1-26-001 Library Infrastructure Broadband Bid Packet.pdf
PDF 2 MB Posted
- Solicitation number
- 26-001
- Issued by
- Polk County, Texas
About this file
This is a Request for Proposal (RFP) issued by Reeves County Purchasing Department in Pecos, Texas, for broadband infrastructure upgrades at the Reeves County Library, funded through the Texas State Library and Archives Commission (TSLAC) Library Infrastructure Facility Improvement (LIFI) Grant Program under the American Rescue Plan Act - Capital Projects Fund. The project scope includes fiber broadband installation from the service handoff point to internal distribution, internal network infrastructure upgrades with enterprise-grade equipment, construction and electrical work for trenching and conduit installation, and associated upgrades to support 100/100 Mbps internet speeds. Specific deliverables include new fiber service, structured cabling, Wi-Fi 6 access points with managed controller, enterprise-grade network switches, a network server for library management and content caching, a 10TB backup hard drive, managed router suitable for 1 Gbps service, and phone system upgrades if applicable. Sealed proposals must be received at 1714 Schmidt Drive, Pecos, Texas 79772 before 11:00 AM CST on Friday, February 20, 2026, with opening scheduled for 11:05 AM the same day. The bid award is tentatively scheduled for 10:00 AM CST on Monday, March 9, 2026, in the Reeves County Commissioners' Court. Interested vendors must submit questions to bidquestions@reevescounty.org before Friday, February 13, 2026, and must check the county website at https://www.reevescounty.org/ for any posted addendums prior to the opening date.
The project budget is $157,000 with a project completion date of August 31, 2026. Evaluation criteria allocate 40 percent to pricing factors, 25 percent to project manager experience, 15 percent to team experience, 10 percent to governmental/region experience, and 10 percent to project delivery schedule. All proposals must be typed or printed in ink, placed in a sealed envelope with a manually signed cover page, and submitted in person; facsimile and email submissions are not accepted. All vendors must complete and return multiple forms including the Conflict of Interest Questionnaire, Debarment/Suspension Certification, Certificate of Interested Parties (Form 1295), Certification Regarding Lobbying, Health Insurance Benefits Questionnaire, Bidder Residency Certification, House Bill 89 (Israel Boycott) Verification Form, Senate Bill 19 (Firearm Entity Discrimination) Verification Form, Senate Bill 13 (Energy Company Boycott) Verification Form, and Senate Bill 252 (Iran/Sudan/Foreign Terrorist Organization) Verification Form. Insurance requirements include General Liability coverage of $1,000,000 per occurrence with Reeves County named as additional insured and waiver of subrogation, Automobile Liability of $1,000,000, and Workers' Compensation statutory limits. A Professional Engineer certification confirming the broadband installation meets design and performance standards including the 100/100 Mbps minimum requirement is required. All bids are firm and cannot be altered after submission; the county reserves the right to reject any or all proposals, request best and final offers, and conduct interviews with shortlisted firms before final selection by Commissioners' Court.
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Reeves County Purchasing Department
1714 Schmidt Dr.
Pecos, TX 79772
NOTICE TO INTERESTED PARTIES
The Purchasing Department is receiving sealed proposals at 1714 Schmidt Dr., Pecos, Texas 79772 before 11 A.M (CST) Friday, February 20, 2026 to be opened at the Purchasing Department Office at 11:05 AM (CST) on the same day.
Mark Sealed Envelope:
RFP #26-001
Proposals should be typed or printed in ink. Proposals shall be placed in a sealed envelope, with the cover page manually signed by a person having the authority to bind the firm in a contract and marked clearly on the outside as shown above. Facsimile transmittals and email submitted Proposals will not be accepted.
These services are being solicited to assist the (City/County) in its implementation of a project funded by the U.S. Department of Treasury under the ARPA Program.
