Item 4G MemoM E M O R A N D U M
January 19, 2021
To: Shana Yelverton, City Manager
From: Sharen Jackson, Chief Financial Officer
Timothy Slifka, Purchasing Manager
Subject: Item 4G Approve Contract Renewal for Preventative Maintenance
and General Repair Services with Grapevine Ford Lincoln
Action
Requested: Approve contract renewal for preventative maintenance and
general repair services for City vehicles with Grapevine Ford
Lincoln.
Background
Information: The City Council approved the original contract with Grapevine
Ford Lincoln on February 21, 2017. The original contract allows
two (2), one-year contract renewals at the City’s option. This is
the second available renewal. The contract provides
preventative maintenance and general repair services for heavy
and specialty vehicles for the City. No increase in pricing is
requested at this renewal.
Financial
Considerations: Costs for City of Southlake preventative maintenance and
general repair services are funded through budgeted department
maintenance accounts. FY 2020 spend $43,800.
Strategic Link: C1 – Achieve the highest standards of safety and security.
B2 – Collaborate with select partners to implement service
solutions.
F2 – Invest to provide and maintain high quality public assets
Citizen Input/
Board Review: None
Legal Review: Attorney reviewed original bid documents as to form
Alternatives: Deny and re-bid preventative maintenance services
Supporting
Documents: Current contract documents with Grapevine Ford Lincoln
Staff
Recommendation: Approve the renewal of contract for preventative maintenance
and general repair services with Grapevine Ford Lincoln.
December 28, 2020
Grapevine Ford Lincoln
801 E. Hwy. 114
Grapevine, Texas 76051
Attn: Mr. Clarence Diggs
Subject: Notification of Contract Renewal for Preventative Maintenance Services for City of Southlake Vehicles
RFP1608B200TS160018
Dear: Mr. Diggs:
The City of Southlake is providing notification of contract renewal, pending City Council approval, for “Preventative
Maintenance Services for City of Southlake Vehicles RFP1608B200TS160018”. This renewal shall become effective
February 21, 2021 (CC Approval date _________) and shall continue in full force based on the terms and conditions of
the initial award. As a condition of contract renewal, a price adjustment may be requested by the vendor and considered
by the City. Price adjustments 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 vendor’s
cost, not profit. Your company has not requested an increase at this renewal. All terms and conditions remain in effect.
The terms and conditions proposed and accepted in this renewal agreement are as follows:
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 RFP 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 420, 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,
Tim Slifka
Purchasing Manager CPPO, CPPB
City of Southlake
1400 Main Street, Suite 420
Southlake, Texas 76092
tslifka@ci.southlake.tx.us Attest: ________________________
Fax: 817-748-8010 Amy Shelley, TRMC
City Secretary
Contract Renewal Accepted:
Signed: ____________________ Date: ______________ Approved as to Form and Legality:
Mayor Laura Hill _____________________
City of Southlake City Attorney
1
Timothy Slifka
From:Diggs, Clarence <CDiggs@vtaig.com>
Sent:Tuesday, December 22, 2020 9:52 AM
To:Timothy Slifka
Cc:Hayden, Daren
Subject:RE: [EXTERNAL] Contract Renewal for City of Southlake
No Increase Requested
Have a great Holliday Season and stay Safe
Clarence E. Diggs
Fleet and Commercial Service Manager
Grapevine Ford Lincoln
Main-817-481-3531
Direct-817-251-2476
12-22-2020
From: Timothy Slifka <tslifka@ci.southlake.tx.us>
Sent: Monday, December 21, 2020 3:15 PM
To: Diggs, Clarence <CDiggs@vtaig.com>
Cc: Hayden, Daren <DHayden@vtaig.com>
Subject: [EXTERNAL] Contract Renewal for City of Southlake
Clarence,
I am working on the City Council packet for this contract renewal.
Will you be requesting an increase in contract rates at this renewal? If no increase is requested please respond with “No
Increase Requested”, and I will prepare the renewal packet for City Council approval.
If you will be requesting an increase I will need to send you additional paperwork to complete and we will also need to
have a conversation regarding possible City Council approval of an increase request.
Please let me know at your earliest convenience.
Have a great rest of the week and a Merry Christmas!
Tim
Timothy Slifka, CPPO, CPPB
Purchasing Manager
1400 Main Street Suite 420
Southlake, Texas 76092
SOUTHLAKE ORIGINAL DOCUMENT
El CITY OF SOUTHLAKE
Council Actio Qi
Ord./Res.No.
February 10,2020 Date Approved 0/I IR 120
Grapevine Ford Lincoln
801 E. Hwy. 114
Grapevine,Texas 76051
Attn: Mr. Clarence Diggs
Subject: Notification of Contract Renewal for Preventative Maintenance Services for City of Southlake Vehicles
RFP1608B200TS160018
Dear: Mr. Diggs:
The City of Southlake is providing notification of contract renewal, pending City Council approval, for "Preventative
Maintenance Services for City of Southlke Vehicles RFP1608B200TS160018". This renewal shall become effective
February 21, 2020 (CC Approval date a\q 2. ) and shall continue in full force based on the terms and conditions of
the initial award. As a condition of contract renewal, a price adjustment may be requested by the vendor and considered
by the City. Price adjustments 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 vendor's
cost,not profit.Your company has not requested an increase at this renewal. All terms and conditions remain in effect.
