Item 4B MemoCITY OF
SOUTHLAKE
MEMORANDUM
(June 21, 2022)
To: Shana Yelverton, City Manager
From: Rob Cohen, Director of Public Works
Item 4B
Subject: Award the contract for concrete services to Apex Concrete
Construction, Inc. in an amount not to exceed $1,000,000.
Action
Requested
Background
Information:
Financial
Considerations:
Award the contract for concrete services to Apex Concrete
Construction, Inc. in an amount not to exceed $1,000,000.
On May 20, 2022, the City received one sealed proposal for concrete
services. Advertisements of the Request for Proposals (RFP) were
posted online and in the newspaper.
As the sole bidder, Apex Concrete Construction, Inc. was selected
as the "Best Value" for all required services. Apex Concrete has
provided excellent customer service and are very responsive to the
City's needs and requests.
This contract includes concrete related services such as street
reconstruction and repairs, curb and gutter repairs and new
installations, sidewalk new installation and repairs, retaining wall
installation and repairs, and drainage flume installations. These
services are necessary to maintain City streets and drainage
infrastructure in good condition.
The evaluation criteria for this RFP includes the following:
Evaluation Criteria
Weight
Vendor Overall Price for Services
30%
Vendor Experience Providing Required Services
35%
Vendor Ability To Provide Required Services
30%
Vendor Past Experience With City
5%
Total
100 %
This contract award includes four (4) annual renewal options, if the
City chooses to renew. The RFB allows up to an eight (8) percent
annual price increase on future renewals. Apex Concrete listed the
Page 1 of 3
Item 4B
maximum amount of four (4) percent price increase per year on
renewals.
Under the new terms of this contract, Apex Concrete's cost of
services increased from $4,011 to $13,402. The increase in the
contract value is due to an increase in services provided to the City,
from 50-line items to 71-line items, in addition to after -hour services
which the previous contract did not outline.
In FY 2021, the City spent $691,830 on concrete related services
with Apex Concrete. In FY 2022, to date the City has spent
approximately $762,000, with additional projects requested to be
completed by the end of the year. Therefore, staff is requesting
additional authorization to complete other various projects. The table
below outlines services performed in FY 2022 and proposed in FY
2023 by Apex Concrete Construction, Inc. Identified as a priority for
FY 2023, the City plans to make improvements to sidewalks in
Southlake Town Square to enhance pedestrian safety and
experience.
Apex Concrete Services
Cost
FY 2022 Expenses -to -date
$
762,000
FY 2022 Proposed Expenses
$
238,000
FY 2022 Total Expenditures
$
1,000,000
FY 2023 Proposed Expenses —
SLTS sidewalk improvements
$
250,000
FY 2023 Proposed Expenses —
Various Projects Throughout The City$
750,000
FY 2023 Proposed Expenditures
$
1,000,000
Funding for this agreement is available in the General Fund via the
Streets & Drainage Operating budget and the Capital Improvement
Program budget.
Strategic Link: This item links to the City's Strategy Map strategic focus areas of
Mobility, Infrastructure, and Partnerships & Volunteerism. It
specifically relates to the City's Corporate Objectives, 132:
Collaborate With Select Partners To Implement Service Solutions,
and F2: Invest To Provide & Maintain High Quality Public Assets.
The Critical Business Outcome is, CBO1: Maintain A Strong
Financial Position And Implement Plans And Policies To Ensure
Future Financial Strength.
Citizen Input/
Board Review: None.
Page 2of3
Item 4B
Legal
Review: The City Attorney reviewed original proposal documents as to form.
Alternatives: The City Council may approve or deny this contract.
Staff
Recommendation: Award the contract for concrete services to Apex Concrete
Construction, Inc. in an amount not to exceed $1,000,000.
Supporting
Documents: All supporting documents pertain to RFP2201 B380AB220002
Attachment A: Bid Tabulation
Attachment B: Award Letter Packet
Staff
Contact: Rob Cohen, Director of Public Works
Jack Thompson, Deputy Director of Public Works — Operations
Page 3of3
CITY OF SOUTHLAKE Department Finance for PW
BID TABULATION FORM Proposal Due: 5/20/2022
�2WIB380AB220002
RFP#
Form Prepared By: Tim Slifka for Public Works Name of Vendor
APEX CONCRETE APEX CONCRETE
Date Prepared: 5-20-2022 CONSTRUCTION INC. CONSTRUCTION INC.
DANNY PORTER DANNY PORTER Bonfire Information: 5 Intent
Contact Name: to Bid, 13 Document Takers,
Contact Number: 817-454-1"5 817-454-1"5 325 Vendors Invited. No HUB
information. Formal Purchase.
1080 KATY ROAD 1080 KATY ROAD
Physical Address: KELLER, TEXAS 76244 KELLER, TEXAS 76244
ITEM Description:
Per Item After
Flatwork to Perform all Concrete work NO
Hour Services
Item #
REMOVAL OR DISPOSAL Per Square Foot
Additional Fee
(Surcharge)
4" Thick (1-500 SF) (Flatwork to perform all concrete work
1
NO REMOVAL OR DISPOSAL
$ 8.00
$ 2.50
6" Thick (1-500 SF) (Flatwork to perform all concrete work
2
NO REMOVAL OR DISPOSAL
$ 10.00
$ 2.50
8" Thick (1-500 SF) (Flatwork to perform all concrete work
3
NO REMOVAL OR DISPOSAL
$ 10.50
$ 2.50
4" Thick (500 and up SF) (Flatwork to perform all concrete
4
work/ NO REMOVAL OR DISPOSAL
$ 7.50
$ 2.50
6" Thick (500 and up SF) (Flatwork to perform all concrete
5
work/ NO REMOVAL OR DISPOSAL
$ 9.50
$ 2.50
8" Thick (500 and up SF) (Flatwork to perform all concrete
6
work/ NO REMOVAL OR DISPOSAL
$ 10.25
$ 2.50
Flatwork to Perform all Concrete Work
INCLUDING REMOVAL AND DISPOSAL
Per Square Foot
4" Thick (1-500 SF) (Flatwork to perform all concrete work
7
INCLUDING REMOVAL AND DISPOSAL
$ 10.20
$ 2.50
6" Thick (1-500 SF) (Flatwork to perform all concrete work
8
INCLUDING REMOVAL AND DISPOSAL
$ 12.96
$ 2.50
8" Thick (1-500 SF) (Flatwork to perform all concrete work
9
INCLUDING REMOVAL AND DISPOSAL
$ 14.75
$ 2.50
10
4" Thick (500 and up SF) (Flatwork to perform all concrete
work/ INCLUDING REMOVAL AND DISPOSAL
$ 10.20
$ 2.50
11
6" Thick (500 and up SF) (Flatwork to perform all concrete
work/ INCLUDING REMOVAL AND DISPOSAL
$ 12.50
$ 2.50
12
8" Thick (500 and up SF) (Flatwork to perform all concrete
