Bid Invitation (10)8163
Power Plant Forced Winter Outage Insurance Coverage or
Products
Issue Date:11/16/2022
Questions Deadline:11/29/2022 03:00 PM (CT)
Response Deadline:12/7/2022 01:00 PM (CT)
Denton - Purchasing
Contact Information
Contact:Christa Christian, CPPB
Address:Procurement and Compliance
901-B Texas Street
Denton, TX 76209
Phone:(No) Phone xCalls
Email:christa.christian@cityofdenton.com
Deadline: 12/7/2022 01:00 PM (CT)8163Page 1 of 18 pages
Event Information
Number:8163
Title:Power Plant Forced Winter Outage Insurance Coverage or Products
Type:Request for Proposal
Issue Date:11/16/2022
Question Deadline:11/29/2022 03:00 PM (CT)
Response Deadline:12/7/2022 01:00 PM (CT)
Notes:
Submissions accepted via IONWAVE or hard copy ONLY (no
emails) https://dentontx.ionwave.net.
The City highly recommends that respondents do not wait until minutes before the due date and time to
submit proposal.
The submittal process may take significant time.
Power Plant Forced Winter Outage Insurance Coverage or
Products
The City of Denton is located about 30 miles north of Dallas and Ft. Worth, Texas and is considered part of the
Dallas/Ft. Worth metroplex. Denton Municipal Electric is the electric utility department owned by the City of
Denton and has been in continuous operation since 1905. It serves over 53,000 customers over a service
area of about 100 square miles. It operates 34 miles of high voltage transmission circuits and over 810 miles
of distribution lines.
This specification describes the requirements for generation utility plant forced
outage insurance coverage/products to be purchased by The City of Denton for
Denton Municipal Electric, (DME) and the Denton Energy Center ‘DEC’. DME is the
wholly owned electric utility department of City of Denton, Texas. The power plant
forced outage insurance coverage or products shall be used. The selection of a
provider must be carefully coordinated with DME support staff. The scope of
coverage or product shall be finalized upon the selection of the winning bidder(s).
Billing Information
Contact:Christa Christian, CPPB
Address:Procurement and Compliance
901 B-Texas Street
Denton, TX 76209
Phone:(No) Phone xCalls
Email:christa.christian@cityofdenton.com
Deadline: 12/7/2022 01:00 PM (CT)8163Page 2 of 18 pages
Bid Attachments
DME Outage Insurance RFP SoW v1.pdf Download
Scope of Work
DME Forced Outage Coverage (Winter-2023) Scenario Pricing Sheet 20221114.xlsx Download
Pricing sheet
Conflict_of_Interest_Questionaire.docx Download
Conflict of Interest Questionnaire
NDA.docx Download
Confidentiality Agreement
Requested Attachments
Conflict of Interest Questionnaire
(Attachment required)
The individual or business must disclose any business relationship that would have an effect, of a conflict of interest.
Please attach a signed copy of the conflict of interest questionnaire.
Confidentiality Agreement
(Attachment required)
W9
(Attachment required)
Form of insurance policy with applicable terms and conditions
Pricing Sheet
(Attachment required)
Form of insurance binder
Non-binding and indicative premium for the specified product
Secretary of State Certificate
(Attachment required)
To do business with the City of Denton you are required to be registered at the State of Texas, please attach proof of
registration. If your company is exempt, please attach your Exemption Certificate.
Proposal
(Attachment required)
Executive summary explaining the understanding of the RFP and proposers' means and approach to accomplish the
requirements of the RFP.
Bid Attributes
1 SECTION 1
General Information
2 Contract Term
City of Denton, DME is seeking proven vendor(s) that have verifiable experience in providing such coverage and/or
products. DME is seeking coverage or products for the Denton Energy Center, 8161 Jim Christal Road, Denton, Texas
76207 for the period 1st January 2023 through 28th February 2023 or 1st January 2023 through 31st March
2023, term to be determined by City of Denton after responses are received.
Deadline: 12/7/2022 01:00 PM (CT)8163Page 3 of 18 pages
3 Pricing
Pricing shall be submitted on attached pricing sheet attached herein with their proposal.
