RFP CMAR 26-008.pdf
PDF 4 MB Posted
- Solicitation number
- RFP-26-008
- Issued by
- Polk County, Texas
About this file
RFP Summary
This is a Request for Proposals (RFP) issued by Reeves County Purchasing Department in Pecos, Texas for Construction Manager at Risk (CMAR) services for the development of an indoor/outdoor waterpark facility. The project encompasses the design and construction of a 67,675 square-foot waterpark complex with an estimated construction budget of approximately $54 million, located south of the Cyclone Ballpark in Reeves County. The facility will include indoor amenities such as a surf simulator, lazy river, activity pool, splash play zone, and slide complex within an OpenAire aluminum-framed glass structure with an operable roof, as well as outdoor facilities including a leisure pool with cabanas and gazebos. Sealed proposals must be submitted no later than 11:00 AM Central Standard Time on Thursday, May 28, 2026, with opening scheduled for 11:05 AM the same day. The architect for the project is Parkhill (Mary Still, AIA, CNU-A) in El Paso, Texas. Vendors may submit proposals through sealed envelope delivery or the Bonfire portal. The tentative contract award date is June 22, 2026, during a Commissioners' Court meeting. Design documents are expected to be completed in early July 2026, with permitting anticipated to take two months and construction requiring approximately sixteen months, targeting a waterpark opening date of December 2027. Questions regarding the RFP must be submitted via email to bidquestions@reevescounty.org by May 20, 2026 at 3:00 PM.
The CMAR will provide a Guaranteed Maximum Price for the project and be reimbursed for the cost of work plus a fee, with pre-construction services fees to be separated from construction services fees. The selected contractor must furnish 100% payment and performance bonds and will conduct subcontractor bidding in compliance with Texas Government Code Chapter 2269. Reeves County has already procured approximately $10.76 million in sole-source items with which the awarded CMAR must coordinate. Proposal evaluation is weighted across six criteria: previous related CMAR experience (15 points), indoor waterpark construction experience (10 points), personnel qualifications and experience (25 points), project schedule (10 points), references (10 points), and proposed fees for general conditions (30 points). Proposals are limited to a maximum of 20 pages. The contractor must be independent of the project architect, per Texas Government Code 2269.252(b)(c). Additional requirements include execution of a Conflict of Interest Questionnaire, certificate of liability insurance naming Reeves County as additional insured with waiver of subrogation, and various state statutory compliance verifications including House Bill 89 (Israel boycott), Senate Bill 19 (firearm discrimination), Senate Bill 13 (energy company boycott), and Senate Bill 252 (Iran/Sudan/terrorist organization restrictions).
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Text version
Reeves County Purchasing Department 1714 Schmidt Dr. Pecos, TX 79772
NOTICE TO INTERESTED PARTIES
The Reeves County Purchasing Department is receiving sealed proposals at 1714 Schmidt Drive.
Pecos, Texas 79772 any time before 11 A.M (CST) Thursday, May 28, 2026 to be opened in Conference Room 212 at 11:05 AM (CST) on the same day. The County of Reeves is not responsible for late deliveries of any kind or any reason.
Mark Sealed Envelope:
“Bid No. 26-008” Construction Manager at Risk Services for Indoor Waterpark
Bids should be typed or printed in ink. Bids shall be placed in a sealed envelope, with the cover page manually signed by a person having the authority to bind the firm in a contract and marked clearly on the outside as shown above. Facsimile transmittals and email submitted proposals will not be accepted. You may also utilize Bonfire portal to submit online.
https://reevescounty.bonfirehub.com/portal/?tab=openOpportunities
Do not contact the requesting department. Any questions or additional information required by interested vendors must be emailed to bidquestions@reevescounty.org before Wednesday, May 20, 2026. RFQ number and title must be on the “Subject Line” of the email. Attempts to circumvent this requirement may result in rejection of the response as non-compliant.
