Item 4CCITY OF
SOUTHLAKE
MEMORANDUM
December 17, 2013
To: Shana Yelverton, City Manager
From: Sharen Jackson, Chief Financial Officer
Timothy Slifka, Purchasing Manager
Subject: Item 4C Authorize Contract Renewal with Blagg Tire and Service
for City of Southlake Preventative Maintenance and General
Repair Services for Light and Medium Vehicles
Action
Requested: Authorization to renew current contract for preventative
maintenance and general repair services for City light and
medium duty vehicles.
Background
Information: The City Council approved the original contract with Blagg Tire
and Service on February 21, 2012. The original contract allows
four (4), one-year contract renewals at the City's option. This is
the second of four possible renewals. This contract provides
preventative maintenance and general repair services for light
and medium duty vehicles for the City. The contract renewal
includes the same pricing, terms and conditions of the original
contract approved on February 21, 2012.
Financial
Considerations: Costs for City of Southlake preventative maintenance and
general repair services are funded through budgeted
department maintenance accounts.
Strategic Link: C1 — Achieve the highest standards of safety and security.
B2 — Collaborate with select partners to implement service
solutions.
B5 — Enhance service delivery through continual process
improvement.
F2 — Invest to provide and maintain high quality public assets
Citizen Input/
Board Review: None
Legal Review: Attorney reviewed original bid documents as to form
Alternatives: Deny and re -bid preventative maintenance services
Supporting
Documents: Current contract with Blagg Tire and Service
Staff
Recommendation: Approve the renewal of this contract for preventative
maintenance and general repair services with Blagg Tire and
Service.
November 26, 2013
Blagg Tire & Service
604 Main Street
Grapevine, Texas 76051
Attn: Mr. Perry Leonard
Subject: Notification of Contract Extension for Provide Preventative Maintenance and General Repair Services for City of
Southlake Vehicles RFP1107B200TS110018
Dear: Mr. Leonard:
The City of Southlake is providing notification of contract extension, pending City Council approval, for Provide Preventative
Maintenance and General Repair Services for City of Southlake Vehicles RFPI107B200TS110018, copy included for Fiscal
Year 2013-2014. This extension shall become effective February 21, 2014 and 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. Price adjustments may only
occur at the time of renewal and only upon securing the approval of the City in writing. Requests for price adjustments must be
solely for the purpose of accommodating an increase in the vendor's cost, not profit. Your company has not requested an
increase at this renewal.
The terms and conditions proposed and accepted in this renewal agreement are as follows:
Line Items Awarded: Line Items Awarded: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 14, 15, 16, 18, 19, 20, 33, 34, 35, 36, 37, 38, 39, 40, 41
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 two (2) more one
(1) year annual renewals.
City Contact: TIM SLIFKA 817-748-8312
Send all billing to: City of Southlake
1400 Main Street, Suite 440, Accounts Payable
Southlake, TX 76092 or Email: accountspavable(a ci.southlake.tx.us
Other Charges: The City of Southlake is a tax exempt municipal corporation and is exempt from all federal, state,
and local sales taxes.
All other specifications, terms and conditions shall be as provided in the original procurement documents. No other
attachments to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager or an
authorized representative of the City of Southlake.
Thank you for participating in our procurement process. Please call 817-748-8312 with any questions.
Sincerely,
Tim Slifka
Purchasing Manager CPPO, CPPB
City of Southlake
1400 Main Street, Suite 440
Southlake, Texas 76092
tslifka(a ci.southlake.tx.us Attest:
Fax:817-748-8048
Alicia Richardson, TRMC
Contract and Award Accepted: City Secretary
Signed: Date: Approved as to Form and Legality:
Mayor John Terrell
City of Southlake City Attorney
ORIGINAL DOCUMENT
� ����.Ti1--ll�AK€ CITY�QF SOUTHLAKE
Cowicil Action:(Y"% N Ord./Res. No.
19 Date Approved
January 29, 2013
Blagg Tire & Service
604 Main Street
Grapevine, Texas 76051
Attn: Mr. Perry Leonard
Subject: Option to Extend Notification for RFP1107B200TS110018 Provide Preventative Maintenance and General Repair
Services for City of Southlake Vehicles
Dear: Mr. Leonard:
The City of Southlake is providing notification they intend to extend the contract, pending City Council approval, resulting
from your "RFP1107B200TS110018 Provide Preventative Maintenance and General Repair Services for City of Southlake
Vehicles", copy included for Fiscal Year 2013. This extension shall become effective February 21, 2013 and after City Council
approval (CC Award date A-5• (3 ) 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.
