City of Lampasas Roof Replacement Bid Package_1.pdf

Section 00100 Official Notice to Bidders

BID #052026

MULTI-FACILITY ROOFING PROJECT

CITY OF LAMPASAS

NOTICE TO BIDDERS

The City of Lampasas will receive bids for the Multi-Facility Roofing Project until 2:00 p.m. Central Standard Time on Tuesday, June 30, 2026, at the City Hall Information Desk, City of Lampasas 312 E Third Street, Lampasas, Texas 76550.

All sealed bids shall be submitted including one (1) marked original and one (1) electronic copy saved on a USB, clearly marked with bid number and description.

The bids will be opened and publicly read in the Jack Calvert Municipal Building, 302 E Third Street, Lampasas, Texas 76550 immediately after the closing hour for the bids on said date.

No late bids will be considered A non-mandatory pre-bid will be held on June 8, 2026, at 9:00 am, at the Jack Calvert Municipal Building, located at 302 E Third Street, Lampasas, Texas 76550

Bid documents may be downloaded from www.lampasas.org, or may be obtained without deposit from; City of Lampasas City Secretary's Office, 312 E Third Street, Lampasas, TX 76550, (512) 556-6831, kstanley@cityoflampasas.com.

Cashier’s Check, Certified Check, or acceptable Bid Bond, payable to City of Lampasas in an amount not less than 5% of the maximum Bid price submitted, must accompany each Bid as guarantee that, if awarded the Contract, the Bidder will within fifteen (15) calendar days of award of Contract enter into a Contract and execute Bonds on the forms provided in the Contract Documents.

The City reserves the right to reject any and/or all bids, to waive any and all technicalities and to accept any bid or part thereof, which in the opinion of the city council, is most advantageous to the city. In case of ambiguity or lack of clearness in stating the prices in the bid, the city reserves the right to consider the most advantageous bid thereof or to reject the bid.

BID WITHDRAWAL: No Bid shall be withdrawn for a period of 60 days after the opening of the Bids without the consent of OWNER.

http://www.publicpurchase.com/ mailto:purchasing@laportetx.gov

City of Lampasas Section 00410 Bid Form

BID FORM

BID #052026 MULTI-FACILITY ROOFING PROJECT

DATE:

Bid of an individual proprietorship, a corporation organized and existing under laws of the State of Texas, a partnership consisting of , for the Multi-Facility Roofing Project. for the City of Lampasas, Lampasas County, Texas.

Gentlemen:

The undersigned bidder has carefully examined the Instructions to Bidders, this Proposal, the General Conditions of Agreement, the Technical Specifications and the drawings for the work herein above described and referred to in the Invitation to Bid and has carefully examined the site of the work and will provide all necessary labor, superintendence, machinery, equipment, tools, materials, services and other means of construction to complete all the work upon which he bids, as called for in the Contract, the Specifications and shown on the drawings, and in the manner prescribed therein and according to the requirements of the City of Lampasas.

1. City of Lampasas Public Library (Roof Replacement) Price $_________________________________________

2. City of Lampasas City Hall (Roof Replacement) Price $_________________________________________

3. Jack Calvert Municipal Building (Roof Patch)

Price $___________________________________________

4. City of Lampasas IT Building (Roof Patch or Replacement)

Price $___________________________________________ Total Bid 1-4

TOTAL BID $

Written

It is understood and agreed that the work shall be substantially complete within 300 calendar days and final payment due 330 calendar days after the date on which work is to be commenced as established by the Contract Documents.

It is agreed that the contract price may be increased or decreased to cover work added or deleted by order of the Engineer, in accordance with the provisions of the General Conditions of Agreement.

The undersigned agrees that the amounts bid in this proposal will not be withdrawn or modified for sixty

(60) days following date of bid opening. Page 2

It is understood that the bid security accompanying this proposal shall be returned to the undersigned unless, in case of the acceptance of this proposal the undersigned should fail to enter into a construction contract and execute bonds as provided in the specifications. In the event the undersigned should fail to enter into a construction contract and execute bonds as required within 14 calendar days after the Engineer has given unsigned contracts to the Contractor, it is understood and agreed that the bid security shall be forfeited to the Owner and shall be considered as payment for damages due to delay and other inco It is understood that the Owner reserves the right to reject any and all bids.

