HomeMy WebLinkAboutContract 58622CSC No. 58622
FORT WORTH,
SOLE SOURCE AGREEMENT
Siddons Martin Emergency Group
This SOLE SOURCE AGREEMENT ("Agreement") is made and entered into by and between
the CITY OF FORT WORTH ("City"), a Texas home rule municipal corporation, acting by and through
its duly authorized Assistant City Manager, and Siddons Martin Emergency Group ("Vendor"), an
Incorporation and acting by and through its duly authorized representative, each individually referred to as
a "party" and collectively referred to as the "parties."
AGREEMENT DOCUMENTS:
The Agreement documents shall include the following:
1. This Vendor Services Agreement;
2. Exhibit A — Scope of Services or Goods;
3. Exhibit B — Sole Source Exemption;
4. Exhibit C — Verification of Signature Authority Form.
5. Exhibit D — Conflict of Interest Questionnaire.
Exhibits A, B, C, and D which are attached hereto and incorporated herein, are made a part of this
Agreement for all purposes. In the event of any conflict between the terms and conditions of Exhibits A, B,
C, D, or E and the terms and conditions set forth in the body of this Agreement, the terms and conditions
of this Agreement shall control.
1. Scope of Services. Purchase of goods & Services. ("Services"), which are set forth in
more detail in Exhibit "A," attached hereto and incorporated herein for all purposes.
2. Term. This Agreement begins on date signed by the Assistant City Manager ("Effective
Date") and expires one year after("Expiration Date"), unless terminated earlier in accordance with this
Agreement ("Initial Term"). City will have the option, in its sole discretion, to renew this Agreement under
the same terms and conditions for an additional 3 one-year automatic renewals.
3. Compensation. City will pay Vendor in accordance with the provisions of this Agreement,
including Exhibit `B," which is attached hereto and incorporated herein for all purposes. Total
compensation under this Agreement will not exceed One Hundred Thousand Dollars ($100,000.00) per
year. Vendor will not perform any additional 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
will not be liable for any additional expenses of Vendor not specified by this Agreement unless City first
approves such expenses in writing.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Sole Source Agreement Page 1 of 29
4. Termination.
4.1. Written Notice. City or Vendor may terminate this Agreement at any time and for
any reason by providing the other party with 30 days' written notice of termination.
4.2 Non -appropriation of Funds. In the event no funds or insufficient funds are
appropriated by City in any fiscal period for any payments due hereunder, City will notify Vendor
of such occurrence and this Agreement will terminate on the last day of the fiscal period for which
appropriations were received without penalty or expense to City of any kind whatsoever, except as
to the portions of the payments herein agreed upon for which funds have been appropriated.
4.3 Duties and Obligations of the Parties. In the event that this Agreement is
terminated prior to the Expiration Date, City will pay Vendor for services actually rendered up to
the effective date of termination and Vendor will continue to provide City with services requested
by City and in accordance with this Agreement up to the effective date of termination. Upon
termination of this Agreement for any reason, Vendor will provide City with copies of all
completed or partially completed documents prepared under this Agreement. In the event Vendor
has received access to City Information or data as a requirement to perform services hereunder,
Vendor will return all City provided data to City in a machine-readable format or other format
deemed acceptable to City.
5. Disclosure of Conflicts and Confidential Information.
5.1 Disclosure of Conflicts. Vendor hereby warrants to City that Vendor has made full
disclosure in writing of any existing or potential conflicts of interest related to Vendor's services
under this Agreement. In the event that any conflicts of interest arise after the Effective Date of this
Agreement, Vendor hereby agrees immediately to make full disclosure to City in writing.
5.2 Confidential Information. Vendor, for itself and its officers, agents and employees,
agrees that it will treat all information provided to it by City ("City Information") as confidential
and will not disclose any such information to a third parry without the prior written approval of
City.
5.3 Public Information Act. City is a government entity under the laws of the State of
Texas and all documents held or maintained by City are subject to disclosure under the Texas Public
Information Act. In the event there is a request for information marked Confidential or Proprietary,
City will promptly notify Vendor. It will be the responsibility of Vendor to submit reasons objecting
to disclosure. A determination on whether such reasons are sufficient will not be decided by City,
but by the Office of the Attorney General of the State of Texas or by a court of competent
jurisdiction.
5.4 Unauthorized Access. Vendor must store and maintain City Information in a secure
manner and will not allow unauthorized users to access, modify, delete or otherwise corrupt City
Information in any way. Vendor must notify City immediately if the security or integrity of any
City Information has been compromised or is believed to have been compromised, in which event,
Vendor will, in good faith, use all commercially reasonable efforts to cooperate with City in
identifying what information has been accessed by unauthorized means and will fully cooperate
with City to protect such City Information from further unauthorized disclosure.
6. Right to Audit. Vendor agrees that City will, 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 will have access during
normal working hours to all necessary Vendor facilities and will be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City will give Vendor
reasonable advance notice of intended audits.
7. Independent Contractor. It is expressly understood and agreed that Vendor will operate
as an independent contractor as to all rights and privileges and work performed under this Agreement, and
not as agent, representative or employee of City. Subject to and in accordance with the conditions and
provisions of this Agreement, Vendor will have the exclusive right to control the details of its operations
and activities and be solely responsible for the acts and omissions of its officers, agents, servants,
employees, Vendors, and subcontractors. Vendor acknowledges that the doctrine of respondeat superior
will not apply as between City, its officers, agents, servants and employees, and Vendor, its officers, agents,
employees, servants, contractors, and subcontractors. Vendor further agrees that nothing herein will be
construed as the creation of a partnership or joint enterprise between City and Vendor. It is further
understood that City will in no way be considered a Co -employer or a Joint employer of Vendor or any
officers, agents, servants, employees, contractors, or subcontractors. Neither Vendor, nor any officers,
agents, servants, employees, contractors, or subcontractors of Vendor will be entitled to any employment
benefits from City. Vendor will be responsible and liable for any and all payment and reporting of taxes on
behalf of itself, and any of its officers, agents, servants, employees, contractors, or contractors.
Liability and Indemnification.
8.1 LIABILITY - VENDOR WILL BE LIABLE AND RESPONSIBLE FOR ANY
AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY,
INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER,
WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT
ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL MISCONDUCT OF
VENDOR, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, OR
SUBCONTRACTORS.
8.2 GENERAL INDEMNIFICATION- VENDOR HEREBY COVENANTS AND
AGREES TO INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS,
AGENTS, SERVANTSAND EMPLOYEES, FROMAND AGAINST ANYAND ALL CLAIMS
OR LAWSUITS OFANYKIND OR CHARACTER, WHETHER REAL OR ASSERTED, FOR
EITHER PROPERTYDAMAGE OR LOSS (INCLUDINGALLEGED DAMAGE OR LOSS TO
VENDOR'S BUSINESS AND ANY RESULTING LOST PROFITS) AND/OR PERSONAL
INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, ARISING OUT OF OR IN
CONNECTION WITH THIS AGREEMENT, TO THE EXTENT CAUSED BY THE
NEGLIGENT ACTS OR OMISSIONS OR MALFEASANCE OF VENDOR, ITS OFFICERS,
AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, OR SUBCONTRACTORS.
8.3 INTELLECTUAL PROPERTY INDEMNIFICATION — Vendor agrees to
defend, settle, or pay, at its own cost and expense, any claim or action against City for
infringement of any patent, copyright, trade mark, trade secret, or similar property right
arising from City's use of the software and/or documentation in accordance with this
Agreement, it being understood that this agreement to defend, settle or pay will not apply if
City modifies or misuses the software and/or documentation. So long as Vendor bears the
cost and expense of payment for claims or actions against City pursuant to this section,
Vendor will have the right to conduct the defense of any such claim or action and all
negotiations for its settlement or compromise and to settle or compromise any such claim;
however, City will have the right to fully participate in any and all such settlement,
negotiations, or lawsuit as necessary to protect City's interest, and City agrees to cooperate
with Vendor in doing so. In the event City, for whatever reason, assumes the responsibility
for payment of costs and expenses for any claim or action brought against City for
infringement arising under this Agreement, City will have the sole right to conduct the
defense of any such claim or action and all negotiations for its settlement or compromise and
to settle or compromise any such claim; however, Vendor will fully participate and cooperate
with City in defense of such claim or action. City agrees to give Vendor timely written notice
of any such claim or action, with copies of all papers City may receive relating thereto.
