HomeMy WebLinkAboutContract 57622-R3CSC No. 57622-R3
CITY OF FORT WORTH
REQUEST TO EXERCISE RENEWAL OPTION
April 14, 2025
Core & Main LP d/b/a Green Equipment Company
Attention: Zane Smith
Address: 2263 Gravel Drive
Fort Worth, Texas 76118
Re: Contract Renewal Notice — 3rd Renewal
Contract No. CSC No. 57622
Renewal Term: May 28,2025 to May 27, 2026
Renewal Amount: $424,148.94
The above referenced Contract with the City of Fort Worth expires on May 27, 2025 (the
"Expiration Date). This letter is to inform you that the City is exercising its right to renew the
contract for its 3rd term in an amount up to $424,148.94 which will be effective immediately after
the Expiration Date. All other terms and conditions of the contract remain unchanged. Please sign
and return the second page of this letter, along with a copy of your current insurance
certificate, to the undersigned.
Please log onto PeopleSoft Purchasing at 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,
Regi-a
Regina Jones
Contract Compliance Specialist
817-392-2698
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal Pagel of 2
ACCEPTED AND AGREED:
CITY OF FORT WORTH
By: 0' 1
Name: Jesica McEachern
Title: Assistant City Manager
APPROVAL RECOMMENDED:
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By, Christopher HarAer (May 14, 2025 09:07 CDT)
Name: Chris Harder
Title: Water Director anq
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I.g
ATTEST:
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By:
Name: Jannette Goodall
Title: City Secretary
Core &
By:
Nam : Zane
Title Vicig
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: Refuia
Name: Regina Jones
Title: Contract Compliance Specialist
APPROVED AS TO FORM AND
LEGALITY:
By: Douglas Black (May 14, 202515:53 CDT)
Name: Doug Black
Title: Sr. Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: 22-0343
Date Approved: 5/ 10/2022
Form 1295 Certification No: 2022-868334
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal
Page 2 of 2
Fkrn W-9 Request for Taxpayer (live form to the
tTle, March 2W4) Identification Number and Certification requester. no not
DepInte mner,t of the Service
Go to www.1 ov/Form W9 for Instructions and the latest information,
send to the IRS.
Internal Re��axue S��ce !i
Before you begin. For guidance related to the purpose of Fonn W-9, see Purpose of Fomi, below.
1 Name of entilyAndividual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name online 1, and enter the business/disregarded
entity's name on line 2 J
'Core & Main LP
2 Business namdd'isregarded entity name, If different from above.
dba Green Equipment Company
so Check the appropriate box for federal tax classification of the entity/ndividual whose name is entered on line 1. Check
following
4 Exemptions (codes apply only to
CIO
only one of the seven boxes.
certain entities, not individuals;
a
o
❑ IndividuaVsole proprietor ❑ C corporation ❑ S corporation Q Partnership ❑ TnusUeslate
see instructions on page 3):
w
❑ LLC_ Enter the tax classification (C = C corporation, S = S corporation, P = Partnership)
'LLC'
Exempt payee code (it any)
U
Note: Check the box above and, in the entry space, enter the appropriate code (C, S. or P) for the tax
from Foreign Account Tax
classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate
Exemption
o :
box for the tax classification of its owner.
Compliance Act (FATCA) reporting
i
❑ Other (see instnuctions)
code (if any)
a�
3b If on line 3a you checked 'Partnership" or'Trust/estate," or checked 'LLC" and entered "P" as its tax classification.
(ApWies to accounts maintained
and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check
outside the United States.)
this box if you have any foreign partners, owners, or beneficiaries, See Instructions ❑
5 Address (number. street, and apt. or suite no.). See instructions.
I Requester's name and address (optional)
2563 Gravel Drive
6 City, state, and ZIP code
Fort Worth, TX 76118
7 List account number(s) here (opticna9
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number
backup withholding. For individuals, this is generally your social security number (SSN). However, for a I I I I - M
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a or
TIN, later.
Employer identification number
Note: If the account is in more than one name, see the instructions for line 1. See also What Name and II jl II
Number To Give the Requester for guidelines on whose number to enter. MO3 - 1 0 1 5 ! 5 1 0 18 18 1 7
JIM Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. 1 am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. 1 am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments
other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later.
Sign I signature of 1.02.25
Here U.S. person �t !/ L;?, LdLJ Date
General Instructions
Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to www.irs.gov/F`ormW9.
What's New
Line 3a has been modified to clarity how a disregarded entity completes
this line. An LLC that is a disregarded entity should check the
appropriate box for the tax classification of its owner. Otherwise, it
should check the "LLC" box and enter its appropriate tax classification.
New line 3b has been added to this form. A flow -through entity is
required to complete this line to indicate that it has direct or indirect
foreign partners, owners, or beneficiaries when it provides the Form W-9
to another flow -through entity in which it has an ownership interest. This
change is intended to provide a flow -through entity with information
regarding the status of its indirect foreign partners, owners, or
beneficiaries, so that it can satisfy any applicable reporting
requirements. For example, a partnership that has any indirect foreign
partners may be required to complete Schedules K-2 and K-3. See the
Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS is giving you this form because they
Cat. No. 10231X Form W-9 (Rev. 3-2024)
3/20/23, 1:14 PM M&C - Council Agenda
City of Fort Worth, Texas
Mayor and Council Communication
DATE: Tuesday, May 10, 2022 REFERENCE NO.: **M&C 22-0343
LOG NAME: 13P22-0076 RADIODETECTION SEWER EQUIPMENTAND REPAIRS AR WATER
SUBJECT:
(ALL) Authorize Execution of an Agreement with Green Equipment Company for Radiodetection Sewer
Equipment and Repair Services for an Annual Amount up to $424,148.94 for the Initial Term and Authorize
Four One -Year Renewal Options for the Same Annual Amount
RECOMMENDATION:
It is recommended that the City Council authorize execution of an agreement with Green Equipment
Company for radiodetection sewer equipment and repair services for an annual amount up to
$424,148.94 for the initial term and authorize four one-year renewal options for the same annual amount.
