Reeves County Purchasing Department 1714 Schmidt Dr. Pecos, TX 79772

NOTICE TO INTERESTED PARTIES

The Purchasing Department is receiving sealed qualifications at 1714 Schmidt Drive. Pecos, Texas 79772 any time before 11 A.M (CST) Friday, August 21, 2026 to be opened in Conference Room 212 at 11:05 AM (CST) on the same day. The County of Reeves is not responsible for late deliveries of any kind or any reason.

Mark Sealed Envelope:

“Bid No. 26-012”

Design/Build Services for East Side Community Pool

Bids should be typed or printed in ink. Bids 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 qualifications will not be accepted. You may also utilize Bonfire to submit online.

https://reevescounty.bonfirehub.com/portal/?tab=openOpportunities

Do not contact the requesting department. Any questions or additional information required by interested vendors must be emailed to bidquestions@reevescounty.org before Tuesday, August 18, 2025. RFQ number and title must be on the “Subject Line” of the email. Attempts to circumvent this requirement may result in rejection of the response as non-compliant.

Any changes in the specifications will be posted on the bonfire portal. It shall be the Vendor’s responsibility to check the portal prior to the opening date to verify whether any addendums have been posted.

Reeves County appreciates your time and effort in preparing a bid. The Purchasing Department must receive all proposals any time 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 proposals is tentatively scheduled for 9:00 a.m. (CST), in Commissioners’ Court, Monday, September 14, 2025, Third Floor Courtroom of the Reeves County Courthouse. You are invited to attend, but attendance is not required for award.

Successful proposer shall not order items or services until a Purchase Order is received from the County Purchasing Office. Payment will not be made on items delivered without a Purchase Order. Payment shall be made through County funds after completion of goods or services are received.. Purchase Orders will be issued as required.

Lucero Sandoval Purchasing Agent https://reevescounty.bonfirehub.com/portal/?tab=openOpportunities mailto:bidquestions@reevescounty.org

REQUEST FOR QUALIFICATIONS

No. 26-012

Issued by: Lucero Sandoval, Purchasing Agent Purchasing Department

1714 Schmidt Drive Pecos, TX 79772

Tentative Schedule August 6, 2026 1st Advertisement

August 13, 2026 2nd Advertisement August 3, 2026 Issuance of RFP

August 18, 2026 Deadline for Submission of Questions August 21, 2026 Deadline for Submission of Qualifications August 28, 2026 Deadline for Submission of Proposals

September 14, 2026 Anticipated Award Date

The County of Reeves does not discriminate on the basis of race, color national origin, sex, religion, age and disability in employment or the provision of services.

The County reserves the right to terminate this process at any time and no guarantee is expressed or implied that obligates the County to contract for the proposed project.

OFFEROR’S NOTE

1. Carefully read all instructions, requirements and specifications.

2. Fill out all forms properly and completely.

3. Submit the SOQ with all appropriate required documents.

VENDOR ACKNOWELEDGEMENT

RFQ 26-012

Please submit one 1 electronic copy of the SOQ, if submitting a paper copy.

The undersigned hereby certifies that he/she understands the specifications and any addendums, has read the document in its entirety and the prices submitted in this bid/proposal have been carefully reviewed and are submitted as correct and final. If Bid/Proposal is accepted, proposer further certifies and agrees to furnish any or all products/services upon which prices are extended at the price offered, and upon conditions in the specifications of the Invitation for Bid/Proposal.

The undersigned hereby certifies the foregoing proposal submitted by the company listed below hereinafter called "Bidder" is the duly authorized agent of said company and the person signing said proposal has been duly authorized to execute the same. Bidder affirms that they are duly authorized to execute this contract; this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other Bidder; and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid.

Company Name

Address of Principal Place of Business

City, State, Zip

Remittance Address

City, State, Zip

Phone of Principal Place of Business

Active Sam Registration Y N

Acknowledgement of Addenda

(Please circle EACH acknowledged Addendum(s))

#1 #2 #3 #4 #5

Authorized Representative Name

Email Address of Representative

Authorized Representative Title

Authorized Signature

Date

***THIS MUST BE THE FIRST PAGE ON ALL BIDS***

1.1 Purpose of the RFQ and Design-Builder Responsibilities

The selected Design-Builder will be expected to provide turnkey design and construction activities for this project resulting in complete and fully functional facilities that satisfies all project requirements and contract terms. The Design-Builder, as the sole responsible source for total project compliance and construction related performance (including architectural programming, design, and construction s e r v i c e s ) will hold all design professionals, testing services, trade contractors and trade supplier contracts.

