1-RFQ CIPS27-006 Pre-Qualification for Professional Services for MPSA.pdf

CAPITAL IMPROVEMENTS PROGRAM

201 N. BRUSHY STREET LEANDER, TX 78641

WWW.LEANDERTX.GOV

SOLICITATION NUMBER: CIPS27-006

CATEGORY NAME:

GEOTECHNICAL INVESTIGATION AND DESIGN

REQUEST FOR QUALIFICATIONS

PRE-QUALIFICATION FOR PROFESSIONAL SERVICES

RESPONSES DUE: DECEMBER 1, 2026, AT 2:00PM CT

http://www.leandertx.gov/

CITY OF LEANDER

REQUEST FOR QUALIFICATIONS

PRE-QUALIFICATION FOR PROFESSIONAL SERVICES

PART I

GENERAL

1. Purpose: The City of Leander, herein after “City”, herein after “City”, is seeking an agreement with qualified Individuals, Firms, or Corporations, herein after

“Respondents”, to provide Professional Services for the City of Leander. The City is seeking Statements of Qualifications (SOQ) from qualified Respondents with municipal experience and expertise in the technical area of Geotechnical

Investigation and Design.

The City will create a pool of pre-qualified professional service Respondents for the above category who may then be contacted for a request for proposal (RFP) as projects come up throughout the Professional Services Agreement period of three

(3) years. The resulting agreement of a negotiated RFP will be a Task Order for that individual project. Being approved within this pool does not guarantee that a qualified Respondent will be awarded a Task Order for services. Pre-Qualified respondents may be selected without an RFP, instead being selected based on the qualifications submitted Services are on an as-needed basis.

2. Definitions, Terms and Conditions: By submitting a response to this solicitation, the Respondent agrees that the City’s standard Definitions, Terms and Conditions, in effect at the time of release of the solicitation, shall govern unless specifically provided otherwise in a separate agreement. It is the sole responsibility of

Respondents to stay apprised of changes. The City’s Definitions, Terms and

Conditions can be obtained from the City’s webpage at:

http://www.leandertx.gov/finance/page/purchasing.

2.1. Any acceptance of additional terms and conditions attached to the response will not be considered unless Respondent specifically references them on the front of the Solicitation Document. WARNING:

Exception to or additional terms and conditions may result in disqualification of the response.

3. Attachments: Attachments are herein made a part of this solicitation:

3.1. Attachment A: Reference Sheet

3.2. Attachment B: Professional Services Agreement Certification Form

4. Clarification: For questions or clarifications of specifications, you may submit all questions through the City’s Bonfire portal

No authority is intended or implied that specifications may be amended or alterations accepted prior to solicitation opening without written approval of the

City of Leander through the Capital Improvements Program.

5. Respondent Requirements: The opening of a solicitation shall not be construed as the City’s acceptance of such as qualified and responsive.

5.1. Respondents shall be firms, corporations, individuals or partnerships normally engaged in the provision or service described herein.

5.1.1. Relevant Qualifications and Experience: 30 Points

• Respondent must provide an overview of the firms, corporations, individuals or partnerships. Respondent must http://www.leandertx.gov/finance/page/purchasing provide a representative list of similar projects successfully completed in the Central Texas Area within the past five

(5) years. The list shall include:

• Services provided;

• Proposed Staff that was involved in representative projects and their role;

• Information whether the respondent was the prime professional or a subconsultant;

• Total cost;

• Client name and contact person;

• History of meeting schedules; and

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

• Proof of licensure shall be required with submittal.

5.1.2. Proposed Staff: 20 Points

• Names and roles of key design personnel proposed to work with the City and their office locations.

• Include resumes for all key personnel and indicate any individuals who have had previous experience on similar projects within the category. Information shall include education and professional registrations.

• Provide staffing size by areas of expertise.

• Provide staff availability to perform services.

• Provide the proposed Project Manager’s or Lead

Designer’s experience with similar types of tasks

5.1.3. Available Resources and Location: 20 Points

• Provide information on size, resources, and business history of the Respondent. Respondent must provide percentage of time allocation the proposed team has to dedicate to the City.

5.1.4. Methodology and Approach: 20 Points

• Respondent shall explain how the proposed team will approach, develop, and manage a particular type of project in the category of service.

5.1.5. Added Value: 10 Points

• Respondent shall explain the added value they provided for the category of service.

