HomeMy WebLinkAbout065336 - General - Contract - Elliott Refrigeration and HVAC LLCCity Secretary Contract No. 65336
FORT WORTH.
VENDOR SERVICES AGREEMENT
This NON-EXCLUSIVE VENDOR SERVICES AGREEMENT ("Agreement") is made and
entered into by and between the CITY OF FORT WO TH ("City"), a Texas home rule municipal
corporation, and ELLIOTT REFRIGERATION AND HVAC LLC ("Vendor"), each individually
referred to as a "party" and collectively referred to as the "parties."
AGREEMENT DOCUMENTS:
The Agreement documents shall include the following: OFFICIAL RECORD
1. This Non -Exclusive Vendor Services Agreement; CITY SECRETARY
2. Exhibit A — Scope of Services; and FT. WORTH, TX
3. Exhibit B — Payment Schedule
4. Exhibit C — Small Business Utilization form
Exhibits A, B, and C 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 the attached
Exhibits 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. Vendor shall provide commercial kitchen and laundry equipment
inspection, diagnostic, repair, replacement, disposal, and preventive maintenance services on an as -needed
basis for City departments ("Services"), as set forth in more detail in Exhibit "A," attached hereto and
incorporated herein for all purposes.
2. Term. This Agreement begins when signed by the Assistant City Manager ("Effective
Date") and expires one year from that date ("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 up to four (4) one-year renewal option(s) (each a
"Renewal Term").
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. The Vendor
acknowledges that this is a non-exclusive agreement and there is no guarantee of any specific amount of
purchase. Further, Vendor recognizes that the amount stated above is the total amount of funds available,
collectively, for any Vendor that enters into an agreement with the City under the relevant M&C and that
once the full amount has been exhausted, whether individually or collectively, funds have therefore been
exhausted under this Agreement as well. Vendor further understands that the aggregate amount of all
contracts entered into for services will not exceed Five Hundred Fifty Thousand Dollars ($550,000.00).
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
Vendor Services Agreement Page 1 of 21
City Secretary Contract No.
such expenses in writing.
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 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.
Vcndor Services Agreement Page 2 of 21
City Secretary Contract No.
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, SERVANTS AND EMPLOYEES, FROMAND AGAINST ANYAND ALL CLAIMS
OR LAWSUITS OF ANYKIND OR CHARACTER, WHETHER REAL OR ASSERTED, FOR
EITHER PROPERTYDAMAGE OR LOSS (INCL UDINGALLEGED 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
Vcndor Services Agreement Page 3 of 21
City Secretary Contract No.
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 m terially 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
Vcndor Services Agreement Page 4 of 21
City Secretary Contract No.
10.2
(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.
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
Vcndor Services Agreement Page 5 of 21
City Secretary Contract No.
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 parry, its agents,
employees, servants or representatives or (2) received by the other party by United States Mail, registered,
return receipt requested, addressed as follows:
To CITY:
City of Fort Worth
Attn: Assistant City Manager
100 Fort Worth Trail
Fort Worth, TX 76102
Facsimile: (817) 392-8654
With copy to Fort Worth City Attomey's Office at
same address
To VENDOR:
Elliott Refrigeration and HVAC LLC
12650 N Beach St, Ste 114
Fort Worth, TX 76244
(817)822-1736
Vcndor Services Agreement Page 6 of 21
City Secretary Contract No.
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 its Exhibits.
22. Amendments / Modifications / Extensions. No amendment, modification, or extension
Vcndor Services Agreement Page 7 of 21
City Secretary Contract No.
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
Vcndor Services Agreement Page 8 of 21
City Secretary Contract No.
changes in a company name or ownership must be accompanied with supporting legal documentation such
as an updated W-9, documents fled 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 2276 of the Texas Government Code, 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. To the extent that Chapter 2276 of the
Government Code is applicable to this Agreement, by signing this Agreement, Vendor certifies that
Vendor's signature provides written verification to 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, 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. 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 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 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.
34. Small Business Ordinance Compliance. In accordance with the City's Small Business
Vcndor Services Agreement Page 9 of 21
City Secretary Contract No.
