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Item 4B
CITY OF SOUTH LADE MEMORANDUM January 18, 2011 To: Shana Yelverton, City Manager From: Sharen Jackson, Director of Finance Timothy Slifka, Purchasing Manager Subject: Item 4B Authorize First Contract Renewal with Alpine Tree Service for City of Southlake Tree Service Action Requested: Authorization to renew current contract for City tree related services with Alpine Tree Service. Background Information: The City Council approved the original contract with Alpine Tree Service on February 16, 2009. This original contract allows four, one year contract renewals at the City's option. This is the first of four renewals. This contract provides all tree related services for the City. This contract is a joint participation contract which includes the City of North Richland Hills and the Town of Flower Mound. City of Southlake is the Lead Agency. Financial Considerations: This request will be funded through the various department budgets for FY 2011. Strategic Link: C1 — Achieve the highest standards of safety and security. C2 — Provide travel convenience within City and region. C3 — Provide attractive and unique spaces for enjoyment of personal interests. B2 — Collaborate with select partners to implement service solutions. B5 — Improve performance of delivery and operational processes. Citizen Input/ Board Review: None Legal Review: Attorney reviewed original bid documents as to form Alternatives: Deny and re -bid tree services Supporting Documents: Current contract with Alpine Tree Service Staff Recommendation: Approve the renewal of this contract for tree services with Alpine Tree Service. OTY OF SOUTHLAKE January 5, 2011 Alpine Tree Service 1900 Brumlow Ave Southlake, Texas 76092 ATTN: Derek Neubauer Subject: Option to Extend Notification RFB0910B200TS900039 PROVIDE TREE SERVICES FOR CITY OF SOUTHLAKE Dear: Mr. Neubauer: The City of Southlake is providing notification they intend to extend the contract, pending City Council approval, resulting from your RFB0910B200TS900039 PROVIDE TREE SERVICES FOR CITY OF SOUTHLAKE copy included for Fiscal Year 2011. This extension shall become effective after City Council approval (CC Award date ) and shall continue in full force based on the terms and conditions of the initial award. Additionally as a condition of contract renewal a price adjustment may be requested by the vendor and considered by the City. Your company has not requested a pricing increase during this renewal and as such the pricing, terms and conditions of the original award shall remain in effect for this renewal period. The terms and conditions proposed and accepted in this renewal agreement are as follows: Payment Terms: Net 30 days (Unless otherwise noted — such as pre- and /or partial payment) Method of Payment: Shall be made by purchasing card or purchase order. Delivery Terms: FOB Destination Delivery Locations: IF STATED IN RFB DOCUMENT Term of Contract: Shall be effective for twelve months from date of renewal and is eligible for up to three (3) more one (1) year renewals City Contact: TIM SLIFKA 817 - 748 -8312 Send all billing to: City of Southlake 1400 Main Street, Suite 440, Accounts Payable Southlake, TX 76092 Other Charges: The City of Southlake is a tax exempt municipal corporation and is exempt from all federal, state, and local sales taxes. All other specifications, terms and conditions shall be as provided in the original procurement documents. No other attachments to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager or an authorized representative of the City of Southlake. Thank you for participating in our procurement process. Please call 817.748.8312 with any questions Sincerely, Tim Slifka Purchasing Manager City of Southlake 1400 Main Street, Suite 440 Southlake, Texas 76092 tslifka�ci.southlake.tx.us Phone / Fax: 817.748.8312 / 817.748.8048 Cc: Jamie Brockway (NRH) January Cook (FM) File (2 copies) Renewal Approved John Terrell Mayor, City of Southlake Date 1400 Main Street, Suite 440 Southlake, Texas 76092 Timothy Slifka From: info [info @alpinetreeservice.com] Sent: Wednesday, October 27, 2010 4:30 PM To: Timothy Slifka Subject: Contract Follow Up Flag: Follow up Flag Status: Flagged Mr. Slifka, This email is to inform you that we are able to re -new our contract with no increase in pricing. If you have any questions please feel free to email or call. Thank you, Michelle Taylor Alpine Tree Service ATTN: Derek Neubauer Subject: RFB091 OB200TS900039 PROVIDE TREE SERVICES FOR CITY OF SOUTNLAKE Dear Mr, Neubauer: The City of Southlake is pleased to inform you that Alpine Tree Service Inc., of Southlake Texas is the awarded vendor for "RFB091OB200TS900039 Provide Tree Services for City of Southlake" The award and this agreement are based on your bid 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 February 16, 2010. 