HomeMy WebLinkAboutContract 49140 1-y-1_F7Z
y �; . .off CITY SECRETARY
M Go ' CONTRACT N0.
�� c ''01 Z"
COMMUNICATIONS SYSTEM AGREEMENT
c c2 RGENCY OPERATIONS ACCESS(SINGLE USE)—PRIVATE ENTITY
This COMMUNICATIONS SYSTEM AGREEMENT (the "Agreement") is made and
entered into by and between the City of Fort Worth ("Fort Worth" or "CFW") acting herein
by and through its duly authorized Assistant City Manager, and Cresson Volunteer Fire
Department, Inc. ("USER"), acting herein by and through its duly authorized Fire Chief,
individually referred to as a"party,"collectively referred to herein as the"parties." CFW or Fort
Worth shall include all employees, directors, officers, agents, and authorized representatives.
USER shall include all employees,directors,officers, agents, and authorized representatives.
RECITALS
WHEREAS, Fort Worth owns, operates, and maintains Trunked Voice Radio Systems for
the purpose of providing Public Safety voice radio communications and is the sole license holder
of the CFW Trunked Voice Radio Systems with all privileges and responsibilities thereof; and
WHEREAS, USER is a private entity that employs or contracts with one or more
companies or individuals to provide security, fire protection, and/or other public-safety type
services; and
WHEREAS, USER's public-safety service providers employ a radio system; and
WHEREAS, in an emergency or under certain other urgent circumstances, Fort Worth
may be called on to provide public safety assistance on USER's property; and
WHEREAS, the parties may need to coordinate their efforts and response in such
circumstance; and
WHEREAS, the parties wish to enter into this Agreement to establish the terms and
conditions pursuant to which USER will be able access and utilize CFW's radio systems in
connection with responding to an emergency or other urgent circumstances; and
WHEREAS, each party finds that the performance of this Agreement is in the common
interest of both parties and that the division of costs fairly compensates the performing party for
the services or functions under this Agreement.
NOW THEREFORE, Fort Worth and USER agree as follows:
1. GRANT OF LICENSE
Fort Worth hereby grants the USER specific permission to operate USER's owned or leased
field radio equipment or equipment attached and/or interfaced to the CFW Trunked Voice Radio
Systems (the "Radio System") infrastructure in emergency or urgent-circumstance situations,
provided, however, that such use must comply with the specific details and requirements for use
City of Fort Worth Communications System Agreement—Emergency Operations/Single Use CrA'Vb 94ifMe�aTtFr�i®t,Inc.
Page 1 of 12 CITY SECRETARY
FT.WORTH,TX
as set forth in "Exhibit A, Terms of Use," which is attached hereto, incorporated herein, and
made a part of this Agreement for all purposes. Failure to comply with these specific details and
requirements may result in the immediate withdrawal of the specified permissions.
2. TERM
This Agreement shall begin upon the last day executed by all authorized parties and shall
continue in full force and effect unless terminated in accordance with the provisions set forth
herein and in Exhibit A.
3. LIABILITY
With respect to the use of the Radio System, each party agrees to be liable for any damages or
loss that may be caused by its own negligence, omission or intentional misconduct. For purposes
of this Section 3, the term party shall include employees, directors, officers, agents, authorized
representatives, subcontractors, consultants, and volunteers of the respective party. Nothing in
the performance of this Agreement shall impose any liability for claims against Fort Worth other
than for claims for which the Texas Tort Claims Act may impose liability.
4. INDEPENDENT CONTRACTOR
It is expressly understood and agreed that USER shall operate as an independent contractor as
to all rights and privileges granted herein, and not as agent, representative or employee of the
CFW. Subject to and in accordance with the conditions and provisions of this Agreement,
USER shall have the exclusive right to control the details of its operations and activities with
respect to the use of the Radio System and shall be solely responsible for the acts and
omissions of its employees, directors, officers, agents, authorized representatives,
subcontractors, and consultants. USER acknowledges that the doctrine of respondeat superior
shall not apply as between the CFW, its employees, directors, officers, agents, and authorized
representatives, and USER and its employees, directors, officers, agents, authorized
representatives, subcontractors, and consultants. USER further agrees that nothing herein shall
be construed as the creation of a partnership or joint enterprise between CFW and USER. This
Agreement is not intended to affect the roles of the parties in connection with other operational
issues involved in responding to an emergency or urgent circumstances; coordination of
emergency/urgent-response activities and chain-of-command issues shall be governed by the
separate agreement of the parties or legal provisions under which assistance is being provided.
