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HomeMy WebLinkAboutContract 57292-R2CSC No. 57292-R2 CITY OF FORT WORTH CONTRACT RENEWAL NOTICE October 3, 2023 CPR Savers & First Aid Supply LLC Attn: Susana Taylor, Vice President 22328 W Campus Dr. Tempe, AZ 85282- 3108 Re: Contract Renewal Notice Contract No. CSC No. 57292 (the "Contract") Renewal Term No. 2: December 1. 2023 to November 30, 2024 The above referenced Contract with the City of Fort Worth expires on November 30, 2023 (the "Expiration Date"). Pursuant to the Contract, contract renewals are at the sole option of the City. This letter is to informm you that the City is exercising its right to renew the Contract for an additional one (1) year period, which will begin immediately after the Expiration Date. All other terms and conditions of the Contract remain unchanged. Please return this signed acknowledgement letter, along with a copy of your current insurance certificate, to the address set forth below, acknowledging receipt of the Contract Renewal Notice. Failure to provide a signed acknowledgment does not affect the renewal. Please log onto PeopleSoft Purchasing at httn:Hfortworthtexas.lrov/nurchasin._ to ensure that your company information is correct and up-to-date. If you have any questions concerning this Contract Renewal Notice, please contact me at the telephone number listed below. Sincerely, Katva Flores Sr. Admin Assistant Katva. F 1 oreslc�)fortworthtexas. Qov OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract Renewal Page 1 of 3: ACCEPTED AND AGREED: CITY OF FORT WORTH Byvalerie Washington (Oct 26, 2023 14:06 CDT) Name: Valerie Washington Title: Assistant Citv Manager Date: OCt 26, 2023 APPROVAL RECOMMENDED: By: J&f ------/ 29231 413171 Name: Jim Davis Title: Fire Chief CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. By: BrPTWRay (Oct 26, 2023 11:45 CDT) Name: Brenda Rav Title: Fire Purchasing Manner APPROVED AS TO FORM AND LEGALITY: ATTEST: p> ° ooa f�Rr�`�pod o°ci= '=°o By: °aP*oo o°* a aa4 nEo 4564a By: Name: Taylor Paris Title: Assistant Citv Attornev Name: Jannette Goodall Title: Citv Secretary CONTRACT AUTHORIZATION: N/A OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract Renewal Page 2 of 3! CPR Savers & First Aid Sunnly LLC By: Name: Susana Taylor Title: Vice President Contract Renewal Page 3 of 3 QUOTE CMVe FIRSTAID SAY Questions or concerns? Don't hesitate to callus at 1-800-480-1277 from lam to 5pm M ST (UTO - 7:00) or email us arty time at service accpr-savers.com. BIDS: ORDER 1236936 BILL TO SHIP TO Ordered By: FIRE OPERATIONS ADMINISTRATION [124191] FIRE OPERATIONS ADMINISTRATION FIRE OPERATIONS ADMINISTRATION Order Reference: CITY OF FORT WORTH CITY OF FORT WORTH Invoice Date: 18 Oct 2023 505 W FELIX STREET 509 W. Feloc St509 W. Felix St Terms: Net 0 X FORT WORTH T715115 FortWorth TX76115 Due: Net 3 United States United States sherry.carter@forbruorthtexas.gov sherry. carter@foriworthtexas.gov SKU ITEM NAME PRICE QTY TAX SUBTOTAL RPP-G1CO3GG Defibtech Patient I nterfa ce Pad, 3 pack "OM" $92.0000 1 $0.00 $92.00 RCF-A1013EN D efibtechAR M Wrist Stra ps, Three pairslsett'0Mx $192.0000 1 $0.00 $192.00 RPM- 0100ONA- AC Adapter 0W $275.0000 1 $0.00 $275.00 RAC-U1100GG D efibtech Life lin e AR M B ack p ack C a rry C as e '0 W $315.0000 1 $0.00 $315.00 RMB-G100000- F ram e+B ack b o