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 purchasing 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 City Contact: TIM SLIFKA 817 - 748 -8312 Send all billing to: City of Southlake 1400 Main Street, Suite 440, 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 Purchasing Manager City of Southlake 1400 Main Street, Suite 440 Southlake, Texas 76092 tslifka(dcl. south lake. tx. us Phone / Fax: 817.748.8312 / 817.748.8048 Contrac a d o #e Signed: Mayor John Terrell Cc: Jamie Brockway, NRhi January Cock, FM File (2 copies) DATE: 2 1400 Main Street, Suite 440 Southlake, Texas 76092 4 0 M ALPIN 1900 Brumlow Avenue SouthIake, Texas 76092 817 - 656.8733 office - 817 -421 -6863 fax alpinetreesernice0att net Fable of Contents 1.) Appendix B-Bid Document (pgs 8 -17) 2.) Equipment List (pg 1a) 3.) Outline of Services and Capabilities (pg 1b) 4.) Bidders Experience and Staff (pg 1c) 5.) Additional Notes (pg 1d) Appendix B —Sid Document Submittal Checklist: (To determine validity of bid) V Appendix B (pages _8_ through 17, must be included In the bid submittal. Z AppendIx C (page — 17J Conflict of Interest Form must be included in the bid submittal. RFB::Numlier 091OB200TS900039 0 51 r LA rK 6 0 1 A ::;. ;...� ;�'edei`al��Eniplo3?,ea•s: � o c � l Tdenti(icsfion. - Nikin _qr k I learned of this Request for Bids by the following means: ❑ Newspaper Advertisement ❑ Southiake Website ❑ Mailed Me a Copy City E -mail Notification ❑ Cold Call to City ❑ Other City ofSoufhlake - 091OB200TS900039 - Page 8 of 19 Appendix B — Bid Document (continued) I. RE UIRED BID INFORMATION. IN ORDER FOR A BID TO BE CONSIDERED COMPLETE, AND TO BE EVALUATED FOR A CONTRACT AWARD BY THE CITY, BIDDER MUST SUBMITALL OF THE FOLL097NGINFORMATION 1. Proposed Products and/or Services A. Product or Service Description Bidders should utilize this section to describe the technical aspects, capabilities, features and options of the service or product and/or service proposed in accordance with the required Scope of Services as identified in Appendix A. Promotional literature, brochures, or other technical information may be used, B. Additional Hardware Descriptions, Bidders 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. Material Safety Data Sheets (MSDS) If applicable, the successful Bidder shall provide the City with applicable MSDS documentation as required by applicable laws and regulations. D. Guarantees and Warranties Each Bidder shall submit a complete copy of any warranties or guarantees provided by the manufacturer or Bidder with the Bid submitted. E. Pro .Schedule /Delivg Date: Bidder 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 RFB. - The Bid Document must show the number of days required to deliver and install the product or equipment after the receipt of the City's Purchase Order. 2. Cost of Proposed Products and/or Services A. Pri_ 'cam: 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 Bidder 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: City ofSouthlalre - 091OB200TS900039 - Page 9 of 19 , �t� z..Y i w'�^ ?,k;'�� r:�1�atGt ; 1. Pruning Services Tree Pruning Services with a Two (2) Man Crew and Equipment er Scope of Services r� $ /hour Tree Pruning Services with a Three (3) Man Crew and $ ui went per Scope of Services $ 196 . /hour Tree Pruning Services with a Four (4) Man Crew and Equipment Scope of Services $ 6. /hour 2. Right-of-Way Clearance Roadway Right of Way Clearing Per Scope of Services $ . man/hour 3. Tree Removal Services 2 man crew (1) tree climber— (1) ground man $ ,/hour 3 man crew (2) tree climber -- (1) ground man $ /hour Other Crew confi oration. Please list. � Ger1 T!e�[:�= er ioaand .