S_S Daingerfield HMGP Construction Docs.pdf

CITY OF DAINGERFIELD

CONTRACT DOCUMENTS

AND

TECHNICAL SPECIFICATIONS

FOR

HMGP CONTRACT NO. DR-4485-0215

WASTEWATER FACILITY GENERATORS

PREPARED BY:

SET NO.

JOB NO.

920216.00

DATE

08/26

AUGUST 2026

TABLE OF CONTENTS

BIDDING REQUIREMENTS

Advertisement & Invitation for Bids Instruction to Bidders Non-Collusion Affidavit of Prime Bidder Bid Bond Bid Proposal – Unit Price of Contract Bid Opening Sheet Bonding Company Information Statement of Bidder’s Qualifications Conflict of Interest Questionnaire Certification Regarding Lobbying

CONTRACT AGREEMENT AND FORMS

Form 1295 Certificate of Interested Parties Notice of Award Standard Form of Agreement Performance Bond Payment Bond Maintenance Bond Certificate of Insurance Child Support Statement Attorney’s Review Certification Notice to Proceed Application for Payment Instructions Application for Payment Certificate of Construction Completion Contractor’s Final Payment Affidavit

GENERAL CONTRACT CONDITIONS

General Contract Conditions for Construction Required FEMA Contract Provisions Supplemental Conditions of the Agreement

TECHNICAL SPECIFICATIONS

031000.00 Concrete Formwork & Accessories

032000.00 Concrete Reinforcing

033000.00 Cast-in-Place Concrete

033900.00 Concrete Curing

036000.00 Grouting

22 00 00 Basic Plumbing Requirements 22 05 54 Plumbing Identification 22 16 01 Fuel Gas Piping and Appurtenances 26 00 00 Electrical 26 05 05 Selective Demolition for Electrical 26 05 26 Grounding and Bonding for Electrical Systems 26 05 33 Raceways and Boxes for Electrical Systems 26 05 53 Identification for Electrical Systems 26 20 00 Low Voltage Electrical Distribution 26 32 13 Engine Generators

BIDDING REQUIREMENTS

Advertisement and Invitation for Bids

The City of Daingerfield will receive sealed bids for HMGP Contract No. DR-4485-0215 Wastewater Facility Generators until 2:00pm on Tuesday, 22nd of September 2026 at 101 Linda Drive, Daingerfield, TX 75638. The bids will be publicly opened and read aloud at 2:00pm on Tuesday, 22nd of September 2026 at 101 Linda Drive, Daingerfield, TX 75638.

Bids are invited for several items and quantities of work as follows: Installation of Generators for the Wastewater Facility: Union St. Pump Station - 100kW natural gas generator including mobilization, concrete generator pad, ATS, electrical feed modifications and fencing. WWTP - 600kW natural gas generator including mobilization, concrete generator pad, ATS, electrical feed modifications and fencing. West Lift Station - 100kW natural gas generator including mobilization, concrete generator pad, ATS, electrical feed modifications and fencing.

Bid/Contract Documents, including Drawings and Technical Specifications, are on file at SPI, 320 S.

Broadway Ave, Suite 200, Tyler, TX 75702, and the City of Daingerfield, 101 Linda Drive, Daingerfield, TX 75638

Copies of the Bid/Contract Documents may be obtained for a non-refundable deposit of $100.00 with Schaumburg & Polk, Inc. for each set of documents obtained. Plans can also be found online at www.civcastusa.com.

A bid bond in the amount of 5 percent of the bid issued by an acceptable surety shall be submitted with each bid [for those contracts that exceed $100,000]. A certified check or bank draft payable to the City of Daingerfield or negotiable U.S. Government Bonds (as par value) may be submitted in lieu of the Bid Bond.

In addition, the successful bidder must ensure that employees and applicants for employment are not discriminated against because of race, color, religion, sex, age, sexual identity, gender identity, or national origin.

This project to be constructed pursuant to this contract will be financed with assistance of the Hazard Mitigation Grant Program (HMGP) administered by the Texas Division of Emergency Management (TDEM) and is subject to all applicable Federal and State laws and regulations.

The City of Daingerfield reserves the right to reject any or all bids or to waive any informalities in the bidding.

Bids may be held by the City of Daingerfield for a period not to exceed 90 days from the date of the bid opening for the purpose of reviewing the bids and investigating the bidder’s qualifications prior to the contract award.

