6925 - Construction of Carl Young Sr Park Restroom 2 jw, 0.Main Solic
/
Materials Management Department
901-B Texas Street
Denton, Texas 76209
INVITATION FOR BIDS
IFB 6925
CONSTRUCTION OF CARL YOUNG SR PARK RESTROOM
FOR THE CITY OF DENTON
Issue Date: October 31, 2018
Response due Date and Time (Central Time):
Tuesday, December 4, 2018, 11:00 A.M.
Table of Contents
1. INTRODUCTION 3
2. PROJECT DESCRIPTION 3
3. MINIMUM QUALIFICATIONS 3
4. SCHEDULE OF EVENTS 4
5. PRE-SUBMITTAL CONFERENCE AND WALKTHROUGH 4
6. CONTRACT TERM 5
7. PRICING 5
8. PRICE ADJUSTMENTS 5
9. QUANTITIES 5
10. ADDENDA 6
11. BUSINESS OVERVIEW 6
12. EXCEPTIONS 6
13. SAFETY RECORD 6
14. DISCLOSURES 6
15. ACKNOWLEDGEMENT 6
16. EQUIPMENT SCHEDULE 7
17. SUBMITTAL INSTRUCTIONS 7
a. Submission Format 7
b. Electronic Submission Requirements 8
18. EVALUATION PROCEDURES 8
19. CONTACT BETWEEN RESPONDENT AND THE CITY 9
SOLICITATION CHECKLIST 10
ATTACHMENT A-BUSINESS OVERVIEW QUESTIONNAIRE AND FORMS 11
ATTACHMENT B-SUBMISSION EXCEPTIONS 14
ATTACHMENT C-SAFETY RECORD QUESTIONNAIRE 15
ATTACHMENT D-REFERENCES 17
ATTACHMENT E-CONFLICT OF INTEREST QUESTIONNAIRE 21
ATTACHMENT F-ACKNOWLEDGEMENT 22
Exhibit 1 Pricing Sheet
Exhibit 2 General Provisions, Standard Terms and Conditions and Appendices
Exhibit 3 Scope of Work or Technical Specifications
Exhibit 4 Federal Grant Requirements
INTRODUCTION
In accordance with the provisions of Texas Local Government Code, Chapter 252 and 271 or the Government Code 2269, The City of Denton (the City) is requesting submissions to contract
with an individual or business with considerable experience in providing services of this solicitation. The responses and the cost solutions shall be submitted to the City of Denton
in a sealed submission.
The awarded individual or business shall possess a proven track record of using innovative approaches to providing goods and services that represent the best value to their clients.
The awarded individual or business shall have the ability to accomplish all aspects of the requested services. The selected individual or firm should be able to provide innovative
methods to deal with municipal challenges, and cost effective solutions.
PROJECT DESCRIPTION
The City is seeking a contract for the Carl Young Sr. Park Restroom Construction.
The construction services shall be accomplished per all exhibits identified in the table of contents.
MINIMUM QUALIFICATIONS
The following minimum requirements must be demonstrated in order for the submission to be considered responsive to the City of Denton. Any submission received, which is determined to
not meet these mandatory requirements shall be immediately disqualified and rejected as non-responsive.
Three (3) years experience providing similar services.
Three (3) references from governmental entities for the services requested. The City prefers references from municipalities of similar size.
The responding individual or business must be registered in the State of Texas, or the County of Denton, to provide the products or services required in this solicitation, and the individual
or business must have all licensure required by the State to provide any services required under this contact.
To learn how to obtain information about filing with the State of Texas, or obtaining copies or certificates from the Secretary of State visit Webpage: http://www.sos.state.tx.us/corp/copies.shtml
; Phone 512-463-5578; or email corpcert@sos.state.tx.us.
To be considered, contractor must include an acceptable bid bond, cashier’s check, or certified check in an amount not less than 5% of the total submission or $15,000, whichever is less.
All submissions received without the above will be rejected and considered non-responsive. ONLY HARD COPY BONDS WILL BE ACCEPTED AND MUST BE PROVIDED TO THE CITY BEFORE THE DUE DATE
AND TIME ON THE COVER SHEET.
Submittal documents including a cover sheet, Solicitation Checklist, Attachments A -F and Exhibit 1, per the method described in SUBMITTAL INSTRUCTIONS.