DISCUSSION:
The Water Department approached the Purchasing Division to procure an agreement to provide
radiodetection sewer equipment and repair services. The department will utilize this agreement to
purchase sewer inspection equipment, repair parts, accessories, and repair service for inspection of sewer
lines at various locations throughout the City. The Purchasing Division issued Invitation to Bid (ITB) No.
22-0076 consisting of detailed specifications describing the different types of inspection equipment,
accessories, repair parts, and repair services required.
The ITB was advertised in the Fort Worth Star -Telegram on February 23, 2022, March 2, 2022, and March
9, 2022. The City received two responses.
An evaluation panel consisting of representatives of the Water Department reviewed and scored the
submittals using the Best Value criteria which included:
(a) Contractor's qualifications, experience, and references.
(b) Availability of resources to provide services.
(c) Contractor's ability to meet the City's needs and
(d) Cost of services.
The individual scores were averaged for each of the criteria and the final scores are listed in the table
below:
apps.cfwnet.org/ecouncil/printmc.asp?id=29896&print=true&DocType=Print 1/3
3/20/23, 1:14 PM
M&C - Council Agenda
Bidders
Green
Equipment
Company
Indepth Utility
Solutions,
LLC.
11 Evaluation Factors
ll a Il b �l c ll d I Total Score
23.00 7.00 14.00 40.00 84.00
15.00 5.00 9.33 X
Bidder did not meet
technical points,
therefore, cost was not
evaluated
IlRank
6
After evaluation, the panel concluded that Green Equipment Company presented the best value to the
City. Therefore, the panel recommends that Council authorize the radiodetection sewer equipment and
repair service agreement with Green Equipment Company. No gurantee was made that a specific amount
of services would be purchased. Staff certifies that the recommended vendor bid meet specifications.
FUNDING: Funding is budgeted in the Water Department's rollup within the Water & Sewer Operating
Fund.
DVIN-BE: A waiver of the goal for Business Equity subcontracting requirement is approved by the DVIN-
BE, in accordance with the Business Equity Ordinance, because the purchase of goods or services is from
sources where subcontracting or supplier opportunities are negligible.
ADMINISTRATIVE CHANGE ORDER -An administrative change order or increase may be made by the
City Manager up to the amount allowed by relevant law and the Fort Worth City Code and does not require
specific City Council approval as long as sufficient funds have been appropriated.
AGREEMENT TERMS - Upon City Council approval, this agreement shall begin upon execution and
expire one year from that date.
RENEWAL OPTIONS - The agreement may be renewed for four (4) additional one-year renewal periods.
This action does not require specific City Council approval provided that the City Council has appropriated
sufficient funds to satisfy the City's obligations during the renewal term.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that funds are available in the current operating budget, as previously
appropriated, in the Water and Sewer Fund to support the approval of the above recommendation and
execution of the agreement. Prior to any expenditure being incurred, the Water Department has the
responsibility to validate the availability of funds.
BQN\\
FUND IDENTIFIERS (FIDs):
apps.cfwnet.org/ecouncil/printmc.asp?id=29896&print=true&DocType=Print 2/3
3/20/23, 1:14 PM
M&C - Council Agenda
TO
Fund
Department
Account
Project
ProgramActivity
Budget
Reference #
Amount
ID
ID
Year
(Chartfield 2)
FROM
Fund
Department
Account
Project
Program
ctivity
Budget
Reference #
mount
ID
ID
Year
(Chartfield 2)
CERTIFICATIONS:
Submitted for Citv Manager's Office by_
Originating Department Head:
Additional Information Contact:
Reginald Zeno (8517)
Dana Burghdoff (8018)
Anthony Rousseau (8338)
Chris Harder (5020)
Cynthia Garcia (8525)
A'ja Robertson (8585)
ATTACHMENTS
1. 13P22-0076 RADIODETECTION SEWER EQUIPMENT AND REPAIRS.docx (CFW Internal)
2. 22-0076 Waiver Radio Detection Sewer Equip and Repair 020422 NW.pdf (CFW Internal)
3. Copv of FID TABLE FOR RADIODETECTION SEWER EQUIPMENT.xlsx (CFW Internal)
4. Form 1295 FW ITB 22-0076.pdf (CFW Internal)
5. GreenEquipmentSAMs (1).pdf (CFW Internal)
apps.cfwnet.org/ecouncil/printmc.asp?id=29896&print=true&DocType=Print 3/3
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
l of l
Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number:
of business. 2022-868334
Green Equipment Company
Fort Worth, TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 0410412022
being filed.
City of Fort Worth Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
ITB No. 22-0076
RADIODETECTION SEWER & REPAIR SERVICES.
4 Nature of interest
Name of Interested Party City, State, Country (place of business) (check applicable)
Controlling Intermediary
5 Check only it there is NO Interested Party.
X
6 UNSWORN DECLARATION
My name is �t' 4 /�(J J fCl %1 and my date of birth is Og .ZQ / 196- 7
/r
My address is a5 i ve— 74, / /,f L(S f{
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct. Executed in -7 rrctrl r' County, State of /' XQS on the`/1
m day of A01-1 / 20a
(month) (year)
tignaiure of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1,191b5cdc