Do not contact the requesting department. Any questions or additional information required by interested vendors must be emailed to bidquestions@reevescounty.org before Friday, February 13, 2026. Bid number and title must be on the “Subject Line” of the email. Attempts to circumvent this requirement may result in rejection of the bid as non-compliant. It shall be the bidder’s responsibility to check the website prior to the opening date to verify whether any addendums have been posted. Website:
https://www.reevescounty.org/
Reeves County appreciates your time and effort in preparing a bid. All proposals must be received in the Purchasing Agent’s Office before opening date and time. Bids received after the deadline will not be considered for the contract, and shall be considered void and unacceptable.
Award of the bids is tentatively scheduled for 10:00 a.m. (CST), in Commissioners’ Court, Monday, March 9, 2026, Third Floor Courtroom of the Reeves County Courthouse. You are invited to attend. In order to remain active in the Reeves County Vendor list, each vendor receiving this bid must respond in some form. Vendors submitting a bid must meet or exceed all specification herein. Vendors submitting a no bid must submit their reason in writing to the Reeves County Purchasing Department.
Lucero Sandoval Purchasing Agent mailto:bidquestions@reevescounty.org https://www.reevescounty.org/
PURPOSE OF PROPOSAL
The Texas State Library and Archives Commission (TSLAC) has been awarded funding through the American Rescue Plan Act – Capital Projects Fund (ARPA-CPF), administered by the U.S.
Department of the Treasury. This funding is dedicated to supporting capital infrastructure projects that enable work, education, and health monitoring in communities with critical needs. With these funds, TSLAC has established the Library Infrastructure Facility Improvement (LIFI) Grant Program, which aims to expand broadband access and enhance digital connectivity in rural and underserved communities across Texas.
PROJECT SITE:
Reeves County Library 315 S. Oak St.
Pecos, TX 79772
PROJECT SCOPE: The project consists of providing broadband infrastructure upgrades for the Reeves County Library to support the Texas State Library and Archives Commission (TSLAC) Library Infrastructure Facility Improvement (LIFI) grant program, including installation of new fiber service, internal network cabling, equipment procurement, and required electrical or construction work. The end goal of this broadband infrastructure project is to increase library internet speeds to at least 100/100 Mbps. Components of the project include:
• Fiber Broadband Installation o Installation of fiber from service handoff point to internal distribution o Labor, trenching, conduit, and materials to support new broadband connection
• Internal Network Infrastructure o New network drops and structured cabling o Installation of enterprise-grade switches o Installation of network server for library management systems, content caching, and backup storage o Managed Wi-Fi system with six (6) Wi-Fi 6 access points and controller o Managed router suitable for 1 Gbps service o Backup hard drive (10TB HDD) o Phone system upgrades (if applicable)
• Construction and Electrical Work o Trenching and conduit installation o Internal wiring and mounting of network equipment o Associated electrical upgrades to support equipment o Compliance with all applicable codes, safety requirements, and permitting
• Contingency o Approximately 3% for unexpected costs
Special Selection Criteria Preferred:
• Equipment o 1 Gigabit Broadband Service (12 months) o Managed Router o Managed Wi-Fi (6 Wi-Fi 6 access points) o Managed Controller o Backup Storage: 10TB HDD Drive o Structured Cabling Materials (1 box, 1000 ft) o Network Switches (2 enterprise-grade switches) o Network Server (for library management, content caching, backups) o Fiber Cabling Installation (labor + materials for broadband connection) o Construction Work (trenching, internal wiring, installation) o Contingency (unexpected costs @ ~3%)
BUDGET: $157,000
PROJECT COMPLETION DATE: AUGUST 31, 2026
EVALUATION CRITERIA
Each submitter will be evaluated based on their Score (100 points maximum) as determined through a request for proposal process and scoring criteria as noted below:
4.1
Team’s Experience
15%
4.2 Pricing Factors 40%
4.3 Governmental/Region Experience 10%
4.4 Project Manager Experience 25%
4.5 Project delivery schedule 10%
Total 100%
Based on the number of submissions, a shortlist of qualified Firms/Teams may be asked to
Interview with an evaluation team made up of County representatives to help determine final ranking before final selection is made.
