9-ITB 260301 ME Janitorial Services.pdf

LUBBOCK COUNTY, TEXAS

INVITATION TO BID

ITB 260301 – JANITORIAL SERVICES

MEDICAL EXAMINER

I. GENERAL

DESCRIPTION: Lubbock County Commissioner’s Court will receive sealed competitive bids for ITB 260301 Janitorial Services for Lubbock County MEDICAL EXAMINER’S OFFICE. Specifics shall be as shown in the bid documents.

II. INSTRUCTIONS

Offerors may submit bids electronically by uploading documents required in Exhibit A at Lubbock County partner’s website, Bonfire. If submitting electronically, do not submit paper documents.

Refer to Exhibit A for Bonfire Submission Instructions.

If you choose to submit in hard copy, submit one original bid along with supporting documents of your submittal in a sealed envelope or container plainly labeled with the ITB Number 260301 JANITORIAL SERVICES along with their vendor name and address on the outside of the envelope or container to the office of the Director of Purchasing:

Physical: LUBBOCK COUNTY PURCHASING DEPT Attn: DIRECTOR OF PURCHASING

916 MAIN STREET, SUITE #503

LUBBOCK, TEXAS 79401

Mailing: LUBBOCK COUNTY PURCHASING DEPT Attn: DIRECTOR OF PURCHASING

PO BOX 10536

LUBBOCK, TEXAS 79408

This Invitation to Bid is for your convenience in submitting an offer for the referenced services for Lubbock County.

Sealed bids or electronic submittals through the Bonfire portal, https://lubbock.bonfirehub.com, shall be received until:

https://lubbock.bonfirehub.com/

Tuesday, April 14, 2026, prior to 2:00 P.M., MARK ENVELOPE: ITB 260301 Janitorial Services

In the event of inclement weather and County Offices are officially closed on an ITB opening day, ITBs will be received until 2:00 p.m. of the next business day, at which time said ITBs will be publicly opened.

The documents shown in Exhibit A are required to be submitted in your bid/offer package. It is the bidder’s responsibility to be thoroughly familiar with all requirements and specifications. Be sure you understand the requirements before you return your bid/offer package.

FAILURE TO RETURN THE FOLLOWING FORMS MAY DEEM YOUR BID AS NON-

RESPONSIVE.

• Bid Table (as posted in Bonfire)

• Cooperative Purchasing

• Non-Collusive Bidding Certificate

• Vendor Acknowledgement (Acknowledge Addendum(s) on form)

• Certificate Regarding Lobbying

• Certificate Regarding Energy Companies and Firearm Entities or Firearm Trade Associations

Acknowledgment.

• Vendor Questionnaire & References

PRE‐BID CONFERENCE: For the purpose of familiarizing bidders with the requirements, answering questions, and issuing addenda as needed, a mandatory Pre-Bid Conference will be held on March 31, 2026, at 10:00 AM CDT at 3711 N Holly Ave, Lubbock TX 79403. All persons attending the meeting will be asked to identify themselves and the prospective bidder they represent.

It is the bidder’s responsibility to attend the mandatory pre-bid meeting. Lubbock County will not be responsible for providing information discussed.

B. IT IS UNDERSTOOD THAT Lubbock County reserves the right to accept or reject any and/or all bids as it shall be in the best interest of Lubbock County. Receipt of any bids shall under no circumstances obligate Lubbock County to accept the lowest bid. The award shall be made to the responsible bidder(s) whose bid(s) is determined to be the lowest responsive bid(s).

Lubbock County utilizes County Purchase Orders as its primary means of encumbering funds and pays for goods and services utilizing Vendor invoices. In the event Governmental Entities utilizing InterGovernmental Contracts use other payment methods, including but not limited to, purchasing cards, debit cards, check requests or other methods which cause the Vendor to incur service, processing, or other fees, these fees are the responsibility of that Governmental Entity, unless otherwise negotiated with the Vendor.

C. BIDS SHALL include all required documents. Each paper submittal shall be placed in a sealed envelope, manually signed in ink by a person who has authority to bind the firm in a contract and the bid number and name marked clearly on the outside. Electronic bids shall be submitted via Bonfire following the instructions for electronic submittal included in Exhibit A.