5.1.6. References Acceptable/ Unacceptable

• Project Name and location;

• In the case of a firm or corporation, City shall contract only with an experienced team member of the firm with direct expertise in the project type specified. City shall require that only the agreed-to and contracted team interact with City staff. Any changes in staff must be communicated to the City immediately.

• Persons and firms practicing Engineering or Architectural

Services in the State of Texas must possess proper licensing and registration in accordance with Texas laws.

• Respondents shall include at least one registered professional engineer or architect qualified for the respective discipline, as

Project Manager, with a minimum of five (5) years of experience in providing specified services.

• Land Surveying Respondents may be exempt from this requirement but are required to have a

Registered Professional Land Surveyor (RPLS) as the Project Manager.

• Right-Of-Way Agents must be certified with the

State of Texas, either holding a Texas Real Estate

Commission (TREC) real estate license or a dedicated Easement or Right-of-Way (ERW) certificate of registration.

6. Committee Review and Selection: By submitting its SOQ in response to this

RFQ, Respondent accepts the evaluation process as outlined in the following section.

A committee of City staff shall be established to evaluate the SOQs, herein after

“Committee”. The Committee will review each response to determine the most highly qualified Respondents in each category based on demonstrated competence and qualifications using the following weighted criteria. A consensus score will be assigned to each response.

Respondents may be required to make an oral presentation to the selection team to further present their qualifications. These presentations will provide the

Respondent the opportunity to clarify their qualifications and ensure a mutual understanding of the services to be provided and the approach to be used.

The evaluation process may reveal additional information for consideration. The

City reserves the right to modify, without notice, the evaluation structure and weighted criteria to accommodate these additional considerations to serve the best interest of the City.

7. Award: Any awards that the City makes based upon this RFQ will be made at a later time based upon individual project needs. Pre-qualification based upon this

RFQ does not guarantee that the City will make any awards to any particular

Respondent. The City reserves the right to enter into an Agreement with a single award, split awards, non-award, or use any combination that best serves the interest and at the sole discretion of the City. Award announcement will be made upon City Council approval of staff recommendation and executed agreement.

Award announcement will appear on the City’s website at https://leandertx.bonfirehub.com

7.1. The City reserves the right to reject any or all responses, or delete any portion of the response, or to accept any response deemed most advantageous, or to waive any irregularities or informalities in the response received that best serves the interest and at the sole discretion of the City.

7.2. Chapter 176, Texas Local Government Code requires that disclosures of certain relationships be made in relation to certain contracts with the City.

Local government officers are the members of the City Council, the City

Administrator, and other City employees or agents who exercise discretion in https://leandertx.bonfirehub.com/ planning, recommending, selecting and contracting of a vendor. Please contact the City Secretary for a list of City employees and agents who may qualify as local government officers. Click here Chapter 176, Texas Local

Government Code, to review this requirement.

7.2.1. A completed CIQ Form is required with each response.

https://www.ethics.state.tx.us/forms/conflict/

7.2.2. Once selections are made and the City has the intent to award, the successful Respondents will be required to submit Form

1295 to the State of Texas electronically prior to executing the

Professional Service Agreement. Form 1295 must be sent to the

City.

https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm

8. Agreement Term: The initial term of the resulting Professional Service Agreement shall be three

(3) years.

8.1. The term “agreement” shall mean the executed contract awarded as a result of this solicitation and all exhibits thereto. At a minimum, the following documents will be incorporated into the agreement:

8.1.1. Solicitation document, attachments and exhibits;

8.1.2. Solicitation addendums, if applicable;

8.1.3. City’s Definitions, Terms and Conditions;

8.1.4. Successful Respondent’s submission;

8.1.5. Fully executed Master Services Agreement.

8.2. If the Respondent fails to perform their duties in a reasonable and competent manner, the City shall give written notice to the Respondent of the deficiencies, and the respondent shall have thirty (30) days to correct such deficiencies. If the Respondent fails to correct the deficiencies within the thirty (30) days, the City may terminate the agreement by giving the

Respondent written notice of termination and the reason for the termination.

8.3. If the agreement is terminated, for any reason, the respondent shall turn over all records, to include but not be limited to the following: incomplete work product, drawings, plans and estimates, digital files, and CAD files to the City within fifteen (15) working days after completion of duties contained in the agreement.