Ordinance, Chapter 21 of the City Code, the City has established a Small Business Goal for the goods
and/or services being procured pursuant to this Agreement. Vendor will comply with the Small Business
Ordinance. The Small Business Utilization Form submitted by Vendor is attached hereto as "Exhibit C"
and is incorporated herein by reference. Failure to comply with the utilization commitment listed in "Exhibit
C" may result in the Vendor not being considered a responsible bidder on any future bidding opportunities
with the City of Fort Worth.
(signature page follows)
Vcndor Services Agreement Pagc 10 of 21
City Secretary Contract No.
ACCEPTED AND AGREED:
CITY OF FORT WORTH:
4 L
By:
Dana Burghdoff (Jun 10, 20 14:02:51
Name: Dana Burghdoff
Title: Assistant City Manager
Date:
APPROVAL RECOMMENDED:
By:
Name
Title:
Chris McAllister
Assistant Code Compliance Director
ATTEST:
.o.� pppPnGpp
��9pG
p s '
By: J
Name: Jannette Goodall
Title: City Secretary
VENDOR:
Elliott Refri0 1 LLC
By:
Avalon Grant Elliott (Jun 9, 2026 15:20:46 CDT)
Name: Avalon Grant Elliott
Title: CEO
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:
Name:
Title:
Sarah Rowley
Management Analyst II
APPROVED AS TO FORM AND
LEGALITY:
By: 4ftw'-to
Name: Amarna Muhammad
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: M&C 26-0389
Form 1295: 2026-1445888
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Vendor Services Agreement Page 11 of 21
City Secretary Contract No.
1W14!II:11W1
SCOPE OF SERVICES
1. SCOPE OF SERVICES
a. The Vendor shall provide all labor, supervision, materials, equipment, tools, transportation,
and incidentals necessary to inspect, diagnose, repair, replace, test, dispose, and maintain
City -owned dishwashers, refrigerators and freezers (including walk-in units), ovens, and
commercial washing machines and dryers, including but not limited to:
i. Inspection and Diagnostic Services
1. Conduct detailed inspections of dishwashers, ovens, refrigerators and freezers, and
commercial washers and dryers to identify mechanical, electrical, and functional
deficiencies.
2. Review available service history, when provided, to identify recurring or systemic
equipment issues.
3. Perform all necessary diagnostic testing on each unit to determine root causes of
malfunction or performance degradation.
4. Provide a written diagnostic report summarizing findings and identifying required
repairs, including an itemized cost estimate necessary to restore equipment to full
operational condition.
ii. Repair Services
1. Diagnose and repair mechanical, electrical, electronic, hydraulic, and refrigeration
system components, including motors, compressors, pumps, belts, transmissions,
agitators, bearings, seals, gaskets, valves, hoses, and related internal components, if
applicable.
2. Repair or replace heating and temperature control components, including heating
elements, thermostats, thermal fuses, sensors, timers, control boards, and associated
wiring, if applicable.
3. Inspect, service, and repair refrigeration systems, including condenser and evaporator
coils, fans, expansion devices (TXVs or capillary tubes), refrigerant charge, defrost
systems, and condensate drainage components.
4. Inspect, clean, repair, or replace airflow and venting components, including ducts,
vents, blowers, and exhaust systems, to ensure proper operation and safety
compliance, if applicable.
5. Inspect, clean, and service water supply, circulation, and drainage components,
including inlet valves, supply lines, drain hoses, filters, spray arms, sumps, pumps,
and circulation assemblies, if applicable.
6. Inspect and repair or replace door assemblies and sealing components, including
hinges, latches, closers, heaters (where applicable), gaskets, and seals, if applicable.
Vendor Services Agreement Page 12 of 21
City Secretary Contract No.
7. Perform system calibration, operational testing, and functional verification to confirm
equipment operates safely, efficiently, and in accordance with manufacturer
performance standards, if applicable.
8. Document all repairs performed, parts replaced, and recommended corrective or
preventive actions.
