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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: a44vnnb �a a` FORA Ln 0 o° ~o °09�0 pvo °=d O� *% o * dd o ° °0000°°°°°° y nn nEXA?o�p 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