ESBD_368409_1721150831275_City of Windcrest Pool RFQ Final 2024-07-16.pdf

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REQUEST FOR STATEMENTS OF QUALIFICATIONS FOR:

Architectural/ Engineering Design Services

Related To:

City of Windcrest Community Pool

Issued:

July 16, 2024

RFQ SUBMITTALS MUST BE RECEIVED BEFORE

August 20, 2024 10:00 A.M. Central Standard Time (CST)

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REQUEST for QUALIFICATIONS for

Architectural and Engineering Professional Services

The Purpose of this Request for Qualifications (RFQ) is to engage licensed architectural and engineering firms (“Service Provider(s)”) experienced in the design of outdoor pools to assist the City of Windcrest (the

“City”), with detailed design services, develop construction documents, assist with bidding/negotiation, and conduct construction administration services for the following project:

City of Windcrest Community Pool The project is to be located at the intersection of Crestway and Jim Seal Drive in Windcrest Texas, 78239.

The City of Windcrest desires to design and construct a new fully ADA accessible outdoor swimming pool and the City anticipates the following scope will be included:

• Competition level swim lanes

• Bathhouse

• Shade areas

• Parking

• Mechanical systems

• Electrical systems,

• Utilities

• support buildings

• Pump Chemical Room

• Floor Plan

• Building elevations

• Site Plan- parking lot, entry, site work, utilities extensions

• Documentation as required to delineate the project and obtain a professional estimate of probable cost for the full extent of the project

• Construction Documents

• Construction Phase Services

The approximate Construction Cost for this scope is $5.0 million dollars.

Professional design services include, but not limited to Architectural, Structural Engineering, Civil , MEP, Environmental, Geotechnical, etc.

The City of Windcrest will make selections based on demonstrated competence and qualifications, as noted in Chapter 2254 of the Texas Local Government Code.

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Firms selected should be familiar with local, state and/or federal regulations that would apply to any awarded project, including, but not limited to: City of Windcrest Codes, county regulations, Unified

Development Codes, TCEQ, FEMA, etc. The projects can have rigid schedule requirements driven by both fiscal and legal considerations to ensure firms demonstrate the ability to provide services within the project timelines that meet the schedule of requirements.

The scope of each project will be specific for the site and the project.

Design Services and Contract Documents

The selected consultant will be responsible for preparing the design and construction documents associated with the City of Windcrest Community Pool to include, at a minimum, the following phases:

• Schematic Design

• Design Development Phase

• Construction Documents Phase

• Bidding Phase

• Construction Administration

• Develop outline specifications at 30%, abbreviated specifications at 60%, and full specifications at 95% in electronic format.

• Opinion of probable cost at each phase to deliver the Project to completion.

• Consultant shall coordinate and facilitate community meetings as required by client (minimum two (2) meetings.

Construction Administration Services

Upon successful completion of Design, the selected consultant will provide the following in support of the

Project:

• Construction Administration services including but not limited to reviews of contractor submittals for compliance with design intent, certify payment applications, site visits, etc.

• Conducting progress meetings and preparation of meeting minutes.

Once selected for the Project, overall fees shall be established for the services in a written contractual agreement (the “Contract”) between the City and Service Provider.

1. GENERAL INFORMATION

1.1 BACKGROUND:

The City of Windcrest is seeking statements of qualifications from qualified state-registered architects and engineers to assist the City in pre-award and post-award professional services of its proposed projects.

To be considered for selection, interested firms (“Respondents”) must submit a Statement of

Qualifications (SOQ) for this Request for Qualification by submitting a SOQ that defines your firm’s abilities as it relates to the information requested later in this RFQ.

1.2 PURPOSE: This Request for Qualifications (RFQ) provides licensed architectural and engineering professionals with sufficient information to enable them to prepare and submit a Statement of

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Qualifications (SOQ) for professional services relating to the project detailed in this RFQ. Projects may be funded by the City’s general funds, Bexar County Funds, bonds, grants, or other sources.

