RFP 07-26 ON-CALL GRASS CUTTING SERVICES.pdf

CITY OF WICHITA FALLS

REQUEST FOR PROPOSALS

RFP # 07-26

On-Call Grass Cutting Service –

Maintenance of Privately-Owned Properties

SUBMITTAL DEADLINE: OCTOBER 19, 2026 – 4:00 PM CST

OFFICE OF THE PURCHASING MANAGER

MEMORIAL AUDITORIUM

1300 7TH ST., ROOM 2B18

WICHITA FALLS, TX 76301

(940) 761-7466

TABLE OF CONTENTS

I. INTRODUCTION

II. PROPOSAL QUESTIONS

III. BIDDING INSTRUCTIONS/REQUIREMENTS

IV. SUBMISSION CHECKLIST

V. METHOD OF AWARD

VI. CRITERIA FOR EVALUATION

VII. REQUIREMENTS

VIII. SCOPE OF WORK

IX. CONTRACT ADMINISTRATION

ATTACHMENT A: PRICING

APPENDIX A: SAMPLE LIST OF PROPERTIES

City of Wichita Falls Grass Mowing Services

RFP No. 07-26

I. INTRODUCTION

A. Purpose and Background

The City of Wichita Falls (City) is soliciting proposals for grass and weed-cutting services for vacant lots and properties within Wichita County (a list of sample properties is attached to this RFP).

The City intends to select multiple contractors to perform these services under an on-call contract. This solicitation does not imply nor guarantee a work duration, monetary value, or any work. The on-call contract will be for one (1) year.

Proposals shall be submitted in accordance with the terms and conditions of this RFP and any addenda issued hereto.

B. General Notice to Vendors

It shall be the Vendor’s responsibility to read the Instructions, the City’s terms and conditions, all relevant exhibits and attachments, and any other components made a part of this RFP and comply with all requirements and specifications herein. Vendors also are responsible for obtaining and complying with all Addenda and other changes that may be issued in connection with this RFP.

If vendors have questions, issues, or exceptions regarding any term, condition, or other component within this RFP, those must be submitted as questions in accordance with the instructions in Section II - PROPOSAL QUESTIONS. If the City determines that any changes will be made as a result of the questions asked, then such decisions will be communicated in the form of an RFP addendum. The City may also elect to leave open the possibility for later negotiation and amendment of specific provisions of the Contract that have been addressed during the question-and-answer period. Other than through this process, the City rejects and will not be required to evaluate or consider any additional or modified terms and conditions submitted with Vendor’s proposal. This applies to any language appearing in or attached to the document as part of the Vendor’s proposal that purports to vary any terms and conditions or Vendors’ instructions herein or to render the proposal non-binding or subject to further negotiation. Vendor’s proposal shall constitute a firm offer. By execution and delivery of this RFP Response, the Vendor agrees that any additional or modified terms and conditions, whether submitted purposely or inadvertently, shall have no force or effect, and will be disregarded. Noncompliance with, or any attempt to alter or delete, this paragraph shall constitute sufficient grounds to reject Vendor’s proposal as nonresponsive.

Contact with anyone working for or with the City regarding this RFP other than the City Purchasing Manager named on the face page of this RFP in the manner specified by this RFP shall constitute grounds for rejection of said Vendor’s offer, at the City’s election.

This Request for Proposal serves two functions: (1) to advise potential Vendors of the parameters of the solution being sought by the Department; and (2) to provide (together with other specified documents) the terms of the Contract resulting from this procurement. As such, all terms in the Request for Proposal shall be enforceable as contract terms in accordance with the General Contract Terms and Conditions.

The use of phrases such as “shall,” “must,” and “requirements” are intended to create enforceable contract conditions. In determining whether proposals should be evaluated or rejected, the Department will take into consideration the degree to which Vendors have proposed or failed to propose solutions that will satisfy the Department’s needs as described in the Request for Proposal. Except as specifically

RFP No. 07-26 stated in the Request for Proposal, no one requirement shall automatically disqualify a Vendor from consideration. However, failure to comply with any single requirement may result in the Department exercising its discretion to reject a proposal in its entirety.