The terms and conditions proposed and accepted in this renewal agreement are as follows:
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 RFP DOCUMENT
Term of Contract: Shall be effective for twelve months from date of renewal and is eligible for one(1)more one
1)year annual renewal.
City Contact: Tim Slifka 817-748-8312
Send all billing to:City of Southlake
1400 Main Street, Suite 420,Accounts Payable
Southlake,TX 76092 or Email:accountspayableAci.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.
ely, /
r G / 1111111//im li a o i,
Purchasing Manager PO, CPPB x\...T !o
City of Southlake Off;• t7'%,S ,'
1400 Main Street, Suite 420
Southlake,Texas 76092
u_i .irC, t
tslifka/c4c i.southlake.tx.us Attest:— '.I
Fax: 817-748-8110 Amy lley,TRM III
3. City Secretary
Contract R: al Acc pteg:
iJ•••• •. \
IF ••
1'//
1111111\\
Signed: l
l
Date:Az -•%/s Fo a' e ality:
fir•
or L.ura Hill
City of Southlake City Atto er
1/30/2020 Ci.southlake.tx.us Mail-Contract Renewal for City of Southlake
SOUTHLAKE Timothy Slifka<tslifka@ci.southlake.tx.us>
Contract Renewal for City of Southlake
Diggs,Clarence<CDiggs@vtaig.com> Thu, Jan 30,2020 at 11:06 AM
To:Timothy Slifka<tslifka@ci.southlake.tx.us>
Cc:"Davis, David"<ddavis05@vtaig.com>, "Dickson,Tom"<TDickson@vtaig.com>
Tim,
There will be no increase in our services.
Clarence E Diggs
Fleet and Commercial Service Manager
Grapevine Ford Lincoln
817-251-2476
1-30-2020
From:Timothy Slifka<tslifka@ci.southlake.tx.us>
Sent:Wednesday,January 29, 2020 3:11 PM
To: Diggs,Clarence<CDiggs@vtaig.com>
Subject: [EXTERNAL] Contract Renewal for City of Southlake
Clarence,
I'm getting a jump on contract renewals and our contract with Grapevine Ford is coming up for its first available renewal.
Will pricing stay the same at this renewal or will you be requesting an increase in contract rates?
If no increase is requested, please respond with"No Increase Requested"and I will start to complete the renewal
process.
If you are going to request an increase I will need to send additional paperwork.
Please let me know at your earliest convenience.
https://mail.google.com/mail/u/0?ik=1 dc9780fd9&view=pt&search=all&permmsgid=msg-f%3A1657173723459852097&simpl=msg-f%3A16571737234... 1/2
1/30/2020 Ci.southlake.tx.us Mail-Contract Renewal for City of Southlake
Regards,
Tim
Timothy Slifka,CPPO,CPPB
Purchasing Manager
1400 Main Street Suite 420
Southlake,Texas 76092
Phone: 817-748-8312
Fax: 817-748-8010
CityofSouthlake.com
Current Bidding Opportunities *
Please take a moment and click on the appropriate link below to complete our Purchasing Department
Survey. Your answers will help us to continually improve our services.
City Staff Survey *
Internal Staff Bid Survey *
Vendor Survey - How are we Doing? *
https://mail.google.com/mail/u/0?ik=1 dc9780fd9&view=pt&search=all&permmsgid=msg-f%3A1657173723459852097&simpl=msg-f%3A16571737234... 2/2
ORIGINAL DOCUMENT
Grl Y tx
SOU7T_ftAKE CITY OF sOUTHLAKE
111
ounc 1 Actio'"!f.><D
Ord Rc.,. No.
Date Approved Z/Z/7/7
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
RFP16086200TS160018
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 ntra t. Your company's
portion of the award is attached.This award was approved by the City of Southlake City Council on Z/
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 accountspavableaci.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`-4'r
vl-Yc kms'
Tim Slifka,CPPD,C'PB f
Purchasing Manager
City of Southlake kai.p
3
1400 Main Street, Suite 440Southlake,Texas 76092 44r***
tslifka(@.ci.southlake.tx.us
Attest:
Lori Payne,TRM
Contract a d and Accepted. City Secretary
Signed:a.. . '/ 'Date. 2/24 b 7 A rove as Form and a ty.
Mayor Laura Hill
City Attorne
City of Southlake
Appendix B—Proposal
Submittal Cbecktdt: (To determine validity of proposal)
Appestats*(pato 12_through 25)meet be badoded a the proposal sobmktal
Appestats C Candia of Interest Form(pate 2S)must be bechrded is the proposal submittal.
Fera 1296 Cathleen of Interested Party most be Included in the proposed submittal.See Paste 2 Item LE.
X11 Itt opo.al. .ol otittc+i to the CO oC SoitihlakC%hall patIs 0.1111 the,uhntittt+I Prnpu,al.
