BID 26-42 2026 LONG LINE STRIPING PROJECT.pdf

CITY OF WICHITA FALLS, TEXAS

NOTICE OF CALL FOR BIDS

Sealed bids will be received at the office of the City Purchasing Manager, Memorial Auditorium, 1300 7th Street, 2nd Floor, Room 2B18, Wichita Falls, Texas 76301 until 1:30 PM on the day of SEPTEMBER 14, 2026 for furnishing the material, supplies, equipment, services, or for supplying the materials and/or doing the work necessary for the repair, construction or improvement, as the case may be, as indicated by the items hereunder listed and in accordance with the applicable specifications.

BID START DATE: AUGUST 25, 2026 BID NUMBER: 26-42

BID CLOSING DATE: SEPTEMBER 14, 2026

These columns to be filled in by firm quoting:

ITEM

NO.

QTY UNIT DESCRIPTION UNIT

PRICE

TOTAL

NET PRICE

DELIVERY

DATE

NOTICE OF INTENT TO BID DUE

SEPTEMBER 2, 2026 - 1:30 PM

1 1 JOB 2026 LONG LINE STRIPING PROJECT

AS PER CITY SPECIFICATIONS

Copies of bid forms, specifications and/or plans and instructions to bidders may be obtained from http://www.wichitafallstx.gov/bids.aspx or the office of the City Purchasing Manager, Room 100, Wichita Tower, 705 8th St.

Wichita Falls, Texas 76301. Phone # 940-761-7466. All bids received by the time set for receipts of bids, will be opened publicly and read aloud at that time, in the office of the City Purchasing Manager or other designated place, Wichita Tower, Wichita Falls, Texas. Any bid received after the bid closing date and time will be returned to the bidder unopened and will not be considered.

Bidder shall complete Conditions of Sale section hereunder listed, including signature.

Cash Discount Terms: ______% ______Days Delivery F.O.B.

(NET-30 Days unless otherwise stated) (F.O.B. Delivered unless otherwise stated)

NOTE: CASH DISCOUNTS ARE NOT USED Shipping From:

FOR BID EVALUATION.

Quotation firm for _________________Days Company Name:

(45 Days unless otherwise stated)

Contact Name:

Date: _________________________

Signature:

For Further Information

Contact: Title:

Address:

Email:

Phone #: Fax #:

CITY OF WICHITA FALLS, TEXAS P.O. Box 1431, Wichita Falls, TX 76307 940-761-7466 http://www.wichitafallstx.gov/bids.aspx

TERMS AND CONDITIONS OF CALL FOR BIDS

1. GENERAL CONDITIONS:

a) Bidders shall thoroughly examine the specifications, drawings, schedule, instructions and all other contract documents.

b) Bidders shall make all investigations necessary to thoroughly inform themselves regarding plant and facilities for delivery of material and equipment as required by the bid conditions. No plea of ignorance by the bidder of conditions that exist or that may hereafter exist as a result of failure or omission on the part of the bidder to make the necessary examinations and investigations, or failure to fulfill in every detail the requirements of the contract documents, will be accepted as a basis for varying the requirements of the City or the compensation to the vendor

c) Bidders are advised that all City contracts are subject to all legal requirements provided for in the City Charter, Code and/or applicable

City Ordinances, State of Texas and Federal statutes.

d) No officer or employee of the City shall have a financial interest, direct or indirect, in any contract with the City, or shall be financially interested, directly or indirectly, in the sale to the City of any materials, supplies or service, except on behalf of the City as an officer or employee.

2. PREPARATION OF BIDS:

a) All information required by the bid form shall be furnished. The bidder shall sign in ink the Call for Bid document and the

Specification Compliance Certification document in the places indicated, stating the firm’s name and address where required.

b) Unit prices shall be shown, and where there is an error in extension of price, the unit price shall govern.

c) Proposed delivery time shall be stated from the time the Purchase Order is received by the Vendor and shall include Sundays and

Holidays.

d) Bidders will not include neither federal taxes nor State of Texas sales, excise or use taxes in bid prices as the City of Wichita Falls is exempt from payment of such taxes. An exemption certificate will be furnished upon request.

3. DESCRIPTION OF PRODUCT/SERVICE:

Any catalogue or manufacture’s reference used in describing an item is merely descriptive, and not restrictive, unless otherwise noted, and is used only to indicate type and quality of material. Bidders are required to state exactly what they intend to furnish, otherwise they shall be required to furnish the items as specified.