9. Unless otherwise directed by the City, all replaced equipment, parts, and materials
shall be removed from the site and properly disposed of by the Vendor.
iii. Testing and Quality Control
1. After completion of repairs, thoroughly test each unit to verify proper functionality.
2. Confirm equipment meets or exceeds manufacturer's performance standards.
3. Conduct final inspections for leaks, abnormal noise, vibration, or other deficiencies.
iv. Routine Preventative Maintenance
1. Provide bi-annual preventive maintenance services upon request by City departments.
2. Preventative maintenance shall ensure equipment remains fully operational and
compliant with manufacturer requirements.
3. If additional repairs are identified during preventive maintenance, provide a written
cost estimate for City approval prior to performing work.
v. Parts and Materials
1. Identify and order all necessary replacement parts for the repairs, ensuring that they
are commercial -grade and compatible with the existing units.
2. Provide up-to-date timeline for parts delivery and new repair completion date if
beyond the five (5) business day window.
3. Document and provide an itemized list of all parts used in the repair, including cost
estimate, serial numbers and applicable warranties.
vi. Response Time and Scheduling
1. Respond to service requests within forty-eight (48) hours.
2. Complete repairs within five (5) business days from service start, subject to parts
availability or unforeseen conditions.
a. Vendor will notify City of any delays and provide an updated service timeline.
vii. Safety and Compliance
1. Adhere to all applicable safety guidelines and protocols during repairs.
2. Ensure all repairs are compliant with relevant local regulations, electrical codes, and
the manufacturer's specifications.
3. Upon completion of repairs, ensure the work area is left clean and safe for further use.
viii. Warranty
1. A minimum one (1) year warranty shall be provided on all labor.
2. Vendor shall follow the manufacturer's warranty on all parts.
3. The warranty shall cover defects in parts and workmanship.
Vendor Services Agreement Page 13 of 21
City Secretary Contract No.
4. No return trip, service call, labor, or associated charges shall be assessed to the City
for repairs required within the one (1) year warranty period as a result of part failure
or defective workmanship.
2. CITY -OWNED APPLIANCES
The City maintains a variety of City -owned appliances located at multiple facilities and
departments. The equipment lists provided below are representative only and are intended to assist
in understanding the general types of equipment currently in service. The City does not guarantee
the completeness or accuracy of the lists, and additional equipment of similar type, make, or model
may be added or removed during the contract term.
Model/Brand Name
Model #/ Serial # (if available)
Ovens
Frigidaire
Model # FFET2726TSC/AFO 1000 142
Refrigerators
Frigidaire
Model # FFTR1835VSO; Serial # BA10810435
Frigidaire
Model # FFTR1835VSO; Serial # BA10810439
GE
Model # GSS25LSLRCSS; Serial # FS400515
Hoshizaki
Model #R2A-FS
TRUE
Model # GMD-23-HC-TSLO1; Serial # 10128257
TRUE
Model # T-72-HC
TRUE
Model # T-49-HC; Serial # 10732792
TRUE
Model # T-35-HC
Vissani
Model # MDTF18SSR
Freezers
Arctic
Model # ARC050SOARWW/ARC050SOARBB
Hot Point
Model # HCM7SM-AWW
Koolatron
Model # KTCF 195
Norlake
Model # DP54X78
Norlake
Model # FTF2007795/415740; Serial # 20120554
RCA
Model # RFRF470-B-BLACK-AMZ; Serial # A2012375450000104
TRUE
Model # T-23F-HC
TRUE
Model # T-35-HC
Vendor Services Agreement Page 14 of 21
City Secretary Contract No.
