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24-1768
ORDINANCE NO. 24- 1768 AN ORD[NANCE OF THE CITY OF DENTON, A TEXAS HOME-RULE MUNICIPAL CORPORATION, AUTHORIZING THE CITY MANAGER TO EXECUTE A CONTRACT WITH CLS SEWER EQUIPMENT co., INC., THROUGH THE BUY BOARD COOPERATIVE PURCHASrNG NETWORK CONTRACT # 676-22, FOR THE PURCHASE, MAINTENANCE, AND REPAIR SERVICES OF HEAVY-DUTY EQUIPMENT FOR THE FLEET DEPARTMENT; PROVIDING FOR THE EXPENDITURE OF FUNDS THEREFOR: AND PROVIDING AN EFFECTIVE DATE (FILE 8621 – AWARDED TO CLS SEWER EQUIPMENT co., [NC., FOR ONE (1) YEAR, WITH THE OPTION FOR FOUR (4) ADDITIONAL ONE (1) YEAR EXTENSIONS, rN THE TOTAL FIVE (5) YEAR NOT-TO- EXCEED AMOUNT OF $4,600,000.00). WHEREAS, pursuant to Ordinance 2005-034, the Buy Board Cooperative Purchasing Network has solicited, received, and tabulated competitive bids for the purchase of necessary materials, equipment, supplies, or services in accordance with the procedures of state law and city ordinances; and WHEREAS, the City Manager, or a designated employee, has reviewed and recommended that the herein described materials, equipment, supplies, or services can be purchased by the City through the Buy Board Cooperative Purchasing Network programs at less cost than the City would expend if bidding these items individually; and WHEREAS, this procurement was undertaken as part of the City’s governmental function; and WHEREAS, the City Council has provided in the City Budget for the appropriation of funds to be used for the purchase of the materials, equipment, supplies, or services approved and accepted herein; NOW, THEREFORE, THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS: SECTION 1. The items shown in the “File Number” referenced herein and on file in the office of the Purchasing Agent, are hereby accepted and approved as being the lowest responsible bids for such items: FILE NUMBER VENDOR AMOUNT 8621 CLS Sewer Equipment Co., Inc.$4,600,000.00 SECTION 2. By the acceptance and approval of the items set forth in the referenced file number; the City accepts the offer of the persons submitting the bids to the Buy Board Cooperative Purchasing Network for such items and agrees to purchase the materials, equipment, supplies, or services in accordance with the terms, conditions, specifications, standards, quantities, and for the specified sums contained in the bid documents and related documents filed with the Buy Board Cooperative Purchasing Network and the purchase orders issued by the City. SECTION 3. Should the City and persons submitting approved and accepted items set forth in the referenced file number wish to enter into a formal written agreement as a result of the City’s ratification of bids awarded by the Buy Board Cooperative Purchasing Network, the City Manager, or their designated representative, is hereby authorized to execute the written contract which shall be attached hereto; provided that the written contract is in accordance with the terms, conditions, specifications, and standards contained in the Proposal submitted to the Buy Board Cooperative Purchasing Network, and the quantities and specified sums contained in the City's purchase orders and related documents referenced herein are approved and accepted. SECTION 4. The City Council of the City of Denton hereby expressly delegates the authority to take any actions that may be required or permitted to be performed by the City of Denton under this ordinance to the City Manager of the City of Denton, or their designee. SECTION 5. By the acceptance and approval of the items set forth in the referenced file number, the City Council hereby authorizes the expenditure of funds therefor in the amount and in accordance with the approval of purchase orders or pursuant to a written contract made pursuant thereto as authorized herein. SECTION 6. This ordinance shall become effective immediately upon its passage and approval . :+b I.Kr.":Jhis o'di'ance "” "tv:i::,de„=',Jw„tJ:?//th ,pp„,,/::J the following vote U - L] : The moti seconded by Aye Nay Abstain Absent Mayor Gerard Hudspeth:,/ I ,Z U/ a -J Vicki Byrd, District 1 : Brian Beck. District 2 : Paul Meltzer, District 3 : Joe Holland, District 4: Brandon Chase McGee, At Large Place 5 : Jill Jester, At Large Place 6: PASSED AND APPROVED this the Jl tH day of $V+c\Ah/, 2024. N ATTEST: LAUREN THODEN, CITY SECRETARY (yau/UK'ha . APPROVED AS TO LEGAL FORM: MACK RErNWAND, CITY ATTORNEY BY:)r£aboL££alLaPDp& Docusign Envelope ID: 75F02738-53A8dIA20-9DFC-BOCEA26B3420 DENTON Docusign City Council Transmittal Coversheet 8621 File Name CLS Sewer Equlpment CO., Inc P„,h„i„gC,„t„t K ;Yl; c 1’'k City Council Target Date SEPTEMBER 17’ 2024 Piggy Back Option Contract Expiration Ordinance 24 8621 COOP Not Applicab1 e SEPTEMBER 17, 2029 IZ98 alla AS 'apo) }uawuraAOf) SBxal arp