9. Prompt Payment Policy: Payments will be made in accordance with the Texas

Prompt Payment Law, Texas Government Code, Subtitle F, Chapter 2251. The City will pay Successful Respondent within thirty days after the acceptance of the supplies, materials, equipment, or the day on which the performance of services was completed or the day on which the City receives an acceptable invoice for the supplies, materials, equipment or services, whichever is later. The Successful

Respondent may charge a late fee (fee shall not be greater than that which is permitted by Texas law) for payments not made in accordance with this prompt payment policy;

however, this policy does not apply to payments made by the City in the event:

9.1. There is a bona fide dispute between the City and Successful Respondent concerning the supplies, materials, services or equipment delivered or the services performed that causes the payment to be late; or

9.2. The terms of a federal agreement, grant, regulation, or statute prevent the City from making a timely payment with Federal Funds; or http://www.statutes.legis.state.tx.us/Docs/LG/htm/LG.176.htm http://www.statutes.legis.state.tx.us/Docs/LG/htm/LG.176.htm https://www.ethics.state.tx.us/forms/conflict/ https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm

9.3. The is a bona fide dispute between the Successful Respondent and a subcontractor or between a subcontractor and its suppliers concerning supplies, material, or equipment delivered or the services performed which caused the payment to be late; or

9.4. The invoice is not mailed to the City in strict accordance with instructions, if any, on the Task Order or Professional Services Agreement.

10. Non-Appropriation: The resulting Agreement is a commitment of the City’s current revenues only. It is understood and agreed the City shall have the right to terminate the Agreement at the end of any City fiscal year if the governing body of the City does not appropriate funds sufficient to purchase the estimated yearly quantities, as determined by the City’s budget for the fiscal year in question. The

City may affect such termination by giving successful Respondent a written notice of termination at the end of its current fiscal year.

11. Costs Incurred: Respondent shall acknowledge that the issuance of a solicitation shall in no way obligates the City to award a contract or to pay any costs associated with the preparation of a response to said solicitation. The costs in developing and submitting proposals, preparing for and participating in oral presentations or any other similar expenses incurred by a Respondent are the sole responsibility of the Respondent and shall not be reimbursed by the City.

12. STATUTORY VERIFICATIONS

12.1. To the extent this Agreement constitutes a contract for goods or services within the meaning of Section 2271.002 of the Texas Government Code, as amended, solely for purposes of compliance with Chapter 2270 of the Texas Government Code, and subject to applicable Federal law, the RESPONDER represents that neither the RESPONDER nor any wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate of Landlord (i) boycotts Israel or (ii) will boycott Israel through the term of this Agreement. The terms “boycotts Israel” and “boycott Israel” as used in this paragraph have the meanings assigned to the term “boycott Israel” in Section 808.001 of the Texas Government Code, as amended.

12.2. To the extent the Agreement constitutes a governmental contract within the meaning of Section 2252.151 of the Texas Governmental Code, as amended, solely for the purposes of compliance with Chapter 2252 of the Texas Governmental Code, and except to the extent otherwise required by applicable federal law, RESPONDER represents that the RESPONDER nor any wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate of Landlord is a company listed by the Texas Comptroller Public Accounts under Sections 2270.0201, or 2252.153 of the Texas Government Code.

12.3. The RESPONDER hereby verifies that it and its parent’s company, wholly or majority- owned subsidiaries, and other affiliates, if any, do not boycott energy companies and will not boycott energy companies during the term of the Agreement. The foregoing verification is made solely to comply with Section 2274.002, Texas Government Code, and to the extent such section is not inconsistent with a governmental entity’s constitutional or statutory duties related to the issuance, incurrence, or management of debt obligations or the deposit, custody, management, borrowing or investment of funds. As used in the foregoing verification, “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, or limit commercial relations with a company because the company: (A) engages in the exploration, production, utilization, transportation, sale, or manufacturing of fossil-based energy and does not commit or pledge to meet environmental standards beyond federal and state law: or (B) does business with a company described as by the preceding statement in (A).

12.4. The RESPONDER hereby verifies that it and its parent company, wholly- or majority- owned subsidiaries, and other affiliates, if any, do not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association and will not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association during the term of this Agreement. The foregoing verification is made solely to comply with Section 2274.002, Texas Government Code. As used in the foregoing verification, “discriminate against a firearm entity or firearm trade association” means: (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; but does not include (a) the established policies of a merchant, retail seller, or platform that restrict or prohibit the listing or selling of ammunition, firearms, or firearm accessories;

or (b) 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 to comply with federal, state, or local law, policy, or regulations or a directive by a regulatory agency;

or 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.