In support of a price adjustment, vendor may submit documentation as to the need of the price adjustment. Requests for price
adjustments may only occur at the time of renewal and only upon securing the approval of the City in writing. Requests for
price adjustments must be solely for the purpose of accommodating an increase in the vendor's cost, not profit. Your company
has not requested an increase at this renewal.
The terms and conditions proposed and accepted in this renewal agreement are as follows:
Line Items Awarded: Line Items Awarded: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 14, 15, 16, 18, 19, 20, 33, 34, 35, 36, 37, 38, 39, 40, 41
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 annual renewals.
City Contact:
TIM SLIFKA 817-748-8312
Send all billing to:
City of Southlake
1400 Main Street, Suite 440, Accounts Payable
Southlake, TX 76092 or Email: accountspUvable@ci.southiake.tx.us
Other Charges:
The City of Southlake is a tax exempt municipal corporation and is exempt from all federal, state,
and local sales taxes.
All other specifications, terms and conditions shall be as provided in the original procurement documents. No other
attachments to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager or an
authorized representative of the City of Southlake.
Thank you for participating in our procurement process. Please call 817-748-8312 with any questions.
Sincerely
Tim Slifka
Purchasing Manager, CPPB
City of Southlake
1400 Main Street, Suite 440
Southlake, Texas 76092
tsl itka'a%.ci.sou thlake.tx.us
Phone: 817-748-8312 Fax: 817-748-8048
Contrac d ted:
7
Signed: ate: ca-S-- f'
Mayor John Terre
City of Southlake
Attest: M.
lam/
Alicia Richardson,
City Secretary
Approved as to Form and Legali
City Attorney
ORIGINAL DOCUMENT
CITY OF aCCU i HLAKE
C.ffY OF Council Action: YQ/ N Ord./Res. No.
SOUIJ-U_AICEDate Approved
19
February 15, 2012
Blagg Tire & Service
604 Main Street
Grapevine, Texas 76051
Attn: Mr. Perry Leonard
Subject: RFP1107B200TS110018 Provide Preventative Maintenance and General Repair Services for City of
Southlake Vehicles
Dear Mr. Leonard:
The City of Southlake is pleased to inform you that Blagg Tire & Service of Grapevine Texas is one of three (3) vendors being
awarded "RFP1107B200TS110018 Provide Preventative Maintenance and General Repair Services for City of
Southlake Vehicles". The award and this agreement are based on your proposal to the City RFP1107B200TS110018, copy
enclosed. This is a multiple vendor award contract. Your company's portion of the award is attached. This award was approved
by the City of Southlake City Council on •ala la
The terms and conditions proposed and accepted in this agreement are as follows:
Line Items Awarded Line Items Awarded: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 14, 15, 16, 18, 19, 20, 33, 34, 35, 36, 37, 38, 39, 40, 41
Payment Terms: Net 30 days (Unless otherwise noted — such as pre- and/or partial payment)
Estimated Quantities: The City does not guarantee to purchase any minimum or maximum quantity but does contemplate
purchasing the awarded items exclusively during the term of the contract from the successful
vendors.
Method of Payment: Shall be made by City procurement card or purchase order
Delivery Terms: FOB Destination
Delivery Locations: Vendor Delivery or City employee pick-up.
Term of Contract: The term of awarded contract shall remain in effect for twelve months from date of award and is
eligible for up to four (4) one (1) year annual renewals.
City Contact: TIM SLIFKA 817-748-8312
Send all billing to: City of Southlake
1400 Main Street, Suite 440, Accounts Payable
Southlake, TX 76092 or via email to accountspavable(a)ci.southlake.tx.us
Other Charges: The City of Southlake is a tax exempt municipal corporation and is exempt from all federal, state, and
local sales taxes.
All other specifications, terms and conditions shall be as provided in the original procurement documents. No other attachments
to or in response to this agreement will be accepted unless approved in writing by the Purchasing Manager or an authorized
representative of the City of Southlake.
Thank you for participating in our procurement process. Please call 817-748-8312 with any questions.
