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Item 4H MemoCITY OF SOUTHLAKE Item 4H MEMORANDUM (April 6, 2021) To: Shana Yelverton, City Manager From: Rob Cohen, Director of Public Works Subject: Ratify expenditures with Smith Pump Company Inc. for the complete replacement and inspection of the pump and motor at Pump Station #2 located at T.W. King Road in an amount of $53,537. Action Requested: Ratify expenditures with Smith Pump Company Inc. for the complete replacement and inspection of the pump and motor at Pump Station #2 located at T.W. King Road in an amount of $53,537. Background Information: As part of the Public Works Operations Water Division's preventative maintenance program, the Water Distribution System High Service Pumps (HSPs) which feed the City's low and high pressure planes require inspection and rebuilding approximately every ten years to ensure optimum efficiency and reliable operations before peak season. The inspection includes full disassembly, condition assessment of the suction impellers, bearings, shafts, seals and replacement of worn components. At Pump Station No. 2 located at T.W. King Road, HSP #1 is original to the Water Distribution Facility constructed in 1999. In FY 2021, the pump, motor, and flange required inspection and maintenance. The Ingresoll-Dresser brand vertical turbine pump and Flowserve 16ENL- 4 brand motor were last inspected and serviced in 2010. Due to unforeseen circumstances of the barrel top flange being out of level, it was determined necessary to level the barrel flange to prevent damage to the distribution system. Financial Considerations: The City's purchasing policy is met through an Interlocal Agreement (ILA) with the City of Fort Worth for pump repair, parts, and replacement services. On February 10, 2020, the City of Fort Worth renewed its contract 18-0087 for the period of April 2020 through April 2021; this renewal is the second of four one-year renewal options (Attachment A). Page 1 of 2 Item 4H Due to unforeseen circumstances of the barrel top flange being out of level, it was determined necessary to level the barrel flange to prevent damage to the distribution system. The cost of these services exceeded the $50,000 threshold by $3,537 requiring City Council action. Staff requests that City Council ratify these expenditures. Funding for the complete replacement and inspection of the pump and motor at Pump Station #2 is available in the FY 2021 Water Operating Budget. Expenditures did not exceed available funds. Strategic Link: This item links to the City's Strategy Map strategic focus area of Infrastructure. It specifically relates to the City's Corporate Objectives, B6: Optimize Use Of Technology, and F2: Invest To Provide & Maintain High Quality Public Assets. Citizen Input/ Board Review: None. Legal Review: None. Alternatives: The City Council may approve or deny the request. Staff Recommendation: Ratify expenditures with Smith Pump Company Inc. for the complete replacement and inspection of the pump and motor at Pump Station #2 located at T.W. King Road in an amount of $56,668. Supporting Documents: Attachment A: City of Fort Worth Renewal Contract 18-0087 Attachment B: Smith Pump Company — Invoice Staff Contact: Rob Cohen, Director of Public Works Jack Thompson, Operations Manager Page 2 of 2 Attachment A FORTWORTH February 10, 2020 SMITH PUMP COMPANY INC 4bZ4 Martin Luther Ring Fwy Fort Worth, TX 76119 Attention: James 50umacfier jaamcs5@5mithpomp.Lum Re: Kcncwal of bid SMI I R PUMP COMPANY INL 116 PUMP REPAIRPARI S PSK 6667;18-0087 On 4/3/2020, the agreement between SMI i R PUMP LUMPANY INc, and the city of Fort worth will Expire with 3 option(s) to renew. It you agree to renew the existing agreement for an additional 12-month period, please mark the appropriate box, sign 6eluw and return to tM5 letter to FMSParc-hasingRenewalsCuturtwurtfitexas.sov witfi yuor current LcrtifiLate of insora%r- within 5 business days. uncE we rcccivc the rEquircd infurmatiun, we will renew tfie agreement for the new term. Whether a purchase order will be issued is dependent on department need and fund availability. In urder that you receivE notice of uther pity bid opportunities and timely payments, please make sure that your information, DN5PL odes, and payment infurmatiun are wrrect. iu verify tfiat your information is Lurrect, please lug into the 5applier Portal at: fittps://5applier.furtwurtntexas.gov/psi/finpr6/SUPPLIER/EKP/L/NUI FKAMEWURK.P I 1ANDINGPAGE.G6L?& If yuu have any questions about your supplier account infurmatiun please email F I w ERN VND MGM 1 Ca)turtwurthtexas.euv. Eastly, in urger to pruecss payments more efficiently, please sign up to receive payments electronically instead of by mail. If yuu wuuld like to du this yua can request this un the Supplier Portal. If you have any questions concerning tfiis correspondence, please call 817-392-2462. Thank you for your prompt attention and for your cuntinued interest in doing business with tfie City of Furt Wortfi. Sinccr Ely, FMS Purcfiasing PorLhasing Division, Financial Management ScrviLcS Department New Agreement Term: 4/4/2020 through 4/3/ZDZ3 vendor: SMI i Fi PUMP CUIGIPAMY INC City of Fort worth n Yes, renew tfiis agreement ❑ No, du not renew this agreement Ja s 500rrrachEi Cristina Camarillo Narchasing Manager / A� " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/01/2019 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kathy Sunday NAME: Bailey Insurance and Risk Management aCC Ext : (254) 753-5317 aC No : (254) 753-1132 E-MAIL kathy@baileyinsurance.com ADDRESS: 1201 Washington Ave. INSURER(S) AFFORDING COVERAGE NAIC # P.O. Box 298 INSURERA: Cincinnati Insurance Company 10677 Waco TX 76701 INSURED INSURER B : Texas Mutual Insurance Company 22945 INSURER C : Smith Pump Company, Inc. INSURER D : 301 M&B Industrial Blvd. INSURER E : INSURER F : Waco TX 76712 COVERAGES CERTIFICATE NUMBER: 2019 - Renewal 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE �X OCCUR DAMAGE TO PREM SES Ea oNcuEr ante $ 100,000 X MED EXP (AnY one person) 5,000 $ 1,000 Property Damage Deductible PERSONAL & ADV INJURY $ 1,000,000 A EPP0117812 05/01/2019 05/01/2020 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO JECT LOC PRODUCTS-COMP/OP AGG $POLICY 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AOWNED ONLY AUTOS EBA0117812 05/01/2019 05/01/2020 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED 11 / NON -OWNED AUTOS ONLY /� AUTOS ONLY UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE EPP0117812 05/01/2019 05/01/2020 DED I X1 RETENTION $ 0.00 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) NIA TSF0001168283 05/01/2019 05/01/2020 SPER TATUTE EORH X1 E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Bid #18-0087 - Pump Repair, Parts & Replacement The City of Fort Worth, its Officers, Employees and Volunteers are included as Additional Insureds on the General Liability & Auto Liability policies if required by written contract between the Named Insured and the Additional Insureds. Waiver of Subrogation in favor of the City of Fort Worth, its Officers, Employees and Volunteers applies to the General Liability, Auto Liability & Workers Compensation policies if required by written contract. All Additional Insured and Waiver of Subrogation references on this Certificate of Insurance are as per corresponding endorsements and policy language. Copies of all endorsements are available upon written request. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Worth ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division AUTHORIZED REPRESENTATIVE 200 Texas Street Fort Worth TX 76102� Q, . @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Faww 'Rev. I9vuvmMr Za � 1 Dapartrnen: of the Tpcw wiry In.emal nevcnoc oarvice ee m t7r m o- Request for Taxpayer Give Form io the Mentincation Number and Certification roynester. Do no% Send io Ae IRS. 1 N_ (_= the-n en yceP inoernv ;.., rezarrr). R.me is regoirea vn :Ris line; uu nor leave this line amiiil Pump Earnp-rl„ Inc, entity name, if differum from .bete 3 Check appropriate box for federal t_- eheek upymr,a of the felling 3evon So..es: 4 E..amp;ions ;cvatr.- app.y oniy To Indiviaa.Fvle ro n ocrain entities, not individuals; see p p 'czv yr Q c Corporation ❑ S Corporation ❑ Partrt-rehip ❑ T�:t/e:t_te instruction--n pwe= 3y Limited liability LLC E�empl payee cedes (f .ray) ❑ Limited liability Compan-. Est-r thw t.a, al. ifieolian {C=C eerpert.;ien, S S carporamion. F'e: partncrsRrpJ � Note. For a single -member LLC that is dierag_.ded, de net eheek LLC; eheek the appropri.;e So.. in ;Re line aMT. ;W ETempdon 7vm r.Jr,, reporting the t_- of the tingle-mrn,ber airnar. eodv [if ❑ Other (zee irstPeelien=) ► ram,, s ro eeeauna rra A1=M.,. oueaa. r u 5 Addraw (na,,,ber, mree;, anu apt. yr saizo, iv.) Rgseotor � ..a,,,e _.,d add. e. � (ap:iorial) 301 M 8 Ind astrial 6 City, i.-te, -d ZIP eode Wove, 1811Z 7 Li_t _eresat member(:) here Number Enter year TIN in the _ppropria a ba.,. Thu TIN pr.,vided must match the name given on line 1 to avoid b.-ekap withholding. For i6diaide.13, thin is generally your social security number ISSN]. However, for a reJdant Jun, vale prepriatar, or dizregardad aniky, sea zha Part I instructions on page 3. For other e.,titie:, it l= your employer identification member (EIN). If you do . ,ui have a number, see Now to get a TIN 3 number on p_ge . or Notes. If the account is i„ mare ;hen one name, see the instructions for line I and the chart on page 4 far Employer id_ntia_;i.rn nomEer 'ya!dv1!mu7 an rev home Marrill5or to enter. , 1 4 I - 1 1 1 4 1 1 v 1 v e r CerltiflCat,lon Under penalties of perjury, I certify that: TRe number shown on this form is my correct taxpayer identifcafon ..ember (ere I m w itrng far a mamba, ;o be issued iv me); and 2. 1 _m net zebjewt to barkep withholding beca.Gae: (a} I am exempt from backup withholding, or (b) I have not been Retifi.d by the Internal Rv.eriea Sarriaa (IRS) th"t I _m : ab)aat to b.vkap :ithhvldi„g as a resuh of a failure to report all interest or dividends, or;gl the IRS ha= notified me th.t I am no ledger .cbj=.t to b...ekep 7.ithholding; and 3. 1 am a U.S. aitize., o. other U.S. person (defined below); and 4. The FATCA aede(.) entered on thin form (if any) indicating that I am exempt from FATCA reporting is co„,eet. CertdiaaI16 - in--truetien... Yee mast vro.s ..a; i,ern 2 above if you have been notified by the IRS that you are cappentiy .-ebjeet to bRakap 7,ithholding bee.-=e you ha-e failed to report all interest and dividends on you. tax return. For real estate transactions, item 2 does net apply. For mvrtg,.ge interest paid, asciaLitien or .b_md.nmomt of _eaered propa..y, can,uIl.i;on of debt, contributions to an individual retirement are. angement (IRA„ .-nd generall;, paymeRt= etha, th..- irGro;;t .rid dividends, yva are no; regoired ,., sign the certification, but you must provide your correct TIN. see the instructions on page 3. Sign , Signature of j i- nere U.S. Para«,. Va 4,+t`r o..a In General IntiLructions . miivn rw; rcn. vt; arc to tfle Inte<„al Revenue Code unless olherw se noted. Futuw d-,.nwI.pments. I..farrn.-tiara .-bout des: Iupmcn-.v Jim:ing Fenn :-9 Sovn as Iegi*MT;vn ena..iou anu, we release 01 is at www.irs.gov1hv9. Purpose of Form ran individual or entity -Farm W-9 requester) who is require-d t- file - i-fenrratien item -ith the IRS ...eat abcvin your cones: za.,payer ioenfivica.lvn namEer t, If9) wrlich may be your soc al security number [SSN), ;_d'cids.I 11_ps;.r identifir-tiara „ember (ITIN), Gdoptien ;_~payer iaan;;ziva;ion nomQcr to rr IRI, u, employer identification number pEIN). to report o., _ri infvrrwe,t-en return the -meant p_id ;a you, er ether —van; reporragle vn an inbrmativrr rtram. Examples of information returns include, but are riot limited te. th. tulle-irrg• • Fvrm ; at)a In T timareaz Cornea yea yr paia) • Form 1099-DIV [dicid■md=. 'rreledt-V theca from :took= or metan,I fends: • Form ;agg-IO v barioos typos ui incumc prizes, awards, or gross proceeds) • Form 1099-B (_t.r.k for mets.l fend sale:.-nd .crtain athar ;..,,,,�ac;iona vy EroRera) • Fum 1099-S (praveed: firm Peat e=t.te tr_. ro;Iona) • Form ;as;-R jmu—Manz usru and tnprd party network transactions] • Form 1098 (name 11198-E (; tedent la-m inccraa.) 1098-T {zap:ion) • Form 1099-C (._waled debt) • Form . e93 yr aCandonment of secured property) Uaa Form _ s only it you arc a U.S. person fIncluding a resident alien), to provide you_ correct TIN, d y.,o ov „vi .czv,,, rvn„ Ira ry we requester with a T1N, YOU might be s.bje.t to backs-'thh.fd.'r V. Saes What i baukep W.hhold;.,g? on page my signing rRc r Ifo-vai'orm, you: 1. Cert'ry th_I the TIN lee .-Pa g'ting is coma: (or yva are -_,zing ;vr a .,oml5or rev I� IaSaao}, 2. Carlo th_t ;an -e net qb*'. za b.ckap w0floloing, yr u. claim exempt on from backup withhnlding if -,on are = U.S. a-em„t p_; a=. If ,plieable, ;es are al Y acnifyi.,g ;h.; as a Jn. person, yvar albcaUle 5,rare or any partnership ncome from a U.S. trade or bu=irrr is net �sb;ect to the ..ithheldi.,g t..., an farcign p..nera' Aara ca enaviivory ...nrna..iea income and 4. Cert'ry that FATCA coders) ent■red .n thi: faml (if .m7) i-dia_ti g th-11 y— _Pe e;;cn,p; f.am the FTC. reponl„g, 1s. aver. uee irrrnr a rATCA reporting % on page 2 for further infornat on. cat. Rv. w.3 - Form W-9 tnev. 12-20141 SMITH PUMP 4624 MLK Freeway COMPANY, INC.. (817) 589 2060 To: City of Fort Worth / Purchasing llivision Attn: Cristina Caunnarillu, Buyer Date: February 22, 2U18 Re: Pump Repair, Pali s and Replacement - Bid No. 1 S-UU87 Ft.Worth, TX tbl IU FAX (81 t) 095 4UUu Smith Pump is the authorized distributor for mowserve, Landia, Zoeller, Pioneer, SimFlo, Liberty, Goulds, BJM, and other pump companies in Texas. Our services include sales, field service, repair, fabrication, and engineering. Smith rump primarily works with centrifugal pumps for the water and wastewater market. We are capable of repair/service any centrifugal pump the city of 1,'ort Worth maintains- Our Fort worth office has a motor repair7rewind shop with capacities up to about 250 HP. Bid Clarificatiuns 1. We have included our warranty terms that apply listed within our standard terms and conditions attached. 