IFB03426 1100 GALLON FEED TANK FINAL.pdf

INVITATION TO AN INFORMAL BID

IFB034-26

The Brownsville Public Utilities Board will accept electronic or sealed Informal Bids (IFB) for 1100 Gallon Feed Tanks, until 2:00 PM, October 2, 2026 in the Brownsville PUB Purchasing Office, 1155 FM511 Olmito, Texas. Any responses received after this time shall not be considered and will not be opened. Email responses through BidNet are acceptable when responding to this Request for Informal Bids.

Informal bids will be publicly opened and read aloud to identify the vendor on October 2, 2026 at 2:15

PM.

Brownsville Public Utilities Board utilizes the Texas Purchasing Group to post Request for Proposal (RFP) and bid opportunities. Bid opportunities are available by following the link: https://www.bidnetdirect.com/texas/brownsville-pub.

A complete set of documents is attached. The Bidder shall submit their bid on these forms. A bid shall be comprised of the bid documents completed by the Bidder plus supplemental information required by the specifications and documents or deemed necessary by the bidder to fully describe the offering.

If submitting hard copy, please mark on the outside of the envelope and on any carrier’s envelope:

“Informal bid IFB#034-26, 1100-Gallon Feed Tanks, October 2, 2026, 2:00 PM, and send it to the attention of Diane Solitaire, Purchasing Department, 1155 FM 511, Olmito, Texas 78575.

The Brownsville PUB will not be responsible in the event that the U.S. Postal Service or any other courier system fails to deliver the sealed bids to the Brownsville PUB, Purchasing Office by the given deadline above. Electronic transmission of Informal Bid will be acceptable through Bidnet, only.

The Brownsville PUB reserves the right to reject any or all bids and to waive irregularities contained therein and to accept any bid deemed most advantageous to the Brownsville PUB.

BY: Diane Solitaire

Purchasing Brownsville PUB

(956) 983-6366 - Phone https://www.bidnetdirect.com/texas/brownsville-pub

IFB034-26 1100-GALLON FEED TANK

Please submit this page upon receipt.

ACKNOWLEDGEMENT FORM

For any clarifications, please contact Nicole Espinoza at BPUB, Purchasing Department at (956) 983- 6353 or e-mail: nespinoza@brownsville-pub.com.

Please e-mail this page upon receipt of the bid package or legal notice.

Check one:

( ) Yes, I will be able to send a BID; obtained bid package from website.

( ) Yes, I will be able to send a BID; please email the RFP package.

Email: _____________________

( ) No, I will not be able to send a BID for the following reason:

If you are unable to send your bid, kindly indicate your reason for “No bid” above and return this form via email to: nespinoza@brownsville-pub.com. This will ensure you remain active on our vendor list.

Date

Company:

Name:

Address:

City: State: Zip Code:

Phone:

Email: ___________________________________________________________________ IF SPECIFICATIONS ARE DOWNLOADED FROM WEBSITE, PLEASE EMAIL THIS PAGE TO EMAIL LISTED

ABOVE

mailto:nespinoza@brownsville-pub.com

SPECIAL INSTRUCTIONS

Contract Information

Interpretation

Questions concerning terms, conditions, and technical specifications should be directed to:

Nicole Espinoza, Purchasing

(956) 983-6353

• Tentative Time Line

1. September 28, 2026 through October 02, 2026 - Vendors work on bid.

2. October 02, 2026 at 2:00 PM - Vendor must submit one set of bid documents electronically through Bidnet or sealed in an envelope to:

Diane Solitaire, Purchasing

1155 FM 511

Olmito, TX 78575

IFB#034-26 – 1100-GALLON FEED TANK

Due: October 2, 2026 at 2:00 PM

The above noted information must be included on bid envelope and on any carrier’s envelope/package.

The Brownsville Public Utilities Board will not be held responsible for missing, lost, late electronic transmission, or late mail. BPUB will accept sealed envelope bids or electronic bids through Bidnet, only.

3. September 29, 2026 – Last day for questions

4. October 02, 2026 - Open bids at 2:15 PM

5. October 02, 2026 to October 16, 2026 - Evaluate bids

6. October 20, 2026 - Provide Final Recommendations

• Award IFB Over $100,000

This IFB is being bid under the assumption that the total bid based on today’s market price will total under the threshold of $100,000. If the total informal bid is above $100,000.00, please do not bid on this IFB and email the cost sheet with NO PRICING to nespinoza@brownsville-pub.com.