In the event of Award of the Contract to the undersigned, the undersigned agrees to furnish Performance and Payment Bonds as provided in the Specifications.

The undersigned certifies that the bid prices contained in this proposal have been carefully checked and are submitted as correct and final

Date _

Signed

By (Title)

Company

(Address)

(Telephone Number)

(Email Address)

Witness

SEAL (if Bidder is a Corporation)

Acknowledge receipt of Addenda Below:

Addendum No.

Date Received

City of Lampasas Section 00431 Bid Bond Form

BID BOND

SURETY'S NO.

STATE OF TEXAS §

COUNTY OF §

LAMPASAS §

KNOW ALL MEN BY THESE PRESENTS, THAT

(hereinafter called the Principal), as Principal and

(hereinafter called the Surety), as Surety, are bound unto the City of Lampasas, Texas, a home rule municipal corporation of Lampasas County, Texas (hereinafter called Obligee) in the amount of

Dollars ($ _), for the payment whereof said Principal and Surety bind themselves, and their heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents.

WHEREAS, the Principal has submitted a Bid to enter into a certain written Contract with Obligee for

NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said Principal shall faithfully, enter into such written Contract, then this obligation shall be void; otherwise to remain in full force and effect.

IT IS EXPRESSLY UNDERSTOOD AND AGREED that if said Principal should withdraw its Bid anytime after such Bid is opened and before this Bid Bond is returned or before official rejection of such Bid;

or, if successful in securing the award thereof, said Principal should fail to enter into the Contract and furnish satisfactory Performance Bond and Payment Bond, and other required contract documents, the Obligee, in either of such events, shall be entitled and is hereby given the right to collect the full amount of this Bid Bond as liquidated damages.

City of Lampasas Section 00431 Bid Bond Form

PROVIDED, further that if any legal action be filed upon this Bond, venue shall lie in Lampasas County, Texas.

IN WITNESS W HEREOF, the said Principal and Surety do sign and seal this instrument this day

Principal/Contractor Surety

By: _ By:

Address: Address:

NOTE: Attach Power of Attorney

RESPONSIVE BIDDER CHECKLIST

( ) Bid Form (REQUIRED)

( ) Insurance Requirements (REQUIRED UPON AWARD)

( ) Conflict of Interest Questionnaire (REQUIRED)

( ) Local Bidder Preference (OPTIONAL, as applicable)

( ) House Bid 89 Verification Form (REQUIRED)

( ) Form 1295 (REQUIRED UPON AWARD)

( ) Reference Form (REQUIRED)

( ) Bond forms (REQUIRED Bid bond at opening)

City of Lampasas TERMS AND CONDITIONS OF BIDDING

REQUIRED INFORMATION – Posting of Invitation to Bid Opening:

1. The City of Lampasas (“the City”) provides solicitation packages containing various documents that require completion by the offeror. This information must be completed prior to the date and time set for the bid opening and shall be included with the returned solicitation documents in order to be considered a responsive Offer.

2. Bids are to be prepared and submitted in accordance with the provisions herein. Failure to do so may result in rejection of the bid. Bids must be prepared and submitted only on the forms provided within the solicitation package. Where a signature is required, an authorized representative of the bidder must do so. Evidence as to such authority may be required.

3. If required by the solicitation documents, bid security shall be submitted with the offer. Any response submitted without the required bond, payment bond, or cashiers/certified check, shall be considered non-responsive and shall not be considered for award. Performance and/or payment bonds, when required shall be submitted to the City, prior to commencement of any work pursuant to the contracting requirements and process.

4. Solicitation packages are typically provided at no cost. If a fee is to be charged it will be so stated in the Invitation to Bidders.

5. The City will not be liable for any costs associated with the preparation, transmittal or presentation of any solicitation submission or materials submitted in response to any solicitation.

6. The primary way to obtain solicitation documents is by downloading them from the City’s website: www.lampasas.org.

6.1 Bidders are solely responsible for obtaining all Bid Documents, including forms, clarifications, drawings, and Addenda. Bidders are solely responsible for checking Public Purchase while the bid is active for clarifications, supplemental instructions, forms and/ or addenda regardless of how the bid documents are obtained. The City will ONLY publish this information on Public Purchase and will not be responsible for a bidder’s failure to obtain or include additional information provided on Public Purchase.