• P�(,,� � $ ./ (' /hour City ofSouthlalre - 091OB200TS900039 - Page 9 of 19 4. Stump Grindin Stump Grinding to Include All Stumps Regardless of Diameter Per Scope of Services $ /inch 5. Certified Arborist Cost per hour for Certified Arborist to perform or supervise work as required or requested per Scope of Services YJe�i+afgc r fttQ¢lJ $ per hr. b. Fertilization and Pesticide A pplication Fertilization — soil injection / foliar $ y /inch $ /sq.ft $ /.gallon Pesticide Application — soil injection 1 foliar $� /i /inch $ s a'i /sq.ft $ /gallon 7. Travel Charge All vendor travel charges should be included in hourly rates listed above. If they are not please list travel charge p ei mile. $ e¢ er nvle after miles 8. Other Vendor Fees Other Vendor Fees as R Required. Please De k5 i+�VIS�P' 61Ar� G i .i.� Q $ / _ - ZAarz al - -W 6 a. ['raga $ '5 • ' r atn ,D � k ` " f ' o i - J ; ill i'li c �:p in •ire i icicil' Id. $ $ ' aa sare- fc 3. Bidder's Experience / Staff fD� 7F velrv- 06�1—kxAr ¢s A. Proiect Team Identify all members of the Bidder'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 Bidder's business has been established and operating. if Bidder'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: _1Y_; and the number of employees: Number of International Society of Arboriculture Certified Arborists on staff;. Qy of Soulklake - 09I OB200TS900039 - Page 10 of 19 4. t erence 2: + { J Client /Company Name: C C'I la4 V3 le Contact Name: 4%A, t Contact Title: PH: 17 , ;Z LI , 7 0. 9 5-1 EM. — V 17 , C t ro T I Date and Scope of Work Provided: oq- I f I.-n - O w r- hove. pepv. Tree. TrrYnn�.� T7^te. rC +%VVIJ ► + , ^P 5y;"$ d t1 {� k l a►�.x (r1s y G•fS - e r �T Ces `� nJL P^ e� tw .} ( ter^ or 0 D. Project Related E erience: All Bids must include detailed information that details the Bidder's experience and expertise in providing the requested services that demonstrates the Bidder's ability to logically plan and complete the requested project. References Bidder shall provide three (3) references where Bidder has performed similar to or the same types of services as described herein, Reference #1: Client / Company Name: ` ,r a N r k afks Contact Name: Contact Title 4 /fi 46 !f' EM: D and Scope of Work Provided: . Weir. h,we. pmVf re-5- 6r Trec- S&rvY o YRrIoms - 1�pev on nKmvoks pr-j4t -Tr over ti4%t- [ &sl" g ucar /roe" ak. TN.r.reivuv.A . Reference #3: Client / Company Name: rte, , r Contact Name: ontact Title: PH: �.� ^ EM: 'T'ro�vi Dat and l S , cope of Work Provided: ( on flGmmat&S r E �50 otr ash ,urs. pr, T S' ►cars • Ul5 G 5. Trade Secrets and/or Confidential Information Trade Secrets and/or Confidential Information: This bid ^ (does} ?� {does not) contaizt 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 - 6. Federal, State and /or Local Identification Information A. Centralized Master Bidders List registration number: B. Prime contractor HUB / MWBE registration number: C. An individual Bidder acting as a sole proprietor must also enter the Bidder's Social Security Number: # - - City ofSautblake - 09IOD200TS900019 - Page II of 19 7. Cooperative Governmental Purchasing Notice Other governmental entities maintaining interiocal agreements with the City, may desire, but are not obligated, to purchase goods and services defined in this RFB from the successful Bidder. All purchases by governmental entities, other than the City, will be billed directly to and paid by that governmental entity. The City will not be responsible for another governmental entity's debts. Each governmental entity will place their own orders with the successful Bidder and be responsible for ensuring full compliance with the RFB specifications. Prior to other governmental entities placing orders, the City will notify the successful Bidder of their intent. Please indicate below if you will permit other governmental entities to purchase from your agreement with the City. LX1 Yes, Others can purchase; s. Term of Contract and Option to Extend: [ ] No, Only the City can purchase. Any contract resulting from this RFB shall be effective for twelve months from date of award. The City anticipates that contract shall be renewed pursuant to the availability of funds and at the discretion of the City. The following clauses shall be included in the contract: A. O tioo 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 iftwhen 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 (FY10 -11) ESCALATION ................ SECOND ADDITIONAL YEAR (FYI 1 -12) ESCALATION ........................... % THIRD ADDITIONAL YEAR (FY12 -13) ESCALATION ............................ % FOURTH ADDITIONAL YEAR (FY13 -14) ESCALAT ION ........................... % W ill 6 b ase. tit amt- ' tptc.Wf IL111-r �-WI e .n r Tri�.c, b K•f n - r ~m exeAfot. (-/ ?. - IA ^A ' l OA4. L/ QAr 4 R City of Southlake - 091OB200TS900039 - Page 12 of 19 II. CONTRACT TERMS AND CONDITIONS EXCEPT WHERE BIDDER MAKES SPECIFIC EXCEPTION IN THE SUBMITTED BID, ANY CONTRACT RESULTING FROM THIS RFB WILL CONTAIN THE FOLLOWING TERMS AND CONDITIONS, WHICH BIDDER HEREBY AKNOWLEDGES, AND TO WHICHBIDDER AGREES BYSUBMITTING A BID: 1. Delivery of Products and /or Services A. Payment Tenns Unless otherwise specified in the Scope of ,Services or otherwise agreed to in writing by the City, payment terms for the City are Net 30 days upon receipt of invoice. B. Warranty of Products and Services All products furnished under this contract shall be warranted to be merchantable and good quality and fit for the purposes intended as described in this Bid, 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 DeliveEy or Performance: If Bidder 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 Bidder, who agrees to pay such costs within ten days of invoice. D. FOB _Wel_ivery charges) All products offered shall be FOB final destination, with all delivery charges to be prepaid by the Bidder. The City does not accept C.O.D. or collect shipments. The contract price shall include all charges, including delivery, installation and set -up fees. All packing, crating, or other debris resulting from the delivery or setup of the commodity purchased shall be removed and properly disposed by the successful Bidder at no additional cost to the City. E. Excess or Incorrect Commodities Products or materials delivered in error or in excess of the quantity ordered shall be returned at the successful Bidder's expense, unless otherwise agreed to in writing by the City. F. Title to Goods and Risk of Loss For goods to be provided by Bidders 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. hLdppendent Contractor: Bidder agrees that Bidder and Bidder's employees and agents have no employer- employee relationship with City. Bidder agrees that if Bidder is selected and awarded a contract, City shall not be responsible for the Federal Insurance Contribution Act (FICA) payments, Federal or State unemployment taxes, ineome 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 Bidder shall not be assigned to another without the written consent of the Purchasing Manager. Such consent shall not relieve the assigner of liability in the event of default by the assignee. C. Liens Bidder shall indemnify and .save harmless the City against any and all liens and encumbrances for all labor, geods, and services which may be provided to the City by Bidder or Bidder's vendor (s), and if the City requests, a proper release of all Iiens or satisfactory evidence of freedom from liens shall be delivered to the City. D. Gratuities / Bribes Bidder certifies that no bribes in the form of entertainment, gifts, or otherwise, were offered or given by the successful Bidder, or its agent or representative, to any City officer, City of Southlake - 091 OB200TS900039 - Page 13 of 19 employee or elected representative, with respect to this RP$ 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 Bidder certifies that it has not received compensation from the City to participate in preparing the specifications or RFB on which the Bid is based and acknowledges that this contract may be terminated and/or payment withheld if this certification is inaccurate. F. Required Licenses Bidder 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. Authori1y to Submit Bid and Enter Contract: The person signing on behalf of Bidder certifies that the signer has authority to submit the Bid on behalf of the Bidder and to bind the Bidder to any resulting contract. H. Compliance with Applicable Law Bidder agrees that the contract will be subject to, and Bidder will strictly comply with, all applicable federal, state, and local laws, ordinances, rules, and regulations. 