. S-,_,<-, 11 S; Purcbasa Bid WcsiCIB 17-13351-SG Flat 7 ire Repair Sctvices Initials�i Revised City of Lubbock, TX Flat Tire Repair Services ITB 17-13351-SG Bid Form GROUP 6 INDUSTRIAL TIRES Provide a price per tire for each of the below listed tin: sizes. This price is the amount that will be expected on the invoices. The "per tire" bid price will include, disposal, disposal fee, etc. and any applicable rebate for reusable tire casing No additional costs associated with normal replacement and/or Installation will be approved. Standard Mfg. Limited Warranty. and load Range as indicated. National Name brand tires only. No retreads or used tires wilt be accepted. ITEM A. TIRE SIZE/ MFG B. EST. QTV +t- C. PER TIRE COST D. (-B*C) EXTENDED COST E. MOUNTING COST (unt, [INCLUDE COSTaF VALVE SMIS IF SEWED) 1 31/15.5 - 15 Lug 10 PLY 4 Z $ 5v � d �' O Tire Mf . [.-T 2 7.00/12 Lug 14 PLY 4 Tire Mfg. 5 6? 3 12/16.5 HWY 12PLY 4 Tire Mfg. f5V;7f- 4 10/16.5 LUG 10 PLY 4 '/ 1'�7�c) �j�'G6'`2 j�pG Tire Mf . ff5Tdn� 5 f 0.00/ 16.5 L-2 8 PLY 4 Tire Mf . 6 28-9-15 10 PLY 4 Tire 7 650-10 lop 4 Tire Mfg. Total Extended Cost for Group 6 Tires 5 OJ J v ADDITIONAL COST PER TIRE 1. In shop -fl t rtpair. Price to be on a Per tine basis and to include all ancill costs associated with normal repair. ev . /-Z /Z-5b —r / D 2. Roadside flat repair. Price to be on a Per tire basis an to include all ancillary costs associated with "Road Sider air . �tc:� . /2✓ Lg�Lt. f 4- k 5 S�Z.�� ID / , - L.3. Roadside repairs for -vehicles traveling outside of City of Lubbock city limits, cast per mile Z� 12 S: Purclwsei8id Docs lT8 17-13351-SG Fiat Tire Repair Services Initials �_ Revised City of Lubbock, TX Flat Tire Repair Services ITB 17-13351-SG Bid Form GROUP 7 CONSTRUCTION, EARTH MOVING TIRES Provide a price per tire for each of the below listed tire sizes. This price is the amount that will be expected on the invoices. The "per tire' bid price will include,_ disposal, disposal fee, etc. and anv applicable rebate for reusable tire casino No additional costs associated with normal replacement and/or installation will be approved. Standard Mfg. Limited Warranty, and Load Range as Indicated. National Name brand tires only. No retreads or used tires will be accepted. ITEM A.TIRE SIZE/ NtFG B. EST. QTY +t C. PER TIRE COST D. ( -B"C) EXTENDED COST E. MOUNTING COST (WILL INCLI-VE COST OF VALVE STEMS IF NEEDED) ! 9.51--ISSL Contractor 4 $ S S Tire Mfg. 2 1 1 L- 15 Contractor 9 -rt /Jb'` � Tire Mfg. --/-7 3 9.50 - 1&5 Contractor 2 Tire Mfg. 4 1 I L - 16 Contractor 24 / Tire Mfg. 5 13.00 / 24 Grader G-2 9 Tire Mfg. 6 14.00 / 24 Grader G-2 20 57-5� , S-Ud L�� Tire Mfg, 1/! " Cs�iL' 1lW`z 7 t 7.5 / 25 Loader 8 c` > Tire Mfg. 8 20.5 / 25 Loader 6 v Tire Mfg. 6 u-oO 9 23.5 / 25 Loader 4 Z U4 Tire Mfg.J- 10 20.5R25 1-adcr 16 ( QS 1f00 �r Tire Mfg. C% i% It %lam I 33.25R29 Grader 4 �� d( v/3 �G 6`... C,c> Tire Mf . L/ r! L 12 17.5L-24 Loader 4 4- Tire Mfg. 1;4W 13 14.001124 Loader 8��dr /GJ `T ��C) Tire Mfg. ;) 14 29.51125 Lo der 5 _ G ��Z�C �C l Tire Mfg. �. -�� 15 23.5R25 Loa er 6 ( i OL J (^� 00 �C%�- Tire Mfg. Z, Total Extended Cost for Grou 7 Tires ADDITIONAL COST PER TIRE I. In shop -flat rcpair. Price to be on a Per tire basis and to include all ancillary costs associated with nomiat repair. S ), t rt , 2. Road side flat repair. Price to be on a Per tire basis and to include all ancillary costs associated with "Road side air'. $17 3. Roadside repairs for vehicles traveling outside ofCity of Lubbock city limits, cost per mile $01 13 S: PurehasciBid D s lI B 17-13351-SG Flat Tirc Repair Services Initials �J Revised City of Lubbock, TX Flat Tire Repair Services ITB 17-13351-SG Bid Form GROUP 8 FARM IMPLEMENT TIRES Provide a price per tire for each of the below listed tire sizes. This price is the amount that will be expected on the invoices, The "per tire" bid price will include COMPLETE installation. This consists of all mounting, balancing, disposal, disposal fee, wheel weights, valve stem etc and env applicable rebate for reusable tire casine No additional costs associated with normal replacement and/or installation will be approved. Standard Mfg. Limited Warranty, and Load Range as Indicated. National Name brand tires only. No retreads or used tires will be acce ted. ITEM A. TIRE SIZE) MFG B. EST. QTY +1- C. PER TIRE COST D. ( -B'C) EXTENDED COST E. MOUNTING COST (WILL INCLUM COST OF VALVE STENIS IF NEEDED) 1 14.9 / 24 Sprinkler 6 PLY 24 $ `� $ C e,? Tire Mfg. 2 16.9 / 24 Tractor 8 PLY b , Cal` y) Sc J Tire Mfg. 3 17.5 i 24 Tractor 8 PLY 3 pL � ( Tire Mfg. 1�—r�V 4 18.4 iR26 Tractor 8 PLY 4 �t Tire Mfg. 5 16.9 / 28 TractorI 10 PLY 3 r JZZt %��✓ r (7 J G, �� Tire Mfg. V -fll7� 6 11.2 i 38 Tractor 4 PLY 4 (` o L�7 J �J(�� J Tire Mfg. Z4 e � 7 18AR38 Tractor PLY 4 Tire