4. CLARIFICATION OF OBJECTION TO BID SPECIFICATIONS:

In the absence of a scheduled Pre-Bid Conference, a bidder may, if in doubt as to the true meaning of the specifications or other bid documents or any part thereof, submit to the City Purchasing Manager on or before ten calendar days prior to scheduled bid opening, a request for clarification. All such requests for information shall be made in writing (use Intent to Bid form) and the person submitting such request shall be responsible for its prompt delivery. Any interpretation of the bid, if made, will be made only by Addendum and posted on the City’s website. All vendors are strongly urged to sign up on the City’s website: http://www.wichitafallstx.gov/list.aspx?Mode=Subscribe#bids to receive notifications of postings. The City will not be responsible for any other explanation or interpretation of the proposed bid made or given prior to the award of the contract.

5. SUBMISSION OF BIDS:

a) Bids and changes thereto shall be enclosed in sealed envelopes addressed to Purchasing Manager, City of Wichita Falls. The name and address of the bidder, the bid number, and the closing date and time shall be placed on the outside of the envelope.

b) Bids must be submitted on the forms furnished. Faxed or electronic bids will not be considered. Bids, however, may be modified by written notice, if such notice is received by the City Purchasing Manager prior to the time and date set for the bid closing.

c) Samples, when required, must be submitted within the time specified, at no expense to the City of Wichita Falls. If not destroyed or used up during testing, samples will be returned upon request, at the bidder’s expense.

6. WITHDRAWAL OF BIDS:

Bids may not be withdrawn after the time set for the bid opening, unless approved by the City Council.

7. LATE BIDS OR MODIFICATION OF BID:

Bids and modifications received after the time set for the bid opening, regardless of the mode of delivery, will be returned to the bidder unopened, as required by State law.

8. REJECTION OF BIDS:

a) The City may reject a bid if:

1. The bidder misstates or conceals any material fact in the bid, or if

2. The bidder does not strictly conform to law or the requirements of the bid, or if

3. The bid is conditional, except that the bidder may qualify his bid for acceptance by the City on an “All or None” basis or a “Low item” basis

b) The City reserves the right to accept or reject any or all bids, or any part thereof, and to accept that offer considered most advantageous to the City. The City may also waive any minor informalities or irregularities in any bid.

9. AWARD OF CONTRACT:

http://www.wichitafallstx.gov/list.aspx?Mode=Subscribe#bids

a) The contract will be awarded to the lowest responsible bidder, conforming to the Call for Bid, whose bid is most advantageous to the City, price and other factors considered.

b) The City reserves the right to accept any item or group of items, unless the bidder restricts his bid by specific reference, as in 8(a) above.

c) Written notice of award will be furnished the successful bidder.

d) A binding contract results after the issuance of an authorized Purchase Order by the City. The Purchase Order and the Call for Bid document shall constitute the contract documents.

e) The City of Wichita Falls may, in its discretion, apply any monies owed the City, which remain delinquent at the effective date of this contract.

10. ASSURANCE OF COMPLIANCE - PERFORMANCE BOND OR DEPOSIT:

a) When specified in the Call for Bid, the successful bidder shall be required to furnish, as a part of the contract acceptance, a

Performance Bond, in the amount specified. Upon receipts of the completed Performance Bond from the successful bidder, the

City Purchasing Manager will issue a Purchase Order. In lieu of said bond, a certified check drawn upon a State or National Bank or Trust Company shall be deposited with the City Clerk.

b) In the event a Performance Bond is not required, and the vendor breaches the contract, the vendor shall be liable for liquidated damages in the amount specified in the Call for Bid.

11. ASSURANCE OF COMPLIANCE - EQUAL EMPLOYMENT OPPORTUNITY AND SMALL AND/OR MINORITY BUSINESS

ENTERPRISE REQUIREMENTS;

Bidder agrees that if his bid is accepted, he/she will not engage in employment practices which have the effect of discriminating against employees or prospective employees because of race, color, national origin, sex, age, handicap or political belief or affiliation. In addition, bidder agrees that he/she will abide by all applicable terms and provision of the Nondiscrimination Clause and the Small or Minority Business

Enterprise Clause as contained in the City of Wichita Falls current Affirmation Action Plan, or applicable Federal statutes.

Notice of Intent to Bid

Please fill in the following form and mail or fax to City of Wichita Falls.

FAX or EMAIL Due: SEPTEMBER 2, 2026 - 1:30 PM

NOTICE OF INTENT TO BID

Date:

TO: CITY OF WICHITA FALLS

JENNIFER BABINEAUX, PURCHASING MANAGER

1300 7TH STREET, ROOM 2B18

WICHITA FALLS, TEXAS 76301

PHONE: 940-761-7466

FAX: 940-761-7688

EMAIL: JENNIFER.BABINEAUX@WICHITAFALLSTX.GOV

From: ____________________________________

REFERENCE: This is our letter of intent to bid on Bid 26-42 2026 LONG

LINE STRIPING PROJECT.

