1-JANITORIAL SUPPLIES BID PACKET 25-021.pdf

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

NOTICE TO INTERESTED PARTIES

The Reeves County Purchasing Department is receiving sealed bids at 1714 Schmidt Drive. Pecos, Texas 79772 any time before 11 A.M (CST) Wednesday, November 12, 2025 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. 25-021”

JANITORIAL SUPPLIES

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 proposals will not be accepted. You may also utilize Bonfire portal 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 Wednesday, November 5, 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, December 8, 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

2 ITB #25-021

INVITATION FOR BIDS

No. 25-021

Issued by: Lucero Sandoval, Purchasing Agent

Purchasing Department 1714 Schmidt Drive Pecos, TX 79772

SCHEDULE

Notices Published: October 16 & 23, 2025 Questions Due: November 5, 2025 Proposals Due: Wednesday, November 12, 2025 Tentative Award Date: December 8, 2025 Issued by: Lucero Sandoval, Purchasing Agent

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.

3 ITB #25-021

VENDOR ACKNOWELEDGEMENT

ITB 25-021

Please submit one 1 electronic copy of the BID, 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***

4 ITB #25-021

GENERAL

The purpose of these specifications is to receive bids for the purchase of janitorial supplies for use by all Reeves County Departments.

CONTRACT PERIOD

Contract will be awarded by line item. Successful vendor(s) will be awarded a one (1) year contract beginning on January 1, 2026 through December 31, 2026. The duration may be extended should there be any issues with the future bid.

AWARD

Award must be made to the lowest responsible bidder that provides the lowest cost per line, meeting the specifications. The County reserves the right to award a contract to more than one bidder. Lowest bidder must include, but is not limited to the following:

a. Unit Price

b. Delivery shall be within five business days.

c. Quality of Products – evaluation of alternates or equivalents.

Any catalog, brand name or manufacturer’s reference used is considered to be descriptive—not restrictive—and is indicative of the type, QUALITY and PACKAGING the County desires to purchase for most items. Bids on similar items of like quality will be considered if the bid is noted, full description is provided AND IS PACKAGED EXACTLY THE SAME AS REQUESTED. If notation of substitution is not made, it is assumed vendor is bidding on the item specified. Successful vendor will not be allowed to make unauthorized substitutions after award.

If alternate brands are bid, samples may be requested by the Purchasing Department. The County has the right to examine all products and determine if they are of equal quality as the item specified.

SOAP, SANITIZERS, DISPENSERS

To proceed with the evaluation of these specific products, we kindly request that you provide a sample of each product for review. Please feel free to issue an invoice for the full order with your bid. Payment will be made promptly upon receipt of the invoice. As we evaluate bids, please note that we may award multiple vendors for the same item. This approach allows us to ensure that each product fits the unique needs and technical requirements for current dispensers throughout the County.

Our goal is to select the most suitable offerings based on performance, compatibility, and overall value— not just price alone. We appreciate your understanding and encourage you to submit your most competitive bid.

DELIVERY

Orders shall be shipped so they will arrive within five (5) days after they are ordered. If items are backordered, the vendor must inform the County of such backorder within one (1) business day of order.

The County may elect to cancel the order and/or utilize its options with other vendors.

Any back-ordered items must be made available within three (3) days of the time of back-order (original date of receipt). If the back-order cannot be filled within the time frame of this requirement, then the County is to be notified, in writing, thus permitting the County to obtain the required materials with another supplier.

5 ITB #25-021

NOTE: The requested services are for deliveries to the following County locations.

*additional locations may be added and should not affect any bid prices

Reeves County Sheriff’s Office 500 S. Oak St. Pecos, TX 79772

Reeves County Road & Bridge 31 County Road 201 Pecos, TX 79772 (Not Open Friday)

Reeves County Golf Course 88 Starley Dr. Pecos, TX 79772

Reeves County Courthouse 100 E. 4th St. Pecos, TX 79772

Annex Building #1 700 W. Daggett St. Pecos, TX 79772

Annex Building #2 1714 Schmidt Drive. Pecos, TX 79772

Reeves County Recreation Center 1288 Easterbrook Drive. Pecos, Texas 79772

Reeves County Tax Office 424 S. Cypress Pecos, TX 79772

Reeves County Library 315 S. Oak Pecos, TX 79772

Senior Center 505 S. Park Pecos, TX 79772

Reeves County 4H Building 10 County Road 118, Pecos TX 79772

Justice of the Peace #3 101 I-10 Business, Balmorhea, TX 79718 (Not Open Friday)

DELIVERY SCHEDULE

Bidders shall deliver supplies to the facility that orders them. Deliveries to facilities housing inmates shall be made on a schedule, and to the location, approved by the ordering facility. (Normal Business Hours between 8:00 AM-4PM)

PREPARATION FOR DELIVERY:

Merchandise will be packaged to arrive clean, in good condition, neatly folded, with no leaking containers, or broken or damaged supplies. The boxes will be strong enough to prevent them from coming open during shipment.