work/ INCLUDING REMOVAL AND DISPOSAL
$ 14.08
$ 2.50
Retaining Wall - Perform all Concrete Work
Per Linear Foot
13
6" thick, Vertical Retaining Wall (to Perform all concrete
work) For projects of 1-2' High Wall
$ 32.00
$
14
6" thick, Vertical Retaining Wall (to Perform all concrete
work) For projects of 2-3' High Wall
$ 40.00
$
15
6" thick, Vertical Retaining Wall (to Perform all concrete
work) For projects of 34' High Wall
$ 110.00
$
16
8" thick, Vertical Retaining Wall (to Perform all concrete
work) For projects of 1-2' High Wall
$ 32.00
$
17
8" thick, Vertical Retaining Wall (to Perform all concrete
work) For projects of 2-3' High Wall
$ 45.00
$
18
8" thick, Vertical Retaining Wall (to Perform all concrete
work) For projects of 34' High Wall
$ 125.00
$
19
1'thick, Vertical Retaining Wall (to Perform all concrete
work) For projects of 1-2' High Wall
$ 42.00
$
20
1'thick, Vertical Retaining Wall (to Perform all concrete
work) For projects of 2-3' High Wall
$ 45.00
$
21
1'thick, Vertical Retaining Wall (to Perform all concrete
work)For projects of 34' High Wall
$ 135.00
$
Curb and Gutter NO REMOVAL OR
DISPOSAL Per Linear Foot
22
0 -100 linear feet of 6" curb and 18" gutter. NO
REMOVAL OR DISPOSAL
$ 36.00
$ 3.00
23
101- 500 linear feet of 6" curb and 18" gutter. NO
REMOVAL OR DISPOSAL
$ 35.00
$ 3.00
24
501-1,000 linear feet of 6" curb and 18" gutter. NO
REMOVAL OR DISPOSAL
$ 32.00
$ -
25
1,001-1,500 linear feet of 6" curb and 18" gutter. NO
REMOVAL OR DISPOSAL
$ 32.00
$
26
1,001-1,500 linear feet of 6" curb and 18" gutter. NO
REMOVAL OR DISPOSAL
$ 32.00
$
27
3,001 and Up linear feet of 6" curb and 18" gutter. NO
REMOVAL OR DISPOSAL
$ 32.00
$
Curb and Gutter INCLUDING REMOVAL
AND DISPOSAL Per Linear Foot
28
0 -100 linear feet of 6" curb and 18" gutter. INCLUDING
REMOVAL AND DISPOSAL
$ 39.50
$ 3.00
29
101- 500 linear feet of 6" curb and 18" gutter.
INCLUDING REMOVAL AND DISPOSAL
$ 38.50
$ 3.00
30
501-1,000 linear feet of 6" curb and 18" gutter.
INCLUDING REMOVAL AND DISPOSAL
$ 36.50
$
31
1,001-1,500 linear feet of 6" curb and 18" gutter.
INCLUDING REMOVAL AND DISPOSAL
$ 36.50
$
32
1,501- 3,000 linear feet of 6" curb and 18" gutter.
INCLUDING REMOVAL AND DISPOSAL
$ 35.00
$
33
3,001 and Up linear feet of 6" curb and 18" gutter.
INCLUDING REMOVAL AND DISPOSAL
$ 35.00
$
Construct Barrier -Free Curb Ram
34
Construct Barrier -Free Curb Ramp per Scope of Services
$ 2,450.00
$
French Drain Installation Includes all
Required Services Per Linear Foot
35
Four Inch (4") French Drain Installation
$ 25.00
$
36
Six Inch (6") French Drain Installation
$ 30.00
$
37
Eight Inch (8") French Drain Installation
$ 35.00
$
Unclassified Excavation and Disposal Per
Cubic Yard
38
Unclassified Excavation and Disposal Per Scope of
Services
$ 40.00
$
Manhole Ring and Lid Adjustment - Labor
Only Per Hour
39
Manhole Ring and Lid Adjustment Per Scope of Services
$ 150.00
$
Water Valve Adjustment Labor Only Per
Hour
40
Water Valve Adjustment Per Scope of Services
$ 150.00
$
Install, Remove and/or Replace Headwalls
Per Each
41
Remove and Replace Headwalls per Scope of Services
$ 3,600.00
$
0-36" each
42
Construct New Headwall, Per Each
$ 3,600.00
$
0-36" each
Install, Remove and/or Reset 12" to 36"
Reinforced Concrete Pipe (RCP) all inclusive
Per Linear Foot
43
Remove and Reset Reinforced Concrete Pipe (RCP) per
Scope of Services
$ 75.00
$
44
Install New 12" to 36" Reinforced Concrete Pipe (RCP) all
inclusive Per Linear Foot
$ 150.00
$
Rough and Finish Grading including Labor
and Equipment Required (Material not
included) Per Square Foot
45
Rough and Finish Grading per Scope of Services
$ 1.10
$
General Laborer Services including Required
Equipment Per Man, Per Hour
46
General Laborer Services per Scope of Services
$ 135.00
$
Equipment + 2 Men
Install 4"-6" Rip -Rap including all required
Material, Labor, Equipment Per Square Foot
47
Rip -Rap Installation per Scope of Services
$ 5.75
$
Exposed Aggregate Finish Per Square Foot
48
Exposed Aggregate Finish 1 to 500 SF per Scope of
Services
$ 11.50
$
49
Exposed Aggregate Finish 501 and up SF per Scope of
Services
$ 10.50
$
Colored Concrete Per Square Foot
50
Colored Concrete 1 to 500 SF per Scope of Services
$ 11.50
$
51
Colored Concrete 501 and up SF per Scope of Services
$ 10.50
$
Installation of Brick Pavers and Truncated
Domes - Labor Only Per Square Foot
52
Brick Paver and Truncated Domes Installation per Scope
of Services
$ 6.85
$
Stamped Concrete, Per Square Foot
53
Stamped Concrete Per Scope of Services
$ 14.50
$
Erosion Control Measures
54
Rock Filter Dam, Per Scope of Services, Per Cubic Yard
$ 32.00
$
55
Temporary Sediment Control Fence, Per Scope of
Services, Per Linear Foot
$ 2.10
$
56
Curb Inlet Protection, Per Scope of Services, Per Linear
Foot
$ 10.00
$
Flowable Backfill, Per Cubic Yard
57
Flowable Backfill, Per Scope of Services, Per Cubic Yard
$ 175.00
Embankment Per Scope of Services, Per
Cubic Yard
$
58
Embankment per Scope of Services Per Cubic Yard
$ 46.00
$
Handrail Removal and Reinstallation
Services Per Linear Foot
59
Handrail Removal and Reinstallation Services Per Scope
of Services Per TxDOT Type PRl Specifications
$ 56.00
$
60
Handrail Removal and Reinstallation Services Per Scope
of Services Per AC1318-06 Specification
$ 85.00
$
New Handrail Installation Services Per
Linear Foot
61
New Handrail Installation Services Per Scope of Services
Per TxDOT PR1 Specification
$ 350.00
$
Decorative
62
New Handrail Installation Services Per Scope of Services
Per Decorative Handrail AC1381-06 Specification
$ 350.00
$
Galvanizad
Fence Removal and Reinstallation Services
Per Scope of Services, Per Linear Foot
63
Chain Link Fence
$ 42.00
$
8' hi h
64
Wooden Fence
$ 68.00
$
6' Cedar
65
Wrought Iron Fence
$ 84.00
$
5'
66
Barbed Wire Fence
$ 55.00
$
5 Strand
67
Vinyl Fence
$ 62.00
$
6'
68
Metal Pipe Fence
$ 75.00
$
Paint not included
69
Brick Fence
$ 150.00
$
6'
Install F1exBase including all required
Material, Labor, Equipment Per Square Yard
70
Install F1exBase Per Scope of Services
$ 22.50
$
6" thick
Install Top Soil including all required
Material, Labor, Equipment Per Square Yard
71
Install Top Soil per Scope of Services
$ 27.00
S
6" thick
Additional Vendor Charges Not Listed.
