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Item 4JCITY OF SOUTH LAKE MEMORANDUM December 14, 2011 TO: Shana Yelverton, City Manager FROM: Chris Tribble, Director of Community Services Item 4J SUBJECT: Approve a renewal contract with Crowley Sports Officials for sports officiating and scorekeeping services in the amount of $100,130 Action Requested: City Council approval of renewal of sports officiating and scorekeeping services with Crowley Sports Officials in the amount of $100,130. Background Information: The FY 2012 Parks and Recreation Division Budget contains a line item amount of $100,130 for contract services for recreation and athletic programs. The contract includes sports officiating and scorekeeping services for youth basketball, volleyball, flag football and adult softball. The costs include two officials per game for basketball, volleyball flag football, and adult softball, two scorekeepers per game for basketball and volleyball, and an assigner's fee per game for all sports. The City has worked with Crowley Sports for the past nine (9) years and is comfortable with their ability to provide the sports officiating services for City programs. The contract includes an option to renew for up to four (4) years. This is the final year of the renewal option. Crowley Sports Officials has expressed a desire to renew the contract without an increase in price. Financial Considerations: The fiscal year 2012 budget allocates $100,130 for contract services which includes athletics and recreation programs. Participant fees pay for all costs related to this contract as program costs are offset by program revenues. Strategic Link: This item is linked to the City's Strategy Map related to the focus area of Safety and Security and Performance Management and Service Delivery and meets the Corporate Objectives to invest to Achieve the Highest Standards of Safety and Security, to Collaborate with Select Partners to City of Southlake Values: Integrity ♦ Innovation ♦ Accountability ♦ Commitment to Excellence ♦ Teamwork Shana Yelverton, City Manager City Council Meeting Date — January 3, 2012 Page 2 of 2 Implement Service Solutions, to Promote Opportunities for Partnerships and Volunteer Involvement, to Provide High Quality Customer Service, and to Improve Performance of Delivery and Operational Processes. Citizen Input/ Board Review: City Council consideration January 3, 2012 Legal Review: Renewal of previously reviewed standard form of agreement. Alternatives: City Council review and recommendation. Supporting Documents: Supporting documents include the following: ■ Copy letter to extend contract with Crowley Sports Officials for sports officiating and scorekeeping services ■ Current contract Staff Recommendation: City Council approval to renew contract for sports officiating and scorekeeping services with Crowley Sports Officials in the amount of $100,130 for a twelve month period ending December 31, 2012. City of Southlake Values: Integrity ♦ Innovation ♦ Accountability ♦ Commitment to Excellence ♦ Teamwork December 9, 2011 Crowley Sports Officials PO Box 6042 Fort Worth, Texas 76115 Attn: Mr. Lloyd Moore Subject: Option to Extend Noffication.RFB071OA162RM700228 Annual Contract for Sports Officiating and Scorekeeping Dear Mr. Moore: The City of Southlake is providing notification they intend to extend the contract, pending City Council approval, resulting from your RFB0710AI62RM700228 Annual Contract for Sports Officiating and Scorekeeping, copy included for Fiscal Year 2012. This extension shall become effective January 4, 2012, pending 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 indicated they will not be requested a pricing increase for this renewal and as such, pricing shall remain at original amounts for the frill term of this renewal. 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 City Contact: RYAN McGRAIL 817 -748 -8024 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, - �66 Tim Slifka Purchasing Manager, CPPB City of Southlake 1400 Main Street, Suite 440 Southlake, Texas 76092 tslifka(a Phone / Fax: 817.748.8312 / 817.748.8048 Renewal Approved John Terrell Mayor, City of Southlake Date 1400 Main Street, Suite 440 Southlake, Texas 76092 uthla City of Southlake REQUEST FOR BIDS Bid Reference Number: RFB0710A162RM700228 Project Tide: Annual Contract for Sports Officiating and Scarekeeping Services Bid Closing Date: 3:00 P X(CST), Friday, November 9, 2007 TABLE OF CONTENTS Tmbbwf Contents ........................................................................... .................................................. ��m�1 Requart for Wit (1�Io�m�m��wmu ^ '~ ........... -^-^-^'-^~'~--~~'';'~'--~'-~^-'^~~'^^^~^~~---.'_--..-_-'--'PW (�Z���� _. ........................... .......................................... i .......................................... --........... PRP2 (3)Genetm@ Information ................................................................................................................. Pap 3 (4) RFB WithdramaI:andlorAmendments (3) Bid Submittal Requirements ,,,_ . ........................................................................................ YmP3 (6) Bid Evaluation .................................................................................. Page 4 Appendix A - Scope of Servien (1) Project ��~_' ................. ............................ .... -............................................................................ Pap 5 (2)0cmnwof8Wn6OCS Contact ...................... ......................................... ......................... ~ (3) Special ......................................... 5 (4) Bid Evaluation Fmw*n ....................... ...................................................................................... PaW 5 (5) Brand Mazmflstm0icf6rnnme ......... ........ ....... -' .............. ................................................ Fqw 5 (6) Key Events Schedule .......................................... ................................................ _ ..... ............. Pap 5 Appendix B - Bid (-) Label Fornud fbr Submittal Packet's Sealed Envelope ................................. .. .................. PAP 12 L0zquiM Bidlnfbr�ma (2) Products and/or 0vmrices .............................................. ~ ......................................... %%g:]3 (2) Cost of Proposed }�zdu#mamd Smminmm ................................................................................ Pap 13 (3) O tu Extend ...................... -.~...... ~ .... 14 (4) Bidder's Experience J Staff ................................................ ................................................... Pw14 (5)RCfWMu4n .................................................................................................................. ........ _Pap 1G (6) Federal, State and/or Local Idenati0ratfmuInfonnation ......................................................... page 10 M Cmmivat Term and Concrdons- (1) c�y��u�m�*���mb�� �=ov�� -.~,.^^_--.-_.--_-...,^~.----_.---.~.....Pm@el6 Appendix C-Conffld of Interest Quwmdwmsshv........................................................................... Pap 19 Appendix ]N- Request for Taxpayer Idwntificafts Number and Certification (W-9) .............. PW20 Appendix E-N»Dxtentmm Submit Form ............................................... ............. ....... . ................ Page %X Cky ofSamAhrAw RF1107J UMM700228 page I of 21 Southlake, Texas Request for Bids 3 . Ints*d A. Prom The City of Southlake is requesting Bids with the intent of awarding a conhwA for the puz�se of goods and services contained in Appendix A — Scope of Services. B. Questions Following are contacts for questions as identified. i. RFB Clarifications All questions related to requirements or processes of this M should W submitted in writing to the Purchasing Agent identified in section 2 below. ii. Scope of Service Questions All questions related to the scope of services sbould be submitted in writing to the contact persons) noted in Appendix A — Scope of Services, ii!@Wiw Responses to inquiries which directly affect an i tiou or effect a change to this RFD will be issued in writing by addendum and mailed to all parties recorded by City as having received a copy of the RFB. All such addenda issued by City prig to the submittal deadline shall be considered part of the RFB _The City shat! not be bound .by any reply to an inquiry unless such reply is made by such formal written addendum. iv. Admow]ed emeat of Addenda The Bidder must aclmowledge all addenda by signing and returning such document(s) or by initialing appropriate area ofthe Bid document C. No0go n of Errors or Omissions Bidders staff promptly notify the City of any omissions, ambiguity, moousiAmcy or error that they may discover upon examinadon of this RFB. The City shall not be responsible or liable for any ergs and/or misreprestritaflon that result from the solicitations which are inadvertently incomplete, ambiguous, inconsistent or obviously erromeoua D. Conflict of hiterwt Questionnairo (Form CIO) A person or business, and their agents, who seek to contract or enter into an agreement with the City, am required by Texas Local Govanment Code, Chapter 176, to file a conflict of interest questionnaire (FORM CIQ) which is found in Appendix C. The form must be filed with the City Sametary no later than seven (7) days after the data tine person or business begins contract discussions or negotiations with the City, or submits an application, response to a inquest for proposals or bids, corresponderice, or other writing related to any potential agreement with the City. 2. DeDafitions Bid Document The signed wd ezecuted submittals of the entirety of Appendix B -- Bid Document. Bidder The Bidder and the Bidder's designated contact signing the first page of the Bid Document. QV _ of Soutblake r'Gifu ") : The City of Southlake; Texas. City Secretary's O#fice The off"ioe of the City Secretary of the City, located at 1400 Main Street, Suite #274, Southlake, as 76092. PH: (817) 748 -8016; Fax: (817) 748 -8270. ht: The name of this Request for Bids as identified on the cover sheet and first page of the Request for Bids herein. City of Serrthla" - RF3071"162RM700228 - page 2 of 2l PurcbmIU.Agat The City of Southlake Purchasing Agent is Deborah Russell, PH. (817)748-WO, E -Mail: e • Pax (817) 748 -8048. RMre est for Bids MM . The entirety of this document, including all Appendices and Addenda. Sam of Services The entirety of Appendix A — Scope of Services. 3. General Lsformadez A. Tax &MR1 Status City purehases are exempt from State Sales Tax and Federal E=Me Tax. Do not include lax in the Bid. City will furnish Excise Tax Exemption Certificate upon request B. bblic Inspection of Bids "a City strictly adheres to the Texas Pvblie lnformadon Act (Texas Government Code Chapter 552. 001, et seq.) and all other governing statutes, regulations, and laws regarding the disclosure of RFB information. Bid Documents am not available for public inspection until after the contract award. If the Bidder his notified the City, in write,& that the Bid Document eorrtains trade secrets or arnfidential information, the City will generally take reasonable steps to prevent disclosure of such Wormation, in accordance with the Public Information Act. This is a statement of general policy only, and in no event shall the City be liable for disclosure of such informatiom by the City in response to a request, regardless of the City's failure to take any such reasonable steps, even if the City is negligent is flailing to do so. 4. 1[tFB Withdrawals and/or Ameodments A. RM 3M wal The City reserves the right to withdraw this RFB for any reason. B. 1MAmmilmu nts The City reserves the right m amend any aspect of this RFB by formal written Addendum prior to the Bid submittal deadline and will endeavor to notify all potential Bidden that have registered in accordance with Section LC: herein, but failure to notify sW impose no obligation or liability on the City. S. Bid Submitted Requirements A. S iM .Eacke t -- Reauir�ed Content Bidder must submit one (1) signed original Bid Document and five (5) copies. This submittal packet shall be submitted in a sealed envelope with a completely signed and executed page B-1 afted to the outside of the envelope. B. Su itW— Deadlier The deadline for submittal of Bids shall be as ideMifed on page 12 of Appendix B Bid It is the Bidder's responsibility to have to Bid correctly marked and delivered to the City Secretary's Office by the submittal deadline. No extensions will be granted and late no late bids will be accepted. C. Bids Received Late Bidders are encoumged to submit their bids as soon as possible. The time and date of receipt as recorded in the City Secretary's Office shall be the official time of receipt. The City is not responsible for late delivery of mail or