1448768-Z9 07162026.pdf

State of Nebraska Purchase Order PURCHASE ORDER NUMBER 1448768 Z9

SHOW PURCHASE ORDER NUMBER ON ALL PAPERS AND PACKAGES INVOICE TO ADDRESS BELOW

PAGE ORDER DATE GAME & PARKS COMMISSION

PONCA STATE PARK

% PARK SUP'T

PO BOX 688

PONCA NE 68770-0688

1 OF 1 07/16/26

BUSINESS UNIT BUYER

33070453 ANDREW SCHULZKUMP (G&P)

VENDOR NUMBER: 2800522 DESTINATION OF GOODS

GAME & PARKS COMMISSION

BRANCHED OAK LAKE WMA

13605 W BRANCHED OAK RD

RAYMOND NE 68428-4064

VENDOR ADDRESS:

ROD SCHILDT

1125 168TH

PLEASANT DALE NE 68423-9064

Unsatisfactory delivery schedule or service will be sufficient cause for cancellation of this order. Order is subject to cancellation if merchandise is not received by: 06/30/26

FREIGHT: FOB DESTINATION

DELIVERY INSTRUCTIONS:

INSTRUCTIONS TO VENDORS

* Packing list must be included in each shipment.

AGENCY SIGNATURE

R43500|NISA0002|NISA0002 20220623

* Two copies of invoice must be submitted in order that payment can be made - INVOICES

MUST INDICATE YOUR FEDERAL TAXPAYER IDENTIFICATION NUMBER.

* Materials ordered are subject to our inspection and approval. Defective material(s) not in compliance with specifications will be held pending resolution or returned subject to your risk and expense.

* Materials are to be shipped F.O.B. Destination.

Invoices should be sent to: Ethan Dyer, NGPC Wildlife Division, PO Box 30370, Lincoln NE 68503; Phone: (402) 471-5420 or emailed to ethan.dyer@nebraska.gov

NGPC Buyer Information: Andrew Schulzkump, Procurement Specialist, Phone: (402) 471-5486; email: andrew.schulzkump@nebraska.gov

33070453.554900.W21D0027 S.33WLD026

Line Description Quantity Unit of

Measure Unit Price

Extended Price

1 TWIN LAKES WMA 4,519.8000 $ 1.0000 4,519.80

SUNFLOWER PLOTS

Total Order 4,519.80

Zgcosaa Under $6,000 Service Agreement

This Service Agreement is entered into between the Nebraska Game & Parks Commission, hereinafter called the Commission, and Rod Schildt 1125 168"' St. Pleasant Dale, NE 68423, hereinafter called the Contractor, for the services itemized under Agreement Terms below.

AGREEMENT TERMS

The Contractor shall undertake to accomplish the goals, objectives and strategies of the project entitled "Twin Lakes WMA Food Plots". The Contractor agrees to the following provisions and conditions:

See Attachment A.

A. CONSIDERATIONS

A total not to exceed $4,519.80 shall be provided by the Commission to the Contractor following completion of the project for services performed. Payments shall be made on a lump sum basis at the end of the work period to the Contractor following receipt of the proper documentation specified in Agreement Terms. The Commission's obligation for performance is contingent upon the availability of appropriated grant funds and the authority to expend those funds.

B. DURATION OF AGREEMENT

This Agreement shall begin upon full execution and end on June 30, 2026. This Agreement will remain in effect for the term prescribed above unless sooner revoked for cause by the Commission or unless sooner lerminated by either party. If revoked for cause by the Commission, or if terminated by the Contractor or by mutual consent, there sliall be not less than (30) days written notice, unless otherwise mutually agreed.

If revoked for cause the Contractor shall have twenty (20) days after receipt of written notification to cure any such default. Following termination notice by the Commission. or if the Contractor is unable to cure its default, the Contractor shall be entitled to compensation, upon submission of invoices and proper proof of claim, for services provided under the Agreement to the Commission up to and including the date of termination and for any non-cancelable obligations incurred prior to the notice to terminate.

This Agreement may be renewed, extended or amended by mutual written agreement. Annual funding for this Agreement is dependent upon receipt of monies from the Commission's funding sources.

Failure of the Contractor to comply with the terms and conditions of this Agreement in a manner which the Commission, in its sole discretion, shall deem sufficient may be considered cause for revocation.

'.}-/} U i4'M ;^i I ^.