ard 0W $525.0000 1 $0.00 $525.00 RCF-RSS- U1000GG Defibtech ARM Torso Stabil¢ation Strap'0W $344.0000 1 $0.00 $344.00 RCF-RAC-U1105EN-DEFIBTECH LIFELINE ARM TACTICAL CASE $429.9500 1 $0.00 $429.95 OM, RCF-RBP-G1000EN Defibtech Lifeline, ARM Battery Pack'0W $575.0000 1 $0.00 $575.00 RCF-RBC-U100ONA Defibtech LifelineTM' ARM Dual Battery Charger 'OM' $850.0000 1 $0.00 $850.00 RCF-A1000EN Defibtech Uifeine Arm Chest Compression System"OM" $13950.0000 1 $0.00 $13950.00 I n clu des: Compression Module (RMC-A100000) Frame, Back b oa rd (R MB- 0 10000 0) Battery Pack (RCF-RBP-0100OGG) Backpack Carry Case (RAC-U1100GG) Patient Pad- setof3 (RPP-G1003GG) Stabilization Strap (RSS-U1000GO) Wrist Straps - 1 setof2 (RCF-A1010EN) Power Module ch ar ge r (R P M- G 1000 NA) Quick Start Guide (RAC-U1501EN) User Manual (RAC-A1510EN) User Manual Wrist Straps (RAC-U 1513EN) """"LEAD TIME ABOUT 4 TO 5 WEEKS... Page 1 SKU ITEM NAME PRICE QTY TAX SUBTOTAL GSA# GS-07F-0107W $0.0000 1 $0.00 $0.00 0: 0000005638 TOTAL $17547.95 PAID TO DATE $0.00 FOR GOVERNMENT USE ONLY: O.M = OPEN MARKET ITEM TEL: 1-800-480-1277 1 FAX: 480-275-7002 1 EMAIL: service@cpr-savers.com 7904 E Chaparral Rd. Suite A110-242, Scottsdale, AZ 85250 Page 2 CSC No. 57292-R1 CITY OF FORT WORTH CONTRACT RENEWAL NOTICE October 4, 2022 CPR Savers & First Aid Supply LLC Attn: Susana Taylor, Vice President 22328 W Campus Dr. Tempe, AZ 85282-3108 Re: Contract Renewal Notice Contract No. CSC No. 57292-R1 (the "Contract") Renewal Term No. 1: December 1. 2022 to November 30, 2023 The above referenced Contract with the City of Fort Worth expires on November 30, 2022 (the "Expiration Date"). Pursuant to the Contract, contract renewals are at the sole option of the City. This letter is to inform you that the City is exercising its right to renew the Contract for an additional one (1) year period, which will begin immediately after the Expiration Date. All other terms and conditions of the Contract remain unchanged. Please return this signed acknowledgement letter, along with a copy of your current insurance certificate, to the address set forth below, acknowledging receipt of the Contract Renewal Notice. Failure to provide a signed acknowledgment does not affect the renewal. Please log onto PeopleSoft Purchasing at http://fortworthtexas.Rov/purchasing to ensure that your company information is correct and up-to-date. If you have any questions concerning this Contract Renewal Notice, please contact me at the telephone number listed below. Sincerely, Brenda Rav Sr. Contract Compliance Specialist Brenda.ravnfortworthtexas. 2ov 101MI Is] M0:7x%1091 CITY SECRETARY FT. WORTH, TX Contract Renewal Page 1 of 3 CSC No. 57292-RI ACCEPTED AND AGREED: CITY OF FORT WORTH VAII.kk- By:Valerie,Washington (Oct 11, 2022 16:06 CDT) Name: Valerie Washington Title: Assistant Citv Manager Date: APPROVAL RECOMMENDED: By:J s Davis 11, 202214:48 CDT) Name: Jim Davis Title: Fire Chief p�4vn�n�� a FORT � ATTEST: %Gl`I`IG��G c i C7000��GG BV Jannette S. Goodall (Oct 12, 202214:51 CDT) Name: Jannette Goodall Title: Citv Secretary Contract Renewal F°°°�°oa� o °p'A` i �O L° ° 00 O o= °° ° o F o° G ��. CONTRACT COMPLIANCE MANAGER By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. By:Mark Rauscher (Oct 11, 2022 12:03 CDT) Name: Mark Rauscher Title: Assistant Fire Director APPROVED AS TO FORM