COMMENTS:

SPEC/TRAFFIC

CITY OF WICHITA FALLS

GENERAL INFORMATION

2026 LONG LINE STRIPING PROJECT

MINIMUM REQUIREMENTS

It is the intent of the City of Wichita Falls to set forth minimum requirements necessary to award a contract for the striping of approximately 160,000 lineal feet of pavement markings on City streets with high grade thermoplastic material at locations designated by the City’s Traffic Engineering Division. Contract shall be awarded to the lowest responsible bidder for the complete job.

Design, strength, quality of material and workmanship shall conform to the highest standards of manufacturing and engineering practices.

Bidder shall fill in all information requested on a particular specification in the appropriate provided blank.

FAILURE TO DO SO MAY RESULT IN REJECTION OF THE BID PROPOSAL.

Bidder must complete and return this completed specification with bid.

Bid submissions must be received at the designated location by the deadline shown. Submittals received after the required deadline shall be considered void and unacceptable and will be returned unopened.

When material is ready for installation notify Doug Wooster, Traffic Superintendent, (940) 761-7640 for approval to begin the next phase of the job. Work and materials will be inspected for specifications and general condition. Should it be determined that the finished product is deficient in any respect, the contractor will, at no cost to the City of Wichita Falls, correct the deficiencies.

The City reserves the right to reject any/all bids and to waive all formalities and to award purchase to bidder on all or none basis as a single package purchase.

The City of Wichita Falls and its designated agents are the sole authority as to compatibility, functional equivalency, and/or acceptability of any material bid under this request.

SPECIAL CONDITIONS

REQUESTS FOR CLARIFICATION

Inquiries for additional information shall be directed to Mrs. Jennifer Babineaux, the City of Wichita Falls Purchasing Manager. Questions shall be submitted via fax: (940) 761-7688 or email:

jennifer.babineaux@wichitafallstx.gov. All inquiries must be submitted to the Purchasing Manager no later than 1:30 PM, Wednesday, September 2, 2026.

Answers will be issued in the form of an addendum and posted on the City’s website. Please ensure you are registered to receive notifications of postings:

http://www.wichitafallstx.gov/list.aspx?Mode=Subscribe#bids

It is the proposing agency’s responsibility to check this website for any updated information on this project.

TERMINATION FOR DEFAULT

The City of Wichita Falls reserves the right to terminate the contract immediately in the event the successful vendor fails to meet delivery or completion schedules, or otherwise perform in accordance with the contract.

HOLD HARMLESS

Vendor shall protect, indemnify and hold the City harmless from and against any damage, cost or liability for any injuries to persons or property arising from acts or omissions of vendor, his employees, agents or sub-contractors, howsoever caused.

LIQUIDATED DAMAGES

In the event the proposal herein is accepted by the City and the vendor breaches the contract, the vendor shall be liable for liquidated damages in the amount equal to ten percent (10%) of the bid.

BONDING:

Each bid must be accompanied by a bid security made payable to the City of Wichita Falls in an amount of not less than 5% of the bidder’s maximum bid price and in the form of either a cashier’s check, certified check, or a Bid Bond. Bid bonds furnished must be in general agreement with the provisions of the form provided.

INSURANCE REQUIREMENTS

The successful bidder shall furnish certificates of insurance issued by an insurance company authorized to do business in the State of Texas. The certificate shall provide that the coverage not be reduced or cancelled without thirty (30) days advance written notice to the City, and shall provide the following coverage:

Contractor shall provide comprehensive general liability insurance having limits no less than $100,000. each occurrence; $300,000 aggregate; or $300,000. combined limits and, in either case, an excess policy with limits to $1,000,000

The policy shall name the City of Wichita Falls as an additional insured.

mailto:jennifer.babineaux@wichitafallstx.gov http://www.wichitafallstx.gov/list.aspx?Mode=Subscribe&bids

COMMERCIAL GENERAL LIABLITY****

(same as Comprehensive General Liability)

Insurance including coverage for the following:

a. Premises operations

b. Independent contractors

c. Products/completed operations

d. Personal injury

e. Advertising injury

f. Contractual liability

g. Medical payments

h. Underground hazard

i. Explosion and collapse hazard

COMPREHENSIVE AUTOMOBILE LIABILITY

Shall provide Comprehensive Automobile Liability insurance, including coverage for loading and unloading hazards, for:

a. Owned/leased vehicles

b. Non-owned vehicles

ENVIRONMENTAL HAZARD INSURANCE

Shall, as a General Contractor or as a Sub-contractor, carry and supply said coverage to this project the following coverage with at least the minimum limit:

Environmental Impairment/Contractor’s Pollution $2,000,000 per occurrence

Article ____. Workers' Compensation Insurance Coverage.

