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Item 4D
CITY OF SOUTH LAKE MEMORANDUM February 21 , 2017 To: Shana Yelverton, City Manager From: Sharen Jackson, Chief Financial Officer Timothy Slifka, Purchasing Manager Subject: Item 4D Approve Contract with Blagg Tire and Service and Grapevine Ford Lincoln for Preventative Maintenance and General Repair Services for City Vehicles Action Requested: Approve contract award for preventative maintenance and general repair services for City vehicles to Blagg Tire and Service and Grapevine Ford Lincoln. Background Information: In November 2016 the City released a request for propsoals for preventative maintenance and general repair services for City vehicles. The City received 2 qualified responses. City staff evaluated and scored based on Best Value criteria as established in the original proposal document. Based on the evaluation, staff is recommending a dual award to lock in all contract pricing from both vendors. The contracts will provide preventative maintenance and general repair services for all City vehicles. By awarding multiple vendors we will be able to provide outstanding service to user departments by offering multiple options for services for their vehicles. Financial Considerations: All maintenance services are budgeted within the individual department's annual budget. During FY 2016, expenditures for both vendors totaled $201,000 and $205,000 is allocated in FY 2017. Strategic Link: CB05 — Optimize resources through collaboration and partnerships to reduce costs and add service value B2 — Collaborate with select partners to implement service solutions C1 - Achieve the highest standards of safety and security. F2 — Invest to provide and maintain high quality public assets. Citizen Input/ Board Review: None Legal Review: Attorney reviewed original proposal documents as to form Alternatives: Deny and re-bid preventative maintenance services Supporting Documents: Contract and Proposal submission documents Staff Recommendation: Approve the dual contract award for preventative maintenance and general repair services with Blagg Tire and Service and Grapevine Ford Lincoln. G►ry or SOLMHLAKE February 9,2017 Blagg Tire and Service 604 Main Street Grapevine,Texas 76051 Attn: Mr. Perry Leonard Subject: Contract Award Notification for Preventative Maintenance Services for City of Southlake Vehicles RFP1608B200TS160018 Dear Mr. Leonard: The City of Southlake is pleased to inform you that Blagg Tire and Service of Grapevine,Texas is one of two (2)vendors being awarded "Preventative Maintenance Services for City of Southlake Vehicles RFP1608B200TS160018'. The award and this agreement are based on your proposal to the City, copy enclosed. This is a multiple vendor award contract. Your company's portion of the award is attached.This award was approved by the City of Southlake City Council on The terms and conditions proposed and accepted in this agreement are as follows: Line Items Awarded All Items as listed Payment Terms: Net 30 days(Unless otherwise noted—such as pre-and/or partial payment) Estimated Quantities: The City does not guarantee to purchase any minimum or maximum quantity but does contemplate purchasing the awarded items exclusively during the term of the contract from the successful vendors. Method of Payment: Shall be made by City procurement card or purchase order Delivery Terms: FOB Destination Delivery Locations: Vendor Delivery or City employee pick-up. Term of Contract: The term of awarded contract shall remain in effect for thirty six months(36)from date of award and is eligible for up to two(2)one(1)year annual renewals City Contact: TIM SLIFKA 817-748-8312 Send all billing to: City of Southlake 1400 Main Street,Suite 444,Accounts Payable Southlake,TX 76092 or via email to accounts a able ci.southlake.tx.us Other Charges: The City of Southlake is a tax exempt municipal corporation and is exempt from all federal, state,and local sales taxes. All other specifications,terms and conditions shall be as provided in the original procurement documents. No other attachments to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager or an authorized representative of the City of Southlake. Thank you for participating in our procurement process. Please call 817-748-8312 with any questions. Sincerely, Tim Slifka, CPPD, CPPB Purchasing Manager City of Southlake 1400 Main Street, Suite 440 Southlake,Texas 76092 tslifkafo cj.southlake.tx.us Attest: Lori Payne,TRMC Contract and Award Accepted: City Secretary Signed: Date: Approved as to Form and Legality: Mayor Laura Hill City of Southlake City Attorney Appendix B — Proposal Submittal Checklist: (To determine validity of proposal) Appendix B(pages_12_through_25,must be included in the proposal submittal Appendix C Conflict of Interest Form(page 25,must be included in the proposal submittal, Form 1245 Certificate ur Interested Party must be included in the proposal submittal.See Page 2 Item I.E. SIMON!RINI.2,11111 Film RFP Number: RFP1608B200TS160018 project Title: Preventative Maintenance Services for City of Southlake 'Vehicles Submittal - Deadline- 3:00 P.M. (CST), Friday December 9, 2016 Submit electronicallyx to www.securebidusa..com Re uies email accoutit 10 in anc asward. ro se Information: ' Pro user's L' al Name: Blagg Tire&Service Address. 604 S Main Street Ci ,StAte&Zip Gra evine,Texas 76051 Federal Employers Identification Number# 1-75-1458621 Phone Number: 817-481-4578 Faz?Mint 817-481-2366 E-Mail Address: Leonard@carconce tsinc.com Proposer Authorization 1,the undersignid,have the authority to execute this Proposal in its entirety as submitted and enter into a contract on behalf of the Proposer. Printed Name and Position of Authorized Representative: P.eM Leonard President/COO Signature of Authorized Representative: Perry Leonard Signed this 18th (day)of November {month).—L-16 (year) I learned of this Request for Proposals by the following means: ❑ Newspaper Advertisement ❑ City E-mail Notification ❑ Southlake Website ❑ Cold Cali to City ❑ Mailed Me a Copy ❑ Other ❑ SewreBid City of Southlake - RFP1608B200TS160018 - Page 12 of 26 Appendix B—Proposal(continued) 1. REQUIRED--PROPOSAL INFORMATION. IN ORDER FOR A PROPOSAL TO BE CONSIDERED COMPLETE,AND TO BE EVALUATED FOR A CONTRACT AWARD BY THE CITY,PROPOSER MUST SUBMIT ALL OF THE FOLLOWING INFORMATION I. Proposed Products and/or Services A. Product or Service Description: Proposers should utilize this section to describe the technical aspects, capabilities, features and options of the product and/or service proposed in accordance with the required Scope of Services as identified in Appendix A. Promotional literature, brochures,or other technical information may be used. B. Additional Hardware Descriptions: Proposers should also include in this section a detailed description of what additional hardware and/or software, if any, would be required by the City in order to fully utilize the goods and/or services proposed. C. Guarantees and Warranties: Each Proposer shall submit a complete copy of any warranties or guarantees provided by the manufacturer or Proposer with the Proposal submitted. D. Proiect Schedule/Delive Date: Proposer must provide a project schedule noting all projected completion dates for segments of the Project,from start-up to completion,and all delivery dates for goods covered by the RPP. The Proposal must show the number of days required to deliver and install the product or equipment after the receipt of the City's Purchase Order. 2. Cost of Proposed Products and/or Services A. Pricing: Pricing shall reflect the full Scope of Services defined herein, inclusive of all associated cost for delivery, labor,insurance,taxes,overhead,and profit. B. Schedule of Pricing: Proposer shall quote unit pricing in accordance with the itemized listing of products or contract segments stated in the Scope of Services and using the following format: 1. Ford F-150 Series Vehicle Unleaded/Flex-Fael 2WD Per Svc PM Level A per Scope of Services $ 38.50 Per Svc PM Level C per Scope of Services S 135.00 2. Ford F-150 Series Vehicle Unleaded/Flex-Fuel 4WD Per Svc PM Level A per Scope,of Services $ 38.50 Per Svc PM Level C per Scope of Services S 135.00 3. Ford F-250 Series Vehicle Unleaded/Flex-Fuel 2WD Per Svc PM Level A ear Scope of Services S 38.50 Per Svc PM Level C per Scope of Services S 160.00 4. Ford F-250 Series Vehicle Unleaded/Flex-Fuel 4WD Per Svc PM Level A per Scope of Services $ 38.50 Per Svc PM Level C per Scope of Services g 160.00 City of Southlake - RFP160SB200TS160018 - Page 13 of 26 I#eM: , u4h. _ j. Descri dot:ofPraducf.or Service. ,;_ Unit Cosi:h 5. Ford F-250 Series Vehicle Diesel Fuel 2WD Per Svc PM Level A per Sco a of Services S 95.00 Per Svc PM Level C per Sco a of Services $ 354.00 6. Ford F-250 Series Vehicle Diesel Fuel 4WD Per Svc PM Level A per Scope of Services $ 95.00 Per Svc PM Level C per Scope of Services S 359.00 7. Ford T-250 Series Vehicle Unleaded Fuel 2WD Per Svc PM Level A per Scope of Services $ 38.50 Per Svc PM Level C per Scope of Services $ 155.00 S. Ford F-450 Series Vehicle Diesel Fuel 2WD Per Svc PM Level A per Scope of Services $ 95.00 Per Svc PM Level C per Scope of Services S 405.00 9. Ford F-450 Series Vehicle Diesel Fuel 4" Per Svc PM Level A per Scope of Services $ 95.00 Per Svc PM Level C per Scope of Services $ 405.00 10. Ford F-550 Series Vehicle Diesel Fuel Per Svc PM Level A per Scope of Services $ 95.00 Per Svc PM Level C per Scope of Services $ 405.00 11. Ford F-650 Series Diesel Fuel Per Svc PM Level A per Scope of Services $ NA Per Svc PM Level C per Scope of Services $ 12. Ford F-650 Series Unleaded Fuel Per Svc PM Level Aper Scope of Services $ NA Per Svc PM Level C per Scope of Services $ 13. Ford F-750 Series Vehicle Diesel Fuel Per Svc PM Level A 2er Sco e of Services S NA Per Svc PM Level G per Scope of Services $ 14. Ford Escape Unleaded Fuel 2WD Per Svc PM Level A per Scope of Services $ 38.50 Per Svc LEPM Level C per Scope of Services $ 140.00 City of3outhlake - RFP160SB200TS160018 - Page 14 of 26 XtemF..Quanti . _ �,� -. I)escritxonof;Product or;Serv�ce :: :;r.�- -Unit Cost.:: ,:":,:�. 