4-RFQ2026-06 SIGNATURE DOCUMENTS.pdf

RFQ2026-06

TRANSPORTATION ENGINEERING & DESIGN

CHECK LIST

ATTENTION VENDORS: All documents noted below must be completed and returned with the proposal or bid.

Check list for Hood County Bid/Proposal/Qualification packets:

❑ Cover Sheet

❑ Request for Bids / Proposals / Qualifications

❑ General Terms & Conditions

❑ Insurance Requirements

❑ Unsworn Vendor Affidavit

❑ Residence Certification

❑ Form W-9

❑ Debarment Policy (to be included in response to Section A: Firm)

❑ Conflict of Interest Questionnaire (to be included in response to Sec. A: Firm)

❑ Online submissions must include upload of completed and signed Signature Docs, any requested documents, and completion of online entries

❑ Hard copy submissions must include the original and a minimum of six (6) copies of all documents and a PDF on a thumb drive of all documents

Any proposal that does not include the above items is subject to disqualification of bid/proposal. Form HB1295 will be required of the awarded vendor.

COVER SHEET

HOOD COUNTY REQUEST FOR BIDS / PROPOSALS / QUALIFICATIONS

RFQ2026-06 TRANSPORTATION ENGINEERING & DESIGN

OFFERORS NOTE!

1. Carefully read all instructions, requirements and specifications.

2. Fill out all forms properly and completely.

3. Submit bid with all appropriate supplements and/or samples.

For all questions pertaining to this RFB, RFP or RFQ, please contact Glenn Tilleman, Hood County Purchasing Agent at gtilleman@hoodcounty.texas.gov .

Vendor must sign below in INK; failure to sign will Disqualify the offer.

Company Name: ____________________________________________________________________

Company Address: __________________________________________________________________

City, State and Zip Code: _____________________________________________________________

Taxpayer Identification Number (T.I.N.): __________________________________________________

Telephone No.: __________________________ FAX No.: __________________________________

E-Mail Address: _____________________________________________________________________

Print Name: ________________________________________________________________________

Signature: _________________________________________________________________________ (Vendor’s signature attests to the vendor’s offer to provide the goods and/or services in this request according to the published provisions of the RFB/RFP/RFQ, as well as the General Terms, Conditions & Requirements and other documents included.)

APPROVED ________________________________________

Commissioners’ Court Date

REJECTED

Purchasing Agent

DUE DATE: MARCH 4, 2026 NO LATER THAN 10:00 AM. RESPONSES RECEIVED

AFTER THE DATE AND TIME SHOWN WILL NOT BE CONSIDERED.

mailto:gtilleman@hoodcounty.texas.gov

INSURANCE REQUIREMENTS

1. The awarded Vendor shall instruct his insurance agent or carrier to furnish at his/her own expense, to the County, a Certificate of Liability Insurance listing the County as “Additional Insured”.

2. Unless otherwise agreed, the awarded Vendor shall furnish and keep in full force the following insurance during the term of this contract:

a. Statutory workers comp in accordance with State of Texas requirements.

b. Commercial General Liability at minimum combined single limits of

($1,000,000 per occurrence and $2,000,000 general aggregate) for bodily injury and for property damages, which coverage shall include products/completed operations at $2,000,000 per occurrence. Coverage must be written on an occurrence form.

c. Commercial Automobile Liability at minimum combined single limits of $500,000 per occurrence for Bodily Injury and Property Damage, including owned, non-owned, and hired vehicle coverage. All insurance must be written on forms filed with and approved by the Texas Board of Insurance.

Certificates of Insurance shall be prepared and executed by the insurance company or its authorized agent.

d. Errors and Omissions Coverage having minimum limits of Two Million and No/100 Dollars ($2,000,000.00) for each occurrence and annual Two Million and No/100 Dollars ($2,000,000.00) aggregate. Such Errors and Omissions Insurance shall have a deductible not in excess of Two Hundred Thousand and No/100 Dollars ($200,000.00) self-insured. Coverage shall remain in effect at all times this Agreement is in effect and for a period of five (5) years after completion of the Project.

3. All of the aforementioned policies shall be issued immediately after the Vendor receives notification of award. Receipt of the Certificates of Insurance is required before any funds will be released for payment.

4. Neither acceptance of proof of insurance supplied by the successful Vendor, nor failure to disapprove the insurance shall relieve the successful Vendor of full responsibility of liability, damages, and accidents as set forth herein.

5. No additional payments shall be made for any insurance that the successful Vendor may be required to carry.

It is the responsibility of the successful Vendor to provide renewals of their insurance at expiration during the contract term. Payments will be withheld until current certificates of Insurance are received.

Acknowledged by:____________________________Title:_______________________

Typed/Printed Name_____________________________________________________

Company Name_____________________________Date_______________________

Attachment A Affidavit

UNSWORN VENDOR AFFIDAVIT

RFQ2026-06

TRANSPORTATION ENGINEERING & DESIGN

The undersigned certifies that the bid prices contained in this bid/proposal have been carefully checked and are submitted as correct and final and if bid is accepted (within 90 days unless otherwise noted by Vendor), agrees to furnish any and/or all items upon which prices are offered, at the price(s) and upon the conditions contained in the Specifications.

___________________________________________________________________ hereinafter called “Vendor” is the duly authorized agent of said company and that the person signing said proposal has been duly authorized to execute the same. Vendor affirms that they are duly authorized to execute this contract, that this company, corporation, firm, partnership, or individual has not prepared this bid in collusion with any other Vendor, 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.

NAME AND ADDRESS OF VENDOR:

PHONE NUMBER: ________________________

EMAIL ADDRESS: ________________________

SIGNATURE

PRINT NAME

TITLE

RESIDENCE CERTIFICATION

Pursuant to Texas Government Code §2252.001 et seq., as amended, Hood County requests Residence Certification. §2252.001 et seq. of the Government Code provides some restrictions on the awarding of governmental contracts; pertinent provisions of §2252.001 are stated below:

(3) "Nonresident bidder" refers to a person who is not a resident.

(4) "Resident bidder" refers to a person whose principal place of business is in this state, including a contractor whose ultimate parent company or majority owner has its principal place of business in this state.

I certify that ______________________________________ is a Resident Bidder [Company Name] of Texas as defined in Government Code §2252.001.

I certify that ______________________________________ is a Nonresident [Company Name]

Bidder as defined in Government Code §2252.001 and our principal place of business in _______________________________________.

[City & State]