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HomeMy WebLinkAboutContract 56307-R2LSL No 56307-R2 CITY OF FORT WORTH CONTRACT RENEWAL NOTICE June 23, 2023 Gulf Highway Equipment, LLC. Attn: Travis McCain, Owner 600 Garden St. Haltom City, TX 76117 Re: Contract Renewal Notice Contract No. CSC No. 56307 (the "Contract") Renewal Term No. 2: September 15.2023 to September 14.2024 The above referenced Contract with the City of Fort Worth expires on September 14, 2023 (the "Expiration Date"). Pursuant to the Contract, contract renewals are at the sole option of the City. This letter is to inform you that the City is exercising its right to renew the Contract for an additional one (1) year period, which will begin immediately after the Expiration Date. All other terms and conditions of the Contract remain unchanged. Please return this signed acknowledgement letter, along with a copy of your current insurance certificate, to the address set forth below, acknowledging receipt of the Contract Renewal Notice. Failure to provide a signed acknowledgment does not affect the renewal. Please log onto PeopleSoft Purchasing at httn://fortworthtexas.aov/purchasing to ensure that your company information is correct and up-to-date. If you have any questions concerning this Contract Renewal Notice, please contact me at the telephone number listed below. Katya.Flores Sincerely, Katva Flores Sr. Admin Assistant (&fortworthtexas.2ov OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX c�zm_u� 0—+r +uA„P. 1 P­ I fz ACCEPTED AND AGREED: CITY OF FORT WORTH LVJ By:Valerie Washington (Jun 28, 202312:26 CDT) Name: Valerie Washington Title: Assistant Citv Manager Date: J u n 28, 2023 APPROVAL RECOMMENDED: By:J&fs Daviss (Jun 28, 2023 11:45 CDT) Name: Jim Davis Title: Fire Chief ATTEST: By: Name: Jannette Goodall Title: Citv Secretary 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:BJun 28, 2023 09:02 CDT) Name: Brenda Rav Title: Fire Purchasina Manaaer APPROVED AS TO FORM AND LEGALITY: By: Name: Tavlor Paris Title: Assistant Citv Attornev CONTRACT AUTHORIZATION: Me OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX c�zm_u� 0—+—+ AA„P —1 P— I fz Gulf Hi2hwav Equipment, LLC. By: / - - Name: Travis McCain Title: Owner GULF HIGHWAY EQUIPMENT ESTIMATE 6000 GARDEN ST # Haltom City, TX. 76117 004699 Phone:682-708-8721 Fax:000 Estimate for Services Estimate Date : 6/26/2023 City of Fort Worth 0 - 200 Texas St Lic # : -TX Odom. In: 0 Fort Worth, TX 76102 Unit # : BLCKR '23 & '24 VIN #: BLOCKER56307R2 Part Description / Number Oty Sale Ext Labor Description Hours Extended Blocker#1 1.00 0.00 0.00 Fab Parts 7.00 840.00 BLOCKER 1 Install Camera 8.00 960.00 Scorpion II Model "C" TL-3 TMA 1.00 27,628.57 27,628.57 , Extend Frame on Apparatus 10.00 1,200.00 (MASH) TMA-2 SERIAL # Install TMA 14.00 1,680.00 VERTICALARROW BOARD MOUNT 1.00 2,334.29 2,334.29 Install Arrow Board w/ Lift 8.00 960.00 GHE:ABVM Fab Parts 7.00 840.00 15 BULB ARROW BOARD 1.00 3,385.71 3,385.71 Install Camera 8.00 960.00 WB8-LSA-03 MDVR Syst. - (4) Cams, 128 GB, GPS & 1.00 2,495.00 2,495.00 Extend Frame on Apparatus 10.00 1,200.00 7" LCD Install TMA 14.00 1,680.00 TDE #MDVR64GB3 Install Arrow Board w/ Lift 8.00 960.00 Power Kit 1.00 650.00 650.00 PWR kit QUOTE FOR BLOCKER 1 AND BLOCKER 2 Slim Line LED Strobes - BLUE/RED 2.00 110.00 220.00 ELECTRICAL-2 Blocker #2 1.00 0.00 0.00 BLOCKER2 Scorpion II Model "C" , TL-3 TMA 1.00 27,628.57 27,628.57 (MASH) TMA-2 SERIAL # VERTICALARROW BOARD MOUNT 1.00 2,334.29 2,334.29 GHE:ABVM 15 BULB ARROW BOARD 1.00 3,385.71 3,385.71 WB8-LSA-03 MDVR Syst. - (4) Cams, 128 GB, GPS & 1.00 2,495.00 2,495.00 7" LCD TDE #MDVR64GB3 Power Kit 1.00 650.00 650.00 PWR kit Slim Line LED Strobes - BLUE/RED 2.00 110.00 220.00 ELECTRICAL-2 Parts/Supplies: 73,427.14 Labor: 11,280.00 Total : $ 84,707.14 I hereby authorize the above repair work to be done along with the necessary material and hereby grant you and /or your employees permission to operate the vehicle described for testing and/or inspection. Express mechanic's lien is hereby acknowledged on above vehicle to secure the amount of repairs thereto. SMOG: I understand that I can have emission service and/or adjustments done elsewhere. I hereby waive this right. TEARDOWN ESTIMATE: I understand that my vehicle will be reassembled within_days of the date shown above if I choose not to authorize the service recommended. All Parts removed will be discarded unless instructed otherwise: Save all Parts NOT RESPONSIBLE FOR LOSS OR DAMAGE TO CARS OR ARTICLES LEFT IN CARS IN CASE OF FIRE, THEFT OR ANY OTHER