Notwithstanding the foregoing, City's assumption of payment of costs or expenses will not
eliminate Vendor's duty to indemnify City under this Agreement. If the software and/or
documentation or any part thereof is held to infringe and the use thereof is enjoined or
restrained or, if as a result of a settlement or compromise, such use is materially adversely
restricted, Vendor will, at its own expense and as City's sole remedy, either: (a) procure for
City the right to continue to use the software and/or documentation; or (b) modify the
software and/or documentation to make it non -infringing, provided that such modification
does not materially adversely affect City's authorized use of the software and/or
documentation; or (c) replace the software and/or documentation with equally suitable,
compatible, and functionally equivalent non -infringing software and/or documentation at no
additional charge to City; or (d) if none of the foregoing alternatives is reasonably available
to Vendor terminate this Agreement, and refund all amounts paid to Vendor by City,
subsequent to which termination City may seek any and all remedies available to City under
law.
Assignment and Subcontracting.
9.1 Assignment. Vendor will not assign or subcontract any of its duties, obligations
or rights under this Agreement without the prior written consent of City. If City grants consent to
an assignment, the assignee will execute a written agreement with City and Vendor under which
the assignee agrees to be bound by the duties and obligations of Vendor under this Agreement.
Vendor will be liable for all obligations of Vendor under this Agreement prior to the effective date
of the assignment.
9.2 Subcontract. If City grants consent to a subcontract, the subcontractor will execute
a written agreement with Vendor referencing this Agreement under which subcontractor agrees to
be bound by the duties and obligations of Vendor under this Agreement as such duties and
obligations may apply. Vendor must provide City with a fully executed copy of any such
subcontract.
10. Insurance. Vendor must provide City with certificate(s) of insurance documenting
policies of the following types and minimum coverage limits that are to be in effect prior to commencement
of any Services pursuant to this Agreement:
10.1 Coverage and Limits
(a) Commercial General Liability:
$1,000,000 - Each Occurrence
$2,000,000 - Aggregate
(b) Automobile Liability:
$1,000,000 - Each occurrence on a combined single limit basis
Coverage will be on any vehicle used by Vendor, or its employees, agents, or
representatives in the course of providing Services under this Agreement. "Any
vehicle" will be any vehicle owned, hired and non -owned.
(c) Worker's Compensation:
Statutory limits according to the Texas Workers' Compensation Act or any other
state workers' compensation laws where the Services are being performed
Employers' liability
$100,000 -
Bodily Injury by accident; each accident/occurrence
$100,000 -
Bodily Injury by disease; each employee
$500,000 -
Bodily Injury by disease; policy limit
(d) Professional Liability (Errors & Omissions):
$1,000,000 - Each Claim Limit
$1,000,000 - Aggregate Limit
Professional Liability coverage may be provided through an endorsement to the
Commercial General Liability (CGL) policy, or a separate policy specific to
Professional E&O. Either is acceptable if coverage meets all other requirements.
Coverage must be claims -made, and maintained for the duration of the contractual
agreement and for two (2) years following completion of services provided. An
annual certificate of insurance must be submitted to City to evidence coverage.
10.2 General Requirements
(a) The commercial general liability and automobile liability policies must
name City as an additional insured thereon, as its interests may appear. The term
City includes its employees, officers, officials, agents, and volunteers in respect to
the contracted services.
(b) The workers' compensation policy must include a Waiver of Subrogation
(Right of Recovery) in favor of City.
(c) A minimum of Thirty (30) days' notice of cancellation or reduction in
limits of coverage must be provided to City. Ten (10) days' notice will be
acceptable in the event of non-payment of premium. Notice must be sent to the
Risk Manager, City of Fort Worth, 200 Texas Street, Fort Worth, Texas 76102,
with copies to the Fort Worth City Attorney at the same address.
(d) The insurers for all policies must be licensed and/or approved to do
business in the State of Texas. All insurers must have a minimum rating of A- VII
in the current A.M. Best Key Rating Guide, or have reasonably equivalent financial
strength and solvency to the satisfaction of Risk Management. If the rating is
below that required, written approval of Risk Management is required.
(e) Any failure on the part of City to request required insurance
documentation will not constitute a waiver of the insurance requirement.
(f) Certificates of Insurance evidencing that Vendor has obtained all required
insurance will be delivered to the City prior to Vendor proceeding with any work
pursuant to this Agreement.
11. Compliance with Laws, Ordinances, Rules and Regulations. Vendor agrees that in the
performance of its obligations hereunder, it will comply with all applicable federal, state and local laws,
ordinances, rules and regulations and that any work it produces in connection with this Agreement will also
comply with all applicable federal, state and local laws, ordinances, rules and regulations. If City notifies
Vendor of any violation of such laws, ordinances, rules or regulations, Vendor must immediately desist
from and correct the violation.
12. Non -Discrimination Covenant. Vendor, for itself, its personal representatives, assigns,
contractors, subcontractors, and successors in interest, as part of the consideration herein, agrees that in the
performance of Vendor's duties and obligations hereunder, it will not discriminate in the treatment or
employment of any individual or group of individuals on any basis prohibited by law. IF ANY CLAIM
ARISES FROM AN ALLEGED VIOLATION OF THIS NON-DISCRIMINATION COVENANT
BY VENDOR, ITS PERSONAL REPRESENTATIVES, ASSIGNS, CONTRACTORS,
SUBCONTRACTORS, OR SUCCESSORS IN INTEREST, VENDOR AGREES TO ASSUME
SUCH LIABILITY AND TO INDEMNIFY AND DEFEND CITY AND HOLD CITY HARMLESS
FROM SUCH CLAIM.
13. Notices. Notices required pursuant to the provisions of this Agreement will 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 parry by United States Mail, registered, return receipt requested,
addressed as follows:
To CITY:
City of Fort Worth
Attn: Assistant City Manager
200 Texas Street
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654
With copy to Fort Worth City Attorney's Office at
same address
To VENDOR:
Siddons Martin Emergency GroLip
1362 E Richey
Houston, Tx 77073
Phone: 281-606-4933
14. Solicitation of Employees. Neither City nor Vendor will, during the term of this
Agreement and additionally for a period of one year after its termination, solicit for employment or employ,
whether as employee or independent contractor, any person who is or has been employed by the other
during the term of this Agreement, without the prior written consent of the person's employer.
Notwithstanding the foregoing, this provision will not apply to an employee of either party who responds
to a general solicitation of advertisement of employment by either party.
15. Governmental Powers. It is understood and agreed that by execution of this Agreement,
City does not waive or surrender any of its governmental powers or immunities.
16. No Waiver. The failure of City or Vendor to insist upon the performance of any term or
provision of this Agreement or to exercise any right granted herein does not constitute a waiver of City's or
Vendor's respective right to insist upon appropriate performance or to assert any such right on any future
occasion.
17. Governing Law / Venue. This Agreement will be construed in accordance with the laws
of the State of Texas. If any action, whether real or asserted, at law or in equity, is brought pursuant to this
Agreement, venue for such action will lie in state courts located in Tarrant County, Texas or the United
States District Court for the Northern District of Texas, Fort Worth Division.
18. Severability. If any provision of this Agreement is held to be invalid, illegal or
unenforceable, the validity, legality and enforceability of the remaining provisions will not in any way be
affected or impaired.
19. Force Maieure. City and Vendor will exercise their best efforts to meet their respective
duties and obligations as set forth in this Agreement, but will not be held liable for any delay or omission
in performance due to force majeure or other causes beyond their reasonable control, including, but not
limited to, compliance with any government law, ordinance, or regulation; acts of God; acts of the public
enemy; fires; strikes; lockouts; natural disasters; wars; riots; epidemics or pandemics; government action
or inaction; orders of government; material or labor restrictions by any governmental authority;
transportation problems; restraints or prohibitions by any court, board, department, commission, or agency
of the United States or of any States; civil disturbances; other national or regional emergencies; or any other
similar cause not enumerated herein but which is beyond the reasonable control of the Party whose
performance is affected (collectively, "Force Majeure Event"). The performance of any such obligation is
suspended during the period of, and only to the extent of, such prevention or hindrance, provided the
affected Party provides notice of the Force Majeure Event, and an explanation as to how it prevents or
hinders the Party's performance, as soon as reasonably possible after the occurrence of the Force Majeure
Event, with the reasonableness of such notice to be determined by the City in its sole discretion. The notice
required by this section must be addressed and delivered in accordance with Section 13 of this Agreement.