RFP Number:RFP1608B200TS160018
Project Tide:
Preventative Maintenance Services for City of
Southlake Vehicles
Submittal
Deadline: 3:00 P.M. (CST), Friday December 9, 2016
Submit electronically* to: www.securebidusa.com
Requires email account loin and password.
romoaer information:
Proposer's Legal Name: G 2A f 1'SJJe f no L.r/vc 419 G. N
Address: , got 6 HWY it Lf
City,sate&zip 62 AP t>;JYa TI- 7 re qr/
Federal Employer
IdentMutbn Naber 9 LI "753 9 f$
r(
now Humber. 'ell-LIS1- ,-2]
J51/ Paz Naber: j -3 29- O 7
E-Mail Address: WA/W TRAP &4)RD LIJacocv 'C G ,r•
J Proposer Autboritatiog
1,the andersiped.have the authority to execute this Proposal in its entirety as submitted and enter into a contract
on behalf of the Proposer. N
Printed Name and Position of Authorized Ora;
Signature of Authorized Representative:.fi/i9 .JI
Signed this 6P (day)of Pee'91',A e',e (m•!. 2D/t (year) •
I learned of this Request for Proposals by the following means:
Newspaper Advertisement City E-mail Notification
U Soutl lake Website Cold Call to City
Mailed Me a Copy I Other
SecttreBid
City of Southbtke RFP1608B200T3160018 Page 12 of 26
Appendix B—Proposal(co.aaa.a)
I. REQUIRED PROF SAL INFORMATION. IN ORDER FOR A PROPASAL 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.
B. Additional Hardwire Descriptions: Proposers should also include in this section a detaileddescriptionofwhatadditionalhardwareand/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. Project 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 ofproductsorcontractsegmentsstatedintheScopeofServicesandusingthefollowingformat:
Item Quantity Description of Product or Service Unit Coot
1. Ford F-150 Series Vehicle Unleaded/Flex-Fuel 2WD
Per Svc PM Level A per Scope of Services S 413. ®o
Per Svc PM Level C per Scope of Services S ! '"e?
2. Ford F-150 Series Vehicle Unieaded/Flex-Fnel 4WD
Per Svc PM Level A per Scope of Services S
Per Svc PM Level C per Scope of Services S j
3. Ford F-250 Series Vehicle Unleaded/Flex-Fuel 2WD
Per Svc PM Level A per Scope of Services S 43• DO
Per Svc PM Level C per Scope of Services S 09. e U
4. Ford F-250 Series Vehicle Unleaded/Flex-Fuel 4WD
Per Svc PM Level A per Scope of Services y3 • 00
Per Svc PM Level C per Scope of Services S /c.59 . 00
City of Saathlalce
RFP1608g2aTS160018 Page 13 of 26
Item QininlitY Descriptou of Product or Service Unit Cost
S. Ford F-250 Series Vehicle Diesel Fuel 2WD
Per Svc PM Level A per Scope of Services S yt• d 0
Per Svc PM Level C per Scope of Services S Zig.D v
6. Ford F-250 Series Vehicle Diesel Fuel 4WD
Per Svc PM Level A per Scope of Services S g F.0 u
Per Svc PM Level C per Scope of Services S 315-. 00
7.Ford T-250 Series Vehicle Unleaded Fuel 2WD
Per Svc PM Level A per Scope of Services Y.3. 4 0
Per Svc PM Level C per Scope of Services S g •D d
8. Ford F-450 Series Vehide Diesel Fuel 2WD
Per Svc PM Level A per Scope of Services S 5R, d u
Per Svc PM Level C per Scope of Services S r 6.• CJ 0
9. Ford F-450 Series Vehicle Diesel Fuel 4WD
Per Svc PM Level A per Scope of Services S Ir. 0 a
Per Svc PM Level C per Scope of Services S ?lvr'• O u
10. Ford F-550 Series Vehicle Diesel Fuel
Per Svc PM Level A per Scope of Services S /7 f• 95
Per Svc PM Level C per Scope of Services S A/lf. o O
11. Ford F-650 Series Diesel Fuel
Per Svc PM Level A per Scope of Services S / 79. 9-5#
Per Svc PM Level C per Scope of Services S 479. Del
12.Ford F-650 Series Unleaded Fuel
Per Svc PM Level A per Scope of Services S /21. 15--
Per
21. 4S--
Per Svc PM Level C per Scope of Services S .3 4/47. 9.