2. Smith fumy does not dcfine Holiday pay equal to Overtime and Weekend. Overtime and Weekend pay have been listed on bid items z and 4. Smith Pump will charge our standard rate of $168.00 per hour fur Holiday hours. Thank you fur allowing us the opportunity to pa—ti- icipate in this bid. Sincere regards, 5L J s Schumacher Smith Pump Cumpauy, Inc. 4624 Martin Luther King Fwy Fort Worth, Texas 76119 817 589 2060 office / 817 595 4900 fax j amcss@smithpump.com 3500 Comsoath Drive, Sahc 500 AUbtii i, I cxas /8 /44 512 310-1480 FAX 512 310-1417 4624 Martin Luther King Frwy Fort Worth, Texas 76119 81 i 58v-2ueu FAx 81 i 595-4900 5750 North Sam Hvaaton Pkwy East, Saito#llu3 Ruustun, I exas t t032 (713) 997-8647 FAX (281) 912-6042 13id cover Sheet SORT WORTH CITY OF FORT WORTH / PURCHASING DIVISION INVITA I ION I U BIU NU. 18-0081 PUMP REPAIR, PARTS AND REPLACEMENT BID CCOSINu [JAI t: t-e5ruary zz, 2018 For further information contact: Cristina Cama►illu, Buyur FAX (89 /) 3yz-844u cristina.camarl u . v wv exas.QOv INSTRUCTIONS TO BIDDERS Bids are solicited for furnishing the merchandise, supplies, services and/or equipment set forth in this solicitation. Completed Bids (one (i) tmecutea original and one (1) copy on a USB flash drive) must be received in the Purchasing Office by 1:30 P.M., February 22, 2018, no excuptions and then pablidy upelmd and read aloud at z:uu P.M. in the Council Chambers. Bids must be returned in a sealed envelope WITH THE BID NUMBER WRITTEN ON THE OUTSIDE OF THE ENVELOPE, addressed to the Purchasing Manager. Bids shuald Bu inailud ur -hand de ivere a Purchasing Division, Lower Level, City Hall zuu I eras Street Fort Worth, Texas 76102 Bids to be delivered by special caarier (i.e. Federal Express; Special Delivery etc.) are to be marked "B1fL BID NO. 18-0087, MUST BE DELIVERED TO PURCHASING DIVISION BEFORE 1:30 P.M." in urderto be tunsidered. Late bids will Be returned: they will not be opened nor considered in the evaluation of the bid. Bids may be withdrawn at any time prior to the official upend ly. Bids may not oe altered, amended or vvithdlawn after the official opening. I he undersigned agrees, if the bid is accepted, to furnish any and all items upon which prices are offered, at the price(s) and upon the tClrlls and conditions contained m the specifications. 1 ne period tur acceptance of this bid will be 90 calendar days after the bid opening date unless the bidder submits a different date. ( days). A pre -bid conference will be held at 9:00 AM, Thursday, Femoary 8, z0i 8. bidders shall meet in the Village UieeR Admin Conference Room located at 4500 Wilma Lane, Fort Worth, Texas, 76012. I nave read and agreed with the attached Terms and Conditions, Instruction to Bidders and the hivitatim, to Bid requirements. FdiIU1U LU Lu b e e tire Cy1.1Cs e- infblrT1d1iUr1 UU10W rnaV result in relectlV bid. Principal Place of Business (Defined as at least having one permanent active business office arid employee located in Texas). Company Name and Address Smith Pump Company Company's Authorized Agent 4624 Martin Luther King Fwy Fort Worth, TX 76119 Signature: Federal ID ID Number(TIN) or 1-74-1460081-1 Name and A* (Typed or Printed) Social Security Number and Legal James Schumacher - Branch Manager Company Name Smith Pump Company bate L/Z1/1018 I elephune Narnt)er 817-589-2060 Fax Number 817-595-4960 Email address: 'amess smith um .com Cooperative Purchasing: Should other Governme,aal Entities decide to participate in this contract, would you; the vendor; agree that all terms, conditions, specifications, and pricing would apply? Yes No If you. the vendor checked "Yes"; the following will apply: Governmental entities within Tarrant County utilizing Inter -Governmental Contracts with the City of Furff vvurtn will de eligible; but not obligated, to purchase material/services under this contract(s) awarded as a result of this solicitatiurl. All pal chases By Governmental Entities other than the City of Fort vvvrtn will Be billed directly to that Governmental Entity and paid by that Governmental Entity. The City of Fort Worth will not be responsible for arlotner Governmental Entity's debts. Each Guvrnunental Entity will order its own material/services as needed. BID SOLICITATION Page 1 of 2 Printed: 01 /30/2018 BID OPENING DATE AND TIME: 2/22/2018 1:30:00 PM BID NUMBER: 18-0087 BUYER: Cristina Camarillo PHONE #: (817)392 - 8355 ext. DELIVERY REQUIRED: 2/22/2018 V Vendor Name: S City of Ft Worth E H Address: N 1 1608 11TH AVENUE D P FORT WORTH TX 76102 City, State Zip Code: O R T O Item Class -Item Quantity Unit Unit Price Total 8.000 The City of Fort Worth seeks bids from qualified bidders to establish an annual agreement for pump repair, parts and replacement for City Departments per the attached specifications. The term of the agreement shall be for a one-year (1) period, with four (4) options to renew for additional one-year periods. A pre -bid conference will be held at 9:00 AM, Thursday, February 8, 2018. Bidders shall meet in the Village Creek Admin Conference Room located at 4500 Wilma Lane, Fort Worth, Texas, 76012. Bidders are responsible for familiarizing themselves with the work to be performed prior to the pre -bid conference and prior to submitting bids in order to be fully aware of the scope of the services required. FAILURE TO ATTEND THE PRE -BID CONFERENCE MAY IMPACT A BIDDER?S ABILITY TO SUBMIT A FULLY INFORMED AND COMPETITIVE BID RESPONSE, ATTENDANCE IS NOT MANDATORY BUT IS STRONGLY ENCOURAGED. 1.000 Pump Repair Regular Hours, M-F, 7:00 am to 4:00 pm. 8000 HR 2.000 Pump Repair Services Overtime Hours, M-F, 4:01 pm to 6:59am, 3000 HR Weekends and Holidays. 3.000 Electrical Pump Repair Regular Hours, M-F, 7:00 am to 4:00 pm 8000 HR 4.000 Electrical Pump Repair Services Overtime Hours, M-F, 4:01 pm to 6:59am, 4000 HR Weekends and Holidays. 5.000 Miscellaneous Parts, Materials and Equipment, Cost Plus % Markup. TOTAL: WE AGREE TO FURNISH ANY OR ALL OF THE ITEMS QUOTED AT THE PRICES SHOWN. QUOTE MUST BE HELD FIRM FOR PERIOD OF 90 DAYS. TERM OF PAYMENT: COMPANY: uECivERY: TELEPHONE NUMBER: FUB Destination SIGNATURE 817-589-2060 NAME AND TITLE: Page 2 of 2 Ja Schamacher - Bjancfi Mai ayer CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local govclrimental entity This questionnaire refle= changes made to the taw by H.B. = 84th Leg., Regular Session. This questionnaire is being filed in accordance with Chapter 176, Local Govemment Code. by a vendorwho has a business relationship as defined by Section 176.001 (1-a)With a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filedwith the records administor of the local govemmental entity not later than the 7th business day after the date the vendor becomes aware of facts tFidt regai re the statemet it to oe filed. See Section i /6.uu6(a-1), lucal Guvernment Code. A ven3ur uummits an uffense it the ventlur knowingly violates Section 1 /fi,DUG, local Government Code. An offense ander this section is a misdemeanor. Name of vendor who has a business relationship with local governmental entity. N/A are filing an uodate to a FORM C Q OFFICE L1SE ONLY Date Kecenred (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) Name of local govuemmunt office about wHum the Information In this sectlun Is being disclosed. ii!TWA Name of Office, This section (item 3 including subparts A, B, C, & D) must be co, ,pleted fvT ea,h officer With whom tha vendor Rao an employmem or other business relationship as defined by Section 176.001(1-a), Local Government Code_ Atta. h additional pagex to this Form CIO as necessary. A. Is the local government officer named in this section receiving or likely ro receive taxable income, other than investment income, from the vendor? a Yes F7No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the Ivval government officer named in this section AND the taxable ".,,come is ,.ot ,eceived from the la,al governmental entity? = Yes u No G. Is the filer of this questionnaire employed by a corporation or other business entity with ,expect tv whi.,h the local government officer serves as an officer or airector, or nulas an ownership interest or one percent ur morn! = Yes " No D. Describe each employment or business and family relationship with the