3. Financial Responsibility Provisions A. Insurance The Bidder, 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; 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 Bidder 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 Bidder or any agent, employee, subcontractor, or supplier of .Bidder in the execution or performance of this contract without regard to whether such persons are under the direction of City agents or employees. The Bidder agrees to protect and indemnify the City, all of its officers, Council members, agents and employees, from all claims, actions, suits, demands, proceedings, costs, damages and liabilities, including reasonable attorneys' fees, court costs and related expenses, arising out of any alleged infringement of .patents or copyrights arising from the Contractor's performance under the Contractor's Bid, including attorneys' fees and court costs. C. Indemnity for Intellectual Property: Bidder hereby warrants that the use or sale of the products, materials and services delivered hereunder will not infringe on the rights of any trade secrets, patent, copyright, registered trademark, or other intellectual property by right covering such materials and the successful Bidder agrees to indemnify and hold harmless the City for any and all costs, expenses, judgments, and damages which the City may have to pay or incur. City ofSouthlake - 091OB200TS900039 - Page 14 of 19 Appendix C — Form CTQ I NFORMAT!' ONREa ucTOF.INTm=TLguEszro wBE WHO: A person must file a conflict of interest questionnaire with the City if the person has a omploymcnt 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 $254 during the Previous twelve month period and the parson 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 pumbascs, purchase orders, credit card purchases tout any purchase of goods and services by the City; b, contracts for the pYUt}hase or We of real property, personal property including an auction ofproperty; e. tare abatement and economic development ngreemrnts; 2. submits a bid to sell goods or services, or responds to a request for proposal for services; . 3. enters iitto negotiations with the City for a contract; or 4. applies for er. tart abatement and/or economic development incentive that will result in a contract with the City, THE FOLLOWING ARE CONSIDERED OFFiC%Rs OF THE CITY: I. Mayor and City Council Members; 2. City Manager; 3. Board and Commission wombers appointed by the Mayor or City Council members; 4. Directors of 4A and 4l3 development corporations; 5. the executive directors or managers of 4A and 4B development corporations; and 6. Directors of the City of Southlake who have authority to sign contracts on behalf of the City. EXCLUSIONS: A questionnaire statement need not be flied if tho money paid to a local govemment **liar 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 $2,300 or a transaction at a price and subj t WiSoatlAule�hM [aultene�wsl(Raplet 176,AfeadmtaitC1Q.e92608,doc Page t ar3 City of South lake - 091OB200TS900039 - Page 15 of 19 to terms available to the public; a payment for food, lodging, transportation or entertainment; or a transaction subject to rate or five regulation by a governmental entity or agency. WHAT: A person or business that contracts with the City or who leeks to contract with the City crust file a "conflict of Interest qucstionnaire" (x'ORM ClQ) which is available online at www.cLhics.stateAx.us and a copy of which is attached to this Ouideline. The form contains mandatory disclosures regarding "employment or business ralationslrips" with a rnunicipal officer. Officials may be asked to clarify or interpret various portions of the questionnaire. WHEN: The person or business must file: I. 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, cormspondence, or other writing related to a potential contract or agreement with the City; and 2. an updated qt: dorwaire within seven days alter the elate of an event that would matte a filed questionnaire incomplete or inaccurate. It does not matter if the submittal of a bid or proposal results in a contract. The statute roquires a vendor to file a FORM CIQ at the time a proposal is submitted or negotiations commence. WHERE; 'Ihc vendor or potential vendor mast mail or deliver a completed questiormaw to the Finance l]apartment. The Finance Depownent is required by tow to post the stateimals• an the City's Internet websile. 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 utter the person received notieo of a violation. NOTE: The City does not have a duty to ensure that a porson files a conflict of interest questionnaire. W..AS0u1hhckd\M19 1anwuS0uplcr t % Anwhamt c3p.09T61aAw Fa a 1 0a City of South take 09108200TS900039 - Page 16 of 19 CONFLICT OF INTEREST" QUESTIONNAIRE FORM CIO For vendor or other parson doing business with local governmental entity ibis gsasnonmaire rdr M Chengee mode to AD law by KO, 1491, 60th Loo. Raqumr Booslomz t3FamuscoNLY Thl9qusst 1pnnaireis being filed InaacmdancevAhChapter176 , Local GovemmentGada pMarueatny byaparson whohusa business rolatibnshlpasdefiM1edby iecti0n 176.0010- a)w0ha local governmental entity nndthopareas meals requitem under Sectiont76,0nNay, By lawthlxqu "rannoiram"WRsd%ithlherewr adnnnistmwrolthelacalprnammenial entitynotlaterthanthe7thbuoinosadayattarthed tethepers0nbeeame9awateoffacls that requira the alatamv *I:tobefyed.SepSoctlm 76.006, LocalGovemmeniCode. A person commits an offense if ih6 parson kn 'ngly violates Serdon 178.606. focal GovemmamGode.Anoffen aGl underthlssection' asiCmisdatneanor. 