6.2 I f a p r o s p e c t i v e b i d d e r i s u n a b l e t o d o w n l o a d t h e s o l i c i t a t i o n d o c u m e n t s b y visiting our website or by other electronic means, these documents are available by contacting the City Secretary's Office located at 312 E Third Street, Lampasas, Texas 76550. Telephone 512-556-6831.

7. All bid forms must be completed in ink, or typewritten. Bidders may not change any of the documents provided within the bid. Any change made may result in rejection of the bid, and will not be binding upon the City.

If a bidder either electronically scans, re-types or in some other way reproduces the City’s published solicitation package, then in the event of a conflict between the terms and provisions of the City’s published bid specifications, or any portion thereof, and the terms and provisions of the offer, the City’s bid specifications as published shall control. Furthermore, if an alteration of any kind to the City’s published bid specifications is only discovered after the contract is executed and is or is not being performed, the contract is subject to immediate cancellation.

8. The City will not be liable for any costs associated with the preparation, transmittal or presentation of any solicitation submission or materials submitted in response to any solicitation.

9. The primary way to obtain solicitation documents is by downloading them from the City’s website: www.lampasas.org.

10. All bid forms must be completed in ink, or typewritten. Bidders may not change any of the documents provided within the bid. Any change made may result in rejection of the bid, and will not be binding upon the City.

If a bidder either electronically scans, re-types or in some other way reproduces the City’s published solicitation package, then in the event of a conflict between the terms and provisions of the City’s published bid specifications, or any portion thereof, and the terms and provisions of the offer, the City’s bid specifications as published shall control.

Furthermore, if an alteration of any kind to the City’s published bid specifications is only discovered after the contract is executed and is or is not being performed, the contract is subject to immediate cancellation.

11. References made to a specific manufacturer or trade name in this solicitation is intended to be descriptive and not restrictive and to establish a desired quality level of merchandise or to meet a pre-established standard because of existing like items that have been previously deemed satisfactory by the City.

Alternate product(s) bid from those specified in this solicitation must include a detailed explanation and documentation to support how the alternate items proposed by the bidder can perform as well as or better than those specified. If no alternate is proposed, and accepted by the City, the Bidder will be required to provide the specific item(s) described in the specifications. No substitution of items will be allowed except as otherwise noted within the specifications.

Acceptable documentation to support proposed alternate items may include, but is not limited to:

• Product identification, including manufacturer’s name and address

• Manufacturer’s literature identifying the product including a detailed description, reference standards, performance and test data

• Samples, as applicable

• Contact information of similar applications where proposed product(s) has been used, date of product usage.

• Itemized comparison of proposed alternate item with product or service specified, listing significant variations.

Bidder further warrants and represents that in making a formal request for substitution by alternate items that:

• Proposed alternate item(s) is equivalent or superior in all respects to the product specified, and

• The same warranties and guarantees will be provided for the alternate item as for the product specified;

• Bidder is solely responsible to provide all pertinent product data with the offer.

12. Where offers for equipment or other goods that are subject to manufacturer warranties that require sale or installation by authorized dealers or distributors are made, Bidder must be the manufacturer or an authorized dealer/distributor of the proposed manufacturer and must be capable of providing genuine parts, assemblies and/or accessories as supplied by the manufacturer. Furthermore, Bidder must be capable of furnishing original product warranty and manufacturers related services such as product information, product recall notices, etc. Certification of licensing demonstrating bidder is an authorized dealer/distributor is to be provided by bidder when this requirement is applicable.

13. The City of Lampasas encourages the use of products made of recycled materials to the extent that doing so does not reduce or impair the quality of the item(s) and it is economically feasible. The City will be the sole judge in determining product selection and suitability.

14. City shall not provide any interpretation of the meaning of plans, specification, or other pre bid documents to any prospective bidder orally. Such communication must be in writing.

15. Questions or requests for additional information are to be submitted to the City Secretary at KStanley@cityoflampasas.com . NO requests or questions are to be asked directly of program staff outside of pre-bid conferences. If a Staff or Council member is contacted by a potential bidder, the person contacted must politely decline to discuss the procurement and forward the inquiry to the City Secretary. Likewise, a bidder that contacts someone other than authorized Staff in regard to a solicitation may be disqualified.