D. LATE BIDS: Bids received in County Purchasing Office after submission deadline shall be returned unopened and will be considered void and unacceptable. Lubbock County is not responsible for lateness of mail, carrier, etc., and time/date stamp clock in Purchasing Office shall be the official time of receipt.

E. ALTERING BIDS: Any interlineation, alteration, or erasure made before receiving time must be initialed by the signer of the proposal, guaranteeing authenticity.

F. WITHDRAWAL OF PROPOSAL: A bid may not be withdrawn or cancelled by the bidder for a period of ninety (90) days following the date designated for the receipt of bids, and bidder so agrees upon submittal of their bid.

G. BIDS WILL BE received and publicly acknowledged at the location, date, and time stated above. Bidders, their representatives and interested persons may be present.

H. Bids must be firm for a 60-day period from bid opening date in case the Court desires additional evaluation time.

I. SUBMITTAL OF CONFIDENTIAL MATERIAL: The Owner considers all Bid information, documentation and supporting materials submitted in response to this Invitation to Bid to be non-confidential and/or non-proprietary in nature, and therefore, shall be subject to public disclosure under the Texas Public Information Act (Texas Government Code, Sec. 552.001, et seq.) after the award of the contract except for trade secrets and confidential information which the Offeror identifies as proprietary. Any material that is to be considered as CONFIDENTIAL/PROPRIETARY in nature must be clearly marked on each applicable page as such by the proposer. Marking your entire proposal CONFIDENTIAL/Proprietary is not in conformance with the Texas Public Information Act (Texas Government Code, Sec. 552.001, et seq.).

J. DISCLOSURE OF CERTAIN RELATIONSHIPS: Chapter 176 of the Texas Local Government Code requires that any proposer or person considering doing business with a local government entity disclose in the Questionnaire Form CIQ, the proposer or person's affiliation or business relationship that might cause a conflict of interest with a local government entity.

By law, this questionnaire must be filed with the records administrator of Lubbock County no later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed as defined in 176.006, Local Government Code. A person commits an offense if the person violates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor. A copy of the law is available at:

http://www.statutes.legis.state.tx.us/Docs/LG/htm/LG.176.htm. The forms for reporting are available at: https://www.ethics.state.tx.us/data/forms/conflict/CIQ.pdf

By submitting a response to this request, the proposer represents that it is in compliance with the requirements of Chapter 176 of the Texas Local Government Code. If required, send completed forms to the Lubbock County Clerk's Office located at 904 Broadway, Suite 207 Lubbock, TX 79401.

http://www.statutes.legis.state.tx.us/Docs/LG/htm/LG.176.htm https://www.ethics.state.tx.us/data/forms/conflict/CIQ.pdf

K. DISCLOSURE OF INTERESTED PARTIES: In compliance with Section 2252.908 of the

Texas Government Code, Lubbock County Commissioners Court may not enter into a contract with a business entity as a result of acceptance or award of this solicitation unless the business entity submits a disclosure of interested parties form as required by this statute. Notification will be given to the business entity recommended for award upon which the business entity will be required to submit the completed form prior to award.

A copy of this law is available at http://www.statutes.legis.state.tx.us/Docs/GV/htm/GV.2252.htm. The on-line form is available at https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm.

The Definitions are included in Chapter 46, Ethics Commission Rules:

https://www.ethics.state.tx.us/rules/commission/ch46.php

L. PROHIBITION OF CONTRACT WITH CERTAIN COMPANIES:

Vendors/Contractors/Providers must be in compliance with the provisions of §2252.152 and §2252.153 of the Texas Government Code, which states in part, contracts with companies engaged in business with Iran, Sudan, or Foreign Terrorist Organizations are prohibited. A governmental entity may not enter into a contract with any company listed on the Comptroller of the State of Texas website identified under Section 806.051 or Section 2253.253, which do business with Iran, Sudan or any Foreign Terrorist Organization. By submitting a signed response to this solicitation, contractor verified to Lubbock County that it is not on any such list.