All contractors/subcontractors that are debarred, suspended, or otherwise excluded from or ineligible for participation in federal assistance programs may not undertake any activity in part or in full under this project.

Adv. Dates September 3rd, 2026, City of Daingerfield

September 10th, 2026, Michelle Jones, City Manager

IBC 1 of 4

INSTRUCTION TO BIDDERS FOR CONSTRUCTION

1. Use of Separate Bid Forms

These contract documents include a complete set of bid and contract forms which are for the convenience of the bidders and are not to be detached from the contract document, completed, or executed. Separate bid forms are provided for your use.

2. Interpretations or Addenda

No oral interpretations will be made to any bidder. Each request for clarification shall be made in writing to the City/County or engineer no less than seven (7) days prior to the bid opening. Each interpretation made will be in the form of an Addendum to the contract documents and will be distributed to all parties holding contract documents no less than seven (7) days prior to the bid opening. It is, however, the bidder's responsibility to make inquiry as to any addenda issued. All such addenda shall become part of the contract documents and all bidders shall be bound by such addenda, whether or not received by the bidders.

If an addendum to the bid package is necessary, it must be distributed to each potential bidder.

The distribution of an addendum shall be verified either by statements of receipt or registered/certified mail receipts, which shall be included in the public works construction file. The addendum shall allow adequate time for consideration in bid preparation (usually at least one week). If adequate time is not available, the bid opening date must be extended, and the City/County must republish the invitation for bids containing the place, time, and date for the new bid opening. Note that any change to the original bid opening date will require republication of the invitation for bids at least once in a locally published newspaper. The republished notice will include the place, time, and date for the new bid opening and must be published at least seven days prior to the new bid opening date.

3. Inspection of Site

Each bidder should visit the site of the proposed work and should become acquainted with the existing conditions and facilities, the difficulties, and restrictions pertaining to the performance of the contract. The bidder should thoroughly examine and become familiar with the drawings, technical specifications, and all other contract documents. The contractor by the execution of the contract shall in no way be relieved of any obligation under it due to failure to receive or examine any form or legal document or to visit the site or the conditions existing at the site. The City/ County will be justified in rejecting any claim based on lack of inspection of the site prior to the bid.

4. Alternate bid items

No alternate bids or bid items will be considered unless they are specifically requested by the technical specifications.

5. Bids

a. All bids must be submitted on the forms provided and are subject to all requirements of the Contract Documents, including the Drawings.

b. All bids must be regular in every respect and no interlineation, excisions or special conditions may be made or included by the bidder.

IBC 2 of 4

c. Bid documents, including but not limited to the bid, the bid bond(s), the contractor’s certifications, statement of the bidder’s qualifications, shall be sealed in an envelope and clearly labeled with the words "Bid Documents”, the project’s contract number, name of the bidder and the date and time of bid opening.

d. The City/County may consider as irregular any bid on which there is an alteration of or departure from the bid form and, at its option, may reject any irregular bid.

e. If a contract is awarded, it will be awarded to a responsible bidder on the basis of the lowest/best bid and the selected alternate bid items, if any. The contract will require the completion of the work in accordance with the contract documents.

6. Bid Modifications Prior to Bid Opening

a. Any bidder may modify its bid by submitting a modification or supplemental bid at any time prior to the scheduled closing time for receipt of bids, provided such modification or supplemental bid is received by the City/County prior to the closing time. The modification or supplemental bid should not reveal the original bid price but should provide only the addition, subtractions, or other modifications to the original bid so that the final prices or terms will not be known by the City/County until the sealed bid is open.

7. Bid Bond

a. A bid bond in the amount of 5% of the bid issued by an acceptable surety shall be submitted with each bid [for contracts greater than $100,000]. A certified check or bank draft payable to the City/County or negotiable U.S. Government Bonds (as par value) may be submitted in lieu of the Bid Bond.

b. The bid bond or its comparable, will be returned to the bidder as soon as practical after the opening of the bids.

8. Statement of Bidders Qualifications

Each bidder shall submit on the form furnished for that purpose a statement of the bidder's qualifications. The City/County shall have the right to take such steps as it deems necessary to determine the ability of the bidder to perform its obligations under the contract, and the bidder shall furnish the City/County all such information and data for this purpose as it may request. The right is reserved to reject any bid where an investigation of the available data does not satisfy the City/County that the bidder is qualified to carry out properly the terms of the contract.