Included, but not limited to in the scope of work requirements are the following Design phases:

• Pre-design activities: soil evaluation, surveying, and locating utilities as required

• Program review, Design Development, Engineering, and documentation

• Bidding/Negotiation/Award of Sub Contracts

• Permitting, as required including Texas Accessibility registration and review

• Construction Administration/Management

• Project Closeout/Commissioning

• Warranty Review

The DB Team shall provide a construction cost estimate at each milestone of the pre‐construction phase.

The preconstruction phase milestones are:

Schematic Design

Design Development

50% Contract Documents

95% Contract Documents

The construction scope of work will generally be:

• All necessary offsite and onsite utilities

• All civil, structural, architectural, electrical, plumbing, and landscaping construction required by the Design

• Criteria and subsequent approved plans and specifications.

• Compliance with all codes, rules and regulations as required by Reeves County and all Authorities having Jurisdiction. The Contractor shall provide complete and functional systems, including all controls, connections, and other required material and labor while protecting all affected Reeves County property.

1.2 Location of the Projects

The location of the Work is: Location: Block of 11th and Locust (Block 5 Tract 5)

1.3 Scope of Work

The following is a preliminary Scope of Work that may be modified by the County during contract negotiations with the selected Design-Build Team.

I.

1.

Site Inventory and Evaluation of Project’s Design Criteria and Specifications

Site investigations, including survey, subsurface utility investigations, geotechnical investigations, Environmental engineering, to verify existing conditions as necessary.

2. Preliminary evaluation of proposed site use, material selection, utility systems and provide recommendations on constructability, time, labor and scheduling factors related to project cost.

3. Review Project’s Design Criteria and Specifications and provide recommendations on constructability, time, labor and scheduling factors related to project cost.

II. Schematic / Preliminary Design (SD)

1. Prepare site, architectural, structural, mechanical, plumbing and electrical schematic design plans based on

2.

Design Criteria and Specifications for County Staff consideration.

SD Phase plans and Preliminary Design report will minimally include:

a. Site Development and Design criteria including site access, easements, circulation and vehicular access, setback requirements, area of safe refuge, parking areas, general landscape concept, tree protection measures, lighting areas, utility routing and connections and storm water measure locations.

b. Architecture Design information including layout, elevations, materials, unique details, features, and landscape.

3. Develop preliminary estimate of construction cost based on initial facilities programming requirements setting forth in detail quantities of materials, labor, profit, overhead, insurance etc. for the project including all site work.

4. Attend County and user meetings to coordinate and resolve value engineering, constructability, construction phasing and scheduling issues in the preliminary designs

III. Design Development (DD)

1. Based on the approved SD plans, satisfactorily resolve all review comments from prior design phases and further refine the design to include the following revised and additional information:

a. Site Design: demolition and clearing plans, grading and drainage plans, sedimentation and erosion control plans, layout and staking plans, elevations and sections, construction details, lighting and signage, planting plans and details.

b. Architecture Design: review and confirm layout plan and elevation elements including building materials and colors, foundation, structural systems, overall dimensions, materials testing requirements, and coordinate systems integration to include all utilities and controls.

2. Expand outline specification to Design Development level and integrate systems, controls, products and procedures for architectural, civil and landscape

3. Conduct regular, biweekly, design meetings.

4. Review and confirm total original budget from Schematic Design phase review. Review any proposed

V-E items, final strategy and reconcile variances.

5. Review, update and confirm project schedule.

6. Attend County and user meetings to coordinate and resolve value engineering, constructability, Construction phasing and scheduling issues in the preliminary design.

IV. Permitting, Reviews and Approvals

1. Review and/or present design concepts and obtain approval of the Reeves County Commissioner’s Court and any other regulatory agencies whose approval is necessary for the development of the site.

2. Submit plans and applications to regulatory agencies

3. Secure approvals from all other local and state agencies as required for the site development.

4. Coordinate the construction or relocation of privately-owned utilities if necessary.

5. Attend meetings as necessary for all approvals. Provide responses and modifications to

V. Construction Documents (CD)

1. Based on the approved DD plans, satisfactorily resolve all review comments from prior design phases and prepare and finalize all construction drawings and specifications to minimally include: site utilities and components that will form the basis for the project’s Construction Documents sufficiently complete to support the prepared budget, obtain necessary permits and construct the project.

2. Incorporate any Owner provided items and reasonably accommodate any donated materials or services identified by the County through fundraising activities.

3. Prepare a construction documents level cost estimate and updated project schedule; reconcile cost estimate with construction estimate.

