BID 32600003 - HEART OF THE FALLS SIDEWALK PROJECT.pdf

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Attached to
Heart of the Falls Sidewalk Project
Solicitation number
32600003
Issued by
Walker County, Texas

About this file

This is a Request for Bid (RFB) issued by the City of Wichita Falls, Texas Purchasing Department for the Heart of the Falls Sidewalk Project. The project involves the design and construction of new sidewalks in the City's Heart of the Falls Revitalization area, filling approximately 947 linear feet of existing sidewalk gaps to provide accessible paths throughout the neighborhood. The bid encompasses 13 separate locations across Filmore, Taylor, and Polk streets, with each location representing a distinct line item for pricing. Bidders must submit quotations by July 13, 2026, at 2:00 PM to Jennifer Babineaux at the City of Wichita Falls Purchasing Department, 1300 7th Street Room 2B18, Wichita Falls, TX 76301. The successful contractor must obtain required permits within 10 working days of contract award, begin work within 14 working days, and complete the entire project within 60 working days of award. The contract will be awarded to the lowest responsible bidder for the complete job on an all-or-none basis as a single package purchase.

Prices must include delivery costs and exclude sales tax, with bid prices remaining firm for 60 days. This project is funded by the Community Development Block Grant (CDBG) and is subject to Davis-Bacon Act wage determinations, requiring contractors to comply with prevailing wage rates for various classifications including laborers, carpenters, electricians, and other trades. The contractor must provide comprehensive general liability insurance with minimum limits of $100,000 per occurrence and $300,000 aggregate, along with workers' compensation insurance covering all employees and subcontractors for the project duration. Liquidated damages of $100 per day per location will be assessed for delays beyond the 60-day completion deadline. The contractor must contact Texas811 prior to work commencement for utility line marking and schedule final inspections with the City, with a $50 fee imposed for inspections beyond three per location. Bid submissions must include a W-9 form, EIN or Social Security Number, current mailing address, remittance address, and sample invoice.

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• PLEASE QUOTE PRICES ON THE ITEMS LISTED. PRICES MUST INCLUDE DELIVERY COST. DO NOT INCLUDE

SALES TAX IN YOUR QUOTATION.

• ALTERNATIVE SUGGESTIONS WILL BE CONSIDERED. STATE CLEARLY HOW IT DIFFERS FROM THAT

SPECIFIED.

• UNLESS OTHERWISE NOTED, WE RESERVE THE RIGHT TO ACCEPT OR REJECT ALL OR PART OF YOUR

PROPOSAL.

• BID MAY BE SUBMITTED VIA MAIL, FAX, OR EMAIL: Jennifer.Babineaux@wichitafallstx.gov

• YOUR QUOTATION MUST BE IN OUR OFFICE BY: 7/13/26 @ 2PM

1300 7th Street

Room 2B18

Wichita Falls, TX 76301

(940) 761-7466

(940) 761-7688 Fax

REQUEST FOR BID

THIS IS NOT A PURCHASE ORDER

HEART OF THE FALLS SIDEWALK PROJECT

PER ATTACHED CITY SPECIFICATIONS

JOB

INFORMAL BID NO.

32600003

CITY OF WICHITA FALLS

SUPPLIER: PLEASE FILL IN BLANKS BELOW

TOTAL →

THE ABOVE PRICE IS AFTER A DISCOUNT OF %. ALL PRICES QUOTED ARE FIRM UNTIL:

DATE

WE WILL GUARANTEE SHIPMENT WITHIN OF RECEIPT OF A PURCHASE ORDER.

DAYS/WEEKS/MONTHS

□ NO QUOTATION BECAUSE:

Company Name

Signature Print Name Title

Email Phone / Fax Date

ITEM QTY DESCRIPTION U/M UNIT PRICE AMOUNT

mailto:Jennifer.Babineaux@wichitafallstx.gov

GENERAL INFORMATION

HEART OF THE FALLS

SIDEWALK REPLACEMENT 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 design/construction of new sidewalks in the City’s “Heart of the Falls” Revitalization area. This project will involve filling in approximately 947 linear feet of existing sidewalk gaps to provide accessible paths in the neighborhood. 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.