Any changes in the specifications will be posted on the bonfire portal. It shall be the Vendor’s responsibility to check the portal prior to the opening date to verify whether any addendums have been posted.
Reeves County appreciates your time and effort in preparing a bid. The Purchasing Department must receive all proposals any time before opening date and time. Bids received after the deadline will not be considered for the contract, and shall be considered void and unacceptable.
Award of the proposals is tentatively scheduled for 9:00 a.m. (CST), in Commissioners’ Court, Monday, June 22, 2026, Third Floor Courtroom of the Reeves County Courthouse. You are invited to attend, but attendance is not required for award.
Successful proposer shall not order items or services until a Purchase Order is received from the County Purchasing Office. Payment will not be made on items delivered without a Purchase Order. Payment shall be made through County funds after completion of goods or services are received. Purchase Orders will be issued as required.
Lucero Sandoval Purchasing Agent https://reevescounty.bonfirehub.com/portal/?tab=openOpportunities mailto:bidquestions@reevescounty.org
2 RFP #26-008
No. 26-008
RFP SCHEDULE
Notices Published: May 7 & 14, 2026
Questions Due: May 20, 2026 3PM Proposals Due: May 28, 2026 before 11 AM CST
Tentative Award Date: June 22, 2026 Issued by: Lucero Sandoval, Purchasing Agent
Issued by: Lucero Sandoval, Purchasing Agent
Purchasing Department 1714 Schmidt Drive Pecos, TX 79772
The County of Reeves does not discriminate on the basis of race, color national origin, sex, religion, age and disability in employment or the provision of services.
The County reserves the right to terminate this process at any time and no guarantee is expressed or implied that obligates the County to contract for the proposed project.
OFFEROR’S NOTE
1. Carefully read all instructions, requirements and specifications.
2. Fill out all forms properly and completely.
3. Submit the SOQ with all appropriate required documents
3 RFP #26-008
VENDOR ACKNOWELEDGEMENT
RFQ 26-008
Please submit one 1 electronic copy of the SOQ, if submitting a paper copy.
The undersigned hereby certifies that he/she understands the specifications and any addendums, has read the document in its entirety and the prices submitted in this bid/proposal have been carefully reviewed and are submitted as correct and final. If Bid/Proposal is accepted, proposer further certifies and agrees to furnish any or all products/services upon which prices are extended at the price offered, and upon conditions in the specifications of the Invitation for Bid/Proposal.
The undersigned hereby certifies the foregoing proposal submitted by the company listed below hereinafter called "Bidder" is the duly authorized agent of said company and the person signing said proposal has been duly authorized to execute the same. Bidder affirms that they are duly authorized to execute this contract; this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other Bidder; and that the contents of this bid as to prices, terms or conditions of said bid have not been communicated by the undersigned nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid.
Company Name
Address of Principal Place of Business
City, State, Zip
Remittance Address
City, State, Zip
Phone of Principal Place of Business
Active Sam Registration Y N
Acknowledgement of Addenda
(Please circle EACH acknowledged Addendum(s))
#1 #2 #3 #4 #5
Authorized Representative Name
Email Address of Representative
Authorized Representative Title
Authorized Signature
Date
***THIS MUST BE THE FIRST PAGE ON ALL BIDS***
4 RFP #26-008
Reeves County (the “County” or “Owner”) is requesting proposals for a Construction Manager at Risk (“CMAR” or “Contractor”), utilizing the One-Step Process (per Texas Government Code, Chapter 2269, Subchapter F) relating to its Indoor Waterpark (collectively the “Project”). The estimated budget for construction costs is approximately $54,000,000.
The Project is the construction of the Reeves County Waterpark. The architect is:
Parkhill 501 W. San Antonio Ave. El Paso, TX 79901 Attn. Mary Still, AIA, CNU-A mjstills@parkhill.com 915-533-6811
Project Information
South of the Cyclone Ballpark, Reeves County will be building an indoor / outdoor waterpark. The design team, led by Parkhill, will conclude construction documents of the $54 million-dollar waterpark at the beginning of July. Permitting is anticipated to take two months, and the construction phase to take approximately sixteen months, estimating an opening date of December 2027.