• Or Equal

Brand name or manufacturer’s reference used in this request is descriptive – not restrictive – it is intended to indicate type and quality desired. Brands of like nature and quality will be considered. If bidding on other than referenced specifications please provide complete descriptive information of said article.

• Pricing

Bid unit price on quantity specified, extend and show total. In case of errors in extension, unit prices shall govern. Prices shall remain firm until delivery of product to Brownsville PUB.

All fields (UNIT PRICE, TOTAL PRICE, & EST DELIVERY IN DAY) in the specification pages must be filled. The data must be complete to identify the bidding brand.

Failure to submit any of the above information with the sealed or electronic bid will disqualify bid.

• Signing of IFB

Failure to sign IFB will disqualify it. Person signing IFB should show title or authority to bind their firm to a contract.

• Vendor Representative

The successful vendor agrees to send a personal representative with binding authority for the company to the Brownsville Public Utilities Board upon request to make adjustments and/or assist with coordination of all transactions as needed.

• Quality of Products

All items must be new, in first class condition, including containers suitable for shipment and storage.

No substitutions in standard grades or lesser quality will be accepted.

• Determining Factors for Award

1. Price

2. Responsibility of contractor to perform the intended work and responsiveness to the bid request.

3. Compliance with requirements of the Technical Specifications

4. Quality of performance on previous work on similar contracts

5. Recent successful completion of similar projects

6. BPUB financial and legal responsibility evaluations of any identified teaming arrangements involving significant joint ventures, sub-contractors and suppliers

• Contract with Vendor/Entity Indebted to BPUB

It is a policy of the BPUB to refuse to enter into a contract or other transaction with an individual, sole proprietorship, joint venture, Limited Liability Company or other entity indebted to BPUB.

• Vendor ACH (Direct Deposit) Services

The BPUB has implemented a payment service for vendors by depositing the payment directly to the vendor’s bank account. Successful vendor(s) will be required to receive payments directly through Automated Clearing House (ACH) in lieu of a paper check. The awarded vendor must agree to receive payments via ACH (Direct Deposit).

• Tax Identification Number (TIN)

In accordance with IRS Publication 1220, aW9 form, or a W8 form in cases of a foreign vendor, will be required of all vendors doing business with the Brownsville PUB. If a W9 or W8 form is not made available to Brownsville PUB, the first payment will be subject to income tax withholding at a rate of 28% or 30% depending on the U.S. status and the source of income as per IRS Publication 1220.

The W9 or W8 form must be included with bid response. Attached are sample forms.

• Taxes

The Brownsville Public Utilities Board is exempt from Federal Excise Tax, State Tax and local Taxes. Do not include tax in the bid. If it is determined that tax was included in the bid it will not be included in the tabulation or any awards. Tax exemption certificates will be furnished upon request.

• EEOC Guidelines

During the performance of this contract, the contractor agrees not to discriminate against any employee or applicant for employment because of race, color, national origin, age, religion, gender, marital or veteran status, or physically challenging condition.

• Delivered FOB and Purchase Order

The 1100-gallon feed tank shall be delivered FOB Brownsville Public Utilities Board, 3208 Robindale Road, Brownsville, Texas, 78520. A contract for the 1100-gallon feed tank will be placed into effect by means of a purchase order issued by the Brownsville Public Utilities Board after tabulation and final approval by the BPUB representative.

• Brownsville Public Utilities Board Rights

1. If only one or no bid is received by "submission date", the BPUB has the right to reject, re-bid, accept and/or extend the bid by up to an additional two (2) weeks from original submission date.

2. The right to reject any/or all bids and to make award, as they may appear to be advantageous to the Brownsville Public Utilities Board.

3. The right to hold bid for 90 days from submission date without action, and to waive all formalities in bid.

4. The right to extend the total bid beyond the original 90-day period prior to an award if agreed upon in writing by both parties and if bid holds firm.