While this RFP is soliciting specified coverage parameters, DME reserves the right to request pricing for alternative
parameters including but not limited to:
Term – any set of months between January and March, 2023
Deductible Amount – a specified dollar amount, MWhs, or number of units
Strike price ($/MWh)
Settlement index (ERCOT North Hub DAMSPP or RTSPP)
Maximum payout
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4 Submittal Instructions
The City of Denton will accept electronic in Ionwave 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. The City will not allow late submissions due to technical difficulties. 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 technical difficulties that may result in the submission arriving after the set
time.
Hard copy submissions 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 any 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:
1. Submission shall be no more than 200 pages in length or 35MB file size
2. Utilize tabs to identify exhibits and attachments
3. Hard Copy Submittals shall include one (1) original signed by an officer authorized to bind the firm
4. Submit response, before the published due date. Hard copy submittals must be in a sealed envelope with the
solicitation number and name.
5. Submit response, before the published due date
6. The submission shall include the following:
a. Completed Bid Invitation
b. Price Sheet
c. Form of insurance policy with applicable terms and conditions
d. Form of insurance binder
e. Non-binding and indicative premium for the specified product
f. Conflict of Interest Questionnaire
g. Appendices may be used for additional documentation or clarification at the respondent's option
h. Confidentiality Agreement
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5 Evaluation Procedures
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. The City of Denton shall open all submissions and
evaluate each respondent in accordance to the below criteria:
Step 1: The City of Denton will evaluate the submission in accordance with the selection criteria and will rank the firms on the basis of
the submittals. The City of Denton, reserves the right to consider information obtained in addition to the data submitted in the response.
The selection criterion is listed below:
Experience & Track Record (35%)
Responders must provide an attestation that they have continuously provided power plant outage insurance in North America over the
past 5 years, covering multiple units with experience in the ERCOT region.
Financial Security (15%)
Responders must be able to demonstrate sufficient financial resources strength and credit security to provide outage insurance
coverage of this nature at utility scale orders of magnitude.
Value Proposition to City of Denton (50%)
Responders' coverage proposals will be evaluated according to their net value to the City of Denton in providing power plant outage
coverage in order to mitigate economic risks of Denton Energy Center operations to the overall energy portfolio.
The total possible score of the submissions shall be scored and weighted as indicated above. Based on the outcome of the
computations performed, each submission will be assigned a raw score. The assigned weight will then be applied to these scores
to calculate an overall score for each submission for completion of the final scoring process.
Step 2: After the final ranking of the submissions and determination of Firm(s) that provide a best value to the City and are within the
competitive range, provided the City of Denton elects to proceed without oral discussions, the City will immediately proceed to negotiate
final pricing, terms and conditions with the highest ranked Firm or Firms. The City of Denton may elect to conduct oral discussions,
request clarifications, and presentations concerning the project approach and ability to furnish the requirements, as part of the
negotiation process. The City may elect to utilize a Best and Final negotiation phase to determine the Firm that provides the overall best
value to the City.
Step 3: Upon selection of the submission or Best and Final Offer that represents the best value; 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.
In accordance with Local Government Code 252.049, trade secrets and confidential information in competitive sealed proposals are
not open for public inspection.All submissions shall be opened in a manner that avoids disclosure of the contents to competing
respondents and keeps the responses secret during negotiations. A public opening will not be conducted with this process.
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.
6 Protests
Any interested party who is aggrieved in connection with a solicitation or award of a contract may protest per the
City of Denton policy located here on page 52 - "https://www.cityofdenton.com/CoD/media/City-of-
Denton/Business/Solicitations%20and%20Contracting/Denton-Procurement-Policy_Final.pdf
7 Section 2
Business Overview Questionnaire
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8 Firm's Legal Name
(Required: Maximum 1000 characters allowed)
9 Address Line 1
(Required: Maximum 1000 characters allowed)
1
0
Address Line 2
(Optional: Maximum 1000 characters allowed)
1
1
City
(Optional: Maximum 1000 characters allowed)
1
2
State
(Required: Maximum 1000 characters allowed)
1
3
Zip Code
(Required: Maximum 15 characters allowed)
1
4
Agent Authorized to sign contract
The agents name and email who is authorized to sign the contract
(Required: Maximum 1000 characters allowed)
1
5
Subsidiary of:
(Optional: Maximum 1000 characters allowed)
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1
6
Organization Class
Partnership Corporation Individual Association
(Required: Check only one)
1
7
Tax Payer ID
(Required: Maximum 1000 characters allowed)
1
8
Date Established
__ __ / __ __ / __ __ __ __
(Required)
1
9
Historically Underutilized Business
Yes, We are a registered HUB.
