rfp 26-107 Required Documents.pdf

RFP #26-107

Submission Deadline / RFP Opening: 09/17/2026

Time: 2:00 PM CST

SPECIAL PROVISIONS

REQUEST FOR PROPOSAL

AERIAL ADULTICIDE/INSECTICIDE APPLICATION SERVICES

GALVESTON COUNTY, TEXAS

A. PURPOSE

Galveston County is seeking qualified aerial application contractors to provide Aerial Adulticide/Insecticide Application Services for county-wide mosquito control.

This is an opportunity to partner with Galveston County on a critical public health service — helping protect residents from mosquito-borne illness through professional aerial insecticide application.

The County is seeking a firm-fixed-price contract with one or more vendors whose proposal meets or exceeds the terms and conditions outlined in this RFP. Galveston County Commissioners' Court reserves the right to award to a single vendor or to multiple vendors as a result of this solicitation.

We invite experienced aerial application contractors to submit a proposal and join Galveston County in this important public health effort.

B. PROCUREMENT TIMELINE

A timeline for this solicitation and initial process is included below. Galveston County reserves the right to change these dates and will notify Respondents of any changes:

Advertise Solicitation (first date of publication) Wednesday, August 12, 2026 Advertise Solicitation (second date of publication) Wednesday, August 19, 2026 Non-Mandatory Pre-Proposal Conference Wednesday, August 26 at 2:00 AM CST Deadline for Questions & Inquiries Wednesday, September 02, 2026 by 5:00 PM CST Submission Deadline / RFP Opening Thursday, September 17, 2026, at 2:00 PM CST

The General Provisions and the Special Provisions of this Request for Proposal and the Exhibits attached hereto are made a part of this agreement between the Parties. In the event of a conflict between the General Provisions and the Special Provisions, the terms of the Special Provisions shall control.

Interested parties may attend the Thursday, September 17, 2026 at 2:00 PM CST bid opening virtually by using the following link:

https://galvestoncountytx.webex.com/galvestoncountytx/j.php?MTID=mfd21f5fdf6786d9447453a7fdc8736d0

Walk in and Phone Options are Available. Please contact Jacquelyn Perez, Procurement Specialist II, 409.770.5371, for more details.

C. NON-MANDATORY PRE-PROPOSAL CONFERENCE

Interested parties may attend the Wednesday, August 26, 2026 at 10 AM CST Non-Mandatory Pre-Proposal Conference virtually by using the following link:

https://galvestoncountytx.webex.com/galvestoncountytx/j.php?MTID=m748fa87ded883fcb3de7c881fb834a5b

Walk in and Phone Options are Available. Please contact Jacquelyn Perez, Procurement Specialist II, 409.770.5371, for more details.

https://galvestoncountytx.webex.com/galvestoncountytx/j.php?MTID=mfd21f5fdf6786d9447453a7fdc8736d0 https://galvestoncountytx.webex.com/galvestoncountytx/j.php?MTID=m748fa87ded883fcb3de7c881fb834a5b

D. SUBMISSION INSTRUCTIONS

Galveston County Purchasing Department utilizes Bonfire Interactive to distribute and receive bids and proposals in an electronic format via an online portal. Potential Bidders must register through the online portal to participate electronically. “Walk-in” or “mailed-in” (see instructions below) proposal submittals are still allowed;

however, Bidders are strongly encouraged to submit their proposals online via Galveston County’s e- Procurement Portal located at https://galvestoncountytx.bonfirehub.com/

Registration is currently open and free to the public. Once registered, suppliers will receive automatic email notifications of project opportunities based on the NIGP commodity codes selected by the vendor. Potential Bidders should visit the link below and click on the New Vendor Registration tab to register your business:

https://customer.eunasolutions.com/public/s/knowledge-base/bonfire-hub/vendor-registration

There is no cost to register as a vendor.

INSTRUCTIONS FOR “WALK-IN” SUBMITTALS ONLY

IF “WALKING IN” Proposals, one (1) unbound single-sided original proposal and one (1) copy must be submitted no later than 2:00 PM CST, on Thursday, September 17, 2026 to the following:

Frank Rodriguez Purchasing Agent

County of Galveston 722 Moody Avenue (21st Street), Fifth (5th) Floor Galveston, TX 77550

The timestamp clock located in the Purchasing Agent’s office shall serve as the official time-keeping piece for this solicitation process. Any proposals received after 2:00 PM CST on the specified date will be returned unopened.