Sincerely,
Tim Slifka y
Purchasing Manager, CPPB
City of Southlake
1400 Main Street, Suite 440
Southlake, Texas 76092
tslifka(a.ci.south Iake.tx.us
Phone: 817-748-8312 Fax: 817-748-8048
Contra r cept
Sign Date: al la
Mayor John Te ell
City of Southlake
1400 Main Street, Suite 440
linia Richardso row ary
Southlake, Texas 76092
Appendix B — Proposal
Submittal Checks (To determine valid[tla of Prop)
XX Appeodiz B (pages 11_ t~rough 22, mast be included In the pr%mW submittal
XX Appeudiz C Csnf¢t of Interest Fars (pge _22, asnst be is huW is the proposal sabmittaL
-T Nji
36F°` RFP1107B200TS110018
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PROVIDE PREVENTATIVE MAINTENANCE AND
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I learned of this Request for Proposals by the following means:
❑ Newspaper Advertisement
❑ Southlake Website
❑ Mailed Me a Copy
❑ City E-mwl Notification
❑ Cold Call to City
IN Other (fir Vtzae,
City of Soatblake - RF71107BZWTS110018 - Page 11 of 23
Appendix B — Proposal (eoodaved)
L REOUIRED PROPOSAL INFORMATION. IN ORDER FOR A PROPOSAL TO BE
CONSIDERED COMPLETE, AND TO BE EVALUATED FOR A CONTRACT AWARD BY TEE
CITY, PROPOSER MUST SUBMIT ALL OF THE FOLLOWING INFORMATION:
1. Proposed Products and/or Services
A. Product or Service Description: Proposers should utilize this section to describe the technical
aspects, capabilities, features and options of the product and/or service proposed in accordance
with the required Scope of Services as ident6ed in Appendix A. Promotional literature,
brochures, or other technical information may be used.
B. Additional Hardware Descriptions: Proposers should also include in this section a detailed
description of what additional hardware and/or software, if any, would be required by the City in
order to fully utilize the goods and/or services proposed.
C. Guarantees and Warranties: Each Proposer shall submit a complete copy of any warranties or
guarantees provided by the manufacturer or Proposer with the Proposal submitted
D. Project Schedule/Delivery Date: Proposer must provide a project schedule noting all projected
completion dates for segments of the Project, from start-up to completion, and all delivery dates for
goods covered by the RFP. The Proposal must show the number of days required to deliver and
install the product or equipment after the receipt of the City's Purchase Order.
2. Cost of Proposed Products and/or Services
A. Pricing: Pricing shall reflect the full Scope of Services defined herein, inclusive of all associated
cost for delivery, labor, insurance, taxes, overhead, and profit
B. Schedule of Pricing: Proposer shall quote unit pricing in accordance with the itemized listing of
products or contract segments stated in the Scope of Services and using the following format:
1.I Ford F-150 Series Vehicle Unleaded Fuel 2WD
Per Svc PM Level A per Scope of Services S 38•50
Per Svc PM Level C Der Scope of Services $ 145.00
2. 1 Ford F-150 Series Vehicle Unleaded Fuel 4WD
Per Svc PM Level A per Scope of Services $ 38.50
Per Svc PM Level C per Scope of Services S 145.00
3. 1 Ford F-250 Series Vehicle Unleaded Fuel 2WD
Per Svc PM Level A per Scope of Services $ 38.50
Per Svc PM Level C per Scope of Services S 165.00
4. 1 Ford F-250 Series Vehicle Unleaded Fuel 4WD
Per Svc PM Level A per Scope of Services $ 38.50
Per Svc I PM Level C per Scone of Services S 165.00
Per Svc PM Level A per Scope of Services 1 $ 95.00
Per Svc PM Level C per Scope of Services J$384.00
City of Sorthlake - RFP1107B200TS110018 - Page 12 of 23
6.
Ford F-250 Series Vehicle Diesel Fue14WD
Per Svc
PM Level A perSc of Services
$ 95•DO
Per Svc
PM Level C per Scope of Services
$ 384.00
7.
Ford F-350 Series Vehicle Diesel Fuel 2WD
Per Svc
PM Level A per Scope of Services
$ 95.00
Per Svc
PM Level C per Scope of Services
$ 384.00
8.
Ford F-350 Series Vehkle Diesel Fuel 4WD
Per Svc
PM Level A per Scope of Services
$ 95.00
Per Svc
PM Level C per Scope of Services
$ 395.00
9.
Ford F450 Series Vehicle Diesel Fuel 2WD
Per Svc
PM Level A per Scope of Services
$ 135.00
Per Svc
PM Level C per Scope of Services
$ 424.00
10.
Ford F450 Series Vehicle Diesel Fuel 4WD
Per Svc
PM Level A per Scope of Services
$ 135.00
Per Svc
PM Level C per Scope of Services
$ 424.00
11.
Ford F-550 Series Vehicle Diesel Fuel
Per Svc
PM Level A per Scope of Services
$ 135.00
Per Svc
PM Level C per SoW of Services
$ 424.00
12.
Ford F-650 Series Diesel Fuel
Per Svc
PM Level A per Scope of Services
$ NA
Per Svc
PM Level C per Scope of Services
$ NA
13.
Ford F-750 Series Vehicle Diesel Fuel
Per Svc
PM Level A per Scope of Services
$ NA
Per Svc
PM Level C per Scope of Services
$ NA
14.