EXHIBIT B
PAYMENT SCHEDULE
RFP 26-0109 Commercial Kitchen and Laundry Services - Ovens Only
#1-1
Service Call Labor
Hour
15 I
10
5
$ 225.00 I
$ 250.00
i
$ 1,950.00
$ 3,375.00
$ 2,500.00
$ 9,750.00
#1-2
Diagnostic (Inspection) Fee
Each
#1-3 Installation - Flat Fee Each
Bi-Annual Routine
#14
Maintenance Service Call
Hour
4
$ 225.00
$ 900.00
# 1-5 Equipment Disposal Flat Fee
Each
1
$ 375.00
$ 375.00
Basket Total
$ 16,900.00
RFP 26-0109 Commercial Kitchen and Laundry Services
- Refrigerators and Freezers Only
#1-1 Service Call Labor
Hour
500
$ 225.00
$ 112,500.00
#1-2 Diagnostic (Inspection) Fee
Each
300
$ 250.00
$ 75,000.00
#1-3 Installation - Flat Fee
Each
1
$ 4,500.00
$ 4,500.00
#14 Bi-Annual Routine
Hour
40
$ 225.00
$ 9,000.00
Maintenance Service Call
#1-5 Equipment Disposal Flat Fee
Each
1
$ 375.00
$ 375.00
(Each Unit)
Basket Total
$ 201,375.00
Grand Total
$ 218,275.00
Vendor Services Agreement Page 15 of 21
City Secretary Contract No.
EXHIBIT C
SMALL BUSINESS UTILIZATION FORM
Vendor Services Agreement Page 16 of 21
FORT WORTHE,.
City Secretary Contract No.
City of Fort Worth
Small Business Utilization Form
The City of Fort Worth has set a Small Business Goal of 30% for this procurement. That goal may be met by self -
performance by a prime contractor that is a certified Small Business, utilization of one or more subcontractors that are certified Small
Businesses, or a combination of both.
BIDDER LEGAL NAME: ELLIOTT REFRIGERATION AND HVAC
Bid Name: Commercial Kitchen & Laundry Equipment Services
Bid Number: 26-0109
Certifying Agency: NCTRA
City's Small Business Goal is 30% if Bidder would like to commit to a
higher percentage, please provide %
Are you a certified Small Business
Enterprise (SBE)?
*
Yes No
ALL BIDDERS MUST COMPLETE THIS FORM.
ALL SMALL BUSINESS FIRMS MUST BE CERTIFIED PRIOR TO SUBMITTING A BID SUBMISSION.
A Srnall Business means a business entity that is located in Tarrant, Wise, Johnson, Parker or Denton County and that holds
current certification as a small business from an organization approved by the City Manager for each commodity and service code
listed. A copy of the current certification for each Small Business (including Bidder, if a Small Business seeping credit for
self -performance) must be submitted with the bid.
Failure to (i) complete this form in its entirety or (ii) submit a current valid certification for all Small Businesses to be used with
this Bid/Offer may result in zero points being awarded with respect to the Small Business Goal criteria during bid evaluation and
with the bid being awarded points based solely on the remaining best value criteria.
If the undersigned Bidder is awarded a contract for this procurement, the Bidder must execute a formal agreement with each Small
Business that Bidder uses as a subcontractor or supplier that is listed on this fonn.
Please list all subcontractors and suppliers being utilized to meet the Small Business Goal for this procurement.
Please list certified Small Business firm names as listed on their certification. including DBA names.
Contractors/Suppliers
Address
Contact information:
Types of
NAICS
$ Amount
Certifying Agency
Legal Name
Name/Phone/Email
Services
Code(s)
Elliott Refrigeration
12650 N Beach
Avalon Grant Elliott
Commercial
238220
100% Of
NCTRCA
and HVAC
St, Ste 114, Fort
elliottrefrigeration(a)gmail.co
Kitchen
contract
m
(Self -Performing
Worth, TX, 76244
equipment
Value
Prime Contractor)
817-822-1736
diagnostics,
repair,
maintenance
Contractors/Suppliers
Address
Contact information:
Types of
NAICS
$ Amount
Certifying Agency
Legal Name
Name/Phone/Email
Services
Code(s)
Contractors/Suppliers
Address
Contact information:
Types of
NAICS
$ Amount
Certifying Agency
Legal Name
Name/Phone/Email
Services
Code(s)
Vendor Services Agreement
Page 17 of 21
10.1.2025-v1
FORT WORTH.,
City Secretary Contract No.