(Optional: Check if applicable)
2
0
Please provide a detailed listing of all products and/or services that your company provides.
(Required: Maximum 4000 characters allowed)
2
1
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.)
(Optional: Maximum 4000 characters allowed)
2
2
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.
(Optional: Maximum 4000 characters allowed)
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2
3
Have you ever had a contract terminated by the Owner? If so, where and why? Give name and
telephone number (s) of Owner (s).
(Optional: Maximum 4000 characters allowed)
2
4
Has your company implemented an Employee Health and Safety Program compliant with 29 CFR 1910
General Industry Standard 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
(Optional: Maximum 4000 characters allowed)
2
5
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:
a. Responding firms principle place of business:
b. Company's majority owner principal place of business
c. Ultimate Parent Company's principle place of business
(Optional: Maximum 4000 characters allowed)
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2
6
Prohibition on Contracts with Companies Boycotting Israel
Pursuant to Section 2270.002 of the Texas Government Code, Respondent certifies that either (i) it meets an
exemption criteria under Section 2270.002; or (ii) it does not boycott Israel and will not boycott Israel during the term
of the contract resulting from this solicitation. Respondent shall state any facts and provide documentation that
make it exempt from the boycott certification in its Response.
Exemption criteria includes the following:
1. Company is a sole proprietorship;
2. Company employs less than 10 full-time employees;
3. Value of the contract is less than $100,000
“Boycott Israel” is defined to mean refusing to deal with, terminating business activities with, or otherwise taking any
action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or
with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action
made for ordinary business purposes. “Company” is defined to mean a for-profit sole proprietorship, organization,
association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or limited liability
company, including a wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of those
entities or business associations that exists to make a profit.
Sole proprietorship Employs less than 10 Full time employees
Value of the contract is less than $100,000 Does not Boycott Israel
(Required: Check only one)
2
7
Section 3
Minimum Qualifications
2
8
Five (5) years experience providing similar products or services
Yes No (Please Select)
(Required: Check only one)
2
9
Responders must provide an attestation that they have continuously provided power plant outage
insurance in North America over the past 5 years, covering multiple units with experience in the
ERCOT region.
Yes No (Please Select)
(Required: Check only one)
3
0
Reference 1 - Government/Company Name
Person who you have done business with in the past 5 years.
(Optional: Maximum 1000 characters allowed)
3
1
Reference 1 - Phone
Enter phone number.
(__ __ __) __ __ __ - __ __ __ __ext:
(Optional)
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3
2
Reference 1 - Contact Person & Title
(Required: Maximum 1000 characters allowed)
3
3
Reference 1 - Email Address
(Required: Email address)
3
4
Reference 1 - Scope of Work
(Required: Maximum 1000 characters allowed)
3
5
Reference 1 - Contract Period
(Required: Maximum 1000 characters allowed)
3
6
Reference 2 - Government/Company Name
Person who you have done business with in the past 5 years.
(Optional: Maximum 1000 characters allowed)
3
7
Reference 2 - Phone
Enter phone number
(__ __ __) __ __ __ - __ __ __ __ext:
(Optional)
3
8
Reference 2 - Contact Person & Title
(Optional: Maximum 1000 characters allowed)
3
9
Reference 2 - Email Address
(Optional: Email address)
4
0
Reference 2 - Scope of Work
(Optional: Maximum 1000 characters allowed)
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4
1
Reference 2 - Contract Period
(Optional: Maximum 1000 characters allowed)
4
2
Reference 3 - Government/Company Name
Person who you have done business with in the past 5 years.
(Optional: Maximum 1000 characters allowed)
4
3
Refernece 3 - Phone
Enter phone number
(__ __ __) __ __ __ - __ __ __ __ext:
(Optional)
4
4
Reference 3 - Contact Person & Title
(Optional: Maximum 1000 characters allowed)
4
5
Reference 3 - Email Address
(Optional: Email address)
4
6
Reference 3 - Scope of Work
(Optional: Maximum 1000 characters allowed)
4
7
Reference 3 - Contract Period
(Optional: Maximum 1000 characters allowed)
4
8
Registered with the State of Texas
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 the 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.