1 Nameatpmttsonumnhs9 puainessrelstlpns pwlrhlGC2IIlovemmentalmmtilg z Checkthtsboxlfy wavitnpartap tow prevlauslyflledquesuonnafre. {The Is at you file an pdated c -led questionnaire vAth the appropriate folnp a6lhoriy not b 7th slrr9os day all t date lnoly film quoaftmalre Lee mer into m ple)scr Inac urate_) Hmneorl ov men atacarwim omillor t omp ymeatarauatnessretnd0nshtp. N2 0t01p T s 6octia3 m 3 L u sub ft A, @, C 1 ca 0"ated Poi Goth ollicer with whose Iho Nor has an Pmplaymani a aft*r s role ant) as dtl, Sscl n 170.061(1 -a? Local 690mment CDda. Aaetlf marronal P; tlb& 101ids Clp A. Is ft Iscal omrommant afAcer anted in 1112 n reread OT ekery to receive taxable Income, other than plveeWjx h ame, from Ina Met at the qu Yen No 1 Ie the tnGral the quo211art a reWIVIRp or llkely to rerGlve MGM Velma, 0419f MW IMINIan dI n DM9. ftoln oral the dlret6an of the *W gave snt Moor r namecl In arts lecM AND The tamable Incema Is not raeeived from the Incal tlGYetmnenlal enhty7 ID Yea No C. is Ina Nor of We qu mdlanrlatre eTVwed by a eurporatbn or other na2@ress way tvM respocl t4 wt M the local pmemmerll 01cer serve a2 an oako mx dlractOt, pr horde an ownprshlp of 10 psreent or more? E a NO 0. DG i*o each employment or buslneas reWlOnshtp with the local oovemmant Gnfeer namee In this section_ sigmahn of pprxm dabra buetxoa weh ft Som*mnW andy dale Adopted 01129r2007 W- V%u1hlaWMhcellaawuslGhaptcr 176.Attad mrnc CIQ.092G11o,dre Pepe 3 443 City of Southlake - 091 OB200TS900039 - Page 17 of 19 ALPINE 1900 $rumlow Avenue Southtake, Texas 76092 817 -656 -8733 office -� 817- 421 -6863 fax alpinetreeservice ®att.net Equipment List Quantity Item 5 Tree "Service" Chipper Trucks • 1- 2009 Peterbilt Model 335 • 3 - 2005 International 4300 • 1- 2004 International 4300 6 18" Capaci M o rbark W oo d Chipp ( All chippers include rearmountedwinchea) • 3 - 2008 Morbark Hurricane, 213 HP, 18" Capacity • 2 - 2005 Morbark 2400XL, 200 HP, 18" Capacity • 1- 2004 Morbark 2400XL, 200 HP, 18" Capacity 1 2006 Izuzu Spray Truck • 1- Multi- purpose 4 -tank coil. iguration . (1 -400 gallon, N300 gallon, 2-50 gallon capacity tanks) 2 Rayco Stump Grinders • 1 - 2007 Rayco Stump Grinder RG 1635,35 HP , • 1-2005 Rayco Stump Grinder RG 1631,31 1-W 2 Stump Grinding Trucks • 1- 2004 GMC Sierra 2500 • 1- 2002 GMC Sierra 2500 1 Trailer • 6X12 Enclosed Stuunp Grinder Trailer 3 Arborists Trucks • 1 -,2007 GMC Sierra 1500 • 1- 2006 GMC Sierra 1500 • 1- 2005 GMC Sierra 1500 Page 1a of 1a ALPINE 2900 Brumlow Avenue Southlake, Texas 76092 817 -656 -8733 office - 817-421-6863 fax alpinetreeservice®att.net Outline of Services and Capabilities Alpine Tree Service provides professional services of tree pruning, tree removal, brush chipping, stump grinding, consultation, fertilization and insect /disease control. We have 3 Certified Arborists on staff and strictly adhere to ANSI A300 Pruning Standards and ANSI Z133.1 Safety Standards. Our service employees are thoroughly trained in these areas and consistently adhere to the aforementioned textbook standards. Page 1b of 1b 401 ALPINE 1900 Brumlow Avenue Southlake, Texas 76092 817 - 656 -8733 office - 817-421 -6863 fax alpinetreeseraice0attnet Bidders Experience ands Alpine Tree Service has been in business since 1996 and has maintained an excellent reputation by providing our services with the highest regard to quality, safety, and overall professionalism. We employ 3 Certified Arborists /Estimators: Derek Neubauer (owner) of 14 years, Jeremy Patterson of 9 years, and David Kutac of almost 4 years. Each Arborist has maintained their CEU's as required and attended many additional training /educational opportunities beyond what is required by ISA. We employee 5 crew leaders varying in tenure from a minimum of 5 years, to our most senior crew leader o €11 years. Each of these crew Ieaders have participated in numerous hours of classroom and field training and adhere strictly to ANSI A300 and ANSI Z133.1 Standards. We also employ 8 other crew members, all whom have been employed at least 2 years and operate as climbers and groundsmen as scope of work requires. We have 2 people currently handling administration in our office. Page 1c of Ic 40 — --- .ALPINE 1900 Brumlow Avenue Southlake, Texas 76092. 