City of Fort Worth
Small Business Utilization Form
Total Dollar Amount of Bidder Services towards small business
goal
100 % of bid value
Total Dollar Amount of Small Business Subcontractors
$ 218,275
Total Dollar Amount of Non -Small Business Subcontractors
$ 0
TOTAL DOLLAR AMOUNT
$ 218,275
By affixing a signature to this form, Bidder further agrees to provide, directly to the City upon request,
complete and accurate information regarding actual work performed by all subcontractors. The Bidder also
agrees to allow an audit and/or examination of any books, records, and files held by their company related to
the job being bid and/or the subcontractors being utilized. The Bidder agrees to allow and facilitate interviews
by an authorized officer or employee of the City with owners, principals, officers, employees, and
applicable subcontractors/suppliers participating on the contract in order to substantiate the actual work
performed by the Small Business(es) under this contract.
A Bidder who intentionally and/or knowingly misrepresents material facts may no longer be considered
a responsible bidder and therefore disqualified from consideration with respect to future City bids.
Legal Company Name: Elliott Refrigeration and HVAC LLC
Authorized Signature: IPT��'e
Printed Name: Avalon Grant Elliott
Title: CEO
Address (Street, City, State, Zip): 12650 N Beach St, Ste 114, Fort Worth, TX,76244
Phone Number: 817-807-1581
Email address: elliottrefrigeration n,pmail.com
Vendor Services Agreement Page 18 of 21
10.1.202541
City Secretary Contract No.
NCTRCA
Minority Business Enterprise (MBE)
Elliott Refrigeration and HVAC LLC
Elliott Refrigeration and HVAC LLC
has filed with the Agency an Affidavit as defined by NCTRCA Minority Business Enterprise (MBE) Policies &
Procedures and is hereby certified to provide service(s) in the following areas:
NAICS 238220: PLUMBING, HEATING, AND AIR-CONDITIONING CONTRACTORS
NAICS 238220: REFRIGERATION SYSTEM (E.G., COMMERCIAL INDUSTRIAL, SCIENTIFIC) INSTALLATION
NAICS 811310: COMMERCIAL REFRIGERATION EQUIPMENT REPAIR AND MAINTENANCE SERVICES
This Certification commences September 24, 2025 and supersedes any registration or listing previously issued.
This certification must be updated every two years by submission of an Annual Update Affidavit. At any time there is
a change in ownership, control of the firm or operation, notification must be made immediately to the North Central
Texas Regional Certification Agency for eligibility evaluation.
Certification Expiration: September 30, 2027
Issued Date: September 24, 2025
CERTIFICATION NO. BFMB31412Y0927
Certification Administrator
Vendor Services Agreement Page 19 of 21
City Secretary Contract No.
NCTRCA
Women Business Enterprise (WBE)
Elliott Refrigeration and HVAC LLC
Elliott Refrigeration and HVAC LLC
has filed with the Agency an Affidavit as defined by NCTRCA Women Business Enterprise (WBE) Policies &
Procedures and is hereby certified to provide service(s) in the following areas:
NAICS 238220: PLUMBING, HEATING, AND AIR-CONDITIONING CONTRACTORS
NAICS 238220: REFRIGERATION SYSTEM (E.G., COMMERCIAL, INDUSTRIAL, SCIENTIFIC) INSTALLATION
NAICS 811310: COMMERCIAL REFRIGERATION EQUIPMENT REPAIRAND MAINTENANCE SERVICES
This Certification commences September 24, 2025 and supersedes any registration or listing previously issued.
This certification must be updated every two years by submission of an Annual Update Affidavit. At any time there is
a change in ownership, control of the firm or operation, notification must be made immediately to the North Central
Texas Regional Certification Agency for eligibility evaluation.
Certification Expiration: September 30, 2027
Issued Date: September 24, 2025
CERTIFICATION NO. BFWB73762YO927
Certification Administrator
Vendor Services Agreement Page 20 of 21
City Secretary Contract No.