5. The right to terminate for cause or convenience all or any part of the unfinished portion of the Project resulting from this solicitation within Thirty (30) calendar days written notice; for cause: upon default by the vendor/contractor, for delay or nonperformance by the vendor/contractor; or if it is deemed in the best interest of the BPUB for BPUB’s convenience.

6. In bid, stipulate whether an increase or decrease in quantities will affect bid price.

7. Brownsville PUB has the right to refuse to enter into a contract or other transaction with any individual or entity indebted to the municipality as per Local Government Code 252.0436.

• Corrections

Any interpretation, correction, or change to the invitation to bid will be made by ADDENDUM.

Changes or corrections will be issued by the Brownsville PUB Purchasing Department. Addenda will be e-mailed to all who have returned the Acknowledgement form. Addenda will be issued as expeditiously as possible. It is the responsibility of the vendors to determine whether all addenda have been received. It will be the responsibility of all respondents to contact the Brownsville PUB prior to submitting a response to the invitation to bid to ascertain if any addenda have been issued, and to obtain all addenda, execute them, and return addenda with the response to the invitation to bid. Addenda may be posted on BPUB’s webpage.

COST SHEET IFB034-26 1100-GALLON FEED TANK

If this IFB is over $100,000.00, check below and email the cost sheet with no pricing

( ) YES, IFB is over $100,000.00

QTY UOM DESCRIPTION UNIT PRICE TOTAL

6 EA 1100-GALLON FEED TANK,

SNYDER INDUSTRIES ASM TK 1000 VNT X 78

EQUIPMENT TAG: 002TNK101

OR APPROVED EQUAL,

WITH AN 18-INCH PE THREADED/VENTED MANWAY WITH 15-INCH

OPENING;

TANK SHALL INCLUDE TIEDOWN/LIFTING LUGS AT 4 LOCATIONS,

SPACED 90 DEGREES APART.

DOUBLE WALL 1.5/1.5SG XLPE 6550GAL

119” DIA. X 186” HGT;

1 EA FEED PUMP

EQUIPMENT TAG 001P101

PRO SERIES SUBMERSIBLE PUMP, MODEL S3050-VS

WITH 0.5 HP MOTOR AND PRIMARY DESIGN POINT 53 GPM AT 15.3 FT

TDH,

OR APPROVED EQUAL.

PUMP SHALL BE PROVIDED WITH A WATERPROOF POWER CORD,

MINIMUM LENGTH OF 20 FT.

3 EA PACKAGED PUMP SYSTEMS NO. 1

EQUIPMENT TAG 101P101, 102P101, & 201P101

LITTLE GIANT PIT+PLUS SR SIMPLEX PACKAGE ITEM 511661 WTH 0.5

HP PUMP

AND BASIN ASSEMBLY PPS3VD2 POWER

1 EA UV FEED PUMP

EQUIPMENT TAG 202P101

MAG DRIVE MARCH PUMP, MODEL TE-5C-MD-AM,

WITH .125 HP MOTOR

PRIMARY DESIGN POINT 15 GPM AT 10.1 FT TDH

1 EA PERMEATE PUMP

DAYTON SUBMERSIBLE PUMP, MODEL 3YU58

WITH 0.333 (1/3) HP MOTOR

PRIMARY DESIGN POINT 20 GPM AT 9.2 FT TDH

1 EA CONCENTRATE PUMP

EQUIPMENT TAG 302P101

DAYTON SUBMERSIBLE PUMP, MODEL 3YU58

PRIMARY DESIGN POINT 20 GPM AT 9.2 FT TDH

1 EA BACKWASH WASTE PUMP

EQUIPMENT TAG 303P101

PRO SERIES SUBMERSIBLE PUMP, MODEL S3050-VS

WITH .5 HP MOTOR

PRIMARY DESIGN POINT 40 GPM AT 23.1 FT TDH.

1 EA *SODIUM HYPOCHLORITE METERING PUMP

EQUIPMENT TAG 401MP101

BLUE-WHITE PROSERIES M3

PRIMARY DESIGN POINT .02 (GPH)

1 EA *LIQUID AMMONIUM SULFATE METERING PUMP

EQUIPMENT TAG 402MP101

BLUE-WHITE PROSERIES M3

PRIMARY DESIGN POINT .005 (GPH)

1 EA SHIPPING & HANDLING (ESTIMATE TO BROWNSVILLE, TX)

ANY ADDITIONAL FEES (PLEASE SPECIFY)

GRAND TOTAL

Special Instructions:

Please specify manufacturer and provide detailed specifications on the tank quoted.

