LTS-171126-51 RFP Documents .pdf

BROWNSVILLE NAVIGATION DISTRICT

OF CAMERON COUNTY, TEXAS

Request for Proposal For Testing and Lab Services for the

Fishing Harbor, Turning Basin and Northside Wastewater

Treatment Plants

LTS-171126-51

Pre-Bid Date - Thursday, October 22, 2026, 2:00 PM

Closing Date –Thursday, November 5, 2026, 2:00 PM

Brownsville Navigation District • 1000 Foust Road • Brownsville, TX 78521

(956) 831-4592 • (800) 378-5395 • Fax (956) 831-5006 • portofbrownsville.com

Timetable

Item Due Date Solicitation Advertised Wednesday, October 14, 2026

Pre-Bid Meeting Thursday, October 22, 2026 2:00 PM Microsoft Teams meeting Join:

Meeting ID: 228 895 038 240 711 Passcode: C6ze7HC7

Questions Due Monday, October 26, 2026 3:00 PM

Responses Due Thursday, October 29, 2026 5:00 PM

Submittals Due Thursday, November 5, 2026 3:00 PM Microsoft Teams meeting Join:

Meeting ID: 271 376 715 284 7 Passcode: PK7iS6wi

Anticipated presentation to the Board for award.

Wednesday, November 18, 2026

Anticipated Notification of Award Thursday, November 19, 2026 https://teams.microsoft.com/meet/228895038240711?p=8isFayhQoK81RnHdH5 https://teams.microsoft.com/meet/2713767152847?p=PP0anVjMwAvFc22r9c

Table of Contents Timetable

NOTICE

SECTION I

GENERAL INFORMATION AND INSTRUCTIONS

General Reservation of Rights Preparation of Bid Public Information Act Submission of Bid Authorized Signature Withdrawal of Bid Interpretation of Specifications Addenda to Request for Bids Criteria Used in Evaluating Bids Compliance with Laws Texas Ethics Commission Form 1295 Disclosures Texas Government Code Chapter 2270 Prohibition on Boycotting Israel Award of the Bid Disclosure of Sub-contractors Determination of Compliance with Specifications Delivery Confidentiality Terms of Payment Insurance Requirements

SECTION II SPECIFICATIONS

SCORING CRITERIA OF SUBMISSION

SECTION III Bid FORMS Attachments to this RFP that are required:

NOTICE

Notice is hereby given that sealed Bids for Testing and Lab Services for the Fishing Harbor, Turning Basin and Northside Wastewater Treatment Plants will be received by the Brownsville Navigation District of Cameron County, Texas.

Bids must comply with the requirements set out in the "Request for Bids” which may be obtained from the Port of Brownsville website and Bidnet Direct.

No Bid will be accepted via fax or email.

THE RIGHT IS HEREBY RESERVED by the Board of Commissioners to reject any and all Proposals.

SECTION I

GENERAL INFORMATION AND INSTRUCTIONS

General The Brownsville Navigation District d/b/a The Port of Brownsville (hereinafter referred to as the “District”) is soliciting Proposals for Testing and Lab Services for the Fishing Harbor, Turning Basin and Northside Wastewater Treatment Plants.

1. Each Applicant will read these Specifications with care, since failure to meet each condition or a combination of specified conditions may invalidate the Proposal. Any exceptions to terms requested herein must be clearly noted in writing and be included as a part of the submitted Bid.

2. No telephone, fax or e-mail Bids will be accepted. The District will not be responsible for missing, lost or late mail. Any Bids received after the date and time set for the deadline for receipt of Bids will be returned to the Applicant unopened.

3. The RFB information is believed to be accurate and is based upon the latest available information, but it is not to be considered in any way as a warranty.

Requests for additional information should be directed in writing through Bidnet Direct Q&A if before the deadline for written questions. If after deadline additional questions may be submitted by email to:

purchasing@portofbrownsville.com Any questions received after written questions deadline, may or may not be addressed in an additional addendum.

4. The District reserves the right to purchase more or less than what’s indicated on the solicitation, and the District reserves the right to not purchase anything under this solicitation.

Reservation of Rights

The District expressly reserves the right to:

• Accept one or more Bid(s).

• Reject any and all Bids received, or portion thereof.

• Cancel the entire RFB.

• Issue a subsequent RFB.

• Remedy technical errors in the RFB process.

• Waive informalities and irregularities.

• Contact any Bidder for clarification after the Bids are opened.

• Accept any Bid in whole or part, whether there are negotiations subsequent to its receipt. If subsequent negotiations take place, they shall not constitute a rejection or an alternate RFB.

mailto:purchasing@portofbrownsville.com

Preparation of Bid The Bidder shall prepare their bid on the attached bid forms with attachments as necessary to fulfill the specifications contained herein.