Small Business Enterprise (SBE)
NCTRCA Elliott Refrigeration and HVAC LLC
Elliott Refrigeration and HVAC LLC
has filed with the Agency an Affidavit as defined by NCTRCA Small Business Enterprise (SBE) Policies &
Procedures and is hereby certified to provide service(s) in the following areas:
NAICS 238220: PLUMBING, HEATING, AND AIR-CONDITIONING CONTRACTORS
NAICS 238220: REFRIGERATION SYSTEM (E.G., COMMERCIAL, INDUSTRIAL, SCIENTIFIC) INSTALLATION
NAICS 811310: COMMERCIAL REFRIGERATION EQUIPMENT REPAIRAND MAINTENANCE SERVICES
This Certification commences September 24, 2025 and supersedes any registration or listing previously issued.
This certification must be updated every two years by submission of an Annual Update Affidavit. At any time there is
a change in ownership, control of the firm or operation, notification must be made immediately to the North Central
Texas Regional Certification Agency for eligibility evaluation.
Certification Expiration: September 30, 2027
Issued Date: September 24, 2025
CERTIFICATION NO. BFSB36117YO927
Certification Administrator
Vendor Services Agreement Page 21 of 21
City of Fort Worth,
Mayor and
DATE: 05/12/26
Texas
Council Communication
M&C FILE NUMBER: M&C 26-0389
LOG NAME: 13P RFP 26-0109 COMMERCIAL KITCHEN & LAUNDRY EQUIPMENT JC CITY
SUBJECT
(ALL) Authorize Execution of Non -Exclusive Agreements with Multiple Vendors for Commercial Kitchen and Laundry Equipment Services in a
Combined Amount Up to $550,000.00 for an Initial One -Year Term and Authorize Four One -Year Renewal Options for the Same Amount for City
Departments
RECOMMENDATION:
It is recommended that the City Council authorize execution of non-exclusive agreements with multiple vendors for commercial kitchen and laundry
equipment services in a combined amount up to $550,000.00, for an initial one-year term and authorize four one-year renewal options for the
same amount for City Departments.
DISCUSSION:
The purpose of this Mayor and Council Communication is to authorize non-exclusive agreements with Elliott Refrigeration and HVAC LLC, PT
Intermediate Holdings IV, LLC associated with disregarded entity General Parts, LLC, Whaley Foodservice, LLC to perform commercial kitchen
and laundry equipment services. These services will provide comprehensive inspection, preventative maintenance, repair, and replacement
services necessary to maintain the safety, functionality, and reliability of City -owned commercial kitchen and laundry equipment and avoid service
disruptions.
Purchasing issued Request for Proposals (RFP) No. 26-0109 that consisted of detailed specifications describing the various commercial kitchen
and laundry equipment categories.
The bid was advertised in the Fort Worth Star -Telegram on February 25, 2026, March 4, 2026, March 11, 2026, March 18, 2026. The City
received three (3) responses.
An evaluation panel consisting of representatives from the Code Compliance Department, Fire Department and Police Department reviewed and
scored the submittals using the Best Value Criteria. The individual scores were averaged for each of the criteria and the final scores with the
various commercial kitchen and laundry equipment categories are listed in the tables below. No guarantee was made that a specific amount of
services would be purchased.
Bidders - Dishwashers Only
Evaluation Criteria
a ][ b ]Fc]Fd][ e ][ f ] Total
Score
PT Intermediate Holdings IV,
LLC
20.00 16.00 F75 FOO 14.00 0.00 58.75
Whaley Foodservice, LLC
18.75
14.50
5.75
3.88
15.00
0.00
57.88
Bidders - Ovens Only
Evaluation
Criteria
�bFc
I
f ]
Total
Score
Elliott Refrigeration and HVAC
LLC
17.50
14.00
F75]F25][8
6]8
25.00
73.18
PT Intermediate Holdings IV,
LLC
20.00
16.00
4.75
4.00
15.00
0.00
59.75
Whaley Foodservice, LLC
18.75
14.50
5.75
3.88
13.34
0.00
56.22
Bidders - Refrigerators and
Evaluation Criteria
Freezers OnlyTotal
Score
Elliott Refrigeration and HVAC
LLC
17.50 14.00 3.75 4.25 10.76 25.00 75.26
PT Intermediate Holdings IV, LLC
20.00
16.00
4.75
4.00
13.84
0.00
58.59
Whaley Foodservice, LLC 18 .75 14.50 5.75 3.88 15.00 0.00 57.88
Bidders - Washers and Dryers
FEvaluation Criteria
Only
]Fb�EF❑
Score .