local government officer named in this section. vendor doing business with the governmental entity a4)- )81 Date Adapted 8/7/2015 I I B I9o. 18-0087, Pump Repair, Parts and Replacement Payc 24 of 23 FoRTWORTH. AT i ACHMER i G — vENuOR CONTACT INFORMATION vendors Name: Smith Pump Company Vendor's Local Address: 4624 Mdrtin Luther King Fwy, Furt Wurth, TX 76119 Phone: 817-589-2060 Fax: 81 1-5y5-4WU Email: _ jamess aQsmithpump.com Name of persons to contact when placing an order or billing questions: Name/Title James ScFiumacher - Branch Manager Phone: 817-589-2060 Fax: 817-595-4900 Email:_ jame5bQsmithpump.uum Name/Title Stan Berry - Service Manager Phone: 817-589-2060 Fax: 817-595-4900 Email: stanb[aD_smithpump.com Name/Title Phone: Fax: Email: Si tore James Schumacher 2/21/2018 Prii,ted Name ITB No. 18-0087, Pump Repair, Parts and Replacement Page 16 of 28 uate FORTWORTH. ATTACHMENT D - REFERENCE SHEET Please complete and return this form with your bid. The Contractor shall furnish references for at least five (5) recent customers to whom products and/or services have been provided that are similar to those required by this solicitation. The City will be the sole judge of references. Please use additional sheets. 1. Company's Name Name of Contact Title of Contact Present Address City, State, Zip Code Telephone Number ( ) Fax Number ( ) Email 2. Company's Name Name of Contact Title of Contact Present Address City, State, Zip Code Telephone Number ( ) Fax Number ( ) Email 3. Company's Name Name of Contact Title of Contact Present Address City, State, Zip Code Telephone Number ( ) Fax Number ( ) Email ITB No. 18-0087, Pump Repair, Parts and Replacement Page 27 of 28 SMITH PUMP CO. STANDARD TERMS AND CONDITIONS 1. Applicability These Terms and Conditions of Sale ("Terms") shall govern all sales of equipment or services to Customer. These Terms supersede any prior written or oral agreement, understanding, representation or promise and any pre-printed or standard terms and conditions contained in Customer's request for quote, purchase order, invoice, order acknowledgement or similar document. These Terms may not be amended, supplemented, changed or modified except by concurrent or subsequent written agreement signed by an authorized representative of both Smith Pump Company ("SPCO") and Customer. SPCO's acknowledgement of Customer's purchase order shall not constitute acceptance of any terms or conditions contained therein which are in any way inconsistent with the Terms. Any additional or different terms or conditions included in any acceptance of this quotation are expressly disclaimed and rejected in advance, and unless there is prior mutual agreement otherwise, shall not become a part of any contract resulting from this quotation. 2. Price Unless otherwise stated in this quotation, all prices are FOB shipping point. All transportation, insurance and similar charges incident to delivery shall be borne by the customer. This quotation is valid for thirty (30) days only. Shipping dates are approximate and are based on prompt receipt of all necessary information. In the case of delay in furnishing complete information to SPCO, dates of shipment may be extended for a reasonable time. In the event SPCO provides transport services, these will be quoted as a lump sum price based on destination and shipping mode. In the event Customer requests a delay or suspension in the completion and/or shipment of equipment or services covered by this quotation, or any part thereof, for any reason, the parties shall agree upon any cost and/or scheduling impact of such delay and all such costs to Customer's account. Any delay period beyond thirty (30) days after original scheduled shipment date shall require Customer to (i) take title and risk of loss of any equipment covered by this quotation, and (ii) make arrangements for the storage of such equipment with SPCO or other party. SPCO's invoice, which is contractually based on shipment, shall be issued upon SPCO's readiness to ship the equipment covered by this quotation. SPCO shall not be liable for delay and delivery due to causes beyond its reasonable control including, but not limited to, acts of God, acts of government, acts of Customer, fires, labor disputes, boycotts, floods, epidemics, quarantine restrictions, war, insurrection, terrorism, riot, civil or military authority, freight embargos, transportation shortages or delays, unusually severe weather or inability to obtain necessary labor, materials or manufacturing facilities due to such causes. In the event of any such delay, the date of delivery shall be extended for a length of time equal to the period of the delay 3. Warranty SPCO warrants new equipment or parts to be free from defects in materials and workmanship for a period of eighteen (18) months from the date of shipment or twelve (12) months from the date of startup or initial use, whichever comes first. SPCO SHALL NOT BE RESPONSIBLE FOR ANY CONSEQUENTIAL, INCIDENTAL, SPECIAL OR LIQUIDATED DAMAGES. NO EXPRESSED OR IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE SHALL APPLY. Repairs performed by SPCO are warranted against defects in workmanship and/or materials for a period of twelve (12) months from the date of shipment. SPCO will not be responsible for any removal or reinstallation charges or transportation charges in cases where equipment has failed under these warranty conditions. SPCO's sole obligation and Customer's sole remedy under this warranty is repair or replacement at SPCO's election. Customer agrees to provide SPCO reasonable and clear access to any equipment covered by this warranty which may include removal or materials or structures as well as supplying any equipment, materials or structures which are necessary to provide reasonable access to the equipment being repaired or replaced. Costs to remove and/or reinstall equipment for warranty purposes shall be the responsibility of Customer. Replacement parts or repairs furnished under this warranty shall be subject to warranty provisions herein for the remaining warranty period. All equipment repaired or replaced will be re -warranted only for the remainder of the original warranty period. SPCO does not warrant the equipment covered by this quotation or any repair/replacement part against the effects of erosion, corrosion, or normal wear and tear due to operation or the environment. The warranty and remedies set forth herein are conditioned upon proper storage, installation, use and maintenance of the equipment covered by this quotation in all material As of August 30, 2017 respects, and in accordance with SPCO's written recommendations. Customer must notify SPCO in writing of any warranty claim during the warranty period or within thirty (30) days thereafter. SPCO will not be liable under this warranty if warranted goods have been exposed or subjected to any (1) maintenance, repair, installation, handling, packaging, transportation, storage, operation, or use which is improper or otherwise not in compliance with SPCO's instructions, (2) alteration, modification or repair by anyone other than SPCO or those specifically authorized by SPCO, (3) accident, contamination, foreign object damage, abuse, neglect, or negligence after shipment to Customer, (4) damage caused by failure of an SPCO supplied product not under warranty or by any hardware or software not supplied by SPCO, (5) use of counterfeit or replacement parts that are not manufactured by the manufacturer of goods provided by SPCO or approved by SPCO for use in goods provided by SPCO, or (6) goods which are normally consumed in operation or which have normal life inherently shorter than the warranty period including, but not limited to, consumables (e.g. lamps, batteries, storage capacitors). 