SCHEDULE OF EVENTS
The City of Denton reserves the right to change the dates indicated below:
Solicitation Schedule:
Pre-submittal conference 11/12/2018 at 10:00 AM CST
Deadline for Submission of Questions: 11/26/2018 at 11:00 AM CST
Deadline for Submission of Response: 12/04/2018 at 11:00 AM CST
The City of Denton is using the solicitation ‘Issue Date’ as noted in the Schedule of Events above as the official 30 day notification requirement for an interview with a firm.
PRE-SUBMITTAL CONFERENCE AND WALKTHROUGH
A non-mandatory, pre-solicitation conference will be available to interested contractors. Attendance at the pre-solicitation conference is strongly encouraged prior to submission of
a response. The conference will be held on Monday, November 12, 2018 at 10:00 am in the Purchasing Conference Room, 901B Texas Street, Denton, Texas 76209.
Internet link to meeting location:
http://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=901b+Texas+Street,+Denton,+TX&aq=&sll=37.0625,- 95.677068&sspn=45.332616,107.929687&ie=UTF8&hq=&hnear=901+Texas+St,+Denton,+Texas+76209&z=1
6
CONTRACT TERM
It is the intention of the City of Denton to award a contract for construction of the project as described in the drawings and specifications. Materials and services undertaken pursuant
to this solicitation will be required to commence within fourteen (14) days of delivery of a Notice to Proceed.
The Contract shall commence upon the issuance of a Notice to Proceed by the City of Denton and shall automatically expire upon completion of the work and acceptance by the City of Denton.
PRICING
Only firm pricing with no escalation will be accepted for this project. Unit Pricing in Exhibit 1 shall include all fees and costs to provide the goods and services to the City.
PRICE ADJUSTMENTS
Price adjustments will not be allowed for this project unless a change in scope is approved that increases or decreases the amount of work required.
Requests for changes in scope must be submitted in writing with documentation that provides justification for the change and supporting evidence that describes the basis for the cost
change.
Upon receipt of such request, the City of Denton reserves the right to either: accept the proposed change as competitive with the original agreed upon proposed unit pricing at the time
and issue appropriate authorizations or reject the increases after receipt of a properly submitted request. No work shall be undertaken on a proposed change until authorized by the
City of Denton in the form of a Purchase Order change and/or other documentation appropriate to amending the contract.
The request can be sent by e-mail to: purchasing@cityofdenton.com noting the solicitation number.
The City of Denton reserves the right to accept, reject, or negotiate the proposed price changes.
QUANTITIES
The quantities indicated on the drawings, technical specifications, and pricing exhibit are believed to be accurate but shall be considered only as estimates. The project requires complete
and functional construction in accordance with the Technical Specifications in Exhibit 3 and the plans in Exhibit 4. Differences between the quantities of material required and the
estimated quantities will not be considered as basis for a change in the unit price for the project. In submitting a response, the respondent is stating that he has reviewed the project
drawings and specifications and understands their intent and has checked the quantities and dimension and is asserting that the submissions is intended to account for all conditions
and quantities to complete the project as described in the plans and specification.
LIQUIDATED DAMAGES
The time of the completion of construction of the project is of the essence of the contract. Should the Contractor neglect, refuse or fail to complete the construction within the time
agreed upon, after giving effect to extensions of time, if any, herein provided, then, in that event and in view of the difficulty of estimating with exactness damages caused by such
delay, the City shall have the right to deduct from and retain out of such money which may be then due or which may become due and payable to the Contractor the sum of FIVE HUNDRED
DOLLARS ($500.00) per day for each and every day, including weekends, that such construction is delayed on its completion beyond the specified time, as liquidated
damages and not as a penalty; if the amount due and to become due from the City to the Contractor is insufficient to pay in full any such liquidated damages, the Contractor shall pay
to the City the amount necessary to effect such payment in full: Provided, however, that the City shall promptly notify the Contractor in writing of the manner in which the amount
retained, deducted or claimed as liquidated damages was computed. Liquidated Damages are further discussed in Exhibit B, Section 33 B of the General Provisions, Terms and Conditions.
ADDENDA
Respondents are required to acknowledge addenda with their submission. Respondents will be responsible for monitoring the City of Denton Purchasing website at www.dentonpurchasing.com
to ensure they have downloaded and signed all addenda required for submission with their submission. Respondents should acknowledge each individual addendum on Attachment F.