4. Incorporate bid alternates as necessitated by the project budget.

5. Conduct regular, monthly, design meetings.

6. Conduct a final County Council meeting to present final design.

VI. Construction Administration

1. Provide construction administration and observation associated with the site improvements inc luding a preconstruction conference, weekly site observation and meetings for processing pay requests.

2. Provide interpretations of prepared drawings and specifications, shop drawing review and approval as well as preparation of change orders and construction change directives

VII. Construction

1. All work will be consistent with the intent of the Construction Documents to be prepared by the Design- Builder and approved by the Reeves County.

a. Site work to include (if not on Civil and/ or Site MEP or Landscape Documents) clearing and rough grading with excess dirt and material removed from the site. Tree protection, traffic and erosion control measures to be immediately put into place.

b. Site utilities including fire line and domestic water, sewer, natural gas and electrical service and site lighting.

c. Concrete paving, walkways, utilities, landscaping and storm water drainage.

d. Site improvements/amenities, site furniture, flagpoles, etc. indicated on the Construction Documents.

VIII. Post Construction Phase/Deliverables

1. Prepare as-built documents based on information received from the contractor in AutoCAD or BIM Format or in such other format as the County requires.

2. Prepare an “Owner’s manual” user information regarding materials, systems, warranties, operations, and Maintenance.

3. Assist in project closeout and establishment of warranties and guarantees.

4. Present to required departments/agencies for review; responsible for all State, County, and County permit applications and approvals.

1.4 Project Budget:

The Reeves County estimates an approximate Construction Budget of $5 million for completion of this project including all costs and fees. Total costs include construction related expenses; programming, design and construction related services; testing services; publ ic jurisdiction fees and charges; permits; and other building related professional service fees necessary to fully complete the project.

1.6 Pre-Contracting Project Planning

The Design-Builder, as a part of its design and its preconstruction services, will assist with developing a strategy for the best approach for the successful completion of the project including guidance and assistance in the preparation of a schedule and a reliable, preliminary cost estimate along with evaluations of any value engineering measures. At an appropriate point during the project and prior to contracting, the County will ask the Design-Builder to commit to a Lump Sum/ GMP price for all its design and construction services.

1.7 Project Delivery and Objectives

At all times and project stages the Design-Builder shall act in the best interests of the County and use their best efforts to deliver the project in an expeditious and cost-effective manner consistent with the County’s project requirements, time constraints and budget. The Design-Builder shall develop a contractually obligated overall project schedule and will be responsible for methods of construction, safety, scheduling and coordination of all construction work in addition to miscellaneous contracts required for completion of the project within its predetermined budget limits and schedule.

The County expects all parties to this project to work closely together and deal appropriately with project c o n d i t i o n s to finish the job successfully. A spirit of cooperation, collaboration and a commitment among professional design and construction services providers to work in the best interests of the project is of utmost importance.

**End of Section One**

SECTION TWO

DESIGN-BUILDER EVALUATION AND SELECTION CRITERIA

2.1 Design-Build Team Experience Requirements and Capabilities

Responders should identify their Team’s experience with public bid response design-build projects and specifically describe those projects that best characterize the proposers’ capabilities, including work quality and cost control measures. These projects must have included the completion of construction drawings, technical specifications and construction estimates that led to a complete constructed pro ject . Completed public sector projects is preferred.

At a minimum, successful submittals shall demonstrate experience and technical competence with the following requirements:

1. Responsively and successfully designing to a user program.

2. Demonstrated history of successful collaboration constructing facilities utilizing Design-Build methodology.

3. Obtaining municipal permits.

4. Incorporating environmentally responsible building practices.

5. Effectively providing contract and construction administration services utilizing effective team communication and working methods.

2.2 Design-Build Team Minimum Qualifications

Firms must meet the following criteria. Firms that do not meet these criteria are automatically disqualified.

1. Firm’s “Designer(s) of Record” MUST have a current Texas Architectural and Engineering license(s) as appropriate for their portion of the design work. A copy of the license(s) is to be included in the appendix.

2. Lead Design-Build firm MUST have bonding capacity to provide a Labor and Material Payment and Performance bonds with coverage each equal to the total cost of the project.

3. Lead Design-Build firm MUST be able to get a Builder’s Risk Insurance Policy for this project wi th coverage equal to the total cost of the project.