Each order shall include a packing slip at time of delivery. Delivery charges or other charges must be included in Bid Price.

ESTIMATED QUANTITIES

The County will issue purchase orders for supply requests on an “as needed” basis.

The quantities of products shown on Bid Price Sheet are base bid quantities only and are to be used only for calculation of total bid. The quantities are determined from past purchasing history and, as far as can be determined, are realistic. Reeves County reserves the right to add or delete any items, increase or decrease from this bid or resulting award(s) when deemed to be in the best interest of the County.

WARRANTY/RETURN GOODS POLICY

A. Successful bidder(s) shall warrant that all items/services shall conform to the proposed specifications and all warranties, as stated in the Uniform Commercial Code, be free from all defects in material, workmanship and for the purpose for which intended.

6 ITB #25-021

B. Vendor must pick up/accept all returns with no restocking charge within a 48-hour maximum time period. Even exchanges will be made on damaged merchandise. Replacement merchandise will be shipped next day. There will be no freight charges for these transactions. The County will have no financial obligations to any vendor for deliveries that do not meet our specifications. If an item or items are not picked up within thirty (30) days of delivery, the County will dispose of them.

C. Vendor agrees to accept for full credit all merchandise returned in good condition within five (5) business days after receipt of goods without handling charges; however, no return must be made of material which has been put into operation other than for test.

PRICING INSTRUCTIONS

A. The cost component of this solicitation is for Fixed Pricing offers only. The County will not accept, and may reject alternate pricing methodologies submitted by Suppliers including, but not limited to: discount off list or manufacturer’s pricing, cost-plus, and/or any type of floor structure.

B. Tariff Charges or Additional Charges beyond the specified bid price will not be allowed.

C. Suppliers must propose pricing on the Bid Price Sheets or an Excel spreadsheet in the same order as listed herein. The fixed price provided must be for the exact manufacturer’s name and product code, and UNIT OF MEASURE. Bidding product via unit of measure conversion is not permitted. Do not substitute unless it is identified as generic/private brand product.

D. When submitting with a generic/private brand product, the proposed substitute must be the same or better quality of specification and same exact unit of measure. Any item that is determined not to be of the same or better quality or exact unit of measure may be returned for full credit at the expense of the Supplier.

E. Any proposed equipment or supplies must be new, unused, a current model.

F. The County reserves the right to reject any and all bids that stipulate minimum order requirements.

G. Supplier to quote F.O.B. destination, Freight Prepaid and Allowed. All charges include, but not limited to, transportation. Packing and installation to any location, anywhere within the County.

Must be inclusive in the Suppliers pricing.

H. One (1) price only will be considered for each item. When two (2) prices are bid, both will be rejected.

I. Errors in Bids: When an error is made in extending the total price, unit price will govern. Erases in bids must be initialed by the bidder. Carelessness in bidding pricing or in preparation of bid otherwise, will not relieve the bidder. Bidders are cautioned to recheck their bids for possible errors. Errors discovered after public opening cannot be corrected and the bidder will be required to perform if his bid is accepted.

# Item Name Unit of

Measure

Quantity

Required

Unit of Measure

( IF Different ) Unit Price

Stock/Item

Number Total Cost

#0-1

BOWL BRUSH-NON ACRYIC NO METAL

PARTS

14" LONG

(EACH)