A. Definitions:

Certificate of coverage ("certificate") - A copy of a certificate of authority to self-insure issued by the commission, or a coverage agreement (TWCC-81, TWCC-82, TWCC-83, or TWCC-84), showing statutory workers' compensation insurance coverage for the person's or entity's employees providing services on a project, for the duration of the project.

Duration of the project-includes the time from the beginning of the work on the project until the contractor's/person's work on the project has been completed and accepted by the governmental entity.

Persons providing services on the project ("subcontractor" in SS406.096) - includes all persons or entities performing all or part of the services the contractor has undertaken to perform on the project, regardless of whether that person contracted directly with the contractor and regardless of whether that person has employees. This includes, without limitation, independent contractors, subcontractors, leasing companies, motor carriers, owner-operators, employees of any such entity, or employees of any entity which furnishes persons to provide services on the project. "Services" include, without limitation, providing, hauling, or delivering equipment or materials, or providing labor, transportation, or other service related to a project. "Services" does not include activities unrelated to the project, such as food/beverage vendors, office supply deliveries, and delivery of portable toilets.

B. The contractor shall provide coverage, based on proper reporting of classification codes and payroll amounts and filing of any coverage agreements, which meets the statutory requirements of Texas

Labor Code, Section 401,.011(44) for all employees of the contractor providing services on the project, for the duration of the project.

C. The Contractor must provide a certificate of coverage to the governmental entity prior to being awarded the contract.

D. If the coverage period shown on the contractor's current certificate of coverage ends during the duration of the project, the contractor must, prior to the end of the coverage period, file a new certificate of coverage with the governmental entity showing that coverage has been extended.

E. The contractor shall obtain from each person providing services on a project, and provide to the governmental entity:

(1) a certificate of coverage, prior to that person beginning work on the project, so the governmental entity will have on file certificates of coverage showing coverage for all persons providing services on the project; and

(2) no later than seven days after receipt by the contractor, a new certificate of coverage showing extension of coverage, if the coverage period shown on the current certificate of coverage needs during the duration of the project.

F. The contractor shall retain all required certificates of coverage for the duration of the project and for one year thereafter.

G. The contractor shall notify the governmental entity in writing by certified mail or personal delivery, within 10 days after the contractor knew or should have known, of any change that materially affects the provision of coverage of any person providing services on the project.

H. The contractor shall post on each project site a notice, in the text, form and manner prescribed by the

Texas workers' Compensation Commission, informing all persons providing services on the project that they are required to be covered, and stating how a person may verify coverage and report lack of coverage.

I. The contractor shall contractually require each person with whom it contracts to provide services on a project, to:

(1) provide coverage, based on proper reporting of classification codes and payroll amounts and filing of any coverage agreements, which meets the statutory requirements of Texas Labor Code, Section

401.011(44) for all of its employees providing services on the project, for the duration of the project;

(2) provide to the contractor, prior to that person beginning work on the project, a certificate of coverage showing that coverage is being provided for all employees of the person providing services on the project, for the duration of the project;

(3) provide the contractor, prior to the end of the coverage period, a new certificate of coverage showing extension of coverage, if the coverage period shown on the current certificate of coverage ends during the duration of the project.

(4) obtain from each other person with whom it contracts, and provide to the contractor:

1. a certificate of coverage, prior to the other person beginning work on the project; and

2. a new certificate of coverage showing extension of coverage, prior to the end of the coverage period, if the coverage period shown on the current certificate of coverage ends during duration of the project;

(5) retain all required certificates of coverage on file for the duration of the project and for one year thereafter;

(6) notify the governmental entity in writing by certified mail or personal delivery, within 10 days after the person knew or should have known, of any change that materially affects the provision of coverage of any person providing services on the project; and

(7) contractually require each person with whom it contracts, to perform as required by paragraphs

(1) - (7), with the certificates of coverage to be provided to the person for whom they are providing services.

J. By signing this contract or providing or causing to be provided a certificate of coverage, the contractor is representing to the governmental entity that all employees of the contractor who will provide services on the project will be covered by workers' compensation coverage for the duration of the project, that the coverage will be based proper reporting of classification codes and payroll amounts, and that all coverage agreements will be filed with the appropriate insurance carrier or, in the case of a self-insured, with the commission's Division of Self-Insurance Regulation. Providing false or misleading information may subject the contractor to administrative penalties, criminal penalties, civil penalties, or other civil actions.