9. Unit Price

The unit price for each of the several items in the bid shall include its pro rata share of overhead so that the sum of the products obtained by multiplying the quantity shown for each item by the unit price bid represents the total bid. Any bid not conforming to this requirement may be rejected as informal.

Sum the products of the quantities and the unit prices bid in the proposal form, including any selected alternates, to determine the official total bid amount. The official total bid amount is the basis for determining the apparent low Bidder. The total bid amounts will be compared and the results made public.

IBC 3 of 4

Special attention is drawn to this condition, as the unit prices will be used to determine the amount of any change orders resulting from an increase or decrease in quantities.

10. Corrections:

Erasures or other corrections in the bid must be noted over the signature of the bidder.

11. Time for Receiving Bids

Bids received prior to the advertised hour of opening shall be kept securely sealed. The officer appointed to open the bids shall decide when the specified time has arrived and no bid received thereafter will be considered; except that when a bid arrives by mail after the time fixed for opening, but before the reading of all other bids is completed, and it is shown to the satisfaction of the City/County that the late arrival of the bid was solely due to delay in the mail for which the bidder was not responsible, such bid will be received and considered.

12. Opening of Bids

The City/County shall, at the time and place fixed for the opening of bids, open each bid and publicly read it aloud, irrespective of any irregularities therein. Bidders and other interested individuals may be present.

13. Withdrawal of Bids

Bidder may withdraw the bid before the time fixed for the opening of bids, by communicating its purpose in writing to the City/County. Upon receipt of such notice, the unopened bid will be returned to the bidder. The bid guarantee of any bidder withdrawing his bid will be returned promptly.

14. Award of Contract/Rejection of Bids

a. The contract will be awarded to the responsive, responsible Bidder submitting the lowest/best bid. The bidder selected will be notified at the earliest possible date.

The City/County reserves the right to reject any or all bids and to waive any informality in bids received where such rejection or waiver is in its interest.

b. The City/County reserves the right to consider as unqualified to do the work any bidder who does not habitually perform with his own forces the major portions of the work involved in the construction of the improvements embraced in this contract.

15. Execution of Agreement/Performance and Payment Bonds

a. Performance Bonds - Requires all prime contractors which enter into a formal contract in excess of $100,000 with the State, a county, or a municipality; a department, board, or agency of the state, a county, or a municipality; and a school district or a subdivision thereof, to obtain a Performance Bond in the amount of the contract before commencing with work

b. Payment Bonds- Requires all prime contractors which enter into a formal contract with the State, a county, or a municipality; a department, board, or agency of the state, a county, or a municipality; and a school district or a subdivision thereof, to

IBC 4 of 4 furnish to the governmental entity a payment bond in the amount of the contract.

The payment bond must be filed within 30 days from the date of the Notice of Award:

• Municipalities: If the contract is in excess of $50,000, a payment bond is required.

• Counties: If the contract is in excess of $25,000, a payment bond is required.

c. The failure of the successful bidder to execute the agreement and supply the required bonds within thirty (30) days from the date of the notice of award-or within such extended period as the City/County may grant, shall constitute a default and the City/County may, at its option either award the contract to the next lowest responsible bidder, or re-advertise for bids. In either case, the City/County may charge against the bidder the difference between the amount of the bid and the amount for which a contract is subsequently executed irrespective of whether this difference exceeds the amount of the bid bond. If a more favorable bid is received through re-advertisement, the defaulting bidder shall have no claim against the City/County for a refund.

16. Equal Employment Opportunity

Attention is called to the requirements for ensuring that employees and applicants for employment are not discriminated against because of race, color, religion, sex, sexual orientation, gender identity, or national origin, and other civil rights requirements.

17. Certification Regarding Lobbying

Contractors who apply or bid for an award of $100,000 or more shall provide the required certification that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 USC § 1352.

NONCOLLUSION AFFIDAVIT OF PRIME BIDDER

State of Texas )

County of )

, being first duly sworn, deposes and says that:

(1) He/She is of , the Bidder that has submitted the attached Bid;

(2) He/She is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid;

(3) Such Bid is genuine and is not a collusive or sham Bid;

(4) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with another Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm or person to fix the price or prices in the attached Bid or of any other Bidder, or to fix an overhead, profit or cost element of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the (Local Public Agency) or any person interested in the proposed Contract; and

(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant.

(Signed)

Title

Subscribed and sworn to me this day of .

