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

NOTICE TO INTERESTED PARTIES

The Reeves County Purchasing Department is receiving sealed qualifications at 1714 Schmidt Drive. Pecos, Texas 79772 any time before 11 A.M (CST) Thursday, April 23, 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. 26-007” Owner Representative Services

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 Friday, April 14, 2026. 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, May 25, 2026, 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 RFQ #26-007

REQUEST FOR QUALIFICATIONS

No. 26-007

Issued by: Lucero Sandoval, Purchasing Agent Purchasing Department

1714 Schmidt Drive Pecos, TX 79772

SCHEDULE

Notices Published: March 19 & 26, 2026 Questions Due: April 14, 2026 5PM Proposals Due: April 23, 2026 before 11 AM CST Tentative Award Date: May 25, 2026 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 RFQ #26-007

VENDOR ACKNOWELEDGEMENT

RFQ 26-007

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***

4 RFQ #26-007

I. PROJECT OVERVIEW

The County of Reeves has designated professional design services firms for a multimillion-dollar capital facilities initiative that will provide quality of life amenities and services to its citizens. There are also project initiatives that require Design professional selections and Construction delivery method determination and selection of Contractors. All capital projects or as determined by the Commissioners Court will be under the selected Owner’s Representative scope of work services. Each project assignment shall be separately authorized.

The Commissioners Court shall make the final selections of all services with direct Contract awards between the County and the selected firms under advisement with the Owner’s Representative – professional design firms;

technical consultants; specialty vendors; and other required services for the execution, completion, owner occupancy and operational transition for County operation and maintenance.

II. OWNER’S REPRESENTATIVE SCOPE OF SERVICES

The Owner's Representative firm shall be the County of Reeves' consultant, advisor, and authorized representative through all phases of each project through completion and occupancy. The Owner’s Representative acts solely in an advisory and administrative capacity and shall not direct construction means or methods.

Owner's Representative services are to be provided during the following phases, which are described in further detail herein:

1. Preconstruction Phase

2. Construction Phase

3. Closeout Phase

At a minimum it is expected that the following be required (the scope may vary during the course of a specific project type, with approval of the County Engineer; however, fee and cost changes must be approved above a threshold set by the County for each project within the County Engineer’s authorized limit, or as the County may adopt from its Procurement requirements.

1) PRE-CONSTRUCTION PHASE

A. Establish and Document Project Requirements

Meet with Project Team members to oversee design team documentation of Project

Requirements to ensure a complete understanding of the Owner's short and long-term objectives and requirements. This includes review of programming and master planning services by the project’s designated Architect/Engineer. Owner’s Representative reviews are advisory only and do not constitute professional design services. The

5 RFQ #26-007

Architect/Engineer is the design professional responsible for professional design services

a. Review and advise by reporting/providing written reports and documentation to the County Engineer on key milestones schedule, project development strategy, and project delivery during design and construction; Owner Architect Contractor

(OAC) meetings; Field reports (Owner, AE, Contractor) synopsis w attachments.

b. Monitoring of Project Management reports – program to be determined per project; preference for compatibility between software, i.e. Newforma (AE) and Procore (Contractor), or other as Owner’s Representative may determine site and project logistics requirements on behalf of the County

c. Project quality requirements on behalf of the County

d. Attend and chair project team meetings bi-weekly (typical or as determined appropriate for each project), including detailed preparation of agenda and minutes.

B. Design Team Management and Construction Team Selection and Management

a. Review design documents during development for constructability, coordination, and value.

b. Future projects AE selection assistance with Commissioners Court in coordination with County Engineer. Assist Purchasing Agent with Solicitation documents and Public notification advertising.

c. Development phase and Construction Drawing phase. Source may be Design

Team independent third party; or if CMAR/CMAC on board review Preliminary GMP and Final GMP cost proposals. Make recommendation to the Owner if the estimated costs relative to the Owner's budget including recommended Owner’s and Contractor’s contingencies; if Design/Build package recommend Owner’s;

Design, and Design/Builder’s contingencies.

d. Analyze the project requirements and develop a site logistics and phasing plan to allow for construction activities.

e. Assist the architect with issuance of a construction bid packages, summary of work, phasing, general condition, etc.

f. Develop a list of additional consultants that may be needed for the project and review with Owner. Assist with hiring consultants including writing RFP and managing bid/selection process including advising on process, analyzing proposals, assisting with negotiations, reviewing draft of standard agreements.