BUSINESS OVERVIEW
Respondent shall complete the Business Overview Questionnaire, Project Information Form & Schedule Compliance Form as applicable per Attachment A.
EXCEPTIONS
The respondent shall note any exceptions to the solicitation document, on Attachment B. The exceptions will be reviewed to ensure they meet the minimum specifications. The City reserves
the right to accept, reject or negotiate the exceptions provided.
Do not mark or change the text of the solicitation document, exceptions shall be noted only on Attachment B.
If no exceptions are taken, the respondent shall sign and return Attachment B in the appropriate signature block.
SAFETY RECORD
The City of Denton desires to avail itself of the benefits of Section 252.0435 of the Local Government Code, and consider the safety records of potential contractors prior to awarding
City contracts. Pursuant to Section 252.0435 of the Local Government Code, the City of Denton has adopted the written definition and criteria as shown in the Safety Record Questionnaire
(Attachment C) for accurately determining the safety record of a respondent prior to awarding City contracts.
DISCLOSURES
The individual or business must disclose any business relationship that would have an effect, of a conflict of interest. A conflict of interest statement must be signed as part of the
contract negotiated with the awardee(s). (Attachment E)
ACKNOWLEDGEMENT
Submit a signed acknowledgement by authorized agent of the responding firm (Attachment F).
EQUIPMENT SCHEDULE
The respondent shall provide an equipment schedule. The schedule shall include the year, make, model and description of the equipment.
SUBMITTAL INSTRUCTIONS
The City of Denton will accept electronic or hard copy submittals until the date and time on the cover sheet of this solicitation. Any submission received after the date and/or hour
set for solicitation opening will be returned unopened.
Electronic submittals may be emailed to ebids@cityofdenton.com with the solicitation number and name in the subject line. Please consolidate attachments as much as possible, and do not
exceed 35MB total for attachments. Emails received by the City will remain unopened until after the due date and time. Only authorized Materials Management Staff will have access to
the e-bid email inbox. Please do not email the buyer directly to ensure security of the proposal.
Electronic proposals must be received by the City before the due date and time. The date and time used by the City shall be the official time. It is highly recommended that respondents
do not wait until minutes before the due date and time to email their submission. It can take significant time for the email to reach the City.
Hard copy submissions and bid bonds may be hand delivered (by firm or express courier) to the address listed below:
City of Denton
Materials Management
SOLICITATION NUMBER AND NAME
901B Texas Street
Denton, TX 76209
The City of Denton reserves the right to accept or reject in part or in whole any submission, and to waive technicalities of the submission, in the best interest of obtaining best value
for the City.
Each respondent is responsible for taking the necessary steps to ensure their submission is received by the date and time noted herein. The City is not responsible for missing, lost
or late mail or any mail or email delays, internal or external, that may result in the submission arriving after the set time.
Submission Format
Respondents shall provide detailed information to allow the City to properly evaluate the submission. The City requests the following format be used:
Hard copy submissions shall be bound only utilizing a staple or binder clip. Do not submit responses in a binder or file folder.
Submission shall be no more than 200 pages in length
Utilize tabs to identify exhibits and attachments
The submission shall be in the following order:
Coversheet – including Solicitation number and name, firm name, address, contact name, phone, fax, website and email address.
Bid Bond if required in Section 3- Minimum Qualifications
Pricing Sheet – Exhibit 1
Completed Solicitation Checklist
Attachment A- Business Questionnaire
Attachment B- Exception Form
Attachment C -Safety Record (if applicable form will be attached)
Attachment D -References
Attachment E -Conflict of Interest Questionnaire Form
Attachment F -Signed Acknowledgement form
Appendices may be used for additional documentation or clarification at the respondent’s option.
Hard Copy submittals shall include one (1) original signed by an officer authorized to bind the firm, and three (3) copies of the completed response.
Submit response, before the published due date. Hard copy submittals and bid bonds (if required in Section 3-Minimum Qualifications) must be in a sealed envelope with the solicitation
number and name.
Electronic Submission Requirements
All respondents shall submit their pricing sheet (Exhibit 1) in Microsoft Excel format for quick tabulation of results. The electronic pricing sheet must be received regardless of the
method chosen by the proposer to submit (hard copy or electronic). If a respondent is only submitting a hard copy, they shall provide a flash drive, containing a complete copy of the
response to this solicitation, or submit electronically to ebids@cityofdenton.com. Emails to the City should include the RFP number and name in the subject line, consolidate attachments
as much as possible, and not exceed 35MB total. Please do not email the buyer directly to ensure security of the proposal.