Ford Freestar Mini -Van Unleaded Fuel
Per Svc
PM Level A per LOZ of Services
$ 38.50
Per Svc
PM Level C per Scope of Services
$ 145.00
15.
Ford Escape Unleaded Fuel 2WD
Per Svc
PM Level A per Scope of Services
$ 38.50
Per Svc
PM Level C per Scope of Services
$ 158.00
16.
Ford Escape Unleaded Fuel OM
Per Svc
PM Level A per Scope of Services
$ 38.50
Per Svc
PM Level C per Scope of Services
$ 158.00
17.
Ford Escape Hybrid Unleaded Fuel
Per Svc
PM Level A per Scope of Services 1$38.50
Per Svc
PM Level C per Scope of Services IS
158.00
City of south'ske - RFP1107B200TS110018 - Page 13 of 23
M
Ford Explorer Unleaded Fuel 2WD
Per Svc
PM Level A per Scope of Services
$ 38.50
Per Svc
PM Level C per Scope of Services
S 135.00
19.
Ford Explorer Unleaded Fuel 4WD
Per Svc
PM Level A per Scope of Services
$ 38.50
Per Svc
PM Level C per Scope of Services
$ 135.00
20.
Ford E-150 through E-350 Series Van Unleaded
Fuel
Per Svc
PM Level A per Scope of Services
$ 38.30
Per Svc
PM Level C per Scope of Services
$ 165.00
21.
Ford E 350 Series Van Chassis Diesel Fuel
Per Svc
PM Level A per Scope of Services
$ 95.00
Per Svc
PM Level C per Scope of Services
$ 384.00
22.
Dodge Chmrger Police Vehicle Unleaded Fuel
Per Svc
PM Level A per Scope of Services
$ 38.50
Per Svc
PM Level C per Scope of Services
$ 135.00
23.
Dodge um Police Vehicle Unleaded Fuel
Per Svc
PM Level A per Scope of Services
$ 38.50
Per Svc
PM Level C per Scope of Services
$ 135.00
24.
Chevrolet Tahoe Police Version Unleaded Fuel
Per Svc
PM Level A per Scope of Services
$ 38.50
Per Svc
PM Level C per Scope of Services
$ 155.00
25.
Chevrolet Tahoe 4z4 Unleaded Fuel
Per Svc
PM Level A per Scope of Services
$ 38.50
Per Svc
PM Level C per Scope of Services
S 155.00
26.
Chevrolet 23 Passenger Bus Unleaded Fuel
Per Svc
PM Level A per Scope of Services
$ 60.00
Per Svc
PM Level C per Scope of Services
$ 195.00
27.
GMC TC6C042 Diesel Fuel
Per Svc
PM Level A per Scope of Services
$ NA
Per Svc
PM Level C per Scope of Services
S NA
2&
GMC C7500 Series Diesel Feel
Per Svc 1
PM Level A per Scope of Services
S NA
Per Svc I
PM Level C per Scope of Services
S NA
City of Southiake - RFP1107B200TS110018 - Page 14 of 23
29.
International Track 4400 Series Diesel Fuel
Per Svc
PM Level A per Scope of Services
$ NA
Per Svc
PM Level C per Scope of Services
$ NA
30.
International Track 7400 Series Diesel Fuel
Per Svc
PM Level A per Scope of Services
S NA
Per Svc
PM Level C per Scope of Services
$ NA
31.
Peterbilt 357 Series Dump Truck Diesel Fuel
Per Svc
PM Level A per Scope of Services
$ NA
Per Svc
PM Level C per Scope of Services
$ NA
32.
Toyota Cantry Hybrid Unleaded Fuel
Per Svc
PM Level A per Scope of Services
$ 38.50
Per Svc
PM Level C per Scope of Services
$ 175.00
ADDITIONAL SERVICES
33.
Small Engine Powered Unit PM Services as
Required
Per Svc
This shall include labor costs only. Parts and supplies
shall be additional cost item based on parts and
supplies cost rate listed below.
$ 49.60
Labor Only
34.
Electric Crane PM Services
Per Svc
This shall include labor costs only. Parts and supplies
shall be additional cost item based on parts and
supplies cost rate listed below.
$ 49.50
Labor Only
35.
Ho Labor Rate for 'Off -Site' General Repairs
Per Hr
Hourly labor rate at vendors location
$ Per Hr
36.
After Hours Hourly Labor Rate for `Off -Site'
General Repairs
Per Hr
Ater Hours hourly labor rate at vendors location
$ �4 Per Hr
37.
Hourly Labor Rate for General Repairs
Performed `On -Site' at City Location
Per Hr
1 Hourly labor rate at City location
$� Per Hr
Labor Rate for General Repairs
at City Location Negotiated to
$79.00 per hr.