5. NON-APPROPRIATION OF FUNDS
Fort Worth will use best efforts to appropriate sufficient funds to support obligations under this
Agreement. However, in the event that sufficient funds are not appropriated by CFW's
governing body, and as a result, Fort Worth is unable to fulfill its obligations under this
Agreement, CFW (i) shall promptly notify USER in writing and (ii) may terminate this
Agreement, effective as of the last day for which sufficient funds have been appropriated.
City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Cresson Volunteer Fire Department,Inc.
Page 2 of 12
6. RIGHT TO AUDIT
USER agrees that the CFW shall, at no additional cost to the CFW, during and until the
expiration of three (3)years after termination of this Agreement, have access to and the right to
examine at reasonable times any directly pertinent books, documents, papers, records, and
communications of the USER involving transactions relating to this Agreement. USER agrees
that the CFW shall have access during normal working hours to all necessary USER facilities
and shall be provided adequate and appropriate work space in order to conduct audits in
compliance with the provisions of this section. The CFW shall give USER reasonable advance
notice of intended audits.
7. ASSIGNMENT
USER shall not have the right to assign or subcontract any of its duties, obligations or rights
under this Agreement without the prior written consent of the CFW, which such right shall be
granted solely at the discretion of the CFW. Any assignment in violation of this provision shall
be void.
8. NO WAIVER
The failure of either party to insist upon the performance of any provision or condition of this
Agreement or to exercise any right granted herein shall not constitute a waiver of that party's
right to insist upon appropriate performance or to assert any such right on any future occasion.
9. GOVERNMENTAL POWERS/IMMUNITIES
It is understood and agreed that by execution of this Agreement, the CFW does not waive or
surrender any of its governmental powers or immunities.
10. AMENDMENTS
No amendment to this Agreement shall be binding upon either party hereto unless such
amendment is set forth in writing, dated subsequent to the date of this Agreement, and signed by
both parties.
11. SEVERABILITY
If any provision of this Agreement is held by a court of competent jurisdiction to be invalid,
illegal or unenforceable,the validity, legality and enforceability of the remaining provisions shall
not in any way be affected or impaired.
12. CONFIDENTIAL INFORMATION
City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Cresson Volunteer Fire Department,Inc.
Page 3 of 12
To the extent permitted by law, USER for itself and its officers, agents and employees, agrees
that it shall treat all information provided to it by the CFW as confidential ("City Information")
and shall not disclose any such information to a third party without the prior written approval of
the CFW, unless such disclosure is required by law, rule, regulation, court order, in which event
USER shall notify CFW in writing of such requirement in sufficient time to allow CFW to seek
injunctive or other relief to prevent such disclosure. USER shall store and maintain City
Information in a secure manner and shall not allow unauthorized users to access, modify, delete
or otherwise corrupt City Information in any way. USER shall notify the CFW immediately if
the security or integrity of any City Information has been compromised or is believed to have
been compromised.
13. FORCE MAJEURE
The parties shall exercise their best efforts to meet their respective duties and obligations
hereunder, but shall not be held liable for any delay in or omission of performance due to force
majeure or other causes beyond their reasonable control, including, but not limited to,
compliance with any state or federal law or regulation, acts of God, acts of omission, fires,
strikes, lockouts, national disasters, wars, riots, material or labor restrictions, transportation
problems, existing contractual obligations directly related to the subject matter of this
Agreement, or declaration of a state of disaster or emergency by the federal, state, county, or City
government in accordance with applicable law.
14. NOTICES.
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:
City of Fort Worth Cresson Volunteer Fire Dept.