15. Ford Esc" a Hybrid Unleaded Fuel Per Svc PM Level A per Scope of Services S Per Svc PM Level C per Scope of Services S 140.00 16. Toyota Camry Hybrid Unleaded Fuel Per Svc PM Level A per Scope of Services $ 38.50 Per Svc PM Level C 2er Scope of Services $ 135.00 17. Ford'Taurus Interceptor Flex Fuel Per Svc PM Level A per Scop of Services $ 38.50 Per Svc PM Level C per Scope of Services S 135.00 18. Ford Explorer Unleaded Fuel 2WD Per Svc PM Level A per Scope of Services S 38.50 Per Svc PM Level C per Scope of Services $ 135.00 19. Ford Explorer Unleaded Fuel 4WD Per Svc PM Level.A per Scope of Services $ 38.50 Per Svc PM Level C per Scope of Services $ 135.00 20. Ford E-150 through E-350 Series Van Unleaded Fuel Per Svc PM Level A per Scope of Services $ 38.50 Per Svc PM Level C per Scope of Services S 155.00 21. Ford E-350 Series Van Chassis Diesel Fuel Per Svc PM Level A per Scope of Services S 95.00 Per Svc PM Level C per Scope of Services $ 375.00 22. Dodge Charger Police Vehicle Unleaded Fuel Per Svc PM Level A per Scope of Services S 38.50 Per Svc PM Level C per Scope of Services $ 135.00 23. Dodge Magnum Police Vehicle Unleaded Fuel Per Svc PM Level A per Sco a of Services $ 38.50 Per Svc PM Level C per Scope of Services $ 135.00 24. Chevrolet Tahoe Police Version Unleaded/Flex-Fuel Per Svc PM Level A per Scope of Services S 38.50 Per Svc PM Level C per Scope of Services $ 150.00 City of Southlake - RFP160SB200TS160018 - Page 15 of 26 dy -jie �0444ii� ly rryh6i� "Woi6lc� Unit l--AK 25. Chevrolet Tahoe Police Version 4A Unleaded/Flex-Fuel Per Svc PM Level A per Scope of Services $ 38.50 Per Svc PM Level C per Scope of Services- S 150.00 26. Chevrolet 23 Passenger Bus Unleaded Fuel Per Svc PM Level A per Scope of Services $ 60.00 Per Svc PM Level C per Scope of Services S 180.00 27. GMC TC6C042 Diesel Fuel Per Svc PM Level A per Scope of Services $ -NA Per Svc PM Level C per Scope of Services S 28. GMC C7500 Series Diesel Fuel Per Svc PM Level A per Scope of Services S NA Per Svc PM Level C per Scope of Services 29. International 7400 Series Vacuum Truck Diesel Fuel Per Svc PM Level A per Scope of Services $ NA Per Svc PM Level C per Scope of Services 30. Freightliner 108SD Vacuum Truck Diesel Fuel Per Svc PM Level A per Scope of Services $ NA Per Svc PM Level C per Scope of Services 31. Mack GU 713 Dump Truck Diesel Fuel Per Svc PM Level A per Scope of Services $ NA Per Svc PM Level C p or Scope of Services $ 32. Isuzu Street Sweeper Diesel Fuel Per Svc PM Level A per Scope of Services S 95.00 Per Svc PM Level C per Scope of Services S 369.00 City of Southlake RM608BMTS160018 Page 16 a f 2(5 Tteui `,Quanti Descri #ion of.Product o Seirvxce.. .:Unit Cost :.. ADDITIONAL SERVICES 33. Small Engine Powered Unit PM Services as Re uired This shall include labor costs only.Parts and supplies shall Per Svc be additional cost item based on parts and supplies cost S 49.50 rate listed below. Labor Only 34• Electric Crane PM Services This shall include labor costs only. Parts and supplies shall Per Svc be additional cost item based on parts and supplies cost S 49.50 rate listed below. Labor Only 35. Hourly Labor Rate for'Off-Site' General Re airs Per Hr. Hourly labor rate at vendors location S 79.00 Per Hr After Hours Hourly Labor Rate for`Off-Site' General 36. Repairs Per Hr. After Hours hourly labor rate at vendors location S 11.9.50 Per Hr Hourly Labor Rate for General Repairs Performed 37. `On-Site' at City Location Per Hr. Hourly labor rate at City location S 79.00 Per Hr After Hours Hourly Labor Rate for General Repairs 38. Performed `On-Site' at City Location Per Hr. After Hours hourly labor rate at City location S 119.50 Per Hr Parts and Supplies Cost for General Fleet Repairs.List List Price Minus 39. Price Minus Percentage.List- % Discount - % 0 Discount I Parts and Supplies Cost for PM Services for Small List Price Minus Engine and Electric Crane Units.List Price Minus 40. Percentage.List- %Discount - % 0 Discount Vendor Vehicle Pick Up and Delivery Fee Vehicle Pick-Up and Delivery Fee for Any City Vehicle 41. Wah Per Each Way to/from City location to/from Vendor Way location $ 19.75 Vendor Transport of Ciq Vehicle to Non-City Location Vehicle Delivery Fee for Any City Vehicle From Vendor 42. Per Mile location to Non-Ci location $ 0 Per Mile City of Southlake - 1RFP 1608B200TS160018 Page 17 of 26 Iterti> WWWDestri"':aton..ofPxoduct.oe,Servtce_-_. Uiiiit.Cost: . 43. Other Vendor Charges. Please Describe. Per Svc $ NA 44. Other Vendor Char es.Please Describe. Per Svc $ NA 45. Other Vendor Cha es.Please Describe. Per Svc NA 46. Other Vendor Charges.Please Describe. Per Svc S NA 3. Term of Contract and Option to Extend Any contract resulting from this RFP shall be effective for thirty six (36) months from date of award. The City anticipates that contract shall be renewed pursuant to the availability of funds and at the discretion of the City. The following clauses shall be included in the contract: A. Option Clause: It is agreed that City will have the option to extend the contract for up to two(2) additional years, in one-year intervals. To exercise this option, the City shall serve notice 30 days prior to contract termination or to the end of any one-year extension.The Option to Extend will not be considered if funding is unavailable or if the contractor's past performance is not within the industry standard. 13. Escalation Clause: Should market conditions prevail which dictate an increase, the successful contractor may submit documentation requesting permission to increase pricing no later than 30 days after receiving notice from the City of its intent to extend the agreement. Escalation may only occur at the time of renewal and only upon securing the approval of the City in writing. Requests for price adjustments must be solely for the purpose of accommodating an increase in the contractor's cost,not profits. Vendors shall show in this quote their anticipated percent of escalation if/when the option to extend is exercised. The percent quoted will be a maximum. In addition,the percentage proposed will be a factor in determining the best value to the City. It is the average price over the period of the contract that will be the price factor considered in the evaluation of this quote.Quotes in which negative or no escalation is shown will be considered as 0%escalation. C. Price Increases Upon Extension: If approved by the City, the Contractor shall modify the rates charged by the Contractor to reflect any changes shown in the comparative statement delivered to the City. The maximum increase allowed under this provision shall be four percent(4%)per year. The City shall have authority, in its reasonable discretion, to determine the validity of any change in Contractor's rates. City cannot exercise the Option to Extend with any price increases unless the Vendor completes the section of the Quote requesting anticipated percentage of annual escalation. City of Southlake - RFP160SB200TS160018 - Page 18 of 26 First Additional Year(FY 2020-2021) Escalation .......................... 4 % Second Additional Year(FY 2021-2022) Escalation .......................... 4 % 4. Proposer's Experience 1 Staff A. Proiect Team: Identify all members of the Proposer's team (including both team members and management)who will be providing any services proposed and include information which details their experience. B. Removal or Replacement of Staff: If an assigned staff person must be removed or replaced for any reason,the replacement person must be approved by City prior to joining the project. C. Business Establishment: State the number of years the Proposer's business has been established and operating. if Proposer's business has changed names or if the principals operating the business operate any similar businesses under different names, or have operated any other businesses or changed the legal status or form of the business within the last five (5) years, all names, of predecessor business names, affiliated entities, and previous business entities operated by the principals,if different than present,must be provided; State the number of years' experience the business has: 30yrs and the number of employees: 20 D. Project Related Experience: All Proposals must include detailed information that details the Proposer's experience and expertise in providing the requested services that demonstrates the Proposer's ability to logically plan and complete the requested project. City of Southiake - RM608B200TS160018 Page 19 of 26 5. References Proposer shall provide four(4) references where Proposer has performed similar to or the same types of services as described herein. Reference#1: Client 1 Company Name: City of Grapevine Contact Name: Contact Title: Mark Zivin Parts Manager Phone: Email: 817-410-3338 Date and Scope of Work Provided: Tires&Service Repair Reference#2; Client f Company Name: Bombardier Transportation Contact Name: Contact'Title: Jackie Bracken CARP Supervisor Phone: Email: 972-947-1311. 'aclde.bracken@rail.bornbardier.com Date and Scope of Work Provided: Tires&Service Repair Reference#3: Client/Company Name: DPW Airport Contact Name: Contact Title: Robbie White Purchasing Phone: Em iS: 972-973-6265 rowhite@dfwairport.com Date and Scope of Work Provided: "fires&Service Repair Reference#4; Client/Company Name: Tarrant County Contact Name: Contact Title: Tim Jones purchasing Phone: Email: 817-884-2620 tiones@tarrantcounM.com Date and Scope of Work Provided: Tires&Service Repair City of Southlake - RFP1608B200TS160018 - Page 20 of 26 I 6. Trade Secrets and/or Confidential Information Trade Secrets and/or Confidential Information: This proposal_(does) X (does not)contain trade secrets and/or confidential information. If applicable, describe such trade secrets and confidential information, and the basis for your assertion that such material qualifies for legal protection from disclosure. 