City of Southlakei - RFP1107B200TS110018 - Page 15 of 23
38.
After Hours Hourly Labor Rate for General
Repairs Performed `On -Site' at City Location
Per Hr
After Hours hourly labor rate at City location
$ «� Sa Per Hr
39.
Parts and Supplies Cost for General Fleet
Repairs. List Price Minus Percentage. List - %
Discount
List Price Minns
_ % 0 Discount
40.
Parts and Supplies Cost for PM Services for Small
Engine and Electric Crane Units. List Price Minus
Percentage, List - % Discount
List Price Wmus
_ % 0 Discount
Vendor Vehicle Pick Up and Drop Off Fee
41.
Per Rnd.
Trip
Vehicle Pick Up and Drop Off Fee for City Vehicles
Per Round Trip
39.50
$
Other Vendor Charges. Please Describe.
42.
Per Svc
$
Other Vendor Charges. Please Describe.
43.
Per Svc
$ XA
Other Vendor Charges. Please Describe.
44.
Per Svc
$ ALA
Other Vendor Charges. Please Describe.
45.
Per Svc
$ AM
City of Sonthhdw - RFP1107B200TS110018 - Page 16 of 23
3. Term of Contract and Option to Extend
Any contract resulting from this RFP shall be effective for twelve months from date of award. The
City anticipates that contract shall be renewed pursuant to the availability of fiords and at the discretion
of the City. The following clauses shall be included in the contract:
A. Option Clause: It is agreed that City will have 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 finding is unavailable or if the contractor's past performance is not within the
industry standard-
B. Escalation Clause: Should market conditions prevail which dictate an increase, the successful
contractor may submit documentation requesting permission to increase pricing no later than 30
days after receiving notice from the City of its intent to extend the agreement. Escalation may only
occur at the time of renewal and only upon securing the approval of the City in writing. Requests
for price adjustments must be solely for the purpose of accommodating an increase in the
contractor's cost, not profits.
Vendors shall show in this quote their anticipated percent of escalation if/when the option to
extend is exercised. The percent quoted will be a maximum. In addition, the percentage proposed
will be a factor in determining the best value to the City. It is the average price over the period of
the contract that will be the price factor considered in the evaluation of this quote. Quotes in which
negative or no escalation is shown will be considered as 0% escalation.
C. Price Increases Upon Extension: If approved by the City, the Contractor shall modify the rates
charged by the Contractor to reflect any changes shown in the comparative statement delivered to
the City. The maximum increase allowed under this provision shall be four percent (41/o) 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 (FY 12-13) ESCALATION ........................... 4 %
SECOND ADDITIONAL YEAR (FY 13-14) ESCALATION ....................... 4 %
THIRD ADDITIONAL YEAR (FY 14-15) ESCALATION ......................... 4 %
FOURTH ADDITIONAL YEAR (FY 15-16) ESCALATION ......................... 4 %
4. Proposer's Experience / Staff
A. Project Team Identify all members of the Proposer's team (including both team members and
management) who will be providing any services proposed and include information which details
their experience.
B. Removal or Replacement of Staff: If an assigned staff person must be removed or replaced for any
reason, the replacement person must be approved by City prior to joining the project.
C. Business Establishment: State the number of years the Proposer's business has been established
and operating. If Proposer's business has changed names or if the principals operating the business
operate any similar businesses under different names, or have operated any other businesses or
changed the legal status or form of the business within the last five (5) years, all names, of
predecessor business names, affiliated entities, and previous business entities operated by the
principals, if different than present, must be provided;
City of Southlake - RM107B200TS110018 - Page 17 of 23
State the number of years experience the business has: 25 ; and the number of employees:
24
D. Project Related Experience: All Proposals must include detailed information that details the
Pro poser's experience and expertise in providing the requested services that demonstrates the
Proposer's ability to logically plan and complete the requested project.
5. References
Proposer shall provide four (4) references where Proposer has performed similar to or the same types
of services as described herein.
Reference #1:
Client/ Company Name: Sage Parts - DFW Airport
Contact Name:
Billy Butel - Branch Manager
Contact Title:
Branch M r
Phone: 972-425-4757
EM11 bbutel@sageparts.com
Date and Scope of Work Provided:
Tires & Service Repair
Reference #2:
Client / Company Name: Bombardier Transportation - DFW Airport
Contact Name:
Eduard Po - Maintenance Manager
Contact Title:
Phone: 972-947-1305
Email: eduard.popa@transport.bombardier.com
Date and Scope of Work Provided:
Tires and Service Repair
Reference #3:
Client / Company Name: ,,Yof Grapevine
Contact Name:
Contact Title:
Mark Irvin - Parts Manager
Phone: 817-410-3338
Email:
Date and Scope of Work Provided:
T'uw and Service Repair
Reference #4:
Client / Company Name: DFW Airport
Contact Name:
Contact Title:
Hollis Trotter
Phone: 972 973 5635
Email: htratter@diwairport.00m
Date and Scope of Work Provided:
Tires and Service Repair
City of Soatlhlake - RFP1107B200TS110018 - Page 18 of 23
6. Trade Secrets and/or Confidential Information
Trade Secrets and/or Confidential information: This proposal _ (does) roc (does not) contain trade
secrets and/or confidential information. If applicable, describe such trade secrets and confidential
information, and the basis for your assertion that such material qualifies for legal protection from
disclosure.