K. The contractor's failure to comply with any of these provisions is a breach of contract by the contractor which entitles the governmental entity to declare the contract void if the contractor does not remedy the breach within 10 days after receipt of notice of breach from the governmental entity.

ASSIGNMENT:

It is further agreed that the performance of this contract, either in whole or in part, shall not be sublet or assigned to anyone else by said Contractor.

WAGE RATE:

The Contractor agrees to pay at least the minimum wage per hour for all labor as the same is classified, promulgated and set out by the City of Wichita Falls, Texas.

The undersigned has thoroughly examined the job site, understand the amount of work to be done and hereby propose to do all the work and furnish all labor, equipment and materials necessary to complete the work, subject to the inspection and approval of the Code Compliance Division of the City of Wichita Falls.

I have read and agree to the terms and conditions herein stated.

CONTRACTOR

City of Wichita Falls Minimum Specifications

2026 LONG LINE STRIPING PROJECT

MATERIAL: Type I Thermoplastic Reflectorized Pavement Marking Material. Type I marking materials shall conform to TxDOT Materials Specification D-9-8220.

Describe:

STRIPE 666-1: Type I Thermoplastic, 4-inch, yellow. Approximately 117,128 lineal feet.

Describe:

STRIPE 666-2: Type I Thermoplastic, 4-inch, white. Approximately 34,447 lineal feet.

Describe:

STRIPE 666-4: Type I Thermoplastic, 8-inch, white. Approximately 7,634 lineal feet.

Describe:

MOBILIZATION: Striping of approximately 160,000 lineal feet of pavement markings on City streets with high grade thermoplastic material at various locations TBD. Itemize costs of mobilization and include estimated time required to complete the project.

Describe:

NOTICE TO BIDDER

Fill in the following in order for your bid to be complete.

The City wishes to be placed on the manufacturer's mailing lists to receive all special bulletins and supplements pertaining to services, repairs, problems, etc. Please provide information on steps needed to accomplish this.

Describe the warranty period supplied by the manufacturer (not less than twelve [12] months).

State the cost and length of extended warranty programs offered.

CITY OF WICHITA FALLS, TEXAS

SPECIFICATION COMPLIANCE CERTIFICATION

SPECIFICATION NO. 26-42 2026 LONG LINE STRIPING PROJECT

The firm of _______________________________________ offers to the City of Wichita Falls for the price stated on the bid invitation and assures intent to deliver within the specified time interval, the following unit(s) of equipment.

Manufacturer __________________________________________________________

Manufacturers Advertised Description ______________________________________

Manufacturer's Model No. ________________________________________________

Approximate Delivery Date _____________________________

FIRM NAME:

SIGNED:

TITLE:

DATE:

PERFORMANCE BOND

THE STATE OF TEXAS

COUNTY OF WICHITA

KNOW that ____________________________________, whose address is _________________________________ hereinafter called Principal, and ________________________________________________, as Surety, a corporation organized and existing under the laws of the State of___________, and fully authorized and admitted to do business in the

State of Texas, and licensed by the State of Texas to issue surety bonds, are held and firmly bound unto the City of Wichita

Falls, a municipal corporation organized and existing under the laws of the State of Texas, hereinafter called Owner, in the penal sum of $________________ in lawful money of the United States, to be paid in Wichita Falls County, Texas, for the payment of which sum well and truly to be made, we hereby bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. This Bond shall automatically be increased by the amount of any Change Order or Supplemental Agreement which increases the Contract price, but in no event shall a Change Order or Supplemental

Agreement which reduces the Contract price decrease the penal sum of this Bond.

THE OBLIGATION TO PAY SAME is conditioned as follows: Whereas, the Principal entered into a certain Contract, identified by Resolution Number __________, with the City of Wichita Falls, the Owner, dated the _______ day of_______________________, 20___, a copy of which is hereto attached and made a part hereof for the

_______________________Project Name (the Project), and which is identified by Wichita Falls City Council Resolution

Number ____________.

NOW, THEREFORE, if the Principal shall well, truly and faithfully perform and fulfill all of the undertakings, covenants, terms, conditions and agreements of said Contract in accordance with the plans, specifications and Contract Documents during the original term thereof and any extension thereof which may be granted by the Owner, with or without notice to the Surety, and during the life of any guaranty or warranty required under this Contract, and shall also well and truly perform and fulfill all the undertakings, covenants, terms, conditions and agreements of any and all duly authorized modifications of said Contract that may hereafter be made, notice of which modifications to the Surety being hereby waived; and, if the Principal shall repair and/or replace all defects due to faulty materials and workmanship that appear within a period of one (1) year from the date of final completion and final acceptance of the Project by Owner; and, if the Principal shall fully indemnify and save harmless the

Owner from all costs and damages which Owner may suffer by reason of failure to so perform herein and shall fully reimburse and repay Owner all outlay and expense which the Owner may incur in making good any default or deficiency, then this obligation shall be void; otherwise, it shall remain in full force and effect.