7. Federal,State and/or Local Identification Information A. Centralized Master Bidders List registration number: B. Prime contractor HUB/MWBE registration number: NA C. An individual Proposer acting as a sole proprietor must also enter the Proposer's Social Security Number: 8. Emergency Business Services Contact Notice During a natural disaster, or homeland security event, there may be a need for the City of Southlake to access your business for products or services after normal business hours and/or holidays. The City may request City employee pick up or vendor delivery of product or services. For this purpose,a primary and secondary emergency contact name and phone number are required. It is critical the vendor's emergency contact information remains current. City shall be contacted by E- mail with any change to a contact name or phone number of these emergency contacts. Updates may be emailed to vendorsnci.southlake.tx.us. All products or services requested during an emergency event are to be supplied as per the established contract prices, terms and conditions. The vendor shall provide the fee (pricing) for an after-hours emergency opening of the business, if any. In general, orders will be placed using a City of Southlake procurement card (Master Card) or City issued Purchase Order. The billing is to include the emergency opening fee,if applicable. The contractor shall provide the names, phone numbers and fee (pricing), if any, for an after-hours emergency opening of the business listed below. Business Name: Blagg Tire&Service,Inc. Contract#: 1608B200TS160018 Description: Preventative Maintenance Service for City of Southlake Vehicles Primary Contact(Name): Scott South Primary Contact Phone Numbers:Home: 817-937-2192 Cell: 817-538-3840 Secondary Contact(Name):_Perry Leonard Secondary Contact Phone Numbers: Home: 817-337-8231 _ Cell: 817-454-4183 After Hours emergency opening fee,if applicable:$ 0 City of Southlake - RFP160813200TS160018 Page 21 of 26 9. Cooperative Governmental Purchasing Notice Other governmental entities maintaining interlocal agreements with the City, may desire, but are not obligated, to purchase goods and services defined in this RFB from the successful Bidder. All purchases by governmental entities, other than the City, will be billed directly to and paid by that governmental entity. The City will not be responsible for another governmental entity's debts. Each governmental entity will place their own orders with the successful Bidder and be responsible for ensuring full compliance with the RFB specifications. Prior to other governmental entities placing orders,the City will notify the successful Bidder of their intent. Please indicate below if you will permit other governmental entities to purchase from your agreement with the City. [x I Yes, Others can purchase [ j No, Only the City can purchase II. CONTRACT TERMS AND CONDITIONS EXCEPT WHERE PROPOSER MAKES SPECIFIC EXCEPTION IN THE SUBMITTED PROPOSAL,ANY CONTRACT RESULTING FROM THIS RFP WILL CONTAIN THE FOLLOWING TERMS AND CONDITIONS, WHICH PROPOSER HEREBY ACMVOWLEDGES, AND TO WHICH PROPOSER AGREES BY SUBMITTING A PROPOSAL: 1. Delivery of Products and/or Services A. Payment Terms: Unless otherwise specified in the Scope of Services or otherwise agreed to in writing by the City,payment terms for the City are Net 30 days upon receipt of invoice. B. Warranty of Products and Services:All products furnished under this contract shall be warranted to be merchantable and good quality and fit for the purposes intended as described in this Proposal,to the satisfaction of City and in accordance with the specifications, terms, and conditions of the Scope of Services, and all services performed shall be warranted to be of a good and workmanlike quality,in addition to,and not in lieu of,any other express written warranties provided. C. Late Delivery or Performance: If Proposer fails to deliver acceptable goods or services within the timeframes established in the Project Schedule,the City shall be authorized to purchase the goods or services from another source and assess any increase in costs to the defaulting Proposer, who agrees to pay such costs within ten days of invoice. D. Title to Goods and Risk of Loss: For goods to be provided by Proposers hereunder,if any,the title and risk of loss of the goods shall not pass to City until City actually receives, takes possession, and accepts the goods and the installation of such goods,has tested the system,and determined that it is in good and acceptable working order. 2. Miscellaneous A. Independent-Contractor: Proposer agrees that Proposer and Proposer's employees and agents have no employer-employee relationship with City. Proposer agrees that if Proposer is selected and awarded a contract, City shall not be responsible for the Federal Insurance Contribution Act (FICA) payments, Federal or State unemployment taxes, income tax withholding, Workers Compensation Insurance payments, or any other insurance payments, nor will City furnish any medical or retirement benefits or any paid vacation or sick leave. B. Assignments: The rights and duties awarded the successful Proposer shall not be assigned to another without the written consent of the Purchasing Manager. Such consent shall not relieve the assigner of liability in the event of default by the assignee. City of Sauthlake - UP1608B200TS160018 Page 22 of 26 C. Liens: Proposer shall indemnify and save harmless the City against any and all liens and encumbrances for all labor,goods,and services which may be provided to the City by Proposer or Proposer's vendor(s), and if the City requests,a proper release of all liens or satisfactory evidence of freedom from liens shall be delivered to the City. D. Gratuities / Bribes: Proposer certifies that no bribes in the form of entertainment, gifts, or otherwise, were offered or given by the successful Proposer, or its agent or representative,to any City officer, employee or elected representative, with respect to this RFP or any contract with the City,and that if any such bribe is found to have been made this shall be grounds for voiding of the contract E. Financial Participation: Proposer certifies that it has not received compensation from the City to participate in preparing the specifications or RFP on which the Proposal is based and acknowledges that this contract may be terminated and/or payment withheld if this certification is inaccurate. F. Required Licenses: Proposer certifies that he holds all licenses required by the State of Texas for a provider of the goods and/or services described by the Scope of Services herein. G. Authority to Submit Proposal,and Enter Contract: The person signing on behalf of Proposer certifies that the signer has authority to submit the Proposal on behalf of the Proposer and to bind the Proposer to any resulting contract. H. Compliance with-Applicable Law: Proposer agrees that the contract will be subject to, and Proposer will strictly comply with, all applicable federal, state, and local laws, ordinances, rules, and regulations. 3. Financial Responsibility Provisions A. Insurance: The Proposer, consistent with its status as an independent contractor, shall carry, and shall require any of its subcontractors to carry, at least the following insurance in such form, with such companies,and in such amounts(unless otherwise specified) as City may require: 1. Worker's Compensation and Employer's Liability insurance, including All States Endorsement, to the extent required by federal law and complying with the laws of the State of Texas; ii. Commercial General Liability insurance, including Blanket Contractual Liability, Broad Form Property Damage, Personal Injury, Completed Operations/Products Liability, Premises Liability, Medical Payments, Interest of Employees as additional insureds, and Broad Form General Liability Endorsements,for at least One Million Dollars($1,000,000) Combined Single Limit Bodily Injury and Property Damage on an occurrence basis; iii. Comprehensive Automobile Liability insurance covering all owned, non-owned or hired automobiles to be used by the Contractor, with coverage for at least One Million Dollars ($1,000,000)Combined Single Limit Bodily Injury and Property Damage. B. Indemnification: Proposer agrees to defend,indemnify and hold harmless the City,all of its officers, Council members, agents and employees from and against all claims, actions, suits, demands, proceedings, costs, damages and liabilities, including reasonable attorneys' fees, court costs and related expenses,arising out of,connected with,or resulting from any acts or omissions of Proposer or any agent, employee,subcontractor, or supplier of Proposer in the execution or performance of this contract without regard to whether such persons are under tate direction of City agents or employees. City of Southiake - R>sP1608B200TS160018 - Page 23 of 26 Appendix C --- Form CIQ INFORMAIXO_N__REGARDING VENDOR CMELICT OF INTEREST WII1iSTIONUAI$f WHO: The following persons must file a Conflict of Interest Questionnaire with the City if the person has an employment or business relationship with an officer of the City that results in taxable income exceeding$2,500 during the preceding twelve—month period,or an officer or a member of the officer's fainily has accepted gifts with an aggregate value of more than$250 during the previous twelve—month period and the person engages in any of the following actions: I. contracts or seeks to contract for the sale or purchase of property,goods or services with the City, including any of the following: a. written and implied contracts,udlity purchases,purchase orders,credit card purchases and any purchase of goods and services by the City; b. contracts for the purchase or sale of real property,personal property including an auction of property; c. tax abatement and economic development agreements; 2. submits a bid to sell goods or services,or responds to a request for proposal for services; 3. enters into negotiations with the City for a contract;or 4. applies for a tax abatement and/or economic development incentive that will result in a contract with the City THE FOLLOWING ARE CONSIDERED OFFICERS OF THE CITY: I. Mayor and City Council Members; 2. City Manager; 3. Board and Commission members and appointed members by the Mayor and City Council; 4. Directors of 4A and 4B development corporations, 5. The executive directors or managers of 4A and 4B development corporations;and 6. Directors of the City of Southlake who have authority to sign contracts on behalf of the City. EXCLUSIONS: A questionnaire statement need not be filed if the money paid to a local goverment official was a political contribution,a gift to a member of the officer's family from a family member;a contract or purchase of less than$2,500 or a transaction at a price and subject to terms available to the public;a payment for food,lodging, transportation or entertainment; or a transaction subject to rate or fee regulation by a govemmental entity or agency. WHAT: A person or business that contracts with the City or who seeks to contract with the City must file a "Conflict of Interest Questionnaire"(FORM CIQ)which is available online at,.vww.ethics.state.tx.us and a copy of which is attached to this guideline.The fonn contains mandatory disclosures regarding"employment or business relationships" with a municipal officer. Officials may be asked to clarify or interpret various portions of the questionnaire. WHEN:The person or business must file: 1. the questionnaire—no later than seven days after the date the person or business begins contract discussions or negotiations with the municipality,or submits an application, responds to a request for proposals or bids,correspondence,or other writing related to a potential contractor agreement with the City;and 2. an updated questionnaire—within seven days after the date of an event that would make a filed questionnaire incomplete or inaccurate. It does not matter if the submittal of a bid or proposal results in a contract.The statute requires a vendor to file a FORM CIQ at the time a proposal is submitted or negotiations commence. WHERE: The vendor or potential vendor must mail or deliver a completed questionnaire to the Finance Department.The Finance Depdrintent is required by Imv to post the statemeirts ort rite City's website. ENFORCEMENT: Failure to file a questionnaire is a Class C misdemeanor punishable by a fine not to exceed $500. It is an exception to prosecution that the person files a FORM CIQ not later than seven business days after the person received notice of a violation. NOTE:The City does not have a duty to ensure that a person files a Conflict of Interest Questionnaire. City of Southlake - RFP1608B200TS160018 - Page 24 of 26 CONFLICT OF INTEREST QUESTIONNAIRE FORM C{Q For vendor or other person doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 1493, 80th Leg.. Regular Session. OFFICEUSEQNLY This questionnaire is being filed in accordance with Chapter 176,Local Government Cade nate Received by a person who has a business relationship as defined by Section 176.001(1-a)with a local governmental entity and the person meets requtrements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006.Local Government Cade. A person commits an offense if the person kno%-4ngly vlofates Section 176,006, focal Government Code.An offense under this section is a Class C misdemeanor. Name of person who has a business relationship with local governmental entity. Blagg Tire&Service Staff 2 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 the originally filed questionnaire becomes incomplete or inaccurate.) 