20. Headings not Controlling. Headings and titles used in this Agreement are for reference
purposes only, will not be deemed a part of this Agreement, and are not intended to define or limit the scope
of any provision of this Agreement.
21. Review of Counsel. The parties acknowledge that each party and its counsel have
reviewed and revised this Agreement and that the normal rules of construction to the effect that any
ambiguities are to be resolved against the drafting party will not be employed in the interpretation of this
Agreement or Exhibits A, B, and C.
22. Amendments / Modifications / Extensions. No amendment, modification, or extension
of this Agreement will be binding upon a party hereto unless set forth in a written instrument, which is
executed by an authorized representative of each party.
23. Counterparts. This Agreement may be executed in one or more counterparts and each
counterpart will, for all purposes, be deemed an original, but all such counterparts will together constitute
one and the same instrument.
24. Warranty of Services. Vendor warrants that its services will be of a high quality and
conform to generally prevailing industry standards. City must give written notice of any breach of this
warranty within thirty (30) days from the date that the services are completed. In such event, at Vendor's
option, Vendor will either (a) use commercially reasonable efforts to re -perform the services in a manner
that conforms with the warranty, or (b) refund the fees paid by City to Vendor for the nonconforming
services.
25. Immigration Nationality Act. Vendor must verify the identity and employment eligibility
of its employees who perform work under this Agreement, including completing the Employment
Eligibility Verification Form (I-9). Upon request by City, Vendor will provide City with copies of all I-9
forms and supporting eligibility documentation for each employee who performs work under this
Agreement. Vendor must adhere to all Federal and State laws as well as establish appropriate procedures
and controls so that no services will be performed by any Vendor employee who is not legally eligible to
perform such services. VENDOR WILL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM
ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH
BY VENDOR, VENDOR'S EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, OR
AGENTS. City, upon written notice to Vendor, will have the right to immediately terminate this Agreement
for violations of this provision by Vendor.
26. Ownership of Work Product. City will be the sole and exclusive owner of all reports,
work papers, procedures, guides, and documentation that are created, published, displayed, or produced in
conjunction with the services provided under this Agreement (collectively, "Work Product"). Further, City
will be the sole and exclusive owner of all copyright, patent, trademark, trade secret and other proprietary
rights in and to the Work Product. Ownership of the Work Product will inure to the benefit of City from
the date of conception, creation or fixation of the Work Product in a tangible medium of expression
(whichever occurs first). Each copyrightable aspect of the Work Product will be considered a "work -made -
for -hire" within the meaning of the Copyright Act of 1976, as amended. If and to the extent such Work
Product, or any part thereof, is not considered a "work -made -for -hire" within the meaning of the Copyright
Act of 1976, as amended, Vendor hereby expressly assigns to City all exclusive right, title and interest in
and to the Work Product, and all copies thereof, and in and to the copyright, patent, trademark, trade secret,
and all other proprietary rights therein, that City may have or obtain, without further consideration, free
from any claim, lien for balance due, or rights of retention thereto on the part of City.
27. Signature Authority. The person signing this Agreement hereby warrants that they have
the legal authority to execute this Agreement on behalf of the respective party, and that such binding
authority has been granted by proper order, resolution, ordinance or other authorization of the entity. This
Agreement and any amendment hereto, may be executed by any authorized representative of Vendor. Each
party is fully entitled to rely on these warranties and representations in entering into this Agreement or any
amendment hereto.
28. Change in Company Name or Ownership. Vendor must notify City's Purchasing
Manager, in writing, of a company name, ownership, or address change for the purpose of maintaining
updated City records. The president of Vendor or authorized official must sign the letter. A letter indicating
changes in a company name or ownership must be accompanied with supporting legal documentation such
as an updated W-9, documents filed with the state indicating such change, copy of the board of director's
resolution approving the action, or an executed merger or acquisition agreement. Failure to provide the
specified documentation so may adversely impact future invoice payments.
29. No Boycott of Israel. If Vendor has fewer than 10 employees or this Agreement is for
less than $100,000, this section does not apply. Vendor acknowledges that in accordance with Chapter
2271 of the Texas Government Code, the City is prohibited from entering into a contract with a company
for goods or services unless the contract contains a written verification from the company that it: (1) does
not boycott Israel; and (2) will not boycott Israel during the term of the contract. The terms "boycott Israel"
and "company" has the meanings ascribed to those terms in Section 2271 of the Texas Government Code.
By signing this Agreement, Vendor certifies that Vendor's signature provides written verification to
the City that Vendor: (1) does not boycott Israel; and (2) will not boycott Israel during the term of
the Agreement.
30. Prohibition on Boycotting Energy Companies. Vendor acknowledges that, in
accordance with Chapter 2274 of the Texas Government Code, as added by Acts 2021, 87th Leg., R.S.,
S.B. 13, § 2, the City is prohibited from entering into a contract for goods or services that has a value of
$100,000 or more that is to be paid wholly or partly from public funds of the City with a company with 10
or more full-time employees unless the contract contains a written verification from the company that it:
(1) does not boycott energy companies; and (2) will not boycott energy companies during the term of the
contract. The terms "boycott energy company" and "company" have the meaning ascribed to those terms
by Chapter 2274 of the Texas Government Code, as added by Acts 2021, 87th Leg., R.S., S.B. 13, § 2. To
the extent that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this
Agreement, Vendor certifies that Vendor's signature provides written verification to the City that Vendor:
(1) does not boycott energy companies; and (2) will not boycott energy companies during the term of this
Agreement.
31. Prohibition on Discrimination Against Firearm and Ammunition Industries. Vendor
acknowledges that except as otherwise provided by Chapter 2274 of the Texas Government Code, as added
by Acts 2021, 87th Leg., R.S., S.B. 19, § 1, the City is prohibited from entering into a contract for goods or
services that has a value of $100,000 or more that is to be paid wholly or partly from public funds of the
City with a company with 10 or more full-time employees unless the contract contains a written verification
from the company that it: (1) does not have a practice, policy, guidance, or directive that discriminates
against a firearm entity or firearm trade association; and (2) will not discriminate during the term of the
contract against a firearm entity or firearm trade association. The terms "discriminate," "firearm entity"
and "firearm trade association" have the meaning ascribed to those terms by Chapter 2274 of the Texas
Government Code, as added by Acts 2021, 87th Leg., R.S., S.B. 19, § 1. To the extent that Chapter 2274
of the Government Code is applicable to this Agreement, by signing this Agreement, Vendor certifies that
Vendor's signature provides written verification to the City that Vendor: (1) does not have a practice, policy,
guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will
not discriminate against a firearm entity or firearm trade association during the term of this Agreement.
32. Electronic Signatures. This Agreement may be executed by electronic signature, which
will be considered as an original signature for all purposes and have the same force and effect as an original
signature. For these purposes, "electronic signature" means electronically scanned and transmitted versions
(e.g. via pdf file or facsimile transmission) of an original signature, or signatures electronically inserted via
software such as Adobe Sign.
33. Entirety of Agreement. This Agreement, including all attachments and exhibits, contains
the entire understanding and agreement between City and Vendor, their assigns and successors in interest,
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 any provision of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement in multiples.
CITY OF FORT WORTH:
By: Valerie Washington (Dec 19, 2022 12:09 CST)
Name: Valerie Washing
Title: Assistant Assistant City
Date: Dec 19, 2022
APPROVAL RECOMMENDED:
By: J s Davis (Dec 16, 2022 22:32 CST)
Name: Jim Davis
Title: Fire Chief
ATTEST:
By; Jannette S. Goodall (Dec 19, 202213:33 CST)
Name: Jannette Goodall
Title: City Secretary
VENDOR:
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Siddons Martin Emergency Group, LLC
By:
V
Name:
Jeffrey W. Keiser
Title:
Executive Vice President
Date: 12/9/2022
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(Dec 16,202222:25 CST)
Name: Mark Rauscher
Title: Fire Assistant Director
APPROVED AS TO FORM AND LEGALITY:
By:
Name:
Title:
Taylor Paris
Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: N/A
Form 1295• N/A
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FXUTRIT A
SCOPE OF SERVICES
Parts & Equipment
Maintenance and service and
Holmatro Repairs not to exceed $170.00 per hour.