Please Describe.
72
Additional Vendor Fee Not Specifically Listed
$ -
S
73
Additional Vendor Fee Not Specifically Listed
$ -
S
74
Additional Vendor Fee Not Specifically Listed
$ -
S
75
Additional Vendor Fee Not Specifically Listed
$ -
S
TOTAL ONE SERVICE ALL ITEMS
$ 13,360.24
$ 42.00
First Year Escalation Percentage
4 %
4.00%
Second Year Escalation Percentage
4 %
4.00%
Third Year Escalation Percentage
4 %
4.00%
Fourth Year Escalation Percentage
4%
4.00%
First Year Renewal
$ 13,894.65
$ 43.68
Second Year Renewal
$ 14,450.44
$ 45.43
Third Year Renewal
$ 15,028.45
$ 47.24
Fourth Year Renewal
$ 15,629.59
$ 49.13
Total:
$ 72,363.37
$ 227.49
NOTE TO PURCHASING MANAGER: $72,590.86 Total 1 Each
Request award to Apex Concrete Construction Inc. for the following reason(s):
Low Bid
Delivery Time _X_ Other _BEST VALUE_
Attachment B
Apex Concrete Construction Inc.
1080 Katy Road
Keller, Texas 76244
Attn: Mr. Danny Porter
Subject: Contract Award Notification for Concrete Services RFP2201B380AB220002
Dear Mr. Porter:
The City of Southlake is pleased to inform you that Apex Concrete Construction Inc., of Keller, Texas is the awarded
vendor for "Concrete Services RFP2201B380AB220002" The award and this agreement are based on your proposal to
the City, copy enclosed. This is a single vendor award contract. Your company's award is attached. This award was
approved by the City of Southlake City Council on
The terms and conditions proposed and accepted in this agreement are as follows:
Payment Terms: Net 30 days (Unless otherwise noted — such as pre- and/or partial payment)
Estimated Quantities: The City does not guarantee to purchase any minimum or maximum quantity but does
contemplate purchasing the awarded items exclusively during the term of the contract from the
successful vendors.
Method of Payment: Shall be made by City procurement card or purchase order
Delivery Terms: FOB Destination
Delivery Locations: Vendor Delivery or City employee pick-up.
Term of Contract: The term of awarded contract shall remain in effect for twelve months from date of award and
is eligible for up to four (4) one (1) year annual renewals
City Contact: Anthony Blain 817-748-8604
Send all billing to: City of Southlake
accountspayable&ci.southlake.tx.us (preferred) or
1400 Main Street, Suite 420, Accounts Payable, Southlake, TX 76092
Other Charges: The City of Southlake is a tax-exempt municipal corporation and is exempt from all federal,
state, and local sales taxes.
All other specifications, terms and conditions shall be as provided in the original procurement documents. No other
attachments to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager
or an authorized representative of the City of Southlake.
Thank you for participating in our procurement process. Please call 817-748-8312 with any questions.
Sincerely,
Tim Slifka, CPPO, CPPB
Purchasing Manager
City of Southlake
1400 Main Street, Suite 420
Southlake, Texas 76092
tslifka(& ci. southlake.tx.us
Contract and Award Accepted:
Signed:
Mayor John Huffman
City of Southlake
Date:
Attest:
Amy Shelley, TRMC
City Secretary
Approved as to Form and Legality:
City Attorney
Primary Responses
Success: All data is valid!