While the City Secretary staff may not be able to answer all of the technical questions asked by potential bidders, they will ensure that the information is provided to all potential bidders in such a way as to promote fair and equal competition.

16. All bidders must familiarize themselves with the locations for contract performance as required by the solicitation documents so as to take into account any and all relevant conditions when preparing the offer. Successful bidder will not be paid additional compensation due to failure to account for conditions that may be observed by a site visit. Worksites shall be made accessible to the public during normal business hours. However, appointments for site visits are preferred.

17. All bidders shall carefully examine all solicitation documents before completing and submitting a bid in addition to inspecting the work site and being familiar with any condition at the site that may affect the Work.

18. A successful bidder that is awarded a contract is solely responsible for any and all cost arising from (i) failure to comply with the requirements of the bid documents including without limitation, the requirement to inspect the bid documents and the work site, and (ii) failure to include any costs or expense attributable to site conditions that could have reasonably been discovered through a site inspection or examination of the bid documents.

19. Bidders must indicate any variance, no matter how slight, in the specification comments, on the proposal page, or pages attached thereto with the exact nature of the variance outlined in sufficient detail. If the variance information is not stated, or referenced as required, it will be assumed that the product or service complies with the City’s terms, conditions and specifications.

The city does not necessarily accept any variance or exception contained in a bid by receiving the bid. Any variance or exception proposed is subject to review and approval by the City.

Any material variance that, in the sole opinion of the City, makes the bid conditional in nature may result in the entire bid being rejected in whole or in part.

20. Pricing is to include any freight, handling, or other fees associated with the goods or services.

No additional costs will be allowed if not specified in this proposal. Only sales taxes are to be excluded.

21. Quantities shown in the solicitation documents represent estimated usage for the contract term and as such are for solicitation purposes only. The City reserves the right to increase or decrease quantities ordered. Nothing herein will be construed as intent on the part of the City to procure any goods or services beyond those determined by the City to be necessary to meet its needs. The City will only be obligated to pay for such quantity actually received and accepted as satisfactory and upon receipt of an itemized, correct invoice.

City of Lampasas TERMS AND CONDITIONS OF

BIDDING Required Information – Receiving Bids

1. A bid shall be submitted to the City at:

City Secretary Attention: Kayleigh Stanley 312 E Third Street Lampasas, Texas 76550

2. No oral, telegraphic, telephonic, or facsimile submittals will be considered or accepted.

3. One copy marked as “ORIGINAL” and one electronic copy (USB) shall be submitted in a sealed envelope properly marked with the Bid information and Bidder's information.

4. The time clock/stamp used by the City Secretary shall be the official time of receipt for responses submitted in hard copy paper form. Any submittal (received after the deadline posted) shall be considered void and unacceptable. Absolutely NO late submittal will be considered.

5. In case of inclement weather or any other unforeseen event causing the City to close for business on the date of a solicitation submission deadline, the solicitation closing will automatically be postponed until the next business day that the City is open. If inclement weather conditions or any other unforeseen event causes delays in carrier service operations, the City may issue an addendum to extend the deadline. It will be the responsibility of the vendor to notify the City of their interest in the project if these conditions are impacting their ability to turn in a submission within the stated deadline.

The City reserves the right to make the final judgment call to extend any deadline.

City of Lampasas TERMS AND CONDITIONS OF BIDDING

Required Information – Bid Opening to Contract Execution

1. Bids will be opened and publicly read immediately following the deadline for submission has passed. The public posting of the tabulation, and the apparent low bidder are neither final nor binding. All bids and bid documents are subject to review by Staff in determining responsiveness and responsibility. Bid tabulations are public information and are posted on PublicPurchase.com and the City’s website typically within 3 business days of opening.

2. Unless a bid is expressly rejected by the City, all bids will remain in effect for sixty (60) days subsequent to bid opening. Bidder may not withdraw or cancel or modify bid for a period of sixty (60) days after the advertised closing time for receipt of bids. The City reserves the right to reject any bid where a modification of its proposal materially affecting the bid prior to the sixty (60) day period occurs.

The City may request that a bidder extend the effective period of their bid. Such a request will be made in writing, and will require the bidder’s written consent to the extension.