CAUSE. Signature Date Time Page 1 of 1 Copyright (c) 2023 Mitchell Repair Information Company, LLC esthrs 4.06.2016kr CSC No. 56307-Rl CITY OF FORT WORTH CONTRACT RENEWAL NOTICE September 21, 2022 Gulf Highway Equipment, LLC. Attn: Travis McCain, Owner 600 Garden St. Haltom City, TX 76117 Re: Contract Renewal Notice Contract No. CSC No. 56307-R1 (the "Contract') Renewal Term No. 1: September 15, 2022 to September 14, 2023 The above referenced Contract with the City of Fort Worth expires on September 14, 2022 (the "Expiration Date"). Pursuant to the Contract, contract renewals are at the sole option of the City. This letter is to inform you that the City is exercising its right to renew the Contract for an additional one (1) year period, which will begin immediately after the Expiration Date. All other terms and conditions of the Contract remain unchanged. Please return this signed acknowledgement letter, along with a copy of your current insurance certificate, to the address set forth below, acknowledging receipt of the Contract Renewal Notice. Failure to provide a signed acknowledgment does not affect the renewal. Please log onto PeopleSoft Purchasing at http:Hfortworthtexas.�zov/purchasing to ensure that your company information is correct and up-to-date. If you have any questions concerning this Contract Renewal Notice, please contact me at the telephone number listed below. Sincerely, Brenda Rav Sr. Contract Compliance Specialist Brenda. ravafortworthtexas. Gov OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract Renewal Page 1 of 3 CSC No. 56307-R1 ACCEPTED AND AGREED: CITY OF FORT WORTH VA11, kk-- . By:Valerie,Washington (Oct 18, 2022 14:23 CDT) Name: Valerie Washington Title: Assistant City Manager Date: APPROVAL RECOMMENDED: By J s Daviss� 18, 2022 13:52 CDT) Name: Jim Davis Title: Fire Chief ATTEST: Tannette S. Goodall By Jannette S. Goodall (Oct 18, 2022 16:03 CDT) Name: Jannette Goodall Title: City Secretary Contract Renewal 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. ByMark Rauscher (Oct 18, 2022 13:46 CDT) Name: Mark Rauscher Title: Assistant Fire Director APPROVED AS TO FORM AND LEGALITY: By: Name: Tavlor Paris Title: Assistant Citv Attornev CONTRACT AUTHORIZATION: N/A OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX CSC No. 56307-R1 Gulf HiAwav Equipment, LLC. By: Name: Travis McCain Title: Owner OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contract Renewal rage 3 01 3 CSC No. 56307 CITY OF FORT VMRTH SOLE SOURCE PURCHASE AGREEMENT Gulf I-DOway Equipment, LLC This SOLE SOURCE PURCHASE AGREEMENT ('Agreein mt") 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 Gulf Highway Equipment ("Vendor"), a LLC and acting by and through its duly authorized representative, each individually referred to as a "party" and collectively referred to as the "parfies,." Vendor agrees dW this Sole Source Purchase Agreement includes the following documents which shall be construed in the order of precedence in which they are listed: 1. This Sole Sou -me Poch Agreement; I Exhibit A — Scope of Services 3. Exhibit B — Vendor's Quote 4, EXhibit C — Vendor's Sole Source Justification Letter; 5. ExItibit D � Sole Source Procurement Justification; and 6. EWbit E — Conflict of Triterest Questionwire. Exhibits A, B, C, D, and E, which are aMched hereto and incorporated herein,, are made part of this Agreement for A doses. In the event of any conflict between the terms and conditions of Exhibits A, B, C, or D and the terms afid conditions set forth in the body of this Agreement, the terms and conditions of this Agreement shall control. 1. Scope of Services. Purchase and installation of Two Truck Mounted Attenuators ("Services"), which are set forth in more detail in Exhibit "A," atlaolied hereto and incorporated herein for all put"es. 2, Term. The initial team of this Agreement is for I ye-v(s), beginning on the date that this Agrement is executed by the City's Assistant City Manager CEffective 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 up to 2 one-year renoml option(s) (each a "Renewal Term"). 3. Compensation. 3.1 Total compermkon under this Agreement will not exceed Seventy -Five Thousand Dollars and Zero Cents ($75,000.00) per year, including each renmal year. 1.2 City will pay Vendor in accordance with the Prompt Payment Act (Chapter 2251 of the Texas Covemment Code) and provisions of this Agreement, including Exhibit "B," which is adached hereto and incoqxxited herein for all purposes. 3.3 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. 