4.1 Team’s Experience
4.1.1 Experience in similar/relevant projects.
4.1.2 Past performance in similar/relevant projects.
4.1.3 Technical competence.
4.1.4 Reputation.
4.1.5 Past Experience working for the Reeves County.
4.2 Pricing Factors
4.2.1 The degree to which Respondent’s Contract Price is less than the amount of the Owner’s Contract
Price Limit.
4.2.2 The Costing Methodology of the Respondent (policies on subcontractor markup, definition of general conditions, range of costs for general conditions, policies on retainage, policies on contingencies, discount for prompt payment, and expected staffing for administrative duties.
4.2.3 Proposed project Cost.
4.3 Governmental Experience/ Region Experience
4.3.1 Vendor’s demonstrated experience performing similar work for federal, state, or local government entities.
4.3.2 Vendor’s demonstrated experience performing similar work in the West Texas Region.
4.3.3 Relevance and complexity of past government projects
4.3.4 Quality of references from government entities
4.4 Project Manager Experience
4.4.1 Describe the proposed Project Manager’s experience managing projects of similar size, scope, and complexity—particularly for government or public-sector clients.
4.4.2 Describe the Project Manager’s approach to developing, monitoring, and maintaining the project schedule, including tools and reporting methods.
4.4.3 Provide examples of how the Project Manager has identified, mitigated, and resolved project risks or issues on past projects.
4.5 Project Delivery Schedule
It’s imperative contractor understands construction completion by August 31, 2026. Contrators whose schedule does not fall within these guidelines will not be considered for the project.
4.4.1 Feasibility and appropriateness of the Team’s overall project delivery strategy to delivery project objectives.
4.4.2 Ability to comply with specified project deadlines.
The responses will be scored by a team of Evaluators using the following point scale and respective descriptions:
Points Description
0 Nothing provided in response 1-3 Some information provided but there are some information gaps and the overall response does not completely satisfy requirements 4-6 Met expectations with minimum information to satisfy requirements
7-8 Exceeded requirements with additional relevant information 9-10 Far Exceeded requirements and expectation with proactive clarifications.
The following Certification will be required to be completed by a Professional Engineer.
FY 2026 Library Infrastructure Facility Improvement (LIFI) Grant
Grant Number: LIFI-26028
Recipient: Reeves County Library
In accordance with the requirements of the Texas State Library and Archives Commission (TSLAC) under the
Library Infrastructure Facility Improvement (LIFI) Grant Program, this certification confirms that the broadband infrastructure installation at Reeves County Library meets applicable design, performance, and scalability standards.
The broadband installation is designed to reliably provide speeds of __ Mbps/Gbps download and ___
Mbps/Gbps upload, <meeting or exceeding> the ARPA Capital Projects Fund minimum performance requirement of 100 Mbps download and 20 Mbps upload, and ensuring scalability toward symmetrical 100/100
Mbps service as technology and infrastructure improvements allow.
<If initial speed does not meet requirements, the subrecipient should include a timeline and plan to scale the less than 100 Mbps upload speed up to 100 Mbps in the future, as per Treasury guidance. If there is no plan to scale up, an explanation for why must be included.>
Based on my review of the technical design and installation documentation, I confirm that the project meets the requirements of the LIFI Grant Application and Grant Agreement and fulfills the intent of the program to enhance broadband access and digital connectivity for the community.
Certified By:
Name:
Title:
Company:
Address:
Email:
Phone:
Signature:
Date:
Insert Certificate of Insurance
Insert System for Award Management (SAM) record search for company name and company principal
SRF-404
4/16/2015
Debarment / Suspension Certification
I, __________________________________, hereby certify that I have checked on the federal (Authorized Representative of Recipient)
System for Award Management (www.sam.gov) website and determined that
_________________________________ is not shown as an “excluded party” that is debarred, (Name of entity) suspended or otherwise excluded from or ineligible for participation in federal assistance programs under Executive Order 12549. (See 2 CFR Part 180 and 2 CFR Part 1532 for additional information on the federal governmentwide debarment and suspension system for nonprocurement programs and activities.)