The waterpark facility, although one structure, can be viewed in separate sections/sides. The south side is planned to have the public access; it includes the main entry with customer guest services and a gift shop area. Adjacent to the main entry are the main administrative offices. Also, on south side are guest bathrooms, lockers, party rooms, and two sets of stairs for access to the mezzanine which includes the bar and lounge area, and the arcade.
The centralized area houses all the indoor waterpark amenities; surf simulator, lazy river, activity pool, splash play zone, and slide complex. This OpenAire structure, is an aluminum framed, glass, structure, with an operable roof structure. The outdoor waterpark area is located on the west side, it includes a leisure pool, with areas for lounging, cabanas, and two large gazebos towards the north.
The north side of the building includes the concession area. Remaining rooms are ‘back-of-house’ or ‘non-guest’ areas, such as IT, EAVS, storage, mechanical, chemical, lifeguard area and other support spaces. The north area includes a full basement which houses the pool mechanical equipment.
The north area is accessible from the north service drive for all back-of-house services. The guest parking is located on the eastside of the waterpark. Roads to the waterpark will be developed by others.
Reeves County has already procured approximately $10,760,000 in sole source items, with whom the awarded CMAR will be required to coordinate with.
Site Plan and Conceptual Drawing attached separately.
mailto:mjstills@parkhill.com
5 RFP #26-008
Scope of Services The Owner will contract directly with a CMAR for performing pre-construction services and general construction of the Project. The CMAR will then conduct the subcontractor selection/bidding and contract with all subcontractors required for the work pursuant to Texas Government Code §2269.255. The Owner reserves the right to contract separately with other suppliers, vendors, consultants and contractors as deemed in the best interest of the Owner’s Project. For construction work, this currently includes: Independent testing and commissioning for acceptance of the Work, but not otherwise, including materials testing and inspection, HVAC testing and balancing, etc., as may be applicable for Owner’s acceptance of this Project.
The selected CMAR will provide a Guaranteed Maximum Price for the Project. The CMAR will be reimbursed for the cost of the Work plus a Fee.
The CMAR will participate in pre-construction services by providing input for scheduling, budgeting, development of documentation, inventory of existing materials, bidding of subcontractors, and construction of the Project and for “constructability” issues.
The CMAR shall publicly advertise and receive bids/Proposals from subcontractors for all portions of the work. Subcontractor bids or Proposals shall be reviewed and approved as set out in Texas Government Code §2269.255.
Payment and performance bonds will be required of the CMAR for 100% of the entire Project. The Owner will make all construction payments directly to the CMAR, for its distribution of payments to subcontractors and suppliers as appropriate.
Pre-Construction Services Fees, if any, are to be included but separated from the Construction Services Fee. Pre-Construction Services may include Scheduling, Budgeting and Cost Estimating as follows:
1. An estimate of construction cost based on preliminary construction documents and visual site visits.
2. A Project schedule identifying critical path and long lead items.
3. Continually monitor and maintain the construction portion of the Project budget. Provide substantially detailed estimates as an evaluative tool in the selection of design alternatives.
4. Provide cost saving analysis for system.
5. Evaluate quality, initial cost, maintenance and appropriateness.
6. Develop, monitor and maintain a Project schedule for bidding and construction.
7. Assess the availability of all building components regarding the Project schedule.
8. Coordinate the bidding and issue of pre-purchase orders for long lead items, if required.
9. Make recommendations and provide references for manufacturers, suppliers and other subcontracts considered during design.
6 RFP #26-008
10. Review the Construction Documents during development and report to the Architect and Owner on constructability and coordination of the information presented. The CMAR is not responsible for the Architect’s quality control but is to identify areas in the documents requiring additional information or clarification.