By:

Notary Public

My commission expires

BID BOND

KNOW ALL MEN BY THESE PRESENTS, that we the undersigned, as

PRINCIPAL, and , as SURETY are held and firmly bound unto (City/County) hereinafter called the "Local Public Agency”, in the penal sum of

Dollars, ($ ), lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.

THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the Principal has submitted the

Accompanying Bid, dated , for

NOW, THEREFORE, the Principal shall not withdraw said Bid within the period specified therein after the opening of the same, or, if no period be specified, within thirty (30) days after the said opening, and shall within the period specified therefor, or if no period be specified, within ten (10) days after the prescribed forms are presented to him for signature, enter into a written contract with the Local Public Agency in accordance with the Bid as accepted, and give bond with good and sufficient surety or sureties, as may be required, for the faithful performance and proper fulfillment of such contract; or in the event of the withdrawal of said Bid within the period specified, or the failure to enter into such Contract and give such bond within the time specified, if the Principal shall pay the Local Public Agency the difference between the amount specified in said Bid and the amount for which the local Public Agency may procure the required work or supplies or both, if the latter be in excess of the former, then the above obligation shall be void and of no effect, otherwise to remain in full force and virtue.

IN WITNESS THEREOF, the above parties have executed this instrument this day of , the name and corporate seal of each corporate party being hereto affixed and these present signed by its undersigned representative, pursuant to authority of its governing body.

(SEAL)

Attest: By:

Affix Corporate

Seal

Affix

Countersigned

By

* Attorney-in-Fact, State of Texas

CERTIFICATE AS TO CORPORATE PRINCIPAL

I, , certify that I am the Secretary of the Corporation named as Principal in the bid bond; that , who signed the said bond on behalf of the Principal was then of said corporation; that I know his/her signature, and his/her signature thereto is genuine; and that said bond was duly signed, sealed, and attested to, on behalf of said corporation by authority of its governing body.

Title:

* Power-of-attorney for person signing for Surety Company must be attached to bond.

UNION PARK PUMP STATION GENERATOR, WASTEWATER TREATMENT PLANT

GENERATOR AND WEST SIDE LIFT STATION GENERATOR - (3) TOTAL

ITEM QUANTITY UNIT DESCRIPTION & UNIT PRICE (FILL IN

UNIT PRICE IN SCRIPT & NUMBERS)

TOTAL PRICE

1. 1 LS CONTRACTOR MOBILIZATION, IN ACCORDANCE WITH THE PLANS &

SPECS, THE SUM OF

DOLLARS &

CENTS

Lump Sum

2. 1 LS 100 kW NATURAL GAS GENERATOR FURNISHED & INSTALLED, WITH

SOUND ENCLOSURE AND AUTOMATIC TRANSFER SWITCH COMPLETE

IN PLACE. INCLUDE ALL-NATURAL GAS SERVICE, METERS, PIPING AND

COORDINATION WITH NATURAL GAS SUPPLIER. READY FOR SERVICE,

ALL IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS, THE

SUM OF

DOLLARS &

CENTS

Lump Sum

3. 1 LS CONCRETE GENERATOR PAD, GENERATOR, SIZED AS INDICATED ON

PLANS, INCLUDING ALL CONCRETE, STEEL REINFORCEMENT,

EXCAVATION, BACKFILL, AND ANY OTHER MATERIALS AND LABOR

NECESSARY, ALL IN ACCORDANCE WITH THE PLANS AND

SPECIFICATIONS, THE SUM OF

DOLLARS &

CENTS

Lump Sum

4. 1 LS ELECTRICAL IMPROVEMENTS, INCLUDING ALL NECESSARY

CONDUIT, WIRE, AND ANY OTHER MATERIALS AND LABOR

NECESSARY TO INSTALL THE NEW GENERATOR, ALL IN ACCORDANCE

WITH THE PLANS AND SPECIFICATIONS, THE SUM OF

DOLLARS &

CENTS

Lump Sum

5. 1 LS CHAIN LINK FENCING, INCLUDING ALL MATERIALS AND LABOR

NECESSARY TO INSTALL CHAIN LINK FENCING, ALL IN ACCORDANCE

WITH THE PLANS AND SPECIFICATIONS, THE SUM OF

DOLLARS &

CENTS

Lump Sum

UNION ST. PUMP STATION GENERATOR

Date:

To: City of Daingerfield

To Whom it Concerns:

Pursuant to the foregoing NOTICE TO BIDDERS and General Information, the undersigned BIDDER, having examined the plans and specifications with related documents and the site of the proposed work, and being familiar with all the conditions surrounding the construction of the proposed project hereby proposes to do all the work and to furnish all necessary superintendence, labor, machinery, equipment, tools and to complete all the work upon which he bids, and binds himself to execute a contract and bond according to the accompanying forms for performing and completing the said work within the required time and furnish all required quantities for the following prices:

BID PROPOSAL PAGE 1 OF 3

UNION PARK PUMP STATION GENERATOR, WASTEWATER TREATMENT PLANT

GENERATOR AND WEST SIDE LIFT STATION GENERATOR - (3) TOTAL

ITEM QUANTITY UNIT DESCRIPTION & UNIT PRICE (FILL IN

UNIT PRICE IN SCRIPT & NUMBERS)

TOTAL PRICE

6. 1 LS CONTRACTOR MOBILIZATION, IN ACCORDANCE WITH THE PLANS &

SPECS, THE SUM OF

DOLLARS &

CENTS

Lump Sum

7. 1 LS 600 KW NATURAL GAS GENERATOR FURNISHED & INSTALLED, WITH

SOUND ENCLOSURE AND AUTOMATIC TRANSFER SWITCH COMPLETE

IN PLACE. INCLUDE ALL-NATURAL GAS SERVICE, METERS, PIPING AND

COORDINATION WITH NATURAL GAS SUPPLIER. READY FOR SERVICE,

ALL IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS, THE

SUM OF

DOLLARS &

CENTS

Lump Sum

8. 1 LS CONCRETE GENERATOR PAD, GENERATOR, SIZED AS INDICATED ON

PLANS, INCLUDING ALL CONCRETE, STEEL REINFORCEMENT,

EXCAVATION, BACKFILL, AND ANY OTHER MATERIALS AND LABOR

NECESSARY, ALL IN ACCORDANCE WITH THE PLANS AND

SPECIFICATIONS, THE SUM OF

DOLLARS &

CENTS

Lump Sum

9. 1 LS ELECTRICAL IMPROVEMENTS, INCLUDING ALL NECESSARY

CONDUIT, WIRE, AND ANY OTHER MATERIALS AND LABOR

NECESSARY TO INSTALL THE NEW GENERATOR, ALL IN ACCORDANCE

WITH THE PLANS AND SPECIFICATIONS, THE SUM OF

DOLLARS &

CENTS

Lump Sum

10. 1 LS CHAIN LINK FENCING, INCLUDING ALL MATERIALS AND LABOR

NECESSARY TO INSTALL CHAIN LINK FENCING, ALL IN ACCORDANCE

WITH THE PLANS AND SPECIFICATIONS, THE SUM OF

DOLLARS &

CENTS

Lump Sum

WASTEWATER TREATMENT PLANT GENERATOR

BID PROPOSAL PAGE 2 OF 3

UNION PARK PUMP STATION GENERATOR, WASTEWATER TREATMENT PLANT

GENERATOR AND WEST SIDE LIFT STATION GENERATOR - (3) TOTAL

ITEM QUANTITY UNIT DESCRIPTION & UNIT PRICE (FILL IN

UNIT PRICE IN SCRIPT & NUMBERS)

TOTAL PRICE

11. 1 LS CONTRACTOR MOBILIZATION, IN ACCORDANCE WITH THE PLANS &

SPECS, THE SUM OF

DOLLARS &

CENTS

Lump Sum

12. 1 LS 100 KW NATURAL GAS GENERATOR FURNISHED & INSTALLED, WITH

SOUND ENCLOSURE AND AUTOMATIC TRANSFER SWITCH COMPLETE

IN PLACE. INCLUDE ALL-NATURAL GAS SERVICE, METERS, PIPING AND

COORDINATION WITH NATURAL GAS SUPPLIER. READY FOR SERVICE,

ALL IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS, THE

SUM OF

DOLLARS &

CENTS

Lump Sum

13. 1 LS CONCRETE GENERATOR PAD, GENERATOR, SIZED AS INDICATED ON

PLANS, INCLUDING ALL CONCRETE, STEEL REINFORCEMENT,

EXCAVATION, BACKFILL, AND ANY OTHER MATERIALS AND LABOR

NECESSARY, ALL IN ACCORDANCE WITH THE PLANS AND

SPECIFICATIONS, THE SUM OF

DOLLARS &

CENTS

Lump Sum

14. 1 LS ELECTRICAL IMPROVEMENTS, INCLUDING ALL NECESSARY

CONDUIT, WIRE, AND ANY OTHER MATERIALS AND LABOR

NECESSARY TO INSTALL THE NEW GENERATOR, ALL IN ACCORDANCE

WITH THE PLANS AND SPECIFICATIONS, THE SUM OF

DOLLARS &

CENTS

Lump Sum

15. 1 LS CHAIN LINK FENCING, INCLUDING ALL MATERIALS AND LABOR

NECESSARY TO INSTALL CHAIN LINK FENCING, ALL IN ACCORDANCE

WITH THE PLANS AND SPECIFICATIONS, THE SUM OF

DOLLARS &

CENTS

Lump Sum

Total Bid (Sum of Items 1-15)