M. CHAPTER 2270 VERIFICATION: Lubbock County is legally prohibited from contracting for goods and services unless the contract contains written verification from the contractor that it does not and will not during the term of the contract boycott Israel as described in Texas Government Code §808.001(1). By submitting a response to this solicitation, the respondent is affirming compliance with Chapter 2270 of the Texas Government Code.

N. INFORMATION/QUESTIONS: All requests for additional information or clarification concerning this ITB must be submitted through the Bonfire electronic procurement portal system or in writing, no later than five (5) business days prior to the bid opening date and addressed to:

Lubbock County Purchasing Department Attn: Director of Purchasing 916 Main Street, Suite 503 P.O. Box 10536 Lubbock, Texas 79408 Fax: (806)775-7981

E-mail: cwehrman@lubbockcounty.gov

O. ADDENDA: Addenda are written changes, additions, alterations, corrections or revisions to specifications which change the scope of work. Any addenda issued during the time allowed for the preparation of bids shall be covered in the proposal and, in executing the contract, they shall become a part thereof.

http://www.statutes.legis.state.tx.us/Docs/GV/htm/GV.2252.htm.

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

https://www.ethics.state.tx.us/rules/commission/ch46.php

Vendor must acknowledge Addendum(s) on the Vendor Acknowledgement Form.

All addenda, amendments and interpretations of this solicitation shall be in writing. Lubbock County shall not be legally bound by any amendment or interpretation that is not in writing.

Only information supplied by the County in writing or in this ITB should be used in preparing bid responses. All contact that a Bidder may have had before or after receipt of this ITB with any individuals, employees or representatives of the County, and any information that may have been read in any news media or seen or heard in any communication facility regarding this Bid should be disregarded in preparing Bid responses.

P. TERM: The initial term of the contract shall be for a one (1) year period beginning June 1, 2026, through May 31, 2027, with an option to renew for four (4) additional one-year terms at the discretion of Lubbock County Commissioners Court.

Q. PRICE ESCALATION: Lubbock County favor fixed pricing. However, due to manufacturers’ price increases, the County may consider, at each renewal term only, at its option, a request by the successful bidder for a price escalation based on a percentage increase in products. Price escalation will be made under the following conditions: 1) contractors will be required to provide written confirmation from their supplier indicating the exact percentage of increase as well as the effective date of the escalation; 2) the County reserves the right to accept or reject the price increase; 3) price increases must be submitted 60 days prior to contract expiration

R. BIDDER/PROPOSER RESPONSIBILITY: It is the responsibility of each bidder/proposer before submitting a bid/proposal:

1. To examine thoroughly the contract documents and other related data identified in the proposal documents, to visit the site to become familiar with and satisfy proposer as to the general, local, and site conditions that may affect cost, progress, performance, etc.

2. To consider federal, state, and local laws and regulations that may affect costs, progress, performance or furnishing of the work.

3. To study and carefully correlate proposer’s knowledge and observations with the contract documents and such other related data.

4. To promptly notify the County Director of Purchasing of all conflicts, errors, ambiguities, or discrepancies which proposer has discovered.

S. PURCHASE ORDER: A purchase order(s) shall be generated by Lubbock County to the successful proposer.

T. INVOICES: Invoices shall be mailed directly to:

Lubbock County Auditor's Office

P.O. Box 10536 Lubbock, Texas 79408

The invoices shall show:

• Name and address of successful proposer;

• Detailed breakdown of all charges for the services or products delivered stating any applicable period of time; and

• Lubbock County Purchase Order Number.

Invoices shall be based upon actual services rendered and actual hours of performance and/or products delivered.

U. PAYMENT: Payment will be made upon receipt and acceptance by the County of completed services and/or products ordered and receipt of a valid invoice, in accordance with the Texas Government Code, Chapter 2251. Successful proposer is required to pay subcontractors within ten (10) days.

V. SALES TAX: Lubbock County is by statute exempt from the State Sales Tax and Federal Excise Tax; therefore, the proposal price shall not include taxes.

W. DEBT: Lubbock County reserves the right to reject any proposal submitted by a Proposer who owes a debt to the County. Debt includes delinquent taxes, fines, fees and delinquencies arising from written agreements with the County.