11. If applicable, attend design meetings with the Architect, Architect’s consultants and Owner when requested.
12. Conduct a wage rate survey to be used during bidding to subcontractors. (Prevailing Wage Rates)
Construction Phase The CMAR shall be responsible for all general construction services for the project. Basic Services shall include all permitting, estimating, scheduling, administration and on-site management required for the successful construction of the Project.
Pursuant to Texas Government Code 2269.252.(b)(c)
The governmental entity's architect or engineer for a project, or an entity related to the governmental entity's architect or engineer, may not serve, alone or in combination with another person, as the construction manager-at-risk. This subsection does not prohibit the governmental entity's architect or engineer from providing customary construction phase services under the architect's or engineer's original professional service agreement in accordance with applicable licensing laws.
For purposes of Subsection (b), an entity is related to the governmental entity's architect or engineer if the entity is a sole proprietorship, corporation, partnership, limited liability company, or other entity that is a subsidiary, parent corporation, or partner or has any other relationship in which the governmental entity's architect or engineer has an ownership interest, or is subject to common ownership or control, or is party to an agreement by which it will receive any proceeds of the construction manager-at-risk's payments from the governmental entity.
Proposal Outline Proposals shall address the following criteria and shall be weighted as indicated. (maximum of 20 pages) Other information, if provided, shall be included as appendices at the back of the submitted qualification statement.
Introduction (Executive Summary): 1 page maximum Indicate the exact lega l name of Offeror, its type of legal organization, its State of organization, its mailing address, the office/business location of the Offeror from which the Project will be managed;
and, address Offeror’s availability to the Project and the Owner and the response time.
Section 1 Previous Related Experience as a CMAR: (15 points, maximum)
• Indicate experience with publicly funded projects of same approximate size and type as the anticipated project.
• Indicate safety record on previous projects.
• Indicate whether Offeror has had construction contracts terminated prior to completion or whether a bonding company surety has had to pay funds under a bond of the Offeror.
• Identify any previous working relationship with the Owner or Architect.
Section 2 Indoor Waterpark Experience (10 points, maximum)
7 RFP #26-008
Provide your experience in constructing indoor waterparks to include, properties, year built, amenities, and location along with overall construction value.
Section 3 Personnel: (25 points, maximum)
Indicate the following:
• Office/Management Staff – qualifications, registrations, experience.
• On-site Staff including proposed superintendent, alternate superintendent, assistant superintendent, and any other on-site staff proposed – qualifications, registrations, experience.
• Consultants (if any) – discipline, staff size, experience in related projects, location.
• Indicate whether any officer, director, shareholder, partner, proprietor or on-site staff of Offeror have, within the last 5 years, been an officer, director, shareholder, partner, proprietor, or employee of another entity that has engaged in construction operations. Give the name and address of each entity and the period of time affiliated with that entity.
Section 4 Project Schedule: (10 points, maximum) Indicate the estimated time required to perform necessary Construction Manager-At-Risk services, including pre-construction services and construction timeline, for this project.
Section 5 References (10 points, maximum) Include name, address, and phone number of contacts.
• Indicate (3 minimum) general references who can attest to the Offeror’s ability, performance, and safety record.
• Indicate (3 minimum) contractor references who can attest to the Offeror’s abilities in handling construction management.
• Indicate (3 minimum) architect references who can attest to the Offeror’s abilities in value engineering, cost control, and constructability issues.
Section 6 Proposed Fees (30 points, maximum) Provide your proposed fees for fulfilling the general conditions.
General conditions" in the context of a contract for the construction, rehabilitation, alteration, or repair of a facility means on-site management, administrative personnel, insurance, bonds, equipment, utilities, and incidental work, including minor field labor and materials.