JO tOO-608 uonoaS ur suua1 asoq) Ol paquose S8UIUBaUI atp aAeq TIeRS „£uedur09„ pIle „£uedruoo £8iaua uooKoq„ suual aHI '}3erluoo arp JO una I aHI 8uLmp saluedUIOO £8raua noo£oq lou III,u (c) pu€ :sarugdUIOO £Siaua nooKoq lou saop ( 1) II leg I £u8dtuoo aq) urorJ uor}eoyuaA ual)UM suie)u03 loequoo aq) ssalun saor/bras lo spoo8 ioJ Kuedtu03 e qjIM }3er}uoo e o IUI Burialua tuoiJ palrqnlord SI Ajl) 'apo) }uawtua AOr) sexaJ_ aljI JO t,,£ZZ JatdztiD HItM aouepJO03e UI )erp sa8paIMouqoe ro]o€r}uoD saluedUIO) £Braua UIe IIao SurBoa,Cos s3lueduro) q JIM SHer luo) iio uoRlq IHold 'qoeaJq leualetu e paiap}su03 aq llrM uorsrAoid sup Japun stuaurannbar aHI Inelurna lo paul al ainlr€y tuawaaa80 aHl fo ural aHl Butxnp laoasI Hoa ibq lou mM (z) pm :lau,asl H03&oq lou saop (1) :ioP04uo3 IDq} dJ!) all) ol uopv3djJaA ualIUM saplctold aIn)DUB is s,IOjaDr luo) PHI sa#pra3 Jo}30rluo) 'tuatuaarBD SPIt guIuRls As -apo) }uaunuaAor) sexal alp JO loo'808 uor IoaS ur suLla I asoq3 ol paquose s8urueaur arp aAeq Ileqs 6G£ueduIoo„ pug 66laersI u03£oq„ suua1 aHI ')oenu09 atp JO una) aq) Submp laersI DooKoq lou llrM (e) pIn flaeJSI nooKoq lou saop (1) :3} }eq) KUBdtU03 aq) tao# uo!}e3yjJaA ualIjl,n e surB}uoo }oei}uoo aq) ssaTun saor/bias io spoo8 ioJ KuedUIOO e HIIM }oei)uoo v o IUI 8uualua lilo a patrqulord st AIr) 'apo) luauIura AOr) sexal atp JO IZ.ZZ ia}dzrID qIIM a3ueproooe UI pq I sa8pajMOu>toe ro}02r}uo3 IaersI BuTpoa,Cos saluzduro) q IT,u s)aer luo) uo uop IqlWord „'s}uaum30CI )3e4uo)„ se KlaA43aljOO ol panajar aq TIeris sluaumoop asaHI 'aAoqe palsrl ale KaRt qa TrIM UT iapro aHt u! s}uaum30p loe4uoo aq) ol uaq I }uatuaar8e ual)UM aHI ol )sly aouapa3ard 8uTA Tg Aq paAIOsai aq lleqs }9luu03 JO £3ua}slsu09u! aq) 's}uatun30p }OgJ luo) aq) JO suors}/\old aq) JO Aug u! lo}IJu03 ro Koua+slsuoou} uv JO }uaAa aRI UI 'IIe Aq JOJ palleo Jl se 8urpu Iq se aq 1181is auo Aq JOJ palleo sl )Bq/w pue s}uatun30p }gelluo) all) dn axetu sluaumoop agarII S(Hall )!qlqX’I) aJIBUUOl+sant') }saJajUI JO IOlIJUOD – ?')ID UUOJ !(„’a„ +!qlqxa) s}uatuarrnbaU aouFrnsuI !(„(1„ Hqlqx’a) BuIIT a oluoi loaTH sar}rud paIsara luI JO a+RoyrUaD iCa)„ Hqlqxa) laaqs Buroud '3uI ''o) ]uauIdrnba Ja/was sl) S(+ua8V guIselj:)Ind aq+ JO aogJO alp ie alld uo 66899 Hqlqx:a) qI IM IZ98 #aID ZZ-9£9 pJeog£n8 !(„V„ +!qlqxa) suorppuo) pug suual IB13adS G) (a) (p) (0) (q) (B) aouaJaIaJ Aq UIaiaq pa}eiodIOOUI ptre 'aly uo io 'olaJaq paq3e1lz aiB HolqM sun IT BuTMo11oJ alp pue luaulaal8e uaw}IM suI) JO s}slsuoo }orrluo) aHI '„)„ )!qlqxa s2 sasodInd lle ioJ u}aiaq palero(L03u} pug o)araq paljoe IIe sr gotHa JO Kd03 e 'parIS wr3ud s,iallddns atp tIljM aouepr030e ur s13npoJd aprAord Heljs iarlddns sa)iAHas JO ado 3S :SMOljOJ se aai8e saIued aq I '£qaaq paure}qo aq o) slyauaq pnInuI aq) iOJ pug 'uraJaq paure JUDO s}uaruaai8e pu8 s}u8uaAOO arp JO uor}eiapISU03 ul pue lod 'aau8rsap pazuotline Ktnp Iraqi lo ra8rue IN AIID uo}uac1 aq) Aq +oer]uoD sul) JO trot+noaxa }uanbasqns pu8 l}3unoD KIlo no}uacl atp JO leAordde uodn aAn3aJJa aq o) „'AIID„ SR o) pauajar raU€ularaq 'uoperociroo ledrorunuI aIm auior{ e 'SVX’II 'NOJJN’I(I dO AJJ13 aqI pUT 116JO)3BJ}UO DII sp o) paHajaJ JaUBu}aJaq') ST ssaJppe a SOqM 'UOPUO hoo s€xal eaqT63–®aai@rm££13 uaa,w+aq pue Aq ' q8P STH) o luI para lua PUu ap2uI sl 1)VXINO) SIHI (rz98 r3v&rN03)-111 ''03 rNarvdrni)a aa/was sr3 abrv svxar 'NorNaa dO xri3 NaT/utaH aw AS I)VHINO) ozt£89zv3008-oJa6-ozvFgv€g-g£zzoJgz :al OdOjOAU3 u61sn30a Docusign Envelope ID: 75F02738-53A8-4A20-9DFC-BOCEA26B3420 signing this agreement, Contractor ceniPes that Contractor’s signature provides written veripcation to the City that Contractor: (1) does not boycott energy companies; and (2) will not boycott energy companies during the term of the agreement. Failure to meet or maintain the requirements under this provision will be considered a material breach. Prohibition on Contracts with Companies Boycotting Certain Firearm Entities and Firearm Trade Associations Contractor acknowledges that in accordance with Chapter 2274 of the Texas Government Code, City is prohibited from entering into a contract with a company for goods or services unless the contract contains written verification from the company that it (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate during the term of the contract against a firearm entity or firearm trade association. The terms “discriminate against a firearm entity or firearm trade association,” “firearm entity” and “firearm trade association“ shall have the meanings ascribed to those terms in Chapter 2274 of the Texas Government Code. By signing this agreement, Contractor certifies that Contractor’s signature provides written verifIcation to the City that Contractor: (1) does not have a practice, policy, guidance, or directive that discriminates against a $rearm entity or Prearm trade