1.3 PROJECT LOCATION – Intersection of Crestway and Jim Seal Drive., Windcrest, Texas

1.4 PROJECT DELIVERY METHOD: Upon completion of the Construction Documents, a

General Contractor (G.C.) will be sought for the construction of this project. The selected consultant firm should be qualified and experienced at supporting this project delivery method, with a scope of work to be defined within a City contract.

1.5 ISSUING OFFICE: This RFQ is issued by the Windcrest City Engineer on behalf of the City of

Windcrest.

1.6 RIGHTS RESERVED: The City of Windcrest expressly reserves the right to accept or reject any and/or all statements submitted.

This request for Statement of Qualifications does not commit the City of Windcrest to pay any costs incurred prior to execution of a contract. Issuance of this material in no way obligates the City of Windcrest to award a contract or to pay any costs incurred in the preparation of a response. The City of Windcrest specifically reserves the right to vary all provisions set forth at any time prior to execution of a contract where it deems it to be in the best interest of the City Of Windcrest.

1.7 EVALUATION OF SOQ’S: The City of Windcrest will base its selection for the services on the basis of competence and qualifications.

See list of weighted criteria in Section 4 of this RFQ.

1.8 PROPOSED PROJECT SCHEDULE FOR RFQ PROCESS:

• July 16, 2024, – Issue RFQ

• August 6, 2024, at 10:00 AM.(CST) – Mandatory Pre-Proposal Meeting will be held at the

Windcrest Civic Center 9310 Jim Seal Drive, Windcrest, Texas

• August 15, 2024, 4:00 p.m. (CST) – Questions Due

• Issue Addendum (as needed)

• August 20, 2024, 10:00 a.m. (CST) – SOQ’s due

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1.10 SUMMARY OF SERVICES REQUIRED:

1.10.1 SPECIALTY SERVICES: Firms working for City of Windcrest should be prepared and capable of offering a full range of architectural and engineering professional services.

1.10.2 PERSONNEL: The selected Respondent(s) shall provide employment of sufficient qualified personnel to fully accomplish the services in accordance with the given schedule.

1.10.3 COORDINATION: The selected Respondent(s) will be required to work with City staff and officials to gather information and analyze needs.

2. STATEMENT OF QUALIFICATIONS (SOQ) SUBMITTAL

2.1 NUMBER OF COPIES OF THE SOQ NEEDED: Interested Respondent(s) must submit one

(1) digital copy with “digital” signature on a USB drive of the entire Statement of Qualification (SOQ).

Respondent(s) and five (5) hard copies. Submittals must be formatted on 8 ½” x 11” paper format. Total submission shall be no longer than 50 pages. Required form submittal do not count against page limits.

2.2 OFFICIALS NOT TO BENEFIT: No City of Windcrest or Bexar County officer or employee shall be admitted to any share or part of this contract, or to any benefit that may arise from it.

2.3 REJECTION OF SOQs: The City reserves the right to reject any and/or all SOQ’s received as a result of this Request for Qualifications or to negotiate separately with any source whatsoever in any manner necessary to serve the best value of the City. The City will not pay for the information solicited or obtained through any response.

2.4 INCURRING COSTS: The City is not liable for any cost incurred by the Respondent(s) prior to issuance of a contract.

2.5 INQUIRIES: Interested Respondents must submit written questions electronically to Windcrest City

Engineer, Leonard Young, PE at lyoung@yprconsulting.com and copy Mr. Jaime Noriega, PE at jaime.noriega@yprconsulting.com no later than 4:00 p.m. (CST), _August 15, 2024.

Clarifications or questions as to the true meaning of specifications or any other document in the event, Respondent's concerns must be submitted in writing to the Windcrest City Engineer on or before the period for the acceptance of questions closes. Late requests will not be honored. Timely requests will be interpreted or otherwise clarified by issuance of an amendment. No other interpretations or clarifications will be provided prior to award.

mailto:lyoung@yprconsulting.com

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2.6 ADDENDA TO THE REQUEST FOR QUALIFICATIONS: In the event it becomes necessary to revise any part of this RFQ, addenda will be provided in the same manner and channels the RFQ was issued.

