Item 4GM E M O R A N D U M
February 5, 2019
To: Shana Yelverton, City Manager
From: Sharen Jackson, Chief Financial Officer
Timothy Slifka, Purchasing Manager
Subject: Item 4G Approve Contract Renewal for Tree Services with Alpine
Tree Services Inc.
Action
Requested: Approve contract renewal for tree services with Alpine Tree
Services Inc. (Primary with Arborist).
Background
Information: In February 2015 the City Council approved this contract for
citywide tree services. This contract includes the City of Keller and
City of North Richland Hills as participating cities. The City of
Southlake is the lead agency. The contract includes service
requirements from each of the cities. By combining these
individual city services together under one contract we all benefit
from the expanded purchasing power. This is the fourth and final
renewal of this contract. In FY 2018, Southlake spent $146,000 on
tree services. With the addition of the services of the cities of
Keller and North Richland Hills the total amount spent by all cities
was $263,000. This combining of services provides all three cities
with additional purchasing power. Vendor rates are being held at
original 2015 contract rates. No increase is requested at this
renewal.
This multi-city contract provides all tree services for the City of
Southlake, City of North Richland Hills and City of Keller to
include:
Tree Pruning
Roadway Right of Way clearing
Tree removal
Tree and brush debris removal
Stump grinding
Tree and brush fertilization services
Tree and brush pesticide services
This contract includes tree services requiring an arborist.
Financial
Considerations: Costs for City of Southlake tree services are funded through
budgeted department maintenance accounts. FY 2018
disbursements were $146,000. FY 2019 budgeted amount is
$270,000.
Strategic Link: C1 – Achieve the highest standards of safety and security.
C2 – Provide travel convenience within the City and region.
C3 – Provide attractive and unique spaces of enjoyment of
personal interests.
B2 – Collaborate with select partners to implement service
solutions.
Citizen Input/
Board Review: None
Legal Review: Attorney reviewed original proposal documents as to form.
Alternatives: Deny approval and re-bid citywide tree services.
Supporting
Documents: Contract documents.
Staff
Recommendation: Approve contract renewal for this multiple city service.
January 23, 2019
Alpine Tree Service Inc.
1900 Brumlow Ave.
Southlake, Texas 76092
Attn: Mr. Derek Neubauer
Subject: Notification of Contract Renewal for Tree Services for City of Southlake RFP1409B200TS140012
Dear: Mr. Neubauer:
The City of Southlake is providing notification of contract renewal, pending City Council approval, for “Tree Services
for City of Southlake RFP1409B200TS140012”. This renewal shall become effective February 17, 2019 pending City
Council approval (CC Award date _________) and shall continue in full force based on the terms and conditions of the
initial award.
The terms and conditions proposed and accepted in this renewal agreement are as follows:
Line Items Awarded: All Items Primary Vendor with arborist per department needs
Payment Terms: Net 30 days (Unless otherwise noted – such as pre- and/or partial payment)
Method of Payment: Shall be made by purchasing card or purchase order.
Delivery Terms: FOB Destination
Delivery Locations: IF STATED IN RFB DOCUMENT
Term of Contract: Shall be effective for twelve months from date of renewal.
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 Email: accountspayable@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,
T i m S l i f k a
Purchasing Manager CPPO, CPPB
C i t y o f S o u t h l a k e
1400 Main Street, Suite 440
Southlake, Texas 76092
tslifka@ci.southlake.tx.us Attest: ________________________
Fax: 817-748-8010
A m y S h e l l e y , T R M C
Contract Renewal Accepted: Deputy City Secretary
Signed: ____________________ Date: ______________ Approved as to Form and Legality:
Mayor Laura Hill _____________________
City of Southlake City Attorney
ORIGIN ��
Nr
SCXJTV LAKE CITYC01. i i._.A K$
Ord./Res. No,
Date Approvcu --
December 18,2017 -- �
Alpine Tree Service Inc.
1900 Brumlow Ave.
Southlake,Texas 76092
Attn: Mr. Derek Neubauer
Subject: Notification of Contract Renewal for Tree Services for City of Southlake RFP1409B200TS 140012
Dear: Mr.Neubauer:
The City of Southlake is providing notification of contract renewal, pending City Council approval, for "Tree Services
for City of Southlake RFP1409B200 TS2". This renewal shall become effective February 17, 2018 pending City
Council approval (CC Award date Z (� /b and shall continue in full force based on the terms and conditions of the
initial award.
The terms and conditions proposed and accepted in this renewal agreement are as follows:
Line Items Awarded: All Items Primary Vendor with arborist per department needs
Payment Terms: Net 30 days(Unless otherwise noted—such as pre-and/or partial payment)
Method of Payment: Shall be made by purchasing card or purchase order.
Delivery Terms: FOB Destination
Delivery Locations: IF STATED IN RFB DOCUMENT
Term of Contract: Shall be effective for twelve months from date of renewal and is eligible for up to one(1)more
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 Email:accountspaavable(coci.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
Purchasing Manager CPPO,CPPB
City of Southlake
1400 Main Street, Suite 440
Southlake,Texas 76092
tsIif ka(ilci.southlake.tx.us Attest: 'd
Fax: 817-748-8010
Carol Ann Borges,TRMC
Contract Re al Accepted: City Secretary
Z �;�ti1�t1��8ltftdr�
Signe Date: `�f '�"etiApprov d as to Form and Legality:
r Laura Hill et
Mayo .�
City of Southlake City Attorney
�i
CITY OF
SOUTHLAKE
August 31, 2018
Alpine Tree Service Inc.