7. Federal, State and/or Local Identification Information
A. Centralized Master Bidders List registration number:
B. Prime contractor HUB / MWBE registration number:
C. An individual Proposer acting as a sole proprietor must also enter the Proposer's Social Security
Number.
H. CONTRACT TERMS AND CONDITIONS. EXCEPT WHERE PROPOSER MAKES SPECIFIC
EXCEPTION RV THE SUBMITTED PROPOSAL, ANY CONTRACT RESULTTNG FROM THIS
RFP WILL CONTAIN THE FOLLOWING TERMS AND CONDITTONS� WHICH PROPOSER
HEREBY ACgNOWLEDGES, AND TO WHICH PROPOSER AGREES BY SUBMHTTIIVG A
PROPOSAL:
1. Delivery of Products and/or Services
A. Payment Terms: Unless otherwise specified in the Scope of Services or otherwise agreed to in
writing by the City, payment terms for the City are Net 30 days upon receipt of invoice.
B. Warr = 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 &scribed in this Proposal, to
the satisfaction of City and in accordance with the specifications, terms, and conditions of the
Scope of Services, and all services performed shall be warranted to be of a good and workmanlike
quality, in addition to, and not in lieu of, any other express written warranties provided.
C. Late Delivery or Performance: If Proposer fails to deliver acceptable goods or services within the
timeframes established in the Project Schedule, the City shall be authorized to purchase the goods
or services from another source and assess any increase in costs to the defaulting Proposer, who
agrees to pay such costs within ten days of invoice.
D. Title to Goods and Risk of Loss: For goods to be provided by Proposers hereunder, if any, the title
and risk of loss of the goods shall not pass to City until City actually receives, takes possession,
and accepts the goods and the installation of such goods, has tested the system, and determined that
it is in good and acceptable working order.
2. Miscellaneons
A. in ependent Contractor. Proposer agrees that Proposer and Proposer's employees and agents have
no employer -employee relationship with City. Proposer agrees that if Proposer is selected and
awarded a contract, City shall not be responsible for the Federal Insurance Contribution Act
(FICA) payments, Federal or State unemployment taxes, income tax withholding, Workers
Compensation Insurance payments, or any other insurance payments, nor will City furnish any
medical or retirement benefits or any paid vacation or sick leave.
B. Assignments: The rights and duties awarded the successful Proposer shall not be assigned to
another without the written consent of the Purchasing Manager. Such consent shall not relieve the
assigner of liability in the event of default by the assignee.
City of Soathiake - RFP1107B200TS110018 - Page 19 of 23
C. Liens: Proposer shall indemnify and save harmless the City against any and all liens and
encumbrances for all labor, goods, and services which may be provided to the City by Proposer or
Proposer's vendor(s), and if the City requests, a proper release of all liens or satisfactory evidence
of freedom from liens shall be delivered to the City.
D. Gratuities / Bribes: Proposer certifies that no bribes in the form of entertainment, gifts, or
otherwise, were offered or given by the successful Proposer, or its agent or representative, to any
City officer, employee or elected representative, with respect to this RFP or any contract with the
City, and that if any such bribe is found to have been made this shall be grounds for voiding of the
contract
E. Financial Participation: Proposer certifies that it has not received compensation from the City to
participate in preparing the specifications or RFP on which the Proposal is based and
acknowledges that this contract may be terminated and/or payment withheld if this certification is
inaccurate.
F. Required Licenses: Proposer certifies that he holds all licenses required by the State of Texas for a
provider of the goods and/or services described by the Scope of Services herein.
G. Authority to Submit Proposal and Enter Contract: The person signing on behalf of Proposer
certifies that the signer has authority to submit the Proposal on behalf of the Proposer and to bind
the Proposer to any resulting contract.
IL Compliance with Applicable Law: Proposer agrees that the contract will be subject to, and
Proposer will strictly comply with, all applicable federal, state, and local laws, ordinances, rules,
and regulations.