II. PROPOSAL QUESTIONS

Requests for clarification or additional information should be submitted in writing to the attention of

Jennifer Babineaux, Purchasing Manager, by email to jennifer.babineaux@wichitafallstx.gov or by fax to

(940) 761-7688 no later than 1:30 p.m. (CDT), October 7, 2026.

Responses to requests such requests will be issued in the form of an addendum posted to the City of

Wichita Falls’ website: http://www.wichitafallstx.gov/bids.aspx. Is it the proposing agency’s responsibility to check this website for any updated information regarding this RFP.

Sign up to received notifications: http://www.wichitafallstx.gov/list.aspx?Mode=Subscribe#bids.

III. BIDDING INSTRUCTIONS/REQUIREMENTS

A. Proposals will be received at the Office of the Purchasing Agent until 4:00 p.m. (CST) on October 19, 2026. Proposals shall be completed and signed. Submit one (1) signed, original executed proposal and two (2) copies of the response to the address below.

Responses to the request for proposals must be received in sealed envelopes clearly marked with

“RFP 07-26 ON-CALL GRASS CUTTING SERVICE”, closing date and company submitting the response.

ANY RESPONSE RECEIVED AFTER THE TIME AND DATE LISTED ABOVE, REGARDLESS OF THE MODE

OF DELIVERY, SHALL NOT BE CONSIDERED AND WILL BE RETURNED UNOPENED.

Submissions are to be delivered to:

Purchasing Department

Attn: Jennifer Babineaux

1300 7th St., Rm 2B18

Memorial Auditorium

Wichita Falls, Texas 76301

B. Any alterations, changes or deletions to this RFP shall be grounds for the City to disregard and reject the RFP and the bid.

C. The City reserves the right to request additional information or to meet with representatives from proposing banks to discuss points in the proposal before and after submission, any and all of which may be used in forming a recommendation.

D. The City reserves the right to reject any and all proposals, to waive any non-material irregularities in any RFP, and to accept or reject any item or combination of items.

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

RFP No. 07-26

E. If a service requirement cannot be met by a proposer, then the term "No Proposal" should be entered on the Bid Form for that specific requirement. In the case of a "No Proposal" response, the proposer may offer an alternative equivalent service for the City’s consideration. Responsiveness to the service requirements will be a major part of the selection criteria.

F. All costs incurred by the proposer in responding to the RFP shall be the responsibility of the proposer.

IV. SUBMISSION CHECKLIST

Vendors shall include all attachments of this RFP that require the vendor to provide information and include an authorized signature where requested. Vendor responses shall include the following items and those attachments should be arranged in the following order:

Cover Letter

Completed and signed version of EXECUTION PAGES along with the body of the RFP and signed receipt pages of any addenda released in conjunction with this RFP (if required to be returned).

Completed ATTACHMENT A: PRICING

V. METHOD OF AWARD

Award shall be made to the lowest responsible, responsive bid or bidders, taking into consideration quality, performance and the time specified in the proposals for the performance of the contract.

The City reserves the right to make separate awards to different Vendors, to not award items or to cancel this RFP in its entirety without awarding a Contract, if it is considered to be most advantageous to the City to do so.

The City reserves the right to waive any minor informality or technicality in proposals received.

Local Government Code Section §271.9051 …..allows a municipality to award a bid that is within five percent of the lowest bid price received to the bidder whose principal place of business is in the municipality if the governing body of the municipality determines, in writing, that the local bidder offers the municipality the best combination of contract price and additional economic development opportunities for the municipality created by the contract award, including the employment of residents of the municipality and increased tax revenues to the municipality….. .