1900 Brumlow Ave
Southlake, Texas 76092
Subject: Contract Amendment#2 for Tree Services for City of Southlake
RFP1409B200TS140012
Dear Mr. Neubauer:
The City of Southlake's contract for Tree Services for City of Southlake RFP1409B200TS140012
requests the following:
1. Additional vehicle/equipment option. Add the option of a rear mount bucket truck for use
during tree services. This added vehicle/equipment is an enhancement to the original
contract. The hourly cost for this vehicle/equipment option is seventy five dollars ($75.00)
per hour.
2. Set individual Tree Pruning or Tree Removal crew member hourly rate. In cases where
an individual crew member is requested/required the hourly rate is seventy dollars
($70.00).
3. No other changes are requested
VI Sharen Jacks
oW
Chief Financial Officer, City of Southlake
By signing this amendment, vendor is acknowledging and agreeing to the additions made to the
terms and conditions as stated in the existing contract. Vendor must acknowledge receipt of this
amendment by signing and returning to: City of Southlake Finance Department 1400 Main Street
Suite 440 Southlake, Texas 76092 Attention Tim Slifka. Vendor may also email a copy to
tsli cfla ci.southlake.tx.us. m
ned: Printed Name: V:a.le- /uQrn,b .,r-
Title: �f�s.'ef.�� Company Name: �rtc,
Dated:
Please call 817-748-8312 with any questions.
Sincerely,
Tim Slifka
Purchasing Manager CPPO, CPPB
tslifka@ci.southlake.tx.us
Fax: 8 17-748-8048
ORIGINAL DOCUMENT
CGiv C'
SCXJT1 p AKE CITY OF SOUTHLAKE
Council ActiogOv
OrdJRes.No.
19 Date Approved 2
January 23,2017
Alpine Tree Service Inc.
1900 Brumlow Ave.
Southlake,Texas 76092
Attn: Mr. Derek Neubauer
Subject: Notification of Contract Renewal for Tree Services for City of Southlake RFP1409B200TS140012
Dear: Mr.Neubauer:
The City of Southlake is providing notification of contract renewal,pending City Council approval,for"Tree Services
for City of Southlake RFPI409B200T,S3,40012".This renewal shall become effective February 17,2017 pending City
Council approval(CC Award date 7 ZlJ//-h and shall continue in full force based on the terms and conditions of the
initial award.
The terms and conditions proposed and accepted in this renewal agreement are as follows:
Line Items Awarded: All Items Primary Vendor with arborist per department needs
Payment Terms: Net 30 days(Unless otherwise noted—such as pre-and/or partial payment)
Method of Payment: Shall be made by purchasing card or purchase order.
Delivery Terms: FOB Destination
Delivery Locations: IF STATED IN RFB DOCUMENT
Term of Contract: Shall be effective for twelve months from date of renewal and is eligible for up to two(2)more
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 Email:accountspayable&ci.southlake.tK.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 10,
Purchasing Manager CPPO,CPPB
City of Southlake
1400 Main Street,Suite 440 , n
Southlake,Texas 76092
tslifka@)ci.southlake.tx.us Attest:
Fax: 817-748-8048
Lori Payne,TRMC
Contract Renewal Accepted. City Secretary
Signed:OIL
Date: Z 7 20 ApprqW
Mayor Laura HillCtty of Southlake
Cn*aW ORIGINAL DOCUMENT
SOUTFLAKE CITY OF SOUTH
Council Action
Ord./Res.No.
December 30,2015 Date Approved
Alpine Tree Service Inc.
1900 Brumlow Ave.
Southlake,Texas 76092
Attn: Mr.Derek Neubauer
Subject: Notification of Contract Extension for Tree Services for City of Southlake RFP 1409B200TS 140012
Dear: Mr.Neubauer:
The City of Southlake is providing notification of contract extension,pending City Council approval,for"Tree Services
for City of Southlake RFPI409B200TS140012".This extension shall become effective February 17,2016 pending City
Council approval(CC Award date a a-l( and shall continue in full force based on the terms and conditions of the
initial award.
The terms and conditions proposed and accepted in this renewal agreement are as follows:
Line Items Awarded: All Items Primary Vendor with arborist per department needs
Payment Terms: Net 30 days(Unless otherwise noted—such as pre-and/or partial payment)
Method of Payment: Shall be made by purchasing card or purchase order.
Delivery Terms: FOB Destination
Delivery Locations: IF STATED IN RFB DOCUMENT
Term of Contract: Shall be effective for twelve months from date of renewal and is eligible for up to three(3)
more 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 Email:accountspavable@,,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
Purchasing Manager PO,CPPB
City of Southlake `�,��pvSH•�
1400 Main Street, Suite 440 - .• ��
Southlake,Texas 76092 O;
tslifkana.ci.southlake.tx.us Attest: }: to
Fax:817-748-8048 v -"
Lori Payne TRN# •.�"
Contract Renewal Accepted: City Secretary *k�c ��.•'
J
Signed: 4,111 fid4tDate: p7 A -1Q6 l(Q Approved as t Form anygali,
Mayor Laura Hill
City of Southlake City Attomey
My OF
SO Tfl IIAKE ORIGINAL DOCUMENT
CITY OF SO
Ccx a Action
OndJRQ&Na
DawAppc+ w
July 15, 2015
Alpine Tree Service Inc.