other carrier. Late Bids will not he cons idered under any circumstances. D. AIt=Wons or Withdrawals of Bid Document Any submitted Bid may be wkbdrawn or a revised bid substittrted if a written notice is submitted to the City Sectary prior to the submittal deadline. Any inudineations, alteration, erasure or other amendment made before the submittal deadline, must be signed or initialed by the Bidder or the Bidder's authorized agent, guaranteeing authenticity. Bid Dm=ents cannot be altered, amended or withdrawn by the Bidder after the submittal deadline, unless such alteration, aeuendrnent or withdrawal notice is approved in writing by the Purchasing Agent. Cty of Swwakt - RFE0710AI62AM700228 - Page 3 of 21 E. M Dw went Format: All Bid Documemts must be prepared in single -space type, on standard 8- 12" x 11" vertically oriented pages, using one side of the paper only. Pages shall be numbered at the bottom. Entries shall be typed., or legibly written in ink. Any otter format (via talepbone, fax, email, aw.) may be rejected by the City at its discretion. F. VgUft Period Once the submittal deadline has passed, ray Bid Doctunent'shall con� an irrevocable bid to provide the commodities and/or services set forth in t9he Scope of Services at the price(s) shown in the Bid Document on the tenths sat forth in the Bid Dommmt, such bid to be irrevocable until the earlier of the expiration of ninety (44) days from the submittal deadline, or until a cohhtivA has been awarded by the City. 6. Bid Evaluation and Contract Award A. DjA Evaluating and Contract Award An award of a contract to provide the goads or services specified herein will be trade using competitive sealed Bids, in accordance with Chapter 252 of the Teams Local Government Code and with the City's purchasing policy. Bid Domm ms will be opened . publiely. The City will evaluate Bids using the best valve method. A variety of fhaws may be used in the evahm6on of the submitted Bids for this project. The anticipated evaluation factors and emphasis placed on each f1acxor may be as identified in the Scope of Services. City reserves the right to determine which Bid provides the City with the best value and which will be in the City's best interest. B. Qglethmess ff i he Bid Document is incomplete or otherwise fails to conform to the requirements of the RFB, City alone will determine whether the variance is so sipificantt as to render the Bid norh- responsive, or wlhe6er the varianoe may be cured by the Bidder or waived by the City, such that the Bid may be considered for award. C. AMNSu Any ambiguity in the Bid Document as a result of omission, error, lack of clarity or non - compliance by the Bidder with specifications, inst ucdons and all conditions Shall be oonstrued in the favor of the City. In the event of a oonflict between, these standard RFB requirements and details provided in App radix A — Scope of Services or Appendix B — Bid, the Appendices shall prevail. D. Unit Prices and Extensions if unit prices and their extensions do not coincide, the City may accept the price most beneficial to the City, and the Bidder will be bound thereby. E. Additional Information City may request any other information ueoessary to determine Bidder's ability to meet the minimum standards required by this RFB. F. PgWal QM= City reserves the right to award one contract for some or all the reyuh ments proposed or award multiple contracts for various portions of the requirements to different Bidders based m the unit prices proposed in response to this request, or to reject any and all Bids and re- solicit far Bids, as deemed to be in the best interest of City. Chy of Sena take - RFRO71VA162AM7040228 - page 4 of 21 Appendix A — Scope of Services 1. Project Title; ANNUAL CONTRACT FOR SPORTS OFFICIATING AND SCO S1l RVICES 2. Scope of Services Coatact Questions about the technical nature of the Scope of Services, ate. may be directed to Ryan McGrail PH. 817. 748. 8024, e-mail: rmcgraiI@ei.southlaka.tx.us. 3. Spechd Conditions The following special conditions shall prevail over area of conflict in previous pages: N/A 4. Bid VnInation Factors Fsnt hm Factor 40 "/o Submitted Bid Pricin 60 0 A References S. Brand Mans&rctsre Refereace NIA 6. [A Key Events Scliednle Sealed Bids Due to and Opened by City* Shown on First Page of this RFB Anticipated Award Date December, 2DU7 Scope of Seer oces 7.1 uatima- It is the intent of the City of Southlake to establish a contract for spats officiating for Youth Basketball (ages 6-16), Youth Volleyball (ages 8 -16), and Flag Football (agas 6-12). Seorekeepiag for Youffi Volleyball (ages 8 -16) and Youth Basketball (ages 6-16). The games will require 2 officials and 2 scorekeepers (must be 16 years or older) per game with simultaneous coverage at designated sites. Failure to meet this schedule, except when approved in advance by the City of Southlake, shall be deemed a violation of the officiating association's contract and may result in tat ination of the omstract. Officiating association will not be held accountable for ads of God or other situations clearly outside the vendor's control. 7.1.a. Special Terms for Officiating and Soarekeeping Associations at all City of Southlake (hereinafter "City") Sporting Events: 7.1.b. The ofl_rciating association shall have officials/warkeopm at designated game site fiftnan (15) minutes before the scheduled start of game. All officiaWscor ekeepers must check in with City Staff and sign in on the Guys game score shut. 7.1.c. The City shall not be held responsible for any accident or injury sustained by the association's oiEcialstworekeepers. Cfy Of Saun4 "o _ RFB#7IW 61RWtV2V Pap 5 of 21 7.1.d. City representatives shall have the right to evaluate, and refuse the service of any officiallscorekeeper provided by the association. The results of the evaluations will be shared with the association. 7.1.e. City staff may add or delete games or leagues. Any additional games or leagues will be at the oonb=W price. The association understands actual number and times fbr gams are contingent on number of trams registered. The City will give notification of leagues registration slams when completed. 7.11 The association will instruct all of:ficials/scorokoapers to cooperate with assigned City staff' in any incidentimjury siblations. Officials/scorekeepers will provide anyfall infammahon necessary for proper documentation by City staff • Association vKU provide the City with names and contact phone numbers for all officials/scmekeepers working City sponsored leagues, upon request. staff may be required to contact officials/scorekeepers in regard to incidentlinjury situations. 