Public Information Act

The Brownsville Navigation District is a political subdivision of the State of Texas subject to the requirements of the Public Information Act, and therefore, any information submitted in response to the invitation for bids (or request for proposals, etc.) may be considered public information unless it is made confidential or is exempt from disclosure under Texas law.

Submission of Bid

Bids shall be submitted via Bidnet Direct, or 2 copies one (1) physical and one

(1) Digital (USB) of the Bid shall be submitted in a sealed envelope. Each envelope or package must be addressed as follows:

Brownsville Navigation District Procurement and Contract Supervisor

1000 Foust Road Brownsville, Texas 78521

On the front of each envelope shall be written the following words:

Testing and Lab Services for the Fishing Harbor, Turning Basin and Northside Wastewater Treatment Plants

LTS-171126-51

Submittals by the Bidders in response to this RFB shall become the property of the District. The District shall not be responsible for the Respondent’s costs associated with submitting of a response.

Authorized Signature

All Bids must be signed by persons who have legal authority to bind the Bidder to items and prices that are reflected in the bid.

Withdrawal of Bid

Bidders may withdraw their bids at any time up to the time specified as the closing time for acceptance of bids. However, no Bidder shall withdraw or cancel their bid for a period up to Ninety (90) days after said closing date for acceptance of bids. The successful low Bidder shall not withdraw or cancel or modify their bid, except at the request of the District, after having been notified that said bid has been accepted by the District.

Interpretation of Specifications

If any person contemplating submitting a Bid is in doubt as to the true meaning of any part of these Specifications, they may submit via Bidnet direct Q&A or to Miguel Barajas, Procurement and Contract Supervisor @ purchasing@portofbrownsville.com a written request for interpretation thereof.

Requests for interpretation must be received by Tuesday, October 27, 2026 @ 3:00 PM CST. Proposers shall not seek to influence any District Board members or District staff, directly or indirectly through others, as such contact may result in disqualification.

Addenda to Request for Bids

If it becomes necessary to revise any part of this RFB, a written addendum will be posted on Bidnet Direct and the Port of Brownsville web site, under “Business with the Port/Procurement”. It will be the responsibility of each Bidder to verify that they have received all addendums. Bidders must acknowledge on the Bidder’s Acknowledgement Form the receipt of all addenda in order for their Bid to be considered. The District is not bound by any oral representations, clarifications, or changes made in the written specifications by the District’s employees.

Criteria Used in Evaluating Bids

1. Bids will be carefully evaluated for cost effectiveness and for compliance with the requirements contained in the Specifications.

2. In purchasing any real property or personal property not affixed to real property, the District reserves the right to award to a vendor whose principal place of business is in the boundaries of the Brownsville Navigation District and whose bid price is within 3% of the lowest bid price received from a bidder who is not located within the boundaries of the Brownsville Navigation District, provided that the local bidder offers the best combination of contract price and additional economic development opportunities created by the contract award, including the employment of residents of Brownsville Navigation District and increased tax revenues to the Brownsville Navigation District. for purchases of real property or personal property that is not affixed to real property.

Compliance with Laws

All Bidders involved shall observe and comply with all regulations, laws, ordinances, etc., of local, state, and federal governments as they apply to this bidding process.

Texas Ethics Commission Form 1295 Disclosures

Companies doing business with the Brownsville Navigation District, a governmental entity, are required to file a “Disclosure of Interested Parties Form” (Form 1295). The successful Applicant will be required to file a Form 1295 prior to the Board approving the award of the bid. Further information regarding this form may be found on the Texas Ethics website, and instructions will be provided.

Texas Government Code Chapter 2270 Prohibition on Boycotting Israel

Companies doing business with the Brownsville Navigation District, a governmental entity, are prohibited from boycotting Israel during the term of the purchase agreement resulting from this bidding process. Applicants will be required to provide a written verification that they do not boycott Israel and that they will not boycott Israel during the term of the agreement.

Award of the Bid Award of the bid shall be based on the lowest base Bid, subject to the 3% Local Preference Option, if applicable.

Disclosure of Sub-contractors

The Bidder shall disclose and provide contact information for the anticipated use of any sub-contractor. The Bid submitted to the District shall identify each sub-contractor and the specific elements and items for which each will be responsible. Following the award of the RFB no additional subcontracting will be allowed without the prior written consent of the District.

Determination of Compliance with Specifications

The Facilities and Maintenance Director or his designee will be responsible for assuring that the delivered product/service complies with the successful applicants proposal and will make the final determination of compliance.