1900 Brumlow Ave
Southlake, Texas 76092
Subject: Contract Amendment#1 for Tree Services for City of Southlake
RFP1409B200TS140012
Dear Mr. Neubauer
The City of Southlake's contract for Tree Services for City of Southlake RFP1409B200TS140012
requests the following:
1. Removal of Services Without Certified Arborist and all associated pricing schedules. This
will also remove the Primary Award for these services. Future contract renewals shall be
for Services With a Certified Arborist only. All other terms and conditions of original
contract are unchanged.
2. No other changes are requested ��rr
Sharen J son
Chief Financial Officer, City of Southlake
By signing this amendment, vendor is acknowledging and agreeing to the additions made to the
terms and conditions as stated in the existing contract. Vendor must acknowledge receipt of this
amendment by signing both copies and returning one signed original amendment to: City of
Southlake Finance Department 1400 Main Street Suite 440 Southlake,Texas 76092 Attention Tim
Slifka.
Si Printed Name: PCre,IIG �I-G—K ('
Title: Fr CS ,drnT Company Name: 04le k (/ t c�l✓•��jzir_
Dated:
°•jµ,,,,,,.,,�.
Please call 817-748-8312 with any questions. pJ•••.I-AkF
Sincerely, AV _ • ;
:cnc
LORI PAYNE.TR - •
� ,%
CITY SECRETARY '-,� •'•••.......•••••
Tim Slifka
Purchasing Manager CPPO, CPPB
tslifka@ci.southlake.tx.us
Fax: 817-748-8048
Cfly Or ORIGINAL DOCUMENT
souTf-a AKE CITY OF SOUTHLAKE
Council ActioY i
Ord./Res.No.
19 Date Approved 1-7— 15
February 11,2015
Alpine Tree Service Inc.
1900 Brumlow Ave.
Southlake,Texas 76092
Attn: Mr. Derek Neubauer
Subject: Award of Contract for Tree Services for City of Southlake RFP1409B200TS140012
Dear Mr. Neubauer:
The City of Southlake is pleased to inform you that Alpine Tree Service, Inc.of Southlake,Texas is the Primary awarded vendor
for "Tree Services for City of Southlake RFP14096200TS140012" with arborist and without arborist. The award and this
agreement are based on your proposal submission,copy enclosed.This is a multiple vendor award contract.Your company's is
the Primary vendor for this contract.This award was approved by the City of Southlake City Council on.2
The terms and conditions proposed and accepted in this agreement are as follows:
Line Items Awarded All items Primary Vendor with and without Arborist per department needs.
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 twelve months from date of initial City Council
approval and is eligible for up to four(4)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 accountsoayableC&ci.southiake.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,CPPO,CPP, ,+++ H�u��q'4�,�,
Purchasing Manager .• t
City of Southlake ��+`�f••~•� �,��:
1400 Main Street, Suite 440 '14.:� •:
Southlake,Texas 76092 P - 2 N
tslifka ci.southlake.tx.us Attest:
Fax: 817-748-8048 .i v Sti •`
Lori Payne,TRM '•..�•.. Os
Contract and Award Accepted: City Secretary ''•,,���t't•' *fir
Signed: C�fDate: 2' , Approved as to Form and Leg1-0
ty: ••,''
Mayor John Terrell 9) -�
City of Southlake City Attorney
Appendix B —Proposal
Submittal Checklist: (To determine validity of proposal)
Appendix B(pages_9_through_20i must be included in the proposal submittal
Appendix C Conflict of Interest Form(page_NJmust be included in the proposal submittal.
to/Vendor Vehicle and Equipment List
__Arborist Certification Information
W116141!1_I .! t If t t it "t I t ! 1 '1' t ! 13 i i t s
RFP Number: RFP1409B200TS140012
Project Title: PROVIDE TREE SERVICES
Submittal
Deadline: 3:00 P.M. (CST), FRIDAY NOVEMBER 14, 2014
Submit electronically* to: www.securebidusa.com
* Requires email account loin and password.
Proposer Information:
Pro poser's Legal Name: �l C
Address: [ UG (B r vm l--j 4vt
City,State&Zip k ,- T X76 L► 2
Federal Employers
Identification Number#
Phone Number: 1 - S' - 733 Fax Number: �! .`Z - 6 f 1C 3
E-Mail Address: .n A 7:'t e-5C't/is c- . .-..
Proposer Authorization
1,the undersigned,have the authority to execute this Proposal in its entirety as submitted and enter into a contract
on behalf of the Proposer. j
Printed Name and Position of Authol r— iic3R`e 3tese�tt ve: ��f
Signature of Authorized RepreseneE" -- �— _
r`.
Signed this 7 {day)of ��j!,°e'er► r'
_.. __(month), c1y(year)
1 learned of this Request for Proposals by the following means:
n newspaper Advertisement X City E-mail \otification
I� Southlake 1Vebsite 1 Cold Call to City
Wiled Ale a Copy I Other
SecureBid
City of Southlake - RFP14098200TS140012 - Pa ie 9 of 21
Appendix B—Proposal(continued)
I. 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:
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.