EVALUATION PROCEDURES
Selection of a firm(s) to provide the aforementioned materials and services shall be in accordance with the City of Denton Purchasing Policies and procedures and the State of Texas Local
Government Code 252.043 and Texas Government Code 2269. The City of Denton shall evaluate each submission utilizing the following process:
Step 1: A public opening will be conducted. Responses will be read aloud at publish date and time on the coversheet.
Step 2: The City of Denton will evaluate the submissions in accordance with the minimum qualifications and adherence to the specifications.
Step 3: Upon selection of the lowest responsible respondent meeting the specifications, a written recommendation will be presented to the appropriate approving authority for the City
of Denton (the City Manager, Public Utility Board, City Council) requesting authorization to proceed with contract execution for the proposed services.
After the contract has been awarded all submissions will be open for public inspection, and the unsuccessful respondent(s) may request a debriefing regarding their submittal. Please
contact the City of Denton Materials Management staff to document the request for a debriefing. A meeting with the City of Denton Materials Management Staff and the using Division will
be scheduled within a reasonable time.
CONTACT BETWEEN RESPONDENT AND THE CITY
Respondents shall direct all inquiries and communications concerning this solicitation to the Point of Contact(s) listed below:
Jody Word, CTP
Buyer
901-B Texas Street
Denton, TX 76209
(940) 349-7100
Fax: (940) 293-1837
jody.word@cityofdenton.com
*** Please do not email the buyer the final proposal unless requested after the due date and time published on the coversheet. A proposal should be emailed to ebids@cityofdenton.com
SOLICITATION CHECKLIST
Check when Completed
Task to be Completed by Respondent
Exhibit 1 – Pricing sheet
Review Exhibit 2 – General Provisions and Terms and Conditions
Review Exhibit 3 – Scope of Work/Technical Specifications
Review Exhibit 4 – Federal Grant Requirements (if applicable)
Cover sheet
Solicitation number
Solicitation name
Firm name
Firm address
Contact name
Contact phone
Contact fax
Website address
Contact email address
Solicitation Checklist
Attachment A- Business Overview Questionnaire
Document how firm meets minimum qualifications (Section 3)
Attachment B – Exception Form
Attachment C – Safety Record Questionnaire (if applicable)
Attachment D – Reference Form
Attachment E – Conflict of Interest Questionnaire Form – with signature
Attachment F - Acknowledgment
Acknowledgment of Addenda
Submission signed by authorized officer, in the order specified below
Bid Bond (if required in Section 3- Minimum Qualifications)- Must be submitted in hard copy in a sealed envelope before due date and time
Hard Copy Submission: If submitting a hard copy, the City requires one (1) original and three (3) copies, with the pricing sheet submitted electronically in excel or emailed in excel
to Ebids@cityofdenton.com with the solicitation # and name in the subject line.
Electronic Submission: If submitting an electronic proposal only, email to Ebids@cityofdenton.com with the solicitation # and name in the subject line. The pricing sheet (Exhibit 1)
must be in excel format.
Order for Submission
Document
1
Cover Sheet
2
Pricing Sheet – Exhibit 1
3
Solicitation Checklist
4
Attachment A- Business Overview Questionnaire
5
Attachment B – Exception Form
6
Attachment C – Safety Record Questionnaire (if applicable)
7
Attachment D – Reference Form
8
Attachment E – Conflict of Questionnaire Form
9
Attachment F - Acknowledgment
Submit response, with tabs marking each section, in the following order:
ATTACHMENT A-BUSINESS OVERVIEW QUESTIONNAIRE AND FORMS
Contract Information (for formal contracting purposes):
The following information will be used to write a contract, should your firm be selected for award.
Firm’s Legal Name:
Address:
Agent Authorized to sign contract (Name):
Agent’s email address:
Subsidiary of:
Check the appropriate Organization Class and provide proof of registration as indicated below:
______ Sole Proprietorship – County Assumed Name Certificate
______ General Partnership – County Assumed Name Certificate
______Corporation – Secretary of State Certificate of Registration
______Limited Liability Companies (LLC) – Secretary of State Certificate of Registration
______ Limited Partnership (LP) – Secretary of State Certificate of Registration
______ Limited Liability Partnership (LLP) – Secretary of State Certificate of Registration
______ Foreign Entity – Secretary of State Certificate of Registration
Tax Payer ID#:
Date Established:
Historically Underutilized Business: Yes or No
Does your company have an established physical presence in the State of Texas, or the City of Denton? Yes or No, in which?