WEST LIFT STATION GENERATOR

BID PROPOSAL PAGE 3 OF 3

BID OPENING SHEET

WASTEWATER FACILITY GENERATORS

Awarded project may include base bid, alternate bids, or any combination of individual projects therein.

Final bid pricing will be tabulated by the Engineer. Bidder will be notified of errors or discrepancies in final bid tabulation.

Bid bond, and completed Bid Form with attachments must be included with bid.

Addenda Acknowledged (list numbers) _________________________________

TOTAL BASE BID, GENERAL $

Name of Bidder:

Address:

Phone:

Email:

Signature:

BCI 1 of 1

BONDING COMPANY INFORMATION

The following person, firm, or corporation has agreed to execute the required payment and performance bonds in the event this contract is awarded to the bidder:

Name of Surety: _____________________________________________________

Mailing Address: _____________________________________________________

City, State, Zip: ______________________________________________________

Telephone Number: __________________________________

Is surety authorized to operate in Texas? ______________________

Is surety aware of size of project? ________________________

Does surety have adequate authorization and resources to cover bonds for the amount of this contract? _______________

Rating from Best's Key Rating Guide _____________

Project:

Owner:

Name of Bidder

Statement of Bidder’s Qualifications This statement must be notarized. All questions must be answered, and the data given must be clear and comprehensive. If necessary, questions may be answered on separate attached sheets. The Bidder may submit any additional information it desires.

Date:

Bidder (Legal Name of Firm):

Date Organized:

Name of Owner(s):

Address:

Date Incorporated:

Federal ID Number:

Number of Years in contracting business under present name

List all other names under which your business has operated in the last 10 years:

Work Presently Under Contract:

Contract $ Amount Completion Date

Attach additional sheets if necessary

Type of work performed by your company:

Total Staff employed by Firm (Include breakdown by Managers and Trades on separate sheet):_______________

Have you ever failed to complete any work awarded to you? �� Yes �� No (If yes, please attach summary on a separate sheet. Include brief explanation of cause and resolution)

Have you ever defaulted on a contract? �� Yes �� No (If yes, please attach summary of details on a separate sheet.)

Has your organization had any disbarments or suspensions that have been imposed in the past five years or that was still in effect during the five-year period or is still in effect? �� Yes �� No (If yes, list and explain; such list must include disbarments and suspensions of officers, principals, partners, members, and employees of your organization.)

List the projects most recently completed by your firm (include project of similar importance):

Project $ Amount Month/Year Completed

Attach additional sheets if necessary

Major equipment available for this contract:

Are you in compliance with all applicable EEO requirements? �� Yes �� No (If no, please attach details on separate sheet.)

Bank References Address: _____________________________________ Contact Name: ________________________________

City & State: ________________________ Zip: ____________________Phone Number: _______________________

Credit available: $ ________________________

Has the firm or predecessor firm been involved in a bankruptcy or reorganization? �� Yes �� No (If yes, please attach summary of details on a separate sheet.)

Additional Attachments List on a sheet attached hereto all judgements, claims, arbitration proceedings, or suits pending or outstanding against bidder over the last five (5) years with amount of claim and brief description.

List on a sheet attached hereto all lawsuits or requested arbitration with regard to construction contracts which bidder has initiated within the last five (5) years and brief explanation of claim and outcome.

Attach resume(s) for the principal member(s) of your organization, including the officers as well as the proposed superintendent for the project.

Signed this ______ day of _______________________, 20____.

Signature Printed Name and Title

Company Name

Notary Statement:

__________________________________________________, being duly sworn, says that he/she is the ______________________________________(Position/Title) of___________________ _________________ (Firm Name), and hereby swears that the answers to the foregoing questions and all statements therein contained are true and correct. He/she hereby authorizes and requests any person, firm, or corporation to furnish any information requested City/County of _____________________ in verification of the recitals comprising this Statement of Bidder's Qualifications.