4. Termination. Sole Source Purchase Agreement - Gulf Highway Equipment OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 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 Obliaations 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 party 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 ofthis section. City will give Vendor reasonable advance notice of intended audits. Sole Source Purchase Agreement — Gulf Highway Equipment Page 2 of 20 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, or contractors. Liabilitv and Indemnification. 8.1 LJABILITY - VENDOR WILL BE LIABLE AND RESPONSIBLE FOR ANY AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND PERSONAL INJURY, INCLUDING, INCLUDING, BUTNOTLIMITED TO, DEATH, TOANYANDALL PERSONS, OFANYKIND 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, REPRESENTATIVES, 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, REPRESENTATIVES, SERVANTS, AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS OR LAWSUITS OF ANY KIND 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 PERSONAL INJURY, INCLUDING, BUTNOT LIMITED TO, DEATH, TOANYANDALL 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, REPREENTATIVES, 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 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 Sole Source Purchase Agreement —Gulf Highway Equipment Page 3 of 20 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 (e) replace the software and documentation with equally suitable, compatible, and functionally equivalent non - infringing software and 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 Assianment. 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 Coveraae 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 Sole Source Purchase Agreement — Guff Highway Equipment Page 4 of 20 $100,000 - Bodily Injury by disease; each employee $500,000 - Bodily Injury by disease; policy limit (d) Professional Liability (Errors & Omissions): ❑ Applicable ❑ N/A $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 City in accordance with the notice provision of this Agreement. (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 Reeulations. 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 Sole Source Purchase Agreement — Gulf Highway Equipment Page 5 of 20 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 parry, 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: GULF HIGHWAY EQUIPMENT, LLC. Travis McCain, Owner 600 GARDEN ST HALTOM CITY, TX 76117 PHONE: 682-708-8721 14. Solicitation of EmDlovees. 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. Governine 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 Majeure. 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 Sole Source Purchase Agreement —Gulf Highway Equipment Page 6 of 20 reasonable control of the Parry 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 Parry'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. HeadinLys 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 parry 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 parry. 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. Immieration Nationalitv 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 Sole Source Purchase Agreement — Gulf Highway Equipment Page 7 of 20 obtain, without further consideration, free from any claim, lien for balance due, or rights of retention thereto on the part of City. 27. Sienature Authoritv. 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 parry is fully entitled to rely on these warranties and representations in entering into this Agreement or any amendment hereto. 28. Change in Companv 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 Bovcott 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 Bovcotting Energv 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 tern 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. Sole Source Purchase Agreement — Gulf Highway Equipment Page 8 of 20 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 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. (signature page follows) Sole Source Purchase Agreement — Gulf Highway Equipment Page 9 of 20 IN WITNESS WHEREOF, the parties hereto have executed this Agreement in multiples. City: By: Valerie Washington S5,202116:07 CDT) Name: VALERIE WASHINGTON Title: Assistant City Manager Date: Sep 15, 2021 Vendor: By: "- 4" Name: Travis McCain Title: Owner Date: 0(—/0--2n-?-1 FOR CITY OF FORT WORTH INTERNAL PROCESSES: Approval Recommended: By: zglts�. 14,202108:27 CDT) Name: Jim Davis Title: Fire Chief Approved as to Form and Legality: By: Name: Christopher Austria Title: Assistant City Attorney Contract Authorization: M&C: N/A Form 1295: N/A 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. 