Attn: Susan Alanis,Assistant City Manager Attn: Ron Becker, Chief
200 Texas Street PO Box 42, 111 Concorde Cir.
Fort Worth TX 76102 Cresson, TX 76035
Facsimile: (817) 392-8654 Facsimile: 817-396-4498
With Copy to the City Attorney
At same address
15. GOVERNING LAW/VENUE
This Agreement shall be construed in accordance with the laws of the State of Texas. Venue for
any action brought on the basis of this Agreement shall lie exclusively in state courts located in
Tarrant County, Texas or the United States District Court for the Northern District of Texas —
City of Fort Worth Communications System Agreement—Emergency operations/Single Use Cresson Volunteer Fire Department,Inc.
Page 4 of 12
Fort Worth Division. In any such action, each party shall pay its own attorneys' fees, court costs
and other expenses incurred as a result of the action.
16. SIGNATURE AUTHORITY
The person signing this Agreement hereby warrants that he/she has the legal authority to execute
this Agreement on behalf of his or her respective party, and that such binding authority has been
granted by proper order, resolution, ordinance or other authorization of the entity. The other
party is fully entitled to rely on this warranty and representation in entering into this Agreement.
City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Cresson Volunteer Fire Department,Inc.
Page 5 of 12
17. ENTIRETY OF AGREEMENT
This written instrument, including all Exhibits attached hereto, contains the entire understanding
and agreement between Fort Worth and USER as to the matters contained herein. Any prior or
contemporaneous oral or written agreement is hereby declared null and void to the extent in
conflict with this Agreement. Any previously executed Communications System Agreement
between the parties shall be terminated simultaneously with the final execution of this
Agreement by both parties.
18. COUNTERPARTS.
This Agreement may be executed in one or more counterparts and each counterpart shall, for all
purposes, be deemed an original, but all such counterparts shall together constitute one and the
same instrument.
[Signature Page Follows]
City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Cresson volunteer Fire Department,Inc.
Page 6 of 12
EXECUTED IN MULTIPLE ORIGINALS on this the*day of .,,c_,20_LZ—
CITY OF FORT WORTH: CRESSON VOLUNTEER
FIRE DEPARTMENT,INC.:
By By:
san Alanis Name: Ron Becker
ASS1Stari City Manager Title: Fire Chief
Date: (� s —6-1p 17 Date: 3/Z2/I7
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: �.
Name: Steve Streiffe
Title: IT Solutions,Assistant Director
APPROVED TO FORM
AND LEGAL T
By:
Jessica Sangsv6g
Assistant City Attorney II
ATTEST. O
By:
Mary J. s
City Secretary �XAS
Form 1295: 2017-175133 3/6/2017
OFFICIAL RECORD
Contract Authorization: CITY SECRETARY
M&C: C - 11yL- - FT. WORTH,TX
Date Approved: 1S.001
City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Cresson Volunteer Fire Department,Inc.
Page 7 of 12
City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Cresson Volunteer Fire Department,Inc.
Page 8 of 12
EXHIBIT A
CATEGORY 1,TERMS OF USE
The following definitions shall have the meanings set forth below and apply to this Agreement
and the Terms of Use set forth herein:
DEFINITIONS
"Console System" shall mean all hardware and software associated with any dispatch console or
set of consoles operated by the USER that are connected to the CFW Master Switch.
"Interoperable Communications Governance Committee" ("Governance Committee") shall
mean that group of individuals tasked with maintaining and administering the Interoperable
Communications Plan. The Governance Committee shall consist of ten to fifteen individuals
with CFW selecting at least one representative and each classification of users selecting at least
one representative. The Governance Committee shall determine and may periodically adjust the
number of members and the method for selecting members for each classification of users with a
goal of ensuring that the Governance Committee reflects the full range of user types.
"Interoperable Communications Plan" (the "Plan") means the plan developed and established
by CFW and the Governance Committee to facilitate, enhance and simplify radio
communications among all agencies utilizing the Radio System or connecting their Site Repeater
Systems or Console Systems to the CFW Master Switch. The Plan is available upon request
from CFW or can be found on the CFW website at hqp:Hfortworthtexas.gov/itsolutions/
cfwradios/.
"Master Switch" shall mean the primary processing and network infrastructure to which all
Console Systems and Site Repeater Systems must connect in order to operate on the Radio
System. The Master Switch is currently located at the CFW Eagle Mountain facility.