association; and (2) will not discriminate during the term of the contract against a $rearm entity or $rearm trade association. Failure to meet or maintain the requirements under this provision will be considered a material breach. Prohibition On Contracts With Companies Doing Business with Iran, Sudan, or a Foreign Terrorist Organization Sections 2252 and 2270 of the Texas Government Code restricts CITY from contracting with companies that do business with Iran, Sudan, or a foreign terrorist organization. By signing this agreement Contractor certifres that Contractor’s signature provides written verifIcation to the City that Contractor, pursuant to Chapters 2252 and 2270, is not ineligible to enter into this agreement and will not become ineligible to receive payments under this agreement by doing business with Iran, Sudan, or a foreign terrorist organization . Failure to meet or maintain the requirements under this provision will be considered a material breach. Termination Right for Contracts with Companies Doing Business with Certain Foreign-Owned Companies The City of Denton may terminate this Contract immediately without any further liability if the City of Denton determines, in its sole judgment, that this Contract meets the requirements under Chapter 2274, and Contractor is, or will be in the future, (i) owned by or the majority of stock or other ownership interest of the company is held or controlled by individuals who are citizens of China, Iran, North Korea, Russia, or other designated country (ii) directly controlled by the Government of China, Iran, North Korea, Russia, or other designated country, or (iii) is headquartered in China, Iran, North Korea, Russia, or other designated country The parties agree to transact business electronically. Any statutory requirements that certain terms be in writing will be satisfied using electronic documents and signing. Electronic signing of this document will be deemed an original for all legal purposes. IN WITNESS WHEREOF, the parties of these presents have executed this agreement in the year and day first above written. File 862 1 IZ98 aITI INaPVIUVdaa IDa LJ alIII JO]3aJ La gPWN agINIUd JaLUeJF) SELUOqI :Aq '-'8eywy8 Le80z08y suLla) ssaulsnq pUB SUO1}88IjqO leuoI+rrado puz Ier3ueuy ot se aaAOVddv aNV aa7KaIATH Hloa Naga SVH iNawaTHDV SIHI :AH uagyvfIN alv)iJiiHaD S6ZI NOISSIyVPVOD s)IHla svxal XWHOIIV XIID 'aNV/UNITa A)VPV :PVUOd lv9al OI SV aaAOUddv SOS96tl-bZOZ ssTHaav IIvyva 28yaeeav060a60a MAC ~-„+l:*‘ :Aq p9u61sn90a . tu03 - s Loo]JaMasOJ aJ luua F xaawfLN aNOHd S££T-6Zt-ZZ6 AYViTHDas AllO 'NaaoH£ NTHnVI :lsal£v uo neJ IS FU ILUPV 'al III Ja}uuoS JaJ}uuat :alUBN papl IId ua9vNVPV AllO 'xalSNaH6va&vh 'h WS :Kg Hq pauQsn90a J svxal 'NOINaa JO XII) TUIIVN91S aazlxQULnK mrwwS #ylwwX' IAg :4q nuns JHailddfls ozt€89zv3008-oJa6-ozvF8v€g-g£zzoJgz :al OdOjOAU3 u61snooa Docusign Envelope ID: 75F02738-53A84A20-9DFC-BOCEA26B3420 Exhibit A Special Terms and Conditions 1. Contract Term The contract term will be one (1) year, effective from date of award. The City and the Supplier shall have the option to renew this contract for an additional four (4) one-year periods. The contract shall commence upon the issuance of a Notice of Award by the City of Denton and shall automatically renew each year, from the date of award by City Council, At the sole option of the City of Denton, the contract may be further extended as needed, not to exceed a total of six (6) months 2. Total Contract Amount The contract total shall not exceed $4,600,000. Pricing shall be per Exhibit C attached. File 862 1 ZZ-9£9 oul ''o) )uaurdmba ro/has SID :iopuaA sa8ed 8z JO 81 aged J '„posolou3/poq9eUV oaS„ JO/pue 'so]!sqoM 'sJoqLurIN oouoJOJaU 'rlys opnl9u! Iou oa :m o6e}uooiod ;unoosla HIjM posodord )slloolid/6ole Ie') JO OLueN OIe)s - L so;nq 1IUV LUO II po isII +SljOOjJd/6ole leo JO/puc JOJn+9e+nueLU yoeo io) )unooslp o6elueoiod o!+!oods ouo lsII +snLU s,JOPUOA • pasodOJd }sljooud/6ole leo JO/puc eutl }9npoid ioinpe+nueLU leuo!;!ppe qoea JOJ „oIeuro)IV ppv„ ]90los • :poioplsuoo aq lou Kew lesodOJd JO SMOljO+ se uo!}eLuroju! aq) }!Luqns +snLU waI! ouII Jed ]slla9lid/6ole+co io/pue souII pnpoJd JeJnpe+nuew old!}lnLU 6UjSOdOJd SJopuaA :so}oN tue II -paJapjSUOO aq lou II!/v\ lesodOJd JO popnlou! aq lsnm +Slj09jJd/6ole Ie') 's}onpoid po;elai puc 'soliosso03v 's+uoLuq3eBV 'ou16u3 a16uls 'srauee13 J8Mas uo!}eulquo9 JOJ +slloolid/6ole leo go (%) }unoosla - SOIlj1 Pla :leio1%S To R a Frrm]©ltmnTgM8RrT§-p ae MI 1 ) IIgIHxa ozPe89rv]o08-oJa6-oav Docusign Envelope ID: 75F02738-53A8-4A20-9DFC-BOCEA26B3420 2 1 Section 1:Sewer Cleaning Equipment, Products, and Supplies - Discount (%) off catalog/pricelist for Combination Sewer Cleaners, Dual Engine, Attachments, Accessories, and related products. Catalog/Pricelist MUST be included or proposal will not be considered. Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: Total • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor’s must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU. Reference Numbers. Websites. and/or "See Attached/Enclosed" e 3 1 Section 1:Sewer Cleaning Equipment, Products, and Supplies - Discount (%) off catalog/pricelist for Jetter Units, Attachments, Accessories, and related products. Catalog/Pricelist MUST be included or proposal will not be considered. Item Notes: Vendors proposing multiple manufacturer product lines and/or cataiog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor’s must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". CLS Sewer Equipment Parts Page 19 of 28 pages Vendor: CLS Sewer Equipment Co., Inc.676-22 ZZ-9£9 ouI ''O3 ju9uIdmba ia/haS SID :iopuaA sa8ed 8z JO oz a8zd S „posoI9u I/palJoel IV eoS.. JO/pue 'so}!sqoM 'sJoqLurIN aouaJajaU 'n>is opnl3u! Iou o(-] : IION o6e+uooiod ;unoosla HI IM posodoid +SljOOjJd/6ole leo JO OLueN ale is -L solnq 1IUV LUO II petsII }SljOOjJd/6ole leo JO/pug Jain]9ejnueLU qoeo JO) }unooslp o6e+ua9iad 3Dlaeds ouo isII )gnu s,JOPUOA • posodoid }sljooud/6ole teo io/pue ouII }3npoJd JOJnpe+nueLU leuo!)!ppe q9eo ioJ „a)euro;IV ppv„ }oolos • :poJaplSU09 aq lou KeLU lesodOJd io SMOljOJ se uo!+eLUJo}ul aq) }lwqns }snLU LUO jI eull lod )slloolid/6ole leo io/pue sauII 13npoid JOJn+oe+nueLU eld!+lnLU 6ulsodoid SJOPUOA :soloN LUO)I pOJOPISU09 aq lou ljIM lesodoid io popnlou! eq lsnm }slla9jJd/6ole leo -s}onpord poIeIa pug ;uoudlnba uo!+eAeox3 unnoeA JO+}Slj03lid/6ole leo go (%) +unoos!(J -nTRanS–pTeTq3nm7jtToTmrn6]WmMl s L '„pasol9u3/palJoellV aaS„ JO/pue 'sa}!sqaM 'sJaqLunN a9uoJOJOU 'rlys oprlj9u! Iou oa :m o6e}uooiod }unoosla HIjM posodoid +SljOOjJd/6ole leD JO atueN qe is - b solnq 1IUV LUO II palsII }SljOOjJd/6ole leo io/puc JaJn}oe;nueLU q9ee ioJ }un03slp o6e;uooJOd 91}!oods ouo lsII )snLU s,JOPUOA • pasodoid }sll09lid/6ole leo JO/pue ouII +3npoJd Join+oe}nueLU leuo!)!ppe qoeo JOJ „a)euro+IV ppv„ +oolos • :peioplsu09 aq lou Kew lesodOJd ro SMOljOJ se uo!}eLuioJu! aH) }lwqns }snLU LUO)! euII iod +sllaojJd/6ole leo io/puc souII pnpoJd JOJn}3ejnueLU old!}lnLU 6UjSOdOJd SJOPUOA :so;oN LUO II -POJOPISUOO aq IOU IIIM IeSOdOJd JO popnlou! aq lsnm }sllaojJd/6ole Ie') -s+onpord po+eloi pue 'solioss033V 's]uotuq3e IIV 's)!un laBor JOllerjJOJ }sllaojJd/6ole leo go (%) }unoosla -33liaaF91meTq3mmaHjiTandjn6]WI P Z mooG Docusign Envelope ID= 75F02738-53A8JtA20-9DFC-BOCEA26B3420 6 1 Section 1:Sewer Cleaning Equipment, Products, and Supplies - Discount (%) off catalog/pricelist for All Other Sewer Cleaning Equipment, Attachments, Accessories, and related products. Catalog/Pricelist MUST be included or proposal will not be considered. Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/pricellst per line item must submit the information as follows or proposal may not be considered: Total: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor’s must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". e 7 1 Section II: Sewer Inspection Equipment, Products and Supplies - Discount (%) off catalog/pricelist for Portable Mini Sewer Inspection Systems, Attachments, Accessories and related products. Catalog/Pricelist MUST be included or proposal will not be considered. Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: Total • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor’s must list one specific percentage discount for each manufacturer and/or catalog/priceltst listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". CLS Sewer Equipment Parts Page 21 of 28 pages Vendor: CLS Sewer Equipment Co., Inc.676-22 ZZ-9£9 'ouI ''O3 }uatudlnba la/haS SID :ropuaA sa8ed 8z JO zz aged SHed }UOLUd J '„posol9u3/poqoe}}V oaS„ JO/pue 'so}!sqoM 'sJoqLunN 09UOJO JON 'rlys opnl9u! Iou o(-] :m 36e}ua3iod +unoosla q+!M posodoid }sll03lrd/6ole Ie,) JO OLueN OIe)s -L solnqjlUV LUO II petsII +SljOOjJd/6ole}eo io/pue ioin+9e;nueLU y3eo ioJ +unooslp a6e}ue9Jad OBlaeds ouo lsII }snLU s,ioPuoA • posodoi d +sljooud/6ole leo JO/pue ouII +9npoid ioinpe+nueLU leuo!)!ppe yoga ioJ „o+euro;IV ppv„ }ool8s • :pOJOptSUOO eq lou Kew lesodOJd io SMOljOJ se uol+eLUJOJul OH) }!wqns ]snu ual! auII Jed ]slloolid/6ole leo io/puc souII pnpoJd Jan Ioe+nueLU eld!+lnLU 6ulsodoid sioPuoA :soloN LUO II 'paiaplsu09 aq lou IIjM lesodOJd io popnl9u! aq lsnm }SljOOjJd/6ole Ie„.) -$)3npoid pa)elm pug 'solross303V 's;uotuq3env 'stuo IsAS uo1)30dsul IOMaS aulluleU pug 1818)el ioJ}slloopd/6ole leo go (%)lun03sla -nTiam{®nIM®ajFaaarma-tnWWomNW 1 6 L „posol9u3/pay9e IIV oaS„ JO/pue 'sa)!sqaA/\ 'sJaqLurIN 09UOJOJOU 'rl>IS apnl9u! tou o(-] :m 36e+u90rod )un03sla q)!M pOSOdOJd lsll33lrd/6ole+eo JO otueN o+c+s -L solnq 1IUV LUO II palsII +slloolid/6ole leo JO/pue Join+oejnueLU qoeo ioJ +unooslp e6e+uaoJOd OB loads auo isII +snLU s,JOPUOA • pOSOdOJ d }sll09lid/6ole teo JO/pue auII pnpoJd Joinpejnuew leuo!)