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g. Develop a Request for Proposal for a General Contractor consistent with this project's requirements, conduct pre-bid conferences and solicit responses from three of more qualified construction firms.

h. Provide analysis of the proposing contractor's RFP responses including the development of direct comparisons and recommendations.

i. Assist Owner in the award of the contract and negotiation along with the Architect of appropriate terms in the General Contractor agreement with the selected contractor.

C. Project Management and Controls

a. Coordinate communications and information requests among Owner, Owner’s counsel, and project consultants; compile and transmit project records and technical information as requested; and support procurement/contract administration activities in coordination with Owner and Owner’s counsel.

b. Attend agency meetings as requested by the Owner to support coordination and schedule alignment; facilitate agency communication tracking; and monitor permitting/approval status reported by the Architect/Engineer and Contractor.

Preparation and submission of permit documents and technical responses shall remain the responsibility of the Architect/Engineer and/or Contractor, as applicable.

c. Ensure General Contractor prepares a Project Schedule, incorporating pre-construction and proposed construction activities and the coordination with the

Owner's ongoing operations. Project schedule will provide enough detail to show:

1. Design process activities

2. Architect/Engineer and Consultant activities

3. Approvals for all government agencies

4. Identification, tracking and expediting of long lead materials and equipment

5. Construction bidding process

6. Schedule of major construction activities

7. Occupancy and Closeout

d. Monitor and update project schedule biweekly during the preconstruction phase.

e. Assist the architect with contractor questions and maintain an RFI Log.

D. Project Budget

a. Prepare a Master Project Budget including consultants and construction, and other related cost and contingencies including:

1. Inventory of all documents with issue dates

2. List of qualifications or contingent factors; assumptions; and allowances

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3. Status of contingencies – Owner’s; Design Team’s if any; Contractor’s

4. Allowanced for temporary construction activities due to the planning or phasing of construction.

5. Breakout of net Construction Costs, and projected Total Project Costs of summary of Items a. through d. above

b. Review comprehensive construction cost estimate at the completion of the

Design as prepared by the A/E professional.

c. Ensure that A/E modifies and updates the project cost estimate at the conclusion of each phase of design.

d. Monitor and advise the owner of variance and available means to mitigate variances. Advise on options with differing impact or consequences.

e. Work with Project Team to generate a cash flow forecast for the Project and update the same on regular basis

2) CONSTRUCTION PHASE

A. Project Management & Controls

Coordinate the work of the General Contractor with the operations, activities and responsibilities of the County Engineer and Project Team. Provide sufficient personnel with authority to achieve these objectives:

1.Provide experienced on-site staff to provide services described herein. On-site staffing levels shall be defined per Task Order.

2.Schedule and conduct, as required, biweekly Project Meetings at which County

Engineer, GC, Project Team to discuss such matters as procedures, progress, problems scheduling, phasing and coordination with ongoing operations and other issues relevant to the successful completion of the work. Ensure the preparation and distribution of minutes of all meetings and shall track the progress of all action on items outlined;

3.Ensure that a detailed schedule for the operations of GC on the project is provided, including realistic activity sequences and durations, allocation of labor and materials, processing of shop drawings and samples and delivery of products requiring long lead time procurement;

4.Ensure regular monitoring of the schedule and safety as construction progresses by the Contractor. Safety monitoring is observational only; Contractor retains sole responsibility for site safety.

5.Recommend courses of action to County Engineer when requirements of any contracts are not being fulfilled.

6.Coordinate the periodic inspection by the architect and other necessary consultants on the work of the contractors.