3. City of Lampasas Code of Ordinances declares that the City will not make any expenditure of any kind for goods or services by the City from any person, firm or corporation owing any delinquent indebtedness to the City. Bidder agrees that by submitting this executed bid that at the time of submitting such documents, he is, at his option, submitting the bid in accordance with the Ordinance and, that if he is in debt to the City, payments he is owed under this contract will first be applied to pay off the debt. This complete ordinance may be found on the City’s website.

4. The City will not accept conditional bids or unbalanced bids that , in the sole discretion and authority of the City, is determined to be materially unbalanced

5. The City Secretary reserves the right to make corrections to bids for any clerical error apparent on the face of the bid. This includes but is not limited to obviously incorrect units or misplaced decimal points, or arithmetic errors. In the event that comparison of the Bidder’s “Unit Price” and “Total Price” submitted for any line item reveals a calculation error, the “Unit Price” shall prevail.

6. The City Secretary shall make the determination of responsibility of each bidder. A bidder may be requested to submit such additional information pertaining to responsibility as the City Secretary deems necessary. Failure to comply with such a request will result in a finding of non-responsibility and rejection of the bid.

7. The City reserves the right to reject any or all solicitation submissions without cause prior to award, to waive formalities, or to proceed otherwise when in the best interest of the City.

8. If Bidder is required to make a certification pursuant to Section 2270.002 of the Texas Government Code, Bidder certifies that Bidder does not boycott Israel and will not boycott Israel during the term of the contract resulting from this solicitation. If Respondent does not make that certification, Respondent must indicate that in its Response and state why the certification is not required.

9. The City reserves the right to reject any bid if the evidence submitted by, or investigation of, such bidder fails to satisfy the City that Bidder is properly qualified to carry out the obligations of the contract and to complete the work contemplated therein.

10. In the event of tie bids, preference will be given to the Bidder that offers the best value to the City in accordance with the specifications and State Law.

11. Method of award: Contract will be awarded to the lowest responsible bidder or to the bidder who provides the goods or services specified herein at the best value for the City of Lampasas, in compliance with Texas Local Government Code, Section §252.043. The City of Lampasas reserves the right to select the method in the best interest of the City, as determined by the City Secretary.

Best value criteria includes, but may not be limited to:

All costs including installation, warranty, maintenance, overall life cycle;

Quality of the goods or services;

Extent to which the goods or services meet the City's needs;

The bidder's past relationship with the municipality;

The impact on the ability of the municipality to comply with laws and rules relating to contracting with historically underutilized businesses and nonprofit organizations employing persons with disabilities;

Any relevant criteria specifically listed in the request for Bids or Proposals

The city reserves the right to accept any item or group of items on this bid, unless the bidder qualifies their bid by specific limitations.

GENERAL STANDARD TERMS AND CONDITIONS

The City of Lampasas General Terms and Conditions for Bidding and Contracts are posted on the City’s website: www.lampasas.org and are incorporated into this document by reference.

An electronic PDF copy may be requested by calling 512-556-6831 or e-mailing kstanley@cityoflampasas.com

The undersigned certifies by initialing: Initials

1. To comply with all instructions, provision of required documents, specifications

2. That they have not conspired with any other potential supplier or person Or official in any manner to attempt to control competitive pricing

3. That they are duly qualified, capable and bondable business entity not in receivership or contemplating same, and has not filed for bankruptcy

Affirms that they will not discriminate against any employee or applicant as prohibited by law. Failure to comply may result in termination of contract.

5. Bidder has read and understands the General Terms and Conditions for Bidding and Contracts.

Authorized Signature: (must be same as initials, above)

Printed Name:

Date:

End of Standard Terms and Conditions https://www.laportetx.gov/DocumentCenter/View/7067/Standard-Terms-and-Conditions-for-Bidding-and-Contracting-

PROJECT DESCRIPTION

This project consists of three separate roof replacements/overlays, bid together as one complete contract. The contractor shall furnish all labor, materials, equipment, supervision, permits, disposal, and incidentals necessary to complete the roofing work at the following facilities:

1. City of Lampasas Public Library-201 S Main Street, Lampasas, TX 76550

2. City of Lampasas City Hall- 312 E Third Street, Lampasas, TX 76550

3. Jack Calvert Municipal Building- 302 E Third Street, Lampasas, TX 76550

4. City of Lampasas IT Building-405 S Main Street, Lampasas, TX 76550

CLARIFICATIONS

A request for such interpretation shall be submitted in writing to kstanley@cityoflampasas.com or delivered to the City Secretary's Office at 312 E Third Street, Lampasas, Texas 76550. Secretary will act as liaison between the requestor and the departmental representative or Engineer to seek clarification or supplemental instructions appropriate to the request.