12.5. RESPONDER represents that it is in compliance with the applicable filing and disclosure requirements of Chapter 176 of the Texas Local Government Code and Chapter 2252 of the Texas Government Code.

THIS SECTION INTENTIONALLY LEFT BLANK

___Part II

Schedule

1. Solicitation Schedule: It is the City’s intention to comply with the following solicitation timeline:

Event Event Date*

RFQ Released October 29, 2026

Deadline for Respondent Questions Submitted to the City of

Leander November 16, 2026, by 5:00PM CT

Questions and Answers to be posted on the City of Leander website on or before November 23, 2026, by 5:00PM CT

RFQ Opened (last day to submit Responses) December 1, 2026, at 2:00PM CT

Oral Presentation (if necessary) TBD

Anticipated Agreement Award Target April 2027

Professional Services Agreement(s) (PSA) to Begin Upon City Council Approval of the Pre-Qualified

Pool and Fully Executed PSA Documents.

*The City of Leander reserves the right to revise the dates in the Schedule of Events above upon written notification to prospective Respondents through a posting on the City of Leander’s online portal located at https://leandertx.bonfirehub.com. It is the responsibility of interested Respondents to check the City of Leander website for all updates and changes.

All questions regarding the solicitation shall be submitted through the online portal located at https://leandertx.bonfirehub.com / by 5:00 PM on the due date noted above. A copy of all the questions submitted and the City’s response to the questions shall be posted on our webpage at:

https://leandertx.bonfirehub.com

2. Solicitation Updates: Respondents shall be responsible for monitoring the City’s website at: https://leandertx.bonfirehub.com / for any updates pertaining to the solicitation described herein. Various updates may include addendums, cancelations, notifications, and any other pertinent information necessary for the submission of a correct and accurate response. The City will not be held responsible for any further communication beyond updating the website.

3. Response Due Date: Signed and electronically submitted responses are due no later than December 1, 2026, at 2:00PM CT, on the date noted above to the CIP

Department.

3.1. Responses received after this time and date shall not be considered.

3.2. Facsimile or emailed transmitted responses will not be accepted.

3.3. Late responses will be returned to Respondent unopened if return address is provided.

3.4. Responses cannot be altered or amended after opening.

3.5. No response can be withdrawn after opening without written approval from the City for an acceptable reason.

3.6. The City will not be bound by any oral statement or offer made contrary to the written specifications.

4. Agreement Negotiations: This Solicitation is intended to satisfy phase one of procurement laws for acquiring professional services. Phase one of the procurement process is identifying the most qualified Respondent(s), and phase two is formal negotiation with the most qualified Respondent to establish a Task

Order per each specific project’s needs. In establishing a Professional Services https://leandertx.bonfirehub.com/ https://bids.leandertx.gov/ https://leandertx.bonfirehub.com/ https://bids.leandertx.gov/

Agreement and Task Order as a result of the solicitation process, the City may:

4.1. Phase One Process.

4.1.1. Review all RFQ submittals and determine which Respondents are most advantageous to the City and reasonably qualified through the evaluation process for award of a Professional Services Agreement.

4.2. Phase Two Process.

4.2.1. Attempt to negotiate with the most responsive, qualified Respondent an agreement of fair and reasonable terms, conditions and cost.

4.2.2. If negotiations are successful, enter into a Task Order.

4.2.3. If not successful, formally end negotiations with that Respondent. The City may then:

4.2.3.1. Select the next most highly qualified Respondent and attempt to negotiate an agreement on fair and reasonable terms, conditions and cost with that Respondent.

4.2.3.2. The City shall continue this process until an agreement is entered into or all negotiations are terminated.

4.3. The City also reserves the right to reject any or all submittals, or to accept any submittal deemed most advantageous, or to waive any irregularities or informalities in the submittal received.

4.4. The City reserves the right to deviate from the professional services list of pre-qualified Respondents and issue other requests for qualifications if it is deemed best value for the City.

4.5. The City reserves the right to obtain a list from the Respondent of current projects and pending solicitation responses from the Respondent at the time of negotiating and obtaining a Task Order with that Respondent.

4.6. The City and Respondent shall have a post award meeting to discuss, but not be limited to the following:

4.6.1. Provide City contact(s) information for implementation of Task

Order or Professional Services Agreement.