13. 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/Delivery 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 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:
Item# Description of Products/Services Rate
SERVICES WITH CERTIFIED ARBORIST ON STAFF
1. Pruning Services
Tree Pruning Services with a Two(2)Man Crew
and Equipment r Scope of Services SA/6-
`hour
Tree Pruning Services with a Three(3)Man Crew
and Equipment er Scope of Services S _�O f'hour
Tree Pruning Services with a Four(4)Man Crew
and Equipment per Scope of Services $ �/�°` �ltou_r
2. —Right-of-Way Clearance
Roadway Right of Way Clearing Per Scope of
Services S '70,V man.hour
3. Tree Removal Services
2 man crew(1)tree climber- (1)ground man S 7� 0 hour
--—
3 man crew(2)tree climber—(1)ground man
1 S .'hour
Other Crew configuration. Please list.
eto c
Sl 0 'hour
City of Southlake - RFP1409B200TS140012 - Pane 10 of 21
4. Stump Grinding
Stump Grinding to Include All Stumps Regardless
of Diameter Per Scope of Services S ,inch
5. Certified Arborist
Cost per hour for Certified Arborist to perform or e>«rs= V
supervise work as required or requested per Scope $.--_ �'� per hr.
Of Services Ant r; `'r ,,i "r ;
6. Fertilization and Pesticide Application
G
S y'"inch
Fertilization—soil injection/foliar ; $ y 'sq.ft
-gallon
;
$ C r�;inch
Pesticide Application soil injection'foliar $ ,. o�S� 'sq.ft
rj
$ 3 !gallon
7. Travel Charge
All vendor travel charges should be included in $
per mile
hourly rates listed above. If they are not please list
travel charge per mile. aft milts
8. Other Vendor Fees
Other Vendor Fees as Required. Please Describe.
--... S
S
IS - -
i
City of Southlake - RFP1409I3200TS140012 - Page I I of'-1
��/L�'ri!tZc T.., 9r sdude, of !'•'�.(i��, dfe zF v ci GrTn7_ JY.0- ;,A
Item# Description of Products/Services Rate u f s.r zdtr
SERVICES WITHOUT CERTIFIED ARBORIST ON STAFF
1. Pruning Services
Tree Pruning Services with a Two(2)Man Crew i for h1.✓./y
and Equipment er Scope of Services S 3g. 'hour SYi.'Y 014 I'7
Tree Pruning Services with a Three(3) Man Crew
and E ui ment er Scope of Services $ P�. 'hour
Tree Pruning Services with a Four(4)Man Crew y
and Equipment r Scope of Services S !
6 hour
2. Right-of-Way Clearance
Roadway Right of Way Clearing Per Scope of
Services $ (p mail hour
3. Tree Removal Services
man crew(1)tree climber—(1)ground man i
S � � %hour
3 man crew(2)tree climber—(1)ground man
i
S 7_ !hour
Other Crew c/onf}iouration. Please list. )
!hour
-t. Stump Grinding
Stump Grinding to Include Al I Stumps Regardless
of Diameter Per Scope of Services S 3 !inch
5. Fertilization and Pesticide Application j
S. 19, /inch
I Fertilization—soil injection foliar
_ q
S �- '� ''gallon '
-- i
Pesticide Application—soil injection foliar S why' ;sq.ft
S 3 !gallon
6. Travel Charge _
All vendor travel charges should be included in S //per mile
hourly rates listed above. If they are not please list
travel charge per mile. after miles
7. Other Vendor Fees
Other Vendor Fees as Required. Please Describe.
S
S
— — -- — S ---
S i
City of Southlake - RM4090200TS140012 - Pa2e 12 of 21
3. Term of Contract and Option to Extend
Any contract resulting from this RFP shall be effective for twelve 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 four(4)
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.
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
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 Nvill 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.
FIRST ADDITIONAL YEAR(FY 2015-2016)ESCALATION........................... 0 %
SECOND ADDITIONAL, YEAR(FY 2016-2017) ESCALATION................. D
THIRD ADDITIONAL YEAR(FY 2017-2018)ESCALATION............... o
FOURTH ADDITIONAL YEAR(FY 2018-2019)ESCALATION...................... 0 %
4. Proposer's Experience/Staff
A. Pr_ oiect Team: ldentity 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;
City of Southlake - RFP 1409B200TSt 40012 Page 13 of 21
State the number of years experience the business has: and the number of employees:
,99 -
D. Proieet 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.
5. References
Proposer shall provide four(4)references where Proposer has performed similar to or the same types
of services as described herein.
Reference 91:
Client,`Company Name:
o� sp�.fi�pt_
Contact Name: Contact Title:
T �,15-A -S- � l
Phone: Y_ �.'t�',f:��._ —ire L �t:nn
Yl7- Q.. Email: -
=a unl mac, s`�� �l
Date and Scope of Work Provided: Tree �r,�n;.�y, `3Id ctur.„ -n-ee
Reference 2:
Client'Company Name:
Contact Name: /ff,'K,, �e .j� �`� Contact Title: U rks /Yt
Phone: Email: m�Z�ic.1r.-mac:, �a
8 �160z i5'-�a3k c _5'-A7tAfc.ka- -rx.us
Date and Scope of Work Provided: •rrcc �r�n,:�� Tree remx41
Se r'1(•to s ��ZT;r-:�ral r �^�'F�j k� S :h C� 'r -•
Reference 43:
Client;Company Name: --
r
Contact Name: Contact-title:
Phone: Email:
2.7 (c b� b f, cat "cam
Date and Scope of Work Provided:
. :. _� ��:• �L2t fir / tM�efRzr
Reference r4: •
Client% f»c ft?os-
Company Name: -a -
r�.���_ ���cir�lt�. ��,���-,d..,r'.S�lrv�•t Djs,r� r
Contact Name: Contact Title:
Phone: ' Email:
-r,k
Date and Scope of Work Provided:
i JCL f�.'r*�.•.,t 'jTr,ra�!' �-�.tal..n �t^ h:- ' �
City of Southlake - RF'P1409B2007-S140012 Page 14 of 21
6. Trade Secrets and/or Confidential Information
Trade Secrets and/or Confidential Information: This proposal _(does) _J(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 qualities for legal protection from
disclosure.