#0-2 PUMICE SCOURING STICKS 12/BX 20

#0-3 SPRAYER, TRIGGER FOR QT BOTTLE EACH 30

#0-4 QT. BOTTLES FOR TRIGGER SPRAYER EACH 30

#0-5 TOILET BOWL DEODERIZER 4oz 12/pkg 75

#0-6 URINAL SCREENS 10/BX 40

ITB #25-021

#0-7 URINAL BLOCKS 12/BX 10

#0-8

GLOVES, NITRILE, POWDER FREE, NON-

LATEX, AMBIDEXTROUS, BLUE

100 CT BOX /

10 BX -CASE

#0-9 DISINFECTING WIPES 75 CT (EACH) 130

#0-10 DISINFECTANT SANITIZER 5 GALLON 10

#0-11 FLOOR CLEANER 4/1 CASE 5

#0-12 FLOOR FINISH 4X1- GALLON 1

#0-13 ENZYMES 4x1-Case 1

#0-14 BLEACH GERMICIDAL 6/1GAL 40

#0-15

CLEANER, CREAM WITH SANITIZER & GRIT

TO CLEAN-

S/STEEL/TILE/PORCELAN/BRICK SHOWER

FLOORS

12/32OZ 3

#0-16 CLEANER, DEGREASER 4/1GALLON 5

#0-17 CLEANER, GLASS FOAMING AEROSOL 12/19OZ 45

#0-18 CLEANER, PINE DISINFECTANT 4/1GAL 30

#0-19 COMET, SPRAY WITH BLEACH 32OZ 75

#0-20

BROOM, LARGE ANGLER-FIBERGLASS

HANDLE

EACH 5

#0-21 DUST MOP REFILL DISPOSABLE 24" EACH 30

#0-22 DUST MOP REFILL DISPOSABLE 36" EACH 25

#0-23 DUST MOP REFILL WASHABLE 24" EACH 5

#0-24

HANDLE, 1-1/8" X 60" DUST MOP/DECK

BRUSH, FIBERGLASS

EACH 5

#0-25

HANDLE, MOP, FLIP-LOCK, 60"

FIBERGLASS, NO METAL PARTS

EACH 10

#0-26

MOP BUCKET W/BASKET FOR 32 OZ

MOP/

EACH 2

#0-27 MOP HEAD - WET - LARGE BLUE EACH 75

#0-28

MOP HEAD, WET - 32 OZ COTTON, CUT

END

EACH 40

#0-29

SQUEEGEE, FLOOR, HEAVY DUTY, NO

METAL PARTS

22" EACH 1

#0-30

SQUEEGEE, HANDLE, 1 1/8" DIA, NO

METAL PARTS

60" EACH 1

#0-31 SQUEEGEE, WINDOW, NO METAL PARTS 14" EACH 1

#0-32 TRIAD LAUNDRY DETERGENT 5 GALLON 25

#0-33 PLEDGE

6CAN/14.2

OZ EACH

#0-34 FABULOSO 4/1 Gal/CS 70

#0-35 409 CLEANER/DEGREASER 12/32 OZ 5

#0-36 LAVENDER PINESOL 3/144 OZ 10

#0-37

STAINLESS STEEL POLISH & CLEANER

CLAIRE BOX OF 12

12/15OZ/CS 5

#0-38 COMET 24CT/21OZ 24CT/21OZ 10

#0-39 DUST PAN 12CS AS NEEDED

#0-40 FABRIC CARPET FOAM DEODORIZER 8/CS 5

#0-41 POWDER CARPET 30OZ 5

#0-42 HDL 50 5 GAL 5 GALLON 5

#0-43

HOSPITAL DISINFECTANT 12/20OZ 16.5

AERO

12/20OZ 16.5

AERO

#0-44 LO-TEMP SANITIZER 5GAL 5 GALLON 5

#0-45 MULTI-TEMP RINSE 5 GAL 5 GALLON 5

#0-46

POWERFORWARD LAUNDRY DESTAINER

15 GAL

15 GALLON 5

# Item Name Quantity Required

Unit of Measure

Unit of Measure

IF DIFFERENT

Unit Price Stock/Item Number Dispenser Stock Number/

Price

#0-1

ALCOHOLIC FOAMING HAND

SANITIZER REFILL

AS NEEDED 3/1L/CS

#0-2

SOAP, HAND ANTIBACTERIAL

FOAMING SOAP REFILL

AS NEEDED

ML/6CS

#0-3

NON-ALCOHOL SANITIZER

6/CS REFILL

AS NEEDED 6/1L/CS

Soap, Sanitizers and Dispensers

8 ITB #25-021

PURCHASING CODE OF ETHICS

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 ethics to offer, give or agree to give any employee or former employee of Reeves County or to solicit, demand, accept or disagree to accept from another person, a gratuity or an offer of employment in connection with any decision, approval, disapproval, recommendation, and preparation of any part of a program requirement or purchase request.

Influencing the content of any others in an advisory capacity in any proceeding or application, request for ruling, determination, claim or controversy, or other particular matter pertaining to any program requirement or a contract or subcontract, or to any solicitation or proposal pending before this government, shall also constitute a breach of ethics.

5. Kickbacks

It shall be a breach of ethics for any payment, gratuity or offer of employment to be made by or on behalf of a subcontractor under a contract to the prime contractor or higher tier subcontractor for any contract for Reeves County, or any person associated therewith, as an inducement for the award of a subcontract or order.

6. Contract Clause The prohibition against gratuities and kickbacks prescribed above shall be conspicuously set forth in every contract and solicitation therefore.

7. It shall be a breach of ethics for any employee or former employee of Reeves County to knowingly use confidential information for actual or anticipated personal gain, or for the actual or anticipated gain of any person.

7 ITB #25-021

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

County Employees: Lucero Sandoval, Purchasing Agent

Irma Rodriguez, Purchasing Assistant

Damian Dominguez- Purchasing Assistant

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. 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

E-MAIL

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

CORRECTION