"Over The Air Rekeying" ("OTAR") shall mean the management and support of Subscriber
Radio encryption keys via over-the-air, radio channel transmission.
"Private Call" shall mean a feature that reserves channel resources specifically for
conversations between two Subscriber Radios.
"Site Repeater System" shall mean the base stations, shelter, tower and all site-specific
hardware and software infrastructure associated with the provision of a radio site connected to
the CFW Master Switch.
City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Cresson Volunteer Fire Department,Inc.
Page 9 of 12
"Subscriber Radio" shall mean a radio that has a unique identification number and is
programmed to operate on the Radio System. The term shall include, but not be limited to,
control stations(desk top radios),mobile radios, and portable radios.
"Talk Group" shall mean a specific group of Subscriber Radios allowed to communicate
privately within that group over shared infrastructure resources.
TERMS OF USE
1. The installation and maintenance of the Radio System infrastructure equipment is the
responsibility of CFW unless otherwise stated in this Agreement.
2. The CFW is the holder of the FCC (Federal Communications Commission) license(s)that the
Radio System uses for its operation. This Agreement shall not be construed or interpreted to
grant, convey, or otherwise provide USER with any rights whatsoever to the CFW FCC
license(s)or to the Radio Frequency spectrum used by the Radio System.
3. The CFW makes no guarantee, either express or implied, as to radio signal strength or a
specific level of radio coverage in a particular location. The USER is responsible for conducting
appropriate and applicable in-building and geographical coverage testing to determine the
expected radio coverage level for USER's equipment.
4. USER will be responsible for the acquisition, programming, and maintenance of all
equipment USER will be utilizing in connection with the Radio System infrastructure, including,
but not limited to, Subscriber Radios, consoles, and special equipment.
5. In order to ensure hardware and software compatibility with the Radio System infrastructure,
all Subscriber Radios and consoles intended for use by USER on the Radio System shall be
compliant with Project 25 standards established by the Telecommunications Industry
Association. The use of unauthorized radios on the Radio System may result in suspended
operation of the radios and/or termination of the Agreement.
6. USER agrees to exclusively utilize antennas specifically approved by the radio manufacturer
for use with the specific models of USER's radios. The use of short, broad spectrum, or
"stubby," antennas is not recommended. USER shall be solely liable for coverage gaps in the
event USER utilizes short broad spectrum or stubby antennas or other antennas not approved by
the manufacturer for use with the specific models of USER's radios.
7. No antenna gain greater than 3 DB will be allowed for mobiles and consolettes.
8. USER shall use due diligence in the maintenance and configuration of its Subscriber Radio
equipment to ensure that no USER radio or console causes a degradation to the Radio System
operation. The CFW shall have the right to remove from operation any field radio unit or
equipment owned or leased by USER that is operating on, attached and/or interfaced to the CFW
City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Cresson Volunteer Fire Department,Inc.
Page 10 of 12
infrastructure, if CFW determines in its sole reasonable discretion that such equipment is causing
interference or harm to the Radio System in any way. The CFW reserves the right to request that
USER operated field radio units or equipment operating on, attached and/or interfaced to the
infrastructure be tested for proper operation and/or repaired by an authorized radio repair facility
approved by the CFW. The cost of such testing or repair will be the sole responsibility of USER.
Furthermore, the CFW shall have the right to deactivate, without prior notification to or consent
of USER, any field radio or other USER equipment suspected of causing interference,
intentionally or unintentionally,to any other radios on the Radio System or to the Radio System's
overall operation.
9. For as long as this Agreement remains in effect, in instances in which the parties are engaged
in responding to an emergency or urgent circumstances, USER's radios may be used for voice
radio communications over the Radio System infrastructure in accordance with the terms and
conditions of this Agreement. This Agreement does not authorize regular use of the Radio
System in situations that do not involve an emergency or urgent circumstances.
10. The CFW will be responsible for managing infrastructure loading and demand. CFW
reserves the right,without notice to incumbent users,to enter into a similar agreement with other
entities or to deny the addition of new Subscriber Radio equipment to any user of the Radio
System. The CFW shall have sole discretion in determining whether to allow additional users or
radios based on CFW's determination of whether such addition to the Radio System can be made
without adversely impacting the Radio System.