7.1.g. Association is required to have a representative present at all organizaiian meetings which are held prior to the season. 7.11. In the can of a protested game, where ibe protest is upheld, the game shall be replayed from the point of protest. In accordance with league rules, the official will officiaWscore keep the game at no charge to the City. 7.1 J. Caneellations/Forf6ted Games: The City shall endeavor to provide the association with one (1) hour advance notice of any cancelled game. When this one (1) hour advance notification is provided there shall be no fees or other penalties paid for cancelled officiating/acorekeeping gavioes. 7.1 if the City fails to provide the association with this minimum one (1) hour advanced no fication of cancellation, the City shall pay the associations a sum equal to the oontracted rate for one game only. No penalty paid for can 'collation of games play can be greater than the total contracted fees paid for providing officiating/soorekeeping services at one (1) game. 7.1.k. The City shall pay the established contracted rate for each farfeited game wben the association has not been provided a minim= of one (1) hour advanced notice. Should the My provide this one (1) hour advance notice to the association that scheduled services would not be required there shall no payment for officiating/scorelceseping services. 7.1.1. If it is possible to reschedule the play of games as to avoid lost t me-or revenue by the association; this action will be taken. Should this action result in. continuous officiataWscorekeeping services provided througbout the course of scheduled play with the exception of the last scheduled game not played, no penalty or other fees shall be paid to the association. 7.1.m. The officiating association shall have officials attired in proper uniform. The association and its officials /scar&eepers will at all times conduct themselves in a proper, acceptable and professional manner. if the behavior, dress, and/or performance of the association member do not meet the City's standards of professionalism, the City may dismiss the official/scorekeeper without penalty, and with no fee due to association for the gmness thereby un- offieiated. City ofssaadilake XFBO7IGA162RJW700228 Page 6 of 21 7.1.n. The ofI'ialiating association WWI submit to the Clay for background check, the name, bird date, social security number, and drivel's license number of each employee assigned to woak with or near chMan, and shall remove any person that the City determines unacceptable by reason of criminal history or other oondut deemed by the City to be unsuitable to be working with or near children or the public generally. 7.1.o. The officiating association shall have all officials sign and acknowledge Code of Ethics provided by City. 7.Ip. The officiating association sball charge the City fbr only a half game if an official arrives 15 minutes after the start of the game or later. The association will provide an emergency phone numberfpagor number, to provide back up officials to work as sole as possible. 7. l .q. The officiating association shall instruct officials that City of Southlake Parks and Recreation staff shall have the authority to modify league rules when deemed necessary. Staff will not change any judgment decisions already made by die association's official regarding rules. 7.2. Termer of Performance. 7.2.a. Project Item Number One: YOUTH BASKETBALL (8U, IOU, 12U,14U) 7.2a.i. The association. will famish two officials for all Youth Basketball games. The officiating association must be able to provide officials to cover designated facilities simultaneously. 7.2a.ii. Fall Regular Season begins December and ends in late February. Games shall be played on Saturdays, 8:00 amL -10.00 p-m. at designated locations. 72a.i1i. Fall League Tournament: Games shall be played in late February, Monday — Friday, 5:00 p.m. — 4:00 p.m., Saturday 8:00 a.m. — 10:00 p gar. at designated locations. 72a.iv. Texas Amateur Athletic Federation (T.A.A.F.) Tounn maent: Games shall be played the first weekend in March, Friday 5:00 p.m. — 10:00 p.m., Saturday 8:00 a.m. — 10.00 p.m., and Sunday 8:00 a.m. — S.-DO p.m. at designated locations. 7.2a.v. Summer Season: Season begins in June and cads in late July. Games shall be played on Saturdays 8:00 a.m. — 8:00 p.m. at designated locations. 7.22.vi. Summer League Tournament: Games shall be played in late July, Monday -- Friday, 5:00 p.m. — 10.00 p.m., Saturday 8:00 am. — 8:00 p.m. at designated locations. 7.2a.vii. Schedules are projected and may be changed due to Lean registration. Projected annual games will be 1,050. The .lumber of games will be dependent on the number of teams registered. 7.2a-viii. The association shall provide officiating services at various CISD schools or other designated facilities. Cley of Soutbtake - RFRO710AI62RU709228 Page 7 of 21 7.2a.ix 'the officiating association shell have officials ftsUed and acknowledged oompetent to administer current National Federation of FTiigh Sebools and Texas Amateur Athletic Federation (T:A..A.F.) rules in cerljunetion with the City of Souddake Parks and Recreation Department rules and regulations. 7.2.a.x. The officiating association shall provide an appropriate number of officials far designated fiacilities simultaneously and for approximately 1050 games annuelly. 71axi. Basketball games shall be played for_ 24 minutes (4, 6- minute quarters for 8 years and under will also inchue ovwtime if necessary), 32 minutes (4, 8- minuts quarters plus overtime for 10 and under, 12 and under, and 14 and under). Accident, injury or weather may require a longer time for games to be played and officials will provide service for that time at no additional cost. 7.2.b Project Item Number Two: YOUTH BASKMALL (bU) 7.2.b.i The association will firsnish one official for all 5 and Under Youth Basketball grimes. The officiating association must be able m provide officials to cover designated facilities simultaneously. 7.2.b.1 Fall Regular Sesson: Season begins December and ends in late February. Games shall be played an Saturdays 8:00 a — 9:00 p.m. at designated locations. 7.2.b.iii. Schedules are projected and may be changed due to team registration. 