Specifications can be obtained at the office of the Galveston County Purchasing Agent, located in the Galveston County Courthouse, 722 Moody, (21st Street), Floor 5, Purchasing, Galveston, Texas 77550, or by visiting the Galveston County website @ https://www.galvestoncountytx.gov/county-offices/purchasing

E. PROPOSAL SURETY

A 5% bid bond is not a requirement of this solicitation request.

F. PERFORMANCE AND PAYMENT BONDS

Performance and Payment bonds are not a requirement of this solicitation.

G. BEST AND FINAL OFFERS (BAFO)

The Best and Final Offer process is applicable to this solicitation.

H. DAVIS-BACON WAGE RATES

Davis-Bacon Wage Rates are not requirements for this solicitation.

https://galvestoncountytx.bonfirehub.com/ https://customer.eunasolutions.com/public/s/knowledge-base/bonfire-hub/vendor-registration https://www.galvestoncountytx.gov/county-offices/purchasing

I. PERSONNEL TO CONTACT

Respondents desiring an explanation or interpretation relative to this solicitation must request it in writing. Oral explanations or instructions will not be binding. Any information given to a Respondent, which in the opinion of the County affects all Respondents or would be prejudicial to other Respondents if not communicated, shall be furnished to all Respondents as an addendum to the solicitation. Respondents must direct all inquiries to the following:

Jacquelyn Perez Procurement Specialist II

722 21st Street (Moody) Galveston, Texas 77550

E-mail: Jacquelyn.Perez@galvestoncountytx.gov Phone: 409.770.5371

Respondents must e-mail their requests (with the subject line “Aerial Adulticide – RFP #26-107– Questions”) for additional information and/or clarification to the address listed above. The request must include the Responder’s name and the solicitation number and title.

Any request for additional information or clarification must be received in writing. Late requests or those not delivered to the proper address may not receive a reply. Respondents shall not attempt to contact the County by any other means. The Purchasing Agent shall post the answers on the County website from the procurement web page and via addendum.

The County will issue responses to inquiries and any other corrections or amendments, it deems necessary, in the form of a written addendum, issued prior to the solicitation Submission Deadline / Solicitation Opening date. The County, at its sole discretion, may not issue a response to an RFI submittal. Respondents should not rely on any oral or written representations, statements, or explanations, other than those made in this solicitation or in any written addendum to this solicitation. Where there appears to be conflict between the solicitation and any issued addenda, the last addendum issued will prevail.

Addenda will be posted and made available on the County’s procurement web page. It is the Responder’s sole responsibility to ensure receipt of all addenda prior to submitting its response.

All Respondents should check the County’s procurement web page for all addenda prior to submitting a response.

The County’s procurement web page is located at http://www.galvestoncountytx.gov/county-offices/purchasing The Respondent must acknowledge the receipt of all addenda on the forms provided. In the event a Responder fails to acknowledge receipt of such addenda, the County may, at its sole discretion, determine that such failure to acknowledge any or all addenda does not materially affect the solicitation and waive the acknowledgment of one or more addenda.

Respondents who submit inquiries after the question deadline date will not be accepted; Wednesday, September 02, 2026 at 5:00 PM CST.

All questions and responses as posted on the County website pertaining to this solicitation are considered an addendum to, and part of, this solicitation. Each Responder shall be responsible to monitor the County website for new or revised solicitation information. The County shall not be bound by any verbal information, nor shall it be bound by any written information that is not either contained within the solicitation or formally issued as an addendum by the Purchasing Agent.

mailto:Jacquelyn.Perez@galvestoncountytx.gov http://www.galvestoncountytx.gov/county-offices/purchasing

J. PROGRAM ADMINISTRATION & CONTRACT MANAGEMENT

The Program Administrator/Contract Manager that will manage the work to be performed under the resultant contract for the purpose of this solicitation is:

Mosquito Control

722 21st St (Moody) Galveston, TX 77550

The Galveston County Commissioners’ Court, and/or authorized designees will be responsible for negotiating with the successful Vendor the scope of work, the standards of performance, the specific technology provided, and the support services required for the proposed projects. All contractual amendments will be processed in accordance with Galveston County Purchasing Policies. Amendments will also be brought to Galveston County Commissioners Court for approval as deemed necessary. The approval process serves to ensure the project technology and/or service is within the scope of the resultant contract that pricing meets the agreed-upon pricing methodology as specified in the contract, and that funds are available.