1-j 1r By: Josh Clam (Sep tj 202121:32 CDT) Name: Joshua Clark Title: Fire Lt. City Secretary: By: ?� Name: Ronald P. Gonzales Title: Acting City Secretary �- u ,40F FORpa� ° 0 d Ad%° �o o �o o= ° ° ° Sole Source Purchase Agreement - Gulf Highway Equipment OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX EXHIBIT A The Scorpion 11 Truck Mounted Attenuator (TMA) is a mobile crash cushion attached to the rear of a support vehicle's frame. The TMA may be used on moving shadow trucks, stationary block vehicles, or advanced warning vehicles upstream of a moving or stationary operation. The TMA is tested, passed and eligible to MASH TL-3 (62.5 mph / 100 kph). The TMA can be used on support vehicles with a minimum actual/curb weight of 15,000 lbs (6,804 kg) with no upper weight limit (infinite weight). Lighting consists of LED brake, directional, signal and running lights for enhancement of advanced warning to drivers. The TL-3 TMA has an overall dimension of 12.94 ft. (3.9 m) x 8.0 ft (2.4 m) x 2.0 ft (0.6 m) and has a ground clearance of 12" ± 1" (305 mm ± 25.4 mm) when deployed in the horizontal operating position. The Scorpion 11 TMA consists of three (3) main components: Strut, Cartridge, and backup/diaphragm frames. The Strut and Cartridge are the energy attenuation components. The Strut is positioned nearest to the support vehicle and the Cartridge is positioned furthest away from the support vehicle. The Cartridge is typically the first component impacted by an errant vehicle. The Strut consists of four (4) outboard convex aluminum tubes (two on each side) forming an aluminum structural weldment. The aluminum structural weldments bolt to a structural steel diaphragm/backup frame. The TMA can be rotated in a double 900 fold position over the support vehicles bed with a stored height of less than 12' 5" (3.8 m). An optional hydraulic powered vertical lift can be utilized with the TMA to deploy a display panel when the TMA is lowered into the use position. The vertical lift is powered by the same on -board hydraulic system that rotates the TMA into the travel/storage and deployed positions. The vertical lift is sequenced to raise and lower a panel for displaying advanced messages, directional indicators, or other notifications. Sole Source Purchase Agreement — Gulf Highway Equipment Page 11 of 20 IEXHIBIT B GULF HIGHWAY EQUIPMENT 6000 GARDEN ST ESTIMATE # Haltom City, TX. 76117 002792 Phone:682-708-8721 Fax: 000- - Estimate for Services Estimate Date: 7121/2021 City of Fort Worth - Joshua Clark 0 - 200 Texas St Lie # : -TX Odom. In: 0 Fort Worth, TX 76102 Unit # : BLOCKER i VIN # : BLOCKERI Part Description I Number City Sale Ext Labor Description Hours Extended Scorpion 11 Model "C", TL-3 TMA I.00 21,250.00 21,250.00 fab parts 7.00 805.00 (MASH) Install camera 8.00 920.00 TMA(2) SERIAL# Arrow. Board- R/TAssy-P46, 15Lt, LED, 1.00 2,836.20 2,836.20 Extend frame on truck 10.00 1,150.00 Seq., 48x96 Install TMA 14.00 1,610.00 WC #WB8-LSA-03 AS lift 1.00 2,175.00 2,175.00 install Arrow board 8.00 920.00 AS lift fab parts 7.00 805.00 DVR camera 1.00 2,873.90 2,873.90 Install camera 8.00 920,00 DVR Camera Extend frame on truck 10.00 1,150m PWR kit 1.00 570.00 570.00 Install TMA 14.00 1,610.00 PWR kit Slim line LED SIR 2.00 96.00 192.00 install Arrow board 8.00 920.00 Slim line QUOTE FOR BLOCKER 1 AND BLOCKER 2 Scorpion 11 Model "C", TL-3 TMA 1.0021,250.00 21,250.00 (MASH) TMA(2) SERIAL# Arrow. Board- R1TAssy-P46, 15Lt, LED, 1.00 2,836,20 2,836.20 Seq., 48x96 WC #WBS-LSA-03 AB lift 1.00 2,175.00 2,175.00 AS lift DVR camera 1.00 2,873.90 2,873.90 DVR Camera PWR kit 1.00 570.00 570.00 PWR kit Slim line LED B/R 2.00 96.00 192.00 Slim line Parts/Supplies: 59,794.20 Labor: 10,810.00 HazMat/Fees: 0.00 Tax: 3.97422 Total: $ 74.578.42 I hereby authorize the above repair work to be done along with the necessary material and hereby grant you and /or your employees permission to operate the vehicle described for testing and/or inspection. Express mechanic's lien is hereby acknowledged on above vehicle to secure the amount of repairs thereto. SMOG: I understand that I can have emission service and/or adjustments done elsewhere. 