I understand that a false statement herein may subject me to penalties under federal and state laws relating to filing false statements and other relevant statutes.
Signature Date
Title
Name of Recipient
Verifying prime contractors and subcontractors for construction, equipment, supplies and services: Using the www.sam.gov website, the recipient must verify prior to awarding the contract that the prime contractor is not listed as an “excluded party” that is debarred, suspended or otherwise excluded from or ineligible. Once any subcontractors are known, they also must be verified as not listed as an “excluded party” prior to award of a subcontract. The recipient must print a dated record of the verification from the www.sam.gov website and retain a copy that is available for review by TWDB. The prime contractors and subcontractors must be verified prior to the contract award or the costs may be disallowed.
Certification Regarding Lobbying (To be submitted with each bid or offer exceeding $100,000)
The undersigned certifies, to the best of his or her knowledge and belief, that:
(a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, “Disclosure of Lobbying Activities,” in accordance with its instructions.
(c) The undersigned shall require that the language in paragraphs (a) and (b) of this anti-lobbying certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995).
The Contractor, ______________________________________________ (insert business name), certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 et seq., apply to this certification and disclosure, if any.
SIGNATURE
NAME OF AUTHORIZED
AGENT
TITLE OF AUTHORIZED
AGENT
DATE
INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether sub awardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C.
section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action.
Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action.
4. Enter the full name, address, City, State, and Zip Code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier.
Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in item 4 checks “Subawardee,” then enter the full name, address, City, State, and Zip Code of the prime Federal recipient. Include Congressional District, if known.
6. Enter the name of the federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, the Department of Transportation, United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full
Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFQ) number; Invitations for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Included prefixes, e.g., “RFQ-DE-90-001.”
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.
10. (a) Enter the full name, address, City, State and Zip Code of the lobbying registrant under the Lobbying Disclosure
Act of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action.
(b) Enter the full names of the individual(s) performing services and include full address if different from 10(a).
Enter Last Name, First Name, and Middle Initial (MI).
11. The certifying official shall sign and date the form, print his/her name, title, and telephone number.
According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB control Number. The valid OMB control number for this information collection is OMB No. 0348-0046. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing Instructions, searching existing data sources, gathering, and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, DC 20503
Approved by
OMB 0348-0046
Disclosure of Lobbying Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352
1.Type of Federal Action:
☐ a. contract
☐ b. grant
☐ c. cooperative agreement
☐ d. loan
☐ e. loan guarantee
☐ f. loan insurance
2. Status of Federal Action:
☐ a. bid/offer/application
☐ b. initial award
☐ c. post-award
3. Report Type:
☐ a. initial filing
☐ b. material change
4. Name and Address of Reporting Entity:
☐ Prime ☐ Subawardee Tier _______, if known:
Name:
Street Address:
City, State, Zip:
Congressional District, if known:
5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime:
Name:
Street Address:
City, State, Zip:
Congressional District, if known:
6. Federal Department/Agency: 7. Federal Program Name/Description:
CFDA Number, if applicable: ____________________
8. Federal Action Number, if known: 9. Award Amount, if known:
10a. Name and Address of Lobbying Registrant
Name (First, MI, Last):
Street Address:
City, State, Zip:
10b. Individuals Performing Services (including address if different from No. 10a) Name (First, MI, Last):
Street Address:
City, State, Zip:
11. Information requested through this form is authorized by Title 31 U.S.C., Section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
Signature: _______________________________________
Name: __________________________________________ Title: __________________________________________
Telephone: ______________________________________ Date: __________________________________________
Reeves County, TEXAS
COUNTY PURCHASING DEPARTMENT
1714 SCHMIDT DRIVE
PECOS, TEXAS 79772
432-287-0222, OPTION 7
432-445-5420 FAX
Dear Vendor:
The Texas Local Government Code Chapter 176 requires all vendors and potential vendors who contract or seek to contract for the sale or purchase of property, goods, or services with any local government entity to complete and submit a Conflicts of Interest Questionnaire. Attached is a copy of the questionnaire.