K. INSURANCE

Responder must submit, with its response, a current certificate of insurance evidencing coverage in the amounts specified below or greater. In lieu of submitting a certificate of insurance, Respondents may submit a notarized statement from an insurance company authorized to conduct business in the State of Texas guaranteeing that Respondent has such insurance. Provided, however, that successful Respondent(s) shall be required to provide a current certificate of insurance to the Galveston County Purchasing Agent’s Office before Respondent commences any work hereunder. Insurance shall be placed with insurers having an A.M. Best’s rating of no less than A. Such insurance must be issued by a casualty company authorized to do business in the State of Texas and in standard form approved by the Board of Insurance Commissioners of the State of Texas, with coverage provisions ensuring the public from loss or damage that may arise to any person or property by reason of services rendered by Contractor.

Galveston County shall be listed as an additional insured on each policy and all certificates of insurance and Contractor shall provide Galveston County with no less than thirty (30) calendar days prior notice of any changes to the policy during the contractual period.

Certificates of Insurance, fully executed by a licensed representative of the insurance company written or countersigned by an authorized Texas state agency, shall be filed with the County Purchasing Agent within ten (10) calendar days of the execution of this Agreement as written proof of such insurance and further provided that Contractor shall not commence work under this Agreement until Contractor has obtained all insurance required herein, provided written proof as required herein, and received written notice to proceed issued from the County Purchasing Agent. Failure to provide such evidence of insurance within the ten (10) calendar day period shall constitute an event of default.

Workers’ Compensation Insurance. Respondent shall carry in full force Workers’ Compensation Insurance Policy(ies), if there is more than one employee, for all its employees, including but not limited to full-time, part-time, and emergency employees employed by the Contractor.

Commercial General Liability. Respondent shall carry in full force commercial general liability insurance with a limit of not less than $1,000,000 each occurrence and $2,000,000 in the aggregate. The Policy shall, minimally, cover liability for bodily injury, personal injury, and property damage.

Business Automobile Liability. Respondent shall carry in full force business automobile liability coverage with a combined bodily injury/property damage limit of not less than $1,000,000 each accident. The policy shall cover liability arising from the operation of licensed vehicles by policyholder.

Subrogation Waiver. Contractor and Contractor’s insurance carrier shall waive any and all rights to subrogation against Galveston County regarding any suit or claim arising out of personal injury or property damage resulting from Contractor’s performance under this Agreement.

L. SCOPE OF WORK

ADULTICIDE SPECIFICATION:

The insecticide Galveston County requires for mosquito control (adulticide) is Dibrom, which contains the active ingredient Naled. The contractor may not substitute a different product unless the County or its authorized representative approves the substitution in advance.

The contractor shall apply the insecticide at the exact rate specified by the County — not above, and not below than the rate listed on the product's official label.

CONTRACTOR RESPONSIBILITIES:

The successful contractor shall meet the minimum requirements:

a. Handling the Insecticide The contractor is responsible for safely transferring the insecticide from its container into the aircraft.

b. Trained, Compliant Staff The contractor must provide enough trained personnel to handle the insecticide safely, meeting or exceeding federal (EPA), state, and local safety requirements. Staff must also be prepared to quickly and effectively respond to any spills.

c. Spray Mission Reports After every spray application, the contractor must submit a report showing: spray altitude, wind speed and temperature at release height, aircraft ground speed, date and time of application, amount of insecticide used, number of acres treated, and the full flight path showing where spraying occurred. This report is due within 48 hours of each application.

d. Availability The contractor must be reachable between 8:00 AM CST and 5:00 PM CST, seven days a week, and available whenever the County needs Aerial Application Services performed.

e. Response Time The contractor must be on-site and ready to begin spraying within 72 hours of the County requesting service.

AIRCRAFT:

The contractor must provide aircraft capable of treating at least 30,000 acres in a single evening of spraying.

All aircraft used under this contract must meet the following requirements:

FAA Certification The aircraft must be certified by the Federal Aviation Administration (FAA) and comply with all requirements under FAR Part 137 (Agricultural Operations).

Calibration

The aircraft must be calibrated to release the correct amount of insecticide, with droplet size matching what the insecticide's label requires based on operating conditions (such as swath width and airspeed).

GPS Spray Guidance System The aircraft must be equipped with either the Wingman GX aerial spray guidance system or the AG Nav Flight Master Platinum GPS guidance and mapping system. These systems must process data on board with the following accuracy:

• Wind speed accurate to less than 1 knot

• Wind direction accurate to within 2 degrees

• Temperature accurate to less than 1 degree

This level of accuracy is needed so the system can adjust spraying in real time and detect temperature inversions (weather conditions that can affect spray drift). The system must also be able to produce a printable map showing all spray activity, including exactly where spraying started and stopped.