7.2.b.iv. Projected annual games: 50 Number of annuals games dependant on number of teams registered, 7.2.b.viii. Basketball games sWI be played for 24 minutes (4, G- rninuts quarters). Accident, injury or weather may require a longer time far games to be played and officials will provide service for that time at na additional cost: 7.2.c Project Item Number Three: YOUTH VOLLEYBALL 7.2.cI The association will furnish two officials for all Youth Volleyball games. The officiating association must be able to provide officials to cover designated facilities simultaneously. 7.2.c.ii. Fall Regular Season: Season begins in September and ends late November. Games shall be played on Saturdays from 8:00 a.m. -8 :00 p.m. at designated location. 7.2.e.M. Fall Tournament: Games shall be played in late November, Monday — Friday, 5:00 p.m. — 9:00 p.m., Saturday 8:00 a.rn, — 8.00 pm. at designated locations. 7.2.c.iv. Spring Regular Season: Season begins in April and ends in late May. Games shall be played on Saturdays from 8 :00 a.m. -8:00 p.m, at designated locations. CkY ofSoraMale - RM71EL OR14f70021d - Page I of 21 7.2.c.v. Spring Tournament: Games shall be played in lace May, Monday — Friday, 5:00 p.m. — 9:00 p m., Saturday 8:00 ass. — 8 :00 p.m. at designaticd Iodations. 7.2.cvi. Summer Regular Season: Season begins in June and ends in late July. Games shall be played an Saturdays fim 8:00 a.m. — 8:00 pm. at designated locations. 7.2.c.vii. Summer Tournament: Games small be played in tats July, Monday — Friday, 5:00 p.m. — 9:00 p.m.. Saturday 8:00 a-m. 8:00 p.m. at. designated location& 72.c. viii. Schedules are projected and may be changed due to team registration. 7.2.c.ix. Projects annusl games: 350. Number of annuals games dependent on number of teams registered 7.2.c.x. The association shall provide officiating services at various CLSD Schaols or other designate facilities. 7.2.c xi. The officiating associatiou shall have officials tested and acitnowledged competent to administw current National Federation of High Scbools and Texas Amateur Athletic Federation (TA -A.F.) rules is conjunction with the City of Soutblalte Parks and Recreation Department rules and regulations. 7.2.c.xii. The oiicia1bg association shall provide an appropriate number of officials far designated facilities simultaneously and for approximately 350 games annually. 7.2.c.xiii. Volleyball games shall consist of three (3) matches to be played for Twenty (20) minutes or twenty -five (25) points (win by two points), which ever comes first. Accident, injury or weather may require a longer time for games to be played and officials will provide service for that time at no additional cost. 7.2.d Project item Number Four. YOUTH FLAG FOOTBALL 7.2 -d-i. The association will furnisb two officials far all Youth Flag Football games. The oficiating association must be able to provide officials to cover designated facilities simultaneously. 7.2.d.ii. Fall Season: Season begins in September and ends late November. Gaines shaUbe. played on Satuudays from 8:00 a.m. — - 8:00 p.m. at designated 10cations. 72d.iii. Fall Tournament: Games shall be played in late November, Monday — Friday, 5:00 pm. — 9:00 pm., Saturdays, 8:00 a.m. -8:00 Pm. at designated locations. 72.d.iv. Spring Season: Season begins in April and ends early .fume. Games shall be played on Saturdays from 8:00 a.m. — 8:00 p.m. of designated Iocations. 7.2.d.v. Spring Tournament: Gaines shall be played in early June, Monday — Friday, 5:00 p.m. — 9:00 p.nn., Saturdays, 9:00 a.m. — 8:00 p.m. at designated locations. CI& of Sotrak*e RP20710AI62JW700228 Page 9 of 21 72A.vi. Schedules are projected and may be changed due to team n g wraticn. 7.2.d.vii. Projected annual games: 200. Number of ammal games dependent on number of teams registered. 7.2.d.viii. The officiating association shill have officials tested and aclmowledged competent to administer Texas Amateur Athie6a Federation (T.AA.F) rules in cm#una ion with the City of Southlake Parks and Recreation Departamnt rules and regulations. 7.2.d.ix. The officiating association shall provide an appropriate number of officials for designated facilities simultaneously and for approximately 100 games annna]ly. 72.dx. Football games shall be played for. 40 minutes (two 20 minute halves). Aocident, injury or weather may require a longer time for games to be played and offio.Ws will provide service for that time at no additional cost, 72.e Project item Number Five: SCOREKEEPERS (Youth Basketball and Volleyball Only) 7.2.r-i. The association will furnish two scorekeepers (mast be 16 years or older) for A Youth Basketball and VoIleyball games. The officiating association must be able to provide officials to cover designated facilities simultaneously. 7.2.e.ii. Regular Season: Season begins Dwember and ends in late February. Games shall be played on Saturdays 8:00 a.m. -10:00 pain. at designated locations. 7.2.e.iii. Fall League Tournament Games shall be played in late February, Monday - Friday, 5:00 p.m. -- 9:00 p.m., Saturday 8:00 a.m. -10:00 p.m. at designated locations. 7.2.e,iv. Texas Amateur Athletic Federation (T.A -A.F.) Tournament: Games shall be played the first weekend in March, Friday 5:00 pan. - 10.00 p.m., Saturday 8:00 am. - 10:00 p.m., and Sunday 8:00 a.m. - 8:00 p.m. at designated locations. 72.e.v. Summer Season: Season begins in June and ends in late July. Games shall be played on Saturdays 8:00 am. - 8:00 p.m. at designated locations. 7.2.evi. Summer League Tournament: Games shall be played in late July, Monday -- Friday, 5:00 p.m. - 9:00 p m., Saturday 8:00 a.m. - 8:00 pm. at designated locations. 7.2.e.vii. Fall Regular Season: Season begins in September and ends early November. Games shall be played on Saturdays fiorn 8:00 am. -8:00 p.m. at design" locations. 7.2.e.viii. Fall Tournament Games shall be played in late November, Monday - Friday, 5:00 p.m. - 9:00 p.m., Saturday 8:00 am. - 8:00 p.m. at designated locations. 7.2.e.ix. Spring Regular Season: Season begins in April and ends in late May. Games Cky ofSewhk ke - RFD #710A162RM7tV228 - Page 10 of 21 shall be played on Saturdays from 8:00 a.m. -8:00 p.m. at designated locations. 7.2.e.x. Spring Tournament: Games shall be played in late May, Monday — Friday. 5:00 p.m. — 9..00 p.rm., Saturday 8:00 Lm. — 8:00 pm. at designated locations. 7.2.e.xf. Summer Regular Season: Season begins in June and ends in late July. Games shall be played on Sat n days from 8:00 Lm, — 8:00 pm. at designated locations. 