4.6.2. Identify specific milestones, goals and strategies to meet objectives.

Part III

Response Requirements

1. Solicitation Submission Requirements: To achieve a uniform review process and obtain the maximum degree of comparability, the responses shall be organized in the manner specified below. Responses shall not exceed thirty-five (35) pages in length (excluding title page, index/table of contents, City required attachments, addendums, proof of licensure and/or requested work samples.

The Respondent shall submit qualification via the City’s online portal at https://leandertx.bonfirehub.com.

The confidential submission shall be titled: “SOLICITATION NUMBER -

Complete copy of [Name of Respondent]’s submission – CONFIDENTIAL”. The

Confidential submission copy must be redacted of any information deemed confidential by the Respondent. This Confidential copy will be used in responding to the Open Records Request.

If supplemental materials are included with the Response, the Response and accompanying documentation are the property of the City and will not be returned.

2. Title Page: Show the solicitation title and number, solicitation date, the name of

Respondent, Federal EIN, address, telephone number(s) name of Respondent’s

Project Administrator who may be contacted regarding the SOQ.

2.1. To minimize identity theft, every company MUST have an Employers

Identification Number (EIN) prior to awarding a contract. For information on obtaining your EIN, you may contact the IRS at (800) 829-4933 or visit https://www.irs.gov/forms-pubs and complete the Form SS-4.

3. Letter of Transmittal: Identify the category of service for which solicitation has been prepared.

3.1. Legal name of Respondent;

3.2. Texas Engineering Board Respondent registration number (if applicable);

3.3. Location of office that shall conduct work;

3.4. Contact persons;

3.5. Legal business description; (Individual, Partnership, Corporation, Joint Venture, etc.)

3.6. The Category in which the SOQ is prepared for;

3.7. Provide a statement on the availability, interest, and commitment of the

Respondent, its principal(s) and assigned professionals to undertake the projects in the category of service, reporting responsibilities and how the

Respondent will interface with the City of Leander’s Project Manager.

3.8. Signed in permanent ink by a corporate officer or other individual who has the authority to bind the Respondent. The name and title of the individual(s) signing the solicitation shall be clearly shown immediately below the signature.

4. Table of Contents: Present a clear and comprehensive identification of the contents of the SOQ by tab and page number.

5. Response Checklist: This Checklist is to assist the Respondent in ensuring that all information is included in their response. Respondents must refer to the appropriate section of the solicitation for detailed information on the following. Response pages must be numbered and contain an organized, paginated, table of contents corresponding to the Section and pages of the Response. Response shall include all of these elements or may be disqualified or non-compliance. All necessary documents requiring signature and/or date shall be filled in or may be disqualified for non-compliance.

https://www.irs.gov/forms-pubs

Tab

Numbe r

Requested Item Section or Attachment

1 Title Page (1 page) Part III; Section 2

1 Letter of Transmittal (1 page) Part III; Section 3

1 Table of Contents (1 page) Part III; Section 4

2 Relevant Qualifications and Experience Part I; Section 6

3 Available Resources and Location Part I; Section 6

4 Methodology, Approach and Timeline Part I; Section 6

5 Added Value Part I; Section 6

6 References Attachment A

6 CIQ Form Part I; Section 7.2.1

7 Terms & Conditions Issues Part I; Section 2

8 Proposer’s Contract and/or Terms and Conditions Part I; Section 2

9 Professional Services Agreement Certification Form Attachment B

10 Solicitation Addenda, if applicable ESBD and/or the City of Leander

Website

6. Confidentiality Of Content: All documents submitted in response to a solicitation shall be subject to the Texas Public Information Act. Following an award, responses are subject to release as public information unless the response or specific parts of the response can be shown to be exempt from the Texas Public Information Act.

Pricing is not considered to be confidential under any circumstances.

6.1. Information in a submittal that is legally protected as a trade secret or otherwise confidential must be clearly indicated with stamped, bold red letters stating

"CONFIDENTIAL" on that section of the document. The City will not be responsible for any public disclosure of confidential information if it is not clearly marked as such.

6.2. If a request is made under the Texas Public Information Act to inspect information designated as confidential, the Respondent shall, upon request from the City, furnish sufficient written reasons and information as to why the information should be protected from disclosure. The matter will then be presented to the Attorney General of Texas for final determination.