Spray Nozzle System The aircraft must be equipped with a ULV (Ultra-Low Volume) rotary atomizer spray system. The nozzles must produce droplets certified through Malvern Laser Wind-Tunnel analysis, or use industry-approved 1-inch spinning Teflon impingers.

GPS Grid Guidance The aircraft must have GPS guidance with gridline capability, accurate to within 0 to 50 feet, and this GPS system must be used on every aerial spray mission.

APPLICATION:

The County will tell the contractor which geographical areas need to be sprayed, along with the date, time, a backup/alternate time, and the number of acres to be treated. This information will be shared through GIS software provided by the contractor.

A County representative will be on hand to monitor the spray mission and make sure procedures are followed correctly.

The County will specifically be watching:

• Landing Rate Counts (LRC), taken before and after spraying

• Surveillance trap results, taken before and after spraying

• Weather conditions (whether they're favorable or unfavorable for spraying)

• How the application is being carried out — things like spacing between flight lanes and flying altitude

The County's representative and the contractor will jointly have the authority to approve, delay, or stop a spray mission if needed.

During Each Mission The contractor must be able to:

Monitor Weather in Real Time Using an AIMMS-20 weather monitoring system, the contractor must track live weather conditions at the aircraft's release height, specifically:

• Temperature

• Wind speed

• Wind direction

• Humidity

Optimize the Spray Application Getting insecticide to land effectively — and not drift off-target — depends on many factors working together: droplet size, air turbulence created by the aircraft itself, weather at different altitudes, evaporation, where the nozzles are positioned, the aircraft's own characteristics, the product's characteristics, and how fast/high the aircraft is flying when it releases the product.

Because of this, the contractor must have equipment on board that can account for all these factors together, so the spray achieves the best possible droplet density, volume, and size over the treatment area — while keeping off-target drift to a minimum.

The onboard GPS system must also be able to alert pilots in real time if weather conditions change or if a temperature inversion develops (a condition that can cause insecticide to drift instead of settling where intended).

PILOT QUALIFICATIONS:

Pilots shall meet the following requirements:

• At least 500 logged, verifiable flight hours (total flying experience)

• At least 100 logged, verifiable hours specifically flying aerial mosquito insecticide application missions

• A current, valid certification in both the public health and aerial categories of pest control

In addition, pilots must provide copies of the following documents:

• Commercial pilot's license with a multi-engine rating

• First- or second-class medical certificate

• FCC restricted radio operator's permit

• Any other documentation required by the FAA, the State, or local agencies

M. ASSIGNMENT AND SUBLETTING

The Contractor will retain full control over this contract and will not assign or subcontract said contract without the prior written consent of the County. Failure to request consent shall be grounds for default under this Contract. The Contractor further agrees that assigning or subcontracting any portion or feature of the work shall not relieve the Contractor from its full obligations under this contract.

The successful contractor shall obtain prior approval and consent from the County prior to utilizing a subcontractor with respect to the services to be provided. These services shall be of the same professional quality as mentioned in the contract and all requirements are to remain in effect. The contractor shall warrant that each of its subcontractors providing services (if any) shall procure and maintain insurance of the types and to the limits specified herein.

If consent is granted by the County, successful contractor must take all necessary steps to assure that minority businesses, women’s business enterprises and labor surplus area firms are used when possible. Affirmative steps must include the following:

1) Placing qualified small and minority businesses and women’s business enterprises on solicitation lists;

2) Assuring that small and minority business, and women’s business enterprises are solicited whenever they are potential sources;

3) Dividing total requirements, when economically feasible, into smaller tasks or quantities to permit maximum participation by small and minority business, and women’s business enterprises;

4) Establishing delivery schedules, where the requirement permits, which encourage participation by small and minority businesses, and women’s business enterprises;

5) Using the services and assistance, as appropriate, of such organizations as the Small Business Administration and the Minority Business Development Agency of the department of Commerce; and

6) Requiring the prime contractor, if subcontracts are to be let, to take the affirmative steps listed in paragraphs (1) through (5) of this section.

N. DIASTER AND EMERGENCY RESPONSE

The Galveston County Commissioners’ Court recognizes the vulnerability of Galveston County citizens and their communities to damage, injury, and loss of life and property resulting from disasters. Such events require 24/7 responses from emergency first responders, government employees, various elected and appointed officials, state and local representatives, and other emergency management personnel.