3 (Jame of local government officer with whom filer has employment or business relationship. Tim Slifka and other City of Southlake Staff Name of Officer This section (item 3 including subparts A, B, C & D) must be completed for each officer with whom the filer has an employment or other business relationship as defined by Section 176.0010-0,local Government Code. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income,other than investment income,from the filer of the questionnaire? F1Yes ® No B. is the filer of the questionnaire receiving or likely to receive taxable income,other than investment income,from or at the direction of the local government officer named in this section AND the taxably income is not received from the local governmental entity? ElYes ® No C Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an officer or director,or holds an ownership of 10 percent or more? El Yes FX I No D. Describe each employment or business relationship with the local government officer named in this section. 4 Perry Leonard 11lzlbf p �xm.auaaz Signalum of person doing business with the governmental entity Dale Adopted 06/2912007 City of Southlake - RFP1608B200TS160018 - Page 25 of 26 Appendix D — No Intent to Submit Form If your firm has chosen not to submit a proposal for this procurement,please complete this form and submit to: City of Southlake Purchasing Division,Department of Finance 1400 Main Street, Suite 440 Southlake,Texas 76092 PIease check all items that apply: ❑ Do not sell the item(s)required ❑ Cannot provide Insurance required ❑ Cannot be competitive ❑ Cannot provide Bonding required ❑ Cannot meet specifications highlighted in the attached ❑ Cannot comply with Indemnification request requirement ❑ Job too large ❑ Job too small ❑ Do not wish to do business with the City of Southlake ❑ Other: ❑ Cannot submit electronically Company Name(Please print): Authorized Officer Name(Please print): Telephone: Fax: City of Southlake - RFP1648B200TS160018 - Page 26 of 26 City of Southlake Level "A" Service OK I Maintenance Review Work Order Inspection Yes No VIN# Record Vehicle Information Engine Size 2WD14WD Install Interior Protection Tire Rotation Yes No Test Drive(if applicable) Good Recrnn Trans Type Auto Man Review maintenance schedule Inspect Wipers and Eire fitment Inspect Headlights AIG PI5 AIP Perform inspection indicated Inspect Bulbs Record findings/review history Inspect Air Filters Make recommendations per MAP Inspect Betts Battery Load Test Uniform Inspection Guide Inspect Hoses Retum WIQ to appropriate individual Inspect&Test Battery Spec Perform service requested Inspect Tres Actual Test Drive(if applicable) Inspect Wheel Bearing L_j H Torqued to Vehicle Specification for looseness Specification Inspect Shocks Q Q Drum f Rotor Specs Em #'I &Struts LF RF RR LR Em #2 Inspect Suspension Spec Inspect Brakes Actual PSI Registration 32nd In Out condition State Inspection LF Fluids Good Add Remind RI' Washer Quality Control RR Power Steering RESET LR Coolant/Antifreeze OIL LAMP SP Differential TPMS Transmission QC SIZE Brake Tech# TYPE Oil Signature Exhaust Fluid Description Comments Map Service Categories 1 2 3 4 Map Service Categories 1 PartslSystem Failure-servicelreplacement is required now 3 Improve System Performance-Service/replacement suggested 2 Prevenla0ve Maintenance-Servicefteplacement is suggested 4 Diagnostic Procedures-Determines condition)performance of parts/system CARCONC-01 NATALIE ACORO" CERTIFICATE OF LIABILITY INSURANCE a AYYI 1111 ��- 1�9 s1z61201 6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the poilcy(les)must have ADDITIONAL INSURED proVlslons or be endarsed. 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). PRODUCER CONTneT Tammy Mullins Bell Insurance Group 1698D Dallas Parkway Iarc.N,Ext!: I jA,No]. suite 210 Aum Ess•tmullins@pellgroup.com Dallas,TX 76248 INSURERS AFFORDING COVERAGE NAICk INSURER A.South am Ins.Com pany 199216 INSURED INSURER B:Technoto V insurance Co .42376 Car Concepts,Inc,,etal INSURERC: 624 E Pipeline Rd I INSURER Hurst,TX 76053 INSURER E- INSURER F: COVERAGES CERTIFICATE NUMBER, REVISION NUM13ER: 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 9Y PAID CLAIMS. INSR TYPE OF INSURANCE IAN D 1 Wv R POLICY NUMBER h MIDa EFF POLICY EXP LIMITS A X I COMMERCIAL GEMPRAL UAMLITY I i EACH OCCURRENCE S 1,000,000 CLAIMS-MADE I }( OCCUR 5585623 09/2212016 49127128171 DAMAOEToRENTED S 100,000 _ EbttSA.L(EILQFcuRerlcs MED EXFWone perscn S 5,000 PERSONAL BAOVINJURY l5 1,000,060 GEP1N'LAGGREGATE LIMIT APPLIES PER' I GENERAL AGGREGATE S 2,600,006 POLICY❑JE, a LOC I ' PRODUCTS-COMPIOPAGG I S 2,000,000 OTNER: I S A AVTOMOBILEUAGILIT-Y IgaA- d DtSINGLEIItlIT S 11000,006 lixANY AUTO 5585524 i 0912212016 0912212017 BODILY INJURY Per @ISan s OWNED SCHEDULED AU�T�0p59NLY NAUOrr 5yyN� I BODILY INJURY Per acridenl S AUTas ONLY X AUTO ONLB I { I P D jR��AMAG( 15 A X UMBREI IAUAB IOCCUR 1 I EACH OCCURRENCE 5 5000,000 I EXCESS UAB CLAIMS MAOE 5585625 09122/2016 0912212017 AGGREGATE 5 5'000'000 DED I X I RETENTIONS Is S B 11NORNERSCOMpFIQSATi❑H I I x i PERSTATUT9 I I OR kANDEMPLOYERS'UABILITY 1.E I YIN TNC3582874 0912212016 0912212017 1,000,044 .ANY PROPAIETOWPARTNERIEJ(ECUTIVE E.L.EACH ACCIDENT S �OFFI%C�ER11AEMSEREXCLUDEO9 N NIA naaterylnNHl :EL DISEASE•EA EMPLOYE $ 1,004+000 N ppec,desusbe under 1,000,000 DESCRIPtIONOFOPERAVONSW. I I EL.OISeASE-FOLICYIWIT S 3 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES tACORO 101,AddlHanal Remarks Schedule,moy ba sttachad Ir mare space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of SQuthlake THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. 1400 Main Street#270 Southtake,TX 78092 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD Ory Or SOUTHLAKE February 9,2017 Grapevine Ford Lincoln 801 E. Hwy 114 Grapevine,Texas 76051 Attn: Mr.Clarence E. Diggs Subject: Contract Award Notification for Preventative Maintenance Services for City of Southlake Vehicles RFP160BB200TS160018 Dear Mr. Diggs: The City of Southlake is pleased to inform you that Grapevine Ford Lincoln of Grapevine,Texas is one of two(2)vendors being awarded "Preventative Maintenance Services for City of Southlake Vehicles RFP1608B200TS160018". The award and this agreement are based on your proposal to the City, copy enclosed. This is a multiple vendor award contract. Your company's portion of the award is attached.This award was approved by the City of Southlake City Council on The terms and conditions proposed and accepted in this agreement are as follows: Line Items Awarded All Items as listed Payment Terms: Net 30 days(Unless otherwise noted—such as pre-and/or partial payment) Estimated Quantities: The City does not guarantee to purchase any minimum or maximum quantity but does contemplate purchasing the awarded items exclusively during the term of the contract from the successful vendors. Method of payment: Shall be made by City procurement card or purchase order Delivery Terms: FOB Destination Delivery Locations: Vendor Delivery or City employee pick-up. Term of Contract: The term of awarded contract shall remain in effect for thirty six months(36)from date of award and is eligible for up to two(2)one(1)year annual renewals City Contact: TIM SLIFKA 817-748-8312 Send all billing to: City of Southlake 1400 Main Street,Suite 440,Accounts Payable Southlake,TX 76092 or via email to accountspayableeci.south lake.tx.us Other Charges: The City of Southlake is a tax exempt municipal corporation and is exempt from all federal, state,and local sales taxes. All other specifications,terms and conditions shall be as provided in the original procurement documents. No other attachments to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager or an authorized representative of the City of Southlake. Thank you for participating in our procurement process. Please call 817-748-8312 with any questions. Sincerely, r �t. Tim Slifka,CPPO, C PB Purchasing Manager City of Southlake 1400 Main Street, Suite 440 Southiake,Texas 76092 tslifka@ci.southlake.tx.us Attest: Lori Payne, TRMC Contract and Award Accepted: City Secretary Signed: Date: Approved as to Form and Legality: Mayor Laura Hill City of Southlake City Attorney Appendix B—Proposal Submittal Checklist: (fo determine validity of proposal) Appendix B(pages_12_thr gh 2S_)mwt be h1duded b the proposal submittal Appendix C Conflict or Interest Form(page 25,)must be included in the proposal submittal. Fotm 1295 CerHfiate of Interested Party must be hyluded in the proposal submittal.See Page 2 Item I.E. ' t uwm 7R"Number: RFP1608B200TS160018 Preventative Maintenance Services for City of Project Tike: Soutblake Vehicles Submittal 3:00 PAL (CST), Friday December 9, 2016 Deadline: Submit electronically* to: www.securebidusa.com * Re wires email account to in and asses©rd. ympnzor Informatlo Pro sir's 1 Name: Address: A Ci ,State&7:i SA) Federal Employers `� Identfficadon Number# n Phone Number. `]- Fos NpmbeY: V E-Milo Address: WW it). RAPRVX4)A A L OLS ,G !►'� Proueser Authornaggn F the undersigned,have the authority to execute this Proposal in its entirety as submitted Sand enter �ct n behalf of the Proposer. 