7. 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 Citv 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.
[✓[ Yes, Others can purchase; [ No, Only the City can purchase.
8. Federal,State and/or Local Identification Information
A. Centralized Master Bidders List registration number:
B. Prime contractor HUB/MWBE registration number:
C. An individual Proposer acting as a sole proprietor must also enter the Proposer's Social Security
Number:If. CONTRACT TERAIS 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 ACKNOWLEDGES, AND TO WHICH PROPOSER AGREES BY SUBMITTING A
PROPOSAL:
1. Deliverti of Products and/or Services
A. Pavment 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. lyarranty 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 Cite 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.
City of Southlake - RFP 1404B200TSI40012 - Page 15 of 21
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.
C. Liens: Proposer shall indemnify and save harmless the City against any and all liens and
encumbrances for all labor,goods,and services which maybe 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: I-lie Proposer. wnsistent 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 arrtotmts(unless otherwise specified)as City may require:
i. Worker's Compensation and Employer's Liability insurance, including All States
Endorsement, to the extent required by 1zderal ia�� and complying with the laws of the
State of I eras:
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 lnjury and Property Damage on an occurrence basis;
City of Southlake - RFP1409B200TS140012 Page 16 of 21
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
the direction of City agents or employees.
City ofSouthlake - RFP14098200TS]40012 - Page 17of21
Appendix C —Form CIQ
INFORMATION REGARDI:VC;1'F.."�I OR CO:NFLICT OFI.'TFREST QI.'ESTIO."V,N9IR>E
WHO: A perurn must file a conflict of interest gw,,titinnatre with the City if the pc min has a
employment or business rclation::hip with an officer nl the CitN. that results in laiahlc it CMIN-1
exceeding S2.500 during the preccdirg tacNc month period,or wi officer or a rnembcr of the
ut3icer'c tairnily has accepted gifts with an aggregate value of more than $?S() donuts; dw
previous i%.C3xc morth period and the rx:son engages in any of the(bt owirtct actions-
I e<tlitra:ts or seeks it,Cimtract for th;;sa;c or purchase o'pmper1y.g4k,ds,or scr6crs with
the Cil�,including am of the foliotising:
J. ctTincn and implied contracts, utility purchases. Purch&c orders. credit card
purCha cs att.1 ari% purc:t.sc ofgotxis and wrviccs h� the Uir,:
h, colrtram_s for the purchase or sale of real proper!}_personal prorwrl% including ati
suelvntt of propmy;
tit_!abatement and co,vo niii dreefupntrnt a r,ritiCnic
-- ate^niit a hill t.)Se'tl c(wds ur scr:ices_or res,^"onds to it request for propos,.-d tier wrviceg:
�,. CntcL::mD neLCtilfaUO ns�Ctih Ilk(-tic 1(!r a CO3rCGtt.:t;(PT
I- anplic; ti,r a apt thaternent nd or.�onumiC dr:clupmcrt incentive That will result in a
contTact With tilt City'.
'mu F oi.l.ot iNc ARE(ONSIDERF tt OF M F,;RS OF'I'Hf,
L Mayor and City Cowicil ti9cmhr:.:
City VunaLcr:
Bosrd and t onimtssiOtt tnCmFcr-apf ,:mca hs the\9ayor )r Cite Council niemhcr::
+ f Trrctors of 4A and 414,',r�rh»tt)cnt Coriu,:ztic)n ;
5. titC LXCCuttv;:directors.jr rn:tiiatxrs of 4A and-iB develop-Tien(corporation,.and
+T. Dircctor,of tf�.e City c,f"Sotithi-d- utto}late authon,y to ,iLa contract o- tt hChsi+. o,'the
C'it,
EXCLUSIONS: A yuCs iortraiic statcnuctl nerd not htr 111cd if the money' paid to a In l
izoverttment officer ua joLti::t1 contrihudr_.n.a pt to a mcrtthcr of the opiccr's I.urilt fa,ia.r
t::rtti : rttenlbCr. a contract Or pL'Ceh:lcL;1` ICsi ih v S,2.56 1 Or a is 9t>£tcf I(Nt at a pr R:e and Suh±ec!
.. -><ahl•sA.Stu..eimaruu•,T�,tp,;-.., ....r.,.ti-,_.!�: „_rH 1�
City of South take - RFP1 109B2007S1-10012 Page 18 of 2 1
to terms avai;able to the public;a paen-,-nt for food,lodging.,transportation or entfitainment:or
a transaction subject to rate or tee regulation by a bovernmcntal entity or agency.
WHAT: A person or btt_sine4.that contrwis with the City or evhtt�xx:ks to wntract with►hc(,in
mtvt file a "conflict of interest quc:suonnairc" (FOR-M C1Q) which is available online at
e�e�e.ethics�,tatC,t�.0 and a cope of uttiJt is attached to this Guideline. The tone contains
rtutridatory disclosures regarding -'emplu\-rn;:at or business relationships' with a municipal
officer. Officials mx. be asked to clarify or interpret various poriorts of the q►u stionnsir..