7.Consult with the architect if any contractor requests interpretations of the meaning and intent of the drawings and specifications, and assist in the resolution of any questions, which may arise. Confer with County Engineer on any disputes requiring resolution through arbitration under the terms of the construction documents.

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8.In collaboration with the architect, establish and implement procedures for tracking and expediting the processing and approval of shop drawings and samples.

9.Record the progress of the project. Submit written progress reports to County

Engineer, including information on the contractors and work, the percentage of completion and the number and amounts of change orders.

10.Ensure contractor shop drawings, product data and samples to be processed for acceptance and maintain log. Monitor Architect/Engineer for timely responses.

11.Ensure GC to maintain at the project site, on a current basis: records of all contracts;

shop drawings; samples; purchases; materials; equipment; applicable handbooks;

federal, change orders and logs, updated as-builts, commercial and technical standards and specifications; maintenance and operating manuals and revisions which arise out of the construction documents or the work.

12.Cost Tracking & Reporting Manage the Project Budget developed during Pre-

Construction and monitor the GC's Anticipated Cost Report ensuring that all project related costs are tracked in a timely and accurate manner and reported in regular updates.

13.Identify variances between actual and budgeted or estimated costs, and advise

County Engineer whenever projected costs are anticipated to exceed budgets or estimates.

14.Meet with the County Engineer regularly to provide executive level updates regarding project status.

15.Ensure GC revises and refines the anticipated final construction cost, incorporating pending and approved changes, and potential exposures as they occur, and update develop cash flow reports and forecasts as needed.

16.Arrange for the maintenance of cost accounting records on authorized work performed under unit costs, actual costs for labor and materials, or other bases requiring accounting records.

17.Maintain a daily construction log.

18.Develop, implement and manage a system for review and processing of change orders.

19.Recommend necessary or desirable changes to County Engineer and the architect, review requests for changes, submit recommendations to County Engineer and the architect, and assist in negotiating change orders

20.Develop, implement and manage a procedure for the review and processing of applications by contractors for progress and final payments. Confirm all relevant attachments including certified payroll reports; affirmative action reports, etc. are included. Make recommendations for certification to Owner for payment.

3) PROJECT CLOSEOUT

A. Substantial Completion

a. Upon notice from the Contractor that the Project (or a designated portion) is substantially complete, coordinate the Architect/Engineer’s site visit and facilitate the

Architect/Engineer’s preparation and issuance of the punch list of

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incomplete/unsatisfactory/nonconforming items required for completion prior to

Substantial Completion certification.

b. After the Architect/Engineer certifies the date of Substantial Completion, track and monitor completion of punch list items by the Contractor and coordinate the

Architect/Engineer’s re-inspections as required until punch list closeout is achieved.

c. Coordinate with Owner’s maintenance personnel, Contractor, and applicable vendors/commissioning resources to schedule required start-up, testing, and verification activities. OR shall track completion and receipt of closeout documentation (start-up reports, testing/TAB reports, commissioning reports, O&M manuals, warranties) and report readiness status to the Owner.

d. Coordinate scheduling of required training for Owner’s maintenance personnel as required by the contract documents. Training shall be provided by the Contractor, vendors, and/or commissioning agent as applicable; OR’s role is administrative coordination and documentation of completion.

B. Final Completion

a. Coordinate the architect's determination of final completion and provide written notice to Owner and architect that the work is ready for final inspection.

b. Secure and transmit to the Owner and/or architect required guarantees, affidavits, releases, bonds and waivers.

c. Tum over to Owner all keys, manuals, record drawings and maintenance stocks.

Assist Owner's expediting consultant and other related vendors/contractors in obtaining temporary certificates of occupancy and permanent certificates of occupancy for the improvements, filing all notices of completion, coordinating final payment and securing final conditional lien releases and any other activities which may be required to occupy the project.