This examination will take place on the date of delivery or within a reasonable time thereafter. If it is rejected for failure to comply with the Specifications, it shall be the responsibility of the applicant to remove it from the District’s premises at their expense.

Delivery The successful Bidder will be expected to deliver the requested goods/services within the specified delivery period, if any.

Confidentiality Bidders shall certify that any confidential information obtained from the District shall not be made available, reproduced, sold, distributed or otherwise published or disseminated to any person or entity, except as is necessary for the Bidder to provide the equipment required by the RFB. The Bidder must also agree to notify the District of any instances that the confidentiality of any information to which it has been given access has been breached.

Terms of Payment

Funds will be paid until completion, acceptance and fulfillment of the purchase obligation to the District.

The District refers to the payment terms of the Texas Prompt Payment Act as Net 30: Payment of the net (full) amount will be made within 30 days of receipt of the invoice or receipt of material or service, whichever is later.

Billing address for invoices under this RFB is:

Brownsville Navigation District Finance Department

1000 Foust Road Brownsville, TX 78521

Electronic invoicing may be submitted to vendor@portofbrownsville.com mailto:vendor@portofbrownsville.com

Insurance Requirements

(a) The Consultant shall furnish proof of insurance requirements as indicated below and as required under the Contract Documents. The coverage is to remain in force at all times during the contract period.

The following minimum insurance coverage is required. The commercial general liability insurance policy shall name the Brownsville Navigation District, as an "additional insured." This MUST be written in the description section of the insurance certificate, even if there is a check-off box on the insurance certificate. Any costs for adding the Port as "additional insured" shall be at the Consultant's expense.

(b) The Port shall be given notice 30 days prior to cancellation or modification of any required insurance. The certificate of insurance provided to the Port shall be endorsed or amended to comply with this notice requirement. Such notification will be in writing by registered mail, return receipt requested and addressed to the Port, care of the Port Director and CEO.

(c) The Consultant's insurance must be provided by an A.M. Best's "A-"rated or better insurance company authorized to issue insurance policies in the State of Texas, subject to approval by the Port.

Any exclusions or provisions in the insurance maintained by the contractor that excludes coverage for work contemplated in this solicitation shall be deemed unacceptable, and shall be considered breach of contract.

(d) The Contractor shall be required to submit renewal certificates of insurance throughout the term of this contract and any extensions within 10 days of the policy expiration dates. All notices under this section shall be given to the Port of Brownsville at the following address: Port of Brownsville Attn:

Administrative Services Department 1000 Foust Road Brownsville, TX 78521

The successful Vendor shall not commence work under this agreement until all of the insurance required has been obtained and certificates of insurance are on file and approved by the Brownsville Navigation District. Approval of the insurance by the Brownsville Navigation District shall not relieve or decrease the liability of the successful Vendor.

The successful Vendor shall provide and maintain for the duration of this agreement, the following minimum coverage:

Type of Coverage Limit of Liability

Worker's Compensation Statutory

Employer's Liability $1,000,000.00

Comprehensive General Liability -Bodily Injury $1,000,000/occurrence -Property Damage $1,000,000/occurrence

Comprehensive Automotive Liability Coverage to include:

-All owned vehicles $1,000,000/occurrence -All non-owned vehicles $1,000,000/occurrence -All hired vehicles $1,000,000/occurrence

All policies must be endorsed with a Waiver of Subrogation in favor of the Brownsville Navigation District d/b/a Port of Brownsville.

All insurance shall be at the sole cost and expense of the successful Vendor. All the liability coverages cited shall name the Brownsville Navigation District as an additional insured as its interest may appear. The policy or policies shall contain a clause that the insurer will not cancel or change the policy or policies without first giving the District thirty (30) days prior written notice.

SECTION II SPECIFICATIONS

TESTING AND LAB SERVICES FOR WASTEWATER TREATMENT PLANTS TO INCLUDE

BUT NOT LIMITED TO: ...

Biochemical Oxygen Demand, Total Suspended Solids, Escherichia Coli Bacteria, Cyanide, Oil and Grease (HEM), Enterococci, additional Test required by TCEQ to keep certification current and to provide results to TCEQ and BND for monthly reports and Biyearly inspections.

DELIVERY TERMS

Delivery of the product shall be no later than 1 day after receipt of order. Delivery shall be FOB at the Brownsville Navigation District's Facilities Maintenance yard, 5100 R. L. Ostos Road, Brownsville, TX 78521.

VERIFICATION OF COMPLIANCE

The bidder shall submit, with the bid, his certification and licenses required to provide services. Services adherence to accepted parameters may be verified by the BND at the BND's discretion and expense.