RFP No. 07-26

VI. CRITERIA FOR EVALUATION

The City will review the submitted proposals carefully. The recommendations will be based on the bid(s) determined to be in the best interest of the City and the taxpayers. Other evaluation criteria with associated weights shall consist of the following:

1. Vendor Experience 25%

2. References 25%

3. Pricing 30%

4. Current Equipment 20%

VII. REQUIREMENTS

This Section lists the requirements related to this RFP. By submitting a proposal, the Vendor agrees to meet all stated requirements in this Section as well as any other specifications, requirements and terms and conditions stated in this RFP. If a Vendor is unclear about a requirement or specification or believes a change to a requirement would allow for the City to receive a better proposal, the Vendor is urged and cautioned to submit these items in the form of a question during the question-and-answer period in accordance with Section II.

A. CONTRACT TERM

The Contract shall have an initial term of one (1) year. At the end of the contract’s current term, the City shall have the option to renew for one (1) additional year if both parties are in agreement.

B. PRICING

Proposal price shall constitute the total cost to Buyer for complete performance in accordance with the requirements and specifications herein, including all applicable charges handling, administrative and other similar fees. Vendor shall not invoice for any amounts not specifically allowed for in this RFP.

Complete ATTACHMENT A: PRICING FORM and include in Proposal.

C. VENDOR EXPERIENCE

In its Proposal, Vendor shall demonstrate experience with public and/or private sector clients with similar or greater size and complexity to the City of Wichita Falls. Vendor shall provide information as to the qualifications and experience of all executive, managerial, legal, and professional personnel to be assigned to this project, including resumes citing experience with similar projects and the responsibilities to be assigned to each person.

D. REFERENCES

Vendors shall provide at least three (3) references for which your company has provided services of similar size and scope to that proposed herein. The City may contact these users to determine the services provided are substantially similar in scope to those proposed herein and Vendor’s performance has been satisfactory. The information obtained may be considered in the evaluation of the proposal.

RFP No. 07-26

COMPANY NAME CONTACT NAME EMAIL PHONE

E. VENDOR’S REPRESENTATIONS

a) Vendor warrants that qualified personnel shall provide Services under this Contract in a professional manner. “Professional manner” means that the personnel performing the Services will possess the skill and competence consistent with the prevailing business standards in the industry. Vendor agrees that it will not enter any agreement with a third party that may abridge any rights of the City under this Contract. Vendor will serve as the prime contractor under this Contract and shall be responsible for the performance and payment of all subcontractor(s) that may be approved by the City. Names of any third-party Vendors or subcontractors of Vendor may appear for purposes of convenience in Contract documents; and shall not limit Vendor’s obligations hereunder. Vendor will retain executive representation for functional and technical expertise as needed in order to incorporate any work by third-party subcontractor(s).

b) If any Services, deliverables, functions, or responsibilities not specifically described in this Contract are required for Vendor’s proper performance, provision and delivery of the service and deliverables under this Contract or are an inherent part of or necessary sub-task included within such service, they will be deemed to be implied by and included within the scope of the contract to the same extent and in the same manner as if specifically described in the contract. Unless otherwise expressly provided herein, Vendor will furnish all its own necessary management, supervision, labor, facilities, furniture, computer and telecommunications equipment, software, supplies, and materials necessary for the Vendor to provide and deliver the Services and Deliverables.

c) Vendor warrants that it has the financial capacity to perform and to continue perform its obligations under the contract; that Vendor has no constructive or actual knowledge of an actual or potential legal proceeding being brought against Vendor that could materially adversely affect performance of this Contract; and that entering this Contract is not prohibited by any contract, or order by any court of competent jurisdiction.

RFP No. 07-26

VIII. SCOPE OF WORK

A. GENERAL

The general scope of work for this contract is mowing and trimming. However, the contractor shall pick up branches, trash, litter, and debris on the property prior to mowing. Trash, litter, and debris removed from a property prior to mowing may be bagged and delivered to the City Landfill at 10984 Wiley Rd., Iowa Park, TX 76367 at no charge to the contractor. In such cases, the contractor shall not bill the City for the transportation of this trash/litter.

Services shall be performed during normal business hours Monday – Friday, 8:00 a.m. - 5:00 p.m. Services shall be completed within 7 days of notice, before and after photos, marked with the property address, shall be provided to the City representative within 3 days. Properties shall be inspected by the City within 7 days. Contractors must use the City's MyGov system to update each abatement job. Required updates include marking the job complete and uploading clear before and after photos for every property before the job will be considered complete. Photographs must be geotagged and include a date and time stamp.