2.7 RESPONSE DATE: To be considered, SOQs must arrive at the issuing department on or before __10_ a.m. CST on August 20, 2024. Respondent(s) mailing a SOQ should allow normal mail delivery time to ensure timely receipt of the SOQ by the due date and time. Responding firms shall have sole responsibility for timely delivery of their SOQ. County will not accept responses submitted by telephone, FAX transmission or e-mail in response to this event.

Please ensure you allow adequate time for travel to the turn-in location, parking, building security screening, and elevator travel time.

2.8 TYPE OF CONTRACT: The County uses its own professional services agreement in contracting for professional services. The characteristics of that agreement include:

2.8.1 An indemnification provision holding the City and Bexar County harmless from negligence on the part of the professional, professional's employees, agents or consultants;

2.8.2 A requirement that the respondent comply with all local, state and federal laws and is responsible for obtaining all applicable permits, licenses and reviews relating to the projects;

2.8.3 A requirement that the selected respondent and their subcontractors show proof of, carry, and maintain the following insurance at time contract is executed for an awarded project:

A. Commercial General Liability Insurance of TWO MILLION

DOLLARS

($2,000,000.00) aggregate coverage, ONE MILLION DOLLARS ($1,000,000.00) with each occurrence. County shall be named as an additional insured on this policy.

B. Commercial Automobile Liability Insurance of ONE MILLION DOLLARS

($1,000,000.00), combined single limit, covering all owned/leased, borrowed, hired, and non-owned autos. County shall be named as an additional insured on this policy.

C. Statutory workers’ compensation insurance for all employees of SELECTED

RESPONDENT with a waiver of subrogation in favor of COUNTY.

D. Professional Liability with limits of liability not less than:

$ 2,000,000 Per Claim

$ 4,000,000 Annual Aggregate

. a) Coverage shall be continuous (by renewal or extended reporting period) for no less than 60 months following completion of the contract and acceptance of the work by the City.

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b) Coverage, including renewals, shall have the same retroactive date as the original policy applicable to this Contract.

SELECTED RESPONDENT shall provide the CITY with Certificates of Insurance and required endorsements prior to the execution of this Agreement evidencing that the stated coverages have been obtained.

SELECTED RESPONDENT is responsible for all premiums and deductibles under all of the insurance policies required by this section. When there is a cancellation, non-renewal or material change in coverage which is not made pursuant to a request by the City, SELECTED RESPONDENT shall notify the City of such and shall give such notices not less than thirty (30) days prior to the change, if SELECTED

RESPONDENT knows of said change in advance, or ten (10) days’ notice after the change, if SELECTED

RESPONDENT did not know of the change in advance. Such notice must be accompanied by a replacement

Certificate of Insurance. All notices shall be given to the City at the following addresses with a copy of this

Agreement:

City of Windcrest

Finance Department

Windcrest City Hall

8601 Midcrown Drive

Windcrest Texas, 78239

In addition to any other remedies, CITY may have upon SELECTED RESPONDENT’s failure to provide and maintain any insurance or policy endorsements to the extent and within the time herein required, CITY shall have the right to order SELECTED RESPONDENT to stop work hereunder, and withhold any payment(s) which become due to SELECTED RESPONDENT hereunder until SELECTED

RESPONDENT demonstrates compliance with the requirements hereof.

Nothing herein shall be construed as limiting in any way the extent to which SELECTED RESPONDENT may be held responsible for payments of damages to persons or property resulting from SELECTED

RESPONDENT ’s or its subcontractor’s performance of the work covered under this Agreement.

It is agreed that SELECTED RESPONDENT’s insurance shall be deemed primary and non-contributory with respect to any insurance or self-insurance carried by CITY for liability of SELECTED RESPONDENT arising out of operation under this Agreement.

SELECTED RESPONDENT agrees to require, by written contract, that all subcontractors providing services under this Agreement obtain the same insurance coverages required of SELECTED

RESPONDENT, and provide a certificate of insurance and endorsement that names the SELECTED

RESPONDENT and the City of Windcrest and BEXAR COUNTY as additional insured.