In filling out the Questionnaire, the following are the County Officers that will award the bid and the employees, which will make a recommendation to the Commissioner’s Court:
County Officers: County Judge, Leo Hung
Commissioner, Louise Moore Commissioner, Israel Campos Commissioner, Paul Hinojos
County Employees: Lucero Sandoval, Purchasing Agent
Erlinda Salazar, Buyer
Damian Dominguez, Buyer
Curtis Wilson, R&B Engineer
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
FORM CIQ
OFFICE USE ONLY
Date Received
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 governmental 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.
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 is being disclosed.
Name of Officer
4 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 relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIQ as necessary.
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor?
Yes No
B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity?
Yes No
5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an
Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).
Signature of vendor doing business with the governmental entity Date ownership interest of one percent or more.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021
Revised 1/1/2021Form provided by Texas Ethics Commission www.ethics.state.tx.us
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
A complete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form.
Local Government Code § 176.001(1-a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity;
(B) a transaction conducted at a price and subject to terms available to the public; or
(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency.
Local Government Code § 176.003(a)(2)(A) and (B):
(a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
(2) the vendor:
(A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed;
or
(ii) the local governmental entity is considering entering into a contract with the vendor;
(B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code § 176.006(a) and (a-1)
(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental entity; or
(B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a);
(B) that the vendor has given one or more gifts described by Subsection (a); or
(C) of a family relationship with a local government officer.
STATE OF TEXAS (
AFFIDAVIT
COUNTY OF REEVES (
BEFORE ME, the undersigned authority, on this day personally appeared
_______________________________________________ known to me to be the person whose name is subscribed to the following, who upon oath, says:
I am the Manager, Secretary or other agent or officer or the principal of the firm in the matter of the invitation to bid to which this affidavit is attached, and I have full knowledge of the relations of the firm with the other firms in this same line of business, and the firm is not a member of any trust, pool or combination to control the price of services on the invitation to bid, or to influence any person to the invitation to bid or not to the invitation to bid thereon.
I further affirm that the firm has not given, offered to five, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted invitation to bid.
Affiant
SWORN TO AND SUBSCRIBED BEFORE ME by the above Affiant, who, on oath states that the facts contained in the above are true and correct, this __________ day of
__________________________, 20______.
Notary Public in and for ____________________ County, Texas
Name of Firm_____________________________________________________
Signed By: _______________________________________________________ (Sign Name in Writing) (Title)
Address: _________________________________________________________
Telephone Number:________________________________ Date: ___________
NOTE: ITBs NOT ACCOMPANIED BY THIS AFFIDAVIT MAY NOT BE CONSIDERED.
The County of Reeves does not discriminate on the basis of race, color, national origin, sex, religion, age, organizational affiliations, and disability in employment or the provision of services.
HEALTH INSURANCE BENEFITS QUESTIONNAIRE
Texas Local Government Code Section 262.0271 states the County may give preference to bidders that provide reasonable health insurance coverage to its employees, over a bidder that doesn’t provide such insurance. Complete the questionnaire below if applicable. If not, check box #3.
1. Do you or your subcontractor(s) currently offer health insurance benefits to your employees?
If so, please describe those health insurance benefits that you or your subcontractor(s) currently provide/offer to your employees.
2. What percentage, if any, of your subcontractor’s employees are currently enrolled in the health insurance benefits program?
3.
No. The bidder is not requesting the Health Insurance Benefits Preference.
Checking Box #3 will not disqualify you from participating in this bid selection process.
BUSINESS NAME DATE
NAME OF AUTHORIZED REPRESENATIVE SIGNATURE OF AUTHORIZED REPRESENATIVE
BIDDER RESIDENCY CERTIFICATION
Government Code 2252.002 provides that, in order to be awarded a contract as low bidder, a non-resident bidder must bid projects for construction, improvements, supplies or services in Texas at an amount lower than the lowest Texas resident bidder by the same amount that a Texas resident bidder would be required to underbid a non-resident bidder in order to obtain a comparable contract in the state in which the non-resident’s principal place of business is located. A non-resident bidder is a contractor whose corporate offices or principal place of business is outside of the state of Texas. This requirement does not apply to a contract involving Federal funds. The appropriate blanks in Section A must be filled out by all out-of-state or non-resident bidders in order for your bid to meet specifications. The failure of out-of-state or non-resident contractors to do so will automatically disqualify that bidder. Resident bidders must check the blank in Section B.