A project will not be considered complete, nor eligible for final acceptance or payment, until all required documentation has been submitted through MyGov.

B. SPECIFIC SCOPE

When the weeds and grass on residential or commercial properties have grown to more than 9 inches in height, it violates the City of Wichita Falls’ Weeds, Rubbish, and Unsanitary Matter ordinance. Upon identification of a property in violation, the City’s Code Compliance Division mails a Courtesy Notice to the property owner. This notice serves as a notification to bring the property into compliance with the ordinance within 10 days. If the property owner fails to address the violation within the specified time frame, the City will direct a contractor to perform the necessary weeds and grass abatement.

Most residential lots within the City are approximately .25 acres or less, with some nearing .50 acres.

Properties subject to mowing may include vacant lots or lots with vacant dwellings. For properties exceeding 3 acres in size, the City’s agent will negotiate a price with the contractors based on the mowing area involved, rather than the overall size of the property. This approach is taken due to there may be large structures or other features occupying a significant portion of the acreage.

Once a property is identified as a violation, the City will select the most suitable contractor based on various factors including cost, availability, and past work performance.

The following terms and conditions apply to the cutting of grass/weeds and violation of the public nuisance- weeds ordinance for the City Wichita Falls:

a) The City's agent shall approve the contractor's equipment to be used to fulfill the terms and conditions of this contract.

b) Assignments for work are disseminated by the City's agent based on the needs of the City.

c) Every mowing assignment will also require edging on curbsides, gutters, and sidewalks.

d) The use of weed trimming equipment will be required around buildings, trees, bushes, curbs, fences, sidewalks, utility poles, etc.

e) Grass clippings and other debris shall be removed from sidewalks, driveways, curbs, gutters, and other paved surfaces upon completion of mowing. Contractors may use a blower or broom for

RFP No. 07-26 cleanup; however, grass clippings, leaves, and debris shall not be blown into or left in the street, gutter, storm drain, or on neighboring properties. All debris shall be collected or directed back onto the property for proper disposal.

1. Minimum equipment recommended:

a. PTO-driven 60 commercial grade mower or 60" commercial grade zero-turn mower

b. Acceptable commercial grade trimming equipment with steel blade compatibility

c. Tractor and bush-hog must be available if required

d. Other standard lawn maintenance equipment shall be available as needed.

2. Before the bid award, the City reserves the right to inspect all equipment to be used during the performance of this contract. All equipment must have any and all safety devices in operating condition for the duration of the contract. If the contractor or his/her employees are found to be operating unsafe equipment they will be directed to stop work until the equipment is repaired to a safe operating condition.

3. The general scope of work for this contract is mowing and trimming. However, the contractor shall pick up all limbs, branches, trash, litter and debris on the property prior to mowing.

Trash, litter and debris removed from a property prior to mowing may be bagged and delivered to the City Landfill at no charge to the contractor. In such cases, the contractor shall not bill the city for transportation of materials to the City Landfill.

4. Under normal conditions, all work on the properties listed is to be completed no later than 7 days from the assignment date. Allowances for inclement weather or other unusual circumstances will be determined by the City's agent.

5. Priorities will be assigned by the City's agent and work scheduled accordingly based upon factors such as seasonal growth rate and weather. The City reserves the right to change work assignments and priorities at any time. For this reason, it is imperative the contractor or his/her representative are easily accessible during working hours in the event scheduling changes are necessary.

6. The contractor will submit a single invoice in the amount of the contracted price upon completion of work and verification by the City’s agent.

C. TASK/DELIVERABLES

• Contractors shall have a strict deadline of seven (7) days to mow the properties assigned to them each week. It is essential to complete the mowing within this timeframe to ensure our mowing schedule remains manageable and efficient. Allowances for inclement weather or other unusual circumstances will be determined by the City’s agent or representative.