4. Payment All prices are net cash to be paid thirty (30) days after date of invoice. Customer agrees to make payment within that period. Discounts will apply only as stated on the invoice. Invoices unpaid for thirty (30) days after issuance shall bear interest at the highest lawful rate due and payable on any invoiced account, which is delinquent and not paid within the stated terms. Should Customer for any reason fail to pay in accordance with these terms, Customer agrees to pay all collection costs, attorney's fees and expenses incurred in collecting payment. If Customer's financial condition is or becomes unsatisfactory to SPCO, SPCO reserves the right to (a) require payment from Customer on a cash in advance basis, (b) require a letter of credit or other acceptable security before shipment, (c) cancel shipment at any time prior to delivery without further obligation or liability on SPCO's part, (d) terminate any contract or obligation on the part of SPCO, or (e) require other special payment terms acceptable to SPCO to assure payment. All extensions of credit are subject to the approval of SPCO's credit department and management. 5. Joint Check Agreement If Customer fails to pay laborers and materialmen within thirty (30) days after payment by SPCO, SPCO will have the right to make future payments by check payable jointly to Customer and laborers or materialmen to the extent of unpaid indebtedness arising out of the job. SPCO will credit joint checks against the contract sum on the next payment application. 6. Taxes The amount of all federal, state or local taxes applicable to the sale, use, delivery or transportation of the equipment or services sold hereunder and all duties, imports, tariffs, and other similar levies shall be added to the contract price and paid by the Customer except where the Customer shall furnish an appropriate certificate of exemption. 7. Property Damage SPCO shall not be responsible for damage to topsoil or groundcover in connection with the work or service performed under this contract. SPCO shall not be responsible for claims arising from the pumping of water onto the ground which is necessary in connection with the service or work provided by SPCO. The customer agrees to hold SPCO harmless from claims arising out of damage caused by the pumping of water onto the ground. 8. Startup If the equipment supplied pursuant to this quotation has a warranty requirement, qualified SPCO personnel must be present during the initial equipment startup and commissioning. Failure to request and assure the presence of qualified SPCO personnel will void any warranty herein. Requests for startup must occur at least seven (7) days prior to the scheduled date of the startup. 9. Limitation of Liability The remedies set forth herein are exclusive and the total liability of SPCO with respect to this quotation, and any contract for goods or services arising from this quotation, or for any breach thereof, whether based on contract, warranty, torts (including negligence), indemnity, strict liability or otherwise, shall not exceed the quotation or sales price of the specific equipment or service which gives rise to the claim. As of August 30, 2017 10. Setoff All amounts that Customer owes SPCO under this quotation shall be due and payable in accordance with the terms of the quotation. Customer shall not setoff such amounts or any portion thereof, whether or not liquidated, against sums which Customer asserts are due to it, its parent, affiliates, subsidiaries or other division under other transactions with SPCO. 11. Customer Cancellation Customer may cancel this order only upon written notice and payment to SPCO of reasonable and proper cancellation charges. In the event of cancellation, Customer must pay for all material, expense and labor costs incurred by SPCO in connection with the materials and services to be provided pursuant to this quotation, as well as all expenses relating to any specially fabricated materials and restocking charges. 12. Assignment Neither party may assign this order or any portion thereof without the advance, written consent of the other party, which consent shall not be unreasonably withheld. 13. Waiver/Severability Failure by SPCO to assert all or any of its rights upon any breach by Customer shall not be deemed a waiver of such rights either with respect to such breach or any subsequent breach, nor shall any waiver be implied from the acceptance of any payment. No waiver of any right shall extend to or affect any other right Customer may possess nor shall such waiver extend to any subsequent similar or dissimilar breach. If any portion of these Terms are determined to be illegal, invalid or unenforceable for any reason, such provision shall be deemed stricken for the purposes of the dispute in question and all other provisions shall remain in full force and effect. 14. Applicable Law The contract involving the sale of the equipment and services covered by this quotation shall be interpreted in accordance with the laws of the State of Texas. This contract is performable in McLennan County, Texas and venue for any court action in any way relating to or arising out of this contract shall be McLennan County, Texas. Accepted By: Company Name Project Reference Printed Name Signed Signed On Date As of August 30, 2017 SMITH PUMP 301 M&B Industrial COMPANY, INC. (800) 299-8909 (254) 776-0377 To: Purchasing Manager Kef: City of Fort Worth —Bid No 16-0311 Vertical Pumps, Farts and Kepaii Contract with Price Increase Contract Renewal Date: June 22, 2018 Waco, I exas 7ti712 FAX (254) 77b-UU23 May 31, 2U18 Please accept our contract renewal for the submersible pumps, harts and repair contract. Since the original bid iu 2016, our service rates have increased. The original ITti (invitation t'o t3id) noted suppliers could raise the annual rates if mutually agreed upon. Fort Worth Purchasing Department has noted rates were not to exceed the effective percentage change in the US Producer trice index (FFI) fo, the previous twelve (12) months. The latest report from the u S Bureau of Labor Statistics, Percent Changes for Final remand, indicates service has raised 2.4% over past 12 months. Therefore, to stay in pace with the market, Smith rump would like to increase our labor rates to the following: Labor Type Cui rent Rate Requested Rate Line items 1 to 22 No Change 23 Shop Service Repair— Regular Hours $Su.uu $82.00 24 Shop Service Kepair — overtime Hours $120.00 $123.00 25 Field Service Repair — Regular Hours $84.00 $86.uu 26 Field Service Repair — Overtime flours $126.00 $129.00 2'1 Miscellaneous Pump Pans Cost Plus Marrkup 20% 2u% (no change) Smith Pump is committed to continually meet or exceed customer satisfaction by providing quality products and services that comply with all commitments and expectations. We look forward to working with Fort Worth once again. Sincere regards, " 'OL Jam chumacher Smith Pump Company, Inc. 4624 Martin Luther King Freeway Fort Worth, Texas /6119 817 589 2060 office f 817 595 4900 fax jamess@smithpump.com 3500 Comsouth Drive, Suite 500 Austin, TeAas t8t44 512310-148u FAX 512 310-1417 4uz4 Plarffin Cutliier Kng Frwy Fort Worth, Texas 76119 817 589-2060 FAX 