7. Ethics Ordinance and Disclosure Statements: The City’s Ethics Ordinance requires persons seeking to enter discretionary contracts with the City or appearing before the City Council or another City board or body to disclose certain conflicts of interest. The relevant sections of the Ethics Ordinance are set forth below. The

Ethics Ordinance can be found in Article 9.05, Chapter 9 of the City’s Code of

Ordinances at the following link:

http://z2codes.franklinlegal.net/franklin/Z2Browser2.html?showset=leanderset

Sec. 9.05.007 Persons doing business with the city

(a) Persons seeking discretionary contracts.

(1) For the purpose of assisting the city in the enforcement of provisions contained in this article, an individual or business entity seeking a discretionary contract from the city is required to disclose in connection with a proposal for a discretionary contract any conflict of interest. This http://z2codes.franklinlegal.net/franklin/Z2Browser2.html?showset=leanderset is set forth in sections 9.05.004 and 9.05.005 of this article. Further, the individual or business entity agree to abide by the same ethical standards as set forth for public servants in this article.

(2) Subsection (a) of this section will become a permanent footnote on documents contained in city bid packets for discretionary contracts.

(b) Disclosure of conflicts of interest by persons appearing before a board or city body. A person appearing before any city board or other city body for the purpose of doing business with the city shall disclose to that board or body any facts known to such person which may show or establish that:

(1) An employee or officer of the city that advises or makes presentations to the board or city body; or

(2) Any member of the board or city body; has or may have a conflict of interest pursuant to chapter 171, Tex. Loc. Gov’t. Code, or an interest which would violate the ethical standards set forth in this article, if he or she were to participate in the processing or consideration of the subject matter.

Sec. 9.05.009(f) Disclosure by persons appearing before a city body. Any person who appears before any city body who has had business dealings within the preceding 12-month period involving one or more transactions of five hundred dollars ($500.00) or more each quarter, or for a total of twenty-five hundred dollars

($2,500.00) or more, within the preceding 12-month period with a councilmember, commissioner, or business entity in which a councilmember or commissioner has a substantial interest, shall disclose such business dealings at the time of the appearance. Any person who shall intentionally or knowingly fail to make the aforesaid disclosure shall be guilty of a misdemeanor and shall be fined in accordance with this article.

http://z2codes.franklinlegal.net/franklin/DocViewer.jsp?docid=84&z2collection=leander&JD_9.05.004 http://z2codes.franklinlegal.net/franklin/DocViewer.jsp?docid=84&z2collection=leander&JD_9.05.005

ATTACHMENT A RESPONDENT’S REFERENCE SHEET

PLEASE COMPLETE AND RETURN THIS FORM WITH THE SOLICITATION

RESPONSE

SOLICITATION NUMBER:

RESPONDENT’S NAME: DATE:

Provide the name, address, telephone number and E-MAIL of at least three (3)

Municipal and/or Government agencies or firms of comparable size that have utilized similar service within the last two (2) years. City of Leander references are not applicable. References may be checked prior to award. Any negative responses received may result in disqualification of submittal.

1. Company’s Name

Name of Contact

Title of Contact

E-Mail Address

Present Address

City, State, Zip Code

Telephone Number ( ) Fax Number: ( )

2.

Company’s Name

Title of Contact

E-Mail Address

Present Address

3.

Company’s Name

Title of Contact

E-Mail Address

Present Address

FAILURE TO PROVIDE THE REQUIRED INFORMATION WITH THE

SOLICITATION RESPONSE MAY AUTOMATICALLY DISQUALIFY THE

RESPONSE FROM CONSIDERATION FOR AWARD.

Please ensure that this form is completed in its entirety and signed. Incomplete forms will not be incorporated into the solicitation response. If changes are requested Respondents must include the original language and specific change being requested for each change. Additions, deletions, or modifications that change the legal or material nature of the original language of the Professional

Services Agreement will not be accepted as a complete response. If no changes are being requested from the Respondent, please fill out the “Respondent Name” and “Solicitation No.” fields, then mark a

“N/A” in the “Title and Section of change(s) request” and “Description of Change” fields.

Respondent Name: Solicitation No.:

Title and Section of change(s) request:

Description of Change:

Must include original language of the change request and provide alternative language or justification for the change.

Signature Date

Printed Name/ Title Company Name

Professional Services Agreement Certification Form - Attachment B

Please sign to acknowledge this Attachment. Place acknowledgement in solicitation response.

The person who signs this Form must have the authority to bind the company into a contract.

12. STATUTORY VERIFICATIONS