AND LEGALITY: By. '���/l� Name: Tavlor Paris Title: Assistant Citv Attornev CONTRACT AUTHORIZATION: N/A OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 2of3 CPR S4vers & First Aid S Ot)iv LLC Name: Susana Tavlor Title: Vice President CSC No. 57292-R1 10]MIC01I,1wVX0101Nk CITY SECRETARY � FT. WORTH, TX -__ Contract R ;newal Page 3 of 3 CM Sam & RRST, 41D SUPPLY' QUOTE 1172765 Questions or concer is? Don't hesitate to ci (I us at 1-800-450-1277 from 7am to 5pm MST (LITC - 7:00) or email us any time at service@cpr-saversxc Pm. BIDS: ORDER 1172755 Ordered By: FIRE Of'ERATIONS ADMINIS ORATION [1241911 Order Reference: Invoice Date: 10 Oct 2022 Terms: Nef 0 Due: 10 Oct 2022 BILL TO SHIP TO FIRE OPERATIONS ADMINISTRATION FIRE OPERATIONS ADMINISTRATION CITY OF FORT WORTH CITY OF FORT WORTH 505 W FEUIX STREET 509 W. Felix St FORT WORTH TX 76115 Fort Worth TX 76115 United States United States sherry.earter@foriworthtexas.gov Katya.Fiores@fortworthtexas.gov SKU ITEM NAME RCF-RSS•U1000GG Defibtech ARM Torsi Stabilization Strap -OM' - RCF-A1013£N DefibtechARM Wrist 33raps, Three pairsfsets "OM' RPP-01003GG Defibtech Patient Into dace Pad, 3 pack 'OM" RCF-RBP-G1000GGD Defibtech Lifeline AR A Battery Pack 'OM' RAC-U1100GG Defibtech Lifeline AR Backpack Carry Case `OM" NET30 This invoice will be a; lessed a finance fee of 1.0% if payment is not received 30 days aft 'receipt of product, -"'GSA contract # G)-07F-0107W—' PRICE QTY TAX SUBTOTAL $310.0000 12 $0.00 $3720.00 $175.0000 12 $0.00 $2100.00 $83.0000 12 $0.00 $996.00 $520.0000 4 $0.00 $2080.00 $285,0000 4 $0.00 $1140,00 $0.0000 1 $0.00 $0.00 $0.0000 1 $0.00 S0.00 TOTAL $10036.00 PAID TO DATE $0.00 F(A GOVERNMENT USE ONLY: O.M = OPEN MARKET ITEM TEL: 1-800-46O-1277 E FAX: 480-275-7002 1 EMAIL: service@cpr-savers.com 7904 � Chaparral Rd. Suite A110-242, Scottsdale, AZ 85250 Page 1 CSC No. 57292 FORT WORTH CITY OF FORT WORTH COOPERATIVE PURCHASE AGREEMENT This Cooperative Purchase Agreement ("Agreement") is entered into by and between CPR Savers & First Aid Supply LLC ("Vendor") and the City of Fort Worth, ("City"), a Texas home rule municipality. The Cooperative Purchase Agreement includes the following documents which shall be construed in the order of precedence in which they are listed: 1. This Cooperative Purchase Agreement; 2. Exhibit A — Seller's Quote, Scope of Services or Purchase Order; 3. Exhibit B — Cooperative Agency Contract GSA GS-07F-0107W; and 4. Exhibit C — Conflict of Interest Questionnaire Exhibits A, B, and C, which are attached hereto and incorporated herein, are made a part of this Agreement for all purposes. Vendor agrees to provide City with the services and goods included in Exhibit A pursuant to the terms and conditions of this Cooperative Purchase Agreement, including all exhibits thereto. City shall pay Vendor in accordance with the fee schedule in Exhibit A and in accordance with the provisions of this Agreement. Total payment made under this Agreement by City shall be in the amount of Thirty -Five Thousand Dollars ($35,000.00). Vendor shall not provide any additional items or services or bill for expenses incurred for City not specified by this Agreement unless City requests and approves in writing the additional costs for such services. City shall not be liable for any additional expenses of Vendor not specified by this