817 -666 -8733 office — 817-21 -6863 fax alpinetreeservice @att.net Additional Notes 1.) If for any reason the City of Southlake feels there are any deficiencies in our insurance or any other requirements, we will promptly remedy those concerns to meet the desired requirements before any work is commenced.. 2.) On pg 10 of bid document regarding "travel charge," the City of Southlake will not be charged travel charges, but interlocal cities will have one way of travel included in each of their jobs as billable time. Page 7.d of ld 1 • ITAri Mkl, C. ERTIFICAT9 OF INSUM IYCF SUCH INSURANCE AS =CTS THE INTEf�ES CANCELED OR OTHERWISE T OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT 8E RWIS fgE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRfrrEN NOTICE TO TIdE CERTIFICATE HOLDER, BU IN NO EVENT SHALL THIS CERTIFICATE BE VAUD MORE THAN 30 DAYS FROM THE D'A'TE WRITTEN THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that: STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois ❑ STATE FARM COUNTY MUTUAL, INSURANCE COMPANY OF ❑ TEXAS of Dallas, Texas STATE FARM INDEMNITY COMPANY of Bloomington, Illinois, or ❑ STATE FARM GUARANTY INSURANCE COMPANY Of Bloomington, ILIlnois has coverage in force for the fallowin Named Insured as shown below: NAMED INSURED; ALPINE FREE SERVICE, INC ADDRI =SS OF NAMED INSURED: P 0 BOX 99303, SOUTH POLICY NUMBER TX 76092 -0133 0 67 9G15-- F17 - 43E EFFECTIVE DATr= OF POLICY 06/17/09 TO 05/17/10 DESCRIPTION OF A J.L VEHICLES ON VEHICLE (inctudIng AN) FLEET POLICY 067 SEE .ATTACHED FOR 9616—F17-43E LIST' OF V2n1CLES L_ IAHILI TY cOVERAGE ® YES j] NO Q YES ❑ NO WITS OF LIABILITY 11 ❑ ND ❑ YES ❑ NO a. Bodily injury Each Person Each Accident b. Property Damage Each Accident C. Bodily injury & Property Damage Single Limit Each Accident 1,000,000 PHYSICAL DAMAGE= COVERAGES ® YES []NO ❑ YES [J NO a. Corn rehensi►re $ 1000 Deducttble ❑ YES [� NO ❑ YES ❑ NO $ Oeductlbte $ Deductible $ Deducttble b. Cnlr�lan O El No ❑ YE S ❑ N o YES ❑Eva l Deductible $ Deductible ❑ YES El NO EMPLOYERS N - t'1yvWD $ Deductible $ Deductible CAR LIMLITY COVERAGE 0 YES ❑ NO ❑ YES ❑YES HIRED CAR LIABILT1Y ❑NCB ❑ NO Q YES; ❑ N COVERAGC ❑ YES ❑ NO ❑ YES ❑ NO Q YES ❑ NO FLEET- COVERAGE FOR ❑ YES ❑ NO N4 [WNEDANDUCENSED YES ❑ NO ❑ YI=S ❑ NO © YES ❑ NO YES ❑ NO Si gnatu of AuthorFzed Rep woci I fativa 1400 MAIN STREET MIKE MCADA AGENCY T 3OUTFrLAKE, TX 76092 STATE FARM IMSMWCE 6503 BOAT CLUB RD FORT WORTH, TX 76179 9 17 --236 -8781 .. - - — •. .r. r c rmr"w u� unLY; L.I f�etlnest permanent Certificate' O losurance for rlabilljy coverage. 124 Rev. a7 2B,xans ❑ Request CertiRcafe Holder to be added as an Additional Insured. Applicators are required to keep certificates of complefionfor 12 months following renewal of a 11cense. 4 TAC §7.24(x) Regulations and statutory provisions governing pesticide applicator licensees and their use of ,pesticides may be found in Chapter 7, Title 4, of the Texas Administrative Code and Chapter 76 of the Texas Agriculture Code, respectively. TDA's web site provides convenient links to these laws. Failure to comply with these laws, including misuse of any pesticide, may result in revocation, suspension, modification, or probation of your license and/or assessment of monetary administrative penalties. If you have questions regarding your license, please contact our Austin headquarters toll free at (877) LIC -A,GRI (877 - 542 - 2474), or visit our web site at www tda.state.tK.u& For the hearing impaired, you may call Relay Texas (800) 735-2988 (voice) or (800) 735-2989 (T DD) or visit our web site. TDA Categories: 1. Agticultural Pest Control A. Field Crop Pest Control B. Fruit, Nat and Vegetable Pest Control C_'Weed & Brush Control in pasture andraogeland lD. Predatory Aniural Control E. Farm Storage Pest Control andFamigation F. ,Animal Pest Control G. Citrus Pest Control Z Livestock Protection Collar L U-44 2. Forest Past Control 3.Omamental Plant and Turf Control A. Plant Pest &+Need Control B. greenhouse Pest Control 4. Seed Treatments 5. Right-of-way Pea CaatroI 6. Aquatic Pest Control A. Aquatic Plant and Animal Pest Control B. Anti - falling Paint 7. }Demonstration