Repair VIN Second VIN Mech # Type Labor Discount Total
Description Qty Ret. Price Savings Selling Price Ext Discount Ext Price
1 X1009967 AOAL Wholesale $135.00 $0.00 $135.00
One Hour Labor
CAUSE: One Hour Labor on Holmatro Repair
Parts Total: Labor Total: $135.00 Job Total: $135.00
2 X1009967 Wholesale $125.00 $0.00 $125.00
TRIP CHARGE
CAUSE: TRIP CHARGE
Parts Total: Labor Total: $125.00 Job Total: $125.00
And finally for billing. Equipment, parts, and service will be invoiced on an as
needed basis. Quotes will be requested for new items or service work.
Departmental requests forms will be signed, and then a PO issued. This would
include the purchase of new items and the repair and maintenance of existing
assets.
Item
Description
List Price
159.000.212
BATTERY CHARGER CBCH2
$150.00
100.013.412
SERVICE KIT CONTROL HANDLE HFW*R
$1,185.00
100.103.059
OS3250 MAINTENANCE SET
$32.00
100.103.081
OSHWJ25 MAINTENANCE SET
$34.00
100.103.101
OS1036 NUTCUTER MAINT SET
$58.00
100.143.073
CHECK VALVE
$141.00
100.143.074
CHECK VALVE
$138.00
100.151.032
VALVE STAGE TWO ASSEMBLY
$651.00
100.151.236
PUMP PART SUBASSEMBLY IPU21W
$5,994.00
100.163.302
BEARING ECCENTRIC 4000
$55.00
100.163.309
PLUNGER BLOCK 4000 (EACH
$382.00
100.181.135
PRESSURE RELIEF VALVE A-135
$502.00
100.181.322
VALVE CONTROL M322
$2,177.00
100.181.434
COUPLER A134N W/EXTENSION
$216.00
100.182.307
BLOCK GAUGE M307
$708.00
100.182.327
MANIFOLD SMV7
$4,214.00
100.443.051
OS300 O-RING SET
$93.00
100.581.004
TENSION ROD HTB60
$207.00
100.583.006
VALVE CONTROL PRESSURE
$494.00
100.603.046
GASKET
$27.00
100.603.048
GASKET
$8.00
100.603.062
GASKET RESERVOIR AHS1400
$21.00
100.603.069
CAP & BREATHER SET AHS1400FS
$121.00
108.000.001
OIL HYDRAULIC 1 GALLON VG 15
$48.00
108.000.003
OIL HYDRAULIC 55 GALLON VG 15
$2,241.00
110.181.154
BRIDGE BR150
$973.00
110.999.039
OSX170 REPAIR SET
$66.00
120.443.001
KIT REPAIR HTWY2300 PUMP
$230.00
120.481.218
COUPLER FEMALE Y218
$518.00
120.481.219
COUPLER MALE Y219
$589.00
120.482.228
DUST CAP Y218 COUPLER
$133.00
120.482.229
DUST CAP Y219 COUPLER
$133.00
130.000.035
COMPRESSION SPRING
$8.00
130.000.038
WEDGE BLADE HFW 1226
$1,219.00
130.000.040
BLADE WEDGE HFW 2426
$1,284.00
130.000.056
FILTER
$243.00
130.000.069
PLUG
$56.00
130.000.070
CONTROL VALVE 200 S 50 EN
$994.00
130.013.010
SERVICE SET CABLE HFW
$158.00
130.103.048
CYLINDER
$361.00
130.103.049
PLUNGER
$287.00
130.103.050
PISTON
$193.00
130.103.051
YOKE
$1,985.00
130.103.052
HINGE PIN
$68.00
130.103.053
STOP RING
$397.00
130.103.057
TUMBLER
$676.00
130.103.065
LOCK NUT
$176.00
130.103.066
PIN
$8.00
130.103.070
VALVE, BALL
$137.00
130.183.004
SEAL WASHER
$30.00
130.183.005
SEAL WASHER
$12.00
130.183.006
SCRAPER RING
$17.00
130.183.010
COUPLER MALE
$48.00
130.183.011
COUPLER FEMALE
$159.00
150.000.276
TPU-10 SUBARU FUEL FILTER
$25.00
150.000.290
VALVE CHECK ASSEMBLY CORE
$71.00
150.000.304
SLEEVE CONNECTING DPU31
$34.00
150.000.307
SUPPORT RECOIL DPU31
$11.00
150.003.542
CAP FUEL HONDA EPA SR 10
$35.00
150.003.818
TANK HYDRAULIC SR20
$65.00
150.003.820
TANK HYDRAULIC SR40
$97.00
150.003.877
TANK HYDRAULIC SR10
$75.00
150.004.410
TANK FUEL SPU16 EPA
$109.00
150.004.411
TANK FUEL DPU31 EPA
$109.00
150.004.412
TUBE FUEL EPA HONDA 105M M
$9.00
150.004.435
MOTOR ASSEMBLY ELECTRIC 1.1 KW 230V 60HZ
$1,901.00
150.004.436
MOTOR ASSEMBLY ELECTRIC 1.1 KW 115V 60Hz
$1,901.00
150.004.440
HOSE SUCTION OIL
$16.00
150.004.445
WIRE HARNESS HATCH BACK COVER
$76.00
150.004.446
HARNESS CABLE SPU16BC ON/OFF
$309.00
150.004.448
CABLE HARNESS CHARGING CONNECTOR
$155.00
150.004.452
STARTER RECOIL GX200
$250.00
150.004.613
SERVICE SET SPU16BC CIRCUIT BREAKER
$173.00
150.004.617
BOARD CIRCUIT MMU
$2,390.00
150.007.089
BATTERY 36 VOLT SPU16BC LI ION
$2,090.00
150.011.501
POWERSHORE STRUT EXTENSION SX 1
$471.00
150.011.502
POWERSHORE STRUT EXTENSION SX 2
$400.00
150.011.503
POWERSHORE STRUT EXTENSION SX 5
$565.00
150.011.504
POWERSHORE STRUT EXTENSION SX10
$500.00
150.011.505
POWERSHORE CONNECTOR FX1
$371.00
150.011.506
POWERSHORE STRUT EXTENSION SX15
$783.00
150.011.513
BEAM SUPPORT U-SHAPE 6" (150MM)
$176.00
150.011.514
BEAM SUPPORT U-SHAPE 4"(100MM)
$169.00
150.011.519
SUPPORT PLATE POWERSHORE
$351.00
150.011.526
STRUT AS3Q20FL POWERSHORE
$2,060.00
150.011.529
STRUT AS3L15+ LOCK NUT POWERSHORE
$1,569.00
150.011.531
STRUT AS31-10+AIRSTRUT MEC POWERSHORE
$2,847.00
150.011.532
STRUT AS31L 5+ AIRSTRUT MECH POWERSHORE
$2,415.00
150.011.533
STRUT MS2L5+ POWERSHORE
$2,381.00
150.011.535
STRUT HS1L15+ LOCK NUT POWERSHORE
$1,917.00
150.011.537
STRUT HS1L10+ LOCK NUT POWERSHORE
$2,469.00
150.011.538
STRUT MS2L2+ LOCK NUT POWERSHORE
$983.00
150.011.543
STRUT HS1L 5+ LOCK NUT POWERSHORE
$3,126.00
150.011.545
STRUT AS3Q10FL POWERSHORE
$3,607.00
150.011.546
STRUT AS3Q 5FL POWERSHORE
$2,079.00
150.011.547
STRUT HS1Q 5FL POWERSHORE
$3,869.00
150.011.549
SUPPORT PLATE SWIVEL HEAD POWERSHORE
$221.00
150.012.295
CC 23 C CONCRETE CRUSHER CORE
$9,935.00
150.014.507
SERVICE SET SP5260/80 HINGE BOLT SET
$195.00
150.014.509
SERVICE SET SQUEEZING PLATE SP5250
$242.00
150.014.510
SERVICE SET SPREADING TIP SP5260/80
$1,394.00
150.014.512
SERVICE SET SP52XX SPEEDVALVE
$196.00
150.014.513
SERVICE SET 6 LED
$79.00
150.014.514
SERVICE SET BATTERY HOLDER 6 LED
$91.00
150.014.516
SERVICE SET SWITCHOVER 150-160 BAR
$173.00
150.014.520
SERVICE SET ECO mode SR10
$229.00
150.014.521
SERVICE SET Valve ECO + seals
$53.00
150.014.522
SERVICE SET Valve ECO
$460.00
150.014.523
SERVICE SET Plunger ECO
$167.00
150.014.524
SERVICE SET Accumulator ECO
$177.00
150.014.526
SERVICE SET ECO MODE SEALS
$225.00
150.014.527
SERVICE SET ECO mode SR40
$238.00
150.014.534
SERVICE SET I -BOLT CU5050/1
$460.00
150.014.535
SERVICE SET HINGE PIN CU5050/1
$129.00
150.014.536
SERVICE SET GUIDE BUSH CU5050/1
$121.00
150.014.537
SERVICE SET PROTECTION SLEEVE CU5050/1
$153.00
150.014.538
SERVICE SET CU 5050 BLADES
$2,004.00
150.014.539
SERVICE SET HANDLE CARRYING CU 5050
$403.00
150.014.540
SERVICE SET BOTTOM CU5050/1
$581.00
150.014.541
SERVICE SET PLUNGER CU5050/1
$627.00
150.014.542
SERVICE SET BLADE HOLDER CU5050/1
$1,297.00
150.014.543
SERVICE SET SNAP RING CU5050/1
$39.00
150.014.544
SERVICE SET CU5050/1
$98.00
150.014.545
SERVICE SET CU 50501 CARRYING HANDLE
$567.00
150.014.546
SERVICE SET CU 5050 1 BLADES
$2,225.00
150.014.547
SERVICE SET GCU 5050 CARRYING HANDLE
$818.00
150.014.548
SERVICE SET GCU 50501 CARRYING HANDLE
$567.00
150.014.605
SERVICE SET COVER GREENLINE EVO
$158.00
150.014.606
SERVICE SET WIRE HARNESS EVO
$171.00
150.014.608
SERVICE SET CAGE EMC EVO
$448.00
150.014.609
SERVICE SET PUMP FLANGE ASSY
$831.00
150.014.610
SERVICE SET GCT 511* EVO CARRYING HANDLE
$540.00
150.014.611
SERVICE SET CONTROL 5000
$1,597.00
150.014.612
SERVICE SET CHECK VALVE HCT 511*
$207.00
150.014.620
SERVICE SET I BOLT CU 5050
$503.00
150.014.632
SERVICE SET 5000 CONTROL DUST CAP W/WIRE
$46.00
150.014.633
SERVICE SET 5000 COUPLER AND DUSTCAP
$184.00
150.014.634
SERVICE SET CONTROL 5K w/o cov.