• Contractors are not permitted to subcontract the mowing work to third parties. All mowing tasks shall be completed by the contracted individual or team.

• The contractor shall ensure that no grass/weed clippings are mowed into the roadway, where they may become clogged in the storm drain system.

RFP No. 07-26

• Contractors are required to mow the right of way within the boundary lines of the property.

• Trimming is required for each mow (trees, shrubs, buildings, utility poles, right of way, etc.)

• It is the responsibility of the contractor to identify any hazards to equipment, (i.e. mowing obstacles, or other conditions) that may damage equipment or injure personnel. The City is not responsible for damage to the contractor’s equipment.

• The contractor or his representative shall be easily accessible during normal business hours of 8:00 a.m. to 5:00 p.m.

IX. CONTRACT ADMINISTRATION

A. PROJECT MANAGER AND CUSTOMER SERVICE

The Vendor shall designate and make available to the City a project manager. The project manager shall be the City’s point of contact for contract related issues and issues concerning performance, progress review, scheduling and service.

B. DISPUTE RESOLUTION

The parties agree that it is in their mutual interest to resolve disputes informally. A claim by the Vendor shall be submitted in writing to the City’s Contract Lead for resolution. A claim by the City shall be submitted in writing to the Vendor’s Project Manager for resolution. The Parties shall negotiate in good faith and use all reasonable efforts to resolve such dispute(s). During the time the Parties are attempting to resolve any dispute, each shall proceed diligently to perform their respective duties and responsibilities under this Contract. If a dispute cannot be resolved between the Parties within thirty (30) days after delivery of notice, either Party may elect to exercise any other remedies available under this Contract, or at law. This term shall not constitute an agreement by either party to mediate or arbitrate any dispute.

C. CONTRACT CHANGES

Contract changes, if any, over the life of the contract shall be implemented by contract amendments agreed to in writing by the City and Vendor.

D. CITY’S RIGHTS AND OPTIONS

The City reserves the following rights, which may be exercised at the City’s sole discretion:

• To supplement, amend, substitute or otherwise modify this RFP at any time;

• To cancel this RFP with or without the substitution of another RFP;

• To take any action affecting this RFP, this RFP process, or the Services or facilities subject to this RFP that would be in the best interests of the City;

• To issue additional requests for information;

• To require one or more Service Providers to supplement, clarify or provide additional information in order for the City to evaluate the Proposals submitted;

• To conduct investigations with respect to the qualifications and experience of each Service Provider;

• To waive any defect or irregularity in any Proposal received;

RFP No. 07-26

• To reject any or all Proposals;

• To share the Proposals with City employees other than the Evaluation Committee or City advisory committees as deemed necessary;

• To award all, none, or any part of the Services that is in the best interest of the City, with one or more of the Service Providers responding, which may be done with or without re-solicitation.

• To discuss and negotiate with selected Service Provider(s) any terms and conditions in the Proposals including but not limited to financial terms; and

• To enter into any Contract deemed by the City to be in the best interest of the City, with one or more of the Service Providers responding

RFP No. 07-26

ATTACHMENT A: PRICING

Vendor: ___________________________________

The bidder, proposes and agrees if this proposal is accepted to contract with the City of Wichita Falls for the furnishing of all materials, equipment, and labor necessary to complete the work described in these documents in full and complete in accordance with the scope of work, and to the full and entire satisfaction of the City of Wichita Falls for the sum of:

Pricing Class Parcel/Lot Size City Fee

Reference Contractor Bid

Price

Class 1 Up to and including 0.25 acres $140.00 $____________

Class 2 0.26 acres and less than 1.0 acre $150.00 $____________

Class 3 1.0 acre up to, but not including, 3.0 acres $175.00 $____________

*Properties 3.0 acres or larger require a separate estimate and City approval prior to work being performed.

* City Fee Reference amounts reflect the charges established by the City of Wichita Falls Fee Schedule for each applicable lot size classification.

* A $25.00 mobilization fee will be allowed when a contractor responds to an assigned property and finds that the property has already been mowed or otherwise does not require mowing.