Agreement unless City first approves such expenses in writing. The term of this Agreement is effective beginning on the date signed by the Assistant City Manager below ("Effective Date") and expires on November 29, 2022. The City shall be able to renew this agreement for two (2) one-year renewal options by written agreement of the parties. Vendor agrees that City shall, until the expiration of three (3) years after final payment under this Agreement, or the final conclusion of any audit commenced during the said three years, have access to and the right to examine at reasonable times any directly pertinent books, documents, papers and records, including, but not limited to, all electronic records, of Vendor involving transactions relating to this Agreement at no additional cost to City. Vendor agrees that City shall have access during normal working hours to all necessary Vendor facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this section. City shall give Vendor reasonable advance notice of intended audits. Notices required pursuant to the provisions of this Agreement shall be conclusively determined to have been delivered when (1) hand -delivered to the other party, its agents, employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3) received by the other party by United States Mail, registered, return receipt requested, addressed as follows: OFFICIAL RECORD FT. WORTH, TX T*D CTrY.- A ttn; lJ2de-nt '"ingtor►, Assistant City Managcr 2110 Texas Street F kil Warthf TX 76102-6314 I Csi ilc� (817) 392-8654 I ith copy ttr Fort Worth City Anom 's Office at e address. To VENDOR: j CPR S-averq & Fast Aid apply LLC S usana Taylrar, F rtderfVice )'resident 223M W campus Dr. Tempe. AZ 85282- 109 F;1esimite_ #0=?-71i13 Thy undersamed represents and its drat he or ,�h�: has the petit-cr and authority to execute this AS ent and bind the respective Vendor, Cl OF FORT WORTH: MNTRhCTCONTPLL40CE NtAN GER. V.•r.,A � By niug I acknowledge that ! am air persnyr $} : Valerie Washington (Mar 24, 202211:15 CDT) yU ,Sib) f0T the Mffli[ A Ug andakdminnsmasum , a : Valcnzwashingtoa i)fth.La czunumcl. mcludingen ing all performance 1 Title: �►s�zstanc �"it} 24tana�ea i and repcmutg rEgUirewit 9ts_ Da e: A -PP MNtEIXDED-. R7 J s Davis (Mar 23, 2022 15:46 CDT) FOR?�o�A RSf Jamz� Davis � O� Time: Fkv Chief pFo G0S=d 8 A7 TFST- �PQ a oo- 45pq ��� B�"I. J�Gooda4, 2022 13� CDT) ttiai=: lanncttc Gnaddt - Tides City Secret VE. IwW - - - IIV: -11 Title: F{,usttlerXice President Eia :' SGceyn� tla" ` 13y. Sherri Hauch (Mar 23, 2022 15:37 CDT) Munea Sherri Haack Title: Fire Hatudim Chief APPR0; LL) :1,5 TG FORM Al"�il�LEGALITY: Taylor Pans Tide: Assistant Cihr Attsy CONTRACT AUTHORIZATION'. N ; N -A OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 1/21/22, 7:40 AM CPR Savers Quote # Exhibit A CPR Sava & FIRST AID SUPPLY a QUOTE 1138270 Questions or concerns? Don't hesitate to call us at 1-800-480-1277 from 7am to 5pm MST (UTC - 7:00) or email us any time at service0cnr-savers.com. BIDS: ORDER 1138270 BILL TO SNIP TO Ordered By: Sherry Carter [124191] Sherry Carter Sherry Carter State and Local Government TX 505 W. Felix St Order Reference: RFQ1533933S TX Fort Worth TX 76112 Invoice Date: 05 Jan 2022 United States United States Terms: Net 0 sherry.carterCwfortworthtexas.gov fortworthtexas.gov sherrycarter@fortworthtexas.gov