$1,667.00
150.014.663
SERVICE SET SEALS TR5340/50
$116.00
150.014.664
SERVICE SET TR5340 CARRYING HANDLE
$303.00
150.014.672
SERVICE SET FLANGE GLT2
$311.00
150.014.673
SERVICE SET FLANGE GLT2 EVO
$351.00
150.014.674
SERVICE SET BATTERY CONNECTION EVO
$48.00
150.014.675
SERVICE SET BLADE HOLDER CU 5050 (i)
$1,183.00
150.014.678
SERVICE SET TR5370 PLUNGER
$958.00
150.014.682
SERVICE SET (G)CT511* PROTECTIVE SLEEVE
$100.00
150.014.688
SERVICE SET REGULATOR HDB P 240ST
$351.00
150.014.692
SERVICE SET VALVE RELEASE TWIN SR LEFT
$360.00
150.014.694
SERVICE SET CU5030 PLUNGER
$375.00
150.014.697
SERVICE SET CU5030 SEALS
$88.00
150.014.699
SERVICE SET CU 5030 I -BOLT
$501.00
150.014.706
SERVICE SET CU 5030 HINGE PIN
$118.00
150.014.707
SERVICE SET H/CT511* CARRY HANDLE 6 LED
$668.00
150.014.708
SERVICE SET CU 5030 BLADE HOLDER
$726.00
150.014.721
SERVICE SET I BOLT CT 5160
$368.00
150.014.722
SERVICE SET PLUNGER CT 5160
$732.00
150.014.723
SERVICE SET BLADE HOLDER CT 5160
$1,556.00
150.014.724
SERVICE SET SEALS CT 5160
$68.00
150.014.725
SERVICE SET CARRYING HANDLE CT 5160
$650.00
150.014.726
SERVICE SET BEARING CT 5160
$92.00
150.014.727
SERVICE SET PROTECTION SLEEVE CT 5160
$100.00
150.014.728
SERVICE SET BLADES CT 5160
$2,371.00
150.014.729
SERVICE SET BOTTOM CT5160/CU5050
$375.00
150.014.730
SERVICE SET I BOLT COVERS
$105.00
150.014.731
SERVICE SET CT 5160 SPREADING TIPS
$1,132.00
150.014.732
SERVICE SET HINGE PIN CT 5160
$108.00
150.014.733
SERVICE SET CENTRAL HINGE PIN CT 5160
$109.00
150.014.734
SERVICE SET CU 5030 LOCKING
$43.00
150.014.736
SERVICE SET CU 5030 i HANDLE BAR
$733.00
150.014.737
SERVICE SET CU 5030 HANDLE BAR
$499.00
150.014.738
SERVICE SET GCU 5030 HANDLE
$449.00
150.014.739
SERVICE SET GCU 5030 i HANDLE BAR
$635.00
150.014.740
SERVICE SET CU 5030 SLIDE BEARING
$137.00
150.014.741
SERVICE SET CU 5030 PROTECTIVE COVER
$78.00
150.014.742
SERVICE SET CU 5030 BLADE
$1,391.00
150.014.743
SERVICE SET CU 5030 i BLADES
$1,558.00
150.014.744
SERVICE SET CU 5030 BOTTOM
$372.00
150.014.745
SERVICE SET CU 5030 COVER
$108.00
150.014.746
SERVICE SET CU 5030 PIN CENTER
$191.00
150.014.748
SERVICE SET CU 5060 I -BOLT
$335.00
150.014.749
SERVICE SET CU 5060 HINGE PIN
$164.00
150.014.750
SERVICE SET CU 5060 PLUNGER
$457.00
150.014.751
SERVICE SET CU 5060 BLADE HOLDER
$1,028.00
150.014.752
SERVICE SET CU 5060 LOCKING
$45.00
150.014.753
SERVICE SET CU 5060 SEALS
$66.00
150.014.755
SERVICE SET CU 5040 i HANDLE
$630.00
150.014.756
SERVICE SET CU 5060 i HANDLE
$609.00
150.014.757
SERVICE SET CU 5040 HANDLE
$440.00
150.014.758
SERVICE SET CU 5060 HANDLE
$496.00
150.014.759
SERVICE SET GCU 5040 HANDLE
$419.00
150.014.760
SERVICE SET GCU 5060 HANDLE
$494.00
150.014.761
SERVICE SET GCU 5040 i HANDLE
$608.00
150.014.762
SERVICE SET GCU 5060 i HANDLE
$799.00
150.014.763
SERVICE SET CU 5060 PROTECTIVE COVER
$85.00
150.014.764
SERVICE SET CU 5040 PROTECTIVE COVER
$81.00
150.014.765
SERVICE SET CU 5040 I -BOLT
$438.00
150.014.766
SERVICE SET CU 5040 HINGE PIN
$193.00
150.014.767
SERVICE SET CU 5040 PLUNGER
$359.00
150.014.768
SERVICE SET CU 5040 BLADE HOLDER
$824.00
150.014.769
SERVICE SET CU 5040 LOCKING
$47.00
150.014.770
SERVICE SET CU 5040 SEALS
$75.00
150.014.771
SERVICE SET CU 5040 SLIDE BEARING
$117.00
150.014.772
SERVICE SET CU 5060 SLIDE BEARING
$122.00
150.014.773
SERVICE SET CU 5040 BLADES
$1,452.00
150.014.774
SERVICE SET CU 5060 BLADES
$1,674.00
150.014.776
SERVICE SET CU 5040 i BLADES
$1,586.00
150.014.777
SERVICE SET CU 5060 i BLADES
$1,986.00
150.014.778
SERVICE SET CU 5040 BOTTOM
$320.00
150.014.779
SERVICE SET CU 5060 BOTTOM
$383.00
150.014.780
SERVICE SET CU 5040 COVER
$92.00
150.014.781
SERVICE SET CU 5060 COVER
$92.00
150.014.782
SERVICE SET CU 5060 PIN CENTER
$139.00
150.014.783
SERVICE SET CU 5040 PIN CENTER
$182.00
150.014.790
SERVICE SET CARRYING HANDLE GCT 5160
$597.00
150.014.792
SERVICE SET CU 5040 GP BLADES
$1,885.00
150.014.793
SERVICE SET CU 5040 GP HANDLE
$425.00
150.033.001
OS1040 O-RING SET
$269.00
150.563.051
KIT MAINTENANCE HW 1500
$287.00
150.570.040
HOSE DOUBLE H 04 Z ST
$927.00
150.570.101
HOSE SPU16
$181.00
150.570.188
HOSE B 05 ST SINGLE LINE
$468.00
150.570.189
HOSE B 10 ST SINGLE HOSE
$592.00
150.571.016
HOSE LEFT PIGTAIL 2026
$217.00
150.571.038
HOSE RETURN BLACK
$125.00
150.571.039
HOSE PRESSURE RED 2106ST STECKO/4MBSPP
$324.00
150.571.170
HOSE BLUE/BLACK PIGTAIL W/O COUPLERS
$769.00
150.571.171
HOSE RED/BLACK PIGTAIL W/O COUPLERS
$869.00
150.571.211
HOSE RED/RIGHT/RETURN PIG
$160.00
150.571.212
HOSE RED/RIGHT/PRESSURE P
$160.00
150.571.213
HOSE BLUE/LEFT/RETURN PIG
$131.00
150.571.214
HOSE BLUE/LEFT/PRESSURE P
$215.00
150.571.244
HOSE SHS30MDB 100' BLUE/B
$2,180.00
150.571.372
HOSE CONNECTING 3005
$741.00
158.012.031
POWERSHORE VEHICLE STABILIZATION KIT
$8,741.00
158.012.049
HMCBU MINI CUTTER WITH CASE
$2,508.00
150.012.247
CT 5111 ST COMBI TOOL 5KC
$7,350.00
158.012.149
HMCBU PA 04 MINI CUTTER KIT
$3,882.00
150.012.230
CT 5117 ST COMBI TOOL 5KC
$7,755.00
150.012.246
HCT 5111 ST COMBI TOOL
$9,350.00
150.012.199
HCT 5117 ST COMBI TOOL
$9,813.00
150.012.290
CU 5040 i CUTTER CORE 5KC
$7,680.00
150.012.289
CU 5060 i CUTTER CORE 5KC
$8,933.00
150.012.306
CU 5050 i CUTTER CORE 5KC
$8,469.00