*Optional purchase for BPUB

Stipulate below whether the increase or decrease will affect bid price.

(______) Yes, Increase or Decrease will affect bid price.

(______) No, Increase or Decrease will not affect bid price.

Company Name:

Authorized Company Representative:

Authorized Company Representative:

Signature – (Failure to sign Bid will disqualify it)

Company Address:

Telephone #:

E-mail:

REQUIRED FORMS CHECKLIST

The following documents are to be submitted as a part of the Bid/RFP/RFQ document

NAME FORM DESCRIPTION SUBMITTED WITH BID

YES NO

Legal Notice

Acknowledgement Form

Debarment Certificate

Ethic Statement

Conflict of Interest Questionnaire

W9 or W8 Form

Form 1295 (N/A)

Residence Certification Form

State Law Verification House Bill 89 Verification

Special Instructions (if applicable)

Bid Schedule/Cost sheet completed and signed

Cashier Check or Bid Bond of 5% of Total Amount of Bid

OSHA 300 Log

Contractor Pre-Bid Disclosure completed, signed and notarized

Sub-Contractor Pre-Bid Disclosure completed, signed, and notarized

References Complete the Previous Customer Reference Worksheet for each reference provided

Addenda

NOTE: ALL FORMS MUST BE COMPLETED, SIGNED, NOTARIZED AND SUBMITTED

ALONG WITH BID RESPONSE

ETHICS STATEMENT (COMPLETE AND RETURN WITH BID)

The undersigned bidder, by signing and executing this bid, certifies and represents to the Brownsville Public Utilities Board that bidder has not offered, conferred or agreed to confer any pecuniary benefit, as defined by (1.07 (a) (6) of the Texas Penal Code, or any other thing of value as consideration for the receipt of information or any special treatment of advantage relating to this bid; the bidder also certifies and represents that the bidder has not offered, conferred or agreed to confer any pecuniary benefit or other thing of value as consideration for the recipient’s decision, opinion, recommendation, vote or other exercise of discretion concerning this bid, the bidder certifies and represents that bidder has neither coerced nor attempted to influence the exercise of discretion by any officer, trustee, agent or employee of the Brownsville Public Utilities Board concerning this bid on the basis of any consideration not authorized by law; the bidder also certifies and represents that bidder has not received any information not available to other bidders so as to give the undersigned a preferential advantage with respect to this bid; the bidder further certifies and represents that bidder has not violated any state, federal, or local law, regulation or ordinance relating to bribery, improper influence, collusion or the like and that bidder will not in the future offer, confer, or agree to confer any pecuniary benefit or other thing of value of any officer, trustee, agent or employee of the Brownsville Public Utilities Board in return for the person having exercised their person’s official discretion, power or duty with respect to this bid; the bidder certifies and represents that it has not now and will not in the future offer, confer, or agree to confer a pecuniary benefit or other thing of value to any officer, trustee, agent, or employee of the Brownsville Public Utilities Board in connection with information regarding this bid, the submission of this bid, the award of this bid or the performance, delivery or sale pursuant to this bid.

THE VENDOR SHALL DEFEND, INDEMNIFY, AND HOLD HARMLESS THE CITY OF

BROWNSVILLE AND THE BROWNSVILLE PUBLIC UTILITIES BOARD, ALL OF THEIR OFFICERS,

AGENTS AND EMPLOYEES FROM AND AGAINST ALL CLAIMS, ACTIONS, SUITS, DEMANDS,

PROCEEDING, COSTS, DAMAGES, AND LIABILITIES, ARISING OUT OF, CONNECTED WITH, OR

RESULTING FROM ANY ACTS OR OMISSIONS OF CONTRACTOR OR ANY AGENT, EMPLOYEE,

SUBCONTRACTOR, OR SUPPLIER OF CONTRACTOR IN THE EXECUTION OR PERFORMANCE OF

THIS BID.

I have read all of the specifications and general bid requirements and do hereby certify that all items submitted meet specifications.