A. Non-resident vendors in ________________________ (give state), our principal place of business, are required to be __________ percent lower than resident bidders by state law.
A copy of the statute is attached.
Non-resident vendors in ______________________ (give state), our principal place of business, are not required to underbid resident bidders.
B. Our principal place of business or corporate offices are in the State of Texas: ________.
COMPANY NAME
SIGNATURE
NAME & TITLE
HOUSE BILL 89
I, _________________________________________, (Person Name), the undersigned
Representative of _________________________________________ (Company Name or Business Name; hereafter referred to as Company) being an adult over the age of eighteen (18) years of age, after being duly sworn by the undersigned notary, do hereby depose and verify under oath that the company named-above, under the provisions of Subtitle F, Title 10, Government Code Chapter 2270:
1. Does not boycott Israel currently; and
2. Will not boycott Israel during the term of the contract.
Pursuant to Section 2270.001, Texas Government Code:
1. “Boycott Israel” means 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; and
2. “Company” means a for-profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit.
DATE SIGNATURE OF COMPANY REPRESENTATIVE
On this _____ day of _________________________, 20____, personally appeared
________________________________________, the above-named person, who after by me being duly sworn, did swear and confirm that the above is true and correct.
NOTARY SEAL
NOTARY SIGNATURE
Effective September 1, 2021
SENATE BILL 19 VERIFICATION FORM
This section applies only to a contract that:
[ ] 1) is between a governmental entity and a company with 10 or more full-time employees;
[ ] 2) has a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity.
I,_________________________________________ (Person Name), the undersigned Representative of
________________________________________ (Company Name or Business Name; hereafter referred to as Company) being an adult over the age of eighteen (18) years of age, after being duly sworn by the undersigned notary, do hereby depose and verify under oath that the company named-above, under the provisions of Subtitle F, Title 10, Government Code Chapter 2274:
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 companies during the term of the contract.
Pursuant to Section 2274.001, Texas Government Code:
(1) "Ammunition" means a loaded cartridge case, primer, bullet, or propellant powder with or without a projectile.
(2) "Company" means a for-profit 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 associations that exists to make a profit. The term does not include a sole proprietorship.
(3) "Discriminate against a firearm entity or firearm trade association":
(A) means, with respect to the entity or association, to:
(i) refuse to engage in the trade of any goods or services with the entity or association based solely on its status as a firearm entity or firearm trade association;
(ii) refrain from continuing an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; or
(iii) terminate an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; and
(B) does not include:
(i) the established policies of a merchant, retail seller, or platform that restrict or prohibit the listing or selling of ammunition, firearms, or firearm accessories; and
(ii) a company's refusal to engage in the trade of any goods or services, decision to refrain from continuing an existing business relationship, or decision to terminate an existing business relationship:
(aa) to comply with federal, state, or local law, policy, or regulations or a directive by a regulatory agency; or
Effective September 1, 2021
(bb) for any traditional business reason that is specific to the customer or potential customer and not based solely on an entity's or association's status as a firearm entity or firearm trade association.
(4) "Firearm" means a weapon that expels a projectile by the action of explosive or expanding gases.
(5) "Firearm accessory" means a device specifically designed or adapted to enable an individual to wear, carry, store, or mount a firearm on the individual or on a conveyance and an item used in conjunction with or mounted on a firearm that is not essential to the basic function of the firearm. The term includes a detachable firearm magazine.
(6) "Firearm entity" means:
(A) a firearm, firearm accessory, or ammunition manufacturer, distributor, wholesaler, supplier, or retailer; and
(B) a sport shooting range as defined by Section 250.001, Local Government Code.