4
9
Section 4
Terms and Conditions
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5
0
General Provisions
1. SILENCE OF SPECIFICATIONS
The apparent silence of these specifications as to any detail or the apparent omission from it of a detailed
description concerning any point, shall be regarded as a meaning that the only best commercial practices are to
prevail. All interpretations of these specifications shall be made on the basis of this statement.
2. RESPONDENTS COST TO DEVELOP SUBMITTAL
Respondents to this solicitation are responsible for all costs of submittal preparation, delivery and any oral
presentations required as part of the selection process. All materials submitted in response to the solicitation
become property of the City of Denton and will be returned only at the option of the City.
3. MINIMUM RESPONSE
Submittals that do not, at a minimum, contain the response Attachments will be subject to disqualification at the sole
discretion of the City of Denton. If any firm submitting a proposal is a corporation, it must be registered to conduct
business in the State of Texas. Proof of this registration must be included as part of the submittal.
4. VALIDITY PERIOD
The information included in the solicitation response(s), and any cost information obtained from a negotiation
process, remain valid for 240 days from the response due date or until the contract is approved by the governing
body.
5. REJECTION OF SUBMITTAL
ANY PROPOSAL SUBMITTED AFTER THE DUE DATE AND TIME SPECIFIED WITHIN SECTION III, SHALL BE
REJECTED. THE CITY SHALL REJECT RESPONSES SUBMITTED BY FIRMS THAT DO NOT MEET MINIMUM
QUALIFICATIONS.
The City of Denton reserves the right to reject any and all submittals received in response to the solicitation and to
waive any minor technicalities or irregularities as determined to be in the best interest of the City.
6. PROPRIETARY INFORMATION
If a respondent does not desire proprietary information in the submission to be disclosed, the respondent shall
identify all proprietary information in the submission. This identification will be accomplished by individually marking
each page or line item detail with the words "Proprietary Information". If the respondent fails to identify proprietary
information, the respondent agrees that by submission of its response, that those sections shall be deemed non-
proprietary and made available upon public request. Respondents are advised that the City, to the extent permitted
by law, will protect the confidentiality of all submissions. Respondent shall consider the implications of the Texas
Public Information Act, particularly after the solicitation process has ceased and the contract has been awarded.
While there are provisions in the Texas Public Information Act to protect proprietary information, where the
respondent can meet certain evidentiary standards, please be advised that a determination on whether those
standards have been met will not be decided by the City of Denton, but by the Office of the Attorney General of the
State of Texas. In the event a request for public information is made, the City will notify the respondent, who may
then request an opinion from the Attorney General pursuant to 552.305, Texas Government Code. The City will not
make a request of the Attorney General.
7. NON-ENDORSEMENT
If a submission is accepted, the successful respondent shall not issue any news releases or other statements
pertaining to the award or servicing of the agreement that state or imply the City of Denton's endorsement of the
successful respondent's services.
8. UNAUTHORIZED COMMUNICATIONS
After release of this solicitation, respondent contact regarding this solicitation with members of the evaluation,
interview or selection panels, employees of the City or officials of the City other than the Purchasing Manager, or
authorized City of Denton purchasing staff, or as otherwise indicated is prohibited and may result in disqualification
from this procurement process. No officer, employee, agent or representative of the respondent shall have any
contact or discussion, verbal or written, with any members of the City Council, members of the evaluation, interview,
or selection panels, City staff or City's consultants, or directly or indirectly through others, seeking to influence any
City Council member, City staff, or City's consultants regarding any matters pertaining to this solicitation, except as
herein provided. If a representative of any respondent violates the foregoing prohibition by contacting any of the
above listed parties with who contact is not authorized, such contact may result in the respondent being disqualified
from the procurement process. Any oral communications are considered unofficial and non-binding with regard to
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this solicitation.
9. DISQUALIFICATIONS
Any terms and conditions attached to a solicitation will not be considered unless specifically referred to on a
solicitation and may result in disqualification. Any submissions that do not clearly outline all qualifications may be
disqualified.