Due: 05 Jan 2022 GSA: GS-07F-0107W SKU ITEM NAME PRICE QTY TAX SUBTOTAL RCF-A1000EN DEFIBTECH LIFELINE ARM CHEST COMPRESSION SYSTEM $9975.0000 1 50,00 $9975.00 Includes; Compression Module (RMC-A1000GG) Frame, Backboard (RMB-G1000GG) Battery Pack (RCF-RBP-G1000GG) Backpack Carry Case (RAC-U1100GG) Patient Pad - set of 3 (RPP-G1003GG) Stabilization Strap (RSS-U1000GG) Wrist Straps - 1 set of 2 (RCF-A1010EN) Power Module charger (RPM-G1000NA) Quick Start Guide (RAC-U1501EN) User Manual (RAC-Al51GEN) User Manual -Wrist Straps (RAC-U 151 3EN) RBP-G1000GG Defibtech Lifeiine. ARM Battery Pack 'OM` $575,0000 1 $0.00 $575.00 RBC-1000 DUAL BATTERY CHARGER FOR LIFELINE ARM (RCF-RBC- $750.0000 1 S0.00 $750,00 U1000NA) Wrist Straps - RCF-A1013EN (3sels. 6pieces) $188,0000 1 S0.00 S1 B800 Torso Straps - RCF-RSS-U1000GG $307.0000 1 S0.00 S307.00 FREE SHIPPING FREE SHIPPING'QM" $0.0000 1 $0.00 $0.00 TOTAL $11795.00 https://use1. brightpearlapp. com/template_print. php?return-to-oid=1138270&o I D=1138270&contacts_id=124191 &template_type_id=4 112 EXHIBIT B GSA GS-07F-0107W TERMS & CONDITIONS PRICE LIST httr)s://www.gsaadvantage.gov/ref text/GS07F0107W/GS07F0107W online.htm GSA GS-07F-0107W CONTRACT CLAUSES/EXCEPTIONS htti)s://www.Rsaelibrarv.Rsa.Rov/ElibMain/home.dohtti):/www.Rsaelibrarv.%20Rsa.Rov/ElibMain/pdf/pdf/contra ctClauses.do?scheduleNumber=MAS&contractNumber=GS-07F- 0107W&contractorName=CPR+SAVERS+%26+FIRST+AID+SUPPLY+LLC&duns=JGLMCZQHSM E7&source=ci&view= clauses Exhibit C CONFLICT OF INTEREST QUESTIONNAIRE FORM CIO For +vendor doing business with loca# gover•1-lnlental entity This QgPnk=WM VKLWb ei Zn9eat Fnade to tM 1AW by KS— tar 9111h L*0-• Sa#sian- t rTr2EUSEONLY Ti- .N 4 si VUr1§ 413MM fibW In W.M-A IZO WFM t: er 176 Lacj� Gay9mmu4 Cry, toy Ii ftrrl,r wt•o rlva A I] 'ram ralaonelirFa us dailinee by � 17+1# 011ff-gf wikM -a kcal WairBrr iaj ernAV �r+ri tits VEF-,7@r 8 df Qlurs...Er Unaffl trxi 1:5:Of fei. i y law gs�6liem i ae rrG�t no I` d W t 6M foMf& a,7snW't5!7WfIr d 1" iXaFVMWrrrnentel dOitl4 rvu t3P F trYln tht nh l tray afla the dire the vat t�Kc nga wa!a 01 Irma that Mgwr& the datwrrem tD Ee A iTow 6 iflt°rHi6 ar,. uffer4e of the warm v rn4rvlr lY w`C13aa !yTI 1 76 U06, l t= =1 Yerr"TeYst 4:Crtta- An J NAM-- vl vendor who has a twsarraal; re+l j3nshup with iaraa governmental entity. E] ChOck this bux 41 y0111 are filing art ►apcfate ID prevmu!�ty fled auastionanaimI Trm kavmpra sMat yvu his an updated Irl- f trU cLJ'3 ruaaffe with MG Rpr0ptrie fibrig air Mnrlty 41ol iRMr rapt tt�e 71h busitt"a3 daV APST ttm eEh1 on w+rr Fl 34+.3rjs lhat the Odg"'? tad QueVi;-erula re WW MoTrqtleEir ur 16accurale.1 2J Womw at i*cal government olflo rabaut w rrnalfon is being disclosed.. If ris at Othaer J D... -be each emplaymerd or pthef businEse f61411unship with the local government uff%ery or x I'Minlly member of the as describiad by Section 17GMNa..:!j Aj. ,Aktso daacrlbe any family rtalailt oship with the iac31 government officer subparts Awl B for each amplayment at husinims ►eletionehip described. Atta&k addivonai pate& la rn It, is For GiLI nace ry. A. Is. lVe 11x= Wvairwnerd othcar of a l&T ity memom of ft Gitic sr remVIng air lately IQ fc-cemj taxabis ine"e: afte than Inuesorrt-rtt iT frte. from brie VeFsdor7 Ye : © No $ !8 ffm vendor nNa giving or kkety to rKGrvi? TB abtD r-.crrr!e- 01tFeF tharl rrau rne"t. Incj7Tw. Irprt°i or al lhq dEre: ion ttt9 ipcal gawrnmme-ni ctllicer ar 8 faMity rreyrftr e: the aff1wr AND tale vaKo a incom rs trim nxwved f m, #m ftal 0u.