81 i 595-49uu 5750 North Sam Houston Pkwy East, Suite #1103 Huastun, Texas iiu3z (M) 99(-B64/ FAX (281) 912-6042 FORT WORTH April y, L018 SMI I R PUMP COMPANY INC 4624 MARTIN LUTHER KING FWY FORT WORTH, TX 76119 Attention: JAMES SCHUMACHER EMAIL: JAMESS@SMITHPUMP.COM Re: Renewal of Bid VERTICAL PUMPS, PARTS AND REPAIR Po No: PO-17-00099792 16-0311 On 6/22/2018, the agreement between SIVII I R PUMP COMPANY INC and the City of Fort Wortn will cxpim with 1 option(s) to ienew. If you agi ee to extend the existing agreement for an additional 12 month pei iud, please mai k the appropi iate box, Sign below and return to this letter, your current LCFtitlCatc ut hibarance and yoar current signed IRS vv-y form within 48 hours. Filial approval of a new parLhase order is dependent on fund availability. If approved, a new purchase order will be e-mailed to yuu. I u ensure that you feLeive your new Purchase Order, as well as ,iotiticatiuns about any new proLaremeiit uppurtaidties, please log on to the City's BuySpeed Online system at http://torTwerFlhtCxas.gciv/purchdsing/information-update/ and update your company's in turmation. It you have any questions conLernhig this correspondence, please call 81i-392-2462. Thank you for your prompt attention and for your continued interest in doing business with the City of Fort Worth. Sincerely, �i Charity Karl Parchasing Division, Financial Management Services Department New Agreement Term: 6/23/2018 through 612212019 Vendor: SMITH PUMP COMPANY INC City of Fort WorTh N Yes, renew this agreement w/ PV ` `e- ❑ No, do not renew this agreement IrNct'aase Laurena Hamilrii, Buyer \ A ln�o JAI01 6 SLRUIVIACRER Assistant Purchasing Director Form -9 Request for Taxpayer Give Form to the (Rev. Det.Ember 2014) Identification Number and Certification requester. Do not Department of the Treasury acnO to the IKS. Internal Revanuo Survioe t Name (as shown on your income tax return). (Came Is requireti on rnis line; ao not leave tnis line DIanit. Smith Pump Company, Inc. N z Business name/oisregartiaa entity name, R tilRerent rrom atlove m C, CO a 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: � ERemptions tcoties apply only to c O ❑ IndividuaUsole proprietor or ❑✓ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate certain ionsentiton not insee instructions on page,3): y m e Q single -member LLC El Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) ► Empt payee cotie tit any) ti 2 Note. For a single -member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for Exemption from FATCA reporting c the tax classification of the single -member owner. code Q T any) a- V ❑ Other (see instructions) ► (App es ro accou.,rs ms..re, ea «,rsrde me o s i 5 Address (number, street, and apt. or suite no.) Requester's name anti anoress joptionar) 301 M B Industrial m 6 City, state, and ZIP code CD Waco, Texas 76712 7 List account number(s) here (optionaq Taxpayer Identification Number (TIN} Enter your TIN in the appropriate box. The TIN provided mast match the name given on line 1 Lo avoid Social aecuRW number this is -generally yoer social sI number (sale). For ietor, th fora Wiie�n, 5acRtipresident resident instry . For, alien, sole proprietor; or disregarded entity; see the PaR I instructions on page 3. For Other sole r disregarded untitie5, it is your employar identlticat um ,timber (EIN). If you du not have a number, sae Flow to get a TIN on page 3. or Note. If the account is i,, mo,a than one hart:, serthe lnstractim,s for Tina 1 and the Chart un pave 4 t.-r Employer identification number guiaeiines on whose number to enter. 114 I - I t 14 I ti I U I U 18 I l Under penalties of perjury, I certify that: i Me number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not suoject to Qackup withholding Because: (a) I am exempt from backup withholding; or (b) I have not been notified by the Internal Revenue Service (IRS) that I a,,, 5u6ject to backup withholding as a result ut a tailare to report all interest ur dividends, or (c) tFie IRS Miss notified me tFiat I am no longer subject to-BacKup withholding; and 3. 1 am a U.S. citizen or other U.S. person (Befinea Velow); and 4. The FATuA codets) entered on tRis roan (if any) indicating that I am exempt from FATCA reporting is correct. t;ertrtication instructions. You must cross out item z a'Bove if you have been notified by the IRS that you are currently bQbj8CL to backup withholding because you have tailed to report all interest and aiviaerras ti„ yucr tax return. For reai Estato transactions, itern 2 does mat apply. Fur mortvava irrtarust paid, acquisition or abandonment or secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you aye not required to sign the certification, Got you mast pfuvidu yoer Correct TIN. see the instrti.-tiuns on page 3. % J Here I U.S. apersoo i►� ){ )! I/! Jlr� Date IN - General 1 Section references are tv the Internal Revenue Code unless otherwi.a noted. Future tievelopmerim In,ormadon apoM uevelopments affecting Form W-9 (such as legislation enacted after we release R) is at www.irs.gov/fw9. Purpose of Form rvt individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (I IN) which may bE your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), cr Employer ident'rfivation number tEIN), to report on an information return the amount pain to you, or other amount reportable on an information return. r-samples or information returns incluce, 13M are not limirec to, the following: • Form 1099-INT (intarst named or paia) • Form , ogB-DIV (dividends, including those from stocks or mutual fonds) • Form 1099-MISC tvarious types of income, prizes, awaros, or gross proceeds) Form 1099-B (stock or mutual fund sales and pertain other transactions by brokers) - Form 1099-S (proceeds from real Estate transactions) = rorm t uuii-r, imercnam cart] ano Mira parry networR transactions) - Form 1098 (n-omu mortgage interest), 1098-E (student loan interest), 1098-T (tuition) - Form 1099-C (canceled debt) • Form i Cuu-„ jacquisilion or atiantionment of secured proper Use Form w-y only if you are a O.S. person (including a resident alien), to provitie your correct TIN. 1f you do not rerum Form w-a ro me requesrer wirn a r nv, you mignr tie suniecr ro bacKup wirnnoraing. see vvnar is oacKup wirnnotoingf on page z. By signing the filled -out form, you: 1. Certify tnat the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Cenhy-that you are not subject to tiacRup witnnoioing, or 3. Claim exemption from backup withholding if you are a U.S. axernpt payee. If applii;able, you a al.o zurtrrying that as a U.S. person, your allocable share of any partnership income rrom a u.s. tratie or Business is not suoject to trio :1lnnoltiing tax on foreign partners' snare or onectively conneC[eti income, aria 4. Certify- that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. see vvnar is rat r t A reporringr on page 2 for ruRner information. Cat. no. 1134a1X rorm W-9 (Rev. tz-ztita) / A� " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/29/2018 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kathy Sunday NAME: Bailey Insurance and Risk Management aCC Ext : (254) 753-5317 aC No : (254) 753-1132 E-MAIL kathy@baileyinsurance.com ADDRESS: 1201 Washington Ave. INSURER(S) AFFORDING COVERAGE NAIC # P.O. Box 298 INSURERA: Cincinnati Insurance Company 10677 Waco TX 76701 INSURED INSURER B : Texas Mutual Insurance Company 22945 INSURER C : Smith Pump Company, Inc. INSURER D : 301 M&B Industrial Blvd. INSURER E : INSURER F : Waco