PRE-BID MEETING

A non-mandatory pre-bid meeting will be held at the Jack Calvert Municipal Building located at 302 E Third Street, Lampasas, Texas 76550, on June 8, 2026, at 9:00 AM. All prospective Bidders are encouraged to attend this meeting.

SITE VISIT

To schedule a site visit please contact Kayleigh Stanley, kstanley@cityoflampasas.com , or call 512-556-6831.

PERMITS

The Contractor will be required to obtain all permits related to this project from all municipal, county and state agencies. All municipal fees will be waived for this project.

SCOPE OF WORK

ROOF 1

City of Lampasas Public Library- Full Roof Replacement-Execution

ROOF 2

City of Lampasas City Hall- Full Roof Replacement-Execution

ROOF 3

Jack Calvert Municipal Building - Roof Patch

ROOF 4

City of Lampasas IT Building - Roof Patch or Replacement mailto:hefnerd@laportetx.gov

WARRANTY REQUIREMENTS

1. Workmanship Warranty The contractor shall provide a 2-year workmanship warranty covering all labor, installation methods, flashing, sheet metal, and all components installed under this contract.

• Contractor shall repair any leaks or defects attributable to workmanship at no cost to the Owner.

• Warranty begins upon final acceptance.

2. Manufacturer’s Warranty The contractor shall provide a 20-year manufacturer’s roofing system warranty for each roof area.

• Warranty shall cover membrane, insulation, adhesives, flashings and all approved accessories

• Warranty shall include watertightness and flashing integrity.

• Warranty shall be issued directly by the me bran manufacture.

3. Documentation All warranty documents, inspections reports, and registration forms shall be submitted in the project close-out package.

REQUIRED CONTRACTOR INSURANCE: Successful CONTRACTOR shall provide a certificate of insurance executed by an insurance company authorized to do business in Texas. CONTRACTOR shall obtain insurance as detailed. Each policy obtained by the CONTRACTOR for work with this contract, with exception of the Worker's Compensation policy, shall name the CITY OF LAMPASAS as an additional insured, and shall contain waiver of subrogation in favor of CITY OF LAMPASAS and also give a 30-day cancellation notice. The coverage and amounts designated are minimum requirements and do not establish limits of the contractor's liability. Additional coverage may be provided at the CONTRACTOR'S option and expense. Insurance must include:

General Liability:

Commercial General Liability

General Aggregate $2,000,000.00 Products-Completed Operations Aggregate: $2,000,000.00 Personal Injury $1,000,000.00 Each Occurrence $1,000,000.00 Property Damage liability insurance will provide Explosion, Collapse, And Underground coverages where applicable

Automobile Liability:

Combined Single Limit $1,000,000.00

Excess Liability:

Umbrella

Each Occurrence $2,000,000.00 Each Aggregate $1,000,000.00

Worker’s Compensation and Employer Liability:

In form and quantities as required by State of Texas

CONFLICT OF INTEREST QUESTIONNAIRE

For vendor doing business with local governmental entity

FORM CIQ

This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.

This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor 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 vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code.

A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor.

OFFICE USE ONLY

Date Received

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

Check this box if you are filing an update to a previously filed questionnaire. (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 on which you became aware that the originally filed questionnaire was incomplete or inaccurate.)

3 Name of local government officer about whom the information is being disclosed.

Name of Officer

4 Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.

Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Form CIQ as necessary.

A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income, other than investment income, from the vendor?

Yes No

B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer or a family member of the officer AND the taxable income is not received from the local governmental entity?

Yes No

5 Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more.

Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts as described in Section 176.003(a)(2)(B), excluding gifts described in Section 176.003(a-1).