9� All riinted Name and Position of Authorized sentative: t Signature of Awbo//rized Representative- n�/ Signed this l0 (day)of � rym) I learned of this Request for Proposals by the{©llawing Mews: ❑ Newspaper Advediseanent �,City E-mail Notification ❑ Soathlake Website ❑ Cold Call to City ❑ Mailed Me a Copy ❑ ober ❑ Se,,-=Bid City of Southlake - RFP160SB200TS160018 _ Page 12 of 26 Appendix B—Proposal(continued) 1. RED,U,IRED PROPOSAL INFORMATION. IN ORDER FOR A PROPOSAL TO BE CONSIDERED CUMPLETEi AND TO BE EVAL UATED FOR A CONTRACT AWARD BY THE CITY,PROPOSER MUST SUBMIT ALL OF THE FOLLOWING INFORMATION: 1. Proposed Products and/or Services A. Product or Service Description. Proposers should utilize this section to describe the technical aspects, capabilities, features and options of the product and/or service proposed in accordance with the required Scope of Services as identified in Appendix A Promotional, literature, brochures,or other technical information may be used. B Additional Hard are Desai tions: Proposers should also include in this section a detailed description of what additional hardware and/or software, if any,would be required by the City in order to fully utilize the goods and/or services proposed C. Grraran and Warrantie : Each Proposer shall submit a complete copy of any warranties or guarantees provided by the manufacturer or Proposer with the Proposal submitted. D. Proiect SchedulelDeliyery Date: Proposer must provide a project schedule noting all projected completion dates for segments of the project,from start-up to completion,and all delivery dates for goods covered by the RFP. The Proposal must show the number of days required to deliver and install.the product or equipment after the receipt of the City's Purchase Order, 2. Cost of Proposed Products and/or Services A, Pricing: Pricing shall reflect the full Scope of Services defined herein, inclusive of all associated cost for delivery,labor,insurance,taxes,overhead,and profit. B. Schedule of Pric : Proposer shall quote unit pricing in accordance with the itemized listing of products or contract segments stated in the Scope of Services and using the following format. t>iuij fwhdn'c ur Service unit Cost 1_ Ford F-1.50 Series Vehicle Unteade"lea Fuel 2WD Per Svc PM Level A per Scope of Services $ . DO Per Svc PM Level C erscopeof Services S ,on 2. Ford F-150 Seines Vehicle UnleadedlFlea-Fuel 4WD Per Svc PM Level A per Sco a of Services $ 3. vo Per Svc PM Level C per Sco a of Services 3. Ford F-250 Series Vehicle Unleaded/Flex-Fuel 2WD Per Svc PM Level A r Sco e of Services $ v Per Svc PM Level C per SCORC of Services $ 4. Ford F-250 Series Vehicle UnleadedlFlea-Fuel 4WD . 00 4 U Per Svc PM Level A er Scope of Services $ Per Svc PM Level C per Scope of Services $ . QO City ot'Soutttlake - RM608B200TS160018 - Page 13 of 26 Rem ti Descri tion of o iuct r.5 vice chit-Coit 5. Ford F-250 Series Vehicle Diesel Fuel 2WD Per Svc PM Level A per Scope of Services $ U Per Svc PM Level C per Scope of Services S •d v 07.6. Ford F-250 Series Vehicle Diesel Forel 4WD Per Svc PM Level A per Scope of Services $ •C1 U Per Svc PM Level C per Scope of Services S • a d Ford T-250 Series Vehicle Unleaded Fuel 2WD Per Svc PM Level A per Scope of Services S • a 0 Per Svc PM Level C per Scope of Services $ "'0 d 8, 1 Ford F450 Series Vehicle Diesel Fuel 2WD Per Svc PM Level A per Scope of Services Sd v Per Svc PM Level C per Scope of Services 9. Ford F-450 Series Vehicle Diesel Fuel 4WD Per Svc PM Level A M Scope of Services $ Per Svc PM Level C per Scope of Services v 10. Ford F-550 Series Vehicle Diesel Fuel Per Svc PM Level A per Scope of Services Per Svc PM Level C er Sco a of Services S B 11. Ford F-650 Series Diesel Fuel Per Svc PM Level A per SCODe of Services S Per Svc PM Level C per Scope of Services $ • 12. Ford F-650 Series Unleaded Fuel Per Svc PM Level A per Scope of Services S ` Per Svc PM Level C per Scope of Services $ 13, Ford F-750 Series Vehicle Diesel Fuel Per Svc PM Level A per Scope of Services $ Per Svc PM Level C per Scope of Services $ v 14. Ford Escape Unleaded Fuel 2WD Per Svc PM Level A per Scope of Services $ t7 Per Svc PM Level C per Scope of Services $ CJ u City of Southlske - RFP160BB200TS160018 Page 14 of 26 r:wt... item ti Des `;` tian-afPra�ctarSe�yice'' .Unit L:c 15. Ford Escape H brid Unleaded Fuel Per Svc PM Level A per Scope of Services $ Per Svc PM Level G per Scope of Services $ 1 u 16. Ta ota Camry Hybrid Unleaded Fuel Per SVC PM Level A per Scope of Services $ Per Svc PM Level C per Scope of Services $ tp U 17, Ford Taurus Interceptor Flea Fuel Per Svc PM Level A per Scope of Services $ `d d Per Svc PM Level C per Scope of Services $ 18. Ford Explorer Unleaded Fuel 2ND Per Svc PM Level A per Scope of Services $ • a Per Svc PM Level C per Scope of Services $ . D U 19. Ford Explorer Unleaded Fuel 4WD Per Svc PM Level A per Scope of Services $ • fl 0 Per Svc PM Level C per Scope of Services $ v 20. Ford E-150 through E-350 Series Van Unleaded Fuel Per Svc PM Level A per Scope of Services Per Svc PM Level C per Scope of Services , d v 21. Ford E-350 Series Van Chassis Diesel Fuel Per Svc PM Level A per Scope of Services s Z,79,db Per Svc PM Level C per Scope of Services $ • o a 22. Dodge er Police Vehicle Unleaded Fuel Per Svc PM Level A per Scope of Services $ -CIO Per Svc PM Level C per Scope of Services 23. Dodge M um Police Vehicle Unleaded Fuel Per Svc PM Level A r Sco a of Services $ Per Svc PM Level C per SCOPe of Services $ o 24, Chevrolet Tahoe Police Version UnleadedlFlea-Fuel Per Svc PM Level A per Scope of Services - U Per Svc I PM Level C per Scope of Services $ •�� City or Southlake - RMOBB200TS160018 Page 15 of 26 Unit.Cost twin ti Des tion:ai 'ro°auct:or . 25, Chevrolet Tahoe Police Version 4a4 Unleaded/Flex Fuel Per Svc PM Level A per Sco a of Services S U Per Svc PM Level C per SM of Services S ' 26. Chevrolet 23 Passenger Bus Unleaded Fuel r Per Svc PM Level A per Scope of Services S Per Svc PM Level C per Scope of Services S Ii :p D 27, GMC TC6C042 Diesel Fuel Per Svc PM Level A per Scope of Services Per Svc PM Level C er Scope of Services $ G U 28. GMC C7500 Series Diesel Fuel Per Svc PM Level A r Sco a of Services Per SvcI PM Level C er Sco of Services S 29. Internationa17400 Series Vacuum7771a Per Svc PM Level A per Scopeof Services ge PM Level C er Sco a of Services T.�• d�J Frei diner 1€18SD Vacuum Truck Diesel Fuel PM Level A er Sco a of Services $ 'a d PM Level G er Sco of ServicesQ 'd D Mack GU 713 Dum Truck Diesel Fuel PM Level A r Sco a of Services $ 'd Per Svc PM Level C per Scopeof Services S a ' 32, Isuzu Street Sweeper Diesel Fuel S U Per Svc PM Level A r Scope of Services Per Svc PM Level C er Sco a of Services S ' d v City of Southtake - RFP1608BZOOTS160018 - Page 16 of 26 7337 ct or Service Uitciat ADDITIONAL SERVICES Small Engine Powered Unit PM Services as Re Mired This shall include labor costs only.Parts and supplies shall Per Svc be additional cost item based on parts and supplies cost $I •d U rate listed below. Labor Only 34. Eleebic Crane PM Services This shall include labor costs only.Parts and supplies sball S r d Per Svc be additional cost item based on parts and supplies cost rate listed below. Labor Only 35. Hour Lobar Rate for'Off-Site'General Re airs Per Hr. Hourlylabor rate at vendors location $ Per Hi' After Hours Hourly Labor Rate for Off--Site' General 36. Re airs Per Hr. After Hours hourly labor rare at vendors location S .d U Per Hr Hourly Labor Rate for General Repairs Performed 37. °On-Site' at City Location Per Hr. Ho url labor rate at Ci location $ � Per Hr After Hours Hourly Labor Rate for General Repairs 38. Performed`On-Site' at City Location IV ,7" Per Hr Per Hr. After Hours hourly labor rate at Ci location Parts and Supplies Cost for General Fleet Repairs.List List Price Minus 39. Price Minus tentage.List-%Discount - % 4 Discount Parts and Supplies Cost for PM Services for Small List Price Minus Engine and Electric Crane Units.List Price Minus _ % Discount 40. Percentage,List- /o Discount Vendor Vehicle Pick Up and Denve Fee Vehicle Pick-Up and Delivery Fee for Any City Vehicle 41. Each Per Each Way to/from City location to/from Vendor S Way location Vendor Trans ort of Ci Vehicle to Non-City Location Vehicle Delivery Fee for Any City Vehicle From Vendor S `4 r per Mile 4 . Per Mile location to Non-City location City of Soutblake - RP`P1608BN0'T516o018 - Page 17 of 26 ` uct M. Service CTnit Cast Item ti tion o�Find 43. other Vendor Ch es.Please Describe, Per Svc 44. Other Vendor Chnes-Please Describe. s Per Svc 45. other Vendor Cbar es.PleaseDescribe. Per Svc 46. other Vendor Cb es.Please Describe. DNX Per Svc 3. Term of Contract and Option to Extend Any contract resulting from this RFP shall be effective for thi six months from date of award. The City anticipates that contract shall be renewed pursuant to the availability of funds and at the discretion of the City_ The following clauses shall be included in the contract; A- Qption Clause: It is agreed that City will have the option to extend the contract for up to two (2) additional years,in one-year intervals. To exercise oris option,the City shall option.to Extend will not rt e notice 30 daYs prior to contract termination or to the end of any one-year extension.The be considered if fimding is unavailable or if the contractor's past performance is not within the industry standard. B. Escalation Clause. Should market conditions prevail which dictate an increase, the successful contractor may submit documentation requesting permission to increase pricing no later than 30 clays after receiving notice from the City of its intent to extend the agreement.Escalation may only occur at the time of renewal and only upon securing the approval of the City in writieag. Requests for price adjustments must be solely for the purpose of accommodating an increase in the contractor's cost,not profits. Vendors shall show in this quote their anticipated percent of escalation if/when the option to extend is exercised. The percent quoted will be a maximum. In addition,the percentage proposed will be a factor in determining the best value to the City. It is the average price over the period of the contract that will be the price factor considered in the evaluation of this quote.Quotes in which negative or no escalation is shown will be considered as 0%escalation. C_ Price Increases Upon Extension: If approved by the City, the Contractor shall modify the rates charged by the Contractor to reflect any changes shown in the comparative statement delivered to the City. The maximum increase allowed under this provision shall be four percent(4%)per year. TheCity shall have authority,in its reasonable discretion, to determine the validity of any change in Contractor's rates. City cannot exercise the Option to Extend with any price increases unless the Vendor completes the section of the Quote requesting anticipated percentage of annual escalatiOn- City of Southlake - RFP1648B20DTS160018 - Page 1 g of 26 First Additional Year(FY 2020-2021)Escalation.......................... % Second Additional Year(FY 2021-7022)Escalation ...........»