72.eaii. Sumter Totumamemt Games shall be played in late July, Monday — Friday, 5:00 p.m. — 9:00 p.m., Saturday 8:00 a.m. -- 8:00 p.m. at designated locatlaars. 7.2.exiii. Schedules are projected and may be changed due to team registration. 7.2.e.xiv. Prcdected annual games; 1450. Number of annuals games dependent on number oficams registered 72.e xv. 7be - association shall provide soorekeeping services at various CISD Schools or other designated facilities. 7:2.c.xvi. The officiating association shall have scorekeepers tested and acknowledged oompetent to administer curreaYt National Federation ofBgb Scbools,and Texas Amateur Athletic Federation (T.A.A.F.) rules in conjunction wi b the City of S o fklake Parks and Recreation Department rules and regulations. 7.2_e.xvii. The officiating association shall provide an appropriate number of scorekeepers for designated facilities simultaneously and for approximately 1450 games annually. 72.e.xviii. Easke6all games shall be played for 24 minutes (4, 6- minute quarters for 6 years and under, 8 years and under will also include overtime if necessary), 32 minutes (4, 8- minute quarters plus overtime for 10 and under, 12 and under, and 16 and under). Volleyball games will cansist of three (3) matobes to be played for Twenty (20) minutes or twordty -five (25) points (win by two points), which ever comes first. Accident, injury or weather may require a longer time for games to be played and officials will provide service for that time at no additional cost 7.2.f Project Item Number Six: ASSIGNER'S FEE 721i. Assigaces fee is awarded each time an official or scorekeeper is assigned and shows to the game. 7.2.f,ii. Projected annual games: 3160. Number of annuals games dependeW on number of teams registered. 7.2.g. Project Item Number Seven: THIRD OFFTCL L FOR CHAMPIONSHIP PLAY 7.2.g.i. An optional third official for championship play may be requested by the City of Southlake far specific games. Goy Of Srard ab RFB0710A1 d2RM7#228 - page 11 of 21 Appendix B — Bid Document Sabn*W ChecMb (7b determine "ffi ty of W Appendix "id Decameot (pates 12 trough 19) must be included In the bid sabmtdal. Appendix C-Ooefliot of ]interest Qoestiaanaire (pap 19) must be included to the bid submittal. Appendiz D- Rapewt !br Taxpayer Ideati8ertion Number and Certification (pale 20) auk be included is the bid submittal. ;. RFB0714A162RM7002228 nbw for S ris ci Services 3:00 P.M. C.S . NOVEMBER 9 2007 City secretaly's OM= 1400 Mein &rat% Siite 270 . _: •: ~ ' ,, ,.i "` -, - SoutbW a, TX 76092 (81 748 -8016 .•. ..,, ..� y:Y., �.� =y .. i"C '.� '• -- ,'i - .1_,. Y. :...... y.'•.' = _Y•'iY�'.42 - .., L•...i�it} jv t A i _ C 'sis .�'1` .1•i 3, >.... *.r.. 57 4 4 ;Ax:r _ - "'y ^: 1�e1�F u,'a_" �l?er' '' `.5 a_ • c r � x, y •. .���f�'''ti ` .:':i� � �'���'° S ti Y ' -ti �. � z ' � •+a � •F .� 5 -;,s 5•i �,� �n. ti Win, vim• �� .. +3� d � ��'� •, ; 5 �: :�� ?,} 5,� 'Sh �in"L s�, �� L -- ,� „�. CJ.r 1x•tir""Me ` i.z#r�y� n `t ,5 .X -p yam- 5 1 •JYL�� 4 1 Y�` 4 7 'F•��} Til i Wkpe s�- 4 � �y ' 2 a�riv - '�P� 5 • 't +�'� - ti h � k' �7 - :: -` d-� 4 -�-,� � * q� •�+��.� ��"�.�'+ 4 ..? I.� , +�''w t "` - s� { a. w y �'` ,wW._ - 'e•::? _;�._ _ �r:.5 ti `,r'a, `: `.,... t.3- ■W'LlyWyy1] ; i - L � � •�": - , 1'w•�Y. l � F, L � - w } \,J � 4 - !P �� h � y.. k �� 1� .*1ti. e1 sy.�5 � r.' S� Y•71, }n d.! �'.� � Si1 �8 � 1 �• 3 � �� E a� 3"' w % ��._ .?�, .1c';. .' S i 3 � h 5.. ,1 � i .k. 1 Y k 4 .. \ - 4 :� 1 .r t } {t.. � S ~ y] ..s4. Y l . Lx1• H F- A ` j :Y i',.{ � 5 � l I learned of this Regwd for Bids by the foliowhag nmus: Q Newspaper Adverdwmarot ❑ Soutbleke Website Mailed Me a Copy ❑ City &Fna>7 Natificadon ❑ Cold Call to City ❑ Otber City of Sam*rake - AFB071 SA162NN700228 - Page 12 of 21 Appendix B —Bid Doeament (oe gored) L AMUMED BID INFORMAMM IN ORDER FOR A BID IV BE CIONSID`EM COMPLETA AND 7V BE EVALUM" FOR A CONTRACT AWARD BY THE CI!'Y, BIDDER MUST SUBWTALL OF ME FOLWWING 12VFORMA770M. L Proposed Products and/or Services A. Product or SMjr4 Lion Bidders should utilize this sec#ion 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 literahM brochures, or other technical infornsation may be used. B. Pbyj= S9buldDeliy= Date Bidder must provide a project schedule noting all projected completion dates fur segments of the Project, f om start-up to completion, and all delivery dates for goods covered by the RFB. The Bid Document must show the number of days requnrtd to deliver and install the product or equ# mt t after the receipt of the City's Purchase Order. 2. Cost ofProposed Products and/or Services A. PAgin Pricing shall reflect the full Scope of Servios defined herein, inclusive of all associated cost for delivery, labor, insurance, taxes, overhead, and profit. B. SchedulL Pricinm Bidder shall quote snit pricing in weardence with the itemized lasting of products or contrast segments stated in the Scope of Services and tu6W the following format: Item #: Quantity; Description of ProduchMervices: Unit Cast: Extended Price: 1. Youth Basketball Games (Two Offtciab) Liz 275 sues 275 (8 and Under) Games s ea 7► �' .l.& 325 sues 325 (10 and Under) Games S ea S 13, AP Le. 300 lives 300 (12 and Under) Games $ . �{�,� -- an $ 11,61V 00 2. 50 secs Youth Baskethall (One Official) 50 (6 and Under) Game r S 3. 350 svcs Youth Volleyball — 350 Games S es S s 4. 200 secs Youth Flag Football — 200 Games City OfSouddake - RFB07IQ, MRM700229 - Page 13 of 21 Item 0: Quantity: DCKAptku of Prad�: Unit Cash Extended Pri6e: S. 1,450 rocs Two (2) Scorekeeper's Per Youth BasketballNolleybali Game -1,450 S . ee S j .jk � 6. 3,160 ncs Assigaer's Fee Per Game 3,16t! .5 %�?, _S'�,E4 '# Per svcs Optional Third Official For Championship Play. each service TOTAL ALL SERVICES: %Wrdv%� 3. OPTION TO EXTEND: 4. 