9 RFP #26-008
PURCHASING CODE OF ETHICS
Public employment is a public trust. It is the policy of Reeves County to promote and balance the objective of protecting government integrity and the objective to facilitate the recruitment and retention of personnel needed by Reeves County. Such policy is implemented by prescribing essential standards of ethical conduct without creating unnecessary obstacles to entering public service.
Public employees must discharge their duties impartially to assure fair competitive access to County procurement by responsible contractors. In addition, public employees should conduct themselves in such a manner that fosters public confidence in the Reeves County procurement department. To achieve the purpose of the policy, it is essential that those doing business with the Reeves County purchasing office also observe the ethical standards prescribed here.
General Ethical Standards
1. It shall be a breach of ethics to attempt to realize personal gain through public employment with Reeves County by any conduct inconsistent with the proper discharge of the employee’s duties.
2. It shall be a breach of ethics to attempt to influence any public employee of Reeves County to breach the standards of ethical conduct set forth in this code.
3. It shall be a breach of ethics for any employee of Reeves County to participate directly or indirectly in a procurement when the employee knows that:
a. The employee or any member of the employee’s immediate family has financial interest pertaining to the procurement;
b. A business or organization in which the employee or any member of the employee’s immediate family, has financial interest pertaining to the procurement; or
c. Any other person, business or organization with whom the employee or any member of the employee’s immediate family is negotiating or has an arrangement concerning prospective employment is involved in the procurement.
4. Gratuities It shall be a breach of ethics to offer, give or agree to give any employee or former employee of Reeves County or to solicit, demand, accept or disagree to accept from another person, a gratuity or an offer of employment in connection with any decision, approval, disapproval, recommendation, and preparation of any part of a program requirement or purchase request. Influencing the content of any others in an advisory capacity in any proceeding or application, request for ruling, determination, claim or controversy, or other matter pertaining to any program requirement or a contract or subcontract, or to any solicitation or proposal pending before this government, shall also constitute a breach of ethics.
5. Kickbacks It shall be a breach of ethics for any payment, gratuity or offer of employment to be made by or on behalf of a subcontractor under a contract to the prime contractor or higher tier subcontractor for any contract for Reeves County, or any person associated therewith, as an inducement for the award of a subcontract or order.
6. Contract Clause The prohibition against gratuities and kickbacks prescribed above shall be conspicuously set forth in every contract and solicitation therefore.
7. It shall be a breach of ethics for any employee or former employee of Reeves County to knowingly use confidential information for actual or anticipated personal gain, or for the actual or anticipated gain of any person.
8 RFP #26-008
REEVES COUNTY, TEXAS
COUNTY PURCHASING DEPARTMENT
1714 Schmidt Drive Pecos, TX 79772
432-287-0222, OPTION 7
Dear Vendor:
The Texas Local Government Code Chapter 176 requires all vendors and potential vendors who contract or seek to contract for the sale or purchase of property, goods, or services with any local government entity to complete and submit a Conflicts of Interest Questionnaire. Below is a copy of the questionnaire and original copy can always be obtained on the County website:
https://www.reevescounty.org/home/showpublisheddocument/127/637230650710700000
In filling out the Questionnaire, the following are the County Officers that will award the contract and the employees, which will make a recommendation to the Commissioner’s Court:
County Officers:
County Judge, Leo Hung
Commissioner, Louise Moore Commissioner, Israel Campos Commissioner, Paul Hinojos Commissioner, Tony Trujillo
County Employees:
Lucero Sandoval, Purchasing Agent
Damian Dominguez, Buyer
Erlinda Salazar, Buyer
Curtis D. Wilson, County Road and Bridge Engineer https://www.reevescounty.org/home/showpublisheddocument/127/637230650710700000
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 of vendor doing business with the governmental entity Date ownership interest of one percent or more.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021
Revised 1/1/2021Form provided by Texas Ethics Commission www.ethics.state.tx.us
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.