..».»»..» % 4. Proposer's Experience/Staff A. Protect Team: Identify all members of the Proposer's team (including both team members and management)who will be providing any services proposed and include information which details their experience. B. Removal or Replacement of Staff_.If an assigned staff person must be removed or replaced for any reason,the replacement person must be approved by City prior to joining the project. C. Business Establishment: State the number of years the Proposer's business has been established and operating. If Proposer's business has changed names or if the principals operating the business operate any similar businesses under different names, or have operated any other businesses or changed the legal status or form of the business within the last five (5) years, all names, of predecessor business names, affiliated entities, and previous business entities operated by the principals,if different than present,must be provided; State the number of years' experience the business has: and the number of employees: /W 7- D. D. Protect Related_Ex perience: All. Proposats must include detailed information that details the Proposer's e.Verience and expertise in providing the requested services that demonstrates the Proposer's ability to logically plan and complete the requested project, City of Southlake - RFP160SB200TS160018 - Page 19 of 26 S. References Proposer shall provide four(4)references where Proposer has performed similar to or the same types of services as descn-bed herein- Reference ereinReference#I: Client/Company Name: C C rj Contest Name: Contact Title: FFsr -PME- :� Phon ' Emall' r map Date and Scope of Work Provided: 'coin Rs kc P�.�Qs p�u.D a uJ tG=S Reference 92: Client/Company Name' s Contact Name: Contact Title: Phone: 'M . Email: rv�i3 r rs'l+. bb Date and Scope of Work Provided: -C PAI / 17z?-PA-re f f _ 0 LL CA-) /II �J V lr`C- JP Reference#3: _ Client 1 Company Name' Contact Name: Co�nitact Title: J DuG �Zi C1� WA.�Ae r Ph Z - 7�0raail: Com Date and Scope of Work Provided: f►/�D�S G �+~ Ftn 17zFP 14.r7Je s Reference 94: Client/Company Name r Contact Name: Contact Title , g 4 u T LSC" 1/ cam' Phon s,� Z Email: luT _ Date and Scope of Work Pr Prov City of Southlake - RFP1608B20OTS160018 - Page 20 of 26 6. Trade Secrets and/or Confidential Information Tr4& carets and/or Confidential Information,This proposal`(does), (does not)contain trade secrets and/or confidential information. If applicable, describe such trade secrets and confidential information, and the basis for your assertion that such material qualifies for legal protection from disclosure. 7. Federal,State and/or Local Identification Information A. Centralized Master Bidders List registration number: B. Prime contractor HUB/MWBE registration number: C. An individual Propose as a sole proprietor must also enter the Proposer's Social Security Number:# 8. Emergency Business Services Contact Notice During a natural disaster,or homeland security event,there may be a need for the City of Southlake to access your business for products or services after normal business hours and/or holidays. The City may request City employee pick up or vendor delivery of product or services. For this purpose,a primary and secondary emergency contact name and phone number are required. It is critical the vendor's emergency contact information remains current, City shall be contacted by E- mail with any change to a contact name or phone number of these emergency contacts.Updates may be emailed to vendors d<ci.southlake.tY.us. All products or services requested during an emergency event are to be supplied as per the established contract prices, terms and conditions. The vendor shall provide the fee (pricing) for an after-hours emergency opening of the business,if any. In general,orders will be placed using a City of Southlake procurement card (Master Cara or City issued Purchase Order. The billing is m include the emergency opening fee,if applicable. The contractor shall provide the names, phone numbers and fee (pricing), if any, for an after-howl emergency opening of the business listed below. Business Name: Contract#: Description: Primary Contact(Name): Primary Contact Phone Numbers:Horn C Secondary Contact(Name): Secondary Contact Phone Numbers:Horn : Ce After Hours emergency opening fee,if ap cable:S City of 5outlilake - RFP1608B200IS160018 - Page 21 of 26 9. Cooperative Governmental Purchasing Notice desire, but are pat Other governmental entities maintaining interlocal agreements with the City,may obligated, to purchase goods and services defined in this RFB from the successful Bidder. All purchases by governmental entities, other than the City, will be billed directly to and paid by that governmental entity. The City will not be responsible for another governmental entity's debts. Each governmental entity will place their own orders with the successful Bidder and be responsible for ensuring fall compliance with the RFB specifications. Prior to other governmental entities placing orders,the City will notify the successful Bidder of their intent please indicate below if you will permit other governmental entities to purchase from your agreement with the City. I Yes,Others can purchase No,Only the City can purchase II. CON72Z4CT TERMS AND CONDITION& EXCEPT WHERE PROPOSER MAKES SPECIFIC EXCEPTION IN THE SUB2F�fITTED PROPOSAL,ANY CONTRACT RESULTING FROM THIS RFP WILL CW OWLED EG SF AND TO WHICH PROPOSLLOWING TERMS AND ER AGREES Bl{YY SUBMITI7NG A MCff PROPOSER HEREBY A CK2Y PROPOSAL: 1. Delivery of Products and for Services A. Pa met Terms: Unless otherwise specified in the Scope of Services or otherwise agreed to in writing by the City,payment terms for the City are Net 30 days upon receipt of invoice. B. Warranty of Products andervrnS:All products fiirnished under this contract shall be warranted to be merchantable and good quality and fit for the purposes intended as described in this Proposal,to the satisfaction of City and in accordance with the specifications, terms, and conditions of the Scope of Services,and all services performed shall be warranted to be of a good and workmanlike quality,in addition to,and not in lieu of,any other express written warranties provided, C. Late Relive or Performance: If Proposer fails to deliver acceptable goods or services within the timeframes established in the Project Schedule,the City shall be authorized to purchase fgoods or services from another source and assess any increase in costs to the defaulting proposer, agrees to pay such costs within ten days of invoice. D. Title to Goods and Risk of Lass: For goods to be provided by proposers hereunder,if any,the title and risk of loss of the goods shall not pass to City until City actually receives, takes possession, and accepts the goods and the installation of such goods,has tested the system,and determined that it is in good and acceptable working order. 2. Miscellaneous A. Independent Cong i2r Proposer agrees that proposer and proposer's employees and agents have no employer-employee relationship with City. proposer agrees that if Proposer is selected and awarded a contract, City shall not be responsible for the Federal Insurance ContributionAct Workers (FICA) payments, Federal or State unemployment takes, rrim its,par will City any Insurance payments, or any other insurance pay medical or retirement benefits or any paid vacation or sick leave. B. Assi ents: The rights and duties awarded the successful Proposer shall not be assigned to another without the written consent of the Purchasing Manager. Such consent shall not relieve the assigner of liability in the event of default by the assignee. City of Southlake - RM608B200TS160018 - Page 22 of 26 C. Liens: Proposer shall indemnify and save harmless the City against any and all lions and encumbrances for all labor,goods,and services which may be provided to the City by Proposer or Proposer's vendor(s),and if the City requests,a proper release of all liens or satisfactory evidence of freedom from liens shall be delivered to the City. D. Gratuities / Bribes: Proposer certifies that no bribes in the form of entertainment, gifts, or otherwise,were offered or given by the successful Proposer, or its agent or representative, t4 any City officer, employee or elected representative,with respect to this RFP or any contract with the City,and that if any such bribe is found to have been made this shall be grounds for voiding of the contract E. Financial Participation: Proposer certifies that it has not received compensation from the City to participate in preparing the specifications or RFP on which the Proposal is based and acknowledges that this contract may be terminated and/or payment withheld if this certification is inaccurate. F. Required Licenses:Proposer certifies that ltlr holds all licenses required by the State of Texas for a provider of the goods and/or services described by the Scope of Services herein. G. Authority to Submit Proposal and Fatter Contrast The person signing on behalf of Proposer certifies that the signer has authority to submit the Proposal on behalf of the Proposer and to bind the Proposer to any resulting contract. H. Compliance with A2Rlivable Law: Proposer agrees tlmt the contract will be subject to, and Proposes will strictly comply with, all applicable federal, state,and local laws, ordinances, rules, and regulations. 