Signature of vendor doing business with the governmental entity Date

Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015Page 21 http://www.ethics.state.tx.us/

House Bill 89 VERIFICATION

I, (Person name), the undersigned representative of_(Company or Business name)

(hereafter referred to as company) being an adult over the age of eighteen (18) years of age, do hereby verify that the company named-above, under the provisions of Subtitle F, Title 10, Government Code Chapter 2270::

1. Does not boycott Israel currently; and

2. Will not boycott Israel during the term of the contract the above-named

Company, business or individual with City of Lampasas, Texas.

This statement is exempt for sole proprietorship vendors, vendors who have less than 10 full time employees and contracts that are under $100,000 of public funds.

Pursuant to Section 2270.001, Texas Government Code:

1. “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; and

2. “Company” means a for-profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit.

DATE SIGNATURE OF COMPANY REPRESENTATIVE

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

CITY OF LAMPASAS

LOCAL BIDDER PREFERENCE APPLICATION

Sections 271.905 and 271.9051 of the Texas Local Government Code authorize a municipality to consider a vendor’s location in the determination of a bid award if the lowest bid received is from a business outside the municipality and contracting with a local bidder would provide the best combination of price and other economic benefits to the municipality. The City of Lampasas Texas has determined that the allowable preference shall be applied to local vendor’s bids for the purposes of evaluation when requested in writing by local bidder and when determined to be in the best interest of the City to do so. This request form and any supporting documentation must be submitted with quote/bid in order to be considered by the City of Lampasas, Texas. Questions should be addressed to the City Secretary at 512-556-6831. Exclusions to the local preference include expenditures of $25,000 or less, and those purchases which are: sole source, emergency, federally-funded, cooperative contracts, service contracts subject to the Professional Services Procurement Act, contacts awarded through request for proposals or qualifications, or via inter-local agreement.

Location Eligibility: Principal place of business in Lampasas, Texas. Principal place of business is defined herein as a business that is headquartered in and has an established place of business in the incorporated limits of the City of Lampasas, and from which a substantial role in the entity’s performance of a commercially useful function or a substantial part of its operations is conducted. A location utilized as a post office box, mail drop or telephone message center or any combination thereof, with no other substantial work function, shall not be construed as a principal place of business.

1.

(a) If yes, identify name of business/DBA, address and business structure: sole proprietorship, partnership, corporation or other.

Name of business/DBA:

Address:

City: State: Zip:

� Sole Proprietorship � Partnership � Corporation � Other

(b) Name and city of residence of owner(s) partners/corporate officers as applicable

Name:

City:

2. General Business Information:

(a) Year business established (Lampasas location)

(b) Most recent year property valuation (if owned); real and personal property $

(c) Is business current on all property, sales tax and utility bills at the time of this application?(d) Total number of current employees and number of Lampasas-resident employees

3. Economic Development benefits resulting from award of this contract:

(a) Number of additional jobs created or retained for Lampasas resident-employees

(b) Local subcontractor utilized, if applicable; name, location and contract value for each

Name:

Address:

Contract Value $

(c) Other economic development benefit deemed pertinent by applicant

The undersigned does hereby affirm that the information supplied is true and correct as of the date hereof, under penalty of perjury.

City Bid No./Quote for which the local preference is requested:

(Name of Bidder) (Date)

(Signature)

(Print Name)

THE STATE OF TEXAS §

COUNTY OF §

Appeared before me the above-named , known to me to be the same, and swore that the information provided in response to the foregoing questions are true and correct to the best of his/her knowledge and belief, this day of , 20 .

NOTARY PUBLIC, STATE OF TEXAS

Printed Name:

Commission Expires:

REFERENCES

Please provide the following information. Include both current and previous references where these similar types of services have been provided. Contact names must be that of a responsible party with the authority to approve such services. You may use your own form, but must be included with your bid.

COMPANY CONTACT PHONE EMAIL

NAME NAME ADDRESS NUMBER ADDRESS

COMPANY CONTACT PHONE EMAIL

NAME NAME ADDRESS NUMBER ADDRESS

COMPANY CONTACT PHONE EMAIL

NAME NAME ADDRESS NUMBER ADDRESS

COMPANY CONTACT PHONE EMAIL

NAME NAME ADDRESS NUMBER ADDRESS

COMPANY CONTACT PHONE EMAIL

NAME NAME ADDRESS NUMBER ADDRESS