10. RIGHTS TO DATA, DOCUMENTS, AND COMPUTER SOFTWARE (GOVERNMENTAL ENTITY OWNERSHIP)
Any software, research, reports studies, data, photographs, negatives or other documents, drawings or materials
prepared by contractor in the performance of its obligations under this contract shall be the exclusive property of
the City of Denton and all such materials shall be delivered to the City by the contractor upon completion,
termination, or cancellation of this contract. Contractor may, at its own expense, keep copies of all its writings for its
personal files. Contractor shall not use, willingly allow, or cause to have such materials used for any purpose other
than the performance of contractor's obligations under this contract without the prior written consent of the City;
provided, however, that contractor shall be allowed to use non-confidential materials for writing samples in pursuit of
the work.
The ownership rights described herein shall include, but not be limited to, the right to copy, publish, display,
transfer, prepare derivative works, or otherwise use the works.
11. AWARD
The City reserves the right to award a contract or contracts to various respondents by line item, section(s), or by
entire proposal; whichever is most advantageous, or provides the "best value" to the City, unless denied by the
respondent. The City reserves the right to award a contract to a primary vendor, and one or multiple secondary
vendors; whichever is most advantageous, or provides the "best value" to the City, unless denied by the
respondent.
12. ANTICIPATED PROBLEMS AND PROPOSED SOLUTIONS
Respondent shall offer written observations, based upon previous experiences in public projects of this magnitude,
addressing any anticipated problems and offer proposed solutions to those problems.
13. ADDITIONAL GENERAL REQUIREMENTS
Prior to commencement of the services, the City and selected individual or business will conduct an initial meeting to
review the overall scope, schedule, deliverables and planning process to implement a successful program.
The awarded Contractor shall provide to the City of Denton, detailed reports of time and services provided to the
City on a monthly basis.
Staff available to assist the selected provider is limited; the proposals submitted should not anticipate extensive staff
assistance during equipment repairs or maintenance.
14. SUBMISSION ERRORS
Prices offered shall be used for submission analysis and for agreement pricing. In case of errors in the pricing
extension or totals, the unit pricing offered by the respondent will govern.
5
1
Bid Acceptance
I have read and understand the Terms and Conditions, Specifications, and Insurance requirements, contained
herein, and further agree to abide and accept said Terms, Conditions and Specifications.
Yes Yes - with exceptions (Please Select)
(Required: Check only one)
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5
2
Bid Acceptance Exceptions
If you answered yes - with exceptions to the above question please list the exceptions.
(Additional exceptions will not be allowed during the negotiation process)
(Optional: Maximum 4000 characters allowed)
5
3
Additional Agreement
i. Respondents will provide a draft insurance policy with applicable terms and conditions
Acknowledged
(Required: Check if applicable)
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5
4
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.
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, without clearly identifying changes.
The undersigned understands they will be responsible for monitoring the City of Denton Purchasing Website
at: https://www.cityofdenton.com/en-us/business/solicitations-contracting to ensure they have downloaded all
addendum(s).
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
(Required: Check if applicable)
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5
5
Certificate of Interested Parties Electronic Filing
In 2015, the Texas Legislature adopted House Bill 1295, which added section 2252.908 of the Government Code.
The law states that the City may not enter into this contract unless the Contractor submits a disclosure of interested
parties (Form 1295) to the City at the time the Contractor submits the signed contract. The Texas Ethics
Commission has adopted rules requiring the business entity to file Form 1295 electronically with the Commission.
Contractor will be required to furnish an original Certificate of Interest Parties before the contract is
awarded, in accordance with Government Code 2252.908.
The contractor shall:
1. Log onto the State Ethics Commission Website at :
https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm
2. Register utilizing the tutorial provided by the State
3. Print a copy of the completed Form 1295
4. Enter the Certificate Number on page 2 of this contract.
5. Sign the Form 1295
6. Email the form to purchasing@cityofdenton.com with the contract number in the subject line. (EX: Contract
1234 - Form 1295)
7. The City must acknowledge the receipt of the filed Form 1295 not later than the 30th day after Council award.
Once a Form 1295 is acknowledged, it will be posted to the Texas Ethics Commission's website within seven
business days.
Acknowledge
(Optional: Check if applicable)
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Supplier Information
Company Name:
Contact Name:
Address:
Phone:
Fax:
Email:
Supplier Notes
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.
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.
The undersigned affirms that they have read and do understand the specifications, all exhibits and attachments
contained in this solicitation package.
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.
Print Name Signature
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