WHEN. The person or bustnc-,s must iilc:
1. the questionnaire no latter than sc:>cn J:av,, afic, fire date the per,tm or business begins
contract discus%iora or negj:.tiati)ns With the municipality,or.uhmiL%art application,tesaonds to
a request for proposal;or bidN.correspondence:,or other writing rcl:ited to a x)tcrttiai contract or
agreernew with the City:and
art upiatcd questionnaire within sc:tcn days alter t'nc data of an cvcnt that would make a
filed q:xstiunnuire incurnnirtc or ut accuratc.
It Joe,not matter it thc: subrnivat of a[aid o-proposal rc,utts in a contract. 'fits titanic
requites a vendor vs file a FOR.11 CIQ at the time a proposai is submitted or negotiations
con nnen ice.
WRERE: I he vert.lcu or potential ecndor must marl fw dchvcr a completed questionnaire to the
Finance Dupanrnent. The Finance Department it required bt'low to post the statements on the
C7rr%inferner Website_
ENFORC EMENT: I-ailurc i,,File a uuestiorutairc is a class c.misdemeanor punishable be a tins
not to c xct J S500. It is ar exception to pru;ecunoa that the nersou tilts a FORN4(IQ not later
than Sep.en busirte:s::,i::y:,alt,r the person rrcciced notice of a violation.
-NOTE: l;he City doss not havc du 10 cusurc that a Nrson fi!cs a ckmtlict of interest
questionnaire.
n .e n.Mr.cdt! . cL.—
City of Southlake - RF P1409B200TS140012 - Pave l9 of 2l
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor or other person doing business with total governmerim entity
I ins 4a mtxt we retc:F:4DRs:ns7e to i.'R:ar bt'1.!'.tt?t rUn"ep..1,n a F beFs:ort. 1kr'.CE!tiE 3*-Y
`"S a:F S:tOR^st'e tS:,�G.^y•::&:_,.._..."19I;t:'� :�.T�. 7h :O: .:.,:re^t^:stt'::;a:P L.r:..w.r.
l:ty;i 4rzI VrtQ,'1.]S:..J6 rr_37 ---c•-k,t:et"Y•1L•:�•�•::���t'c•? 7."-aj x�:h a lcr�i
Z^. :nr:wn;a a^-il vd ir:�z'�CTiJ�.�^f!:a/tl:i]'4 ';'i:•�rJ•;'�c'.1RiT.TF_*"a;
ClSC..2i` ...,.. ^.•tY•.i's,nff.]c^.^.1rr:C.'":,:Cse ".:�;,.i�.Y Ras:kn� •JK'r:.':i.^'2;Z:,ti
_i-- .31.-,c 7,.,:,,S. . _ :trte r.-
L'Iz'r6:JRc:rb.:7.±'f:�,'O:.•f -c'c:
ri,�..�.1.c•..;n.::,;r,�Yc.K.. t1, -.�.,-�-�_... _ :,•:.a'•.�:ea:rt: ..�...Ln:a
t Nartt+;dper;,c:�whc t%a=.tc-t.mes'r:o n4n'�arsh'.:.ri.;..vnrnnwnr.::e-aty.
1 _
. ' fixrw.Jin+li gnv::-rn._.te a wm hemr ,.x..r.,i.,e/-rrn.
ti>:�:.iK- .. i l It'.:�_'f:�.�:it - , _"`': tom• i:h
. .. .. .- �_ ., :'d 1.3:d:?-•.:.'o•t...^).�t_`,:_ __.....0�:.,_..., :Et'::7:.i:�rnveors'a r'rt- -ra'"^.
nCl.F6 '-..:ser.:.ar:::`-•.. z..- r s .0 -. c tom-,t.,._i .�
City of Southlake - RFP1409B200TS140012 Face?0 of 2 1
v 7
JJJ yy "'�ii
1900 Brumlow Avenue
Southlake,Texas 76092
817-656-8733 office—817-421-6863 fax
info@alpinetreeservice.com
Equipment List
uanti Item
5 Tree Service Chip Trucks (Forestry Bodies)
• 4-2013 Hino 318 w/Southco 1472, 20-cubic yard forestrt, bode
• 1 - 2013 l lino,338 Hook lift container truck with Swaploader SL-180 hoist and
Southco 1472,20-cubic v and fort•stry bode (removable) or roll-off containers
of 20 cubic yard caL)acitt- as needed
6 18" Capacity Bandit Wood Chippers (Ail chippers include rear mounted winches.)