4. Lead Design-Build firm MUST agree to keep and maintain insurance for the duration of this Agreement including but not limited to commercial general liability, automobile liability, workers’ compensation, employer’s liability, and umbrella coverage with at least the minimum l imits shown below. The Contractor shall furnish the County with certificates of insurance for each type of insurance described herein. The County reserves the right to negotiate different limits and coverage in the final contract

Commercial General Liability: $1,000,000 per occurrence

Commercial Auto Liability: $1,000,000 combined single limit

Excess (Umbrella)

Liability: $1,000,000

Workers' Compensation: Statutory

Employer's Liability: $1,000,000 each accident/total disease/employee disease

Professional Liability (Errors & Omissions) coverage for Architect of Record and Engineer(s) of Record shall provide coverage not less than $1 million per claim. (The County reserves the right to negotiate different limits and coverage in the final contract.)

All insurance companies must be authorized to do business in Texas.

NOTE: To be deemed eligible for evaluation, the submitting lead Design-Build firm must include the Declaration Statement (signed) included in this RFQ attesting to the above requirements and coverages in its submittal.

Bonding – Attach a letter of intent from a surety company indicating the respondent’s ability to bond for this project except for design services. The surety shall acknowledge that the firm may be bonded for each phase of the project, with a maximum construction cost of $5,000,000 to ensure sufficient bonding for this Design/build project. In accordance with Texas Government Code section 2269.311, the Bond shall be in a form acceptable to the County and shall be delivered not later than the 10th calendar day following execution of the design/build contract.”

2.3 Statement of Qualifications Evaluation Criteria and Scoring

Selection criteria are associated with certain questions and will be e v a l u a t e d based on this format in this sequence and format will result in reduction of points or disqualification. Limit of 20 pages not including required forms.

Supplemental materials providing additional information may be attached if limited to three (3) pages.

Each submitter will be evaluated and may be short-listed based on their Statement of Qualifications score (100 points maximum) as determined through a qualification review process and scoring criteria as noted below:

Area 1 (5%): Prime Respondent’s Demonstrated Capability and Financial Resources to Perform the Work

a. Each respondent shall provide the legal name of the company and address of the office that would be providing the service.

b. Each respondent shall provide copies of Dunn and Bradstreet reports, bank and supplier credit references, or other documentation sufficient to demonstrate its financial capability to deliver this project.

c. Is your company currently for sale or involved in any transaction to expand or to become acquired by another business entity? If yes, please explain the impact both in organizational and directional terms.

d. Provide any details of all past or pending litigation or claims filed against your company.

e. Is your company currently in default on any loan agreement or financing agreement with any bank, financial institution or other entity? If yes, specify dates(s), details circumstances and prospects for resolution.

f. Does any relationship exist whether by family relative, business associate, financial agreement or any other relationship between your company and any Reeves County employee? If yes, please explain.

g. Attach a letter of intent from a bonding agent indicating the respondent’s bond ability for the project.

h. Attach a sample certificate of insurance or a letter of intent from an insurance company indicating the insurability of the respondent for the described Project.

i. The surety and insurance companies shall each acknowledge that the firm may be covered for the construction value and required insurability of the Project

j. A statement certifying that the respondent is not in arrears in payment of any obligations to Reeves County or any other governmental entity, including, without limitation, property or sales taxes, fees, or utility charges.

Area 2 (25%): Prime’s Demonstrated Experience and Past Performance on Similar Projects

Provide verifiable examples of at least three (3) similar projects completed in the last five (5) years by the project team, specifically highlighting pools with an all in cost of $3,000,000, including:

• Project name and location

• Services provided

• Date of completion or project status

• Final construction costs

• Client name and contact person

• History of meeting project schedules

• History of accomplishing services within established budget, include planned vs. actual

As part of the evaluation process, three projects will be randomly selected, and references associated with those projects may be contacted.

List all major projects firm has in progress, providing location, owner, percent completed and scheduled.

Area 3 (35%): Other members of the Team’s Demonstrated Experience and Past Performance on Similar Projects

• Listing of any services that will be outsourced and name of provider if known at this time.

• Resume of all in house staff assigned to the project. Provide graph or chart which outlines the projects that various team members have worked on together over the past five (5) to seven (7) years.

• Briefly describe the rationale for the key team members for this project and the qualities and attributes they bring to the team.

• List all related awards and recognition that the lead architect or key team members has received.

Area 4 (15%): Proposed Design Team Consultants’ Experience

Please provide an overview of:

• Design teams experience and qualifications

• Provide verifiable examples of at least three (3) similar projects completed in the last five (5) years by the project team, specifically highlighting pools with an all in cost of $3,000,000, including:

▪ Project name and location

▪ Services provided

▪ Date of completion or project status

▪ Final construction costs

▪ Client name and contact person

▪ History of meeting project schedules

▪ History of accomplishing services within established budget, include planned vs. actual

• Any relevant training, certifications, or recent projects related to pool safety

Area 5 (5%) Organization Chart for this Project

Organizational chart that explains team member roles and responsibilities and office locations.