The mobilization fee will only be paid if the contractor responds to the assignment within seven

(7) days of the date the job was assigned.

* All work done in accordance with City of Wichita Falls’ Standards and Specifications and TxDOT Standard Specifications for Roads and Structures current version.

RFP No. 07-26

APPENDIX A: SAMPLE LIST OF PROPERTIES

No. Street Zone

1 1415 N 10TH St. 1

2 709 Calhoun St. 1

3 711 Calhoun St. 1

4 4208 Burkburnett Rd. 1

5 2409 Missile Rd. 1

6 417 Humphreys St. 2

7 607 Humphreys St. 2

8 1107 Homes Ave. 2

9 1612 Elizabeth Ave. 2

10 1920 Windthorst Rd. 2

11 4611 Alamo Dr. 3

12 2515 Bridwell St. 3

13 1104 30th St. 3

14 2631 Jacksboro Hwy. 3

15 2304 Princeton Ave. 3

16 2132 Avenue H 4

17 1807 Britain St. 4

18 2004 Lucile Ave. 4

19 2008 Pearl Ave. 4

20 2001 11th St. 4

21 4010 Boren Ave. 5

22 3908 Call Field Rd. 5

23 4811 4811 Shenandoah Dr. 5

24 3031 Abbott Ave. 5

25 6734 Southwest Pkwy. 5

26 2208 Garfield St. 6

27 2712 Lebanon Rd. 6

28 321 Bluebonnet Dr. 6

29 4717 Devonshire Dr. 6

30 3208 York St. 6

CITY ZONES

RFP No. 07-26

FAQs

Q1: The proposal states all work would need to be done during business hours on Monday-Friday. Is this set-in stone? We do a lot of our mowing after hours and on weekends.

A1: Weekends are fine as long as you follow the noise ordinance.

Q2: If the City intends to select multiple contractors how do you plan on scheduling the work?

A2: We anticipate creating a list and assigning work in a rotation. If a contractor is not able to take a job it will be offered to the next one on the list and so forth.

Q3: Do the references need to be commercial or can they be residential clients?

A3: Either one is fine as long as the work provided was similar to the size and scope of those outlined in the proposal.

Q4: Is there an estimated frequency that the lots would need to be serviced?

A4: Each lot would be mowed one time. We anticipate the list to change constantly with the removal of those that have been completed and the addition of those needing to be serviced.

Q5: I have read the body a few times as to what is required with the submission but am still unclear on the cover letter, execution pages and pricing. I don’t find a place to list experience, equipment, etc.

A5: The cover letter should briefly introduce your company, highlight your qualifications and give any other pertinent information not specifically requested in the bid packet (ex: list of equipment).

The execution pages are sections with legal and contractual elements, signature pages, submission details, insurance requirements, etc. When in doubt consider it as the bid packet with any supplemental information requested. This includes any addendums that have been issued as they are to be signed and returned with the submission

Certification of No Boycott

Effective Date: 9/1/2021

No Boycott Israel

If Contractor/Vendor is a “Company”, as that term is defined in Section 808.001 of the Texas Government Code and is not a sole proprietorship, then Contractor/Vendor certifies and verifies that it: (i) does not boycott Israel and (ii) will not boycott Israel during the term of the Purchase Order or Contract this Certification is attached to and incorporated into; or (iii) that it meets the requirements of an exception listed below.

Form requirements:

• This certification is required by Texas Government Code § 2271.002.

• This form is required to be attached to and is incorporated into all Purchase Orders (goods) and Contracts (services) with a value of $100,000 or more that is paid in whole or in part with state funds with a company with 10 or more full time employees. The campus department making the purchase of goods or contracting for services is responsible for obtaining the form from the Vendor or Contractor.

Texas Government Code §808.001 states that "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”. Furthermore, Texas Government Code §808.001 states that the term “Company” means a “for-profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of those entities or business associations that exists to make a profit”, provided however that Texas Government Code §2271.001(2) excludes sole proprietorships from this definition of “Company”.