X. BIDS/PROPOSERS MUST COMPLY WITH: Bids/proposers must comply with all federal, state, county and local laws governing or covering this type of service.

Y. DEBAREMENT STATEMENT: Contractor certifies that at the time of submission of its bid, Contractor was not on the federal government’s list of suspended, ineligible or debarred contractors and that Contractor has not been placed on this list between the time of bid submission and the time of execution of the Contract. If Contractor is placed on this list during the term of the contract, Contractor shall notify Lubbock County. False certification or failure to notify may result in termination of the contract for default.

Z. INSURANCE: Before commencing work, the successful party shall be required, at his own expense, to furnish Lubbock County within ten (10) days of notification of award with evidence showing the following insurance coverage to be in force throughout the term of the contract:

Types of Coverage Minimum Limits of Liability

1. Worker’s Compensation/Employer’s Liability

a. Worker’s Compensation

b. Employer’s Liability

Statutory Requirement

$1,000,000

2. Commercial General Liability:

a. Bodily Injury/Personal Injury/Property Damage

$1,000,000 per occurrence/$2,000,000 aggregate

3. Auto Liability

a. Combined Single Liability $1,000,000 per occurrence

Each insurance policy to be furnished by the successful party shall include, by endorsement to the policy, a statement that a notice shall be given to Lubbock County by certified mail thirty (30) days prior to cancellation or upon any material change in coverage. Said coverage shall be written by an insurer acceptable to the COUNTY and shall be in the form acceptable to the COUNTY.

ITB 260301

JANITORIAL SERVICES

SCOPE OF WORK

I. INTRODUCTION

Lubbock County desires janitorial service for the Lubbock County Medical Examiner’s Office, here after referred to as LCME, located at 3711 N Holly Ave, Lubbock TX 79403. The successful contractor will be required to provide quality cleaning services for the public and administrative spaces of the facility with minimum callbacks. This does not cover the cleaning of the postmortem examination spaces and cooler of the facility. The area of the facility to be cleaned is approximately 30,000 square feet and includes the entryways, conference rooms, family room, multiple offices, east and west hallways, two single restrooms in the lobby and two four stall restrooms with a locker and two showers in each, reception area, supply area, multiple windows, receiving area, sally port, delivery & supply room and one breakroom.

II. BID EVALUATION

The contract shall be awarded to the lowest responsive bidder. Responsive means a person or entity that has the capability in all respects to perform fully and reliably the contract requirements as set forth in this invitation to bid. References, years in business, past performance and other information obtained for the questionnaire will be used as the basis of award along with the bid amounts.

III. CONTRACT ADMINISTRATION

Services of the Contractor shall be under the general direction of:

LCME Operations Manager Telephone: 806-775-7215

IV. The Contractor shall develop a checklist showing each requirement was satisfactorily completed or stating why completion was not possible. The checklist should also show any problem or potential problem areas and include comments or suggestions that may enhance the appearance of the site or be of general interest to LCME.

If the Contractor is unable to complete service due to weather, the schedule shall be adjusted to allow completion of all services as soon as practical. There may be instances where the site receives no service at all for a day for which there will be no payment.

V. Minimum Specifications:

These minimum specifications apply to the requested janitorial services. Contractor must note any exceptions on the Bid Table. Failure to meet these specifications may result in the entire bid being rejected.

1. LCME shall supply vacuum/trash bags, soaps, cleaning supplies, stripper, waxes, paper products, and supply and maintain vacuum cleaners.

2. Contractor shall supply and maintain all equipment needed for stripping, waxing, burnishing and buffing.

3. Contractor shall clean from 8:30am to 1:30pm or in emergency cases when notified by LCME.

The Contractor is expected to arrive during the designated time and clean for 5 hours, leaving at 1:30pm. Contractor shall cooperate with LCME to ensure that cleaning will not disrupt work.

4. Contractor and all on-site employees shall be subject to a security background check, including fingerprinting, prior to contract approval and any new contractor employee(s) assigned to the medical examiner’s office.

