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HomeMy WebLinkAboutContract 49753 �� 5�CO SECRETARY COMMUNICATIONS SYSTEM AGREEMENT EMERGENCY 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 Briar-Reno Volunteer Fire Department ("USER"), acting herein by and through its duly authorized Communications Officer, individually referred to as a"parry,"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 parry 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. j NOW THEREFORE, Fort Worth and USER agree as follows: 1. GRANT OF LICENSE awl 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, a must comply with the specific details and requirements for use as set forth n"Exhibit A,Terms of Use,"which is attached hereto,incorporated herein,and made OFFICIAL.RECORD CITY SECRETARY FT.WORTH,TX City of Fort WoALCnmmnnicatjojU System Ajement—Emergency Operations/Single Use Briar-Reno Volunteer Fire Department 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 parry 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. 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 City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Briar-Reno Volunteer Fire Department 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 parry 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 POWERSAMMUNITIES 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 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 City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Briar-Reno Volunteer Fire Department 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 Briar-Reno Volunteer Fire Dept. Attn: Susan Alanis, Assistant City Manager Attn: Mike Hunter, Communications 200 Texas Street 185 West Reno Road Fort Worth TX 76102 Azle, TX 76020 Facsimile: (817) 392-8654 Facsimile: (817) 677-4227 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—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 Briar-Reno Volunteer Fire Department 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 Briar-Reno Volunteer Fire Department EXECUTED IN MULTIPLE ORIGINALS on this the /-7 day of ,20 J '7 . CITY OF FORT WORTH: BRIAR-RENO VOL. FIRE DEPT: By: _ �� By: Mjo r�trit.C�4 s Alanis Mike Hunter A tant Ci Manager Communications Officer Date: Date: -7-/7- :21)7-.7 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: Z 7//7 Name: S-r'E VC 8'!FF'E/2T Title: jA-ur/©os, 157nlJr �/kCU7` A APPROVED TO FORM APPROVED TO LEGALITY: AND LEGALITY: By: By: 1©K s7vo joei Name: Assistant City Attorney W Title: 't O ATTESATTEST: By: _ ;:� By: Mary J. seg?' Name: City Secretary Title: Form 1295: 020/7' Contract Authorization: M&C: c -a S31 1 Date Approved: 9- Rle 6Z0/7 OFFICIAL RECORD CITY SP—CRE`TRY FT.WOaRT4,T City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Briar-Reno Volunteer Fire Department 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 http://fortworthtexas.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. "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. City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Briar-Reno Volunteer Fire Department 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 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. City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Briar-Reno Volunteer Fire Department 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. 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. City of Fort Worth Communications System Agreement—Emergency Operations/Single Use Briar-Reno Volunteer Fire Department 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 parry. 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 Briar-Reno Volunteer Fire Department M&C Review �� �� � CITY COUNCILAGENDA .------ '---.--------��--- --~~.. COUNCIL ACTION: Approved on 9/26/2017 . ~ ... ..... ­-~........'~---~�~~�..-- ---.~... REFERENCE -- O4BF�|AR-RENO FIRE DATE: 9/26/2017 NO.: � LOGC-2NAME:���1 DEPT COMMUNICATIONS SYSTEM AGR TYPE' PUBLICPUBLICCODE:����� C ' {�{���ENT NO HEARING: SUBJECT: Authorize Execution of a Communications System Agreement with the Briar-Reno Volunteer Fina Department for Participation in the City ofFort Worth's Public Safety Radio System for Interoperable Communications in Mutual Aid orOther Multi-Agency Operations at No Coat to the City of Fort Worth (ALL COUNCIL DISTRICTS) RECOMMENDATION: |tiarecommended that the City Council authorize the execution ofaCommunications System Agreement with the BriapReno\/o/unbaer Fina Department for participation in the City of Fort Worth's Public Safety Radio System for interoperable communications in situations involving mutual aid orother 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 aystemn, but also to other mutual aid partnena, such as the Briar-Reno Volunteer Fire Department /BriapReno\, 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 orother multi-agency operations. The plan provides a common group of communications channels that first responders in Tarrant, Johnson, [>a||aa. Denton. Parker and Ellis counties may access when multiple agencies respond to asingle incident. These channels are used only for communications with other agencies during joint operations. They are not used for anagency's day-to-dayoperations. 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. Briar-Reno 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. Briar-Reno 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. M&C Review 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. 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 Briar-Reno 1295.pdf http://apps.cfwnet.org/council_packet/mc review.asp?ID=25118&councildate=9/26/2017[9/27/2017 12:01:30 PM] CERTIFICATE OF INTERESTED PARTIES FORM 1295 lofl 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 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2017-231484 Briar-Reno Volunteer Fire Department Azle,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is07/03/2017 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. na Use agreement of radio communications system Nature of interest 4 Name of Interested Party City,State,Country(place of business) (check applicable) Controlling I Intermediary 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. RAMAH BURNS { Notary Public V. r`c*r. STATE OF TEXAS my Comm Exp.11-03-2017 Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE _ Sworn to and subscribed before me,by the said ' �"� �'FY this the (1 day of 20_J,�,to certify which,witness my hand and seal of office. eE=-JL-, S V`(-� 4- N��A Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.883 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1ot1 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 1 Name of business entity tiling form,and the city,state and country of the business entity's place Certificate Number: of business. 2017-231484 Briar-Reno Volunteer Fire Department Azle,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party tot the contract for which the form Is 07/03/2017 being filed. City of Fort Worth Date Acknowle ged: t G (-7- 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. na Use agreement of radio communications system 4 Nature of interest Name of Interested Party City,State,Country(place of business) (check applicable) Controlling I Intermediary 5 Check only if there Is NO Interested Party. ❑ X 6 AFFIDAVIT 1 swear,or affirm,under of that the above disclosure is true and correct. Pe�b PerhsY. RAMAH BURNS Notary Public "ha► Comm.ExxSTATE e.11-03-20TEXASMy 17 signature of authorized agent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE Sworn to and subscribed before me,by the said this the 1 day of 20 ��to certify which,witness my hand and seal of office. acJ� 'S V`� 251,1N 1N H r N` Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.883