Vendor/Contractor Name or Company Name

Street Address

City

State

Zip Code

Phone Number

Printed Name of Authorized Representative

Title of Authorized Representative

Signature of Authorized Representative

Date

ONLY COMPLETE THIS SECTION IF YOU BELIEVE YOU ARE NOT REQUIRED TO PROVIDE THE

CERTIFICATION - No Boycott Israel - FOR THE REASONS CITED BELOW

My business is not required to provide the certification listed above because (select one):

My business is not a for-profit “Company” as defined above, pursuant to Texas Government Code §808.001 and §2271.001.

My Company has less than 10 full-time employees This is not an agreement for goods or services to be provided to the City.

Name Signature Date

No Boycott Energy Company

If Contractor/Vendor is a “Company”, as that term is defined in Section 809.001 of the Texas Government Code and is not a sole proprietorship, then Contractor/Vendor certifies and verifies that it: (i) does not boycott energy companies and (ii) will not boycott energy companies during the term of Purchase Order or Contract this Certification is attached to and incorporated into; or (iii) that it meets the requirements of an exception listed below.

• This certification is required by Texas Government Code § 2274.002.

• This form is required to be attached to and is incorporated into all Purchase Orders (goods) and Contracts (services) with a value of $100,000 or more that is paid in whole or in part with state funds with a company with 10 or more full time employees. The campus department making the purchase of goods or contracting for services is responsible for obtaining

Texas Government Code §809.001(1) states that "Boycott energy company" means “without an ordinary business purpose, 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 with a company because the company: (A) engages in the exploration, production, utilization, transportation, sale, or manufacturing of fossil fuel-based energy and does not commit or pledge to meet environmental standards beyond applicable federal and state law; or (B) does business with a company described by Paragraph (A)”. Furthermore, Texas Government Code §809.001(2) states that the term “Company” means a “for-profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of those entities or business associations that exists to make a profit”, provided however that Texas Government Code §2274.001(2) excludes sole proprietorships from this definition of “Company”.

CERTIFICATION – No Boycott Energy Company - FOR THE REASONS CITED BELOW

My business is not required to provide the certification listed above because (select one):

My business is not a for-profit “Company” as defined above, pursuant to Texas Government Code §809.001(2) and §2274.001(2).

No Discrimination against Firearm and Ammunition Industries

If Contractor/Vendor is a “Company”, as that term is defined in Section 2274.001 of the Texas Government Code and is not a sole proprietorship, then Contractor/Vendor certifies and verifies that it: (i) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association and (ii) will not discriminate against a firearm entity or firearm trade association during the term of the Purchase Order or Contract this Certification is attached to and incorporated into; or (iii) that it meets the requirements of an exception listed below.

• This certification is required by Texas Government Code § 2274.002

• This form is required to be attached to and is incorporated into all Purchase Orders (goods) and Contracts (services) with a value of $100,000 or more that is paid in whole or in part with state funds with a company with 10 or more full time employees. The campus department making the purchase of goods or contracting for services is responsible for obtaining

Texas Government Code §2274.001(3) states that " discriminate against a firearm entity or firearm trade association " means “with respect to the entity or association, to: (i) refuse to engage in the trade of any goods or services with the entity or association based solely on its status as a firearm entity or firearm trade association; (ii) refrain from continuing an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; or (iii) terminate an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association”. Furthermore, Texas Government Code §2274.001(2) states that the term “Company” means a “a for-profit organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of those entities or associations that exists to make a profit. The term does not include a sole proprietorship.”

CERTIFICATION –No Discrimination against Firearm and Ammunition Industries-

FOR THE REASONS CITED BELOW

My business is not required to provide the certification listed above because (select one):

My business is not a for-profit “Company” as defined above, pursuant to Texas Government Code §2274.001(2).

Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/22/2017

FORM 1295CERTIFICATE OF INTERESTED PARTIES

OFFICE USE ONLOFFICE USE ONLOFFICE USE ONLOFFICE USE ONLOFFICE USE ONLYYYYY

6 UNSWORN DECLARATION

My name is _______________________________________________________, and my date of birth is _______________________________.