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 Managers are the sole authority as to compatibility, functional equivalency, and/or acceptability of any material bid under this request.

ADDITIONAL REQUIREMENTS:

1. Awarded contractor shall contact Texas811 prior to any work being done on site (http://www.texas811.org/) to have all lines marked.

2. Contractor will call (940) 761-7452 for a final inspection when the work is completed as per the following specifications for each property. Three (3) courtesy final inspections per lot will be done. Four (4) or more requests for final inspection (per lot) and a $50.00 per inspection fee will be deducted from the final payment amount.

This project is funded by the Community Development Block Grant (CDBG) and subject to Davis Bacon Act wage determination (Appendix A).

http://www.texas811.org/

SPECIAL CONDITIONS

REQUEST 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, Tuesday, June 30, 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.

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.

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, Managers or sub-contractors, howsoever caused.

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.

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

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

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:

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

(b) 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 approval of the Community Services Department of the City of Wichita Falls.

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

THE ATTACHED SPECIFICATIONS DEPICT SPECIFIC WORK TO BE PERFORMED AND SUBJECT

TO REVIEW AT TIME OF BID. BID PRICES TO BE GOOD FOR 60 DAYS.

CONTRACTOR

City of Wichita Falls Minimum Specifications

HEART OF THE FALLS

SIDEWALK REPLACEMENT PROJECT

CONTRACT COMPLETION SCHEDULE REQUIREMENTS

Successful bidder shall obtain required permits within ten (10) working days of contract award. Project shall START fourteen (14) working days after contract award and be completed within sixty (60) working days of contract award. Exceptions to this schedule requirement will only be negotiable based upon inclement weather which restricts working conditions and will result in extensions on an as required basis. If bidder fails to finish project by said dates, bidder may be liable to the City of Wichita Falls, or may have deducted from funds owed, as liquidated damages one hundred dollars ($100.00) per day per location for each calendar day of delay until the project is completed.

BID OPENING:

TIME:

CONTRACTOR (PRINT)

SIGNATURE

DATE

EMAIL

Tax ID # or Social Security Number

ROUND TO NEAREST DOLLAR AMOUNT

1. 1401 FILMORE – Begin at corner and continue down Avenue D side of property to the entrance of the alley.

Bid Amount:

2. 1501 FILMORE – Beginning at driveway go around the corner onto Avenue E side of the property and continue to the alley.

3. 1400 TAYLOR – Begin at corner and continue down Avenue D side of property to the

5. 1401 TAYLOR – Begin at corner and continue down Avenue D side of property to the

6. 1400 POLK – Begin at driveway in front and continue around the corner onto Avenue D side of property to the entrance of the alley.

7. 1804 POLK – Front of property between driveways.

8. 1805 & 1807 POLK – Front of property between driveways.

9. 1808 POLK – Front of property between driveways.

10. 2005 POLK – Front of property between driveways.

11. 2007 POLK – Front of property between driveways.

12. 2011 POLK – Front of property between driveways.

13. 2015 POLK – Front of property to existing sidewalk at corner of Avenue K.

TOTAL BID AMOUNT:

(BID AMOUNT WRITTEN OUT)

CONTRACTOR

"General Decision Number: TX20260224 05/18/2026

State: Texas

Construction Types: Residential

Counties: Texas Counties of Archer and Wichita

RESIDENTIAL CONSTRUCTION PROJECTS (consisting of single family homes and apartments up to and including 4 stories)

Modification Number Publication Date 0 01/02/2026 1 05/18/2026

ELEC0681-003 06/01/2025

Rates Fringes

ELECTRICIAN.........................................$ 32.34 11.33

SUTX2009-177 06/03/2009

Rates Fringes

SHEET METAL WORKER, INCLUDES HVAC DUCT INSTALLATION.$ 12.35 0.00

ROOFER..............................................$ 9.89 0.00

PLUMBER.............................................$ 15.50 2.00

PAINTER: BRUSH AND ROLLER..........................$ 9.72 0.00

LABORER: COMMON OR GENERAL.........................$ 8.83 0.00

CARPENTER...........................................$ 12.40 0.00

WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental.