!ppe qoeo JO) „a)euro)IV ppv„ +oolos • :peJopjSUOO eq lou Kew lesodoid JO SMOljOJ se uo!}ewJo}ul aLl I }!wqns }snLU LUO)! euII lod +SljOOjJd/6ole ico JO/pug souII lonpoid ioJn}oeJnuew old!)lnLU 6ulsodoid SJOPUOA :so ioN tuo il -paJapjSU09 aq lou IIjM lesodOJd JO papnl9u! aq lsnm }slla9pd/6ole ie'.) -s}onpord pa leIa pue 'solioss030V 's}uoLuqoe IIV 'stuo IsAS uo!}oodsul IOMaS !ulW alqeUod oulluleW JOJ+sllaojJd/6olete9 BO (%) }unoosla -33TiamsjEre3M®aTLTamarmaInWaI 8 ozt€89zv300a-oJa6-ozvFgv€g-g€zzoJsz :al OdOjOAU3 u61sn30a Docusign Envelope ID: 75F02738-53A8-4A20-9DFC-BOCEA26B3420 1 1 Section II: Sewer Inspection Equipment, Products and Supplies - Discount (%) off catalog/pricelist for O I Vehicle/Trailer Mounted TV Sewer Inspection and Rehabilitation Systems, Attachments, Accessories, and related products. Catalog/Pricelist MUST be included or proposal will not be considered. Total: Item Notes: Vendors proposing multIple manufacturer product lines and/or catalog/priceltst per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor’s must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage CLS Sewer Equipment Parts NOTE: Do not include SKU. Reference Numbers. Websites. and/or "See Attached/Enclosed 1 1 Section II: Sewer Inspection Equipment, Products and Supplies - Discount (%) off catalog/pricelist for 1 1 Sewer Inspection Cameras, Attachments, Accessories, and related products. Catalog/Pricelist MUST be included or proposal will not be considered. Total Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or cataiog/pricelist proposed • Vendor’s must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage CLS Sewer Equipment Parts NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed". Page 23 of 28 pages Vendor: CLS Sewer Equipment Co., Inc.676-22 ZZ-9£9 'ouI ''O3 )uatudmba la/haS SID :iopuaA sa8ed 8z JO tz a8ed L -„pasolou3/palJoel IV OaS„ JO/pue lsa)!sqaM 'sJoqLunN 09UOJOJaU 'n>{s opnl9u! IOU 0(-J :m o6e+u03iod }unoosla HIjM posodoid )Slj03jJd/6ole leo JO ameN ale is -L so;nqjlUV LUO II po;sII ;SljOOjJd/6ole iea io/pue ioJn;oejnueLU qoeo io) +unooslp o6e+u09iod o!+ loads ouo lsII }snLU s,ioPuoA • pOSOdOJ d }slloolid/6ole leo JO/puc ouII pnpoJd Joinpe+nueLU leuo l+!ppe yoea io) „o}euio IIV ppv„ }3alas • :paieplsu09 aq )ou AcLU lesodOJd JO SMOljO} se uo!+eLUJOJu! aq) }ILuqns )snLU waH oull iad ]slloolid/6ole ico io/pug souII )onpoid Jeinpejnueu old!+lnLU 6UjSOdOJd siopueA :so)ON LUO;I -poioplsuoo aq lou ljIM lesodoid JO popnloul aq Isnm }SljOOjJd/6ole leo -q9npoid poIeIa pue soliosso03v 's)u8tuq3euv 'suaLue') uolPodsul ooPIA olqeyod I c Jq }slloolid/6ole ico go (%)+unoosla -33T©m£®relm®Q=TtTalaaW]lnWWaMI i L „pasol9u3/paq9e liV oaS„ JO/pue 'so}!sqoM 'sJoqLurIN 09uaJajaU 'rl>IS oprlj9u! Iou o(-] :31(-")N o6e+uoorod +unoosla q)!M posodoid +sll03lrd/6ole iea JO otueN o)eIS -L solnqjlUV LUO II pe IsII +SljOOjJd/6ole teo JO/pue iaJn+3qnueLU qoeo ioJ }un09slp o6e+u03ied o!+!oods ouo +sII +snu s,ioPuoA • pOSOdOJd +SljOOIJd/6ole leo JO/pug eull )onpoJd JOJn+oe}nueLU leuo!)!ppe yoeo JO; „a)euro)IV ppv„ +oolos • :peioplsu03 aq lou AcLU lesodOJd JO SMOljO4 se uo!}eLUJOJu! aH) }ILuqns )snLU LUO+! ou!! lod }sllaolid/6ole ico io/puc souII pnpoid ioin)9ejnueu eld!}lnLU 6UjSOdOJd SJOPUOA :soloN LUO Ii -pOJOpjSUOO eq lou IIjM lesodOJd JO papnl9u! aq lsnm }slla9jJd/6ole Ie') -slonpoid pa leIa pue 'solrossa03V 's)uotuqoeBV 'sioyodsuwl woLue3 uo1}30dsul raMOS 1 ZJOJ+Slj03lid/6ole+eo #o (%) }unoosla -IsiTaWWIIMrMHjtroluaT@–tnWWoMNq® I i ozt€89zv3008-oJa6-ozvFgv€g-g€zzoJ gZ :al odoIOAU I u61sn90a Docusign Envelope ID: 75F02738-53A8dtA20-9DFC-BOCEA26B3420 1 1 Section II: Sewer Inspection Equipment, Products and Supplies - Discount (%) off catalog/pricelist for 4 1 Lateral Cleaning Systems, Attachments, Accessories, and related products. Catalog/Pricelist MUST be included or proposal will not be considered. Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/prIce list per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor’s must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage e r Equipment Parts NOTE: Do not include SKU, Reference Numbers, Websites, and/or "See Attached/Enclosed" 1 1 Section II: Sewer Inspection Equipment, Products and Supplies - Discount (%) off catalog/pricelist for 5 1 Lateral Reinstatement Cutters, Attachments, Accessories, and related products. Catalog/Pricelist MUST be included or proposal will not be considered. Total Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed • Vendor’s must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage qLS Sewer Equipment Parts NOTE: Do not include SKU, Reference Numbers. Websites. and/or "See Attached/Enclosed" Page 25 of 28 pages Vendor: CLS Sewer Equipment Co., Inc.676-22 ZZ-9£9 ouI ''OD }uatudmba la/naS SID :ropuaA sa8ed 8z JO 9z aged S '„posol9u3/poq9e liV aoS„ JO/pue 'so)!sqoM 'sJaqLurIN 09UOJOJOU 'nHS oprlj9u! Iou o(-] :m o6e}u30rod }unoosla HIjM posodoid +slle3lid/6ole Ie') JO OLueN oie is -L so)nqjlUV LUO II po IsII }slloolrd/6ole leo JO/puc Join toe+nueLU qoeo io) )unooslp a6e+ua9iod oIJloods ouo tsII +sntu s,JOPUOA • pOSOdOJ d +Slj09jJd/6ole leo JO/pue ouII pnpoJd JOJn}9ejnueLU leuo!