Please provide a detailed listing of all products and/or services that your company provides.
Has your company filed or been named in any litigation involving your company and the Owner on a contract within the last five years under your current company name or any other company
name? If so provide details of the issues and resolution if available. Include lawsuits where Owner was involved. (Notice: Failure to disclose this information during proposal submission,
and later discovered, may result in contract termination at the Owner’s option.)
Have you ever defaulted on or failed to complete a contract under your current company name or any other company name? If so, where and why? Give name and telephone number of Owner.
Have you ever had a contract terminated by the Owner? If so, where and why? Give name and telephone number (s) of Owner (s).
Has your company implemented an Employee Health and Safety Program compliant with 29 CFR 1910 “General Industry Standards” and/or 29 CFR 1926 “General Construction Standards” as they
apply to your Company’s customary activities?
http://www.osha.gov/pls/oshaweb/owasrch.search_form?p_doc_type=STANDARDS&p_toc_level=1&p_keyvalue=1926
Resident/Non-Resident Bidder Determination:
Texas Government Code Section 2252.002: Non-resident bidders. Texas law prohibits cities and other governmental units from awarding contracts to a non-resident firm unless the amount
of such a bid is lower than the lowest bid by a Texas resident by the amount the Texas resident would be required to underbid in the non-resident bidders’ state. In order to make this
determination, please provide the name, address and phone number of:
Responding firms principle place of business:
Company’s majority owner principle place of business:
Ultimate Parent Company’s principle place of business:
Provide details on how firm meets the minimum qualifications stated in this Main document Section 3.
The details must be completed on this form, and shall not point to another document in the respondent’s proposal.
Sign below and return form with final submission.
I certify that our firm meets the minimum qualifications as stated in this Main document, section 3.
_______________________ _____________________ _____________________
Signature Company Date
ATTACHMENT B-SUBMISSION EXCEPTIONS/CLARIFICATIONS
Any exceptions and clarifications taken to this solicitation (including terms and conditions in Exhibit 2, the General Provisions and Terms and Conditions) must be itemized on the lines
below. Additional pages may be added as needed. If there are no exceptions or clarifications, please sign where indicated at the bottom of the page.
Item # Description
The above exceptions or clarifications (and any additional pages identified) are the ONLY exceptions to the specifications, General Provisions and Terms and Conditions in Exhibit 2,
and sample contract to this solicitation. I understand that the City may not accept additional exceptions produced after final submission of this proposal.
_______________________ _____________________ _____________________
Signature Company Date
No Exceptions are taken to this solicitation or the General Provisions and Terms and Conditions in Exhibit 2.
_______________________ _____________________ _____________________
Signature Company Date
ATTACHMENT C-SAFETY RECORD QUESTIONNAIRE
The City of Denton desires to avail itself of the benefits of Section 252.0435 of the Local Government Code, and consider the safety records of potential contractors prior to award of
City contracts. Pursuant to Section 252.0435 of the Local Government Code, the City of Denton has adopted the following written definition and criteria for accurately determining the
safety record of a respondent prior to awarding City contracts.
The definition and criteria for determining the safety record of a respondent for this consideration shall be:
The City of Denton shall consider the safety record of the respondent in determining the responsibility thereof. The City may consider any incidence involving worker safety or safety
of the citizens of the City of Denton, be it related or caused by environmental, mechanical, operational, supervision or any other cause or factor. Specifically, the City may consider,
among other things:
a. Complaints to, or final orders entered by, the Occupational Safety and Health Review Commission (OSHRC), against the respondent for violations of OSHA regulations within the past
three (3) years.