TX 76712 COVERAGES CERTIFICATE NUMBER: 2018 - Renewal 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE �X OCCUR DAMAGE TO PREM SES Ea oNcuEr ante $ 100,000 X MED EXP (AnY one person) 5,000 $ $1,000 Property Damage Deductible PERSONAL & ADV INJURY $ 1,000,000 A EPP0117812 05/01/2018 05/01/2019 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO JECT LOC PRODUCTS-COMP/OP AGG $POLICY 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AOWNED ONLY AUTOS EBA0117812 05/01/2018 05/01/2019 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY /� AUTOS ONLY UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE EPP0117812 05/01/2018 05/01/2019 DED I X1 RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) NIA TSF0001168283 05/01/2018 05/01/2019 X STER ATUTE EORH E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Vertical Pumps, Parts & Repair (PO No: PO-17-00099792 16-0311) The City of Fort Worth, its Officers, Employees and Volunteers are included as Additional Insureds on the General Liability & Auto Liability policies if required by written contract between the Named Insured and the Additional Insureds. Waiver of Subrogation in favor of the City of Fort Worth, its Officers, Employees and Volunteers applies to the General Liability, Auto Liability & Workers Compensation policies if required by written contract. All Additional Insured and Waiver of Subrogation references on this Certificate of Insurance are as per corresponding endorsements and policy language. Copies of all endorsements are available upon written request. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Worth ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Bid 16-0311 AUTHORIZED REPRESENTATIVE 200 Texas Street Fort Worth TX 76102� Q, . @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Table 1. Producer price indexes and percent changes for final demand' [Nov 2009=100, unless otherwise indicated] Grouping Other index base Relative Impor- tance Dec. Unadjusted index Unadjusted percent change to Apr. 2018 from: Seasonally adjusted percent change from: Dec. Mar. Apr. Apr. Mar. Jan. to Feb. to Mar. to 20172 20173 20183 20183 2017 2018 Feb. Mar. Apr. Final demand............................................................. 100.000 113.8 115.5 115.6 2.6 0.1 0.2 0.3 0.1 Final demand goods ..................................................... 33.013 112.5 113.9 114.3 2.9 0.4 -0.1 0.3 0.0 Final demand foods ................................................... 5.723 116.2 118.1 117.1 -0.3 -0.8 -0.4 2.2 -1.1 Finished consumer foods" ........................................... 00/82 4.605 207.1 209.3 207.2 -1.1 -1.0 -0.8 2.3 -1.2 Finished consumer foods, crude ................................... 00/82 0.482 221.0 225.7 201.6 -13.5 -10.7 -7.8 17.3 -11.3 Finished consumer foods, processed .............................. 00/82 4.123 206.0 207.9 208.2 0.4 0.1 0.0 0.8 0.0 Government purchased foods ....................................... 0.344 119.0 119.8 119.6 -0.2 -0.2 -0.4 1.1 -0.4 Foods for export .................................................... 0.774 110.0 116.1 115.9 3.5 -0.2 1.3 2.4 -0.5 Final demand energy .................................................. 5.576 103.4 105.5 107.6 9.0 2.0 -0.5 -2.1 0.1 Finished consumer energy goods° ................................... 00/82 4.553 163.5 167.1 170.1 6.8 1.8 -0.6 -2.0 -0.2 Government purchased energy ...................................... 0.783 104.9 106.7 109.1 16.9 2.2 0.4 -2.6 1.1 Energy for export ................................................... 0.240 95.8 97.4 100.6 26.2 3.3 0.8 -3.3 2.3 Final demand goods less foods and energy ............................ 21.714 114.1 115.3 115.5 2.1 0.2 0.2 0.3 0.3 Finished goods less foods and energy° .............................. 00/82 12.772 200.6 202.0 202.4 1.9 0.2 0.0 0.2 0.3 Finished consumer goods less foods and energy ................... 00/82 6.900 223.5 225.6 226.2 2.6 0.3 0.1 0.3 0.4 Nondurable consumer goods less foods and energy ............. 00/82 4.205 284.3 288.5 289.9 3.7 0.5 0.3 0.2 0.6 Durable consumer goods ....................................... 00/82 2.695 160.2 160.3 160.3 1.0 0.0 -0.3 0.4 0.1 Private capital equipment ......................................... 00/82 5.872 171.8 172.4 172.6 1.0 0.1 0.0 0.3 0.1 Private capital equipment for manufacturing industries........... 00/82 1.315 173.9 175.3 175.7 1.7 0.2 0.3 0.2 0.2 Private capital equipment for nonmanufacturing industries........ 00/82 4.557 170.9 171.3 171.4 0.7 0.1 -0.1 0.3 0.1 Government purchased goods, excluding foods and energy........... 2.240 111.0 112.2 112.5 1.8 0.3 0.3 0.3 0.3 Government purchased goods excluding foods, energy, and capital equipment...................................................... 1.308 112.6 114.2 114.5 2.3 0.3 0.4 0.4 0.3 Government purchased capital equipment ......................... 0.932 107.4 108.0 108.3 0.9 0.3 0.1 0.1 0.4 Goods for export, excluding foods and energy ........................ 6.702 111.3 113.0 113.3 2.8 0.3 0.2 0.5 0.4 Final demand services .................................................. 65.345 114.2 116.0 115.9 2.4 -0.1 0.3 0.3 0.1 Final demand trade services5 ............................... . .......... 20.351 115.0 116.3 116.7 1.9 0.3 -0.2 0.2 0.2 Trade of finished goods ................. ............................ 17.720 114.7 116.0 116.3 1.7 0.3 0.0 -0.2 0.1 Trade of personal consumption goods ............................. 14.511 114.3 115.5 115.5 1.0 0.0 0.3 -0.7 -0.2 Trade of private capital equipment ................................. 3.209 115.5 117.2 118.6 4.3 1.2 -1.3 2.3 1.2 Trade of government purchased goods .............................. 0.726 117.5 118.8 119.7 3.7 0.8 -0.9 1.7 0.8 Trade of government purchased goods, excluding capital equipment ................................................... 0.446 116.6 117.4 117.8 2.8 0.3 -0.4 1.1 0.3 Trade of government purchased capital equipment ................. 0.280 118.5 120.5 122.2 5.3 1.4 -1.7 2.8 1.4 Trade of exports .................................................... 1.905 116.7 118.3 119.2 3.3 0.8 -0.8 2.2 0.8 Final demand transportation and warehousing services ................. 4.465 117.3 120.7 121.0 4.7 0.2 0.9 0.6 0.6 Transportation of passengers for final demand ....................... 1.230 110.0 116.7 116.8 1.7 0.1 1.8 1.5 1.3 Transportation of private passengers .............................. 0.840 110.0 116.7 116.9 1.7 0.2 1.8 1.5 1.3 Transportation of government passengers ......................... 0.127 110.0 116.7 116.9 1.7 0.2 1.9 1.5 1.3 Transportation of passengers for export ........................... 0.263 109.8 116.6 116.8 1.7 0.2 1.9 1.5 1.3 Transportation and warehousing of goods for final demand........... 3.235 119.6 121.6 121.9 5.4 0.2 0.5 0.3 0.2 Transportation and warehousing of finished goods° ................ 2.285 118.5 120.4 120.7 5.4 0.2 0.5 0.3 0.2 Transportation and warehousing of personal consumption goods ........................................................ 1.789 118.8 120.7 121.0 5.4 0.2 0.5 0.3 0.2 Transportation and warehousing of private capital equipment..... 0.496 117.4 119.2 119.5 5.7 0.3 0.5 0.3 0.3 Transportation and warehousing of government purchased goods... 0.238 118.7 120.7 120.9 5.0 0.2 0.5 0.3 0.3 Transportation and warehousing of exports ........................ 0.712 123.1 125.5 125.7 5.1 0.2 0.5 0.3 0.2 Final demand services less trade, transportation, and warehousing...... 40.529 113.5 115.4 115.1 2.4 -0.3 0.3 0.3 -0.1 Finished services less trade, transportation, and warehousing°........ 