STATE OF TEXAS (
AFFIDAVIT
COUNTY OF REEVES (
BEFORE ME, the undersigned authority, on this day personally appeared
_______________________________________________ known to me to be the person whose name is subscribed to the following, who upon oath, says:
I am the Manager, Secretary or other agent or officer or the principal of the firm in the matter of the invitation to bid to which this affidavit is attached, and I have full knowledge of the relations of the firm with the other firms in this same line of business, and the firm is not a member of any trust, pool or combination to control the price of services on the invitation to bid, or to influence any person to the invitation to bid or not to the invitation to bid thereon.
I further affirm that the firm has not given, offered to five, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted invitation to bid.
Affiant
SWORN TO AND SUBSCRIBED BEFORE ME by the above Affiant, who, on oath states that the facts contained in the above are true and correct, this __________ day of
__________________________, 20______.
Notary Public in and for ____________________ County, Texas
Name of Firm_____________________________________________________
Signed By: _______________________________________________________ (Sign Name in Writing) (Title)
Address: _________________________________________________________
Telephone Number:________________________________ Date: ___________
NOTE: ITBs NOT ACCOMPANIED BY THIS AFFIDAVIT MAY NOT BE CONSIDERED.
The County of Reeves does not discriminate on the basis of race, color, national origin, sex, religion, age, organizational affiliations, and disability in employment or the provision of services.
HEALTH INSURANCE BENEFITS QUESTIONNAIRE
Texas Local Government Code Section 262.0271 states the County may give preference to bidders that provide reasonable health insurance coverage to its employees, over a bidder that doesn’t provide such insurance. Complete the questionnaire below if applicable. If not, check box #3.
1. Do you or your subcontractor(s) currently offer health insurance benefits to your employees?
If so, please describe those health insurance benefits that you or your subcontractor(s) currently provide/offer to your employees.
2. What percentage, if any, of your subcontractor’s employees are currently enrolled in the health insurance benefits program?
3.
No. The bidder is not requesting the Health Insurance Benefits Preference.
Checking Box #3 will not disqualify you from participating in this bid selection process.
BUSINESS NAME DATE
NAME OF AUTHORIZED REPRESENATIVE SIGNATURE OF AUTHORIZED REPRESENATIVE
BIDDER RESIDENCY CERTIFICATION
Government Code 2252.002 provides that, in order to be awarded a contract as low bidder, a non-resident bidder must bid projects for construction, improvements, supplies or services in Texas at an amount lower than the lowest Texas resident bidder by the same amount that a Texas resident bidder would be required to underbid a non-resident bidder in order to obtain a comparable contract in the state in which the non-resident’s principal place of business is located. A non-resident bidder is a contractor whose corporate offices or principal place of business is outside of the state of Texas. This requirement does not apply to a contract involving Federal funds. The appropriate blanks in Section A must be filled out by all out-of-state or non-resident bidders in order for your bid to meet specifications. The failure of out-of-state or non-resident contractors to do so will automatically disqualify that bidder. Resident bidders must check the blank in Section B.
A. Non-resident vendors in ________________________ (give state), our principal place of business, are required to be __________ percent lower than resident bidders by state law.
A copy of the statute is attached.
Non-resident vendors in ______________________ (give state), our principal place of business, are not required to underbid resident bidders.
B. Our principal place of business or corporate offices are in the State of Texas: ________.
COMPANY NAME
SIGNATURE
NAME & TITLE
DATE
HOUSE BILL 89
I, _________________________________________, (Person Name), the undersigned
Representative of _________________________________________ (Company Name or Business Name; hereafter referred to as Company) being an adult over the age of eighteen (18) years of age, after being duly sworn by the undersigned notary, do hereby depose and verify under oath that the company named-above, under the provisions of Subtitle F, Title 10, Government Code Chapter 2270:
1. Does not boycott Israel currently; and
2. Will not boycott Israel during the term of the contract.
Pursuant to Section 2270.001, Texas Government Code:
1. “Boycott Israel” means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes; and
2. “Company” means a for-profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit.