Subscribed and sworn before me this ______ day of _______________________, 20____.

Notary Public

Signature of Notary Public Printed Name

My Commission Expires: _______________, The penalty for making false statements is prescribed in the U. S. Criminal Code, 18 U.S.C. 1001.

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

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.

Certification Regarding Lobbying

(To be submitted with each bid or offer exceeding $100,000)

The undersigned certifies, to the best of his or her knowledge and belief, that:

(a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, 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.

(b) 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 undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.

(c) The undersigned shall require that the language paragraph 1 and 2 of this anti-lobbying 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 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995).

The Contractor, , certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C.

§ 3801 et seq., apply to this certification and disclosure, if any.

Signature of Contractor’s Authorized Official

Printed Name and Title of Contractor’s Authorized Official

Date

CONTRACT AGREEMENT & FORMS

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

NOA 1 of 2

NOTICE OF AWARD

TO: Contractor

PROJECT DESCRIPTION: Installation of Wastewater Facility Generators

The OWNER has considered the BID submitted by you for the above-described WORK in response to its Advertisements for Bids dated , 2026, and Information for Bidders.

You are hereby notified that your BID has been accepted for items in the amount of

You are required by the Information for Bidders to execute the Agreement and furnish the required Contractor’s PERFORMANCE BOND, PAYMENT BOND, and CERTIFICATE OF INSURANCE within ten (10) calendar days from the date of this Notice to you.

If you fail to execute said Agreement and to furnish said BONDS within ten (10) days from the date of this Notice, said OWNER will be entitled to consider all your rights arising out of the OWNER’S acceptance of your BID as abandoned and as a forfeiture of your BID BOND. The OWNER will be entitled to such other rights as may be granted by law.

You are required to return an acknowledged copy of this NOTICE OF AWARD to the OWNER.

Dated this _____ day of , 2026.

OWNER

City of Daingerfield

Signature

Print Name

NOA 2 of 2

ACCEPTANCE OF NOTICE

Receipt of the above NOTICE OF AWARD is hereby acknowledged by ___________________ this _____ day of , 2026.

CONTRACTOR

Print Name

SC 1 of 2

STANDARD FORM OF AGREEMENT

THIS AGREEMENT made this the __________ day of ___________________, 2026, by and between ____________________________ a corporation organized and existing under the laws of the State of Texas, hereinafter called the “Contractor”, and the City of Daingerfield hereinafter called the “City/County.”

WITNESSETH, that the Contractor and the City/County for the considerations stated herein mutually agree as follows:

ARTICLE 1. Statement of Work. The Contractor shall furnish all supervision, technical personnel, labor, materials, machinery, tools, equipment and services, including utility and transportation services, and perform and complete all work required for the construction of the Improvements embraced in the Project; namely, Texas Division of Emergency Management HMGP project HMGP Contract No. 4485-0215 Wastewater Facility Generators, all in strict accordance with the contract documents including all addenda thereto, numbered __________________, dated ___________ and _________, all as prepared by Schaumburg & Polk, Inc. acting and in these contract documents preparation, referred to as the “Engineer”.

ARTICLE 2. The Contract Price. The City/County will pay the Contractor for the performance of the Contract in current funds, for the total quantities of work performed at the unit prices stipulated in the Bid attached herein several respective items of work completed subject to additions and deductions as agreed to in writing by the parties.

ARTICLE 3. The Contract. The executed contract documents shall consist of the following components:

a. This Agreement f. General Conditions, Part I

b. Addenda g. Special Conditions

c. Invitation for Bids h. Technical Specifications

d. Instructions to Bidders i. Drawings (as listed in the Schedule of Drawings)

e. Signed Copy of Bid j. [Add any applicable documents]

ARTICLE 4. Performance. Work, in accordance with the Contract dated _________________, ________, shall commence on or before ___________________, _______, and Contractor shall complete the WORK within Ninety (90) consecutive calendar days thereafter. The date of completion of all WORK is therefore

This Agreement, together with other documents enumerated in this ARTICLE 3, which said other documents are as fully a part of the Contract as if hereto attached or herein repeated, forms the Contract between the parties hereto. In the event that any provision in any component part of this Contract conflicts with any provision of any other component part, the provision of the component part first enumerated in this ARTICLE 3 shall govern, except as otherwise specifically stated.

IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed in triplicate original copies on the day and year first above written.