+!ppe yoga JOJ „a;euro)IV ppv„ poles • :poJepjSU09 aq lou Kew lesodoid io SMOljOJ se uo!}eLUJOJu! aq) }!Luqns ]snLU ual! auII led }sllaolid/6ole iea JO/puc souII +onpoid ioin]9e+nueLU ald!}lnLU 6ulsodoid sioPuoA :so;oN LUO;I 'poioplsuoo aq )ou II!/v\ lesodOJd JO papnloul aq isnm +slla9jJd/6ole Ie') 'qonpoid pa)eIn puc 'soliossa30v 's}uotuq3env 'stuqsAs uo1+3adsul oulledld A)!An') I z JO+jSljOOpd/6ole leo go (%)}un03sla -ISINmy®BIM®wtToIDaTmaInwal i S '„posol9u3/palJoel IV oaS„ JO/pue 'sollsqa/\A 'sJaqLunN 09UOJOJaH 'n>IS opnIou! Iou oa :m o6e+uoorod )unooslCI HIjM posodoid ;sll30lid/6ole Ie') JO otueN ale IS -L solnqjlUV LUO II po IsII ;slloolid/6ole leo io/puc Join}3ejnueLU qoeo ioJ +un03slp o6e+uooied o!)!gods ouo }sII }snLU s.ioPuoA • pOSOdOJd +sllaojJd/6ole teo io/pue ouII ;9npoid Joinpe+nueLU leuo!)!ppe qoeo io) „a)euro)IV ppv„ }30los • :poioplsu09 aq )ou AeLU lesodoid io SMOljOJ se uo!}euuoJul OH) }!Luqns +snLU LUO)! euII Jed ]slle3lid/6ole leo JO/puc souII lonpoid Join}3e}nueLU old!}lnLU 6ulsodoid SJOPUOA :saloN LUO II -POJOPISU09 aq IOU IIIM IeSOdOJd lo popnlou! aq lsnm }slloolid/6olqe'.) -s)3npad poIeIa pue 'solioss333v 's+uotuqoeBV 'SLUO;SAs 6ulluord 1 9 Jq }sllaojJd/6ole leo go (%)+un09sla -33Tia©s]Er€B=jtTolaaTm3IFoW anNMl i oat€89zv3308-o]a6-oivFgve9-8ezzoJ9z :al 8dOjaAu3 u61snooa Docusign Envelope ID: 75F02738-53A8-4A20-9DFC-BOCEA26B3420 1 1 Section II: Sewer Inspection Equipment, Products and Supplies - Discount (%) off catalog/priceiist for 8 1 Pipeline Condition Assessment Software and related products. Catalog/Pricelist MUST be included or proposal will not be considered. Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/pricelist per line item must submit the information as follows or proposal may not be considered: Total • Select "Add Alternate" for each additional manufacturer product line and/or catalog/pricelist proposed + Vendor’s must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU. Reference Numbers. Websites. and/or "See Attached/Enclosed" CLS Sewer Equipment Parts 1 1 Section II: Sewer Inspection Equipment, Products and Supplies - Discount (%) off cataiog/pricelist for All 9 1 Other Sewer Inspection Systems, Attachments, Accessories, and related products. Catalog/Pricelist MUST be included or proposal will not be considered. Item Notes: Vendors proposing multiple manufacturer product lines and/or catalog/prlcelist per line item must submit the information as follows or proposal may not be considered: Total • Select "Add Alternate" for each additional manufacturer product line and/or cataiog/priceltst proposed • Vendor’s must list one specific percentage discount for each manufacturer and/or catalog/pricelist listed Item Attributes 1. State Name of Catalog/Pricelist Proposed with Discount Percentage NOTE: Do not include SKU. Reference Numbers. Websites. and/or "See Attached/Enclosed" CLS Sewer Equipment Parts Page 27 of 28 pages Vendor: CLS Sewer Equipment Co., Inc.676-22 ZZ-9£9 ouI “OO luatudmba ra,waS SID :iopuaA sa8ed 8z JO 8z a8zd OO'O LCS :Ie lol osuodsoU :A}!+uenC)@@eD[JrTd}{ :mon:OOjJd00-SSL$00-SSL$:Ie;o1 L s}onpoJd pue +uoLUdlnb] JO oolmos Jledeu/uol+elle)suI lo) ola Joqel ANnoy p go – stuo II palelaN pue+uotudlrIba 's}3npoid 's}uotussossV uo!}!puoO aulladld +o 83jhloS iOJ o;ed ioqel AlinoH - nI WeITIEaT fe OO'9g [$:Ie;o1 no :OOjJd WPT(TEj=FiR&bT :mon T :A)!)uenO 's}onpoid pue }uaLUdlnb3 JO aol/tIes Jledau/uol}elle)suI ioJ aIn Joqel Alinoq > – sue II palelaN pIle )uotudlnba 's}3npord uo!)03dsul '6ulueo19 IOMas JO 83lmas iledou/uo!;elle)suI lo+ o;eu roqe1 KlrnoH - o WWMtM5Fg L Z L '„pasol9u3/poq9e IIV eoS„ JO/pue 'sa)!sqoM 'sJoqLurtN 09uoJajaU 'n>IS opnIou! Iou o(-] :310N o6e+uooiod +unoosla q)!M pesodord ;sllaolid/6ole}eD JO omeN ale is -L solrlq 1IUV Hall po IsII +SljOOjJd/6ole teo JO/puc Join;oejnueLU q9eo JOJ }un09slp o6e+uooJOd o!+!oods ouo lsII +snLU s,JOPUOA • posodoi d }slloolid/6ole+co JO/pue ouII }onpoJd Join+oe}nuew leuo!)!ppe qoeo JOJ „a;euia+IV ppv„ )ooles • :pOJOplSU09 aq lou AcLU lesodOJd JO SMOljOJ se uo!}eLUJOJu! OH) }ILuqns }snw LUO II oull JOd +slloolid/6ole leo io/pue souII ]9npoid Join+9ejnueLU old!