(7) "Firearm trade association" means any person, corporation, unincorporated association, federation, business league, or business organization that:
(A) is not organized or operated for profit and for which none of its net earnings inures to the benefit of any private shareholder or individual;
(B) has two or more firearm entities as members; and
(C) is exempt from federal income taxation under Section 501(a), Internal Revenue
Code of 1986, as an organization described by Section 501(c) of that code.
(8) "Governmental entity" has the meaning assigned by Section 2251.001.
SIGNATURE OF COMPANY REPRESENTATIVE DATE
On this the _____ day of _________________________, 20____, personally appeared
________________________________________, the above-named person, who after by me being duly sworn, did swear and confirm that the above is true and correct.
http://www.statutes.legis.state.tx.us/GetStatute.aspx?Code=LG&Value=250.001 http://www.statutes.legis.state.tx.us/GetStatute.aspx?Code=GV&Value=2251.001
Effective September 21, 2021
SENATE BILL 13 VERIFICATION FORM
This section applies only to a contract that:
[ ] 1) is between a governmental entity and a company with 10 or more full-time employees;
[ ] 2) has a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity.
I,_________________________________________ (Person Name), the undersigned Representative of
________________________________________ (Company Name or Business Name; hereafter referred to as Company) being an adult over the age of eighteen (18) years of age, after being duly sworn by the undersigned notary, do hereby depose and verify under oath that the company named-above, under the provisions of Subtitle A, Title 8, Government Code Chapter 809:
1. Does not boycott energy companies; and
2. Will not boycott energy companies during the term of the contract.
Pursuant to Section 809.001, Texas Government Code:
1. A "Boycott energy company" means, without an ordinary business purpose, 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 with a company because the company:
(A) invests in or assists in the exploration, production, utilization, transportation, sale, or manufacturing of fossil fuel-based energy; or
(B) does business with a company described by Paragraph (A)
2. “Company” means a for-profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company, or other entity or business association whose securities are publicly traded, including a wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of those entities or business associations, that exists to make a profit.
SIGNATURE OF COMPANY REPRESENTATIVE DATE
________________________________________, the above-named person, who after by me being duly sworn, did swear and confirm that the above is true and correct.
NOTARY SEAL
SENATE BILL 252 VERIFICATION
I, _________________________________________, (Person Name), the undersigned
Representative of _________________________________________ (Company Name or Business Name; hereafter referred to as Company) being an adult over the age of eighteen (18) years of age, after being duly sworn by the undersigned notary, do hereby depose and verify under oath that the company named-above, under the provisions of Subtitle F, Government Code Chapter 2252:
1. Is not engaged in business by Contracts or Investments with Iran, Sudan, or Foreign Terrorist Organizations; and
2. Will not engage to do business by Contracts or Investments with Iran, Sudan, or Foreign Terrorist Organizations during the term of the contract.
Pursuant to Section 2252.151, Texas Government Code:
1. “Foreign Terrorist Organization” means an organization designed as a foreign terrorist organization by the United States Secretary of State as authorized by 8 U. S. C. Section 1189.
2. “Company” means a sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company, or other entity or business association whose securities are publicly traded, including a wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of those entities or business associations, that exists to make a profit.
DATE SIGNATURE OF COMPANY REPRESENTATIVE
________________________________________, the above-named person, who after by me being duly sworn, did swear and confirm that the above is true and correct.
CLIENT REFERENCES
Please list at least three (3) companies or governmental agencies (preferably a local government) where the same or similar products and/or services as contained in this specification package were recently provided.
THIS FORM MUST BE RETURNED WITH YOUR BID.
REFERENCE ONE
Government/Company Name:
Address:
Contact Person and Title:
Phone: Email:
Contract Period: Scope of Work:
REFERENCE TWO
Address:
Contact Person and Title:
REFERENCE THREE
Address:
Contact Person and Title:
NON - RESPONSE NOTIFICATION
Vendor Name & Representative: __________________________________________________
Representative: _______________________________________________________________
Bid Number: _____________________________
Reeves County is interested in receiving competitive responses on all items proposed. We also desire to keep your company as a vendor for these services. Therefore, it is important for us to determine why you are not proposing on this item. We will analyze your input carefully and try to determine if future changes are needed in our specifications and/or procedures.