5r
13. Ford F-750 Series Vehicle Diesel Fuel
Per Svc PM Level A per Scope of Services S 179, 9
Per Svc PM Level C per Scoof Services S 6/79 A 0
14.Ford Escape Unleaded Fuel 2WD
Per Svc PM Level A per Scope of Services S 00
Per Svc , PM Level C per Scope of Services S 1'9- .0 0
City of Southiake RFP1608B200TS160018 Page 14 of 26
Item - Qsinedty Descripdoo of Product or Service Unit Cost
15. Ford Escape Hybrid Unleaded Fuel
Per Svc PM Level A per Scope of Services S '/•3.iv 0
Per Svc PM Level C per Scope of Services S /59 . 0 "
16. Toyota Camry Hybrid Unleaded Fuel
Per Svc PM Level A per Scope of Services S 4.3 .O 0
Per Svc PM Level C per Scope of Services S 1_59. eP V
17. Ford Taurus Interceptor Flex Fuel
Per Svc PM Level A per Scope of Services S 11,3 .0 0
Per Svc PM Level C per Scope of Services S /.59. 0 0
18. Ford Explorer Unleaded Fuel 2WD
Per Svc PM Level A per Scope of Services S i/,3. O O
Per Svc PM Level C per Scope of Services S_/g9. 0 0
19. Ford Explorer Unleaded Fuel 4WD
Per Svc PM Level A per Scope of Services S 11(3 • 0 D
Per Svc PM Level C per Scope of Services S /S9. OO
20. Ford E-150 through E-350 Series Von Unleaded Fuel
Per Svc PM Level A per Scope of Services S 13 .0 o
Per Svc PM Level C per Scope of Services s/$9• a a
21. Ford E-350 Series Van Chassis Diesel Fuel
Per Svc PM Level A per Scope of Services S J79.00
Per Svc PM Level C per Scope of Services S 1119- OP
22.Dodge Charger Police Vehicle Unleaded Fuel
Per Svc PM Level A per Scope of Services S hi3 .00
Per Svc PM Level C per Scope of Services SIO9 'O O
23.Dodge Magnum Police Vehicle Unleaded Fuel
Per Svc PM Level A per Scope of Services S 1213 •D O
Per Svc PM Level C per Scope of Services VS9; o a
24. Chevrolet Tahoe Police Version Unleaded/Flex-Fuel ,
Per Svc PM Level A per Scope of Services S fa. O U
Per Svc PM Level C per Scope of Services S 454.Od
City of Sonthlake RFPI6088200TS160018 Page 15 of 26
Item Quantity Deseriiptia.of Product or Service Unit Cost
25. Chevrolet Tahoe Police Version 4x4 Unleaded/Flex-Fuel
Per Svc PM Level A per Scope of Services S 3 . O
Per Svc PM Level C per Scope of Services S /S9.0 0
26. Chevrolet 23 Passenger Bus Unleaded Fuel
Per Svc PM Level A per Scope of Services S
Per Svc PM Level C per Scope of Services S 309,00
27. GMC TC6C042 Diesel Fuel
Per Svc PM Level A per Scope of Services S 1/5. s a
Per Svc PM Level C per Scope of Services S .S4/.0•®
28.GMC C7500 Series Diesel Fuel
Per Svc PM Level A per Scope of Services S ?1S•o o
Per Svc PM Level C per Scope of Services S _S'4/D.4 D
29. International 7400 Series Vacuum Truck Diesel Fuel
Per Svc PM Level A per Scope of Services S 2b 17•d o
Per Svc PM Level C per Scope of Services S v
30. Freightliner 108SD Vacuum Truck Diesel Fuel
Per Svc PM Level A per Scope of Services S 2 7S•0 a
Per Svc PM Level C per Scope of Services S 60.50 •d V
3L Mack GU 713 Dump Truck Diesel Fuel
Per Svc PM Level A per Scope of Services S i/D0.O U
Per Svc PM Level C per Scope of Services S _647D•O 0
32. Isuzu Street Sweeper Diesel Fuel
Per Svc PM Level A per Scope of Services S / 7 /"90
Per Svc PM Level C per Scope of Services S4f'79 • eta
City of Southiake RFP1608B200TS160018 Page 16 of 26
Item Quantity Description ofProduct or Service Unit Cost
ADDITIONAL SERVICES
33. Small Engine Powered Unit PM Services as Required
This shall include labor costs only.Parts and supplies shall
Per Svc be additional cost item based on parts and supplies cost S ("i •d U
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 (01 .D a
rate listed below.Labor Only
35. Hourly Labor Rate for'Off-Site'General Repairs
Per Hr. Hourly labor rate at vendors location S 411.0 D Per Hr
After Hours Hourly Labor Rate for`Off-Site'General
36. Repairs
Per Hr. After Hours hourly labor rate at vendors location S 1 j.0 V Per Hr
Hourly Labor Rate for General Repairs Performed
37. On-Site'at City Location
Per Hr. Hourly labor rate at City location S itifrPer 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 Nhl Per Hr
Parts and Supplies Cost for General Fleet Repairs.List List Price Minus
39. Price Minas Percentage.List-%Discount 1" Discount
Parts and Supplies Cost for PM Services for Small List Price Minns
Engine and Electric Crane Units.List Price Minus
40. Percentage.List-%Discount JQ Discount
Vendor Vehicle Pick Up and Delivery Fee
Vehicle Pick-Up and Delivery Fee for Any City Vehicle
41. Each Per Each Way to/from City location to/from Vendor
Way location S D --
Vendor Transport of City Vehicle to Non-City Location
Vehicle Delivery Fee for Any City Vehicle From Vendor
42. Per Mile location to Non-City location S `0 Per Mile
City of Southlake RFPI6ASB200TS160818 Page 17 of 26
Itt'm Quantity Description of Product or Service Unit Cost
43. Other Vendor Charges.Please Describe.
Per Svc S ,ill 4-
44. Other Vendor Charges.Please Describe.
Per Svc S '"/
it
45. Other Vendor Charges.Please Describe.
Per Svc S
46. Other Vendor Charges.Please Describe.
Per Svc s '"'9
3. Term of Contract and Option to Extend
Any contract resulting from this RFP shall be effective for thirty six 0361 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 die 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.
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 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 RFPI608B200 TS160018 Page 18 of 26
First Additional Year(FY 2020-2021)Escalation.. t %
Second Additional Year(FY 2021-2022)Escalation................. 3 %
4. Proposer's Experience/Staff
A. pried 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: 7 ; and the number of employees:
112- .
D. Protect 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 Southlake RFP1605B200TS160018 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 described herein.