Numeric
:,.Quantity
ELRequired
Per Iterr
escripJi
Normal Wi
Flatwork to Perform all Concrete work
NO REMOVAL OR DISPOSAL Per Square Foot
Success: All values provided Bid #1-1
4" Thick (1-500 SF) (Flatwork to perform all 1
$ 8.00
concrete work / NO REMOVAL OR DISPOSAL
Success: All values provided Bid #1-2
6" Thick (1-500 SF) (Flatwork to perform all 1
$ 10.00
concrete work / NO REMOVAL OR DISPOSAL
Success: All values provided Bid #1-3
8" Thick (1-500 SF) (Flatwork to perform all 1
$ 10.50
concrete work / NO REMOVAL OR DISPOSAL
Success: All values provided Bid #1-4 4" Thick (500 and up SF) (Flatwork to perform all 1
concrete work / NO REMOVAL OR DISPOSAL
Success: All values provided Bid #1-5 6" Thick (500 and up SF) (Flatwork to perform all 1
concrete work / NO REMOVAL OR DISPOSAL
Success: All values provided Bid #1-6 8" Thick (500 and up SF) (Flatwork to perform all 1
concrete work / NO REMOVAL OR DISPOSAL
$ 7.50
$ 9.50
$ 2.50 per square foot $ 10.50
$ 2.50 per square foot $ 12.50
$ 2.50 per square foot $ 13.00
$ 2.50 per square foot $ 10.00
$ 2.50 per square foot $ 12.00
$ 10.25 $ 2.50 per square foot $ 12.75
Flatwork to Perform all Concrete Work INCLUDING REMOVAL AND DISPOSAL Per Square Foot
4" Thick (1-500 SF) (Flatwork to perform all
Success: All values provided #2-1 concrete work / INCLUDING REMOVAL AND 1 $ 10.20 I $ 2.50 per square foot $ 12.70
DISPOSAL
6" Thick (1-500 SF) (Flatwork to perform all
Success: All values provided Bid #2-2 concrete work / INCLUDING REMOVAL AND 1 $ 12.96 $ 2.50 per square foot $ 15.46
DISPOSAL
8" Thick (1-500 SF) (Flatwork to perform all
Success: All values provided Bid #2-3 concrete work / INCLUDING REMOVAL AND 1 $ 14.75 $ 2.50 per square foot $ 17.25
DISPOSAL
4" Thick (500 and up SF) (Flatwork to perform all
Success: All values provided Bid #24 concrete work / INCLUDING REMOVAL AND 1 $ 10.20 $ 2.50 per square foot $ 12.70
DISPOSAL
6" Thick (500 and up SF) (Flatwork to perform all
Success: All values provided Bid #2-5 concrete work / INCLUDING REMOVAL AND 1 $ 12.50 $ 2.50 per square foot $ 15.00
DISPOSAL
8" Thick (500 and up SF) (Flatwork to perform all
Success: All values provided Bid #2-6 concrete work / INCLUDING REMOVAL AND 1 $ 14.08 $ 2.50 per square foot $ 16.58
DISPOSAL
Retaining Wall - Perform all Concrete Work Per Linear Foot
Success: All values provided
Bid
#3-1
6" thick, Vertical Retaining Wall (to Perform all 1
$ 32.00
$ 0.00
NA
$ 32.00
concrete work) For projects of 1-2' High Wall
Success: All values provided
Bid
#3-2
6" thick, Vertical Retaining Wall (to Perform all 1
$ 40.00
$ 0.00
NA
$ 40.00
concrete work) For projects of 2-3' High Wall
Success: All values provided
Bid
#3-3
6" thick, Vertical Retaining Wall (to Perform all 1
$ 110.00
$ 0.00
NA
$ 110.00
concrete work) For projects of 3-4' High Wall
Success: All values provided
Bid
#34
8" thick, Vertical Retaining Wall (to Perform all 1
$ 32.00
$ 0.00
NA
$ 32.00
concrete work) For projects of 1-2' High Wall
Success: All values provided
Bid
#3-5
8" thick, Vertical Retaining Wall (to Perform all 1
$ 45.00
$ 0.00
NA
$ 45.00
concrete work) For projects of 2-3' High Wall
Success: All values provided
Bid
#3-6
8" thick, Vertical Retaining Wall (to Perform all
1
$ 125.00
$ o.00
NA
$ 125.00
concrete work) For projects of 3-4' High Wall
Success: All values provided
Bid
#3-7
1' thick, Vertical Retaining Wall (to Perform all 1
$ 42.00
$ 0.00
NA
$ 42.00
concrete work) For projects of 1-2' High Wall
Success: All values provided
Bid
#3-8
1' thick, Vertical Retaining Wall (to Perform all 1
concrete work) For projects of 2-3' High Wall
Success: All values provided
Bid
#3-9
1' thick, Vertical Retaining Wall (to Perform all 1
concrete work)For projects of 34' High Wall
Curb and Gutter NO REMOVAL
OR DISPOSAL
Per Linear Foot
Success: All values provided
Bid
#4-1
0 - 100 linear feet of 6" curb and 18" gutter. NO 1
REMOVAL OR DISPOSAL
Success: All values provided
Bid
#4-2
101 - 500 linear feet of 6" curb and 18" gutter. NO 1
REMOVAL OR DISPOSAL
Success: All values provided
Bid
#4-3
501 - 1,000 linear feet of 6" curb and 18" gutter. 1
NO REMOVAL OR DISPOSAL
Success: All values provided
Bid
#4-4
1,001 - 1,500 linear feet of 6" curb and 18" gutter. 1
NO REMOVAL OR DISPOSAL
Success: All values provided
Bid
#4-5
1,001 - 1,500 linear feet of 6" curb and 18" gutter. 1
NO REMOVAL OR DISPOSAL
Success: All values provided
Bid
#4-6
3,001 and Up linear feet of 6" curb and 18" gutter. 1
NO REMOVAL OR DISPOSAL
Curb and Gutter INCLUDING
REMOVAL AND DISPOSAL Per Linear Foot
Success: All values provided
Bid
#5-1
0 - 100 linear feet of 6" curb and 18" gutter. 1
INCLUDING REMOVAL AND DISPOSAL
Success: All values provided
Bid
#5-2
101 - 500 linear feet of 6" curb and 18" gutter. 1
INCLUDING REMOVAL AND DISPOSAL
Success: All values provided
Bid
#5-3
501 - 1,000 linear feet of 6" curb and 18" gutter. 1
INCLUDING REMOVAL AND DISPOSAL
Success: All values provided
Bid
#5-4
1,001 - 1,500 linear feet of 6" curb and 18" gutter. 1
INCLUDING REMOVAL AND DISPOSAL
Success: All values provided
Bid
#5-5
1,501 - 3,000 linear feet of 6" curb and 18" gutter. 1
INCLUDING REMOVAL AND DISPOSAL
Success: All values provided
Bid
#5-6
3,001 and Up linear feet of 6" curb and 18" gutter. 1
INCLUDING REMOVAL AND DISPOSAL
Construct Barrier -Free Curb Ramp
Success: All values provided Bid #6-1 Construct Barrier -Free Curb Ramp per Scope of 1
Services
French Drain Installation Includes all Required Services Per Linear Foot
Success: All values provided Bid #7-1 Four Inch (4") French Drain Installation 1
Success: All values provided Bid #7-2 Six Inch (6") French Drain Installation 1
Success: All values provided Bid #7-3 Eight Inch (8") French Drain Installation 1
Unclassified Excavation and Disposal Per Cubic Yard
Success: All values provided Bid #8-1 Unclassified Excavation and Disposal Per Scope 1
of Services
Manhole Ring and Lid Adjustment - Labor Only Per Hour
Success: All values provided Bid #9.1 Manhole Ring and Lid Adjustment Per Scope of 1