1 hereby waive this right. TEARDOWN ESTIMATE: I understand that my vehicle will be reassembled within days of the date shown above if I choose not to authorize the service recommended. All Parts removed will be discarded unless instructed otherwise: Save all Parts NOT RESPONSIBLE FOR LOSS OR DAMAGE TO CARS OR ARTICLES LEFT IN CARS IN CASE OF FIRE, THEFT OR ANY OTHER CAUSE. Signature Date Time Page 1 of 1 Copyright (02021 64lohell Report Inf(X-b n Company, LLC -fts 4.06.20I6kr EXHIBIT C "%�"s MIX aW8' Vicesi Inc. 10/2/2020 To whom it may concern; The structural aspect of installation of Scorpion TMA is unique for Fire Engine installation, and special training is required to perform this function safely. TrafFix Devices has one Distributor who has completed factory training on the structural modification and installation of a Scorpion TMA on a Fire Engine. That distributor is Gulf Highway Equipment in Haltom City, Texas. Sincerely, . /4'// M a'Go' Geoff Maus Vice President of Engineering TrafFix Devices 160 Ave. La Pata San Clemente, California 92673 (949) 361-5663 FAX (949) 361-9205 www.traffixdevices.com auie auuice ruicndae HgreernenL—uuu rngnwdy cquiNrneni rdge la ui eu MUlf Highway Equipment GHETX.CGM 6000 Garden St. 592o Lower Birdville Rd Haltom City, Texas 76117 PH. 682.708.8721 August 19, 2021 To Whom it may concern, Due the nature of the installation and risk associated with installation and performance of a truck mounted crash attenuator, Gulf Highway Equipment will not warranty any TMA device that is purchased thru any source other than GHE. Any customer supplied TMA will be installed "as -is" and without warranty or guarantee. However, TMA's that are purchased and installed thru GHE will include a 1-year parts and labor warranty from the in-service date. TMA's not purchased through GHE do not come with all the components necessary to install a TMA on a Fire Apparatus. The components are fabricated in-house by GHE to fit each individual truck. GHE is the only current distributor of Traffix Devices TMA that has been authorized to fabricate these unique components used in the installation. Sincerely, Travis McCain Sole Source Purchase Agreement — Gulf Highway Equipment Page 14 of 20 EXHIBIT D FORT WORTH CITY OF FORT WORTH CHAPTER 252 EXEMPTION 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 attorney will review the information you have provided to determine whether 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. Failure to provide sufficient information may result in follow up questions and cause a delay in the attorney's determination. Section 1: General Information Requesting Department: Name of Contract Manager: Department's Attorney: Item or Service sought: Goods: Service: Anticipated Amount: Vendor: Current/Prior Agreement for item/service: CSC or Purchase Order #: Amount: Projected M&C Date: [Fire Departmentl rJosh Clark]. [Christopher Austrial r$75,0001 [Gulf Highwav Equipment] Yes ❑ No L/AI [$75,0001 CN/Al How will this item or service be used? rWe have two older fire apparatus that will be used as blocking trucks during freewav incidents. The Truck mounted attenuator will be a mobile crash cushion attached to the rear of suuport fire truck frame which weighs about 45-50 thousand pounds. This will be used on moving fire trucks, stationary block/warning vehicles upstream providing signal and advanced warning to drivers. This is a device to reduce the damage to structures and vehicles resulting from a motor vehicle collision]. Page 1 of 7 Sole Source Purchase Agreement — Gulf Highway Equipment Page 15 of 20 Section 2: Claimed Exemption and Justification (Other than sole source) NOTE - For a claimed sole -source exemption, complete Section 3. Please indicate the non -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: M A procurement necessary to preserve or protect the public health or safety of the City of Fort Worth's residents; M A procurement necessary because of unforeseen danrage to public machinery, equipment, or other property; Q A procurement for personal, professional, or plannuig services; Q A procurement for work that is perfonned and paid for by the day as the work progresses; n A purchase of land or a right-of-way; ❑ 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; Q A public improvement project, already in progress, authorized by the voters of the municipality, for which there is a deficiency of funds for completing the project in accordance with the plans and purposes authorized by the voters; M 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 sold: • 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 government; or • under an interlocal contract for cooperative purchasing administered by a regional planning commission established under Chapter 391; n Services performed by blind or severely disabled persons; F] Goods purchased by a municipality for