Reference#1:
Client Company Name: 2.Ac H r Y C c NS-r-! -ucrI IJ
Contact Name: Contact Tide:
i-1i tom'R.- F srH ,EquuPMtNT rte tllst
Phone.-Email.
2114 - S} )- 3 K4 FXM Q ..zAcH Py
Date and Scope of Work Provided: CPAP .CO el
eld.v EA tali/611'0r :I-Await dm/AirsalArt,
Pate.11a:5 Arto vegsri E s
Reference#2:
Client/Company Name"
Contact Name: Contact Title:
cam
WWI Atilaibq 4704
Ph e:8 ,. ,41a . 7
Email:
R1AI TA .Pea i)!9r.*i} .Ca w.
Date and Scope of Work Provided:
PM / 7? '-PA. 4aipnfeA t
Tov1 LL Em) ,4 wit h is/Pi
Reference#3:
Client I Company Name
L OO fo,Pe Are,
Contact Name: Contact Tide:
y
Des LAG Chi ff2 1Y? D/)e2AT A/_r ANildFIL-
Ph j7-,3z'' - 7/0 v Gtrl eze0 Qe•aPotare-
Date and Scope of Work Provided:I=/•oss ' e d M
5Y&5 Fin ,'- J7 Ps
Reference#4:
Client I Company Name:ft
C .4tfg:il /fzeop
Contact Name: Contact Tide:
Mx-jeir 14=0Ju ri1 r/orr ihEyfeli
PhankEmail:
i'7-1/l; -,563 z rGCM4 TA r BLOO.D
Date and` Scope of Work Provided: C me-
2103.p $ t/J2e a. Y
City of Southlake RFPi608B200TS160018 Page 20 of 26
6. Trade Secrets and/or Confidential Information
This proposal_(does), .(does not)contain trade
secrets and/or confidential information. If applicable, describe such tri 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
k Centralized Master Bidders List registration number: //
d
B. Prime contractor HUB/MWBE registration number: 1[i//7
C. An individual as a sole proprietor must also enter the Proposer's Social Security
Number:#___p
Emergency Business Services Contact Notice
During a natural disaster,or homeland security event;there may be a need for the City of Sou hlake toaccessyourbusinessforproductsorservicesafternormalbusinesshoursand/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.aci.southlal e.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:AY /4—
Contract#:
Description:
Primary Contact(Name):
Primary Contact Phone Numbers:Horn C
Secondary Contact(Name):
Secondary Contact Phone Numbers:Hous
After Hours emergency opening fee,if le:S
City of Southiake
RFP1606B20OTS160018 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.
J Yes,Others can purchase P4No,Only the City can purchase
IL CONTRACT TERMS AM)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. 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 Soothlake RFP1608B200TS160018 Page 22 of 26
C. Lim: 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 Cin : The person signing an 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 Imo: 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:
i. Worker's Compensation and Employer's Liability insurance, including All Stales
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(51,000,000)
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 fir at least One Million Dollars
1,000,000)Combined Single Limit Bodily Injury and Property Damage.
B. 1ndromificatiog: 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 of Southiake RFP1606B200TS16001S Page 23 of 26
Appendix C—Form CIQ
DIFORMATION REGARDING Y$NDOR CONFLICT OF INTEREST OIIESTIONNAIR
WHO: The following persons must file a Conflict of Interest Questionnaire with the City if the person has anemploymentorbusinessrelationshipwithanofficeroftheCitythatresultsintaxableincomeexceeding$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:
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,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
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:
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 oflessthan$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 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.usand a copy of
which is attached to this guideline,The form contains mandatory disclosures regarding"employment or businessrelationships" 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 discussionsornegotiationswiththemunicipality,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 FinanceDepartmentTheFutanceDepartmentisrequiredbylawtopostthestatementsondieCity'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 otSonthlake
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.1491.80th Leg.. Regular Session.
OFFICE USE ONLY
This questionnaire is being filed in accordance with Chapter 176.Local Government Code o,w Received
by a person who has a business relationship as defined by Section 176.001(1-a)v.lth a localgovernmentalentityandthepersonmeetsrequirementsunderSection176.006(a).
By law this questionnaire must bellied with the records administrator of the local governmentaientitynotlaterthanthe7thbusinessdayafterthedatethepersonbecomesawareoffactsthatrequirethestatementtobeflied. See Section 176.006.Local Government Code.
A person commits an offense if the person knowingly violates Section 176.006. Local
Government Code.An offense under this section is a Class C misdemeanor.
11 Name of person who has a business relationship with local governmental entity.
CL q ,Jcb- £ 7) ('s
f-l-theck 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
Name of local government officer with whom filer has employment or business relationship.
ni0rnY S rKli-
Name of Officer
This section (item 3 including subparts A B C & D) must be completed for each officer with whom the (ilei hos an
employment or other business-relationship as defined by Section 176 00 i i t-a i,Local Government Code Attach additional
pages to this Form CIO 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 questionnase"
Yes No
B Is the filer of the questionnaire receiving or likely to receive taxable income,other than investment income.from or at thedirectionofthelocalgovernmentofficernamedinthissectionANDthetaxableincomeisnotreceivedfromthelocal
governmental entity?
nYes CR) No
C Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the localgovernmentofficerservesasanofficerorordirector,or holds an ownership of 10 percent or more/
El Yes I YI No
D Describe each employment or business relationship with the local Government officer named in this section
y Air fr/"i-St's '1- r #1,4a/R c t ,4 - ( iPLU rJt f—D
6
Sigiature of person doing business 4 y governmental entity
Date
1 Adopted 06/29/2077
City otSoutbhke
RFP1608B200TS160018
Page 25 of 26
GRAPEVINE FORD,LINCOLN[RO:852499]2017 Lincoln MKC
Pass/ Not
Grapevine Ford Lincoln Courtesy Inspection Caution Fail
Done D,o.