Services
Water Valve Adjustment Labor Only Per Hour
Success: All values provided Bid #10-1 Water Valve Adjustment Per Scope of Services 1
$ 45.00 $ 0.00 NA $ 45.00
$ 135.00
$ 0.00
NA
$ 135.00
$ 36.00
$ 3.00
per linear foot
$ 39.00
$ 35.00
$ 32.00
$ 32.00
$ 32.00
$ 32.00
$ 39.50
$ 38.50
$ 36.50
$ 36.50
$ 35.00
$ 35.00
$ 2,450.00
$ 3.00 per linear foot $ 38.00
$ 0.00 per linear foot $ 32.00
$ 0.00 per linear foot $ 32.00
$ 0.00 per linear foot $ 32.00
$ 0.00 per linear foot $ 32.00
$ 3.00 per linear foot $ 42.50
$ 3.00 per linear foot $ 41.50
$ 0.00 per linear foot $ 36.50
$ 0.00 per linear foot $ 36.50
$ 0.00 per linear foot $ 35.00
$ 0.00 per linear foot $ 35.00
$ 0.00 each $ 2,450.00 1
$ 25.00
$ 0.00
per linear foot
$ 25.00
$ 30.00
$ 0.00
per linear foot
$ 30.00
$ 35.00
$ 0.00
per linear foot
$ 35.00
$ 40.00
$ 0.00
per cubic yard
$ 40.00
$ 150.00
$ 0.00
each
$ 150.00
$ 150.00 $ 0.00 each $ 150.00
Install, Remove and/or Replace Headwalls Per Each
Success: All values provided Bid
#11-1
Remove and Replace Headwalls per Scope of 1 $ 3,600.00
$ 0.00
0-36" each
$ 3,600.00
Services
Success: All values provided Bid
#11-2
Construct New Headwall, Per Each 1 $ 3,600.00
$ 0.00
0-36" each
$ 3,600.00
Install, Remove and/or Reset 12"
to 36"
Reinforced Concrete Pipe (RCP) all inclusive Per Linear Foot
Success: All values provided Bid
#12-1
Remove and Reset Reinforced Concrete Pipe
1 $ 75.00
$ 0.00
per linear foot
$ 75.00
(RCP) per Scope of Services
Success: All values provided Bid
#12-2
Install New 12" to 36" Reinforced Concrete Pipe
1 $ 150.00
$ 0.00
per linear foot
$ 150.00
(RCP) all inclusive Per Linear Foot
Rough and Finish Grading including Labor and Equipment Required (Material not included) Per Square Foot
Success: All values provided Bid
#13-1
Rough and Finish Grading per Scope of Services 1 $ 1.10
$ 0.00
per square foot
$ 1.10
General Laborer Services including Required Equipment Per Man, Per Hour
Success: All values provided Bid #14-1 General Laborer Services per Scope of Services 1 $ 135.00 $ 0.00
Install 4"-6" Rip -Rap including all required Material, Labor, Equipment Per Square Foot
Success: All values provided Bid #15-1 Rip -Rap Installation per Scope of Services 1 $ 5.75 $ 0.00
Exposed Aggregate Finish Per Square Foot
Success: All values provided Bid #16-1 Exposed Aggregate Finish 1 to 500 SF per Scope 1
of Services
Success: All values provided Bid #16-2 Exposed Aggregate Finish 501 and up SF per 1
Scope of Services
Colored Concrete Per Square Foot
Success: All values provided Bid #17-1 Colored Concrete 1 to 500 SF per Scope of 1
Services
Success: All values provided Bid #17-2 Colored Concrete 501 and up SF per Scope of 1
Services
Installation of Brick Pavers and Truncated Domes - Labor Only Per Square Foot
Success: All values provided Bid #18-1 Brick Paver and Truncated Domes Installation per 1
Scope of Services
Stamped Concrete, Per Square Foot
Success: All values provided Bid #19-1 Stamped Concrete Per Scope of Services 1
Erosion Control Measures
Success: All values provided Bid #20-1 Rock Filter Dam, Per Scope of Services, Per 1
Cubic Yard
Success: All values provided Bid #20-2 Temporary Sediment Control Fence, Per Scope of 1
Services, Per Linear Foot
Success: All values provided I Bid #20-3 Curb Inlet Protection, Per Scope of Services, Per 1
Linear Foot
Flowable Backfill, Per Cubic Yard
Success: All values provided Bid #21-1 Flowable Backfill, Per Scope of Services, Per 1
Cubic Yard
Equip + 2 men $ 135.00
NA $ 5.75
$ 11.50 $ 0.00 per square foot $ 11.50
$ 10.50 $ 0.00 per square foot $ 10.50
$ 11.50 $ 0.00 per square foot $ 11.50
$ 10.50 $ 0.00 per square foot $ 10.50
$ 6.85 $ 0.00 per square foot $ 6.85
$ 14.50 $ 0.00 per square foot $ 14.50
$ 32.00 $ 0.00 per cubic yard $ 32.00
$ 2.10 $ 0.00 per linear foot $ 2.10
$ 10.00 $ 0.00 per linear foot $ 10.00
$ 175.00 $ 0.00 NA $ 175.00
Embankment Per Scope of Services, Per Cubic Yard
Embankment per Scope of Services Per Cubic
Success: All values provided Bid #22-1 Yard 1 $ 46.00 $ 0.00 per cubic yard $ 46.00
Handrail Removal and Reinstallation Services Per Linear Foot
Handrail Removal and Reinstallation Services Per
Success: All values provided Bid #23-1 Scope of Services Per TxDOT Type PR1 1 $ 56.00 $ 0.00 NA $ 56.00
Specifications
Success: All values provided Bid #23-2 Handrail Removal and Reinstallation Services Per 1 $ 85.00 $ 0.00 NA $ 85.00
Scope of Services Per ACI318-06 Specification
New Handrail Installation Services Per Linear Foot
Success: All values provided
Bid
#24-1
New Handrail Installation Services Per Scope of
1
$ 350.00
$ 0.00
Decorative
$ 350.00
Services Per TxDOT PR1 Specification
New Handrail Installation Services Per Scope of
Success: All values provided
Bid
#24-2
Services Per Decorative Handrail ACI381-06 1
$ 350.00
$ 0.00
Galvanized
$ 350.00
Specification
Fence Removal and Reinstallation Services Per Scope of Services, Per Linear Foot
Success: All values provided
Bid
#25-1
Chain Link Fence 1
$ 42.00
$ 0.00
8' High
$ 42.00
Success: All values provided
Bid
#25-2
Wooden Fence 1
$ 68.00
$ 0.00
6' Cedar
$ 68.00
Success: All values provided
Bid
#25-3
Wrought Iron Fence 1
$ 84.00
$ 0.00
5'
$ 84.00
Success: All values provided
Bid
#25-4
Barbed Wire Fence 1
$ 55.00
$ 0.00
5 Strand
$ 55.00
Success: All values provided
Bid
#25-5
Vinyl Fence 1
$ 62.00
$ 0.00
6'
$ 62.00
Success: All values provided
Bid
#25-6
Metal Pipe Fence 1
$ 75.00
$ 0.00
paint not included
$ 75.00
Success: All values provided
Bid
#25-7
Brick Fence 1
$ 150.00
$ 0.00
6'
$ 150.00
Install FlexBase including all required
Material, Labor, Equipment Per Square Yard
Success: All values provided
Bid
#26-1
Install FlexBase Per Scope of Services 1
$ 22.50
$ 0.00
6" Thick
$ 22.50
Install Top Soil including
all required Material, Labor, Equipment Per Square Yard
Success: All values provided
Bid
#27-1
Install Top Soil per Scope of Services 1
$ 27.00
$ 0.00
6" Thick
$ 27.00
Additional Vendor Charges Not
Listed.