• 3- 2l12 Bandit l590XP, 142 IiP, 18" diaLlieter capacity
• 2- 2013 Bandit 1390XP, 142 HP, 18" diameter capacity 1 - 2014 Bandit 1:-;90XP, 1=1? HP, 18" diameter capacity (to be delivered bY
12/>1/1 1)
1 2006 Isuzu Spray Truck
• 1 - itilulti-purpose 4-iank conti(;uratic�n
(14 k)goll::n, i-Ilai ali:ut,�- tt f.il,,n:apa,:It,
1 Smith 210 CFM Industrial tow-behind air compressor
• 2 :sir Spadcs
2 Bandit Stump Grinders
• 1 - 2012 Bandit Stump Grinder 2450, 4 1-2 HP
• 1 - '-012 Bandit Stump Grinder 2250, 27 HP
1 Stump Grinding Truck
• 'I - 2013 Ford F250 \,vith Roval serN,icc b0t,"V
1 Aerial Lift
• 1 -2013 Platform Basket 18.90 (60' w orkiii-height) all-terrain aerial lift
2 Trailer
• 1 - 20'14 Dian-Lotid.C18' tilt-deck,flatbed trailer for aerial lift
• 1 - 201 t Caroo Mate enclosed trailer tar stun-,p grinder
5 Arborists" Trucks
• 4 -2010 Ford F150
• 1 -2014 Ford Fl 50
1oft
1
Sys k,: 1 a IN
1900 Brundow Avenue
Southtake,Texas 76092
8I 7-656-8733 office--817-421-6863 fax
itifo@alpinetreeservice.com
Outline of Services, Experience and Staff
Alpine Tree Service has been in business since 1996 and has maintained an excellent reputation by
providing our services with the highest regard to quality,safety,and overall professionalism.
Alpine Tree Service provides professional services of tree pruning, tree removal,brush chipping,
stump grinding,consultation,fertilization,insect control and disease control. We also offer root flare
excavation and aeration by means of an Air Spade tool and operator. If needed, we own an all-
terrain,60' working height aerial lift to assist in the occasional dead tree too hazardous to climb, or
positioned in a way where the lift is the safer,more efficient method.
We employ 5 ISA Certified Arborists/Estimators, three of which are also TDA Licensed Pesticide
Applicators:
Derek Neubauer(owner), 19 years with Alpine Tree Service, Certified Arborist TX 1273A since 2001
Jeremy Patterson, 14 years with Alpine Tree Service,Certified Arborist TX 3228A since 2003
Cory Herpel(BS Environmental Conservation, MS Horticulture), 4.5 years with Alpine Tree Service,
Certified Arborist TX 3753A since 2010
Wesley Rivers(BS Urban Forestry),approx. 3 months with Alpine Tree Service,Certified Arborist TX
3642A since 2009
Kenneth Shook,approx. 1.5 years with Alpine Tree Service, Certified Arborist NE 0330A since 1999
Each Arborist has maintained their CEU's as required and attended many additional
training/educational opportunities beyond what is required by ISA.
We employee 5 crew Ieaders varying in tenure from a minimum of 5 years, to our most senior crew
leader of 16 years. Each of these crew leaders have participated in numerous hours of classroom and
field training and adhere strictly to ANSI A300 and ANSI Z133.1 Standards. We also employ 10 other
crew members, whom operate as climbers and groundsmen as scope of work requires. Our service
employees are thoroughly trained in these areas and consistently adhere to the aforementioned
textbook standards. We have 1 Office Manager and 1 Administrative Assistant handling the
administration in our office. Our, trucks,chippers and equipment are all purchased new, kept clean
and well maintained at all times. Our field service employees are uniformed and wear ANSI Class 2
traffic safety vests at all times. Every company vehicle we own has a GPS tracking system installed
with verifiable updates of whereabouts every 2 minutes. These trip reports are archived within the
software database and can be made available days, weeks, or even months later if required.
2 of 2
of
TEXAS DEPARTMENT OF AGRICULTURE
TODD STAPLES,COMMISSIONER
P.O.BOX 12847 AUSTIN,TX 78711-2847 r
(877)LIC-AGRI(877-542-2474) C
For the hearing impaired:(800)735-2989 TDD (800)735-2988 VOICE
www.tda.state.tx.us TEXAS
NURSERYtFLORAL CERTIFICATE OF REGISTRATION
This is to certify that the person listed below is licensed to sell nurserytilorat products at the indicated
location in accordance with Texas Agricutture Code Chapter 71.
ALPINE TREE SERVICE Client Name:ALPINE TREE SERVICE INC
t90o BRUMLOW AVE TDA Client No:00355492
SOUTHLAKE TX 76092
I
CERTIFICATE NO: 0609118 CERTIFICATE TYPE: NURSERY FLORAL CLASS 1
Effective Date: September 30.7014 Expiration Date: Selxember 30,?01?
TEXAS DEPARTMENTOF AGRICULTURE TDA
TODD STAPLES, COMMISSIONER
P.O. BOX 12847 AUSTIN,TX 78711-2847
(877)LIC-AGRi(877-542-2474) •r
For the hearing impaired:(800)735-2989 TDD (800)735-2988 VOICE
www.tda.state.tx.us
COMMERCIAL PESTICIDE APPLICATOR LICENSE
This is to certify that the person whose name appears below has met TDA Client No. 00522693
the requirements of Texas Agricuiture Code Chapter 76,relating to
application of reishicted-use or state-timRed-use pesticides or TDA license No. 06a2876
regulated herbicides.This license is issued for purchase ar?