and Research 8. Regulatory Peet Control 9. Aerial Application 10. Chemigatioa TEXAS DEPARTMENT OF AGRICULTURE P.O_ Box 12847 Austin, TX COMMERCIAL PESTICIDE APPLICATOR LICENSE 0 'FDA Client No: 00355527 Effective IDate:OBl22l2009 License No. 0461670 Date Expires: 06!2212410 DAVID KUTAC 8509 LAYNA CT NORTH RICHLAND HILLS TX 76180 Categories: 3A THIS TS YOUR LICENSE. CAREFULLY TRIM AWAY EXCESS MARGINS AM r17; M AY AT ALL TIMES. TEXAS DEPARTMENT OF AGRICULTURE z TODD STAPLES, COMMISSIONER P. O. BOX 12847 AUSTIN, TX 78711-2847 ` (877) LIC AGRI (877-642-2474) ' For the hearing Impaired: (800) 735 -2989 TDD (880) 735 -2988 VOICE www.tda.sfate. .us COMMERCIAL FESTIC11DE APPLICATOR LICENSE This is to certify that the person whose name appears below ilea met the requirernents of Texas Agriculture Code Chapter 76, relating to application of restricted -use or state - limited -use pesticides or regulated herbicides. This license is issued for purchase and application of restrleted -use or state - limited -use pesticides or regulated herbicides to be used according to label directions consistent vAh the use categories listed below. DAVID KUTAC 6509 LAYNA CT NORTH RICHLAND HILLS TX 76160 TDA Client Igo. 00355527 TDA Liomse NO. 0461670 Effective Date: August 22, 2009 Expiration Date: August 22, 2010 CATEGORIES: 3A C3 i� TEXAS DEPARTMENT OF AGRICULTURE COW TODD STAPLES, COMMISSIONER ^� P. O, BOX 12847 AUSTIN, TX 78711- -2847 (877) LIG -AGRI (877542 -2474) y For the heaft Impaired: (800)735- 2989TDD (800) 735 -2988 VOICE Q� .� wwm tda.state.tz.us Tp NURSERYIFLOfRAL CERTIFICATE OF REGISTRATION This Is to cerlify thatlhe person listed below Is licensed to sell nuraery /local products at the indicated location in accordance with Texas Agriculture Code Chapter 71. ALPINE TREE SERVICE INC 4015 RUFF SNOW DR NORTH RICHLAND HILLS TX 76180 CERTIFICATE No: 0461621 Effective Date: August 31, 2009 Client Name: ALPINE TREE SERVICE INC TDA Client No: 00356492 CERTIFICATETYPE: NURSERY FLORAL CLASS 1 Expiration Date: August 31, 2010 MUST BE POSTED €N A CONSPICUOUS LOCATION THIS CERTIFICATE IS NON - TRANSFERABLE F F E rf 71 I F]! tU B Q' A s� SIS January 8, 2010 EVIDENCE OF COVERAGE This is to certify that the policy designated below by number and providing, subject to the terms, conditions, limitations and exclusions thereof, the kind of insurance set forth below has been issued by Fidelity Security Life Insurance Company, and is in force as of this date. The insurance afforded is only with respect to such kinds of insurance as is indicated by expiration date and policy number_ This is not a policy of workers' compensation insurance. The employer does not become a subscriber to the workers' compensation system by purchasing the policy, and ifthe employer is a non - subscriber, the employer loses certain common -law defenses to suit as well as certain limitations on liability that would otherwise be available under the workers' compensation laws. The employer must comply with the workers' compensation law as it pertains to non- subscribers and the required notifications that must be Bled and posted. This evidence o1 coverage coverage neither affirmatively nor negatively amends, extends or alters the coverage afforded by the Policy or Policies numbered below. Name of Policvolder Alpine Tree Service, Inc. P.O. Box 94403 Southlake, Texas 76092 Effective Dam April 26, 2009 Kind of Insurance Poliol Nq &: BT200 B0215258 EBuiration Date April 26, 2010 POLICY 'PERM IS SUBJECT TO PREMIUM PAYMENTS Twenty Four Hour Accident Protection, While on the Job Only. gugibie All active employees of the Policyholder, including owners and contract labor. BenefitIppaedplion : Ma W=Jimit Combined Single Limit Maximum Amount $300,000.00 Benefits Accidental Death & Dismemberment with Loss of Ilse, Weekly Accident Indemnity, Primary Accident Medical Expense Deductible $500.00 Elimination Period 7 days Benefit Period 52 weeks THIS POLICY PROVIDES COVERAGE WHILEPERFORMWO DLMES FOR THE CERTMCATEHOLDER In the event this coverage is canceled or materially altered, the Company will endeavor to notify the Certifleateholder. However, failure to notify shall not affect the terms of the contract or coverage. Certiticateholder. City ofsouthlake 1400 Main Street Southlake, Texas 76092 A PHOTOCOPY SHALL BE AS VALID AS THE ORIGINAL Special Insurance Services, Inc. 6509 WindcrestDr., Suite 200 • Plano, Texas 75024 -Phone 972. 788 -0699 • Fax 972-960-0377 i J