I did not respond to this bid for the following reasons
(PLEASE CHECK ONE OF THE LISTED REASONS)
____ Do not provide the requested services.
____ Services requested are too small or too large to be provided by my company. (Please circle one of the underlined)
____ Specifications are “too tight” or written around a particular service(s).
(Please elaborate) ____________________________________________
____ Cannot propose against manufacturer or jobber on this item.
(Please circle one of the underlined)
____ Time frame for proposing was too short for my organization.
____ Not awarded a contract by Reeves County when you felt you were best responder.
____ Other…__________________________________________________________
Please indicate your choice for remaining on Reeves County’s vendor list.
[ ] I wish to remain on vendor list. [ ] I do not wish to remain on the vendor list.
VENDOR SIGNATURE DATE
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/22/2017
FORM 1295CERTIFICATE OF INTERESTED PARTIES
OFFICE USE ONLOFFICE USE ONLOFFICE USE ONLOFFICE USE ONLOFFICE USE ONLYYYYY
6 UNSWORN DECLARATION
My name is _______________________________________________________, and my date of birth is _______________________________.
My address is ________________________________________________, ___________________, _______, __________, ______________.
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in ___________________ County, State of ______________ , on the _______ day of _______________, 20______.
(month) (year)
Signature of authorized agent of contracting business entity
(Declarant)
ADD ADDITIONAL PAGES AS NECESSARY
Name of Interested Party
Nature of Interest (check applicable) City, State, Country
(place of business) Controlling Intermediary
Name of governmental entity or state agency that is a party to the contract for which the form is being filed.
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract.
Complete Nos. 1 - 4 and 6 if there are interested parties.
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
1 Name of business entity filing form, and the city, state and country of the business entity's place of business.
Check only if there is NO Interested Party.
Mus t fi le on lin e a t w ww.et hic s.s tat e.t x.u s/F ile
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
DRAFT
DRAFT
X X
X
DRAFT
DRAFT
DRAFT
1,000,000 100,000
5,000
INCLUDED
1,000,000 1,000,000
500,000
3,000,000 10,000,000
X 100,000 100,000 500,000
The certificate holder is named as additional insured.
Waiver of Subrogation are in favor of Reeves County.
Reeves County 100 East 4th Street Pecos, TX 79772
PURCHASING CODE OF ETHICS
Statement of Purchasing Policy Public employment is a public trust. It is the policy of Reeves County to promote and balance the objective of protecting government integrity and the objective to facilitate the recruitment and retention of personnel needed by Reeves County. Such policy is implemented by prescribing essential standards of ethical conduct without creating unnecessary obstacles to entering public service.
Public employees must discharge their duties impartially to assure fair competitive access to County procurement by responsible contractors. In addition, public employees should conduct themselves in such a manner that fosters public confidence in the Reeves County procurement department. To achieve the purpose of the policy, it is essential that those doing business with the Reeves County purchasing office also observe the ethical standards prescribed here.
General Ethical Standards
1. It shall be a breach of ethics to attempt to realize personal gain through public employment with Reeves County by any conduct inconsistent with the proper discharge of the employee’s duties.
2. It shall be a breach of ethics to attempt to influence any public employee of Reeves County to breach the standards of ethical conduct set forth in this code.
3. It shall be a breach of ethics for any employee of Reeves County to participate directly or indirectly in a procurement when the employee knows that:
• The employee or any member of the employee’s immediate family has financial interest pertaining to the procurement;
• A business or organization in which the employee or any member of the employee’s immediate family, has financial interest pertaining to the procurement; or
• Any other person, business or organization with whom the employee or any member of the employee’s immediate family is negotiating or has an arrangement concerning prospective employment is involved in the procurement.
4. Gratuities It shall be a breach of…
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