My address is ________________________________________________, ___________________, _______, __________, ______________.

(street) (city) (state) (zip code) (country)

I declare under penalty of perjury that the foregoing is true and correct.

Executed in ___________________ County, State of ______________ , on the _______ day of _______________, 20______.

(month) (year)

Signature of authorized agent of contracting business entity

(Declarant)

ADD ADDITIONAL PAGES AS NECESSARY

Name of Interested Party

Nature of Interest (check applicable) City, State, Country

(place of business) Controlling Intermediary

Name of governmental entity or state agency that is a party to the contract for which the form is being filed.

3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract.

Complete Nos. 1 - 4 and 6 if there are interested parties.

Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.

1 Name of business entity filing form, and the city, state and country of the business entity's place of business.

Check only if there is NO Interested Party.

Mus t fi le on lin e a t w ww.et hic s.s tat e.t x.u s/F ile

CONFLICT OF INTEREST QUESTIONNAIRE

For vendor or other person doing business with local governmental entity

This questionnaire reflects changes made to the law by H.B. 1491, 80th Leg., Regular Session.

Yes No

Yes No

Yes No

FORM CIQ

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 176.001(1-a), Local Government Code. Attach additional pages to this Form

CIQ as necessary.

A person commits an offense if the person knowingly violates Section 176.006, Local Government

Code. An offense under this section is a Class C misdemeanor.

(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 the originally filed questionnaire becomes incomplete or inaccurate.)

OFFICE USE ONLY

Date Received

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

Signature of person doing business with the governmental entity Date

Updated 05/20/2014

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

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

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

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?

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?

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?

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

PURCHASING DEPARTMENT

1300 7th St., Room 113, Wichita Falls, TX 76301 t: 940.761.7466 f: 940.761.7688

The City of Wichita Falls must have a W-9 on file in order to conduct business with any vendor.

All vendors must include the following items in their bid submission:

• W-9 Form

• EIN # or Social Security #

• Current mailing address

• Current remittance address

• Sample Invoice

All accounts are to be updated or created with the following information:

Billing Address: Electronic Invoices:

City of Wichita Falls accounts.payable@wichitafallstx.gov

PO Box 1431

Wichita Falls, TX 76301

Included is an Automated Check Handling (ACH) form which may be completed by any vendors interested in receiving electronic payments.

The City’s Vendor Verification Policy can be found on our website:

http://www.wichitafallstx.gov/243/Purchasing Please review this policy at your convenience.

Jennifer Babineaux

Purchasing Manager http://www.wichitafallstx.gov/243/Purchasing

Electronic Fund Transfer / Email Notification Authorization Form

Type of Action: New Change

Vendor / Payee Information

Financial Institution Information

Authorization for direct deposit setup/changes/cancellations

Authorization for e-mail payment notification

Please return your completed form and a voided check to:

City of Wichita Falls

Accounting & Finance

1300 7th Street

Room 2B18

Wichita Falls, TX 76301

Email: accounts.payable@wichitafallstx.gov

Phone Number: (940) 761-7462 □ EFT change verified with vendor

E m a il

N o ti fi c a ti o n By completing this section, I authorize the City of Wichita Falls to send payment notification to the e-mail address designated below. I understand that notifications may include payment information that is considered confidential and therefore exempt from public disclosure.

Email address

Accounts Payable Use Only

Received By/Date:

Processed By/Date:

A C

H A u th o ri z a ti o n

Authorized Signature Printed Name Date

I authorize the City of Wichita Falls to deposit my payments from City of Wichita Falls to my financial institution electronically. I further understand that the City of Wichita Falls will reverse any payments made to my account in error.

Type of account (Checking or Savings)

Financial Institution name City State

Customer account number

State ZipCity

F in a n c ia l In s ti tu ti o n

Routing transit number (9 digits)

V e n d o r

P a y e e I n fo rm a ti o n

Payment Address

Cancel

Vendor or payee name

Identification Number (SSN or TIN)

Vendor contact name Title Contact Phone