150.012.323
SP 5240 SPREADER 5KC
$9,359.00
150.012.324
SP 5250 SPREADER 5KC
$9,776.00
150.012.325
SP 5260 SPREADER 5KC
$10,242.00
150.012.330
CT 5160 COMBI TOOL CORE
$10,198.00
158.019.001
ARM ASSEMBLY KIT TWO 2008
$3,925.00
158.032.007
KIT ACCESSORIES RAM
$1,363.00
150.032.102
TR 5340 LP TELESCOPIC RAM w/LASER
$5,728.00
150.032.101
TR 5350 LP TELESCOPIC RAM w/LASER
$7,113.00
150.032.100
TR 5370 LP TELESCOPIC RAM w/LASER
$7,365.00
158.033.002
OS2004UL O-RING SET
$201.00
158.033.003
OS2005UL O-RING SET
$201.00
158.072.012
HR100 W/100' RED/BLACK HOSE
$4,769.00
158.072.013
HR100 W/100' BLUE/BLACK HOSE
$4,769.00
158.072.035
DHR100C CORE REEL PAINTED RH ORANGE
$5,739.00
158.072.036
DHR100C CORE REEL PAINTED RH BLUE
$5,739.00
158.072.043
DHR100C CORE REEL PAINTED LH ORANGE
$5,739.00
158.072.044
DHR100C CORE REEL PAINTED LH BLUE
$5,739.00
158.142.011
POWERSHORE TRAIN KIT W/RED HOSE
$7,396.00
158.142.012
POWERSHORE TRAIN KIT W/BLUE HOSE
$7,396.00
158.151.003
ENGINE HONDA GX100 2035EPA
$1,412.00
158.151.004
ENGINE HONDA GXH50 PUS
$1,063.00
158.151.005
ENGINE HONDA GX100 DPU30
$1,358.00
158.151.012
ENGINE HONDA GXV160
$1,577.00
158.152.175
SR 10 PC 1 CORE PUMP GAS
$6,611.00
158.152.178
SR 20 PC 2 CORE DUO PUMP GAS
$10,449.00
158.152.179
SR 20 PC 2 E CORE DUO PUMP GAS
$11,929.00
158.152.223
SR 20 HC 2 R 230V 60 HZ CORE PUMP
$12,078.00
158.152.232
SR 40 PC 4 CORE QUATTRO GAS
$16,358.00
158.152.253
SR 20 PC 2 X CORE DUO PUMP CARB
$10,498.00
158.153.040
KIT HONDA THROTTLE 2060
$118.00
158.572.110
KIT HOSE 100' BLUE/BLUE
$2,710.00
158.572.111
KIT HOSE 100' RED/RED
$2,710.00
158.572.113
HOSE RED 2' 1/4FBSPPX BOTH ENDS SINGLE
$97.00
158.572.116
HOSE RED 23' 1/4FBSPPX BOTH ENDS SINGLE
$517.00
158.572.117
HOSE SO'GREEN 1/4FBSSPX *1/4FBSPPX SING
$866.00
158.572.124
HOSE CORE 16' ORANGE
$958.00
158.572.125
HOSE CORE 32' ORANGE
$1,204.00
158.572.126
HOSE CORE 50' ORANGE
$1,503.00
158.572.127
HOSE CORE 16' BLUE
$958.00
158.572.128
HOSE CORE 32' BLUE
$1,204.00
158.572.129
HOSE CORE 50' BLUE
$3,800.00
158.572.130
HOSE CORE 32' BLACK
$1,204.00
158.572.131
HOSE CORE 16' BLACK
$958.00
158.572.132
HOSE CORE 32' GREEN
$1,204.00
158.572.133
HOSE CORE 16' GREEN
$958.00
158.572.134
HOSE CORE 100' ORANGE FOR HOSEREEL
$2,378.00
158.572.135
HOSE CORE 100' BLUE FOR HOSEREEL
$2,378.00
158.572.136
HOSE CORE 100' GREEN FOR HOSEREEL
$2,378.00
158.572.137
HOSE CORE 100' BLACK FOR HOSEREEL
$2,378.00
158.572.138
HOSE CORE 50' GREEN
$1,532.00
158.572.145
HOSE CORE 6' ORANGE
$789.00
158.572.146
HOSE CORE 6' BLUE
$789.00
158.572.147
HOSE CORE 6' GREEN
$789.00
158.572.159
HOSE CORE 4' BLACK
$756.00
158.572.160
HOSE CORE 6' BLACK
$789.00
158.572.162
HOSE CORE 10' BLACK
$856.00
158.572.164
HOSE CORE 50' BLACK
$1,503.00
158.572.192
KIT HOSE 12 BLUE/BLUE
$1,235.00
158.572.193
KIT HOSE 12 RED/RED
$1,235.00
158.572.194
KIT HOSE 40' RED/RED
$1,562.00
158.572.245
KIT HOSE 100' BLUE/BLACK
$2,846.00
158.572.246
KIT HOSE 100' RED/BLACK
$2,828.00
158.572.250
HOSE TP 6 T RC/RC GN/GN
$1,087.00
158.572.251
HOSE TP 40 T RC/RC GN/GN
$1,495.00
158.572.258
HOSE TP 0.95 S 4BSPPM/STECKO BK
$260.00
158.572.270
HOSE TP 32 S 4BSPPFX/4BSPPFX RD
$1,140.00
158.572.271
HOSE TP 3.2 S 4BSPPM/4BSPPFX RD
$473.00
158.572.289
KIT HOSE 50' RED/RED
$1,487.00
158.572.290
KIT HOSE 5' RED/RED
$870.00
158.572.291
HOSE TP 22 T RC/RC RD/RD
$1,683.00
158.572.293
KIT HOSE 34' RED/RED
$1,180.00
158.572.297
KIT HOSE 28' RED/RED
$2,158.00
158.572.298
KIT HOSE 26' BLUE/BLUE
$2,028.00
158.572.299
KIT HOSE 25' BLUE/BLUE
$1,909.00
158.572.307
HOSE CORE 15 M BLUE
$3,711.00
158.572.308
HOSE CORE 15 M ORANGE
$1,541.00
158.572.309
HOSE CORE 20 M BLUE
$4,726.00
158.572.310
HOSE CORE 20 M ORANGE
$1,788.00
158.572.312
KIT HOSE 36' RED/RED
$1,611.00
158.572.313
KIT HOSE 36' BLU/BLU
$1,901.00
158.572.317
KIT HOSE 32' BLU/BLU
$3,282.00
158.572.318
KIT HOSE 30' RED/RED
$3,142.00
158.572.325
HOSE BR 4' T MRC * FRC OR
$881.00
158.572.342
HOSE TP 36 T RC/STECO RD/RD
$2,222.00
158.572.343
HOSE TP 36 T RC/STECO BL/BL
$2,222.00
159.000.062
PTR50 TELESCOPIC RAM
$10,759.00
159.000.063
PCU50 CUTTER
$12,917.00
159.000.064
PSP40 SPREADER
$13,341.00
151.000.580
HCT 5114 ST COMBI-TOOL
$9,585.00
159.000.070
ACS 12 HP HLB ACC PKG 12-BAR HPRV
$2,598.00
159.000.077
HPRV 347 12 BAR AIR REGULATOR
$1,161.00
159.000.082
50' HOSE KIT BLUE/BLUE
$3,546.00
159.000.086
44' HOSE KIT BLUE/BLUE
$3,546.00
159.000.088
44' HOSE KIT RED/RED
$3,546.00
159.000.118
PCT50 COMBI TOOL
$13,627.00
159.000.134
WCS 02 WIRELESS CONTROL SET
$7,474.00
159.000.139
HDB P 240 ST PUMP/WO CGA
$9,967.00
151.001.058
CT5150 COMBI TOOL CORE
$9,519.00
151.001.346
DR200 ST DOOR OPENER
$5,961.00
159.000.144
GMP 10 EVO 3 PUMP
$8,274.00
151.001.357
SMC 5008 ST CUTTER
$6,775.00
350.321.021
HLB 2 LIFTING BAG-2 TON 12BAR
$767.00
350.321.022
HLB 6 LIFTING BAG-6 TON 12BAR
$869.00
350.321.023
HLB 8 LIFTING BAG-8 TON 12BAR
$1,061.00
350.321.025
HLB11 LIFTING BAG-11 TON 12BAR
$1,107.00
350.321.026
HLB16 LIFTING BAG-16 TON 12BAR
$1,200.00
350.321.027
HLB21 LIFTING BAG-21 TON 12BAR
$1,526.00
350.321.028
HLB31 LIFTING BAG-31 TON 12BAR
$1,894.00
350.321.030
HLB38 LIFTING BAG-38 TON 12BAR
$2,082.00
350.321.031
HLB53 LIFTING BAG-53 TON 12BAR
$2,787.00
350.321.032
HLB63 LIFTING BAG-63 TON 12BAR