Please Describe.
Not Bidding
No Bid
#28-1
Additional Vendor Fee Not Specifically Listed 1
-
Not Bidding
No Bid
#28-2
Additional Vendor Fee Not Specifically Listed 1
Not Bidding
No Bid
#28-3
Additional Vendor Fee Not Specifically Listed 1
Not Bidding
No Bid
#28-4
Additional Vendor Fee Not Specifically Listed 1
Appendix B — Proposal
Submittal Checklist: (To determine validity of proposal)
+,/ Appendix B (pages _35 through _"_) must be included in the proposal submittal
Appendix C Conflict of Interest Form (page _44, must be included in the proposal submittal.
Form 1295 Certificate of Interested Party must be included in the proposal submittal. See page 2.
J�13B 89, SB 252, SB 13, and SB 19. See Page _41_.
RFP Number: RFP2201B380AB220002
Project Title:
Concrete Services
Submittal
3:00 P.M. (CST), Friday May 20, 2022
Deadline.
Submit Electronically* to: https://southlake.bonfirehub.com/login
* Requires email account login and password.
Proposer Information:
Proposer's Legal Name:
Oi7—'r `p C ,
Address:
C QAA
City, State & Zip
Federal Employers
Identification Number #e
Phone Number:
Fax Number:
-'
E-Mail Address:
(� I DvJ pi & ` M
Proposer Authorization
I, the undersigned, have the authority to execute this Proposal in its entirety as submitted and enter into a contract
on behalf of the Proposer.
Printed Name and Position of Authorized Repr v
Signature of Authorized Representative:
Signed this ��(day) of (month)& 2-2(year)
City of Southlake - RFP220111380A13220002 - Page 35 of 45
Appendix B — Proposal (continued)
I. REQUIRED PROPOSAL INFORMATION. IN ORDER FOR A PROPOSAL TO BE
CONSIDERED COMPLETE, AND TO BE EVALUATED FOR A CONTRACT AWARD BY THE
CITY, PROPOSER MUST SUBMIT ALL OF THE FOLLOWING INFORMATION:
1. Proposed Products and/or Services
A. Product or Service Description: Proposers should utilize this section to describe the technical
aspects, capabilities, features and options of the product and/or service proposed in accordance with
the required Scope of Services as identified in Appendix A. Promotional literature, brochures, or
other technical information may be used.
F1
3.
B. Additional Hardware Descriptions: Proposers should also include in this section a detailed
description of what additional hardware and/or software, if any, would be required by the City in
order to fully utilize the goods and/or services proposed.
C. Guarantees and Warranties: Each Proposer shall submit a complete copy of any warranties or
guarantees provided by the manufacturer or Proposer with the Proposal submitted.
D. Project Schedule/DelivM 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.
Cost of Proposed Products and/or Services
A. Pricing: Pricing shall reflect the full Scope of Services defined herein, inclusive of all associated
cost for delivery, labor, insurance, taxes, overhead, and profit.
B. Schedule of Pricing: Proposer shall quote unit pricing in accordance with the itemized listing of
products or contract segments stated in the Scope of Services and using the following format:
For this procurement the schedule of pricing is not available in hardcopy. You may access it via the
online portal (https://southlake.bonfirehub.com/login). To submit your schedule of pricing, please
download the Bid Table and fill it in accordingly per the sample below.
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For instructions on how to complete Bid Tables, please refer to this article on Bonfire's Support
Website. Please note: even if you do not have additional responses, you must download and re -
upload the blank document. This is to confirm that you do not require any additional costs. If you
have any additional items, please fill out the Additional Responses template accordingly.
Term of Contract and Option to Extend
Any contract resulting from this RFP shall be effective for twelve months from date of award. The
City anticipates that contract shall be renewed pursuant to the availability of funds and at the discretion
of the City. The following clauses shall be included in the contract:
City of Southlake - RFP2201B380AB220002 - Page 36 of 45
4.
A. Option Clause: It is agreed that City will have the option to extend the contract for up to four (4)
additional years, in one-year intervals. To exercise this option, the City shall serve notice 30 days
prior to contract termination or to the end of any one-year extension. The Option to Extend will not
be considered if funding is unavailable or if the contractor's past performance is not within the
industry standard.
B. Escalation Clause: Should market conditions prevail which dictate an increase, the successful
contractor may submit documentation requesting permission to increase pricing no later than 30 days
after receiving notice from the City of its intent to extend the agreement. Escalation may only occur
at the time of renewal and only upon securing the approval of the City in writing. Requests for price
adjustments must be solely for the purpose of accommodating an increase in the contractor's cost,
not profits.
Vendors shall show in this quote their anticipated percent of escalation if/when the option to extend
is exercised. The percent quoted will be a maximum. In addition, the percentage proposed will be
a factor in determining the best value to the City. It is the average price over the period of the
contract that 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.
First Additional Year Escalation Percentage ............................................. 4 %
Second Additional Year Escalation Percentage ............................................. 4 %
Third Additional Year Escalation Percentage ................................................. 4 %
Fourth Additional Year Escalation Percentage 4 o
Proposer's Experience / Staff
A. Project Team: Identify all members of the Proposer's team (including both team members and
management) who will be providing any services proposed and include information which details
their experience.
B. Removal or Replacement of Staff: If an assigned staff person must be removed or replaced for any
reason, the replacement person must be approved by City prior to joining the project.
C. Business Establishment: State the number of years the Proposer's business has been established and
operating. If Proposer's business has changed names or if the principals operating the business
operate any similar businesses under different names, or have operated any other businesses or
changed the legal status or form of the business within the last five (5) years, all names, of
predecessor business names, affiliated entities, and previous business entities operated by the
principals, if different than present, must be provided;
State the number of years' experience the business has: and the number of employees:
D. Project Related Experience: All Proposals must include detailed information that details the
Proposer's experience and expertise in providing the requested services that demonstrates the
Proposer's ability to logically plan and complete the requested project.