b. Citations (as defined below) from an Environmental Protection Agency (as defined below) for violations within the past five (5) years. Environmental Protection Agencies include,
but are not necessarily limited to, the U.S. Army Corps of Engineers (USACOE), the U.S. Fish and Wildlife Service (USFWS), the Environmental Protection Agency (EPA), the Texas Commission
on Environmental Quality (TCEQ), the Texas Natural Resource Conservation Commission (TNRCC) (predecessor to the TCEQ), the Texas Department of Health (TDH), the Texas Parks and Wildlife
Department (TPWD), the Structural Pest Control Board (SPCB), agencies of local governments responsible for enforcing environmental protection or worker safety related laws or regulations,
and similar regulatory agencies of other states of the United States. Citations include notices of violation, notices of enforcement, suspension/revocations of state or federal licenses
or registrations, fines assessed, pending criminal complaints, indictments, or convictions, administrative orders, draft orders, final orders, and judicial final judgments.
c. Convictions of a criminal offense within the past ten (10) years, which resulted in bodily harm or death.
d. Any other safety related matter deemed by the City Council to be material in determining the responsibility of the respondent and his or her ability to perform the services or goods
required by the solicitation documents in a safe environment, both for the workers and other employees of respondent and the citizens of the City of Denton.
In order to obtain proper information from respondents so that City of Denton may consider the safety records of potential contractors prior to awarding bids on City contracts, City
of Denton requires that respondents answer the following three (3) questions and submit them with their submissions:
QUESTION ONE
Has the respondent, or the firm, corporation, partnership, or institution represented by the respondent, or anyone acting for such firm, corporation, partnership or institution, received
citations for violations of OSHA within the past three (3) years?
YES NO
If the respondent has indicated YES for question number one above, the respondent must provide to City of Denton, with its submission, the following information with respect to each
such citation:
Date of offense, location of establishment inspected, category of offense, final disposition of offense, if any, and penalty assessed.
QUESTION TWO
Has the respondent, or the firm, corporation, partnership, or institution represented by the respondent, or anyone acting for such firm, corporation, partnership or institution, received
citations for violations of environmental protection laws or regulations, of any kind or type, within the past five years? Citations include notice of violation, notice of enforcement,
suspension/revocations of state or federal licenses, or registrations, fines assessed, pending criminal complaints, indictments, or convictions, administrative orders, draft orders,
final orders, and judicial final judgments.
YES NO
If the respondent has indicated YES for question number two above, the respondent must provide to City of Denton, with its submission, the following information with respect to each
such conviction:
Date of offense or occurrence, location where offense occurred, type of offense, final disposition of offense, if any, and penalty assessed.
QUESTION THREE
Has the respondent, or the firm, corporation, partnership, or institution represented by respondent, or anyone acting for such firm, corporation, partnership, or institution, ever been
convicted, within the past ten (10) years, of a criminal offense which resulted in serious bodily injury or death?
YES NO
If the respondent has indicated YES for question number three above, the respondent must provide to City of Denton, with its submission, the following information with respect to each
such conviction:
Date of offense, location where offense occurred, type of offense, final disposition of offense, if any, and penalty assessed.
ATTACHMENT D-REFERENCES
Please list three (3) Government references, other than the City of Denton, who can verify the quality of service your company provides. The City prefers customers of similar size and
scope of work to this solicitation.
REFERENCE ONE
GOVERNMENT/COMPANY NAME:
LOCATION:
CONTACT PERSON AND TITLE:
TELEPHONE NUMBER:
SCOPE OF WORK:
CONTRACT PERIOD:
REFERENCE TWO
GOVERNMENT/COMPANY NAME:
LOCATION:
CONTACT PERSON AND TITLE:
TELEPHONE NUMBER:
SCOPE OF WORK:
CONTRACT PERIOD:
REFERENCE THREE
GOVERNMENT/COMPANY NAME:
LOCATION:
CONTACT PERSON AND TITLE:
TELEPHONE NUMBER:
SCOPE OF WORK:
CONTRACT PERIOD:
PROJECT INFORMATION FORM
Please detail three (3) of the most recent projects your firm has completed:
Project #1
Name of Project:
Project Owner Name, Address and Phone Number:
Original Contract Amount:
Final Contract Amount:
Contract Time Allotted (Calendar Days):
Start Date for Project:
Final Completion Date for Project:
Number of Days to complete (calendar days):
Please detail the project, including size, length, and materials used. Also describe any known contractual issues, successes, or potential problems and solutions encountered.
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__________________________________________________________________________________
PROJECT INFORMATION FORM
Project #2
Name of Project:
Project Owner Name, Address and Phone Number:
Original Contract Amount:
Final Contract Amount:
Contract Time Allotted (Calendar Days):
Start Date for Project:
Final Completion Date for Project:
Number of Days to complete (calendar days):
Please detail the project, including size, length, and materials used. Also describe any known contractual issues, successes, or potential problems and solutions encountered.