PROVIDED FURTHER, that the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract or to the Project to be performed thereunder or the Specifications accompanying the same shall in anywise affect its obligation on this Bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Contract or to the Project or to the Specifications.

This Bond is given pursuant to the provisions of Texas Government Code 2253.001, et seq., as amended, and any other applicable statutes of the State of Texas. If any legal action be filed upon this Bond, exclusive venue shall lie in Wichita County, State of Texas. The undersigned and designated agent is hereby designated by the Surety herein as the Resident Agent to whom any requisite notices may be delivered and on whom service of process may be had in matters arising out of such suretyship, as provided by Article 7.19-1 of the Texas Insurance Code, as amended.

IN WITNESS WHEREOF, this instrument is executed in one original copy, this, the ____ day of ______________________, 20________. Additional copies of the original document will be distributed to all appropriate parties.

ATTEST: PRINCIPAL

SECRETARY

BY:

Signature

(Typed name)

(Seal of Principal)

ATTEST: SURETY

(Surety) Secretary

BY:

Attorney-in-Fact (signature)

Typed Name

(Seal of Surety)

PAYMENT BOND

THE STATE OF TEXAS

COUNTY OF WICHITA

KNOW that we, , a corporation or other entity of the State of

, hereinafter called Principal, and , of

, State of , and fully authorized and admitted to do business in the State of Texas and licensed by the State of Texas to issue surety bonds, hereinafter called the Surety, are held and firmly bound into City of

Wichita Falls, Texas, of Wichita Falls, Texas, hereinafter called Owner, and unto all persons, firms, and corporations who may furnish materials or equipment for, or perform labor upon the improvements hereinafter referred to, in the penal sum of $ in lawful money of the United States, to be paid in Wichita Falls, Texas, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents.

THE CONDITION OF THIS OBLIGATION is such that Whereas, the Principal entered into a certain Contract with the City of Wichita Falls, Texas, the Owner, dated the day of , 20 , a copy of which is hereto attached and made a part hereof for the construction of the Project Name (the Project).

NOW THEREFORE, if the Principal shall promptly make payment to all claimants, as defined in Texas Government Code

2253.001, et seq., as amended, supplying labor and materials in the prosecution of the Project provided for in said Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect.

This Bond is made and entered into solely for the protection of all claimants supplying labor and material in the prosecution of the Work provided for the said Contract, and all such beneficiaries shall have a direct right of action under the Bond as provided in Texas Government Code 2253.001, et seq., as amended.

PROVIDED FURTHER, that if any legal action be filed upon this Bond, venue shall lie in Wichita County, State of Texas, and the Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract or to the Project to be performed thereunder or the Specifications accompanying the same, shall in anywise affect its obligation on this Bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Contract or to the Project or to the Specifications.

PROVIDED FURTHER, that no final settlement between the Owner and the Contractor shall abridge the right of any beneficiary hereunder whose claim may be unsatisfied.

IN WITNESS WHEREOF, this instrument is executed in one original counterpart, this the day of _______________, 20 . Additional copies of the original document will be distributed to all appropriate parties.

ATTEST: PRINCIPAL

(Principal) Secretary BY:

TITLE:

ADDRESS:

(SEAL)

ATTEST: SURETY

(Surety) Secretary BY:

TITLE:

ADDRESS:

(SEAL)

Certification of No Boycott

Effective Date: 9/1/2021

No Boycott Israel

If Contractor/Vendor is a “Company”, as that term is defined in Section 808.001 of the Texas Government Code and is not a sole proprietorship, then Contractor/Vendor certifies and verifies that it: (i) does not boycott Israel and (ii) will not boycott Israel during the term of the Purchase Order or Contract this Certification is attached to and incorporated into; or (iii) that it meets the requirements of an exception listed below.

Form requirements:

• This certification is required by Texas Government Code § 2271.002.

• This form is required to be attached to and is incorporated into all Purchase Orders (goods) and Contracts (services) with a value of $100,000 or more that is paid in whole or in part with state funds with a company with 10 or more full time employees. The campus department making the purchase of goods or contracting for services is responsible for obtaining the form from the Vendor or Contractor.

Texas Government Code §808.001 states that "Boycott Israel" means “refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes”. Furthermore, Texas Government Code §808.001 states that the term “Company” means a “for-profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of those entities or business associations that exists to make a profit”, provided however that Texas Government Code §2271.001(2) excludes sole proprietorships from this definition of “Company”.