In an effort to satisfy cost reasonableness responsibilities and reimbursement initiatives in times of declared emergencies or disasters and their recovery efforts, the County of Galveston reserves the right to obtain additional quotes and current pricing information from the successful contractor and other contractors to perform the work as stated per the specifications listed herein and in the resultant contract. These services shall be solicited on the open market with the same specifications as listed herein and as stated in the resultant contract, however, may include scope changes due to the unknown status of the emergency. The County of Galveston reserves the right to utilize the most advantageous and cost-effective solution(s) during the duration of the declared event and recovery period in an effort to relieve the taxpaying citizens of increased burden and financial hardship.

O. REQUIREMENTS OF REQUEST OF PROPOSAL

Proposer shall either A) submit documentation through Bonfire or B) physically deliver one (1) unbound, single-sided original and one (1) single sided copy of its response to the Purchasing Agent on or before the submission deadline specified herein.

Galveston County Attn: Frank Rodriguez, Purchasing Agent

722 Moody Avenue, Fifth Floor Galveston, TX 77550

P. COST

Pricing shall be quoted as a rate per acre, applied to a minimum of twenty thousand (20,000) acres per Application Event. An Application Event is defined as the treatment of a minimum of 20,000 acres within a maximum period of four (4) continuous days.

Should an Application Event require treatment of more acres than the 20,000-acre minimum, the same per-acre rate shall apply to all acres treated. Should an Application Event require treatment of fewer than 20,000 acres, the Contractor shall invoice the County based on the 20,000-acre minimum regardless of actual acreage treated.

Nothing in the resultant contract guarantees a minimum or maximum number of Application Events during the contract term.

In the event the County changes the insecticide to be applied and/or the application rate of the insecticide, the pricing structure may be amended only upon mutual written agreement of both parties.

Galveston County is tax-exempt. Taxes and license fees shall not be added to the proposal price.

Bidders shall complete the Pricing Sheet below as part of their proposal:

Line Item Description Bidder's Price 1 Rate per acre (based on 20,000-acre minimum per Application Event) $______ per acre 2 Minimum charge per Application Event (20,000 acres × Line 1 rate) $______ 3 Mobilization/standby fee (if any), per Application Event $______ 4 Any additional fees not captured above (describe) $______ Total price per Application Event (20,000 acres) $______

Q. PROPOSAL SUBMISSION REQUIREMENTS

Proposers shall submit the following as part of their response:

1. Cost

• Completed Pricing Sheet, including rate per acre, minimum charge per Application Event, mobilization/standby fee (if any), and total price per Application Event (20,000- acre minimum)

2. Experience

• Company history, including years in business performing aerial adulticide/mosquito control application specifically

• List of similar contracts held within the last five (5) years, including agency name, contract value, and total acreage treated

• Minimum of three (3) references, with contact name, phone number, and email — preferably from Texas county or municipal mosquito control programs

• Description of company ownership and organizational structure

• Copies of relevant company certifications and licenses

3. Ability to Perform

• Description and specifications of all aircraft proposed for use, demonstrating compliance with the Aircraft section of this RFP (FAA/FAR Part 137 certification, guidance system, spray/nozzle system)

• Total number of aircraft available, including any backup/reserve aircraft

• Pilot roster, including qualifications for each pilot matching the Pilot Qualifications section of this RFP

(flight hours, certifications, licenses)

• Description of company's capacity to treat a minimum of 20,000 acres within a four (4) continuous-day

Application Event, including any surge or backup capability

• Proposed mobilization timeline demonstrating the ability to be on-site and ready to begin spraying within seventy-two (72) hours of the County's request

R. INVOICES

Invoices must be itemized indicating all materials and supplies used. Invoices must be submitted to:

Galveston County Auditor’s Office

Attn: Accounts Payable P.O. Box 1418

Galveston, Texas 77553

Failure to submit invoices to the above address or failure to include the Purchase Order Number will result in delay in payment.

Contractor must accept purchase order numbers for specified supplies, equipment, and/or services. Contractor shall not perform any work or release any supplies and/or equipment to any authorized representative of the County of Galveston unless a valid purchase order number issued by the office of the Galveston County Purchasing Agent accompanies the order or if vendor can comply with the provision as stated in the General Provisions, page 8, item 13, Procurement Card Program.

Payment for any items issued without prior receipt of a valid purchase order number may become the sole responsibility of the successful contractor.