3. Financial Responsibility Provisions Ar Insurance: The Proposer, consistent with its status as an independent contractor, shall carry, and shall require any of its subcontractors to carry, at least the following insurance in such form,with such companies,and in such amounts(unless otherwise specifled)as City may require: i. Worker's Compensation and Employer's Liability insurance, including All States Endorsement, to the extent required by federal law and complying with the laws of the State of Texas; ii. Commercial General Liability insurance, including Blanket Contractual Liability, Broad Foran Property Damage, Personal Injury, Completed Operations/Products Liability, Premises Liability, Medical Payments, Interest of Employees as additional insureds, and Broad Form General Liability Endorsements,for at least One Million Dollars($1,400,000) Combined Single Limit Bodily Injury and Property Damage on an occurrence basis; iii. Comprehensive Automobile Liability insurance covering all owned, non-owned or bired automobiles to be used by.the Contractor, with coverage for at Ieast One Million Dollars ($1,040,000)Combined Single Limit Bodily Injury and Property Damage. B. In ernnification• Proposer agrees to defend,indemnify and hold harmless the City,all of its officers,Council members,agents and employees from and against all claims,actions,suits, demands, proceedings, costs, damages and habMes, including reasonable attorneys' fees, court costs and related expenses,arising out of,connected with,or resulting from any acts or omissions of Proposer or any agent,employee,subcontractor,or supplier of Proposer in the execution or performance of this contract without regard to whether such persons are under the direction of City agents or employees. City ot'Southiake - P1608B200T8160018 - Page 23 of 26 Appendix C—Form CIQ WHO: The following persons must file a Conflict of Interest Questionnaire with the City if the person has an employment or business relationship with an officer of the City that results in taxable income exceeding$2,500 during the preceding twelve—month period,or an officer or a member of the officer's family has accepted gifts with an aggregate value of more than$250 during the previous twelve—month period and the person engages in any of the following actions: 1. contracts or seeks to contract for the sale or purchase of property,goods or services with the City, including any of the following a written and implied contracts,utility purchases,purchase orders, credit card purchases and any purchase of goods and services by the City, b. contracts for the purchase or sale of real property,personal property including an auction of prop"; c. tax abatement and economic development agreements; 2. submits a bid to sell goods or services,or responds to a request far proposal far services; 3. enters into negotiations with the City for a contract;or 4. applies for a tax abatement and/or economic development incentive that will result in a contract with the City THE FOLLOWING ARE CONSIDERED OFFICERS OF THE CITY: 1. Mayor and City Council Members; 2_ City Manager; 3. Board and Commission members and appointed members by the Mayor and City Council; 4. Directors of 4A and 4B development corporations; 5. The executive directors or managers of 4A and 4B development corporations;and 6. Directors of the City of Southlake who have authority to sign contracts on behalf of the City. EXCLUSIONS: A questionnaire statement need not be filed if the money paid to a local government official was a political contribution,a gift to a member of the officer's family from a family member;a contract or purchase of less than$2,500 or a transaction at a price and subject to terns available to the public;a payment for food,lodging, transportation or entertainment; or a transaction subject to rate or fee regulation by a governmental entity or agency. WHAT: A person or business that contracts with the City or who seeks to contract with the City must file a "Conflict of Interest Questionnaire"(FORM CIQ)which is available online at www.ethics.state.tx.us and a copy of which is attached to this guideline.The form contains mandatory disclosures regarding"employment or business relationships" with a municipal officer. Officials may be asked to clarify or interpret various portions of the questionnaire. WHEN:The person or business must file: 1. the questionnaire--no later than seven day s after the date the person or business begins contract discussions or negotiations with the municipality,or submits an application, responds to a request for proposals or bids,correspondence,or other writing related to a potential contract or agreement with the City;and 2 an updated questionnaire--within,seven days after the date of an event that would make a filed questionnaire incomplete or inaccurate. It does not matter if the submittal of a bid or proposal results in a contract.The statute requires a vendor to file a FORM CIQ at the time a proposal is submitted or negotiations commence_ WHERE: The vendor or potential vendor must mail or deliver a completed questionnaire to the Finance Department The Fimance Department is required by law to pest the statements on the City's website- ENFORCEMENT:Failure to file a questionnaire is a Class C misdemeanorpunishable by a fine not to exceed $500. It is an exception to prosecution that the person files a FORM CIQ not later than seven business days after the person received notice of a violation. NOTE:The City does not have a duty to ensure that a person files a Conflict of interest Questionnaire. City of Southlake - RFP1608B200TS160018 - Page 24 of 26 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor or other person doing business with local governmental entity This questionnaire reflects changes made to the law by H.B.1491.Both Leg., Regular Session. C7FFICEtl5EONLY This questionnaire Is being flied In accordance with Chapter 176.Local Government Code pale Received by a person Nvho has a business relationship as defined by Section 176.001(1-8)%:1th a local govemmental entity and the person meets requirements under Section 176.006(x). By ia-.r this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day atter the date the person becomes aware of facts that require the statement to be filed. See Section 176.006,Local Government Code. A person commits an offense if the person knawingly violates Section 176.006. Local Government Code.An offense under this section is a Class C misdemeanor. 1 Name of person who has a business relationship with local governmental entity. z heck this box If you are filing an update to a previously Tiled questlonnalre. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7111 business day after the date the originally filed questionnaire becomes incomplete or inaccurate) 3 Name of local government officer with whom filer has employment or business relationship. � nrHY - L-:1-rfeIr Name of Officer This section (item 3 including subparts A. 6. C & Q) must be completed for each officer v.1th whom the filer has an employment or other business-relaiionship as defined by Section 176.004(1-a),Local Government Code. Attach additional pages to this Form Ctrl as necessary. A. is the local government outer named in this section receiving or Iikeiy to receive taxable income,other than investment income, from Ilse filer of the questionnaire? Yes fir 9 No B Is the filer of the questionnaire receiving or likely to receive taxable income,other than investment income, from or at the direction of the local govemment officer named in this section AND the taxable income is not received from the local governmeniai entity? Yes k No C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an officer or director,or holds an ownership of 10 percent or more? ❑ Yes �No D. 04scribe each employment or business relationship with the local govemment officer named in this section � ���PPf Signature of person doing business d governmental entity Date Adopted 0612912007 City of 5outhinke - RFP1608B200TS160018 - Page 25 of 26 GRAPEVINE FORD,LINCOLN[RO:852499]2017 Lincoln MKC Not Pass/ Grapevine Ford Lincoln Courtesy Inspection • Caution . Fail Done� Done inspect Lighting inspect Instrument cluster warning lamps D IM Inspect headlight low and high beam operation F-1 M M Inspect fog/driving lights(if equipped) L] Inspecttaillight,turn signal,side marker,and license plate lights Inspect taillight,turn signal,and side marker assemblies for cracks and El 0 0 damage inspect brake light operation 0 MW Inspect hazard light operation D 0 Inspect relight operation Ll M Overse Inspect dash and interior lights Ll 'Inspect Components Check horn operation gg- Windshield for cracks,chips and pitting 9A 2- Inspect wiper and washer operation 0 M Inspect windshield wiper blades El 0 M Inspect mar wiper blade(If applicable) A Inspect Under Hood Fluid Levels, Condition Check engine oil level and condition Check transmission fluid level and condition Check brake fluid level and condition Ll M MST' Check engine coolant level and condition L1 am Check power steering fluid level and condition Mai 19 05 RON:852499 Grapevine Ford Lincoln qr r-Dec nLo cdA4 I GRAPEVINE FORD,LINCOLN[RO:85249912017 Lincoln UKC Pass/ No.t Grapevine Ford Lincoln Courtesy Inspection Done Caution Fai Done Fill windshield washer fluid Inspect Under Hood Components Inspect hood sbvts. El a M Perform battery performance best 0 on Inspect battery terminals and cables Ll 0 0 Inspect air fitter D 0 E Inspect cabin air(HEPA/mIcro)filter(if equipped) Ll Inspect all hoses and clamps Inspect drive belts Measure and Inspect Tire Tread Depth and Condition 3/32" or less = Fail 413" - 6132" = Caution 6/32" or more = Pa ❑ k ss Left front tire tread depth WON 0Right front tire tread depth 91 Left rear tire tread depth L1 0 'W gg Right rear tire tread depth 0 ` = MM Inspect overall tire wear and condition MOW F-1 Is Check and adjust frotire pressure W F1nt 0 M Check and adjust rear tire pressure 19 F] E Measure and Inspect Brake Linings and Condition: Pass: 6 [nrn and greater(disc) 3 rnm and greater(drum) Caution: 4 rnm - 5 mrn(disc)/2 mm(drum) Fai 1. 3 mm or less(disc)/l mm or less(drum) L - Measure front brake lining thickness em ffl Measure rear brake lining thickness E ROM 852499 GrapIvine Ford Lincohi 2 ani r...,.4V.-I-TT;,L.-..It A GRAPEVINE FORD,LINCOLN[RO:852434]2417 Lincoln MKC Not Grapevine Ford Lincoln Courtesy Inspection Done Caution ! Fail Done:, Inspect brake system components ❑ ■ WEA .Inspect drive train fluid levels, condition 1 fluid leve! condition and check far leas Inspectfrentd�fferentla k ❑ s ❑Inspect rear differential fluid level,condition and check for leaks _ Inspecttransfer casefluid level,condition and check for leaks ❑ Under . ss ; Inspect fuel tank,lines,and connections MW ❑ L� a inspect exhaust system for leaks,damage,and loose partsD ad ter: N Inspect engine mounts '' inspect transmission mounts - Inspect steering components � �= Inspect sway bar components Inspect for wheel bearing free play ❑ . Inspect front suspension components . Inspect rear suspension components Inspect axles,driveshaft(s)U-faints and CV joints/boots '' Ll —a Inspect for flu id leaks Inspect engine for oil leaks Inspect cooling system for leaks Inspect brake system for leaks - Inspect transmission for leaks F leaks L1 `d Inspect steering system for •� Rpt:852499 Grapevine Ford Lincoln 3 OnT C__,0,..•_Tr.._L._--T T A '-- 'T'l/-OCL 9Cp LAnA - 3 r GRAPEVINE FORD,LINCOLN[RO:852499]2017 Lincoln MKC Passl Not Fail caution Grapevine Ford Lincoln Courtesy Inspection Done Donel, 'Services Wor Maintenance Items Time or Mileage based serVices or Maintenance items !T, 1 RO#:852499 Grapevine Ford Linonln 4 oni Small Equipment PM Inspection Date Performed Vehicle# Small Engine PM Operating as Designed Air Filter OK Replaced Cleaned Oil Changed Starting Condition Fuel Filter Notes on PM: Small Crane PM Operating as Designed Pulley, Cable, Hook, Oil All Needed Parts All Mountings OK Notes on PM: Technician Signature QUALIFICATIONS All our technicians are required to participate in a continuing education program, Ford Motor Company requires our technicians to be certified annually to maintain Shap and Technician Competency Status. Technicians: ASE-Master and Advanced Level-1 Technician Ford Senior Master 5 Technicians Ford Certified-23 Technicians VENDOR FACILITY 1. 