Vendor/Contractor Name or Company Name

Street Address

City

State

Zip Code

Phone Number

Printed Name of Authorized Representative

Title of Authorized Representative

Signature of Authorized Representative

Date

ONLY COMPLETE THIS SECTION IF YOU BELIEVE YOU ARE NOT REQUIRED TO PROVIDE THE

CERTIFICATION - No Boycott Israel - FOR THE REASONS CITED BELOW

My business is not required to provide the certification listed above because (select one):

My business is not a for-profit “Company” as defined above, pursuant to Texas Government Code §808.001 and §2271.001.

My Company has less than 10 full-time employees This is not an agreement for goods or services to be provided to the City.

Name Signature Date

Effective Date: 9/1/2021

No Boycott Energy Company

If Contractor/Vendor is a “Company”, as that term is defined in Section 809.001 of the Texas Government Code and is not a sole proprietorship, then Contractor/Vendor certifies and verifies that it: (i) does not boycott energy companies and (ii) will not boycott energy companies during the term of Purchase Order or Contract this Certification is attached to and incorporated into; or (iii) that it meets the requirements of an exception listed below.

Form requirements:

• This certification is required by Texas Government Code § 2274.002.

• This form is required to be attached to and is incorporated into all Purchase Orders (goods) and Contracts (services) with a value of $100,000 or more that is paid in whole or in part with state funds with a company with 10 or more full time employees. The campus department making the purchase of goods or contracting for services is responsible for obtaining the form from the Vendor or Contractor.

Texas Government Code §809.001(1) states that "Boycott energy company" means “without an ordinary business purpose, refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations with a company because the company: (A) 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 Paragraph (A)”. Furthermore, Texas Government Code §809.001(2) states that the term “Company” means a “for-profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of those entities or business associations that exists to make a profit”, provided however that Texas Government Code §2274.001(2) excludes sole proprietorships from this definition of “Company”.

Vendor/Contractor Name or Company Name

Street Address

City

State

Zip Code

Phone Number

Printed Name of Authorized Representative

Title of Authorized Representative

Signature of Authorized Representative

Date

ONLY COMPLETE THIS SECTION IF YOU BELIEVE YOU ARE NOT REQUIRED TO PROVIDE THE

CERTIFICATION – No Boycott Energy Company - FOR THE REASONS CITED BELOW

My business is not required to provide the certification listed above because (select one):

My business is not a for-profit “Company” as defined above, pursuant to Texas Government Code §809.001(2) and §2274.001(2).

My Company has less than 10 full-time employees

Effective Date: 9/1/2021

No Discrimination against Firearm and Ammunition Industries

If Contractor/Vendor is a “Company”, as that term is defined in Section 2274.001 of the Texas Government Code and is not a sole proprietorship, then Contractor/Vendor certifies and verifies that it: (i) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association and (ii) will not discriminate against a firearm entity or firearm trade association during the term of the Purchase Order or Contract this Certification is attached to and incorporated into; or (iii) that it meets the requirements of an exception listed below.

Form requirements:

• This certification is required by Texas Government Code § 2274.002

• This form is required to be attached to and is incorporated into all Purchase Orders (goods) and Contracts (services) with a value of $100,000 or more that is paid in whole or in part with state funds with a company with 10 or more full time employees. The campus department making the purchase of goods or contracting for services is responsible for obtaining the form from the Vendor or Contractor.

Texas Government Code §2274.001(3) states that " discriminate against a firearm entity or firearm trade association " 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”. Furthermore, Texas Government Code §2274.001(2) states that the term “Company” means a “a for-profit organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of those entities or associations that exists to make a profit. The term does not include a sole proprietorship.”

Vendor/Contractor Name or Company Name

Street Address

City

State

Zip Code

Phone Number

Printed Name of Authorized Representative

Title of Authorized Representative

Signature of Authorized Representative

Date

ONLY COMPLETE THIS SECTION IF YOU BELIEVE YOU ARE NOT REQUIRED TO PROVIDE THE

CERTIFICATION –No Discrimination against Firearm and Ammunition Industries-

FOR THE REASONS CITED BELOW

My business is not required to provide the certification listed above because (select one):

My business is not a for-profit “Company” as defined above, pursuant to Texas Government Code §2274.001(2).

My Company has less than 10 full-time employees

Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/22/2017

FORM 1295CERTIFICATE OF INTERESTED PARTIES

OFFICE USE ONLOFFICE USE ONLOFFICE USE ONLOFFICE USE ONLOFFICE USE ONLYYYYY

6 UNSWORN DECLARATION

My name is _______________________________________________________, and my date of birth is _______________________________.