11. USER is prohibited from utilizing telephone interconnect on the Radio System. This
prohibition shall include, but is not limited to, connecting to either the PSTN (Public Switched
Telephone Network) or USER's internal phone system(s) through a console patch into the Radio
System or to any Subscriber Radio on the Radio System.
12. Due to the radio infrastructure resource allocations required by "Private Call," USER is not
permitted to utilize"Private Call" on the Radio System.
13. USER is prohibited from utilizing data communications on the Radio System without
CFW's explicit written permission.
14. The use of OTAR in association with Subscriber Radio encryption is prohibited without
prior approval of CFW. Administration of encryption keys will be performed exclusively by
CFW. USER may utilize and administer other encryption methods as required.
15. The CFW will provide USER with an Advanced System Key (ASK) for use with the
USER's Subscriber Radios only. The ASK will expire annually, and USER shall be responsible
for requesting a new ASK following expiration if one is required. USER will be responsible for
safeguarding the security of the ASK to prevent theft and/or loss. USER agrees to notify CFW
immediately upon the theft or loss of the ASK.
City of Fort Worth Communications System Agreement—Emergency Opemtions/Single Use Cresson Volunteer Fire Department,Inc.
Page 11 of 12
16. The CFW has established a coordinated Interoperable Communications Plan to apply to
CFW and the users of its Radio System. USER agrees to comply with the Plan and include the
Plan's interoperable Talk Groups in the programming of its Subscriber Radios and Console
Systems.
17. Roaming to other systems or the use of USER's Talk Groups on other trunked systems that
are interconnected to the Radio System is prohibited without prior approval by CFW. Roaming
to other trunked systems will be limited to the Radio System's interoperable Talk Groups,
although this capability may be terminated by CFW if its use is determined to result in
performance degradation to either the Radio System or the interconnected trunked system.
18. Either USER or CFW may terminate this Agreement for any reason, with or without cause,
upon ninety (90) days written notice to the other party. The CFW further reserves the right to
terminate this Agreement immediately, or deny access to the USER, upon notice of USER
misuse of the Radio System. Notwithstanding the foregoing, the CFW, in its sole discretion,
reserves the right to immediately deny access to the USER if such action is required to prevent
the spread of a security breach or threatened security breach or due to an emergency, operational
issue, or other critical incident between the Master Switch and the USER's environment. The
CFW will use best efforts to restore access to the USER as soon as possible once the security
breach, emergency,operational issue,or critical incident is resolved.
COMPLIANCE WITH LAWS
19. The USER shall comply with all current and future Federal, State, and Local laws,
Ordinances, and Mandates, including Federal Communications Commission rules and
regulations regarding proper use of radio communications equipment. The USER will also
comply with the guidelines, or procedures set out in this Agreement. Furthermore, the USER is
responsible for enforcing such compliance by its employees, directors, officers, agents,
authorized representatives, subcontractors, and consultants for USER Subscriber Radio
equipment. Furthermore, the USER will be responsible for payment of any fines and penalties
levied against the CFW (as the license holder) as a result of improper or unlawful use of
Subscriber Radio equipment owned or leased by USER.
20. Modification, reconfiguration, or exchange of Subscriber Radio equipment may be required
in order for CFW to comply with Federal, State, and Local Laws and/ or Mandates imposed on
CFW as the license holder. Following reasonable notice from CFW, USER shall be
responsible for undertaking such modifications, reconfiguration, or exchange. In the event
USER fails to undertake any necessary action, such failure shall be considered "misuse" under
Paragraph 19, and CFW may terminate this Agreement immediately or deny access to USER.
[End of Document]
City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Cresson Volunteer Fire Department,Inc.
Page 12 of 12
M&C Review Page 1 of 2
Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA FaR
TWORTH
COUNCIL ACTION: Approved on 5/9/2017
REFERENCE ** 04CRESSON VOLUNTEER FIRE
DATE: 5/9/2017 NO.: C-28222 LOG NAME: DEPT COMMUNICATIONS
SYSTEM AGREEMENT
CODE: C TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: Authorize Execution of a Communications System Agreement with the Cresson Volunteer
Fire Department, Inc., for Participation in the City of Fort Worth's Public Safety Radio
System for Interoperable Communications in Mutual Aid or Other Multi-Agency Operations
at No Cost to the City of Fort Worth (ALL COUNCIL DISTRICTS)
RECOMMENDATION:
It is recommended that the City Council authorize the execution of a Communications System
Agreement with the Cresson Volunteer Fire Department, Inc., for participation in the City of Fort
Worth's Public Safety Radio System for interoperable communications in situations involving mutual
aid or other multi-agency operations.