801 EAST HIGHWAY 114 Grapevine Texas 76051 2. A total of 60 service bays,1 state inspection bay,2 window tint,5 detail 3. Services available, detail vehicles,oil and flier change,alignment,suspension and brakes,transmission repair and replacement, engine repair and replacement, electrical and trim repair. VEHICLE TRANSPORT We have a dedicated staff responsible for the pickup and delivery of our customers Vehicles. Normal hours are from 8:00am until 5:00pm Monday thru Friday,if needed earlier and later times could be arranged. Our employees and all vehicles driven by them are covered under our blanket policy(Berkshire Hathaway Automotive Inc.attached) Notice from authorized City of Southlake Employee giving us the vehicle, its location and services needed, information will be placed on our pickup log employees dispatched for pickup.At completion of vehicle the process is reversed and delivered to the pickup location unless instructed otherwise. TEXAS LIABILITY INSURANCE CARD C(WPANY PHONE NO. COMPANY ©COMVL [] PERSONAL ❑NAMED DRIVER POLicy 215-640-IOW ACE A-Lnc7nInsuraxaGwriany POUCY NUMBER EFFECTWE DATE EXPIRATiONDA7E GAR H09040377 allr2316 WlM17 YEAR MAKE MODEL VEHICLE IDENTIFICATION NUMBER Any aula driven by the Insured AGENCY AGENCY PRONE NO SPANISH TRANSLATION Aon Risk InSUrarK6 San.cas Weil InC 2555 E.Camelhack R1.19701) (6D2)427-320D NAME NO ADDRESS INSURED'� X915 NOME TRADUCCION DE ESPANOL A BFVr Won.LLC dba Grapevine Fad 701 Ease Hry 114 Crapr�ns. Tx 7&ZI USA This policy provides at least the minimum amounts of liabillty insurance required by the Texas Molar Vehicle Safety Responsibility Art for the specified vehides and named insureds and may provide coverage for other pemons and vehicles as provided by the Insurance policy. WARM NG; A NAMED ORiVER POLICY DOES NOT PROVIDE COVERAGE FOR IKOMPUAIS RESIDING IN THE INSURED'S HOUSEHOLD THAT ARE NOT NAMED ON THE POLICY. / 3 Berkshire Hathaway Automotive Inc. Schedule of Insurance as of April 18, 2016 o4w 404777 Texas Non Subscriber Indemnity #FJG0005004-02: Effective:47111016 M 4712017 Effective:41112016 to 4/1!2017 ACE American Insurance Company North American Capacity General Liability General Policy Aggregate Limit $25,000,000 General Aggregate $15,000,000 Employers Liability Bodily Injury Damages See Per Occurrence Products&Completed Operations Aggregate $2,000,000 Total Indemnity Limit Per Occurrence $25,000,000 Each Occurrence $2,000,000 Maximum Limit Per Employee $5,000,000 Personal&Advertising Injury $2,000,000 Burial Benefit Limit $5,000 Damage to Premises Rented to You $300,000 Retention Each Accident/Each Empl tar Disease $300,000 Medical Expense Limit Excluded Employee Benefits Legal Liability Aggregate $2.000.000 Primary Umbrella #19036874 Each Claim $2,000,000 Effecove:4112016 to 4/1/2017 Deductible 5300,OOq National Union Plre Ins.Co.of Pittsburgh,PA Per Occurrence $25,000,000 Auto Garage Liability GAR H09040377 General Aggregate $25,000,000 Effective:41112016 to 41112017 Products/Completed Operations Aggregate $25,D00,000 ACE American Insurance Company IlRelenUon $25,000 Annual Policy Aggregate $15,000,000 Liability $2,000,000 Excess UmbrellaQuota Auto Only,Each Accident $2,000,000 Effective:41112016 to 471/1017 Other Than Auto Only Each Accident/Agg 52,000,000 North American 5peciafty Insurance Company#EX5 2000275 01 Deductible $300,000 Limit of liability$25,000,000 part of$50,000,000 excess of$25,000,000 Workers Compensation rrIS 9 WLR C486009791 Effective:41111016 to 4112017 Effective:41112016 to 41112017 ACE Property and Casualty Insurance Company #XCQ 627968788 001 ACE American Insurance Company Limit of Liability$25,000,000 part of$50,000,000 excess of 525,000,000 Part l:Workers Compensation Statutory Part It:Employers Liability Bodily Injury by Accident-Each Accident $1,000,000 Bodily Injury by Disease-Policy limit $1,000,000 Excess Umbrella #79884752 Bodily Injury by Disease-Each Employee $1,000,000 E6°ective:41112016to47M77 Deductible $300,000 Federal Insurance Company Limits of Liability S25,000A00 excess of$75,000,000 Excess Workers Compensation-AZ -4 WCU C4860090 Effective:41111016 to 47111017 ACE American Insurance Company StorageTank #FElEIL1583202 Part I:Workers Compensation Statutory Effective:6!7/2015 to 6772016 Part It:Employers Liability Admiral insurance Company Bodily Injury by Accident-Each Accident $1,000,000 Bodily Injury by Disease-Policy Limit $1,000,000 Per Pollution Condition Limits $1,000,000 Bodily Injury by Disease-Each Employee $1,000,000 Aggregate Pollution Condition Limits $1,000,000 SIR:All Arizona Locations $300,000 Deductible: Environmental Impairment Liability Per Claim $10,000 Berkshire Hathaway Automotive Inc. Schedule of Insurance as of April 18, 2016 Crime # rrir r .. Effective:4/112016 fo 4/12017 Effective:2/12016 to 4/112017 Zurich American Insurance Company XL specialty insurance Company Limits of Liability Aggregate Each Policy Period(Induding Defense Expen: $10,000,000 A.Employee Theft $20,000,000 C.Forgery or Alteration $20,000,000 D.On Premises $20,000,000 E.In Transit $20,000,000 F.Computer Fraud $$20,000,000 G.Funds Transfer Fraud 520,000,000 PropertVIGarage H.Money Orders and Counterfeit Money $20,000,000 Effective:51112014 to 51112016 J.Investigative Expenses $150,000 Westport insurance Corporation Deductible: $250,000 Per Occurrence for all Coverages Combined s50.000,000 Forgery or Alteration(Credit,Debit,Charge Card) $1,000 Flood per Occurrence&Annual Aggregate 50,000,000 $ Money Orders&Counterfeit Currency $1.000 Earthquake Per Occurrence&Annual Aggregate 550,000,000 Earthquake Per Occurrence&Annual Aggregate CA $6,000,000 Newly Acquired Property $10,000,000 i MiscEllaneous Unnamed Locations $5,000,400 111 $500,000 Effective:41112016 to 4/111017 Transit $5,000,000 Starr Indemnity&Liability Ca Accounts Receivable Pollution Clean-up 5100,000 Directors&Officers and Employment Practices $5,000,000 Valuable Papers&Records $2,500,000 Liability Annual Aggregate $50,000,000 Retention D&O $100,000 Buller&Machinery Retention Employment Practices $250,000 Garage Keepers Legal Liability per Location $5,000,000 Builders Risk 525,000,000 Fiduciary Limit $5,000,000 Deductible $21 Retention $5,000 Deductible-Wind&Flail 3101,,. _� Fiduciary Voluntary Loss Sublimit $100,000 Deductible-Earth Movement Varies $25,000 Deductible-Flood Varies FIIPAA Penalties Sub4mit Varies Deductible-Weather Catastrophe 2117/2015 Deductible-Transit 510,000 Continuity Date(Directors&Officers&EPL) 211712015 ConUnui Date(Fiduciary) 2/17120161 Decludible-Builders Risk .• Irl. .rExcess Earth Movement Effective:41712016 to 4/12017 Effective:41111015 to 51112016 Empire lndemnf insurance Company 75% OBPP1057413 Em Endurance American insurance Company p ty Limits of Liability$5,000,000 excess of$5,000,000 Limits of Liability$22,006,000 part of$16,500,000 excess of$8,000,000 Nit Prior and Pending Litigation 2]I712015 Retention Not excess over Fiducia Liability Effective:4/1/2015 to 5/7/2016 Genera!security Indemnity Company of Arizona 25% #TR00014860028115 LiabilityManagement D. Effective'411120 16 to 41112017 Limits of Liability$22,000,000 part of$5,500,004 excess of$6,000,000 1liecox Insurance Retention Nil LPri,, Liability$10,000,000 excess of$10,000,000 Pending litigation 2/1712016 ss over Fiducia Liability Berkshire Hathaway Automotive Inc. Schedule of Insurance as of April 18, 2016 ProgramMaster Vehicle InSUrance Effective:5(1/2016 to 51112016 Layer Atlachment Ills"Fer Policy Numhf!r Layer Part% Participation Premium Participation IL USD $- 5,000 DDD f RU7q ve I.1 ' _w ._---_.._�.--—Jo s of London{norradmitted} - 3CPO�150041INA-i5d017 2S10R'o ---5.60% 25.17096 3__,1,250 0OD_,3 _465,432. S 5 0.00,900 Oedudible_westgo+t Insurance Cdrporah99 NAP200058600 5_00% _ 5.00% $_ 250 000_S _230,204 $ _5000000 Deductible Lt xdngton Ins.Co.CAIG)..(non_adrnitted). 17001525:_ 70.00_% 70.00% S 3 SWI,D30 $ -1,300,320-, 1O,Do9 n09_s 5,000,000_Lexington Ins,Co.LG1(non admitted) 13078919._ 5_0.00`Ya 50 00?6 $ 5,000,000 $ .. Si6,00fl_ $_95UOD,ODD $ 5,000,000 1NestQartlruuranceCorporation. __ _ NAP20005660D _ _. 10.00% 10.00% $ . 95W,p00 _included S 20,900,000 _S S,Up0,040 Wtis Suplus Ins.Co.lqon=admitted} ECF787246-15 10 OU°h __ 10.009E S _.2 000,000_-_$_ g7 580 $ 20,QOU 000 _S - 5,000 000 lrberfy 5urplUS tris.-C rp lnon_ 10UU155683 01 20.00°6 _ 20,0095 S -4040 ODO__S _ 165,120 5. 20,900 000 _$_. 5,000,1700-Lloyd s of tOndora(non admitted)__ AOS-151609 10.0096 1D.00% $ Z000.000 000 _$. _ 83,076 S 10190-0-—{)GQ,_5., 15,000,000 _Lloyd's of Landon(non-admitted) _ AQ5 151610 _ 7.3396_- -733% S 733,300-S - .-11,796 S 45,000,000 $ 15 000,000 National Fire&Marine Insurance 42-%PR400293.02 42.67°/. 42.67°6 $ 1%i00,1.50 $ 231,166_ 756990,000 $ i5-0 017 o0U mainum_3ndgmnity Company_{n-o - MSP 6026612-01 10.00% .. 10.00% 3 _ 7,500,(100_$ _ _62,075 $ 7_._5.00 000 -S__25 009,OD0 &4§urQlus oris Co.(non admitted)_ ECF780595 15 10,00% 10:00'/0 S _7,500,009 $ _- 61 920 - — - -- - S 75,000000. _& 25,009,000 Endurance American Ins._Co-(non- 646w 9inoo 7.50% 7.511% 5,625,_000 $ ._. 45 000_ $ 75,000,000 5 _25,040,000 Kinsale Insurance Company{non- 0100028624-0 6,54°h 6.50%_S-_4,875,000 $ 75,000oQ0 5 25,000,000_Landmark_AmericanIns.Co_(RSUI) _LHD392394- 13.3396 S_ _9,999750_.$. 82,560 S 40,000,000 $ 60,OOD,000 Aspen Specialty Ins,Co,.(non- PXAEAH915 42-67% 42.67' $ 17,666,800_-5 .. .66,053__ Subllmits of Liability 5750,000 Any one Automobile 51,500,000 Per Occurrence while in transit,if at your risk of loss $1,009.000 Per Occurrence while temporarily away from named locations for exhibition $1,000,0017 In Aggregate for any one policy period In respect of losses arising from Trick and Device and False Pretense $25,000,000 In Aggregate for any one policy period with respect to the peril of Earthquake $25,000,000 In Aggregate for any one policy period with respect to Flood $750,000 Touring and debris remmral expense $150,000 Pollutant Cleanup per occurrence subject to a Policy Period Aggregate of$300,000 Deductibles: $2,500 ger vehicle subject to a max of$10,000 per occurrence for all covered causes of lass $25000 with respect to any vehicle greater than$400,000 Earthquake-$600,000 per occurrence max Flood-$640.000 per occurrence max Wind!Hail-$1.500 Per vehicle subject to a maximum of the greater of 5600.000 per occurrence max or.075%of the average of the most recent two total monthly exposures per occurrence with respect to loss caused by or resulting from Wind andlor Hail Surplus Lines Tax&Stamping Fee are included in the premium listed above.