6 Effective date and term This Agreement is effective upon execution by the pasties. The term of the Agreement sba11 commence on the date and year, and shad continue in full force and effect for a period of one (1) year ii= such commencement elate, finless sooner terminated as herein provided. C.i. OM` : It is agreed that City will have the option to extend the contract for up to flour (4) additional years. ISM one -year intervals, each commencing annually on the month and date of the ori6W award date. To exercise this option, the City shall serve written notice not later than 30 days prior to the original one -year tam or the end of any one -ygar 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. If the City exercises its option to extend the - contract, the Contractor may request an increase in pricing. In support of any such req=4 Contractor shall fiunish evidence as to the need for the increase to the City Manager, or designee. If the City Manager agrees with the increase, then the City Manager will recommend acceptance of the increase to the City Council for its approval, disapproval, or modification. In no event will the increase pursuant to thW paragraph exceed an aatnual increase of more titan four percent (4 Bidder's Experience / Staff A. P 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 dells their experienoo. B. Removal or Replacement of Steil If an assigned stag person must be re roved or replaced for any reason, the replw=nent person must be approved by City prior to joining the project, Chy of5ouWake - RFS07104162&M7tV228 - Page 14 of 21 I ` UJ equo I P j.e �g -� � �,�, a VA W.rpotNci 9 17 - 7oG -.4 4 63 C. Businew 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 bushmm under different narries, err have operated any other businesses or abanged the legal std 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 thaw present, must-be provided; State the number of years experience the business bas: : and the number of employees: D. hject 1W1 tad Eicneriaeee All Bids must include detailed information that details the Bidder's experience; and wgmtsa in providing the requested services that demonstrates the Bidder's ability to logically plan and complete the requested projeact. S. References Bidder shall provide three (3) refer toes where Bidder has performed similar to or the same t3IM of services with a municipality or other such agency as described herein. Reference #h Client 1 Company Name: CL V VeS4 r A P 154(o. a' c. m i Contact Name: C 2 1 l r Contact Tide d` Contact Title: EM: Data and Scope of Work Provided_ ^ eta Reference 2: Client r Company Name: �-4 N u Contact Name: 04 CO irtact Title- Contact Title: PH: r EM: Date and Scapa of Work Provided: U1 I 6i Ppa,.q A f - k Reference N3• Client /Company Nair: a a rM A C 6- .e Contest Name: Q CO irtact Title- PH: S �.. EM-, Date and Scope of Work Provided: Ad pl�nitaw_-S A000 4 t i{R o, f SoudhIgAe - RFB077M16ZFM70M8 - Page 35 of 21 6. Federal, State and/or Loerdl Identffication Information A. Centralized Master Bidders List registration number: B. Prime conductor HUB / IMWBE registration number. C. An individual Bidder acting as a sole proprietor must also enter the Bidder's Social Security Number: 4 7. Cooperative Governmental Purchasing Notice Other governmental entities maintaiming.interlocal agreements with the City, may desire, but are not obligated, to purchase goods and services defined in this RFB from the successful Bidder. All purchases by govammexital 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 on* will place their' own orders with the successful Bidder and be responsible for ensuring full compliance with the RFB specifications. Prior to other goverrmmesntal entities placing orders, the City will notify the successful Bidder of their iatont 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. NTRA D COND EXCEPT W ERE BIDDER M9aES SPEMIC EXCEPTION DV THE SUBAII= BID, ANY CONTRACT RESVLTDVG FROM TATS AM WILL CONTAIN THE FOLLOWDVG TEMS AND CONDITIONS, WHICH BIDDER HEREBY A OWI.EDGES, AND TO W1MCHADER AGREES BYSUBJI 777EW A BID: 1. Delivery of Products audVor Services A. Payment Terms Unless odherwise specified in the Scope of Services or otherwise agreed io in writing by the City, payment terms for the City are Net 30 days upon receipt of invoice. B. Warranty of Serviers All services performed shall be warranted to be of a good and workmanUm quality, in addition to, and not in lieu pt any other express writes %mrranties provided. C. Late DeliyM or Perfoamancv If Binder fmls 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 sizcl� costs within ten days of invoice. D. FOB fdelN= ch@ gesl 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 eollect shipments. The contract price shall include all charges, including delivery, installation and set -up fees. All packing, orating or other debris resulting from the delivery or set -up of the commodity p=hased shall be removed and properly disposed by the successful Bidder at no additional cost to the City. E. Title to Goods and Risk of Loss For goods to he provided by Bidders hereunder, if any, the title and risk of loss of tho goods shall not pass to City until City actually receives, takes possession, and accepts the goods and the installation of such goods, hu tested the system, and determined that it is in good and acceptable working order. City ofsailek a►ke - RFB MA162 R1if7M228 Page 16 of 21 2. Misedlaneous E. Wrurrsdent Contractor Bidder agrees that Bidder and Bidder's employees and Agents have no employer- onvioyoe relationship wig City. Bidder agrees that if Bidder is sek tW and awarded a contract, City shall not be reWnable far the Federal Insurance Conlnbntion Act (FICA) payments, Federal or State unemployment taxes, income tax wkiiholdunq. Workers CwTensation lnsmsnce payments, or any other insurance payments. nor will City furnish any medical or retirement benefits or any paid vacation or sick leave. F. ANiOMAMe The rights and duties awarded rite svecessfW Bidder shall not be assigned to another without the written eat of the Purchasing Agent. Such consent shall not relieve the assigner of liability in the event of dehWt by the assignee. G. Liens Bidder 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 Bidder or Bidder's vendor(s), and if the City requests, a proper mlease of all liens or satin actwy evidm= of freedom from lieges shall be delivered to the City. H. COALbes / Bnbes Bidder certifies that no bribes in the form of eaatwu mnent, gifts, or atbernv M were offered or given by the successful Bidder, or its agent or representative, to- any City officer, employee or elected representative, with respect to this RFB 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 L Financial Partissipad : 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 aclmowledges tbat this contract may be terminated andlor payment withheld if this certification is inaccurate. J. RRi Licenses Bidder certifies that he bolds all licxnses requbvd by the State of Texas for it provider of the goods andlor services described by the Scope of Services herein. K. ALAgft to Submit Bid and Enter Coanact: 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. L. QmWiancce with Ap&abla Law Bidder agrees that the contract will be subject to, and Bidder will striody comply wilt, all applicable federal, state, and local laws, ordinances, rules, and regulations. 