Mfg. 8 H40X14.0-19 20 PLY 8 �Z Tire Mfg. / -,e Total Extended Cost for Group 8 Tires $ EGG Ot> 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 tire basis and to include all ancillary costs associated with "Road r side re air". �i✓ SZYU( F /JICLG<tf ,%t ze- $ _ 3. Roadside repairs for vehicles traveling outside of City of Lubbock city limits, cost per mile $ ', 2 4. Liquid Filled or Wei Tire— Flats, and Mounties $ Z c 14 S: Purchase%Bid Vocs'tTB 17-13351-SU Flat Tire Repair Services Initials i City of Lubbock Bid ITB 17-13351-SG 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 _9%, net 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 productsiservices 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. TNTERLOCAL 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 your (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 Wplfforth. YES V,_ 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 ,, mat%G'terialls/serice as needed. THIS BID IS SUBMITTED BY ► (+ tk1 119 `7 6 L.TJa corporation organized under the laws of the State of kY A 5 , or a partnership consisting of _ or individual trading as _ of the City ofC.Il— Firm:�PL- J.O h o r .e r (s L +-� Address_ /oy i^�X fi V City: L-ut e6(d It State: Bidder acknowledges receipt of the following addenda: Addenda No. Date 517117 Addenda No. 2 Date 3 I Addenda No. Date f�i5 r 7 Addenda No. Date 15 S: PurctlasnBid Doc&!rrB 17-13351-SG Flat Tire Repair Services x Zip 77 -/ro i 5/5/2017 1:34 PM p. 81 City of Lubbock Bid ITB 17-13351-SG M/WBE Firm: 1 1 Woman I j Black American I Native American u Hispanic American I I Asian Pacific Americ I Other (Snecifv) Any entity or person that manufactures, distributes, converts new motor vehicles (or represents an entity that manufactures, distributes, or converts new motor vehicles) or is in the business of buying, exchanging, or selling new motor vehicles is required under the Tex. 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 valid licenses issued by the Stat fTexas: 1. Name and Manufacture's License No. 2. Name and Converter's License No. 3. Name and Representative's License No. 4. Name and Franchise Dealer's License No. General Distinguishing No. (Franchised TX dealer) By .4u Officer Name Please Print , 4_ Date: S ^ % �` - i -7 e ative - must si by hand Title: Business Telephone Number �L�( L ' �� ✓`�r FAX U�b ` 7 %�' %�� E-mail Address: ;'' en f & iftc t-f � O e 4 nes �t G� C tTIT.t FOR CITY USE ONLY Bid Form Item Number(s) Awarded to Above Named Firm/Individual: Date of Award by City Council (for bids over $50,000): 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. W. S: PurchasefBid Docs/M B 17-13351-SG Flat Tire RLpair Services 5/5/20171:34 PM p. 82 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 07112/2017 15:24 McWhorters Downtown TAX)806 7716751 P.0011001 CERTIFICATE OF INTERESTED PARTIES FORM 1.295 1of1 Complete Nos. 1. 4 and 6 if there are Interested parties, OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1. Name of business entity filing form, and the city, state and country of the business entity's place of business. 2017-235803 mcwhoerter's Ltd Lubbock, TX United States Date Filed: 07/12/2017 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. City of Lubbock Tx Date Acknowledged- 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a eescription of the services, goods, or other property to be provided under the contract. Contract 13497 Flat Tire Repair Services 4 Name of Interested Party City, State, country (place of business) Nature of interest (check applicable) Controlling intermediary Riebel, Jim Lubbock, TX United States X 5 check only if there is NO Interested Party. IJ 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. 4 ! li� MELISSA TOBIAS '_ Notary Public, Stote of Texas0' Comm. Expires 01-26.2020"gyp' Notary ID 1106581.1 Si nature of authoriz agent of contracting business entity Eno AFFIX NOTARY STAMP / SEAL ABOVE SNom to and subscribed before me, by the said V - this the / 74k day of ; 20Q, to certify which, witness my hand and seal of office- Signatu of officer administering oath Printed name of officer administering oath Title of officer adyinistering oath Forms provided by Texas Ethics Commission www.etnlcs.state.oc.us version vi.u.rsess CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2017-235803 Date Filed: 07/12/2017 Date Acknowledged: 07/12/2017 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. McWhoerter's Ltd 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 Tx 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. Contract 13497 Flat Tire Repair Services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary Riebel, Jim Lubbock, TX United States X 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.ethics.state.tx.us Version V1.U.bbJ