S. EVALUATION AND AWARD

The award(s) will be made to the responsible proposer(s) whose proposal is determined to be the best evaluated offer demonstrating the best ability to fulfill the requirements set forth in this Request for Proposal. In awarding the Contract, the Evaluation Committee may take into consideration the proposer’s skill, capacity, experience, support capabilities, previous work record, costs, the necessity of prompt and efficient completion of work described in the proposal documents, or other factors considered relevant.

The requested services will be awarded primarily based on the evaluation criteria listed below as well as complying with the provisions as stated on pages 6-7 of the General Provisions, Item 18, Award of Proposals – Evaluation Criteria and Factors.

• COST- 30%

The Proposer shall provide pricing information relative to providing the services and supplies outlined herein.

• EXPERINCE- 30%

The Proposer shall provide information describing the make-up and experience of the company providing the service.

• ABILITY TO PERFORM- 40%

The ability of the vendor to provide supplies, services and delivery as requested herein.

The remainder of this page intentionally left blank

T. REQUIRED DOCUMENTS CHECKLIST

By signing here, the firm does hereby attest that it has fully read the instructions, conditions, and general and special provisions and understands them. Proposer shall return this checklist with completed submittal.

THE COMPANY OF:

ADDRESS:

FEIN (TAX ID):

The following documents shall be returned or confirmed with an “X” with solicitation submittals. Failure to do so may be ample cause for rejection of qualification submittal as non-responsive. It is the responsibility of the Proposer to ensure that Respondent has received all addenda.

Items: Confirmed (X):

1. Required Documents Checklist (this page)

2. Addenda Acknowledgement (if any) #1 #2 #3 #4

3. “Walked In” Submittals: One (1) original, one (1) copy of submittal; Bonfire: One (1) submittal

4. ATTACHMENT A - Vendor Qualification Packet

5. ATTACHMENT B - Certification Reg. Debarment, Suspension, and Other Ineligibility _______

6. ATTACHMENT C - Certification Regarding Lobbying Form _______

7. ATTACHMENT D - Non-Collusion Affidavit _

8. ATTACHMENT E - Prohibition on Contracts with Companies Boycotting Israel _______

9. ATTACHMENT F - Prohibition on Contracts with Certain Companies _______

8. ATTACHMENT G - Information for Notice _______

10. ATTACHMENT H - References

13. Bid Proposal _______

14. Contract _______

Person to contact regarding this qualification:

Title: Phone: Fax:

E-mail address:

Name of person authorized to bind the Firm:

Signature: Date:

Title: Phone: Fax:

E-mail address:

TABLE OF CONTENTS

A. PURPOSE

B. PROCUREMENT TIMELINE

C. NON-MANDATORY PRE-PROPOSAL CONFERENCE

D. SUBMISSION INSTRUCTIONS

E. PROPOSAL SURETY

F. PERFORMANCE AND PAYMENT BONDS

G. BEST AND FINAL OFFERS (BAFO)

H. DAVIS-BACON WAGE RATES

I. PERSONNEL TO CONTACT

J. PROGRAM ADMINISTRATION & CONTRACT MANAGEMENT

K. INSURANCE

L. SCOPE OF WORK

M. ASSIGNMENT AND SUBLETTING

N. DIASTER AND EMERGENCY RESPONSE

O. REQUIREMENTS OF REQUEST OF PROPOSAL

P. COST

Q. PROPOSAL SUBMISSION REQUIREMENTS

R. INVOICES

S. EVALUATION AND AWARD

T. REQUIRED DOCUMENTS CHECKLIST

TABLE OF CONTENTS

CONFLICT OF INTEREST QUESTIONNAIRE

For vendor doing business with local governmental entity

FORM CIQ

OFFICE USE ONLY

Date Received

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.

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

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 Date ownership interest of one percent or more.

Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/14/2024

Name of signatory

Revised 8/14/2024Form 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.

ATTACHMENT B

County of Galveston

ACKNOWLEDGMENT AND CERTIFICATION REGARDING DEBARMENT,

SUSPENSION, AND OTHER INELGIBILITY

Executive Orders 12549 & 12689 Certification, Debarment and Suspension

Solicitation Number: 26-107

Solicitation Title: _Aerial Adulticide/ Insecticide Application Services_

Contractor hereby CERTIFIES that:

Contractor, and all of its principals, is not presently debarred, suspended, proposed for debarment, proposed for suspension, or declared ineligible under Executive Order 12549 or Executive Order 12689, Debarment and Suspension, and is not in any other way ineligible for participation in Federal or State assistance programs;

Contractor, and all of its principals, were not and have not been debarred, suspended, proposed for debarment, proposed for suspension, or declared ineligible under Executive Order 12549 or Executive Order 12689, Debarment and Suspension, and were not and have not been in any other way ineligible for participation in Federal or State assistance programs at the time its’ proposal was submitted in the procurement identified herein and at any time since submission of its’ proposal;

Contractor has included, and shall continue to include, this certification in all contracts between itself and any sub-contractors in connection with services performed under this contract; and

Contractor shall notify Galveston County in writing immediately, through written notification to the Galveston County Purchasing Agent, if Contractor is not in compliance with Executive Order 12549 or 12689 during the term of its contract with Galveston County.