3. Financial Responsibility Provisions
A. Insurance: The Proposer, consistent with its status as an independent contractor, shall carry, and
shall require any of its subcontractors to carry, at least the following insurance in such form, with
such companies, and in such amounts (unless otherwise specified) as City may require:
i. Worker's Compensation and Employer's Liability insurance, including All States
Endorsement, to the extent required by federal law and complying with the laws of the
State of Texas;
Commercial General Liability insurance, including Blanket Contractual Liability, Broad
Form Property Damage, Personal Injury, Completed Operations/Products Liability,
Premises Liability, Medical Payments, Interest of Employees as additional insureds, and
Broad Form General Liability Endorsements, for at least One Million Dollars ($1,000,000)
Combined Single Limit Bodily Injury and Property Damage on an occurrence basis;
iii. Comprehensive Automobile Liability insurance covering all owned, non -owned or hired
automobiles to be used by the Contractor, with coverage for at least One Million Dollars
($1,000,000) Combined Single Limit Bodily Injury and Property Damage.
B. Indemnification: Proposer agrees to defend, indemnify and hold harmless the City, all of its
officers, Council members, agents and employees from and against all claims, actions, 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
omissions of Proposer or any agent, employee, sabcontmetor, or supplier of Proposer in the
execution or performance of this contract without regard to whether such persons are under
the direction of City agents or employees.
City of Southlake - RFP1107B200TS110018 - Page 20 of 23
Appendix C — Form CIQ
XFORi1MATIONREG aMMY VENDOR CONFMCT OFIIVTMEUT QLTF.STIONNAME
WHO: A person must file a aoasict of interest questionnaire with the City if the person has a
esapioymeat or badness relationship with an officer of the City that resultx in tancabie income
exceeding 82,500 dining the pseec f twelve month period, or an officer or a me A of the
offiicces fancily has accepted gigs with an aggregate value of more thin, M during the
previous twelve moa& period and the person mgagcs in; any of the following actions:
1. contracts of seeks to ccmot for the sale or purchase of property, goods, or services with
the City, Winding any of the following
a written and implied contracts, utrlity purchases, prunbase orders, credit card
Purchases and any purchase of goads and services by the City,
b. contracts for the pie or sale of real property, personal property including an
auction cf property;
C. tax abatement and ec oma is deveb aacut agreements;
2 submits a bid to cell goods or services, or responds to a request for proposal for sem ias;
3. enters into negotiations with the City far a camtract or
4. applies for a tax abatement and/or economic development incentive that will result m a
comtract with the City.
THE FOLIAWING ARE CONSIDERED OMCEBS OF THE CITY:
1. Mayor and (Sty Council Members;
2. City Manager;
3. Board and Commission members appointed by the Mayor cr City Council members,
4. Directors of 4A and 4B devebpment ompmutions;
5. the orocutiv a directors or managers of 4A and 4B developmmt eorporatiems; and
6. Directors of the City of Soutbialce who inane authority to sign contracts on behalf of the
City.
EXCLUSIONS: A questiemos a statement' need nw be filed if the money paid to a local
government officer was a political contribution, a gift to a menbcr of the ofacces f m* from a
family member; a eoatract or purchase of I= than $2,500 or a transaction at a pricy sod subject
W: Pad+ l ef3
City of SouthWce - RFP1107B200TS110018 - Page 21 of 23
to terms available to the public, a payment for food, lodgin& traction or i na mt; or
a transaction subject to rate or fee regulation by a governmental. entity or agency.
WHAT: A person or business that coulzscts with the City or who seeks to contract With the City
naust file a "conf ct of tutax at 'gwbonsaire" (FORM W which is available on.leno at
www dx:s.staft,tK ue and a copy of which is attached to this csuideffix— The form contains
maWntuty diwlosures re g "employment or business relation" with a mmicipai
officer. Officials may be asked io clarify or interpret various portions of the gaestionnaim.
WHEN: The person. or business must file:
1. the queadi000aue no later than severs days aller the date the person. or baseness begins
contract discuss; or negodations with the mmic4mdity, or submits an application, responds to
a request for proposals or bids, coccupoudence, or other waking minded to a potential c octmet or
agreement With the Citr,, and
2. as updated questeowwre within sevm days after the date of an event that would make a
filed questionnaire hwompleto or ftwxur t
It does not nwhar if the submittal of a bed or proposal reams in a contract. The sfth to
requires a vendor to file a FORM CIQ at the time a proposal is submitted or negatiatims
oomamwee.
WHIRS: The vendor or pokutW vendor mast matt or deliver a completed questiot>oaitc to the
Finance Department, flee Fiaa wr Deparbawal h ngmbrd by law to post tie Adanavft on. the
City's b eemaet WOM11e.