Contractor City of Daingerfield

By_____________________________ By_____________________________

Title___________________________ Title___________________________

SC 2 of 2

Corporate Certifications

I, ______________________________, certify that I am the _________________ of the corporation named as

Contractor herein; that ___________________________ who signed this Agreement on behalf of the

Contractor, was then ___________________________ of said corporation; that said Agreement was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers.

Corporate ________________________________ Seal (Corporate Secretary)

PERFORMANCE BOND

KNOW ALL MEN BY THESE PRESENTS that:

(Name of Contractor or Company)

(Address) a hereinafter called Principal, and

(Name of Surety Company) hereinafter called Surety, are held and firmly bound unto

(Name of Recipient)

(Recipient's Address) hereinafter called OWNER, in the penal sum of $ _______ Dollars ($ __________ ) in lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, successors, and assigns, jointly and severally, firmly by these presents.

THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the OWNER dated the day of , a copy of which is hereto attached and made a part hereof for the construction of:

NOW THEREFORE, if the Principal shall well, truly and faithfully perform its duties in all the undertakings, covenants, terms, conditions, and agreements of said contract during the original term thereof, and any extensions thereof which may be granted by the OWNER, with or without notice to the Surety and during the two year guaranty period, and if he shall satisfy all claims and demands incurred under such contract, and shall fully indemnify and save harmless the OWNER from all costs and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the OWNER all outlay and expense which the OWNER may incur in making good any default, then this obligation shall be void, otherwise to remain in full force and effect.

PROVIDED, FURTHER, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any way affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the WORK or to the

SPECIFICATIONS.

PROVIDED, FURTHER, that no final settlement between the OWNER and the CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied.

IN WITNESS WHEREOF, this instrument is executed in counterparts, each one of which shall be deemed an original, this the _____ day of ___________________________.

ATTEST:

(Principal)

___________________________________ By__________________________________(s) (Principal Secretary)

(Witness as to Principal) (Address)

(Surety)

(Witness as to Surety) (Attorney in Fact)

(Address) (Address)

NOTE: Date of BOND must not be prior to date of Contract. If CONTRACTOR is Partnership, all partners should execute BOND.

PAYMENT BOND

KNOW ALL MEN BY THESE PRESENTS that:

(Name of Contractor or Company) a hereinafter called Principal, and

(Name of Surety Company) hereinafter called Surety, are held and firmly bound unto

(Name of Recipient)

(Recipient's Address) hereinafter called OWNER, in the penal sum of $ _______ Dollars ($ __________ ) in lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, successors, and assigns, jointly and severally, firmly by these presents.

THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the OWNER dated the day of , a copy of which is hereto attached and made a part hereof for the construction of:

NOW, THEREFORE, if the Principal shall promptly make payment to all persons, firms, SUB- CONTRACTORS, and corporations furnishing materials for or performing labor in the prosecution of the WORK provided for in such contract, and any authorized extension or modification thereof, including all amounts due for materials, lubricants, oil, gasoline, coal and coke, repairs on machinery, equipment and tools, consumed or used in connection with the construction of such WORK, and all insurance premiums on said WORK, and for all labor, performed in such WORK whether by SUB-CONTRACTOR or otherwise, then this obligation shall be void; otherwise to remain in full force and effect.

PROVIDED, FURTHER, that the said Surety, for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any way affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the WORK or to the

SPECIFICATIONS.

PROVIDED, FURTHER, that no final settlement between the OWNER and the CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied.

IN WITNESS WHEREOF, this instrument is executed in counterparts, each one of which shall be deemed an original, this the _____ day of ___________________________.

(Principal)

___________________________________ By__________________________________(s) (Principal Secretary)

(Witness as to Principal) (Address)

(Surety)

(Witness as to Surety) (Attorney in Fact)

(Address) (Address)

NOTE: Date of BOND must not be prior to date of Contract. If CONTRACTOR is Partnership, all partners should execute BOND.

MB-1

MAINTENANCE BOND

STATE OF TEXAS

COUNTY OF

KNOW BY ALL MEN BY THESE PRESENTS: That of the

City of , County of State of , as principal, and authorized under the laws of the State of Texas to act as surety on bonds for principals, are held and firmly bound unto

, a municipal corporation (owner) in the penal sum of

Dollars ($ ) for the payment whereof the said principal and surety bind themselves and their heirs, administrators, executors, successors and assigns, jointly and severally, by these…