The insurance that is required herein shall be written so that the City of Windcrest will be notified in writing in the event of cancellation, restrictive endorsement or non-renewal at least thirty (30) days prior to such action. The selected respondent shall be responsible for obtaining Certificates of Insurance from the sub

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2.9 ACCEPTANCE OF RFQ AND SOQ CONTENT: To be considered, Respondents must submit a complete consolidated response to this Request for Qualifications. The contents of this RFQ and the SOQ of the selected respondent may become contractual obligations, if a contract ensues. SOQs must be signed by an official authorized to bind the firm(s) to its provisions. The respondent will make no other distribution of the SOQs.

2.10 SOQ PREPARATION: Each SOQ should provide a straightforward, concise description of the

Respondent’s ability to meet the requirements of the RFQ. Emphasis should be on completeness and clarity of content.

2.11 ORAL PRESENTATION(S): A Respondent who submits a SOQ may be required to make an oral presentation of its qualifications to a selection committee and/or the Windcrest City Council. These presentations provide an opportunity for respondents to clarify their qualifications to ensure thorough mutual understanding. The Issuing Office will schedule these presentations as needed.

2.12 PRIME CONTRACTOR RESPONSIBILITIES: The selected Respondent(s) will be required to assume responsibility for all services offered in the Statement of Qualifications whether or not the respondent produces them. Further, the City will consider the selected Respondent to be the sole point of contact with regard to contractual matters, including payment of any and all charges resulting from the contract. The complete design ‘team’ lineup is not being represented in these submissions just the prime.

The ‘team’ would be assembled on a project by project basis.

3.0 INFORMATION REQUIRED FROM RESPONDENT:

3.1 COVER CITATION: The following citation should be on the cover:

Submitted to:

Mr. Rafael Castillo Jr.

City Manager

City of Windcrest

8601 Midcrown drive

Windcrest Texas

Name of Project: City of Windcrest Community Pool

Date of Submittal: _____, 2024 at 10:00 a.m. CST

3.2 LETTER OF TRANSMITTAL: The transmittal letter must include the following:

3.2.1 STATEMENT OF UNDERSTANDING: Brief statement of understanding of the work to be performed and a positive commitment to perform the work within the schedule included herein.

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3.2.2 CONTACT PERSON: Name of the contact person or representative for the Respondent, title, address and phone number. State whether the contact person is authorized to bind the Respondent.

If not, who is authorized to sign on behalf of the firm?

3.2.3 LITIGATION SUMMARY: A litigation summary that briefly describes any claims or lawsuits that have been filed against the Respondent that relate to the performance of professional services must be submitted. Identify the claim or suit by adverse party, case number, jurisdiction where filed and current status. If no summary is given or if a general statement is given which also refers the City to inquire with a firm’s counsel, the SOQ may be considered

NONRESPONSIVE and eliminated from consideration. This statement may be submitted as a separate document in a sealed envelope, but must be provided at the same time that the SOQ is submitted.

3.3 RESPONDENT INFORMATION: The Respondent will provide information about the

Respondent(s) and the personnel to be assigned to this project. Be sure to include:

3.3.1 NAME AND ADDRESS: The name and business address of the Respondent and principal who would be responsible for the work.

3.3.2 RESUMES: Current resumes of the proposed PROJECT EXECUTIVE, and KEY

PERSONNEL to be committed to these projects.

3.3.3 RECENT PROJECTS: A list of projects recently completed or in progress by the

Respondent that is of similar scope, size and complexity to these proposed. If projects have already been built or are in progress of construction, submit the approximate construction cost(s) and date(s) completed, and the extent to which the project(s) were constructed within the estimates of probable costs. We are looking for budgetary performance of projects your Firm has been involved in. For example initial budgeted amount, contracted construction amount, and final total construction cost

(including change orders, delays, etc.).There is no minimum or maximum number of submissions in regards to this section and the format they are presented in is at the discretion of the proposer.