5. The contractor shall be BONDED to meet all Federal, State and local requirements and shall provide proof within 30 days of contract execution.

6. Contractor shall perform all duties as stated below:

Unless stated otherwise, all items addressed in the specifications shall be completed during each service call. All duties as stated within bid shall transpire during the specified time frame, from 8:30 A.M. – 1:30 P.M. Monday through Friday (excluding Holidays). Contractor shall be required to service facility in emergency instances when notified by Lubbock County personnel. Weekly cleaning duties shall be completed every Wednesday from 8:30 A.M. – 1:30 P.M. (excluding Holidays). The monthly, quarterly and annual cleanings are to be coordinated with LCME Operations Manager.

Daily Cleaning:

• Vacuum all carpeted areas and entrance rugs, cubicles and office spaces.

• Sweep and mop all hallways.

• Clean and disinfect all toilets, urinals, basins interior/exterior, showers, wipe counters partition and clean all mirrors.

• Check and refill paper towels, toilet tissue holders and soap containers.

• Sweep and mop all uncarpeted areas and clean any spots or stains.

• Empty all trash receptacles and replace liners as needed.

• Clean both sides, including entrances, reception offices and inside of windows throughout the building.

• Breakroom- Clean and disinfect tables, counters and sink (Contractor is not responsible for dishes, etc.)

• Clean and disinfect all areas and tables in Conference Rooms/Family Room/Recovery Room.

• Clean and disinfect water dispensers.

• Check all doors to make sure facility is secure.

• Promptly report any problems or concerns to LCME staff.

Weekly Wednesday Cleaning:

• Dust all furniture, file cabinets, counters and fixtures.

• Disinfect bathroom walls.

• Wipe down with cleaner and polish all wood doors, cabinetry, etc.

• Sweep outside of all entrances and exits.

• Eliminate all cobwebs.

• Power buff all uncarpeted waxed floor areas (except bathrooms)

Monthly Cleaning:

• Dust all window coverings, floor corners, floor edges, doorframes, picture frames, windowsills and ledges and cleared desktops.

• Clean walls and doors around switch plates and handles.

• Spot clean all carpets.

• Clean all interior glass.

Quarterly Cleaning:

• Clean kitchen appliances.

• Wash, disinfect and dry all trash receptacles (except Bio Waste)

• Clean baseboards.

• Power scrub bathroom floors (strip, no wax).

• Clean, buff, burnish and topcoat with wax all waxed floors except bathroom floors.

• Vacuum/clean all HVAC supply and return grills.

• Clean and disinfect all common area tables and counters.

Annual Cleaning:

• Strip all waxed floors and wax all uncarpeted areas (except bathrooms) as scheduled by LCME personnel and according to County specifications.

• Wipe down with cleaner and polish all wood doors, cabinetry, etc.

MEDICAL EXAMINER’S OFFICE

BID Table

Bid Amount:

Annual Amount:

*Annual amount will be paid by Lubbock County in (12) equal monthly payments following receipt of invoice and approval by Commissioner’s Court.

Contractor - Select one of the following:

No exception taken to the Minimum Specifications.

_________ One or more exceptions are taken to the V. Minimum Specifications (1-6) and are explained on this document, which is signed, dated, and attached to this bid.

Company Name

Company Representative

Date

Exhibit A

Submission Instructions for Suppliers Please follow these instructions to submit via our Public Portal.

1. Prepare your submission materials:

Requested Information

Name Type # Files Requirement

Tab 1 – Bid Table File Type: PDF (.pdf) Single Required

Tab 2 - Cooperative Purchasing

File Type: PDF (.pdf) Single Required

Tab 3 - Non-Collusive Bidding Certificate

File Type: PDF (.pdf) Single Required

Tab 4 – Vendor Acknowledgement

File Type: PDF (.pdf) Single Required

Tab 5 - Certificate Regarding Lobbying

File Type: PDF (.pdf) Single Required

Tab 6 Certificate Regarding Energy Companies and Firearm Entities or Firearm Trade Associations Acknowledgement

File Type: PDF (.pdf) Single Required

Tab 7 – Vendor Questionnaire

File Type: PDF (.pdf) Single Required

Tab 8 – References File Type: PDF (.pdf) Single Required

Requested Documents:

Please note the type and number of files allowed. The maximum upload file size is 1000 MB.