COMPANY: _______________________________________

AGENT NAME: ____________________________________

AGENT SIGNATURE:________________________________

ADDRESS:_________________________________________

CITY: _____________________________________________

STATE: _____________________________ ZIP CODE:

TELEPHONE: ________________________ TELEFAX:

FEDERAL ID#: AND/OR SOCIAL SECURITY #:

DEVIATIONS FROM SPECIFICATIONS IF ANY:

NOTE: QUESTIONS AND CONCERNS FROM PROSPECTIVE CONTRACTORS SHOULD BE RAISED WITH

OWNER AND ITS CONSULTANT (IF APPLICABLE) AND RESOLVED, IF POSSIBLE, PRIOR TO THE BID

SUBMITTAL DATE. ANY LISTED DEVIATIONS IN A FINALLY SUBMITTED BID MAY ALLOW THE

OWNER TO REJECT A BID AS NON-RESPONSIVE.

CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER

RESPONSIBILITY MATTERS (COMPLETE AND RETURN THIS FORM WITH BID)

Name of Entity: ____________________________________________________

The prospective participant certifies to the best of their knowledge and belief that they and their principals:

Are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from covered transactions by any Federal department or agency:

Have not within a three year period preceding this proposal been convicted of, had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;

Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, Local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification; and have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State, Local) terminated for cause or default.

I understand that a false statement on this certification may be grounds for rejection of this proposal or termination of the award. In addition, under 18 USC Section 1001, a false statement may result in a fine up to a $10,000.00 or imprisonment for up to five (5) years, or both.

Name and Title of Authorized Representative (Typed)

Signature of Authorized Representative Date

I am unable to certify to the above statements. My explanation is attached.

THIS FORM MUST BE COMPLETED IN ITS ENTIRETY & SUBMITTED WITH BID RESPONSE

STATE LAW VERIFICATIONS

I, ______________________________________ (Person’s name), the undersigned representative of (Company or Business name) ____________________________________ _________________ _____________________ ______________ (hereafter referred to as the “Company”) being an adult over the age of eighteen (18) years of age, after being duly sworn by the undersigned notary, do hereby depose and verify under oath as follows:

• IRAN, SUDAN AND FOREIGN TERRORIST ORGANIZATIONS: By submission of a response to City of Brownsville Public Utilities Board (“BPUB”) Request for Bids (the “IFB”), the responding Company represents that, to the extent this bid submission or any contracts executed in response to this bid constitutes a governmental contract within the meaning of Section 2252.151 of the Texas Government Code, as amended, solely for purposes of compliance with Section 2252.152 of the Texas Government Code, and except to the extent otherwise required by applicable federal law, neither the responding Company, nor any wholly owned subsidiary, majority‐owned subsidiary, parent company or affiliate of the Company is a company listed by the Texas Comptroller of Public Accounts under Sections 806.051, 807.051, or 2252.153 of the Texas Government Code.

• ANTI‐BOYCOTT ISRAEL VERIFICATION: By submission of a response to the BPUB

IFB, the responding Company represents that, to the extent this bid submission, or any contracts executed in response to this bid, constitutes a contract for goods or services within the meaning of Section 2271.002 of the Texas Government Code, as amended, solely for purposes of compliance with Chapter 2271 of the Texas Government Code, and subject to applicable federal law, including without limitation, 50 U.S.C. Section 4607, the responding Company, as well as any wholly owned subsidiary, majority‐owned subsidiary, parent company or affiliate of the Company, (1) does not boycott Israel and (2) will not boycott Israel through the term of any such contract. The term “boycott Israel” as used in this paragraph has the meaning assigned to such term in Section 808.001 of the Texas Government Code, as amended.

• VERIFICATION REGARDING NO DISCRIMINATION AGAINST FIREARMS: By submission of a response to the BPUB IFB, the responding Company represents that, to the extent this bid submission, or any contracts executed in response to this bid, constitutes a contract for goods or services for which a written verification is required under Section 2274.002, Texas Government Code (as added by Senate Bill 19, 87th Texas Legislature, Regular Session), as amended, the responding Company hereby verifies that it, as well as any wholly owned subsidiary, majority‐owned subsidiary, parent company or affiliate of the Firm,

(1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate during the term of any such contract against a firearm entity or firearm trade association. The foregoing verification is made solely to comply with Section 2274.002, Texas Government Code (as added by Senate Bill 19, 87th Texas Legislature, Regular Session), as amended, to the extent such section does not contravene applicable Texas or federal law. As used in the foregoing verification, “discriminate against a firearm entity or firearm trade association” shall have the meaning assigned to such term in Section 2274.001, Texas Government Code (as added by Senate Bill 19, 87th Texas Legislature, Regular Session).