Revised 8/8/23- Lease work agreement Page 1

C. FORFEITURE OF AGREEMENT

Failure of the Contractor to comply with the terms and conditions of this Agreement in a manner, to the best of their ability, which the Commission, in its sole discretion, shall deem sufficient, may be considered cause for revocation of the project and this Agreement. Failure of the Commission to revoke upon apprehension of a violation shall not constitute a bar to revocation upon repetition of the same violation or of another violation. In the event of any forfeiture or termination of the project and this Agreement, any research data, supplies, interim reports, or other product of the Contractor's efforts hereunder shall be delivered to the Commission.

D. EMPLOYEE STATUS

Nothing in this Agreement shall be construed as a delegation of authority of the commission to the Contractor or its agent(s) with respect to the agreement described herein, nor shall the Contractor or its agent(s) in any manner consider or represent itself to be an employee of the Commission. It is expressly understood by the contractor that it is in all instances an independent contractor who shall provide, manage, and assume all obligations whatsoever which may occur of or be required by the Workmen's

Compensation laws of any state. Old Age and Survivors Insurance, Internal Revenue Acts, Income Tax of any state, and laws and regulations relating thereto, and the Contractor shall save and hold harmless the

Commission against any obligation relating to any such liability.

E. HOLD HARMLESS

It is expressly understood that the Contractor assumes full liability for the acts of its employees, agents, and officers assigned to perform the Contractor's duties, hereunder, and shall reimburse the Commission for any damage to Commission property, real or personal, caused by the Contractor, its employees, agents or officers

F. CONTROLUNG LAW

The present Agreement shall be considered to have been executed at Lincoln, Lancaster County, Nebraska, and shall be subject to the laws of the State of Nebraska.

G. CONFLICT OF INTEREST WARRANT

The Contractor warrants that its officers, stockholders, associates and employees presently have no known financial interest and shall not acquire any known financial interest, direct or indirect, which would conflict in any manner or degree with the performance of the services required by this Agreement. The Contractor shall comply with the provisions of the laws of the State of Nebraska which require disclosure for conflict of interest determinations of amounts received under this Agreement.

H. NEW EMPLOYEE WORK ELIGIBILITy STATUS

Under Federal and/or state law, this Agreement and Contractor must not discriminate in employment under this specific Agreement on the basis of race, color, religion, age, gender, marital stahis, national origin, disability or political affiliation. The Contractor agrees to abide by the Nebraska

Revised 8/8/23- Lease work agreement Page 2

Fair Employment Practices Act as provided by Neb. Rev. Stat. Sections 48-1101 through 48-1126, and the American with Disabilities Act of 1990 (P.L. 101-366) as implemented by 28 C.F.R. 3, which are hereby made a part of and included in this Agreement by reference.

The Contractor is required and herby agrees to use a federal immigration verification system to detennine the work eligibility status of new employees physically performing services within the State of Nebraska. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a, known as the E-Verify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee.

If the Contractor is an individual or sole proprietorship, the following applies:

1. The Contractor must complete the United States Citizenship Attestation Form, available on the Department of Administrative Services website at www.das.state.ne.us.

2. If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the US Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements (SAVE) Program.

3. The Contractor understands and agrees that lawful presence in the United States is required and the Independent Contractor may be disqualified or the Agreement terminated if such lawful presence cannot be verified by Neb. Rev. Stat. 4-108.

I. DRUG FREE WORKPLACE

Each party agrees to comply with all applicable federal, state and local laws, codes, regulations, rules, and orders. The Contractor agrees to have in place, during the agreement period, a Drug Free Workplace Policy stating that the unlawful manufacfaire, distribution, dispensation, possession, or use of a controlled substance in the workplace is prohibited. Consultant agrees to provide a copy of its drug-free workplace policy at any time upon request by the Commission.

J. DEBARMENT SUSPENSION

The Contractor certifies by signing this agreement that neither the contractor, subcontractor (if any) nor their principals are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded by any federal or state department or agency from participation in transactions.

The Contractor also agrees to include the above requirements in any and all subcontracts into which it enters. The Contractor shall immediately notify the Commission if, during the term of this agreement, the Independent contractor becomes debarred. The Commission may immediately terminate this Agreement by providing the Contractor written notice if contractor becomes debarred during the term of this Agreement.