Note: Executive Order (EO) 13706, Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1, 2017. If this contract is covered by the EO, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year.

Employees must be permitted to use paid sick leave for their own illness, injury or other health-related needs, including preventive care; to assist a family member (or person who is like family to the employee) who is ill, injured, or has other health-related needs, including preventive care; or for reasons resulting from, or to assist a family member (or person who is like family to the employee) who is a victim of, domestic violence, sexual assault, or stalking. Additional information on contractor requirements and worker protections under the EO is available at https://www.dol.gov/agencies/whd/government-contracts.

Note: Executive Order 13658 generally applies to contracts subject to the Davis-Bacon Act that were awarded on or between January 1, 6/18/26, 5:21 PM SAM.gov https://sam.gov/wage-determination/TX20260224/1 1/4

2015 and January 29, 2022, and that have not been renewed or extended on or after January 30, 2022. Executive Order 13658 does not apply to contracts subject only to the Davis-Bacon Related Acts regardless of when they were awarded. If a contract is subject to Executive Order 13658, the contractor must pay all covered workers at least $13.65 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract from May 11, 2026, through December 31, 2026. The applicable Executive Order minimum wage rate will be adjusted annually.

Additional information on contractor requirements and worker protections under Executive Order 13658 is available at www.dol.gov/whd/govcontracts.

Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5.5 (a) (1) (iii)).

The body of each wage determination lists the classifications and wage rates that have been found to be prevailing for the type(s) of construction and geographic area covered by the wage determination. The classifications are listed in alphabetical order under rate identifiers indicating whether the particular rate is a union rate (current union negotiated rate), a survey rate, a weighted union average rate, a state adopted rate, or a supplemental classification rate.

Union Rate Identifiers

A four-letter identifier beginning with characters other than �SU�, �UAVG�, �SA�, or �SC� denotes that a union rate was prevailing for that classification in the survey. Example:

PLUM0198-005 07/01/2024. PLUM is an identifier of the union whose collectively bargained rate prevailed in the survey for this classification, which in this example would be Plumbers.

0198 indicates the local union number or district council number where applicable, i.e., Plumbers Local 0198. The next number, 005 in the example, is an internal number used in processing the wage determination. The date, 07/01/2024 in the example, is the effective date of the most current negotiated rate.

Union prevailing wage rates are updated to reflect all changes over time that are reported to WHD in the rates in the collective bargaining agreement (CBA) governing the classification.

Union Average Rate Identifiers

The UAVG identifier indicates that no single rate prevailed for those classifications, but that 100% of the data reported for the classifications reflected union rates. EXAMPLE:

UAVG-OH-0010 01/01/2024. UAVG indicates that the rate is a weighted union average rate. OH indicates the State of Ohio.

The next number, 0010 in the example, is an internal number used in producing the wage determination. The date, 01/01/2024 in the example, indicates the date the wage determination was updated to reflect the most current union average rate.

A UAVG rate will be updated once a year, usually in January, to reflect a weighted average of the current rates in the collective bargaining agreements on which the rate is based.

Survey Rate Identifiers https://sam.gov/wage-determination/TX20260224/1 2/4

The �SU� identifier indicates that either a single non-union rate prevailed (as defined in 29 CFR 1.2) for this classification in the survey or that the rate was derived by computing a weighted average rate based on all the rates reported in the survey for that classification. As a weighted average rate includes all rates reported in the survey, it may include both union and non-union rates. Example: SUFL2022-007 6/27/2024. SU indicates the rate is a single non-union prevailing rate or a weighted average of survey data for that classification. FL indicates the State of Florida. 2022 is the year of the survey on which these classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination. The date, 6/27/2024 in the example, indicates the survey completion date for the classifications and rates under that identifier.