-urrlrri;o Nd entity? i El e�,, E::] No J 00SCTrtya each a mpioyment or business retatinnship It1bt V%D vendor naml:d in Sectlan 1 mBill Mina With, ® LVrParalion or otl* horsiness entity With reSpeLCl 1p which the local goverTm ent officer sorvaa as an nliicer or director, or holds an Dwr�mmhlp intoreat of one percent or mDre- t W tn6 v6ndur has 9MM this bcW oavemyPon: oil-rmr or a laumdy nsFe9Ttwf iil ov utfHi of care nr MM gittr- 8a ,art S ari 176, 1UB), Sx rfl qft dew m Saubw 17fi-Oil a-1 I f - - t Farm pro jbmv ,f mtrlss+ard 1rw+v.rNtHcd.sta[e,lx us tr1+1 CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity A complete copy of Chapter 176 of the Local Government Code maybe found at http://www.statutes.legis.state.tx. us/ Docs/LG/htm/LG.176.htm. For easy reference, below are some of the sections cited on this form. Local Government Code § 176.001 (1 -a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the parties. The term does not include a connection based on: (A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local governmental entity; (B) a transaction conducted at a price and subject to terms available to the public; or (C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by, and reporting to, that agency. Local Government Code § 176.003(a)(2)(A) and (B): (a) A local government officer shall file a conflicts disclosure statement with respect to a vendor if: (2) the vendor: (A) has an employment or other business relationship with the local government officer or a family member of the officer that results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during the 12-month period preceding the date that the officer becomes aware that (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor; (B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more than $100 in the 12-month period preceding the date the officer becomes aware that: (i) a contract between the local governmental entity and vendor has been executed; or (ii) the local governmental entity is considering entering into a contract with the vendor. Local Government Code § 176.006(a) and (a-1) (a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and: (1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member of the officer, described by Section 176.003(a)(2)(A); (2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or (3) has a family relationship with a local government officer of that local governmental entity. (a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day after the later of: (1) the date that the vendor: (A) begins discussions or negotiations to enter into a contract with the local governmental entity; or (B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another writing related to a potential contract with the local governmental entity; or (2) the date the vendor becomes aware: (A) of an employment or other business relationship with a local government officer, or a family member of the officer, described by Subsection (a); (B) that the vendor has given one or more gifts described by Subsection (a); or (C) of a family relationship with a local government officer. Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021