REMOVAL OF REJECTED PRODUCT

Services delivered which tests or show not to be in compliance with the contract parameters shall be deemed unacceptable and work and expenses of project shall be at the Contractor ' s expense.

Additionally, no payment will be made to the Contractor by the District for product delivered which does not meet the contract parameters. The quantity of such rejected services shall be determined by the District ' s Director of Facilities Maintenance whose decision shall be final. Continued or repeated delive1y of services proven not to be in compliance with the contract parameters may be determined to be a cause for termination of the contract by the District.

TERM OF AGREEMENT AND EXTENSION/RENEWAL RIGHTS

The term of the agreement shall be, unless sooner terminated, for the period January 1, 2027, through December 31, 2027. However, it is specifically provided that the Port may terminate the agreement for any reason whatsoever, with or without cause, with no liability whatsoever upon the Port with a thirty-day (30-day) written notice to the contractor. The agreement may be extended on a year-to-year basis of up to three years for a total of four (4) years following the initial term upon the agreement of both parties with no increase in the unit price. In no event shall the individual extension be for more than a one-year period, and no more than three extensions may be undertaken.

SCORING CRITERIA OF SUBMISSION

The District shall create a Committee comprised of District staff that will evaluate all proposals received in response to this RFP. The applicants will be evaluated, ranked, and scored based on the criteria below:

Understanding of Scope of Work - 20 points: Applicant understands and meets all service requirements specified in this proposal.

Qualifications, Experience of the Firm - 30 points: Overall applicant qualifications in providing hauling services. Applicant's experience with similar services and past experience with the Port.

Service Availability - 20 points: Applicant demonstrates ability to provide services in a timely manner.

Value of Cost - 30 points: The evaluation of the relative cost and value for each applicant.

Following the initial evaluation of proposals, the Committee may select one or more proposing firms for an oral interview or presentation of their proposal unless the Committee can make its selection(s) based on the proposals submitted.

The District may make an award to one or more proposing firms based on the evaluation of proposals. In the event the District awards to more than one proposing firm, the District may assign work on a rotating basis to any of the selected firms, at the District's discretion, considering cost, availability, and demonstration of ability to perform the services requested with the best value provided to the District.

SECTION III Bid FORMS

Attachments to this RFP that are required:

1. Respondent’s Acknowledgement Form

2. Vendor Registration and Conflict of Interest Questionnaire

3. Government Code Chapter 2270 and 2252 Disclosure Statement

4. Statement of Non-Collusion

5. Proof of Insurance

The following required forms can also be found at www.portofbrownsville.com – Business With the Port / Vendor Information http://www.portofbrownsville.com/

BROWNSVILLE NAVIGATION DISTRICT

Respondent’s Acknowledgment Form

Having carefully examined the information, notices and specifications and conditions contained in this package, the undersigned Applicant's agent or representative hereby proposes and agrees to comply with these Specifications at the prices quoted. The Applicant affirms that, to the best of their knowledge, the submitted Proposal has been arrived at independently and is submitted without collusion to obtain information or gain any favoritism that would in any way limit competition or give them an unfair advantage over other Applicants in the award of this RFP.

Addendums received:

Vendor:

Address:

City, State, Zip Code:

Signature of Applicant:

Title with Company:

To Vendors Doing Business with Brownsville Navigation District:

The Texas legislature passed two pieces of legislation that affect the relationship between the Brownsville Navigation District and its vendors. The Board of Commissioners of the Brownsville Navigation District has incorporated these new requirements into the Code of Ethics already in place for the District.

The District will now require that any vendor seeking to do business with the Brownsville Navigation District must file certain documents on an annual basis in order to be able to be awarded a purchase contract or a purchase order for goods or services. These forms are:

1. Vendor Registration Form

2. Conflict of Interest Questionnaire

These forms must be re-filed on an annual basis. Copies of the required forms and a full copy of the Code of Ethics are available on the District's website at www.portofbrownsville.com

Conflict of Interest Questionnaires can be found at the Texas Ethics Commission web site at:

https://www.ethics.state.tx.us/data/forms/conflict/CIQ.pdf

Conflict of Interest Questionnaires must be filed in regard to the Brownsville Navigation District "local government officers" which include the Navigation District Commissioners, the Port Director and CEO and the Deputy Port Directors. A listing of these persons is enclosed. Completed forms are to be filed with my office.

Please do not hesitate to contact me should you have any questions regarding these forms.