Contractor Represents and Warrants that the individual executing this Acknowledgment and Certification on its behalf has the full power and authority to do so and can legally bind the Contractor hereto.

Name of Business Date

By:___ Signature Printed Name & Title

ATTACHMENT C

CERTIFICATION REGARDING LOBBYING

(31 U.S.C.A. § 1352)

This Certification must be completed, signed, dated and returned to the Galveston County Purchasing Agent

Procurement Number and Description:

__ _26-107 Aerial Adulticide_/ Insecticide Application Serivces______

Proposer CERTIFIES, to the best of its knowledge and belief, that:

1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the proposer, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the proposer shall complete and submit Standard Form LLL, “Disclosure Form to Report Lobbying”, in accordance with its instructions.

3. Proposer shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Name of Organization/Corporation:

Address:

City: State: Zip Code:

Signature of Authorized Date Signatory for Proposer: Signed:

Title of Authorized Signatory of Proposer:

ATTTACHMENT D

State of Texas § County of Galveston §

NON-COLLUSION AFFIDAVIT

Before me, the undersigned notary, on this day personally appeared ___________________________ (Affiant), whom being first duly sworn, deposes and certifies that:

Affiant is the of , that

(Individual, Partner, Corporate Officer) (Name of Qualifier) submitted the attached Qualification in RFP 26-107 Aerial Adulticide/ Insecticide Application Services

Affiant is a duly authorized representative of Qualifier and is authorized to make this Non-Collusion Affidavit;

The attached Qualification is genuine and is not a collusive or sham Qualification;

The attached Qualification has been independently arrived at without collusion with any other qualifier, bidder, proposer, person, firm, competitor, or potential competitor;

Qualifier has not colluded, conspired, connived or agreed, directly or indirectly, with any other qualifier, bidder, proposer, person, firm, competitor, or potential competitor, to submit a collusive or sham qualification or that such other qualifier, bidder, proposer, person, firm, competitor, or potential competitor shall refrain from qualifying;

Qualifier has not in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other qualifier, bidder, proposer, person, firm, competitor, or potential competitor to fix the price or prices in the attached Qualification or of the qualification any other qualifier;

Qualifier has not in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other qualifier bidder, proposer, person, firm, competitor, or potential competitor to fix the overhead, profit or cost element of the Qualification price or prices of any other qualifier, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against Galveston County or any person interested in the proposed contract;

Affiant has not in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other qualifier, bidder, proposer, person, firm, competitor, or potential competitor, paid or agreed to pay any other qualifier, bidder, proposer, person, firm, competitor, or potential competitor any money or anything of value in return for assistance in procuring or attempting to procure a contract or in return for establishing the price or prices in the attached Qualification or the qualification of any other Qualifier; and

Affiant certifies that Affiant is fully informed regarding the accuracy of the statements contained herein, and under penalties of perjury, certifies and affirms the truth of the statements herein, such penalties being applicable to the Qualifier as well as to Affiant signing on its behalf.

Signature of Affiant

SWORN TO and SUBSCRIBED before me this day of , 2026.

Notary Public

My Commission Expires:

ATTACHMENT E

Prohibition on Contracts with Companies Boycotting Israel

Prohibition on contracts with companies boycotting Israel per Government Code 2271.001 Definitions:

(1) "Boycott Israel" has the meaning assigned by Section 808.001.

(2) "Company" has the meaning assigned by Section 808.001; except that the term does not include a sole proprietorship.

(2) "Governmental entity" has the meaning assigned by Government Code, Section 2251.001.

PROVISION REQUIRED IN CONTRACT. (a) This section applies only to a contract that:

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

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

(b) A governmental entity may not enter into a contract with a company for goods or services unless the contract contains a written verification from the company that it:

(1) does not boycott Israel; and

(2) will not boycott Israel during the term of the contract.