City of Southlake - RFP2201B380AB220002 - Page 37 of 45
5. References
Proposer shall provide four (4) references where Proposer has performed similar to or the same types of
services as described herein.
Reference #l:
Client / Company Name: --
- - ' l n'L9 1�ud
Contact Name:
Contact Title:
Phone: _ n
`
Email:
Q c k-. 4-Dky
Date and Scope of Work Provided: �I low zrz- — 14ot9n,c�
- UE
Reference #2:
Client / Company Name:
'0 F-
'R c-kIA4-.;J
Contact Name:
Contact Title:
Phone: -7 _ �,2-?
Email: 1Qve
t�
Date and Scope of Work Provided:
IJ
Reference #3:
Client / Company Name:
T
Contact Name:
Contact Title:
f
Phone:
_
Email:�
Date and Scope of Work Provided:
pA,wl,— -
-6L�-�-
e-+
Reference #4:
Client / Company Name:
Contact Name:
N� &Ai- (A —
Contact Title:
U-) -'
Phone: ` � i� _ ct,
Email:
Date and Scope of Work Provided:
t 1
Y— ' Co, -,-
City of Southlake - RFP2201B380AB220002 - Page 38 of 45
6. Trade Secrets and/or Confidential Information
Trade Secrets and/or Confidential Information: This proposal _ (does) (does not) contain trade
secrets and/or confidential information. If applicable, describe such trade secrets and confidential
information, and the basis for your assertion that such material qualifies for legal protection from
disclosure.
7. Federal, State and/or Local Identification Information
A. Centralized Master Bidders List registration number:
B. Prime contractor HUB / MWBE registration number:
C. An individual Proposer acting as a sole proprietor must also enter the Proposer's Social Security
Number: # - -
8. Emergency Business Services Contact Notice
During a natural disaster, or homeland security event, there may be a need for the City of Southlake to
access your business for products or services after normal business hours and/or holidays. The City may
request City employee pick up or vendor delivery of product or services.
For this purpose, a primary and secondary emergency contact name and phone number are required. It
is critical the vendor's emergency contact information remains current. City shall be contacted by E-
mail with any change to a contact name or phone number of these emergency contacts. Updates may be
emailed to vendors ,ci.southlake.tx.us.
All products or services requested during an emergency event are to be supplied as per the established
contract prices, terms and conditions. The vendor shall provide the fee (pricing) for an after-hours
emergency opening of the business, if any. In general, orders will be placed using a City of Southlake
procurement card (Master Card) or City issued Purchase Order. The billing is to include the emergency
opening fee, if applicable.
The contractor shall provide the names, phone numbers and fee (pricing), if any, for an after-hours
emergency opening of the business listed below.
Business Name: L �!' IF'Eve
Contract #: B 1:9 D jQ a
Description: CD -!S IEPIN l C-e -s
Primary Contact (Name): M 06J k 1 r 7RR_r�- 2_
Primary Contact Phone Numbers: Home: t gj-1-454-199 S Cell: �I�-�►�/� �
Secondary Contact (Name): Rp R C [ZT !!i L,A N i' Ij A
Secondary Contact Phone Numbers: Home: :5h --4 t74-191U Cell: PrAA r-
After Hours emergency opening fee, if applicable: $ /0 D /1i L
City of Southlake - RFP2201B380AB220002 - Page 39 of 45
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 RFP from the successful Proposer. 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 Proposer and be responsible for
ensuring full compliance with the RFP specifications. Prior to other governmental entities placing orders,
the City will notify the successful Proposer of their intent.
Please indicate below if you will permit other governmental entities to purchase from your agreement
with the City.
[>Yes, Others can purchase [ ] No, Only the City can purchase
II. CONTRACT TERMS AND CONDITIONS. EXCEPT WHERE PROPOSER MAKES SPECIFIC
EXCEPTION IN THE SUBMITTED PROPOSAL, ANY CONTRACT RESULTING FROM THIS
RFP WILL CONTAIN THE FOLLOWING TERMS AND CONDITIONS, WHICH PROPOSER
HEREBY 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. Warrant( 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 Southlake - RFP2201B380AB220002 - Page 40 of 45
C. Liens: Proposer shall indemnify and save harmless the City against any and all liens and
encumbrances for all labor, goods, and services which may be provided to the City by Proposer or
Proposer's vendor(s), and if the City requests, a proper release of all liens or satisfactory evidence
of freedom from liens shall be delivered to the City.
D. Gratuities / Bribes: Proposer certifies that no bribes in the form of entertainment, gifts, or otherwise,
were offered or given by the successful Proposer, or its agent or representative, to any City officer,
employee or elected representative, with respect to this RFP or any contract with the City, and that
if any such bribe is found to have been made this shall be grounds for voiding of the contract
E. Financial Participation: Proposer certifies that it has not received compensation from the City to
participate in preparing the specifications or RFP on which the Proposal is based and acknowledges
that this contract may be terminated and/or payment withheld if this certification is inaccurate.
F. Required Licenses: Proposer certifies that he holds all licenses required by the State of Texas for a
provider of the goods and/or services described by the Scope of Services herein.
G. Authority to Submit Proposal and Enter Contract: The person signing on behalf of Proposer certifies
that the signer has authority to submit the Proposal on behalf of the Proposer and to bind the Proposer
to any resulting contract.
H. Compliance with Applicable Law: Proposer agrees that the contract will be subject to, and Proposer
will strictly comply with, all applicable federal, state, and local laws, ordinances, rules, and
regulations.
I. Compliance with HB 89: Proposer agrees per HB 89 vendor shall not boycott Israel at any time while
providing roducts or services to the City of Southlake.
Yes, we agree [ ] No, we do not agree [ ] N/A
J. Compliance with SB 252: Proposer agrees per SB 252 vendor shall not do business with Iran,
Sudan or a foreign terrorist organization while providing products or services to the City of
Southlake.
Kyes, we agree [ ] No, we do not agree
K. Compliance with SB 13: Proposer agrees per SB 13 vendor does not boycott energy companies as
those terms are defined in the Texas Government Code § 809.001, and will not boycott energy
companies during the term of any contract with the City of Southlake.
Yes, we agree [ ] No, we do not agree
L. Compliance with SB 19: Proposer agrees per SB 19 vendor does not have a practice, policy,
guidance, or directive that discriminates against a firearm entity or firearm trade association as those
terms are defined in the Texas Government Code § 2274.001, and that vendor will not so
discriminate during the term of any contract with the City of Southlake.