7InspectLighting
Inspect instrienent duster warning lamps iiIIr:ii4.
7 .
lInspectheadlightlowandhighbeamoperation1111
1 i 7, ,Inspect fog/driving lights(If equipped) 1111
Inspect taillight,turn signal,side marker,and license plate lights IIIIi
Inspect taillight,turn signal,and side marker assemblies for cracks and IIII — Ill =f3-11
damage
Inspect brake light operation illLI 1111 L!--.A.
Inspect hazard light operation a i 1 III 0
Inspect reverse light operation 1 • 40
Inspect dash and interior lights 1111 ----1 • gj
Inspect Components
Clad(horn operation III ia
Windshield for cracks,chips and',Ming III --1 • M-'
Inspect wiper and washer operation I I II E:
Inspeict windshield wiper blades a -– i 1111 V.:.];'-
Inspect rear wiper blade(If applicable) II 1 •
Inspect Under Hood Fluid Levels. Condition
Check engine oil level and condition a
Check transmission fluid level and condition 111 1IN •LI
Check brake fluid level and condition t'_'''..; ',' rl II 1:+2.]:,,,i.::
Check engine coolant level and condition 1111E:1:
Check power steering fluid level and condition ii — IN E
ROC 852499
Grapevine Ford Lincoln I
I
GRAPEVINE FORD,LINCOLN[RO:852499]2017 Lincoln MKC
Pass/ Not
Grapevine Ford Lincoln Courtesy Inspection
Done
Caution Fail
Done
Fill windshield washer fluid
Inspect Under Hood Components
u.=
Inspect hoed struts
Perform battery performance test I 11 *NE•
Inspect battery terminals and cables I I U
L;f1Inspectairfilter
Inspect cabin air(NEPA/micro)filter(if equipped) U U z'11
Inspect all hoses and damps I
Inspect drive belts 1111
Measure and Inspect Tire Tread Depth and Condition
3%32" or less = Fail
413" - 6i32" = Caution
6132" or more = Pass
Left front tire tread depth 111 I 1 U tj
Right front tire tread depth U
Left rear tire tread depth U ^ 1 r
Right roar tire tread depth I1 U
Inspect overall the wear and condition U 4
Check and adjust front tire pressure U _J U
Check and adjust rear tire pressure U
Measure and Inspect Brake Linings and Condition:
Pass: 6 mm and greater{disc)
3 mm and greater(drum)
Caution: 4 mm - 5 mm(disc)/2 mm(drum)
Fail:3 mm or less(disc)/1 mm or less(drum)
iMeasurefrontbrakeliningthicknessI
Measure rear brake lining thickness I
ROH 852499 Grapevine Ford Lincoln 2
on,C__.0....,i,:L..._..„•r--_...L.... --Ott',tO tAO4 0..--L__!lf'_...... __c..J ......
GRAPEVINE FORD,LINCOLN(RO:8524991 2017 Lincohi MKC
Pass/ Not
Grapevine Ford Lincoln Courtesy Inspection Caution Fail
Done Done
Inspect brake system components 1-1 III la
Inspect drive train fluid levels, condition and leaks
Inspect front differential fluid level,condition and check for leaks II1 • ... ...V.f.'441
Inspect rear differential fluid level,condition and check for leaks IN _ IIII
Inspect transfer case fluid level,condition and check for leaks II _J III rA
Inspect Under Vehicle Components
Inspect fuel tank,lines,and connections III _1 11111 rl
inspect exhaust system for leaks,damage,and loose parts I L ]
Inspect engine mounts 111 _ •
Inspect transmission mounts I III 71
F.(:.t
Inspect steering components II ri III r
Inspect sway bar components I III t
Inspect for wheel bearing free play N III 0-
Inspect front suspension components NIIIIIIN
Inspect rear suspension components 1111 Ti II
Inspect axles,driveshaft(s)U-joints and CV joints/boots N Li • r'W
Inspect for fluid leaks
Inspect engine for oil leaks N I 1 • 4:a
Inspect cooling system for leaks II Li Ill W-
Inspect brake system for leaks III IV
Inspect transmission for leaks N 1 1 III El
Inspect steering system for leaks I T-I ® ,-;,--
ROC 852499 Grapevine Ford Lincoln 3
3 .
GRAPEVINE FORD,LINCOLN[RO:85249912017 Lincoln MKC
Pass/ Not
Grapevine Ford Lincoln Courtesy Inspectionpone Caution Fail
pane
Services &ior Maintenance Items
Time or Mileage based services or Maintenance items gl
RO#:852499 Grapevine Ford Lincoln 4
on+r__.o._._.c-t..._..3"r..._-..:..- -v-V-occ -vco c.n• _o_____,r____.---r....a
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
Shop 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 filter 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.