}lnLU 6ulsodoid SJOPUOA :soioN LUO II poJapISU09 aq lou IIjM lesodOJd JO popnlou! eq Isnm ISljOOjJd/6olqe’) '}uoLUdlnba uolpodsul pue 6ulueol') IOMas iq 1 0 sped ;uotua3eldou/iled3u JOJ +SljOOjJd/6ole iea go (%) }un09slc] -WmmFr8TLW©m©F59S I e oate89ev3008-oJa6-orvF8v£s-8ezzoJ9z :al odOjaAu3 u61sn30a Docusign Envelope ID: 75F02738-53A8JtA20-9DFC-BOCEA26B3420 Exhibit D 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 a Certificate of Interest Parties before the contract is awarded, in accordance with Government Code 2252.908. The contractor shall: 1 2 3 4 5 6. Log onto the State Ethics Commission Website at : https://www .ethics .state.tx.us/filinginfo/ 1295/ Register utilizing the tutorial provided by the State Print a copy of the completed Form 1295 Enter the Certificate Number on page 2 of this contract. Complete and sign the Form 1295 Email the form to purchasing(a2cityofdenton.com with the contract number in the subject line. Contract 1234 – Form 1295) (EX: 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. File 862 1 LZ98 - oul 'oO +uoLUdlnbl JaMeS SID 's+uo6V 'sleloyJO sl! 'uo+ua(-] JO A+10 aq) paJnsul leuo!;!ppV se aLueN 0 :6UjMOljOJ aq) apjAOJd ol pasJopuo eq lleys solollod Aujlqel I • -sosuadxa asuo+op pue uolleJ}sjUjLupe LUjelo 'suo!}e61}soAu! po}ejOJ pue sossol JO +uaLuAed 6ulaalueien6 puoq e ainooid lleqs JopeJ}uoo aq) 'JO :sJaa+unjOA pue soaAoldLua 's}ua6e 'slelo! go s)! 'Al13 aq) o) pOdSOJ qljM suo! iua)aJ poJnsul-Jlas JO salq!}onpap Hons eleujLUlla JO 03npaJ lleqs Joinsu! OH) 'AjlO aq) Aq pe}sonbaJ JI -lesodOJd aq) u! poJeloap aq lleqs suo!+ue+oJ paJnsu!- IIes JO solq!}onpap Auv • – Iseal Ie JO 6u!)a AuedLuo’) }sag -bN'V ue q)!M sexal JO ole is OH) u! ssaulsnq op o) pazjJoy)ne AuedLu03 e Aq ponss! aq lleqs A91lod qoe3 • :po lou os 41 'JO6UOl lo ')3er)uo3 aq) yo uo!)einp eq) }noq6noiq) suo Flealylaeds lu3uo6 osoq) q JIM 33uelldul03 u! paule+uleu aq lleqs pue 'suo!)eaulaeds leiouo6 6UjMOljOy eq) q;!M Aldtu03 lleqs s)uotuoilnboi 3939) yo uorIoe+snes u! paule)qo io posodoid solollod 03ueinsu! IIV -IIO)uea yo A)!9 aq) Aq pou6 is pue 'poAordde 'po}d033e uooq seq )3ei)u03 aq) )eU) uo! leaD! lou SOAj0301 ags lo aq 11)un lelro)etu Aue JOAllap lo HioM Aue 03uotutu03 lou lleqs io}3er)uoo -plq/lesodoid eq) q)!M panltuqns uooq seq uoDd03xo ual)1IM e ssolun 6uluodo plq/lesodoid roBe poAleM ro palylpotu aq )ou Aetu s)uoluoilnboi 03ueinsu! eq) aauls '6uluodo plq/lesodord o) IOjId s)sonbor IIons OHeu OI pasjApe A16uor is Ole sro)3ei luo') 'jOAOMOq foul!) Aue le s)uotuoJjnbor 03ueinsu! Aue yo uo! leo!)1leIa roy Hse ')uotuuedoa 6ulseq3rnd aq) o) )sonboi ual)!iM uodn 'Aeul io)3ei luo') - loafold OIl) yo all!) pue ioqunu }3er)u03 aq) 6ulule)u09 's)UOLUOSjOpuo ro Iunpuoppe olqe3lldde Aue 6ulpnl3u! 03ueinsu! yo so leolylpoo AJO)3eysnes )uotuyedoa 6ulseq3jnd aq) q)IM oID lleqs io}3ei)uo9 'pieMe }3er)u03 yo uo! leoly! lou laNe olqe31}3erd se uoos SV 'roUeul81814 paleolpu! se o6eioA03 03ueinsu! tunulultu aq) 'iOUMO 'uo)uoa yo A)!9 aq) Aq po}d033e pue po)OldLU03 uooq seq HroM po}3er)u03 aq) Inurl ule}uletu pue 8pjAord lleqs io}3ei+uo9 aq) 'jo)3er)uo3 aq) yo sonIIlqeII lo suo!}e611qo iag)o aq) yo Aue 6u!)! tuII }noq}!M :SNOISIAOUd auvaNVls pei+u09 sly) JO osin09 aq) }noq6noJq} LIje luIeu o+ A)np e OAey lleys JopeJ}uoo lnyssooons oy) yOjqM 'suo!+e611qo lenpeJ+uDa OLU030q lleqs s+uoLUOJlnboj 09ueinsu! IIe 'pJeMe }3ei}u03 uodn -pei}u03 aq) yo pjeMe LUO4 poHljenbslp eq AeLU }uopuodsoi icq) 's}uotuoJjnboi 03ueinsu! oy) yuM Alpli is AldLu03 OI SI ley +UOPUOdSOJ MOl }uoiedde ue yI -ujoleg pop!/\old pue poqliosoid se S}UOLUOSiOpuO pue so}e9Ulpoo a3ueinsu! yo A+111qelleAe aq) uojSSjLuqns p18/lesodOJd JO aoueApe u! OUjtUJO lop o+ sjoHOJq JO siojiJeo 09ueinsu! OA1}90dSOI iIeq+ y+!M ioyu09 s}uopuodsor pq) pOPUOLULU090j Aly61q s! +1 -MOjOq s}uoLuailnbai 09ueinsu! OH; o) papalp s! uo!+uope sl+uopuodsau SrNaWTHInOTU a3NVunsNI a }!qTl{xa ozt£89zv=o08-oJa6-ozvbgv€g-g€zzoJgz :al OdOjOAU3 u61sn90a Docusign Envelope ID: 75F02738-53A8-4A20-9DFC-BOCEA26B3420 Employees and volunteers. 0 That such insurance is primary to any other insurance available to the Additional Insured with respect to claims covered under the policy and that this insurance applies separately to each insured against whom claim is made or suit is brought. The inclusion of more than one insured shall not operate to increase the insurer's limit of liability. o Provide a Waiver of Subrogation in favor of the City of Denton, its officials, agents, employees, and volunteers. • Cancellation: City requires 30 day written notice should any of the policies described on the certificate be cancelled or materially changed before the expiration date. •Should any of the required insurance be provided under a claims made form, Contractor shall maintain such coverage continuously throughout the term of this contract and, without lapse, for a period of three years beyond the contract expiration, such that occurrences arising during the contract term which give rise to claIms made after expiration of the contract shall be covered. •Should any of the required insurance be provided under a form of