Please do not embed any documents within your uploaded files, as they will not be accessible or evaluated.

2. Upload your submission at:

https://lubbock.bonfirehub.com

The Q&A period for this opportunity starts March 23, 2026, 9:00 AM CDT. The Q&A period for this opportunity ends April 7, 2026, 2:00 PM CDT. You will not be able to send messages after this time. Mandatory pre-bid conference will be held on March 31, 2026, at 10:00 AM CDT.

Your submission must be uploaded, submitted, and finalized prior to the Closing Time of April 14, 2026, 2:00 PM CDT. We strongly recommend that you give yourself sufficient time and at least ONE (1) day before Closing Time to begin the uploading process and to finalize your submission.

Important Notes:

Each item of Requested Information will only be visible after the Closing Time.

Uploading large documents may take significant time, depending on the size of the file(s) and your Internet connection speed.

You will receive an email confirmation receipt with a unique confirmation number once you finalize your submission.

Minimum system requirements: Internet Explorer 11, Microsoft Edge, Google Chrome, or Mozilla Firefox. Javascript must be enabled. Browser cookies must be enabled.

Need Help?

Lubbock County uses a Bonfire portal for accepting and evaluating bids digitally. Please contact Bonfire at Support@GoBonfire.com for technical questions related to your submission. You can also visit their help forum at https://bonfirehub.zendesk.com/hc https://lubbock.bonfirehub.com/ mailto:support@gobonfire.com https://bonfirehub.zendesk.com/hc

Janitorial Services Medical Examiners Office

COOPERATIVE PURCHASING

COOPERATIVE PURCHASING: Lubbock County desires to make available to other local governmental entities of the State of Texas, by mutual agreement with the successful bidder, and properly authorized interlocal purchasing agreements as provided for by the Interlocal Cooperation Act (Chapter 791, Government Code), the right to purchase the same services, at the price quoted, for the period of this contract. Each bidder shall indicate in the space provided below if he/she will honor Political Subdivision orders in addition to orders from Lubbock County. Should these other governmental entities decide to participate in this contract, would you (the bidder) agree that all terms, conditions, specifications and pricing would apply?

YES NO (please initial the appropriate response)

Lubbock County currently has an Interlocal Agreement for Cooperative Purchasing in place with the City of Lubbock. Lubbock County reserves the right to enter into additional Interlocal Agreements for Cooperative Purchasing at its sole discretion.

If you (the bidder) initialed YES, the following will apply:

• Governmental entities utilizing Interlocal Agreements for Cooperative Purchasing with

Lubbock County will be eligible, but not obligated, to purchase materials / services under the contract(s) awarded as a result of this solicitation. All purchases by governmental entities other than Lubbock County will be billed directly to that governmental entity and paid by that governmental entity. Lubbock County will not be responsible for another governmental entity’s debts. Each governmental entity will order their own materials / services as needed.

Non-Collusive Bidding Certificate

By submission of this bid or proposal, the bidder certifies that:

1. This bid or proposal has been independently arrived at without collusion with any other bidder or with any competitor;

2. This bid or proposal has not been knowingly disclosed and will not be knowingly disclosed, prior to the opening of bids, or bids for this project, to any other bidder, competitor, or potential competitor;

3. No attempt has been made or will be made to induce any other person, partnership or corporation to submit or not to submit a bid or proposal; and

4. The person signing this bid or proposal certifies that he/she has fully informed himself/herself regarding the accuracy of the statements contained in this certification, and under the penalties being applicable to the bidder as well as to the person signing in its behalf.