$3,710.00
350.321.033
HLB96 LIFTING BAG-96 TON 12BAR
$5,117.00
350.321.034
HLB85 LIFTING BAG-85 TON 12BAR
$4,496.00
633.000.685
CONTROL PANEL HFW - USA
$24,661.00
151.001.511
PCU30CL
$11,939.00
151.001.475
PCU40
$12,518.00
159.000.179
PCU60
$14,138.00
151.001.502
PSP40CL
$13,341.00
159.000.181
PSP50
$14,842.00
159.000.182
PSP60
$15,645.00
159.000.183
PRA40
$9,950.00
159.000.184
PRA50
$10,309.00
159.000.185
PTR40
$10,433.00
159.000.170
PCT11
$12,205.00
159.000.171
PCT14
$12,740.00
159.000.176
PCT60
$15,473.00
151.001.771
Extension Pipe
$852.00
151.001.902
Extension Pipe
$1,031.00
100.013.355
SERVICE SET VALVE DGTK 5000
$90.00
151.000.266
SERVICE SET RETURN TUBE GCU5050
$50.00
151.001.093
Service Set PCT50/5150 Blades
$1,787.00
151.001.094
Service Set Bellows PCT/PCU/PSP
$55.00
151.001.097
Service Set Bellows Clamp
$113.00
151.001.098
Service Set Plunger PCT50/CT5150
$477.00
151.001.099
Service Set Return Tube PCT50/CT5150
$56.00
151.001.100
Service Set Protective Cover PCT50
$41.00
151.001.101
Service Set Bladeholder PCT50
$887.00
151.001.103
SERVICE SET BOTTOM PCT50
$441.00
151.001.106
Service Set PCT50
$77.00
151.000.948
HSB27 LIFTING BAG
$1,980.00
151.000.949
HSB40 LIFTING BAG
$2,445.00
151.000.950
HSB74 LIFTING BAG
$3,865.00
151.000.951
HSB92 LIFTING BAG
$6,345.00
151.002.019
ACCESSORY SET 05 PSP60/SP5260
$3,560.00
151.001.188
PCT 50 BLADE
$575.00
159.000.100
SR 20 PC2 PUMP
$10,144.00
159.000.109
SR2 PC2 X PUMP
$10,192.00
150.062.192
QFA 16 - ADAPTER SPU16
$593.00
150.012.232
CU 4007 CUTTER CORE
$5,018.00
158.012.169
SMC 5006 SPECIAL MATERIAL CUTTER 5KC
$5,484.00
158.571.197
HOSE TP 6 S 4BSPPM 4BSPPFX BK
$353.00
EXHIBIT B
FORT t uii
CITE' OF FORT WORTH
CHAPTER 252 EXEMFTIOti FORM
Instructions-- Fill out the entire form with detailed information. Once you have completed this form.
provide it to the Purchasing attorney for review- The attomey wil I review the information you have
provided to detemidne whetheT an exemption to Chapter 252's biding requirements is defensible.
If you are printing this form to provide to Legal, please do not provide the Primer portion. Fai lure
to provide sufficient information may result in follow up questions and cause a delay in the
attorney's determination_
Section Ii General Information
Requesting Department: FIRE DEFT.
Name of Contract Manager, Ryan Zelamy
Department's Attomey- Taylor. Paris
Item or Service sought:
Goods.,
Service:
Anticipated Amount, 5100_000.00
Vendor,
Current)PrioT Agreement for item/service:
CSC or Purchase Order #,
Amount
Siddons•hlart in Einer,encv Group
Yes E] l*o
FNIA1
$ N/A
Projected M&C Date: N/A
Hour will this item or service be used? To replace/maintain current Hohnatro units
throuuhout the Fire Deoaninent and fox future purchases Hollmatro units_ Cornorehensive
evaluation fo the tools are necessary to ensure they are safe and capable of performing at their
highest level. Also, equipment should provide a schedule for maintenance_ The purpose of this
Holtnatro is the hydraulic cutting and sprcadina tools are bencftcial to several needs some of
them are for rapid interventions to the comnact cars and heaviest car constructions duriniz vehicle
accidents
Fa,ge L Of 7
Section 2: Claimed Exernption and Jnstifi€atinn (Other than sale sunrce)
NOTE - For a claimed sale -source exemption, complete Section 3_
Please indicate the non -sole -source exemption you believe applies to the purchase and provide
information to suppon its applicability. Please refer to the Exemption Primer for detailed
information about common exemptions,
JK A procurement necessary to preserve or protect the public health or safety of the City
of Fart Worth's residents;
A procurement necessary because of unforeseen damage to public machinery,
equipment, or other property;
A procurement for personal, professional_ or planning services;
II A procurement for work that is performed and paid for by the day as the work
progresses;
A purchase of land or:a right-of-way,
El Paving drainage, street widening, and other public improvements, or related matters, if
at least one-third of the cost is to be paid by or through special assessments levied on
property that will benefit from the improvements;
El A public improvement project, already in progress, authorized by the voters of the
municipality, for which there is a deficiency of hinds for completing the project in
accordance with the plans and purposes authorized by the voters:
❑ A payment under a contract by which a developer participates in the construction of a
public improvement as provided by Subchapter C, Chapter 212;
Personal property soldr
• at an auction by a state licensed auctioneer;
• at a going out of business sale held in compliance with Subchapter F_
Chapter 17, Business & Commerce Code;
• by a political subdivision of this state, a state agency of this state, or an
entity of the federal govvmmem or
• under an interlocal contract for cooperative purchasing administered by a
regional planning commission established under Chapter 391;
Services performed by blued or severely disabled persons;
Goads purchased by a municipality for subsequent retail sale by the municipality;
Electricity; or
Page 2of7
Advertising, other than legal notices.