DISCUSSION:
The implementation of the Fort Worth Public Safety Radio System included the development of a
comprehensive interoperable communications plan for first responders from multiple agencies.
Participation in the plan is open not only to agencies that use the Fort Worth Regional Radio System
as their primary communications system, but also to other mutual aid partners, such as the Cresson
Volunteer Fire Department, Inc. (Cresson), who own and maintain their own radio systems for their
daily operations, but require the ability to communicate with other agencies in mutual aid situations or
other multi-agency operations.
The plan provides a common group of communications channels that first responders in Tarrant,
Johnson, Dallas, Denton, Parker, Ellis and Palo Pinto counties may access when multiple agencies
respond to a single incident. These channels are used only for communications with other agencies
during joint operations. They are not used for an agency's day-to-day operations. These channels
are accessible to the users of any radio system connected to the Fort Worth Regional Radio
System. More than 100 agencies are able to communicate with one another via these common
channels.
Cresson has approved a Communications System Agreement with the City of Fort Worth to operate
on the interoperable communications channels when required for mutual aid operations only.
Cresson will not utilize the Fort Worth Regional Radio System for daily operations, but only when
required to communicate with public safety agencies in Fort Worth or other agencies using the Fort
Worth Regional Radio System during joint operations.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that upon approval of the above recommendation this action will
have no material effect on City funds.
http://apps.cfwnet.org/council_packet/mc_review.asp?ID=24607&councildate=5/9/2017 6/15/2017
M&C Review Page 2 of 2
TO
Fund Department Account Project Program Activity Budget Reference# Amount
ID ID Year Chartfield 2
FROM
Fund Department Account Project Program Activity Budget Reference# Amount
ID ID Year Chartfield 2
Submitted for City Manager's Office by: Susan Alanis (8180)
Originating Department Head: Kevin Gunn (2015)
Additional Information Contact: Ron Burke (2655)
Alan Girton (8484)
ATTACHMENTS
Cresson Volunteer Fire Department 1295.pdf
http://apps.cfwnet.org/council_packet/mc_review.asp?ID=24607&councildate=5/9/2017 6/15/2017
CERTIFICATE OF INTERESTED PARTIES FORM 1295
1 of 2
Complete Nos,l-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2017-175133
Cresson Volunteer Fire Department,Inc
Cresson,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 03/06/2017
being filed.
City of Fort Worth Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
Comm System Agmt 2017
Communications System Access
4
Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Hanselman,Denise Cresson,TX United States X
Carroll,John Cresson,TX United States X
Clement, Lisa Cresson,TX United States X
Piontkowski, David Cresson,TX United States X
Flud,Kelly Cresson,TX United States X
Shelly,Ian Cresson,TX United States X
Gomez,Jerad Cresson,TX United States X
Bisbee,Steve Cresson,TX United States X
Cornett,Bob Cresson,TX United States X
Becker,Ron Cresson,TX United States X
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
2of2
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
I Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2017-175133
Cresson Volunteer Fire Department,Inc
Cresson,TX United States Date Filed:
2 Name of g rnmental entity or state agency that is a party to the contract for which the form is 03/06/2017
being filed.
City of Fort Worth Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
Comm System Agmt 2017
Communications System Access
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party. ❑
6 AFFIDAVIT i swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
=1 aY P R��o RACHEL L.SHELLY i /r
NOTARY PUBLIC /.}vv/
h STATE OF TEXAS a e �
'rf of h�� MY COMM.Expkes 10-23.2017 Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE
Swom to and subscribed before me,by the said 11oAGr/d Jer this the ;�day of 1�mr,4_,
20 to to certify which,witness my hand and seal of office.
iv �Krr;fl K14
Signature of o car ad istering oath Printed name o officer adminis ring oath itle of fficer administering oalfh
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277