• VERIFICATION REGARDING NO ENERGY COMPANY BOYCOTTS: By submission of a response to the BPUB IFB, the responding Company represents that, to the extent this bid submission, or any contracts executed in response to this bid, constitutes a contract for goods or services for which a written verification is required under Section 2274.002, Texas Government Code (as added by Senate Bill 13, 87th Texas Legislature, Regular Session), as amended, the responding Company hereby verifies that the responding Company, as well as any wholly owned subsidiary, majority‐owned subsidiary, parent company or affiliate of the Firm, (1) does not boycott energy companies and (2) will not boycott energy companies during the term of any such contract. The foregoing verification is made solely to comply with Section 2274.002, Texas Government Code (as added by Senate Bill 13, 87th Texas Legislature, Regular Session), as amended, to the extent such section does not contravene applicable Texas or federal law. As used in the foregoing verification, “boycott energy companies” shall have the meaning assigned to such term in Section 809.001(1), Texas Government Code.

DATE SIGNATURE OF COMPANY REPRESENTATIVE

On this the _____ day of _________________________, 20____, personally appeared

________________________________________, the above-named person, who after by me being duly sworn, did swear and confirm that the above is true and correct.

NOTARY SEAL____________________________________

NOTARY SIGNATURE____________________________________

Date

BROWNSVILLE PUBLIC UTILITIES BOARD

RESIDENCE CERTIFICATION

In accordance with Art. 601g, as passed by the 1985 Texas Legislature, the following will apply. The pertinent portion of the Act has been extracted and is as follows:

Section 1. (a)

(1) "Nonresident bidder" means a bidder whose principal place of business is not in this state, but excludes a contractor whose ultimate parent company or majority owner has its principal place of business in this state.

(2) "Texas resident bidder " means a bidder whose principal place of business is in this state, and includes a contractor whose ultimate parent company or majority owner has its principal place of business in this state.

Section 1. (b)

The state or governmental agency of the state may not award a contract for general construction, improvements, services, or public works projects or purchases of supplies, materials or equipment to a nonresident bidder unless the nonresident's bid is lower than the lowest bid submitted by a responsible Texas resident bidder by the same amount that a Texas resident bidder would be required to underbid a nonresident bidder to obtain a comparable contract in the state in which the nonresident's principal place of business is located.

I certify that ______________________________________________________________________ (Company Name) is a resident Texas bidder as defined in Art. 601g.

Signature: ______________________________________________________________________

Print Name: _______________________________________________________________________

I certify that________________________________________________________________________ (Company Name) is a nonresident bidder as defined in Art. 601g. and our principal place of business is: ________________________________________________________________________

(City and State)

Signature: _________________________________________________________________

Print Name:

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, after being duly sworn by the undersigned notary, do hereby depose and verify under oath 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 providing that:

(1) “company” does not include a sole proprietorship; and

(2) the law applies only to a contract that:

(a) is between a governmental entity and a company with 10 or more full-time employees;

and

(b) has a value of $100,000 or more that is to be paid wholly or partly from public funds or the governmental entity

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

On this the _____ day of _________________________, 20____, personally appeared

________________________________________, the above-named person, who after by me being duly sworn, did swear and confirm that the above is true and correct.

NOTARY SEAL____________________________________

NOTARY SIGNATURE____________________________________

Date

PREVIOUS CUSTOMER REFERENCE WORKSHEET

Name of Customer: Customer Contact:

Customer Address: Customer Phone Number:

Customer Email:

Name of Company Performing Referenced Work:

What was the Period of Performance? What was the Final Acceptance Date?

From:

To:

Dollar Value of Contract?

What Type of Contract?

Firm Fixed Price Time and Material Not to Exceed Cost Plus Fixed Fee Other, Specify:

Provide a brief description of the work performed for this customer (add additional page if required)

SPECIAL INSTRUCTIONS