Please provide details and facts to explain why you believe the exemption applies to the
purchase. You may also attach documentation to this fonn.Currently the FWFD has 50 sets of
Holmatro Rescue tools wh ich accounts for I OU% of the department's rescue tools. One of the
greatest benefits of a sole system with rescue tools is that the first arriving apparatus can begin
the extrication and rescue process and then the later arriving Technical Rescue unit can plug
right in to i ncident with their own equipment. Tool compatibility across the department allows us
to build out a complex incident from the ground up. For example the 133 -car accident in 2021_
All companies at this incident were able to utilize tools, hoses, and poweFplants universally due
to the compatibility of all equipment. Engine I's rescue tools were able to be connected to Truck
Ts hoses and powerplants and vice versa. Due to the proprietary nature of Holmatro products,
other brands would not fit into this incident due to a lack of compatibil ity-
It is critical, to better protest the public health and safety, that the department maintain a single
set of rescue tools from the same manufacturer- All current equipment used across the Fire dept-
are true unit and used to extraction of victims that are intrapped during accidents. This
equipment is used during accidents and duri ng trai nings. Not only it keeps all the equipment the
same, but it is easier for everyone training with this equipment to understand the process without
having to learn different equipment and being able to make an error during real life extractions
when needed. Using other brands will not he compatible with exiting equipment,
Vendor is the only factory authorized source of sales, service and training for Holrnatm Rescue
Equipment in the state of Texas and will only be available through Siddoos-1wlartin.
Section 3: Claimed Sole -Source Exemption and Justitcation
NOTE - For any non -sole -source exemption, complete Section 2.
Please indicate the sole -source exemption you believe applies to the purchase and provide
information to support its applicability- Please refer to the Exemption Primer for detailed
information about common exemptions
[] *A procurement of items that are available from only one source, including,
• items that are available from only one source because of patents, copyrights,
secret processes, or natural monopolies;
+ films, manuscripts- or books;
+ gas, water, and other utility servi-ces,,
+ -captive replacement parts or components for equipment;
+ books, papers, and other library materials for a public library that are
available only from the persons holding exclusive distribution rights to the
materials; and
Page a of 7
+ management services provided by a nonprofit organization to a municipal
museum, park, zoo, or other facility to which the organization has provided
significant financial or other benefits;
How did you determine that the item or service is only available from one source?
Attach screenshots and provide an explanation of any independent research you conducted,
through internet searches, searching cooperatives, or discussions with others knowledgeable on
the subject matter that corroborate that the item is available only frorn a single source.
Did you attach a sole source justification letter' ❑ Yes ❑ No
Describe the uniqueness of the item or service (e.g, compatibility or patent issues, etc_)_
Section 4: Attorney Determination
With the facts provided by the department, is the use of the claimed exemption defensible if'the
City were to be challenged on this purchase's M Yes ❑ No.
Was there anything attached to this form that was relied on in making this determination?
JA Yes ❑ No.
If'yes, please explain, Lester from vendor_
Was there anything not included on this form or attached hereto that was relied on in making this
determination`.' 19 Yes ❑ No.
If yes, please explain,Entrails with staff to discuss need for product
Will the standard tenns and conditions apply' " Yes ❑ No.
Will the contract require special terms' Yes No.
Will the contract require review by the department attorney`? Yes ❑ No.
Approved By:
Page 4of7
i
— PA wz�- Date, S_ 15.22
TWpor Paris r' Jassika Williams
Assistant City Attorney
Page 5nf7
EXEMPTION FORM PRIMER
Below are explanations and examples of cmunon exemptions that could apply to City purchases.
If you have questions about the information provided or need additional information, please
contact your department's assigned attorney or the appropriate purchasing attorney -
A procurement necessary to preserve or protect the public health or safety of the
municipality's residents:
Examples of activities that have been found to fall within this exception include
ambulance services; solid waste collection and disposal, and first -responder safety
equipment such as breathing apparatus for Firefighters and bullet-proof vests for police
Oftioers-
A procurement necessary because of unforeseen damage to public machinery, equipment,
or other property;
Examples of this type of procurement would include repairing or replacing roo-fs and
windows damaged by hail or a tornado. But parts and services for routine maintenance or
replacement of old, worn out roofs or windows would not meet this exception-
1 A procurement for personal, professional, or planning services,
Personal services are ones that are unique to the individual providing them. Therefore
personal services contract cannot generally be subcontracted or assigned.
Professional services are not defined under Chapter 252, so there is no precise definition
to follow. There is no universal definition of this term, however, "several cases suggest
that it. -- is 'predominately mental or intellectual, rather than physical or manual-" Tex.
Atty Gen Op- IM-940 (1989) (gaofFag .#fa?yfand Casualty Co. i� Croy Wafer Cc-, 160
SM. 2d 102 (Tex- Giv. hpp_ Eastland 1942, no writ)- The Texas Attorney General has
also opined that "professional services" no longer includes only the services of lawyers_
physicians, or theologians, but also those members of disciplines requiring special
knowledge or attainment and a high order of learning, skill, and intelligence- Id.
Facts needed to support a professional service exemption include the specialized
requirements of that profession and the mental and intellectual skill required by the
person while performing the service. Purchases of goods arm not professional services.
4- A procurement of items that are available froin only one source.
This exemption is coanunoniy referred to as the sole source exemption- In determining
whether a purchase is of a good or service that is available from one source, you should
not consider price or time to receive the good or service. A sole source does not exist
Pap Sof6
solely on the basis of personal or departmental preference or a desire to keep al I units the
same brand or remake_ The information needed to support this exemption is that no other
provider can provide the service or category of good except for the vendor you are
proposing. Some examples of sole source purchases include service agreements % ien
only one vendor is authorized to work on the equipment by the manufacturer and
allowing another vendor would void the: warranty; purchase of a good that is copyrighted
or trademarked and on]y provided by one vendor.
Page 6 aF6
EXHIBIT D
VERIFICATION OF SIGNATURE AUTHORITY
SIDDONS MARTIN EMERGENCY GROUP, LLC
3500 SHELBY LANE
DENTON TX 76207
PHONE: 940-315-4948
Execution of this Signature Verification Form ("Form") hereby certifies that the following
individuals and/or positions have the authority to legally bind Vendor and to execute any agreement,
amendment or change order on behalf of Vendor. Such binding authority has been granted by proper order,
resolution, ordinance or other authorization of Vendor. City is fully entitled to rely on the warranty and
representation set forth in this Form in entering into any agreement or amendment with Vendor. Vendor
will submit an updated Form within ten (10) business days if there are any changes to the signatory
authority. City is entitled to rely on any current executed Form until it receives a revised Form that has been
properly executed by Vendor.
Name: Jeffrey W. Keiser
Position: Executive Vice President
0.
Signature
2. Name:
Position:
Signature
3. Name:
Position:
Signature
Name:
4��- 0.
Signature of President / CEO
Other Title: Executive Vice President
Date: 12/9/22
Sole Source Services Agreement -Siddons
Martin ER.docx 12.5.22
Final Audit Report 2022-12-09
Created: 2022-12-09
By: Landon Mendez (Imendez@siddons-martin.com)
Status: Signed
Transaction ID: CBJCHBCAABAA4_3PL_wXgM9MyvOe3ZX11nrKwJUXhAZn
"Sole Source Services Agreement -Siddons Martin ER.docx 12.5
.22" History
Document created by Landon Mendez (Imendez@siddons-martin.com)
2022-12-09 - 6:50:59 PM GMT- IP address: 12.190.209.19
Document emailed to Jeffrey Keiser Qkeiser@siddons-martin.com) for signature
2022-12-09 - 6:51:59 PM GMT
Email viewed by Jeffrey Keiser Qkeiser@siddons-martin.com)
2022-12-09 - 6:54:14 PM GMT- IP address: 104.47.73.254
Document e-signed by Jeffrey Keiser Qkeiser@siddons-martin.com)
Signature Date: 2022-12-09 - 6:54:51 PM GMT - Time Source: server- IP address: 12.190.209.19
Agreement completed.
2022-12-09 - 6:54:51 PM GMT
a Adobe Acrobat Sign