Respondent must show experience with outdoor pool projects

3.3.4 REFERENCES: A list of references complete with names, addresses, email, and phone numbers.

3.3.5 SMWBE: A statement of the extent to which the Respondent qualifies as a small, woman and/or minority owned business.

3.3.6 LOCAL OFFICE: A statement of the extent to which the Respondent has a place of business within Bexar County.

3.3.7 AVAILABILITY: An assessment of the present and projected workload at the office where this project will be accomplished, including number of projects by size and on-site technical staff availability.

3.3.8 Forms. Find attached at the end of this RFQ which be completed and submitted along with response.

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3.4 MANAGEMENT PLAN: Describe in both narrative and graphic form how the Respondent proposes to manage a project.

The management plan should include a narrative, and an organizational chart of the project team, which indicates the time commitments and task responsibilities of each key team member during each phase of the project. Provide a description of how the Respondent(s) intends to assure that all services will be well coordinated and that any problems that may arise can resolve without infringing on the project.

4.0 SELECTION CRITERIA

The City of Windcrest discourages unsolicited verbal or written communications from competing companies which may pertain or relate directly or indirectly to any SOQ being evaluated by the selection committee or the City Council which has been submitted in response to this RFQ and which contemplates award of a professional contract, unless provided for in this RFQ.

Negotiations will be undertaken with the highest ranked Respondent(s) whose SOQ response best addresses the needs of the proposed project and demonstrates the ability and experience to perform the work. The

City will first select the highest qualified Respondent on the basis of competence and qualifications, and then will attempt to negotiate a contract at a fair and reasonable price. If a satisfactory contract cannot be negotiated with the most highly qualified provider, then the City will end negotiations with that entity and select the next most highly qualified Respondent and attempt to negotiate a contract at a fair and reasonable price. Award of an agreement will be to the responsive and most qualified Respondent whose SOQ is most advantageous to the City.

SOQs will be evaluated on evidence of understanding of the problem, the objectives to be achieved, and the technical and administrative capabilities in relation to the needs of the project. The following criteria are those that will be applied in the evaluation of the SOQ:

4.1 DEMONSTRATED COMPETENCE - The extent to which the Respondent has demonstrated competence in performing similar work. (40%). Experience in the design of pools integrating the

Myrtha Pool system is a plus.

4.2 QUALIFICATIONS - The extent to which the Respondent has personnel with the necessary experience and training to perform the work. (30%)

4.3 LOCAL OFFICE –( 20%)

4.3 LOCAL SUBS – (10%)

END.

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ATTACHMENTS

All attachments shall be submitted along with responses. Forms do not count against 50-page limitation.

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EXECUTION OF OFFER

THIS EXECUTION OF OFFER MUST BE COMPLETED, SIGNED AND RETURNED

WITH RESPONDENT’S QUALIFICATION. FAILURE TO COMPLETE, SIGN AND

RETURN THIS EXECUTION OF OFFER WITH THE RESPONDENT’S QUALIFICATION MAY

RESULT IN THE REJECTION OF THE QUALIFICATION.

A. By signature hereon, Respondent represents and warrants that:

1. Respondent acknowledges and agrees that (a) this RFQ is a solicitation for qualification and is not a contract or an offer to contract; (b) the submission of a qualification by Respondent in response to this RFQ will not create a contract between the City of Windcrest and Respondent; (c) the City of Windcrest has made no representation or warranty, written or oral, that one or more contracts with the City of Windcrest will be awarded under this RFQ;

2. Respondent has the necessary experience, knowledge, abilities, skills, and resources to perform the services it offers;

3. Respondent is aware of, is fully informed about, and is in full compliance with all applicable federal, state and local laws, rules, regulations and ordinances;

4. Respondent understands (a) the requirements and specifications set forth in this RFQ and (b) the terms and conditions set forth in the Agreement under which Respondent will be required to operate;

5. If selected by the City of Windcrest, Respondent will: provide copies of all insurance policies, a

Certificate of Insurance reflecting the insurance companies that are providing coverage and insurance limits for Commercial General Liability, Workers' Compensation, Professional Liability and Auto Liability, copies of all applicable policies and endorsements.