My address is ________________________________________________, ___________________, _______, __________, ______________.

(street) (city) (state) (zip code) (country)

I declare under penalty of perjury that the foregoing is true and correct.

Executed in ___________________ County, State of ______________ , on the _______ day of _______________, 20______.

(month) (year)

Signature of authorized agent of contracting business entity

(Declarant)

ADD ADDITIONAL PAGES AS NECESSARY

Name of Interested Party

Nature of Interest (check applicable) City, State, Country

(place of business) Controlling Intermediary

Name of governmental entity or state agency that is a party to the contract for which the form is being filed.

3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract.

Complete Nos. 1 - 4 and 6 if there are interested parties.

Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.

1 Name of business entity filing form, and the city, state and country of the business entity's place of business.

Check only if there is NO Interested Party.

Mus t fi le on lin e a t w ww.et hic s.s tat e.t x.u s/F ile

CONFLICT OF INTEREST QUESTIONNAIRE

For vendor or other person doing business with local governmental entity

This questionnaire reflects changes made to the law by H.B. 1491, 80th Leg., Regular Session.

Yes No

Yes No

Yes No

FORM CIQ

Name of Officer

This section (item 3 including subparts A, B, C & D) must be completed for each officer with whom the filer has an employment or other business relationship as defined by Section 176.001(1-a), Local Government Code. Attach additional pages to this Form

CIQ as necessary.

A person commits an offense if the person knowingly violates Section 176.006, Local Government

Code. An offense under this section is a Class C misdemeanor.

(The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.)

OFFICE USE ONLY

Date Received

This questionnaire is being filed in accordance with Chapter 176, Local Government Code by a person who has a business relationship as defined by Section 176.001(1-a) with a local government entity and the person meets requirements under Section 176.006(a).

By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code.

Signature of person doing business with the governmental entity Date

Updated 05/20/2014

Name of person who has a business relationship with local governmental entity.

Check this box if you are filing an update to a previously filed questionnaire.

Name of local government officer with whom filer has employment or business relationship.

A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the filer of the questionnaire?

B. Is the filer of the questionnaire receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer named in this section AND the taxable income is not received from the local government entity?

C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership of 10 percent or more?

D. Describe each employment or buisness relationship with the local government officer named in this section.

PURCHASING DEPARTMENT

CITY OF WICHITA FALLS

1300 7th St., Room 113, Wichita Falls, TX 76301 t: 940.761.7466 f: 940.761.7688

The City of Wichita Falls must have a W-9 on file in order to conduct business with any vendor.

All vendors must include the following items in their bid submission:

• W-9 Form

• EIN # or Social Security #

• Current mailing address

• Current remittance address

• Sample Invoice

All accounts are to be updated or created with the following information:

Billing Address: Electronic Invoices:

City of Wichita Falls accounts.payable@wichitafallstx.gov

PO Box 1431

Wichita Falls, TX 76301

Included is an Automated Check Handling (ACH) form which may be completed by any vendors interested in receiving electronic payments.

The City’s Vendor Verification Policy can be found on our website:

http://www.wichitafallstx.gov/243/Purchasing Please review this policy at your convenience.

Jennifer Babineaux

Purchasing Manager http://www.wichitafallstx.gov/243/Purchasing

City of Wichita Falls

Electronic Fund Transfer / Email Notification Authorization Form

Type of Action: New Change

Vendor / Payee Information

Financial Institution Information

Authorization for direct deposit setup/changes/cancellations

Authorization for e-mail payment notification

Please return your completed form and a voided check to:

City of Wichita Falls

Accounting & Finance

1300 7th Street

Room 2B18

Wichita Falls, TX 76301

Email: accounts.payable@wichitafallstx.gov

Phone Number: (940) 761-7462 □ EFT change verified with vendor

E m a il

N o ti fi c a ti o n By completing this section, I authorize the City of Wichita Falls to send payment notification to the e-mail address designated below. I understand that notifications may include payment information that is considered confidential and therefore exempt from public disclosure.

Email address

Accounts Payable Use Only

Received By/Date:

Processed By/Date:

A C

H A u th o ri z a ti o n

Authorized Signature Printed Name Date

I authorize the City of Wichita Falls to deposit my payments from City of Wichita Falls to my financial institution electronically. I further understand that the City of Wichita Falls will reverse any payments made to my account in error.

Type of account (Checking or Savings)

Financial Institution name City State

Customer account number

State ZipCity

F in a n c ia l In s ti tu ti o n

Routing transit number (9 digits)

V e n d o r

P a y e e I n fo rm a ti o n

Payment Address

Cancel

Vendor or payee name

Identification Number (SSN or TIN)

Vendor contact name Title Contact Phone