Vendor Name

Authorized Signature

Printed Name

Title

Date

VENDOR ACKNOWLEDGEMENT

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

Street

City, State, Zip

Phone of Principal Place of Business

Fax of Principal Place of Business

E-mail Address of Representative

Date

Acknowledgement of Addenda

(Please circle acknowledged Addendum(s))

#1 #2 #3 #4 #5

Authorized Representative Name

Authorized Representative Title

Authorized Signature

MEDICAL EXAMINERS OFFICE

LUBBOCK COUNTY

CERTIFICATION REGARDING ENERGY COMPANIES AND FIREARM ENTITIES OR FIREARM TRADE

ASSOCIATIONS ACKNOWLEDGMENT

VENDOR IS EXEMPT FROM CERTIFICATION REGARDING ENERGY COMPANIES AND FIREARM ENTITIES OR

FIREARM TRADE ASSOCIATIONS:

Vendor is a sole proprietorship OR is a non-profit entity OR Vendor is a company that does NOT have 10 or more full-time employees AND/OR this contract does NOT have a value of $100,000.00 or more that is to be paid wholly or partly paid from public funds of the governmental entity.

If the Vendor Cannot Certify that it is EXEMPT as Above, Vendor Must Certify as Follows: Vendor is NOT EXEMPT and Certifies as follows:

Boycott of Energy Companies Prohibited. In compliance with Section 2274.002 of the Texas Government Code (added by 87th Legislature S. B. 13), Vendor verifies that it does not boycott energy companies and will not boycott energy companies during the term of the above-described contract. “Boycott energy company” is defined in Section 809.001(1) (added by 87th Legislature, S. B. 13) and 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) engages in the exploration, production, utilization, transportation, sale, or manufacturing of fossil fuel-based energy and does not commit or pledge to meet environmental standards beyond applicable federal and state law; or (B) does business with a company described by subsection (A).

Discrimination against Firearm Entities or Firearm Trade Associations Prohibited.

In compliance with Section 2274.002 of the Texas Governmental Code (added by 87th Legislature, S. B. 19), Vendor verifies that it does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and will not discriminate during the term of the above-described contract] against a firearm entity or firearm trade association. “Discriminate against a firearm entity or firearm trade association” is defined in Section 2274.001(3) (added by 87th Legislature, S. B. 19) and 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; the term 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 (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.

Vendor Hereby Certifies (Mark Applicable Certification):

_______ Vendor is EXEMPT from Certification as set out above.

_______ Vendor is NOT EXEMPT from Certification as set out above, and Vendor Certifies that it does not and will not Boycott Energy Companies and that it does not and will not engage in prohibited Discrimination against Firearm Entities or Firearm Trade Associations.

Signature _____________________________________________________

THIS FORM MUST BE SIGNED.

CERTIFICATION REGARDING LOBBYING

(31 U.S.C.A. § 1352) This Certification must be completed, signed, dated and returned to the Lubbock County Director of Purchasing

Procurement Number and Description: ITB 260301 JANITORIAL SERVICES – MEDICAL EXAMINERS

OFFICE

Proposer CERTIFIES, to the best of its knowledge and belief, that:

1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the proposer, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the proposer shall complete and submit Standard Form LLL, "Disclosure Form to Report Lobbying", in accordance with its instructions.

3. Proposer shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Name of Organization/Corporation: _______________________________________________________

Address: _____________________________________________________________________________

City: ____________________________ State: ___________________________ Zip Code: __________

Signature of Authorized Date

Signatory for Proposer: ______________________________________ Signed: ____________________

Title of Authorized Signatory of Proposer: __________________________________

VENDOR QUESTIONNAIRE

THIS FORM MUST BE RETURNED WITH YOUR BID.

1. How long has your company been in the business of providing janitorial services? List beginning date and the services offered.

2. What is the current number of employees working for your firm?

3. What has been the employee turnover rate for your company in the past year?

4. How many employees will you assign to the LCME if awarded the contract?

5. Indicate the name of the person who will be responsible for administering this contract for your firm. Include the person’s title, length of service with your company and total years of experience in the janitorial profession.

VENDOR REFERENCES

List three (3) references of current customers who can verify the quality of service your company provides. The County prefers customers of similar size and scope of work to this bid.

THIS FORM MUST BE RETURNED WITH YOUR BID.

Government/Company Name:

Address:

Contact Person and Title:

Phone: Email:

Contract Period:

Scope of Work:

REFERENCE THREE

REFERENCE ONE

REFERENCE TWO