DATE SIGNATURE OF COMPANY REPRESENTATIVE
On this _____ day of _________________________, 20____, personally appeared
________________________________________, the above-named person, who after by me being duly sworn, did swear and confirm that the above is true and correct.
NOTARY SEAL
NOTARY SIGNATURE
Effective September 1, 2021
SENATE BILL 19 VERIFICATION FORM
This section applies only to a contract that:
[ ] 1) is between a governmental entity and a company with 10 or more full-time employees;
[ ] 2) has a value of $100,000 or more that is to be paid wholly or partly from public funds of the governmental entity.
I,_________________________________________ (Person Name), the undersigned Representative of
________________________________________ (Company Name or Business Name; hereafter referred to as Company) being an adult over the age of eighteen (18) years of age, after being duly sworn by the undersigned notary, do hereby depose and verify under oath that the company named-above, under the provisions of Subtitle F, Title 10, Government Code Chapter 2274:
1. Does not have a practice, policy guidance, or directive that discriminates against a firearm entity or firearm trade association ; and
2. Will not discriminate companies during the term of the contract.
Pursuant to Section 2274.001, Texas Government Code:
(1) "Ammunition" means a loaded cartridge case, primer, bullet, or propellant powder with or without a projectile.
(2) "Company" means 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.
(3) "Discriminate against a firearm entity or firearm trade association":
(A) 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; and
(B) does not include:
(i) the established policies of a merchant, retail seller, or platform that restrict or prohibit the listing or selling of ammunition, firearms, or firearm accessories; and
(ii) a company's refusal to engage in the trade of any goods or services, decision to refrain from continuing an existing business relationship, or decision to terminate an existing business relationship:
(aa) to comply with federal, state, or local law, policy, or regulations or a directive by a regulatory agency; or
(bb) for any traditional business reason that is specific to the customer or potential customer and not based solely on an entity's or association's status as a firearm entity or firearm trade association.
(4) "Firearm" means a weapon that expels a projectile by the action of explosive or expanding gases.
(5) "Firearm accessory" means a device specifically designed or adapted to enable an individual to wear, carry, store, or mount a firearm on the individual or on a conveyance and an item used in conjunction with or mounted on a firearm that is not essential to the basic function of the firearm. The term includes a detachable firearm magazine.
(6) "Firearm entity" means:
(A) a firearm, firearm accessory, or ammunition manufacturer, distributor, wholesaler, supplier, or retailer; and
(B) a sport shooting range as defined by Section 250.001, Local Government Code.
(7) "Firearm trade association" means any person, corporation, unincorporated association, federation, business league, or business organization that:
(A) is not organized or operated for profit and for which none of its net earnings inures to the benefit of any private shareholder or individual;
(B) has two or more firearm entities as members; and
(C) is exempt from federal income taxation under Section 501(a), Internal Revenue
Code of 1986, as an organization described by Section 501(c) of that code.
(8) "Governmental entity" has the meaning assigned by Section 2251.001.
SIGNATURE OF COMPANY REPRESENTATIVE DATE
On this the _____ day of _________________________, 20____, personally appeared
________________________________________, the above-named person, who after by me being duly sworn, did swear and confirm that the above is true and correct.
http://www.statutes.legis.state.tx.us/GetStatute.aspx?Code=LG&Value=250.001 http://www.statutes.legis.state.tx.us/GetStatute.aspx?Code=GV&Value=2251.001
Effective September 21, 2021
SENATE BILL 13 VERIFICATION FORM
as Company) being an adult over the age of eighteen (18) years of age, after being duly sworn by the provisions of Subtitle A, Title 8, Government Code Chapter 809:
1. Does not boycott energy companies; and
2. Will not boycott energy companies during the term of the contract.
Pursuant to Section 809.001, Texas Government Code:
1. A "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) invests in or assists in the exploration, production, utilization, transportation, sale, or manufacturing of fossil fuel-based energy; or
(B) does business with a company described by Paragraph (A)
2. “Company” means a for-profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company, or other entity or business association whose securities are publicly traded, including a wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of those entities or business associations, that exists to make a profit.
did swear and confirm that the above is true and correct.