Revised 8/8/23- Lease work agreement page 3

K. BUY AMERICA BUILD AMERICA

Domestic Preferences - Buy America. Build America Act (BABA)

In the performance of this Agreement, Contractor shall adhere to the BABA Act, which states:

".....no federal funding for 'infrastructure' projects is provided "unless all of the iron, steel, manufactured products, and construction materials used in the project are produced in the United States." Section 70914 of Public Law No. 117-58, §§ 70901-52.

This applies to articles, materials, and supplies that are consumed in, incorporated into, or affixed to any infrastructure project - this includes new construction, alterations, maintenance, or repair. As such, it does not apply to tools, equipment, and supplies, such as temporary scaffolding, brought to the construction site and removed at or before the completion of the infrastructure project. These requirements also apply to all sub-contracts.

The Act requires the following Buy America preference:

1. All iron and steel used in the project are produced in the United States. This means all manufacturing processes, from the initial melting stage through the application of coatings, occurred in the United States.

2. All manufactured products used in the project are produced in the United States. This means the manufactured product was manufactured in the United States, and the cost of the components of the manufactured product that are mined, produced, or manufactured in the United States is greater than 55 percent of the total cost of all components of the manufactured product, unless another standard for determining the minimum amount of domestic content of the manufactured product has been established under applicable law or regulation.

3. All construction materials are manufactured in the United States. This means that all manufacturing processes for the construction material occurred in the United States.

Construction materials include: An article, material, or supply - other than an item of primarily iron or steel; a manufactured product; cement and cementitious materials;

aggregates such as stone, sand, or gravel; or aggregate binding agents or additives - fhat is or consists primarily of:

• Non-ferrous metals

• plastic and polymer-based products (including polyvinylchloride, composite building materials, and polymers used in fiber optic cables)

• glass (including optic glass)

• lumber

• drywall

• pre-made cement (concrete) blocks

• Geotextile fabrics

Contractors and their representatives will ensure that all applicable products utilized under this

Agreement are accompanied by proper documentation demonstrating compliance with the BABA Act, and these documents will be submitted to the Commission prior to payment. Documentation of compliance for manufactured products (product was manufactured in the United States, and the cost of the components of the manufactured product that are mined, produced, or manufactured in the United States is greater than 55 percent of the total cost of all components of the manufactured

Revised 8/8/23- Lease work agreement Page 4 product) may be in the form of a certification letter from the manufacturer on their letterhead if necessary.

Contractor assumes the risk of non-compliance in including any non-domestic materials that are subject to BABA Act requirements, and agrees to the following conditions:

• Contractor shall provide ihe supporting documentation of BABA Act compliance to the

Commission prior to payment.

• The burden of proof to meet the BABA Act provisions rests on the Contractor.

• If any of the above-described materials or products are unable to meet BABA Act requirements, the Contractor must obtain Commission approval prior to use of these materials.

• If the Commission approval was not obtained and non-BABA Act compliant material was utilized, the Contractor risks the liability to remove and replace said material at no cost to the Commission.

• No claims for contract adjustment (additional time, money, or both) \\ill be made because of the non-compliant material(s) without prior Commission approval.

This Agreement shall be considered executed at Lincoln. Lancaster County, Nebraska, and shall be governed by the laws of the State of Nebraska.

Each party agrees to comply with all applicable federal, state and local laws. codes, regulations. rules, and orders.

This agreement may not be assigned except with tlic written consent oftlie Commission.

IN WITNESS WHEREOF the parties have affixed their signature, thus entering into this agreement, the day and year written.

AcknowIcdgment/Acceptance

.VEBR.-ISK.-1 G.'li\IF..4^!D''PARK5COAl.\flSS!{~}^' The Contractor

Date: __ ^-5-Z-G. Date: ~? - ^ ~ 2-6

Attachment A

Work Specifications:

Revised 8/8/23- Lease work agreement Page 5

' Twin Lakes WMA Food Plots

Sunflower Food Plots

'"Commission will provide sunflower seed and post emergent herbicide.

Disk twice @ S20.00 Apply herbicide Fertilize IQOIbsN/ac Dual Magnum II herbicide (2 pints/acre)

Plant sunflowers

Post emergent herbicide application Total Cost per Acre

$ 40.00

$ 8.00 $ 90.00 $ 20.00 $ 20.00 $ 8.00

$186.00

Total cost/acre planted snnflower food plots $1 86.00 /acre X 24.3 acres == 54,519.80

Work Schedule:

^ Sunflowers to be planted April 15, 2026 - May 15, 2026.