6. All statements, information and representations prepared and submitted in response to this RFQ are current, complete, true and accurate. Respondent acknowledges that the City of Windcrest will rely on such statements, information and representations in selecting the successful Respondent. If selected by the City of Windcrest, Respondent will notify the City of Windcrest immediately of any material change in any matters with regard to which Respondent has made a statement or representation or provided information.

B. Respondent offers and agrees to furnish the products, services, and price more particularly described in its qualification to the City of Windcrest and complies with all terms, conditions, requirements and specifications set forth in this RFQ.

C. Respondent affirms that it has not given or offered to give, nor does Respondent intend to give at any time hereafter, any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor or service to a public servant in connection with its submitted qualification. Failure to sign this

Execution of Offer, or signing with a false statement, may void the submitted qualification or any resulting contracts, and the Respondent may be removed from all qualification lists at the City of

Windcrest.

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D. Respondent hereby certifies that neither Respondent nor any firm, corporation, partnership or institution represented by Respondent, or anyone acting for such firm, corporation or institution, has violated the antitrust laws of the State of Texas, codified in Section 15.01, et seq., Texas Business and

Commerce Code, or the Federal antitrust laws, nor communicated directly or indirectly the qualification made to any competitor or any other person engaged in such line of business.

E. Respondent certifies that the individual signing this document and the documents made a part of this

RFQ is authorized to sign such documents on behalf of Respondent and to bind Respondent under any agreements and other contractual arrangements that may result from the submission of Respondent’s qualification.

F. Respondent certifies that if a Texas address is shown as the address of the Respondent, Respondent qualifies as a Texas Resident Bidder as defined in Rules of the Texas Building and Procurement

Commission (formerly the Texas General Services Commission). (See 1 T.A.C. 111.2).

G. Respondent certifies that (i) no relationship, whether by blood, marriage, business association, capital funding agreement or by any other such kinship or connection exists between the owner of any

Respondent that is a sole proprietorship, the officers or directors of any Respondent that is a corporation, the partners of any Respondent that is a partnership, the joint ventures of any Respondent that is a joint venture or the members or managers of any Respondent that is a limited liability company, on one hand, and an employee of any the City’s or Bexar County's component, on the other hand, other than the relationships which have been previously disclosed to the City in writing and (ii) Respondent has not been an employee of any component institution of the City of Windcrest or Bexar County within the immediate twelve (12) months prior to the Submittal Deadline. All disclosures by Respondent in connection with this certification will be subject to administrative review and approval before the City enters into a contract with Respondent.

H. Respondent shall and has disclosed, as part of its qualification, any exceptions to the certifications stated in the Execution of Offer. All such disclosures will be subject to administrative review and approval prior to the time the City makes an award or enters into any contract or agreement with

Respondent.

I. Respondent shall complete the following information:

If Respondent is a Corporation, then State of Incorporation:______________________________________

If Respondent is a Corporation then Respondent’s Corporate Charter Number______________________

Submitted and Certified By:______________________________________________________________

Signature of Duly Authorized Representative________________________________________________

Printed Name/Title_____________________________________________________________________

Date Signed___________________________________________________________________________

Respondent’s Street Address________________________________________________________________

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City, State, Zip Code______________________________________________________________________

Telephone Number_________________________________________________________________________

FAX Number__________________________________________________________________________

EMAIL Address_____________________________________________________________________________

WEBSITE ADDRESS_______________________________________________________________________

FEDERAL Taxpayer ID____________________________________________________________________

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Requirement for Disclosure of Conflict of Interest

This questionnaire reflects changes made to the law by the H.B. 1491, 81st Leg., Regular Session.

The 79th Texas State Legislature enacted H.B. 914, creating Chapter 176 of the Texas Local Government

Code.

This act, Disclosure of Certain Relationships with Local Government Officers, took effect January 1, 2006.

As required by the act, the Texas Ethics Commission has created a disclosure questionnaire to be completed by vendors. The disclosure requirement applies to a person who contracts or seeks to contract for the sale or purchase of property, goods or services with a local governmental entity.