36.037 113.8 115.7 115.4 2.4 -0.3 0.3 0.3 -0.1 Finished consumer services less trade, transportation, and warehousing................................................... 32.587 113.8 115.6 115.3 2.1 -0.3 0.4 0.3 -0.2 Private capital investment services less trade, transportation, and warehousing................................................... 3.450 114.1 116.5 116.5 4.6 0.0 0.1 0.6 0.0 Government purchased services less trade, transportation, and warehousing...................................................... 3.046 109.9 111.0 110.7 1.7 -0.3 0.7 0.1 -0.2 Gov. purchased services less trade, transportation, and warehousing, excl. capital investment ........................... 2.945 110.3 111.3 111.0 1.7 -0.3 0.7 0.0 -0.2 Government purchased capital investment services less trade, transportation, and warehousing ................................. 0.101 100.4 102.1 101.4 1.3 -0.7 -0.9 2.1 -0.7 Services for export less trade, transportation, and warehousing....... 1.446 114.6 116.5 116.5 3.5 0.0 0.2 0.7 -0.1 Final demand construction ............................................... 1.642 118.0 119.1 120.4 4.2 1.1 0.1 0.2 1.1 Construction for private capital investment ............................. 1.107 118.0 119.1 120.3 4.2 1.0 0.1 0.3 1.0 Construction for government ........................................... 0.535 118.0 119.0 120.4 4.2 1.2 0.0 -0.1 1.2 Special groupings Final demand less exports ................................................. 04/10 87.958 112.4 113.9 114.0 2.4 0.1 0.1 0.2 0.0 Final demand less government ............................................. 04/10 91.961 112.3 114.0 114.1 2.5 0.1 0.2 0.3 0.0 Final demand less foods, food and nonalcoholic beverages for immediate consumption, and energy6............................................... 04/10 88.148 113.1 114.7 114.7 2.3 0.0 0.3 0.3 0.2 Final demand less foods and energy6...................................... 04/10 88.701 113.1 114.6 114.7 2.3 0.1 0.2 0.3 0.2 See footnotes at end of table. 13 9� Smith Pump Company, Inc. 301 MB Industrial Blvd Waco, TX 76712 US Phone: 800-299-8909 Fax: 254-776-0023 www.smithi)umi).com Invoice No. 1000833 Page 1 of 3 Shipping Southlake Public Works Department Ship Via: Bestway address: 3655 T W King Rd Fob desc: Southlake, TX 76092 Account address: Southlake Public Works Department accountspayable@ci.southlake.tx.us 1400 Main StreetSuite 440 Southlake, TX 76092 Invoice Date Due Date Terms Salesperson 3/17/2021 4/16/2021 Net 30 Days TXNW - Oscar Villarreal Order Qty Ship Qty Part ID/Description Rev U/M Unit Price Extended Price 1.00 1.00 AX PROJECT 0 EA 1,875.00 $1,875.00 HSP#1 Pull and Transport Pricing per Fort Worth Contract 16-0311 ($86/$129) Item of (2) man crew to Pull High Service Pump #2 Ingersoll -Dresser (Flowserve) 16NKL-4, with 400HP VHS Pump only 3,000 Ibs Item of crane services on 178520-06 Item of transportation services **Owner to disconnect all power and controls** Serviceman to lockout/tagout, relieve seal, confirm free rotation of pump, and record impeller lift. Load former HSP #2 motor onto trailer for transport to SPCO FTW Remove pump and load onto SPCO trailer for transportation to Smith Pump FTW shop Pump Pulled: 9/11/2020 Shipment 10723 Our Order 179088 Your Order 22100262-001 Order Qty Ship Qty Part ID/Description Rev U/M Unit Price 1.00 1.00 AX PROJECT 0 EA 5,968.00 Teardown & Inspect HSP#1 - Flowserve 16NKL-4 Reason for service: Pump Overhaul, It has never been repaired. Motor was found to have moisture in the lower bearing. Item of Shop Disassembly & Inspection of Vertical Turbine Pump Includes: 1. Incoming Electrical / Mechanical Inspection 2. Teardown of Pump 3. Inspect of Parts to Determine Necessary Repairs 4. Written Shop Inspection Report 5. Provide Quotation for Recommended Repairs 6. Advise replacement and/or upgrade costs. Nameplate not legible. Pump Manufacturer: Flowserve (IDP) Model: 16ENL (16NKL) S/N: SPCO Assigned 9900-00096 (Guess of 9906TC110526) RPM:1800 HP:400 156" Base to Bell Extended Price $5,968.00 Continued over .../ Smith Pump Company, Inc. 301 MB Industrial Blvd Waco, TX 76712 US Phone: 800-299-8909 Fax: 254-776-0023 www.smithpumi).com Motor Manufacturer: GE Motors, VHS Model5K509ET6163M Frame L509TP20, WPII Enclosure 460V 3PH, 60Hz HP:400 RPM: 1800 S/N: RPG153006 Received: 9/11/20 Disassembled and Inspected: 10/15/20 Shipment 10723 Our Order Order Qty Ship Qty Part ID/Description 1.00 1.00 4611 Repair Flowserve 16ENL-4 and Motor Nameplate not received - Pulled data from 162158 Pump Manufacturer: Flowserve (IDP) Model: 16ENL (16NKL) S/N: 9908TC110526 (?) RPM:1800 HP:400 Repair Includes: 1. Replace bowl bearings (bronze, 5x) 2. Replace collets for impeller (steel, 4x) 3. True and balance impellers (4x) 4. Straighten bowl shaft 5. Replace lineshaft (416 SS) 6. Replace lineshaft bearing (rubber) 7. Replace lineshaft coupling (416 SS) 8. Straighten motor shaft 9. Replace stuffing box hardware (18-8 SS) 10. Replace stuffing box o-ring 11. Repair mechanical seal 12. Replace strainer basket 13. Replace discharge & can gaskets 14. Fabricate discharge head doors 15. Sand Blast: a. Impellers b. Sand cap 16. Grit Bast and coat with Tnemec N140: a. Bowl cases 17. Brush blast and touch up top coat of entire pump as needed 18. Replace upper and lower motor bearing 19. Replace motor heater strip 20. Replace lower bearing cap o-ring 21. Recondition stator 22. Wash and bake motor Repair Complete: 1/21/21 179114 Shipment 10723 Our Order 179114 Order Qty Ship Qty Part ID/Description 1.00 1.00 4301 Transport, Install and Start Up HSP #1 Item of two (2) servicemen to install High Service Pump #1 and motor, perform start-up, and verify proper operation. Invoice No. 1000833 Page 2 of 3 Your Order 22100262-001 Rev U/M Unit Price Extended Price 0 EA 28,548.00 $28,548.00 Your Order 22100262-001 Rev U/M Unit Price Extended Price 0 EA 5,792.00 $5,792.00 Continued over .../ 9� Smith Pump Company, Inc. 301 MB Industrial Blvd Waco, TX 76712 US Phone: 800-299-8909 Fax: 254-776-0023 www.smithi)umi).com Servicemen to record flow, head, power, voltage, current, and vibration. Ingersoll -Dresser (Flowserve) 16NKL-4, with 400HP VHS PRICE INCLUDES: 1. Labor for two (2) servicemen 2. Mileage to and from job site 3. Per diems 4. Crane charges First Install Trip (Discovered Flange Not Level): 2/3/21 Final Install and Start -Up Date: 3/9/21 Shipment 10723 Our Order 179114 Order Qty Ship Qty Part ID/Description 1.00 1.00 4012 Perform Barrel Top Flange Level Inspection Service to Perform Machining and Level of Barrel Top - HSP #1 On trip to install pump on 2/4, we discovered barrel flange was 0.180" out of level in 900 direction over the span of 26". It was determined necessary to level the barrel flange. The barrel is plumb to within 0.031" over a 15 foot depth. Invoice No. 1000833 Your Order 22100262-001 Rev U/M 0 EA Includes: • Level barrel flange by machining off raised face plus enough material to finish to 250 RMS the entire face to the OD of the flange. Minor surface pitting is acceptable. Finished level to be 0.002" per foot or better. • SPCO personnel to help vendor unload equipment and verify machining on final day • Travel to jobsite ***Discounted $3,131 from quote based on actual time for machining.*** Machining Complete: 3/5/21 Shipment 10723 Our Order 179114 Your Order 22100262-001 Unit Price 11,354.00 Page 3 of 3 Extended Price $11,354.00 Invoice Sub -total $53,537.00 Freight $0.00 Tax $0.00 Invoice Total $53,537.00