�SU� wage rates typically remain in effect until a new survey is conducted. However, the Wage and Hour Division (WHD) has the discretion to update such rates under 29 CFR 1.6(c)(1).

State Adopted Rate Identifiers

The �SA� identifier indicates that the classifications and prevailing wage rates set by a state (or local) government were adopted under 29 C.F.R 1.3(g)-(h). Example: SAME2023-007 01/03/2024. SA reflects that the rates are state adopted. ME refers to the State of Maine. 2023 is the year during which the state completed the survey on which the listed classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination.

The date, 01/03/2024 in the example, reflects the date on which the classifications and rates under the �SA� identifier took effect under state law in the state from which the rates were adopted.

WAGE DETERMINATION APPEALS PROCESS

1) Has there been an initial decision in the matter? This can be:

a) a survey underlying a wage determination

b) an existing published wage determination

c) an initial WHD letter setting forth a position on a wage determination matter

d) an initial conformance (additional classification and rate) determination On survey related matters, initial contact, including requests for summaries of surveys, should be directed to the WHD Branch of Wage Surveys. Requests can be submitted via email to davisbaconinfo@dol.gov or by mail to:

Branch of Wage Surveys Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210 Regarding any other wage determination matter such as conformance decisions, requests for initial decisions should be directed to the WHD Branch of Construction Wage Determinations.

Requests can be submitted via email to BCWD-Office@dol.gov or by mail to:

Branch of Construction Wage Determinations Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210

2) If an initial decision has been issued, then any interested party (those affected by the action) that disagrees with the https://sam.gov/wage-determination/TX20260224/1 3/4 decision can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7).

Requests for review and reconsideration can be submitted via email to dba.reconsideration@dol.gov or by mail to:

Wage and Hour Administrator U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210 The request should be accompanied by a full statement of the interested party's position and any information (wage payment data, project description, area practice material, etc.) that the requestor considers relevant to the issue.

3) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board). Write to:

Administrative Review Board U.S. Department of Labor 200 Constitution Avenue, N.W.

Washington, DC 20210.

END OF GENERAL DECISION

https://sam.gov/wage-determination/TX20260224/1 4/4

PURCHASING DEPARTMENT

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

bid spec pages - updated bundle.pdf
No Boycott Israel
This certification is required by Texas Government Code § 2271.002.
ONLY COMPLETE THIS SECTION IF YOU BELIEVE YOU ARE NOT REQUIRED TO PROVIDE THE CERTIFICATION - No Boycott Israel - FOR THE REASONS CITED BELOW
Name Signature Date
This certification is required by Texas Government Code § 2274.002.
ONLY COMPLETE THIS SECTION IF YOU BELIEVE YOU ARE NOT REQUIRED TO PROVIDE THE CERTIFICATION – No Boycott Energy Company - FOR THE REASONS CITED BELOW
No Discrimination against Firearm and Ammunition Industries
This certification is required by Texas Government Code § 2274.002
ONLY COMPLETE THIS SECTION IF YOU BELIEVE YOU ARE NOT REQUIRED TO PROVIDE THE
07fda22f-9e11-44f8-be66-5ccaf6cc5df8.pdf
bid spec pages - updated bundle.pdf
No Boycott Israel
This certification is required by Texas Government Code § 2271.002.
ONLY COMPLETE THIS SECTION IF YOU BELIEVE YOU ARE NOT REQUIRED TO PROVIDE THE CERTIFICATION - No Boycott Israel - FOR THE REASONS CITED BELOW
Name Signature Date
This certification is required by Texas Government Code § 2274.002.
ONLY COMPLETE THIS SECTION IF YOU BELIEVE YOU ARE NOT REQUIRED TO PROVIDE THE CERTIFICATION – No Boycott Energy Company - FOR THE REASONS CITED BELOW
No Discrimination against Firearm and Ammunition Industries
This certification is required by Texas Government Code § 2274.002
ONLY COMPLETE THIS SECTION IF YOU BELIEVE YOU ARE NOT REQUIRED TO PROVIDE THE

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