Area 6 (10%) Other appropriate factors submitted in the proposal to the RFQ

Area 7 (5%): Certification that each architect or engineer on the team was selected based on demonstrated competence and qualifications in compliance with Section 2254.004 of the Texas Govt. Code

*End of Section Two*

Section 3

Request for Proposals Criteria

If shortlisted, proposals will be due on Friday, July 28, 2026

PROPOSAL EVALUTAION CRITERIA

20% Provide input regarding the feasibility of implementing the project as proposed in the design criteria and budget allocated

30% Tentative Project Schedule

Provide a detailed schedule of events and approximate timeline for duration of the project.

30% Safety and long-term durability of project

Provide intended material quality and maintenance plans for project

What is the expected lifespan of the primary materials used in this project?

Do the materials meet current industry standards and local building codes?

How easy and expensive is it to find replacement parts or fix worn-out components?

20% Costing Methodology

Provide expected staffing for administrative duties, policies on subcontractor mark-ups

Clarifying Qualification during Evaluation

During the evaluation process, the County has the right to require any clarification it needs to understand the Firm/Team's view and approach to the project and scope of the work. Any clarifications to the Qualification made before executing the contract will become part of the final Firm/Team contract.

*End of Section Three*

Design Criteria Package

Reeves County is looking to construct a community pool that includes turf, shade structures, seating, fencing, and bathroom, concession, pumphouse facilities and additional chemical storage.

Budget: $5 million to include all design and construction costs.

Location: Block of 11th and Locust (Block 5 Tract 5)

Completion date: We are expecting to have this completed by May 2027

Community pool area shall be constructed to fit a capacity of at least 200 people.

There shall be two separate pools, 1 large pool with at least one slide and one kiddie pool.

Shade Structure: Seeking at least 8 shade structures with seating that accommodates 5-6 people with turf perimeter

Bathrooms: Women and Men’s bathrooms with two stalls each and 1 shower stall minimum.

Concession stand: shall have enough room for some storage of snacks, refrigerated coolers for drinks and be air conditioned.

Facility shall include a water drinking station and outdoor shower.

Fencing: perimeter shall be enclosed with at least 6-7ft tall fencing.

Equipment Room: shall be big enough to contain all necessary pumps and required items for pool and adequate ventilation.

Chemical Storage: enough storage to maintain chemicals necessary for weekly maintenance

Local Ordinances:

PART II - CODE OF ORDINANCES Chapter 14 - BUILDINGS AND BUILDING REGULATIONS

ARTICLE VIII. SPA AND SWIMMING POOL

ARTICLE VIII. SPA AND SWIMMING POOL

Sec. 14-295. Pool and spa code.

The International Swimming Pool and Spa Code, 2015 edition, as published by the International Code Council, is hereby adopted as the minimum standard in the city and the same is hereby incorporated to the same extent as if copied herein in full.

(Ord. No. 15-05-09, 6-11-2015) Secs. 14-296—14-323. Reserved.

The following was the original plan for this community park. The boundaries within the red rectangle are where the county will more than likely build the pool. The gray rectangle building is currently a gym and will be utilized as a community center. Parking will be all around the outer boundaries of the park.

REEVES COUNTY, TEXAS

COUNTY PURCHASING DEPARTMENT

1714 Schmidt Drive Pecos, TX 79772

432-287-0222, OPTION 7

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. Below is a copy of the questionnaire and original copy can always be obtained on the County website:

https://www.reevescounty.org/home/showpublisheddocument/127/637230650710700000

In filling out the Questionnaire, the following are the County Officers that will award the contract and the employees, which will make a recommendation to the Commissioner’s Court:

County Officers:

County Judge, Leo Hung

Commissioner, Roy Alvarado Commissioner, Israel Campos Commissioner, Paul Hinojos Commissioner, Tony Trujillo

County Employees:

Lucero Sandoval, Purchasing Agent

Irma Rodriguez, Senior Buyer

Damian Dominguez, Buyer

Curtis D. Wilson, County Road and Bridge Engineer

Geff Purdy, Executive Director of Recreation Center

PURCHASING CODE OF ETHICS

https://www.reevescounty.org/home/showpublisheddocument/127/637230650710700000

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

DATE

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.