3. Finsuacial Responsihslity ProvWeus A. uce The Bidder. consistent whb its status as an independent comractor, shall oarry, and shall require any of its subcontractors to carry, at least the following insurance in such faun, with such companies, and in such amounts (unless'otherwise specified) as City may require: i. Worker's Compensation and Employer's Liability in suranca, including All States Endorsement, to the extract required by. federal law and complying with the laws of the Stator of Texas; ii. Commercial General Liability insurance, including Blanket Corrtractual Liability, Broad Form Property Daman, Personal Injury, Completed Operations/Products I iabAity, Premises Liability, Medical Payments, Interest of Employees as additional fasureds, and Broad Form General Liability Endorsements, for at least One Million Dollars ($1,000,ObO) Combined Single Limit Bodily Injury and Property Damage on an occurrence basis; City of Sawkkke - RFB07104162RU700228 Page 17 of 21 Hi. Comprehensive Automobile Liability msura xe covering all owned, non -owned or hired automobiles to be used by the Conftw or, with coverage for at least Cho Mifliaa Dollars ($1.000,000) Combined Single Limit Bodily Injury and Ply iv. The insurance covamges or piam sha11 name the City, if officialk employees and volunft=, (collectively, the 'City') as an' additional insured. Conbantor shall feunisb a c:ertifacata of insurance which shell state that the City is an additional insured under the policies or plan, that the cartifirame modifies the policy or plan to grant the same rights to the City as the insured, and that the obligations of the insurance carrier to the City are the same as to the ksurc& The outiSoate of insurance or othei- evidence of the required coverage shalt be furnished with die boards or prior to commencement of work under the oontr=4 if no bonds am required. v. 31re Cof'actor's liability insurance policies shall contain provisions that specify that the policies are primary and will apply without consideration of other policies sepsawoly carried, and will state that each h aumd is provided coverage as drouSb a sepano policy had been issued to each, except that insurer's liability will not be incraued beyond the amount for which the insumer would have been liable had only one ins ved born covered_ Coverage shall be primary and non- contributory with any of the CiV s polioie& B. Indemnification Bidder agrees to defend, ix d nify and hold harmless the City, all of its officers, Council numbers, agents and employees from and against all claims, actions, snits, 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 omiWons of Bidder or any agent, employee, subcontractor, or supplier of Bidder in the execution or performance of Ns contract without regard to whether such persons are under the direction of City agents or employees. Tba Bidder agrees to protect and indemnify the City, all of its officers, Council members, agents and employees, from all claims, actions, suits, demands, prooeedings, costs, damages and liabilities, including reasonable attorneys' fees, court casts and related expenses, arising out ofany alleged infringement of paid or copyrights arising from tfre Contractor's performance under the Contractor's Bid, including attorneys' fees and court costs. Coy of 8outhlake - RPB0719AI62AM700228 - Page 18 of 23 Z)uthlo Appendix C - Conflict of Interest Questionnaire (0Q) l CONFLICT OF OMMEST QUESTIONMAIRE 0ORLE CI I I For VOMS r or a0w pe o dobm bumkm s WM local go�ne� iw fr Taft Mesa ekLvae Muft in Sfw I= by mm 1rr, M Lo . USEGMY '€wft ymbalinathodinmmurdsumavAhOm he'EM Loomi0 cum Shchoas bra prsend�e Haan keadi+easrp4�Baad{�asdsSmsd 1r�t8aeOuw l7e.DQ1f7s}wtA�a beef isw6iy andShsprereneaWs bwgrdramsdsudbxStaioer ?T6.Ofjd(+�, ntrttbailyd taKlhre oflYMtaoarFyyoerennwa�l GnNVndbiaelbaaire7lbbuWe caraffw tadmbtwpmmbsmom Ilralt ttraalabenw bbaflat. SaeSaa&m ITiLOW LooulGo taea untOods A paemm aaa v m odlansa i"Ve *numby)lyf vbfalm Sscs= 17a.0M Loud �erararrra�t7odsArr olaarratMadsritlsasniewla a Glsss�:rrTsdraaaar� ❑ Cbmkw sboslty"an mom e�doaa [esF.vmosljrfad (Um taw raga a Out you No m apdabod aatap}atad g ouftanataa aft em appropriaie !Virg aaiharyeyr rml 4dow tm Os My bLuam iq aar Me dais ihs mtka* OW gnob aem I - - - s Immmm"As or itb2a0000a) bfabaaotlowd hllalaar vd11r aataCwin�tl ioasaTp Al L ••• • •— Iiawsd00mr 7ft asrdldrr Psum S 1 ' A. f1. C i Cy aMM be aagpltbd for doh o ear atbtr Wm a *a Saar has aft swV&pnmrA or olrvfardmsa aer ddb b9r Faeofen 1Td Q6i(1 - baron[f3o+raaeia>tCads Ibi<iiol+ atldtYiswop papm to #6 Fam CIQ w motm:yr. A, Is to farm awmm and a■m rrarmod b fits s ed m*A3 arilpdy ic ra I tocable ieeo m oawr ow R esbmwt Ieatfbe;'>m sets fifer afire gms fOefrsWa. 0Vie ffgNa IL to be raeraf UnsgueLorrreka rraraidng or f h* b rawo o toad« bmxm t o*wr lhm ipwudnm moans Mora or at Iba dlrsafm of *a bony puawsa"oabur n wwd In this amWon AND 9w Mabie irraarna is wl nrotiwd Gann fete boai yyeaewtenaot+d 0Y �ft Q is to Ver of tbL gYaMia7rarm a owparAm at atm bbrsWw soft wigh MM M lire Ind vwwmrwaL nfietl ftmu as m 0 mmw ar nr haids as aaa+eab4r OF W iaoroln6 a nraa7 = Ytes. ER no Sk Ds=WM stab ompiMment or Tmrtaatna rdblandop +idle Aw kmW guysi sed der wamfd is this wdbm Cay of Slnrt*we RFBO710AI62RM700228 Page 19 of 21 a Appendix E — No Intent to Submit Form ff your f rm has chosen not to submit a bid for this procu remw4 please complete this form and submit to: Or of Southlake Purchasing Division, Departnt of Finance 1404 Main Street, Suite #440 Southlake, Texas 76442 Please check all items that apply: ❑ Do not sell the hem(s) required. ❑ Cannot be Gompetltive. ❑ Cannot provide Insurance required ❑ Cannot provide Bonding required. ❑ Cannot meet specifications highlighted in the attached ❑ Cannot comply with Indemnification request. requirement. ❑ Job to ]Mir, ❑ Job too small ❑ Do not wish to do businxs with the City of Southlake. ❑ Other. COMPANY NAME (Please print): Authorized Officer Name (Please print): Telephone: Fax: ( . } City of 3onrklake - RPROM4162R 700219 - Page 2I of 2i