subsequent retail sale by the municipality; n Electricity, or Page 2 of 7 Sole Source Purchase Agreement — Gulf Highway Equipment Page 16 of 20 El 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 form. Section 3: Claimed Sole -Source Exemption and Justification 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 services; • 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 • 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 detennine that the item or service is only available from one source? Research was done on Buvboard. TX Smartbuv_ COOP, and GooQ_ le. Also, see sole source letter from GHE. Attach screenshots and provide an explanation of any independent research you conducted, through inter net searches, searching cooperatives, or discussions with others knowledgeable on the subject matter that corroborate that the item is available only from a single source. After doing some research on Buvboard, TX Smartbuv COOP, and Goode (emails attached). there was only one supplier that could meet our needs (quote attached). The type of truck - mounted attentiator normally installed on fire trucks is the Scorpion TMA manufactured by Traffrx. This is because it is designed for the weight of fire trucks and because it also folds into the back of the truck like an accordion or "scomion" as opposed to folding in an upright position which would create overhead clearance issues with parking them inside the fire stations that thev will be based out of. Gulf Hiahwav Eauinment is the onlv authorized distributor and installer for the Traffix Scorpion truck -mounted attenuators installation on fire apparatus. Page 3 of 7 Sole Source Purchase Agreement — Gulf Highway Equipment Page 17 of 20 Section 4: Attornev 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? ® Yes Q No. Was there anything attached to this form that was relied on in making this determination? M Yes Fi No. If yes, please explain:GBE sole source letter (8/19/21), Traffix Devices Inc. letter regarding installation Was there anything not included on this form or attached hereto that was relied on in making this determination? 0 Yes M No. If yes, please explain: Will the standard terms and conditions apply? Yes No. Will the contract require special terms? [1 Yes No. Will the contract require review by the department attorney? Eyes II No. Approved By: Date: 8l26/21 V Page 4 of 7 Sole Source Purchase Agreement — Gulf Highway Equipment Page 18 of 20 Taylor Paris l 3essika Williams Assistant City Attorney Page 5 of 7 Sole Source Purchase Agreement — Gulf Highway Equipment Page 19 of 20 EXHIBIT E CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity This questionnaire reflects changes made to the law by KB. 23, 84th Leg., Regular Session. This questionnaire is being filed in accordancewith Chapter 176, Local Government Code, by a vendorwho has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire most be filedwith the records administrator of the local governmental entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.O46, Local Government Code. An offense under this section is a misdemeanor. !J Name of vendorwho has a business relationship with local governmental entity. G)LAF �J HCheck thlox Ifydu are filfPlg do update to a previously filed questionnaire. OFFICE USE ONLY Date R@CWGd (The law requires that you file an updated completed questionnaire with the appropriate filing authority not 11Y1later than the 7th business day after the date on which you became aware that the originally filed questionnaire was 4 incomplete or inaccurate.) 31- Name of local government officer about whom theinformation In this section is being disclosed. N/A Wame of Officer This section (item 3 including subparts A, 9, C. & D) must be completed for each officer with whom the vendor has an employment or other business relationship as defined by Section 176.001 (1 -a), Local Government Code. Attach additional pages to this Form CIO as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the vendor? F-1 Yes F-1 No 0 13. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer named in this section AND the taxable income is not received from the local governmental entity? = Yes = No A11A C- Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership interest of one percent or more? = Yes = No IVIA D. Describe each employment or business and family relationship with the local government officer named in this section. A 1 H0,2ozi Signature of r doing twsiness With the governmental entity Date Adopted 8.t7;20t5 Sole Source Purchase Agreement — Gulf Highway Equipment Page 20 of 20