C. DELIVERABLES

a. Budget

Following receipt of the Architect/Engineer’s current plans/specifications (by issue date), and the existing construction estimates and preliminary budget information provided for the project, the Owner’s Representative will coordinate with the project team to prepare and maintain a preliminary project budget for Owner review. The budget shall be based on the current design baseline and shall include hard and soft costs, appropriate contingencies, identified assumptions, and potential exposures. The budget will be updated periodically as new design information becomes available and shall reference the applicable drawing/specification issue dates and estimate versions. Project expenditures will be tracked through the project cost control system.

b. Agenda and Minutes

Owner's Representative will prepare detailed agendas and accurate, timely minutes for project meetings and work sessions. Deliverables shall be project-specific and defined by Task Order.

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III. SELECTION PROCESS

The selection process will include a review of qualifications according to the following example of criteria that is not a complete or all-inclusive list of considerations; the County reserves the right to modify, add, or delete criteria to be applied to its evaluation of Offeror’s proposals: Any changes shall be issued by written addendum prior to proposal due date.

1) Project understanding and approach most beneficial to Reeves County

2) Company and Firm expertise in overseeing projects of similar scope.

3) The Owner’s scoring criteria may include a prorated point award with the

4) following levels, and lower levels at its discretion:

A. Demonstrated construction value as an Owner’s Representative/

Program Manager in the State of Texas

B. Of these, list values within the 200 miles of Pecos; and State; other as may be applicable outside the state – lower point score

C. Contracts evaluation point value prorated in descending order:

a. Government Projects (County, City, State, including Higher

Education, Federal)

b. Other public multi-building contracts: ISDs

c. Private Sector multi-building contracts: Commercial; Retail;

Entertainment

5) Appropriate firm personnel depth, expertise in required Scope capabilities and disciplines, value engineering, and construction logistics expertise

6) Indicate Personnel experience as applicable in Construction industry for a

Contractor or Sub-Contractor role:

A. Construction Project Manager, Construction Quality Control, Principal, Resident Project Representative, etc.

B. Prior or current construction management/general contractor experience

7) List specialties or proficiencies such as Schedule Planning (demonstrated individual capabilities in CPM and Scheduling and Procore software), Construction project financial tracking on projects and coordination support of project accounts; Value Engineering (cost estimator background; prior or current sub-bid market participation); Pre-

Construction and Construction technical quality control; constructability;

Priority scoring for prior construction/contractor/sub-contractor experience and on-site experience.

8) Personnel assigned to this project:

A. Include individual’s specific experience at current entity submitting proposal; may include *other firm experience as secondary tier of qualifications within last five years; date/range for all project experience listed.

11 RFQ #26-007

B. Office location and city of residence for each individual designated or identified as key team member and day-to-day personnel

C. Indicate anticipated or customary days/time percentage and indicate on-site/office support for personnel assigned; those assigned full-time vs percentage assignment on this contract (site or office) will be prorated in score evaluation

9) Expertise in keeping projects within budget and on schedule – narrative beyond individual qualifications in Item 4.b. above

10) Evaluation of Offeror’s corporate philosophy; industry standings; and community profile in the Trans-Pecos Region; State of Texas; and other;

and the proposed personnel compatibility with the County Engineer; and the County Officials and their Project Consultant teams.

SEALED PROPOSALS

Proposals shall contain, at a minimum the following information and be limited to ten pages not including the required documents:

1. Project understanding and approach

a. Firm description

b. Proposed team with specific experience and qualifications, Staffing

Commitments and On-Site Presence

c. Relevant projects

Evaluation Criteria The proposals received will be evaluated and ranked according to the following criteria:

Criteria Maximum Points

1 Related Experience 20

2 Work Performance/References 20

3 Local Presence and Experience 20

5 Professional Qualifications 30

6 Project Staffing Approach 10

Total Total

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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/127/63723065071070

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, Louise Moore Commissioner, Israel Campos Commissioner, Paul Hinojos

County Employees:

Lucero Sandoval, Purchasing Agent

Damian Dominguez, Senior Buyer

Erlinda Salazar, Buyer

Curtis D. Wilson, County Road and Bridge Engineer https://www.reevescounty.org/home/showpublisheddocument/127/637230650710700000 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. 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).

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