ENFORCEMEL11T: Failure to file a ques io=m is a class a misdemeanor pmdd atk by a fine
sotto mweed S500. It is an exception to prosecutionthat the person f]es a FORM CIQ not later
than seven business days after the person received notice of a violation.
NOTE: The City does not have a duty to ensure that a person Em a oonflu t of uterest
W: t 76.AtlKbmmmt e7Q-89Z60 Aw PW 2 ar3
City of Southlalre - RFP1107B200TS110018 - Page 22 of 23
CONFLICT OF INTEREST QUESTIONNAIRE FORM CiQ
For vendor or other parses d*V bustnau oft local qo wwooso" arn5ly
no -oautre relbab r`awee made to nw Jew by KIL im, cam tea, asaWw snob.
oFFIMuaEaax
lh>squasfiesnsim iabeup9ed In acrosnanoa with Ctupter 176. Local Gommorent Cola
pea %.w
byspesonsholoss business, neladowshipasdsI by9ec6on1xw(ta)wNialocal
80YemmzM am*i wd the pmoon awah mq®emcss ender Ssh - 176nuga}
Bylawthkgpeaeorn' ewtheRadwi+lltasMrdeadelnstrebroffielecalaoMrmirmi 0l
Wily not laed *mtfr7*bn kwudwaft drahfabttwpermubemmeiaware offecta
that ragnhe She sfalelepistUo ba tAad. S"Saelim 176A06, I Wal Oamnmanl Code.
A parson mtaedls on ofeees y ffoo paean btowoQly vidaboa Seem 176.0W. LazA
Gwonenelt4oda.An dbrwe underthis sscllon le a Chu C for.
Irse orpous" use Yes a sneteehu rsktloedrlp aim beef gosemrsu" map
Any Soutttlake Staff Member
z
® ChswrrMbosWPM Sol enepwepYieraapnaNawlyfiled ,uwfoeslr.
Ctu low mQuk s DW yrr Ala an updalad cog0ted gvaylennal►e hwhr fro epppmPilhe UN indfie Ry not
rater fm tlw 711 llalruos dy Aw,the dab fw arIll 1j Nod quskrr.*@ beown hheonplYs or semees.}
flame of local aorehnmsoakar Wh ease tar hea eep0~ a alwla W rebfrlstdp,
Any Southlake Staff Member
ldase or 01bw
Ths sedl n (lien 3 hrdlldkp suopee A B, C & D) nest to hmpb>ad for each dAcer silo whoa aw aar has an
empfoleeMt or clew busks rokaIII; a .islrred by 8eefwt t7J3.0f1(t e1 Loal eoHwming Code, Ana* oddIdaw
POW to ttda:aml CM as rrscwaw5c
A. le the bey gohhaeress dlicar naiad to No -0, mcoL g or 1pwb io nwa tamhla y+ecnrs, ofwrfwn httwsasert
Imam, horn fw mr of we as gunal 7
= Yw ®No
B_ Is In arof to moss6mmahs m awty r Nry bo mafys talable inure, dear tea aveslnwrd hmome, kin or lift
dhaobbm d tie br91 taaeaaswla araer nerved k thle Metlorl AW the 1o>oms lhrarlw k set weelwd team IM Iml
pOaeRelwdy wl>2Y7
�Yes ®k
C. Is So isr of Oda quslbrmM awpb wa by a mryraatbn or cow Osslrreu Oft whh leaped io %&k h fie local
WINUMt oacr serves as as d5cor or dreasor, or holds an reawydp of tf pm—, t or aaw7
E-1 van ®w .
D. Daums such arployewnt or busI rebbeAlp wdr an local goawmat anksr named rn tide ratica
.�7 O
_ January 13, 20 r'L
SWuh- of pause Oft task— wah aw pm --*W spay Deb
w: 17s.A� ClQ.anMAbc pys 3 00
City of Soethlake - RFPI107B200TS110018 - Page 23 of 23
Appendix D — No Intent to Submit Form
If your firm his chosen not to submit a proposal for this procurement, please complete this form and
submit to:
City of Southlake
Purchasing Division, Department of Finance
1400 Main Street, Suite #440
Southlake, Texas 76092
tsli&&i.southtake.tx.us
Please check all items that apply:
❑ Do not sell the item(s) required
❑ Cannot be competitive
❑ Cannot provide Insurance required
❑ Cannot provide Bonding required
❑ Cannot meet specifications highlighted in the attached ❑ Cannot comply with Indemnification
request requirement
❑ Job too large
❑ Job too small
❑ Do not wish to do business with the City of Southlake ❑ Other -
COMPANY NAME (Please print):
Authorized Officer Name (Please print):
Telephone: (__)
Fax: (�,
City of SoathWce - RF71107B200TS110018 - Page 24 of 23