coverage that includes a general annual aggregate limit providing for claims investigation or legal defense costs to be included in the general annual aggregate limit, the Contractor shall either double the occurrence limits or obtain Owners and Contractors Protective Liability Insurance. •Should any required insurance lapse during the contract term, requests for payments originating after such lapse shall not be processed until the City receives satisfactory evidence of reinstated coverage as required by this contract, effective as of the lapse date. If insurance is not reinstated, City may, at its sole option, terminate this agreement effective on the date of the lapse. SPECIFIC ADDITIONAL INSURANCE REQUIREMENTS: All insurance policies proposed or obtained in satisfaction of this Contract shall additionally comply with the following specifications, and shall be maintained in compliance with these additional specifications throughout the duration of the Contract, or longer, if so noted: A GARAGE LIABILITY Garage Liability Insurance including, but not limited to, Premises/Operations, Automobile, Personal & Advertising Injury, Products/Completed Operations, Independent Contractors and Contractual Liability with minimum combined bodily injury CLS Sewer Equipment Co. 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FORM CIQ 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) and by City of Denton Ethics Code, Ordinance 18-757 By law this questionnaire must be filed with the records administrator of the local government entIty not later than the 7th business day after th, 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. misdemeanor. a W An offense under this section is a CLS Sewer Equlpment CO. , Inc . 2 1 1 Check this box if you are filing an update to a previously filed questionnaire. X (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 Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relations hip with the local government 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 176.00 1(1-a), Local Government Code Attach additional pages to this Form CIQ as necessary. A.Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the vendor? = Yes n No B Is the vendor rcceiving 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?n ,”n .„, C.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? n ."= *” D.Describe each employment or business and family relationship with the local government officer named in this section 4 5 Ld I have no Conflict of Interest to disclose. 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LU03'uo+uapJOA}!o@AOjsuay-eies AelsuoH aeS mv et:6t:2 PaGe/g L/6 :Pou61S mv 9L:6t:/ +ZOZ/8 L/6 :POMOIA mv ze: L L:/ tZOZ/g L/6 :}uoS u61Sn90C] ejA paogO )ON :3insoloslCI an]eu61S pue pioooU OjUOJ;3313 (aL„N) uo!}e31}uaq+nV }un030V 'lleLu3 :jOAa1 A}!JnooS ualuea JO A+!’) JOSjmodnS uo!]eDslujLupV )uotuoJn30id LUOO'uojUopJOAU3©oojop-auuaAatlo oojoa ouuoAoq'.) mv te: L L:/ tZOZ/g L/6 :Pou61S mv tO: L L:/ tZOZ/8 L/6 :poMaIA mv €Z:6€:6 tZOZ/OZ/g :}uoS OL'OtL'6t'96 L :ssaJppV dl 6ulsn pa}oldLuo9 €pOqZ8etZgO&tZq6-9Jqp999 L-aqZZgtZ£ :al mv LL:6e:6 tZOZ/OZ/8 :po)d090V :arnsol3sla 3rn)eu61S pue pr09aU 3luorl3013 OL'O+L'6t'96 L :SSOJPPV dl 6ulsn aojAaa uo UMeJC] :uo!}dopV aJn}eu61S (.L„N) uo!}eo!+uoq+nV +unoooV 'lletu3 :jOAel A+!JnooS +oo11 pue so!}111oeJ JO}OOJ!("] LU03-uotuopJOAllo©JaLueJr)-LUOI JaLueJr) seLUoql SIueA 3 rou61S mv bZ:6€:6 tZOZ/OZ/g :Pou61S mv ZL:6e:6 tZOZ/OZ/8 :POMOIA mv ZU:gC:6 tZOZ/OZ/g :)UOS due;soulII orn}eu61S Carbon Copy Events Gretna Jones gretna.jones@cityofdenton.com Legal Secretary City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Status Timestamp Sent: 8/20/2024 9:39:24 AM Viewed: 8/20/2024 11 :58:41 AM City Secretary Office citysecretary@cityofdenton.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 9/1 8/2024 9:08:05 AM Viewed : 9/18/2024 12:14:19 PM Robin Melendez-Martin robin.melendez-martin@cityofdenton.com Fleet Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 9/18/2024 9:08:06 AM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Envelope Sent Envelope Updated Certified Delivered Signing Complete Completed Status Timestamps 8/5/2024 1:15:17 PM 8/23/2024 6:42:46 AM 9/18/2024 9:07:44 AM 9/1 8/2024 9:08:02 AM 9/18/2024 9:08:06 AM Hashed/Encrypted Security Checked Security Checked Security Checked Security Checked Payment Events Status Timestamps Electronic Record and Signature Disclosure sn uroiJ £lle3ruoDoala saJnsol3s TP pIle sa3T lou aq 1 JO £IaATIap aATa3ar Ol lou gupoala Jno£ JO saouanbasu03 allI saqposap Irq I aAoqF £late}pauIurT qd21Sered atp aas osl8 aseaId ','uolaq paquosap SR /v\ouR sn laI aseald 'ssa30rd STH) qIIM aaiBe lou op noK Jl -uia ISAS /CIa Arlap IreuI Jadrd arp q8nonjl leuuoJ radrd UT io Klle9}uoa3ala sao! 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