MI'Ves, we agree [ ] No, we do not agree
3. Financial Responsibility Provisions
A. Insurance: The Proposer, consistent with its status as an independent contractor, shall carry, and shall
require any of its subcontractors to carry, at least the following insurance in such form, with such
companies, and in such amounts (unless otherwise specified) as City may require:
i. Worker's Compensation and Employer's Liability insurance, including All States
Endorsement, to the extent required by federal law and complying with the laws of the State
of Texas;
City of Southlake - RFP220113380AB220002 - Page 41 of 45
ii. Commercial General Liability insurance, including Blanket Contractual Liability, Broad
Form Property Damage, Personal Injury, Completed Operations/Products Liability,
Premises Liability, Medical Payments, Interest of Employees as additional insureds, and
Broad Form General Liability Endorsements, for at least One Million Dollars ($1,000,000)
Combined Single Limit Bodily Injury and Property Damage on an occurrence basis;
iii. Comprehensive Automobile Liability insurance covering all owned, non -owned or hired
automobiles to be used by the Contractor, with coverage for at least One Million Dollars
($1,000,000) Combined Single Limit Bodily Injury and Property Damage.
B. Indemnification: Proposer agrees to defend, indemnify and hold harmless the City, all of its
officers, Council members, agents and employees from and against all claims, actions, suits,
demands, proceedings, costs, damages and liabilities, including reasonable attorneys' fees,
court costs and related expenses, arising out of, connected with, or resulting from any acts or
omissions of Proposer or any agent, employee, subcontractor, or supplier of Proposer in the
execution or performance of this contract without regard to whether such persons are under
the direction of City agents or employees.
City of Southlake - RFP2201B380AB220002 - Page 42 of 45
Appendix C — Form CIQ
INFORMATION RVGAgDJNG VENDOR CONFLICT ICT OF INTEREST ST OUESTIONN m r
WHO: The following persons must file a Conflict of Interest Questionnaire with the City if the person has an
employment or business relationship with an officer of the City that results in taxable income exceeding $2,500
during the preceding twelve — month period, or an officer or a member of the officer's family has accepted gifts with
an aggregate value of more than $250 during the previous twelve — month period and the person engages
in any of the following actions:
1. contracts or seeks to contract for the sale or purchase of property, goods or services with the City,
including any of the following:
a. written and implied contracts, utility purchases, purchase orders, credit card purchases and any
purchase of goods and services by the City;
b. contracts for the purchase or sale of real property, personal property including an auction of
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 413 development corporations; and
6. Directors of the City of Southlake who have authority to sign contracts on behalf of the City.
EXCLUSIONS: A questionnaire statement need not be filed if the money paid to a local government official was a
political contribution, a gift to a member of the officer's family from a family member; a contract or purchase of less
than $2,500 or a transaction at a price and subject to 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.us and a copy of which is
attached to this guideline. The form contains mandatory disclosures regarding "employment or business
relationships" with a municipal officer. Officials may be asked to clarify or interpret various portions of the
questionnaire.
WHEN: The person or business must file:
1. the questionnaire —no later than seven days after the date the person or business begins contract discussions
or negotiations with the municipality, or submits an application, responds to a request for proposals or bids,
correspondence, or other writing related to a potential contract or agreement with the City; and
2. an updated questionnaire — within seven days after the date of an event that would make a filed
questionnaire incomplete or inaccurate.
It does not matter if the submittal of a bid or proposal results in a contract. The statute requires a vendor to file
a FORM CIQ at the time a proposal is submitted or negotiations commence.
WHERE: The vendor or potential vendor must mail or deliver a completed questionnaire to the Finance
Department. The Finance Department is required by law to post the statements on the City's
website.
ENFORCEMENT: Failure to file a questionnaire is a Class C misdemeanor punishable by a fine not to exceed
$500. It is an exception to prosecution that the person files a FORM CIQ not later than seven business days
after the person received notice of a violation.
NOTE: The City does not have a duty to ensure that a person files a Conflict of Interest Questionnaire.
City of Southlake - RFP2201B380AB220002 - Page 43 of 45
CONFLICT OF INTEREST QUESTIONNAIRE
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.
This questionnaire is being filed in accordance ,, ith Chapter 176. Local Government Code
by a person .,rho has a business relationship as defined by Section 176.001(1-a) with a local
governmental entity and the person meets requirements under Section 176.006(a).
By la " this questionnaire must be filed with the records administrator of the local governmental
entity not later than the 7th business day after the date the person becomes aware of facts
that require the statement to be filed. See Section 176.006. Local Government 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.
Name of person who has a business relationship with local governmental entity.
❑ Check this box if you are filing an update to a previously filed questionnaire.
FORM CIQ
OFFICE USE ONLY
D,Ite Rece.' ed
(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.
Name of Officer
This section (item 3 including subparts A, B. C & D) must be completed for each officer with whom the filer has an
employment or other business relationship as defined by Section 176.001(1-a), 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 questionnaire?
Yes a No `v
B Is the filer of the questionnaire receiving or likely to receive taxable income, other than investment income. from or at the
direction of the local government officer named in this section AND the taxable income is not received from the local
governmental entity? 1 / 1
Yes � No /t / 1�
C Is the filer of this questionnaire employed by ��a c rporation or other business entity with respect to which the local
government officer serves as an officer or director, or he d� an ownership of 10 percent or more?
Yes a No /r4
D. Describe each employment or business relationship with the local government officer named in this section.
luikL69W z
Signature of person doing business with the governmental entity pate
Adopted 06/29/2007
City of Southlake - RFP220lB380AB220002 - Page 44 of45
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1of1
Complete Nos. 1- 4 and 6 if there are interested parties.
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
OFFICE USE ONLY
CERTIFICATION OF FILING
Certificate Number:
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Apex Concrete Construction Inc.
2022-887409
Keller, TX United States
Date Filed:
05/17/2022
2 Name of governmental entity or state agency that is a party to the contract for which the form is
being filed.
City of Southlake, Texas
Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
RFP220113380AB220002
Concrete Services
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Intermediary
V-
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
a I
My name is and my date of birth
My address is y1 % ke I /E iZ -7/ct42
(st et) (city) (state) (zip code) (country)
I declare under penalty of�perjury the foregoing is true and correct.
ythat
Executed in / r iF-K �/� l�%� County, State of , L )(-/4 I on the L#ay of L 20��
(month (year)
Sign ture of autho ¢ed agent of contracting business entity
(Declarant)
Forms nrnviriari by Tavnc Fthi- r^
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