2
TEXAS LIABILITY INSURANCE CARD
COMPANY PHONE NO COMPANY ®COMM PERSONAL O NAMED DRIVER PODGY
15-540.1000 ACE Arnsrrtan Inmosncn Coma.ny
POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE
GAR H090.0377 411/2016 wads?
YEAR MARE MOOEL VEHICLE IDENTIFICATION KAISER
Any auto driven by Mrs Insured
AGENCYAGEAXYPHONE pro SPANISH TRANSLATION
Aon Rist Insurance Sown Weal MA( 6025427.]200
2555 E.Camila&
INSURED
Rd.me
AZ 656'6
mAmE*Np ADDRE5S
OTRADUCCION DE ESPANOL
NAME F'
BFVT MOMra.LLC din
Grapnwrr Ford 701 Epi very t t•
rap..rrs, TX 760s r USA
This policy provides at least the minimum amounts of liability insurance required
by the Texas Motor Vehicle Safety Responsibility Act for the specified vehicles
and named insureds and may provide coverage for other persons and vehicles as
provided by the Insurance policy
WARNING:
A NAMED DRIVER POLICY DOES NOT PROMOS COVERAGE FOR INDIVIDUALS
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 4/ki3N
General Liability -Non Dealership HDO G27404777 Texas Non Subscriber Indemnity FJG0005004-02
Effective:4/1,2016 to 4/1/2017 Effective:4/1/2016 to 4!112017
ACE American Insurance Company North American Capacity
General Liability General Policy Aggregate Limit 525,000,000
General Aggregate 15,000.000 Employers Liability Bodily Injury Damages See Per Occurrence
Products&Completed Operations Aggregate 52,000,000 Total Indemnity Limit Per Occurrence 525,000,000
Each Occurrence 2,000,000 Maximum Limit Per Employee 5.000,000
Personal&Advertising Injury 52,000,000 Burial Benefit Limit 5,000
Damage to Premises Rented to You 300,000 Retention Each Accident/Each Empi for Disease 300,000
Medical Expense Limit Excluded
Employee Benefits Legal Liability
Aggregate 52.000,000 Primary Umbrella 19086374
Each Claim 52.000,000 Effective:4/1/2016 to 4/1/2017
Deductible 5300.000 National Union Fire Ins.Co.of Pittsburgh,PA
Per Occurrence 25,000,000
Auto Garage Liability 4 GAR H09040377 General Aggregate 525.000,000
Effective:4H/2016 to 4/1/2017 Products/Completed Operations Aggregate 25.000,000
ACE American Insurance Company Retention 25,000
Annual Policy Aggregate 15,000,000
Liability 2.000.000 Excess Umbrella -Quota Share
Auto Only,Each Accident 52.000,000 Effective.4/1/2016 to 4/1/2017
Other Than Auto Only Each AccidentlAgg 2,000,000 North American Specialty Insurance Company#EXS 2000275 01
Deductible 300.000
Limit of liability$25,000,000 part of$50,000,000 excess of$25,000,000
Workers Compensation AOS 4 WLR C48600979 Effective:4/12016 to 4/1/2017
Effective:4/12016 to 4/12017 ACE Property and Casualty Insurance Company #XCO G27968788 001
ACE American insurance Company
Limit of Liabdity$25,000,000 part of 550,000.000 excess of$25,000,000
Part I:Workers Compensation Statutory
Part II:Employers Liability
Bodily Injury by Accident-Each Accident 1,000,000
Bodily Injury by Disease-Policy Limit 51.000.000 Excess Umbrella 79834752
Bodily Injury by Disease-Each Employee 1,000,000 Effective.4/12016 to 4/12017
Deductible 300,000 Federal Insurance Company
Limits of Liability$25,000,000 excess of$75,000,000
Excess Workers Compensation -AZ #WCU C48600980
Effective:4/112016 to 4/1/2017
ACE American Insurance Company
Storage Tank FEIEIL1583202
Part I:Workers Compensation Statutory Effective:6/7/2015 to 6/72016
Part II:Employers Liability Admiral Insurance Company
Bodily Injury by Accident-Each Accident 1,000,000
Bodily Injury by Disease-Policy Limit 51,000,000 Per Poftution Condition Limits 1,000,000
Bodily Injury by Disease-Each Employee 1.000,000 Aggregate Pollution Condition Limits 51,000.000
SIR:All Arizona Locations 300.000
Deductible:
Environmental Impairment Liability Per Claim 10.000
I
Berkshire Hathaway Automotive Inc.