application of restricted-use or state-Limited-use pesftcids?s or effective Date: October 31,2014
regulated herbicides to be used accord-mg W label directions consistent
with the use categories listed below. Expiration Date: October 31.2015
KENNETH SHOOK
4204 LITTLE BEND COURT
KELLER TX 76244 CATEGORIES:
3A
TEXAS DEPARTMENT OF AGRICULTURE
TODD STAPLES,COMMISSIONER
P. O. BOX 12847 AUSTIN,TX 78711-2847 aJ�"
(877)LIC AGRI (877-542-2474) °texas'
For the hearing impaired: (800)735-2989 TDD (800)735-2988 VOICE
uww.,da.state.tx.us
COMMERCIAI. PESTICIDE APPLICATOR LICENSE
This is to certify that the person whose name appears below has met TDA Client No. 00335532
the requirements of Texas Agriculture Code Chapter 76,relating to
application of restricted-use or state-limited-use pesticides or TDA License No. 0606665
regulated herbicides.This license is issued for purchase and
application of restricted-use or state-limited-use pesticides or Effective Date_ August 31,2014
regulated herbicides to be used according to label directions consistent
with the use categories listed below. Expiration Date: August 31,2015
CORY HERPEL
1900 BRUP,ALOW AVE
SOUTHLAKE TX 76092 CATEGORIES:
3A
ALPIN-3 OP ID:E4
A�o,Ro CERTIFICATE OF LIABILITY INSURANCE °A1�ro7""'/2 4
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WANED,subject to
the terns 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 endorsemen s).
PRoa'cER Phone:817-420-6700 CUWT Jasmine Chinea
ff
Frost insurance-Fort Worth ---.
P.O.Box 33528 Fax:817.420-6750 act ,817-420-5700 F N,; 117-420-6750
FL Worth,TX 76162 HNAN
Jim Dickenson A3S;jchinea@frostinsurance-corn
INSURER(51 AFFCI D NG COVERAGE NAM III
INSURERA:Hartford Casualty insurance '29424
INSURED Alpine Tree Service,Inc. NsuRER.s:Service Lloyds - —
Alpine Materials,LLC — -
P O Box 94403 rNSURER C:
Southlake,TX 76092 INSURER D:
INSURER E: _
INSURER F- --
COVERAGES CERTIFICATE NUMBER. REVISION NUMBER:
THIS IS TO CERTIFY THAT; THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE ADOL
I POLICY NUMBER �MWIIDO1YYYY o _ U ITS — -
j OENERAU LUt8R3TY ( ,EACH OCCURRENCE 3 1,000,00
A .X Cor;MERaAL GENERAL uAelurY ;46UUNQY8922 OS12712D14 05/Z712015 PREMISES Ee otcu ranee s 300,00
CLAWS-MADE X OCCUR I MED EXP(Any one person) S 5,00
PEERSONAL&ADV INJURY- iS 1,000,00
GENERAL AGGREGATE .S 2,D00,00
GEN'L AGGREGATE L MIT APPLIES PER I PRODUCTS-COMPIOP AGG S 2,000,00
.POLICY, PRO- .LGC I j Ts
AUTOMOBRE UABItRY ( COMBINED SINGLE OMIT 1,000,0
A �ANY AUTO 4SilUNQYB922 05/27/2014!OW2712015 i BODIL INJURY(Per persan) ;5
ALL OWNED —"SCHEDULED �-- '-
AUTOS _ AUTOS j BOOLY INJURY(Pe:acoaent) s
' i NOS-OVWIEO
f !HRED AUTOS !AUTOS I I PRera
O��RTY E S
( S
X j IXABRELLA L1A8 X OCCUR - f EACH OCCURRENCE S 1,000,00
A ` �EXCESS uA8 l CLAIMS-MADE I 46HHUOYS923 ; 05/27/2014!0512 712 01 5 AGGREGATE_ 5 1,000,0
DIED X 'RETENT!QN s 10,000 s
KERS COMPE
!AND FMPLOYERT LIAeILIY YfN ! ! �..X 1QaVJCYJJ1M1a -_�ER,
B ANY PROPRIETOR7PARTNER/FJfECUTIVE❑; I ,SRZC2179414 D5/27t2014;0512712015!E.L,eACH ACCIDEN T '$ 1,OOD,OD
OFFICERlMEMBEP.EXCLUDED? NIA' �._.--
(Mandalory in NH) N I E L DISEASE-EA EMPLOYE'S 1,000,
J Yes,describe under i -_..-------- -
DESCRIPTION OF O-ERA nONS below I I E L DISEASE-POLICY LIMIT S 1,000,00
i j I
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DESCRIPTION OF OPERATIONS t LOCATIONS/VEMICLES IAtuch ACORD tat,Addibor i Ft rt rks Sctwdule,if male spate is regldradl
The general liability and auto liability policies include blanket additional
insured endorsements that provide additional insured status only when there
is a written contract that requires such status.
CERTIFICATE HOLDER CANCELLATION
CISOL-3
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Southlake ACCORDANCE WffH THE POLICY PROVISIONS.
1400 Main Street
Southlake,TX 76092 AUTHORIZED REPRESENTATIVE
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
CERTIFICATE OF INTERESTED PARTIES FORM 1295
l of l
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity fling form,and the city,state and country of the business entity's place Certificate Number:
of business. 2018-304507
Alpine Tree Service,Inc.
Southlake,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 01/22/2018
being filed.
City of Southlake Date Acknowledged:p�/
12jo it 9 N�
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
RFP1409B200TS140012
Tree services
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Neubauer,Derek Colleyville,TX United States X
5 Check only if there is NO Interested Patty. ❑
8 UNSWORN DECLARATION f f
My name is ,R f�P a Qum r , and my date of birth is
My address is 7s J h.� /Ytc Ca .� ,�d �� TX Wo yq u A
(street) (c ty) (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)
authorized agent of contracting business entity
(Dedarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.3337