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PROJECT INFORMATION FORM
Project #3
Name of Project:
Project Owner Name, Address and Phone Number:
Original Contract Amount:
Final Contract Amount:
Contract Time Allotted (Calendar Days):
Start Date for Project:
Final Completion Date for Project:
Number of Days to complete (calendar days):
Please detail the project, including size, length, and materials used. Also describe any known contractual issues, successes, or potential problems and solutions encountered.
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ATTACHMENT E-CONFLICT OF INTEREST QUESTIONNAIRE
CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ
For vendor or other person doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section 176.001(1-a) with a local
governmental entity and the vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local government entity not later than the 7th business day after the date the vendor becomes aware of facts
that require the statement to be filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor.
1
Name of vendor who has a business relationship with local governmental entity.
2
Check this box if you are filing an update to a previously filed questionnaire.
(The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware
that the originally filed questionnaire was incomplete or inaccurate.)
3
Name of local government officer about whom the information in this section is being disclosed.
Name of Officer
This section, (item 3 including subparts A, B, C & D), must be completed for each officer with whom the vendor has an employment or other business relationship as defined by Section
176.001(1-a), Local Government Code. Attach additional pages to this Form CIQ as necessary.
Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the vendor?
Yes No
Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer named in this section AND the taxable
income is not received from the local governmental entity?
Yes No
Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an
ownership of one percent or more?
Yes No
D. Describe each employment or business and family relationship with the local government officer named in this section.
4
I have no Conflict of Interest to disclose.
5
Signature of vendor doing business with the governmental entity
Date
ATTACHMENT F-ACKNOWLEDGEMENT
The undersigned agrees this submission becomes the property of the City of Denton after the official opening.
The undersigned affirms he has familiarized himself with the specification, drawings, exhibits and other documents; the local conditions under which the work is to be performed; satisfied
himself of the conditions of delivery, handling and storage of materials and equipment; and all other matters that will be required for the work before submitting a response. In submitting
a response the undersigned further understands that the work required is to provide construction of the project that functions as described in the specification. The undersigned understands
that all requirements of the construction may not be described in every detail and agrees to provide labor, tools, material and equipment necessary to complete all construction to make
the project functional as described in the specification and drawings before submitting a response.
The undersigned agrees, if this submission is accepted, to furnish any and all items/services upon which prices are offered, at the price(s) and upon the terms and conditions contained
in the specification. The period for acceptance of this submission will be 120 calendar days unless a different period is noted.
The undersigned affirms that they are duly authorized to execute this contract, that this submission has not been prepared in collusion with any other respondent, nor any employee of
the City of Denton, and that the contents of this submission have not been communicated to any other respondent or to any employee of the City of Denton prior to the acceptance of this
submission.
Respondent hereby assigns to the City any and all claims for overcharges associated with this contract which arise under the antitrust laws of the United States, 15 USCA Section 1 et seq.,
and which arise under the antitrust laws of the State of Texas, Tex. Bus. & Com. Code, Section 15.01, et seq.
The undersigned affirms that they have read and do understand the specifications, all exhibits and attachments contained in this solicitation package.
The undersigned agrees that the solicitation package posted on the website are the official specifications and shall not alter the electronic copy of the specifications and/or pricing
sheet (Exhibit 1), without clearly identifying changes.
The undersigned understands they will be responsible for monitoring the City of Denton Purchasing Website at: http://www.cityofdenton.com/index.aspx?page=397 to ensure they have downloaded
and signed all addendum(s) required for submission with their response.
I certify that I have made no willful misrepresentations in this submission, nor have I withheld information in my statements and answers to questions. I am aware that the information
given by me in this submission will be investigated, with my full permission, and that any misrepresentations or omissions may cause my submission to be rejected.
Acknowledge receipt of following addenda to the solicitation:
Addendum No 1 Dated _______________________ Received _________________
Addendum No 2 Dated _______________________ Received _________________
Addendum No 3 Dated _______________________ Received _________________
NAME AND ADDRESS OF COMPANY: AUTHORIZED REPRESENTATIVE:
___________________________________ Signature
___________________________________ Date
___________________________________ Name
___________________________________ Title
Tel. No. ____________________________ Fax No.
Email.