1. The CONFLICT OF INTEREST QUESTIONNAIRE (FORM CIQ) is required to be filed within 7 business days of:

A. the date the person becomes aware of facts that require the statement to be filed

The CONFLICT OF INTEREST QUESTIONNAIRE (FORM CIQ) is to be completed and submitted to City of Windcrest Finance Department, Windcrest City Hall, 8601 Midcrown Drive, Windcrest Texas, 78239

COMPLETION AND SUBMISSION OF FORM CIQ ARE THE SOLE RESPONSIBILITY OF THE

PROSPECTIVE VENDOR

CONFLICT OF INTEREST QUESTIONNAIRE

For Respondent or other person doing business with local governmental entity

FORM CIQ

This questionnaire reflects changes made to the law by H.B. 1491, 81st Leg., Regular Session.

This questionnaire is being filed in accordance with chapter 176 of the Local Government Code by a person who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the person who 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.

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

OFFICE USE ONLY

Date Received

1 Name of the person doing business with local governmental entity.

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

(This 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 files questionnaire becomes incomplete or inaccurate.)

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

(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 176.000 (1-a), Local Government Code. Attach additional pages to this Form CIQ as necessary.

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?

Yes No

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?

Yes No

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?

Yes No

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

Signature of person doing business with the governmental entity Date

LIST OF ALL PROFESSIONAL/CONSULTING SERVICE PROVIDERS SUB-FIRMS

Reporting of the expenditure data is required to assist with the City’s Bexar County’s efforts to capture payments to small, minority and women-owned businesses. This document, including the Service Provider’s certification of the information, will become part of the contract awarded for this project, and the Service Provider must report any additions, deletions, or substitutions to this certified list to the Bexar County Purchasing Department.

CERTIFICATION

The above information is true and complete to the best of my knowledge and belief.

SIGNATURE: _________________________________________________________

NAME & TITLE: ______________________________________________________

DATE: _______________________________________________________________

This Document Must be Submitted with your Bid/Proposal.

SOW HEADQUARTER

LOCATION

City, State

NAME OF

COMPANY

PERFORMING

WORK

DOLLAR

AMOUNT

IDENTIFY if firm is a

SBE/MBE/WBE/HUB/DBE

List all that apply

RFQ City of Windcrest Community Pool

References: Using the format outlined below, please provide client references for which you provided the same or similar services.

COMPANY NAME __________________________________________________________

CONTACT PERSON ________________________________________________________

ADDRESS ________________________________________________________________

TELEPHONE #:___________________________ FAX #: ___________________________

EMAIL: ___________________________________________________________________

Client Reference 1

Organization name: ____________________________________________________

Contact and title: ______________________________________________________

Address: ____________________________________________________________

Phone number:_______________________ Email: ___________________________

Effective date of contract:_____________________ Is Contract Active: ___________

Description of services provided:__________________________________________

Client Reference 2

Organization name: ____________________________________________________

Contact and title: ______________________________________________________

Address: ____________________________________________________________

Phone number:_______________________ Email: ___________________________

Effective date of contract:_____________________ Is Contract Active: ___________

Description of services provided:__________________________________________

RFQ City of Windcrest Community Pool

Current Client Reference 3

Organization name: ____________________________________________________

Contact and title: ______________________________________________________

Address: ____________________________________________________________

Phone number:_______________________ Email: ___________________________

Effective date of contract:_____________________ Is Contract Active: ___________

Description of services provided:__________________________________________

Current Client Reference 4

Organization name: ____________________________________________________

Contact and title: ______________________________________________________

Address: ____________________________________________________________

Phone number:_______________________ Email: ___________________________

Effective date of contract:_____________________ Is Contract Active: ___________

Description of services provided:__________________________________________

Current Client Reference 5

Organization name: ____________________________________________________

Contact and title: ______________________________________________________

Address: ____________________________________________________________

Phone number:_______________________ Email: ___________________________

Effective date of contract:_____________________ Is Contract Active: ___________

Description of services provided:__________________________________________