Payment Schedule:

Upon receipt of an invoice from the Independent Contract once Sen'ices are completed.

] Labor practice rates obtained through UNL Extension Websiie, Custom Farm Rates 2022

Revised 8/8/23- Lease work agreement Page 6

BID FORM

$6,000 and less Service Contract Bids !

NGPC Staff Name: Jason Luebbe

Purpose of Contract: Sunflower food plots

Location of Service: Twin Lakes WMA

I* n

Bid Amount

$4,519.80

Vendor Name

Rod Schildt

Vendor Address

1125 168'" St.

City

Pleasant

Dale

State

NE

Zip

6S423

Phone #

402-310-8883

Sole Source Justification attached- must be approved prior to contract execution

* The contractor for this agreement already is under a lease agreement for the WMA in which work will be conducted. Due to the fact that this contractor already has an agreement in place with the Commission, as a tenant, on the WMA it is not feasible to solicit bids for the type of work being conducted. Cost rate is set by the Commission based on the current UNL custom farm rate publications. The tenant's lease agreement is kept on file in Wildlife per the records retentioi) policy of the Agency (5 years).

NGPC Staff Signature^ Date 3- 3-Z-6.

Account Coding (BU. Subsidiary. Subledgcr) for contract:

33070453 - W21 D0027 - 33WLD026 oi^> 0^ ^f^ ft& ^-Z-SOOS-aa. ' •^/^i^<

Fiscal Year Coding (if applicable): ' " /CWy/a'/^^

Revised 8/8/23- Lease work agreement Page 7

United States Citizenship Attestation Form

For the purpose of complying with Neb. Rev. Stat. §§ 4-108 through 4-114,1 attest as follows:

I am a citizen of the United States.

—OR—

I am a qualified alien under the federal Immigration and Nationality Act, my immigration status and alien number are as follows: ___, and I agree to provide a copy of my USCIS documentation upon request.

I hereby attest that my response and the information provided on this form and any related application for public benefits are true, complete, and accurate and I understand that this information may be used to verify my lawful presence in the United States.

PRINT NAME.

(first, middle, last)

SIGNATURE

PJ^ ScCU^

DATE ^-^-2-^

Revised 8/8/23- Lease work agreement PageS

Revised 8/8/23- Lease work agreement Page 9

Designated Sunflower Fields: 3, 4, 10, 17, 17A ,21

SCHILDR001

A^ORD- CERTIFICATE OF LIABILITY INSURANCE

J-EAB16M

DATE (MM/DOTCYrY)

3/3/2026

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH]S CERTIHCATE 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.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must have ADDmONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject ta the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificats holder In lieu of such endorsement(s).

PROOUCER License S 100186630 Suhr & Uchty Insurance Agency, Inc.T45'N'5th-S't'' "—— — ••'—-••

Seward, NE 68434.2146

INSURED

Rod S Kaihi Schlldt 1125 168th Pleasant Dale. N6 S8423

[ACT Diane Lichty

KS">Eo. Exn; (402) 643-2911 I f^, Noi,(402) 643-4345 jl^sa dllchty@suhrlichty.com

INSUREfitS) AFPORDtNG COVERAGE

INSURER A; Farmers Mutual of Nebraska

INSURER B ;

INSURER C: _

IMSimER 0 ;

1KSURER E :

tNSUriEft F :

NA1CS

13889.

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POUCI£S OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAI«IED ABOVE FOR THE POLICY PERIOD INDICATED. NOTnmSTW4DING ANY REQUIRE5.1ENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE :,1AY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.

EXCLUSIONS AN3 CONDITIONS OF SUCH POLICIES LIMITS SHOVW MAY HAVE BEEN REDUCED BY PAID CLAIMS

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DSSCRIPTiON Of OPEP^nOriS / U>CATtONS / VEHICLES (ACORD 101. Add^ian*E Rflmartn Scbciluis, nuy bo attactwi Ifmwo lipaco tt niQuind^

CERTIFICATE HOLDER

Nebraska Game & Parks Commission 13605 West Branched Oak Rd Lincoln, NE 68503

J.

CANCELLATION

SHOULO ANY OF THE ABOVE DESCRIBED POLICIES 86 CANCELLED BEFORE

THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

/O'&At- ^ ACORD 25 (2016/03) IE) 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks ofACORD

Revised 8/8/23- Lease work agreement Page 11 eE

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