Sincerely yours, M A Barajas Miguel Barajas

Procurement and Contract Supervisor

(956) 838-7043 Fax (956) 831-5106 purchasing@portofbrownsville.com

Brownsville Navigation District 1000 Foust Road/ Brownsville, Texas 78521 / (956) 831 -4592 / (800) 378-5395 / Fax (956) 831-www.portofbrownsville.com http://www.portofbrownsville.com/ https://www.ethics.state.tx.us/data/forms/conflict/CIQ.pdf http://www.portofbrownsville.com/

Brownsville Navigation District Vendor Registration Form

Please complete this form to give the District your contact information for use during an RFP/RFB process or to open or update a vendor account

Date: Name of Person Providing Information:

If you are currently participating in an RFP process for the District, please indicate the RFP title:

If you are interested in receiving a notice when an RFP is available, please indicate your areas of interest:

Construction Contracts Security Services

Property/Liability Insurance Bank Depository

Group Insurance Other:

Salvage Offerings

Uniform Service

Vendor Name Web Site

Contact Person: Fax Number:

Phone Number: eMail Address:

Mailing Address: Physical Address:

Form of Business (Individual/Sole Proprietor/Partnership/Corporation/Other)

Taxpayer Identification Number:

Please return this form by fax to (956) 831-5106 or by email to vendor@portofbrownsville.com

Signature of Person Providing Information

This vendor is not a Listed Company as per:

Section 2252 of the Texas Government Code

*Federal Debarred List - SAM.gov Signature of Purchasing Auditor mailto:vendor@portofbrownsville.com

Revised 1/1/2021 Form provided by Texas Ethics Commission www.ethics.state.tx.us

RFP - Version 1. Revision date

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 http://www.ethics.state.tx.us/

Revised 1/1/2021 Form provided by Texas Ethics Commission www.ethics.state.tx.us

CONFLICT OF INTEREST QUESTIONNAIRE

For vendor doing business with local governmental entity

A complete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form.

Local Government Code § 176.001(1-a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on:

(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity;

(B) a transaction conducted at a price and subject to terms available to the public; or

(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency.

Local Government Code § 176.003(a)(2)(A) and (B):

(a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:

(2) the vendor:

(A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that

(i) a contract between the local governmental entity and vendor has been executed;

or

(ii) the local governmental entity is considering entering into a contract with the vendor;

(B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that:

(i) a contract between the local governmental entity and vendor has been executed; or

(ii) the local governmental entity is considering entering into a contract with the vendor.

Local Government Code § 176.006(a) and (a-1)

(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and:

(1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A);

(2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or

(3) has a family relationship with a local government officer of that local governmental entity.

(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of:

(1) the date that the vendor:

(A) begins discussions or negotiations to enter into a contract with the local governmental entity; or

(B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or

(2) the date the vendor becomes aware:

(A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a);

(B) that the vendor has given one or more gifts described by Subsection (a); or

(C) of a family relationship with a local government officer.

http://www.ethics.state.tx.us/ http://www.statutes.legis.state.tx.us/

Texas Government Code Sections

2270.002 and 2252.152 Disclosure Statement

The undersigned business entity hereby represents and warrants that the following statements are true and correct:

(a) Pursuant to Section 2270.002, Texas Government Code, we hereby represent that we do not boycott Israel (as defined in Section 2270.002, Texas Government Code) and, subject to or as otherwise required by applicable Federal law, including, without limitation, 50 U.S.C. Section 4607, we agree not to boycott Israel during the term of this purchase agreement.

(b) We hereby acknowledge that (a) we do not engage in business with Iran, Sudan, or any foreign terrorist organization and (b) we are not listed by the Texas Comptroller as described in Section 2252.152, Texas Government Code.

Company Name

Authorized Signature

Print Name and Position with the Company

Date

RFB V i 1 R i i D t

Brownsville Navigation District Statement of Non-Collusion

The undersigned hereby certifies that they are duly authorized to execute this contract, that this company, corporation, firm, partnership or individual has not prepared this Proposal in collusion with any other Applicant or Port employee, and that the contents of this Proposal as to prices, terms or conditions of said Proposal have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this Proposal.

Company: ___________________________________________________

Address: _____________________________________________________

Phone: ______________________________________________________

Fax: ________________________________________________________

Applicant: ___________________________________________________ (Print Name)

Applicant: ___________________________________________________ (Signature)

Title: _______________________________________________________

Signature of Company Officer Authorizing this Proposal: ____________________________________________________

Company Officer: ______________________________________________________

(Print Name)

Officer’s Title: _______________________________________________________

Note: This form must be filled out and submitted with the sealed proposal.

RFB V i 1 R i i D t

Nepotism Chart

Nepotism Chart