NOTARY SEAL
SENATE BILL 252 VERIFICATION
Business Name; hereafter referred to as Company) being an adult over the age of eighteen (18) years of age, after being duly sworn by the undersigned notary, do hereby depose and verify under oath that the company named-above, under the provisions of Subtitle F, Government Code Chapter 2252:
1. Is not engaged in business by Contracts or Investments with Iran, Sudan, or Foreign Terrorist Organizations; and
2. Will not engage to do business by Contracts or Investments with Iran, Sudan, or Foreign Terrorist Organizations during the term of the contract.
Pursuant to Section 2252.151, Texas Government Code:
1. “Foreign Terrorist Organization” means an organization designed as a foreign terrorist organization by the United States Secretary of State as authorized by 8 U. S. C. Section 1189.
2. “Company” means a sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company, or other entity or business association whose securities are publicly traded, including a wholly owned subsidiary, majority-owned subsidiary, parent company, or affiliate of those entities or business associations, that exists to make a profit.
CLIENT REFERENCES
Please list at least three (3) companies or governmental agencies (preferably a local government) where the same or similar products and/or services as contained in this specification package were recently provided.
THIS FORM MUST BE RETURNED WITH YOUR BID.
REFERENCE ONE
Government/Company Name:
Address:
Contact Person and Title:
Phone: Email:
Contract Period: Scope of Work:
REFERENCE TWO
Address:
Contact Person and Title:
REFERENCE THREE
Address:
Contact Person and Title:
NON - RESPONSE NOTIFICATION
Vendor Name & Representative: __________________________________________________
Representative: _______________________________________________________________
Bid Number: _____________________________
Reeves County is interested in receiving competitive responses on all items proposed. We also desire to keep your company as a vendor for these services. Therefore, it is important for us to determine why you are not proposing on this item. We will analyze your input carefully and try to determine if future changes are needed in our specifications and/or procedures.
I did not respond to this bid for the following reasons
(PLEASE CHECK ONE OF THE LISTED REASONS)
____ Do not provide the requested services.
____ Services requested are too small or too large to be provided by my company. (Please circle one of the underlined)
____ Specifications are “too tight” or written around a particular service(s).
(Please elaborate) ____________________________________________
____ Cannot propose against manufacturer or jobber on this item.
(Please circle one of the underlined)
____ Time frame for proposing was too short for my organization.
____ Not awarded a contract by Reeves County when you felt you were best responder.
____ Other…__________________________________________________________
Please indicate your choice for remaining on Reeves County’s vendor list.
[ ] I wish to remain on vendor list. [ ] I do not wish to remain on the vendor list.
VENDOR SIGNATURE DATE
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
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
DRAFT
DRAFT
X X
X
DRAFT
DRAFT
DRAFT
1,000,000 100,000
5,000
INCLUDED
1,000,000 1,000,000
500,000
3,000,000 10,000,000
X 100,000 100,000 500,000
The certificate holder is named as additional insured.
Waiver of Subrogation are in favor of Reeves County.
Reeves County 100 East 4th Street Pecos, TX 79772
| RFP CMAR 26-008.pdf |
| 2. CIQ |
| 2.1 Affidavit |
| 2.2 Health Insurance Benefits Questionnaire |
| 3. Bidder Residency Certification |
| 4. House Bill 89 Verification Form |
| 5. Senate Bill 19 Verification Form |
| 6. Senate Bill 13 Verification Form |
| 7. Senate Bill 252 Verification Form Company 2017 |
| 8. Client Reference Form |
| 9. NON RESPONSE NOTIFICATION |
| 10. Form 1295 example |
| 11. Certificate of Liability Insurance Example Form |
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
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND…
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