Schedule of Insurance
as of April 18, 2016 A01#1
Crime F1O0098435 01
Effective:4/1/2016 to 4/1/2017 Effective:2/1/2016 to 4/1/2017
Zurich American Insurance Company XL Specialty Insurance Company
Limits of Liability
Aggregate Each Policy Period(Including Defense Expert 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 20,000,000 Property/Garage Keepers 31377332
H Money Orders and Counterfeit Money 20,000.000 Effective:5/1/2014 to 5/1/2016
J.Investigative Expenses 5150,000 Westport Insurance Corporation
Deductible. 5250.000 Per Occurrence for all Coverages Combined 50,000,000
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 50,000,000
Earthquake Per Occurrence&Annual Aggregate CA 8,000,000
Newly Acquired Property 10,000,000
5.000,000
Management Liability including Fiduciary #1000055282161 Miscellaneous Unnamed Locations
000
Effective:4/12016 to 4/,2017 Transit
Starr Indemnity&Liability Co Accounts Receivable 5,000,000
Pollution Clean-up
100,000
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 Boiler&Machinery
Retention Employment Practices 250.000 Garage Keepers Legal Liability per Location 55,000,000
Builders Risk 25,000,000
Fiduciary Limit 5,000,000 Deductible
2
Retention 5.000 Deductible-Wind&Hail 100, -,
100,000 Deductible-Earth Movement Varies
Fiduciary Voluntary Loss SuWimit Varies
HIPAA Penalties Sublimit 25,000 Deductible-Flood
Deductible-Weather Catastrophe Varies
it 510.000
TrTransit
Continuity Date(Directors&Officers&EPL) 2/17/2015 Deductible525,000
Continuity Date(Fiduciary) 2/1712015 Deductible-Builders Risk
Management Liability-Excess BLX10006488601 Excess Earth Movement -Quota Share
Effective:4/12016 to 4/12017
Effective.4/12015 to 5/12016
Endurance American Insurance Company Empire Indemnity Insurance Company 75% MBPP1057413
Limits of Liability$5,000.000 excess of$5,000,000 Limits of Liability$22,000,000 part of$16,500,000 excess of$8,000,000
Prior and Pending Litigation 2/17/2015 Retention
Nil
Not excess over Fiduciary Liability Effective:4/12015 to 5/1/2016
General Security Indemnity Company of Arizona 25% 4TR00014860028115
Management Liability -Excess UDA152565116
Effective:4/12016 to 4/12017 Limits of Liability$22,000,000 part of$5,500,000 excess of$8,000,000
Retention
Nil
Hiscox insurance
Limits of Liability$10,000,000 excess of$10.000,000
Prior and Pending Litigation 211712015
Not excess over Fiduciary Liability
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Berkshire Hathaway Automotive Inc.
Schedule of Insurance AON
as of April 18, 2016
Master Vehicle Insurance Program
Effective:5/1/2015 to 5,1/2016
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S 5,000,000 Deductible Lloyd's of London(non-admitted) 3CPO-150041INA-150017 25.00% 25.00% S 1.250,000 S 465.432
S 5,000,000 Deductible Westport insurance Corporation NAP200058600 5.00% 5.00% S 250.000 S 230.204
5 5.000,000 Deductible Lexington Ins.Co.(MG)(non-admitted)17001526 70.00% 70.00% S 3,500.000 $ 1,300,320
S 10,000,000 S 5,000,000 Lexington Ins.Co.(MG)(non-admitted)13078919 50.00% 50.00% S 5.000,000 S 516.000
S 95,000,000 5 5,000,000 Westport Insurance Corporation NAP200058600 10.00% 10.00% $ 9,500,000 included
20,000.000 S 5,000,000 Axis Surplus In&Co.(non-admitted)ECF787246-15 10.00% 10.00% S 2,000,000 S 82.560
S 20.000.000 S 5,000,000 Liberty Surplus Ins.Corp.(non- 1000155683-01 20.00% 20.60% $ 4,000,000 $ 165,120
S 20,000,000 $ 5.000.000 Lloyds of London(non-admitted) AOS-151609 10.00% 10.00% S 2,000.000 $ 83,076
S 10,000,000 S 15,000,000 Lloyd's of London(non-admitted) AOS-151610 733% 7.33% S 733,300 S 41,796
S 45,000.000 5 15,000,000 National Fire&Marine Insurance 42-XPR-000293-02 42.67% 42.67% S 19,200,150 S 231,168
75,000,000 S 25,000,000 Maxum Indemnity Company(non- MSP 6026612-01 10.00% 10.00% S 7,500,000 5 62,075
5 75,000,000 S 25,000,000 Axis Surplus Ins.Co.(non-admitted)ECF780596-15 10.00% 10.00% $ 7,500,000 S 61,920
S 75,000,000 $ 25,000.000 Endurance American Ins.Co.(non-OMC10006977500 7.50% 7.50% S 5,625,000 5 45,000
S 75.000.000 S 25,000,000 Kinsale Insurance Company(non- 0100028624-0 6.50% 6.50% $ 4,875,000 $ 40,506
S 75,000,000 S 25,000,000 Landmark American Ins.Co.(RSUI) LHD392394 13.33% 13.33% S 9,999,750 S 82,560
S 40,000,000 $ 60,000,000 Aspen Specialty Ins.Co.(non- PXAEAH915 42.67% 42.67% S 17,066.800 S 66.053
Subunits of Liability
5750,000 Any one Automobile
51.500,000 Per Occurrence while in transit,if at your risk of loss
1,000,000 Per Occurrence while temporarily away from named locations for exhibition
1,000,000 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 Towing and debris removal expense
150.000 Pollutant Cleanup per occurrence subject to a Policy Period Aggregate of$300,000
Deductibles:
2,500 per vehicle subject to a max of 510.000 per occurrence for all covered causes of loss
25,000 with respect to any vehicle greater than 5400.000
Earthauake-$600,000 per occurrence max
Flood-5600 000 per occurrence max
Wind/Hail-$1,500 Per vehicle subject to a maximum of the greater of$600.000 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
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