As required by GOVERNMENT CODE, CHAPTER 2271, CONTRACTOR hereby verifies that it does not boycott Israel and will not boycott Israel throughout the term of this Agreement. For the purposes of this verification, “Boycott Israel” means refusing to deal with, terminating business activities, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or 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.

Individual by oath swears that the following statements are factual and true:

1. Individual is authorized by the Contractor to make this statement for the Contractor.

2. Individual has read and is fully aware of the facts stated in this statement.

3. Individual can read and comprehend the English language.

4. In accordance with Texas Government Code Section 2271.002, this company does not boycott Israel and will not boycott Israel during the term of this contract/agreement.

Date:

Business Name of Contractor:

Company Address:

County of Contractor:

Individual:

Signature of Individual:

ATTACHMENT F

Prohibition on Contracts with Certain Companies

Prohibition on contracts with certain companies per Government Code 2252.151 Definitions:

(1)“Company” has the meaning assigned by Section 806.001.

(2)“Foreign terrorist organization” means an organization designated as a foreign terrorist organization by the United States secretary of state as authorized by 8 U.S.C. Section 1189.

(3)“Governmental contract” means a contract awarded by a governmental entity for general construction, an improvement, a service, or a public works project for a purchase of supplies, materials, or equipment.

The term includes a contract to obtain a professional or consulting service subject to Government Code, Chapter 2254.

(4)“Governmental entity” has the meaning assigned by Government Code, Section 2252.001.

Section 2252.152 – CONTRACTS WITH COMPANIES ENGAGED IN BUSINESS WITH IRAN, SUDAN, OR FOREIGN TERRORIST ORGANIZATION PROHIBITED. A governmental entity may not enter into a governmental contract with a company that is identified on a list prepared and maintained under Section 806.051, 807.051, or 2252.153.

Section 2252.153 – Listed Companies. The comptroller shall prepare and maintain, and make available to each governmental entity, a list of companies known to have contracts with or provide supplies o services to a foreign terrorist organization.

Pursuant to Chapter 2252, Texas Government Code, VENDOR represents and certifies that, at the time of execution of this Agreement, neither Vendor, nor any wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate of the same (i) engages in business with Iran, Sudan, or any foreign terrorist organization as described in Chapters 806 or 807 of the Texas Government Code, or Subchapter F of Chapter 2252 of the Texas Government Code, or (ii) 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. The term “foreign terrorist organization” in this paragraph has the meaning assigned to such term in Section 2252.151 of the Texas Government Code.

Individual by oath swears that the following statements are factual and true:

1. Individual is authorized by the Contractor to make this statement for the Contractor.

2. Individual has read and is fully aware of the facts stated in this statement.

3. Individual can read and comprehend the English language.

4. As required by GOVERNMENT CODE, CHAPTER 2252.152, CONTRACTOR hereby verifies that it is not identified on a list prepared and maintained under Section 806.051, 807.051, or 2252.153, or contracting with a company doing business with Iran, Sudan, or any foreign terrorist organizations.

Date:

Business Name of Contractor:

Company Address:

County of Contractor:

Name of Individual:

Signature of Individual:

ATTACHMENT G

INFORMATION FOR NOTICE

Solicitation Title: Aerial Adulticide / Insecticide Application Services

Respondent shall use this form to provide the information for notice.

1. Contact information for notice:

Name:

Address:

Telephone Number: Facsimile number:

2. If a copy of notice is requested, please complete below:

Name:

Address:

3. If second or more copies are requested for notice, please supplement this form, and clearly mark the supplement as “Supplementary Notice Information.”

ATTACHMENT H

REFERENCES

Solicitation Title: Aerial Adulticide/ Insecticide Application Services

Respondent shall use this form to provide three (3) references who can attest to the Respondent’s capability to carry out the requirements set forth in this qualification request. If Respondent wishes to provide more than the minimum, Respondent should supplement this form and should clearly mark the supplement as “Supplementary Reference Information.”

1. Business Name of Organization:

Name of Person:

Title of Individual within Organization, if applicable:

Business address:

2. Business Name of Organization:

3. Business Name of Organization:

State of Texas

County of Galveston

Contract

This Contract is entered into between the County of Galveston, a political subdivision of the State of Texas and the Contractor named below pursuant to Texas Local Government Code, Chapter 262, Subchapter C and the referenced invitation to bid.

Contract Number: CM

Solicitation Number: RFP 26-107, Aerial Adulticide/ Insecticide Application Services

Term of Contract: Three (3) years with two (2) one (1) year automatic extensions

Beginning date of the Contract will be ______. The Contract will terminate on

Term of Completion (Construction or…