PT Intermediate Holdings IV, LLC
20.00
16.00
4.75
4.00
F13.82
0.00
58.57
Whaley Foodservice, LLC
18.75
14.50'
5.75
3.881
15.001
0.00
57871
Best Value Criteria:
a. Qualifications and Experience
b. Workforce Capacity and Responsiveness
c. Past Performance
d. Approach to Replace and Repair Equipment
e. Pricing
f. Small Business Goal Evaluation
After evaluation, the panel concluded that Elliott Refrigeration and HVAC LLC, PT Intermediate Holdings IV, LLC and Whaley Foodservice, LLC
presented the best value to the City. Therefore, the panel recommends that Council authorize non-exclusive purchase agreements to perform
commercial kitchen and laundry equipment services to Elliott Refrigeration and HVAC LLC, PT Intermediate Holdings IV, LLC, and Whaley
Foodservice, LLC. Staff certifies that the recommended vendors met the bid specifications.
FUNDING: The combined maximum annual amount allowed under the agreements will be up to $550,000.00; however, the actual amount used will
be based on the need of the departments and available budget. Funding is budgeted in the participating departments' Operating Funds.
AGREEMENT TERMS: Upon City Council approval, this agreement shall begin upon execution and expire one year from that date.
RENEWAL TERMS: This agreement may be renewed for four additional one-year terms. 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.
SMALL BUSINESS PROGRAM: In accordance with the City's Small Business Ordinance, the City has established a 30% Small Business goal for
this solicitation/contract. Elliott Refrigeration and HVAC LLC has committed to achieving this goal by utilizing certified small businesses for at least
30% of the total contract value, thereby meeting the requirements of the City's Small Business Ordinance.
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.
This project will serve ALL COUNCIL DISTRICTS.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that funds are available in the current operating budgets, as previously appropriated, in the participating
departments' Operating Funds to support the approval of the above recommendation and execution of agreements. Prior to any expenditure being
incurred, the participating departments have the responsibility to validate the availability of funds.
Submitted for City Manager's Office by- Reginald Zeno 8517
Dana Burghdoff 8018
Originating Business Unit Head: Reginald Zeno 8517
Brian Daugherty 6322
Additional Information Contact: Haven Wynne 8525
Jaysea Coates 6159
CERTIFICATE OF INTERESTED PARTIES FORM 1295
1 of 1
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
Certificate Number:
12026-1445888
1
Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Elliott Refrigeration and HVAC
Fort Worth, TX United States
Date Filed:
04/10/2026
2
Name of governmental entity or state agency that is a party to the contract for which the form is
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.
RFP26-0109
Commercial Kitchen & Laundry Equipment Services
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
I Intermediary
Grant Elliott, Avalon
Fort Worth, TX United States
X
5
Check only if there is NO Interested Party. ❑
6
UNSWORN DECLARATION
My name is - AVALON GRANT F1 I It7TT and my date of birth is
My address is 4832 AIDAN CT FORT WORTH TX 76244 USA
_
(city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in TARRANT County, State of TEXAS on the 10 day of ARRA 12096
(month) (year)
Signature of authorized agent of contracting business entity
(Declarant)
Forms provlaea oy I exas Emics uommisslon www.etnlcs.state.tx.us Version V4.1.0.b6ef2aab
FORT WORTH.
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: ELLIOTT REFRIGERATION AND HVAC LLC
Subject of the Agreement:
Commercial kitchen and laundry equipment inspection, diagnostic. repair,
replacement, disposal, and preventative maintenance services on an as needed basis for City departments
M&C Approved by the Council? * Yes 0 No ❑
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes ❑ No 0
If so, provide the original contract number and the amendment number.
Is the Contract "Permanent"? *Yes ❑ No 0
If unsure, see backpage for permanent contract listing.
Is this entire contract Confidential? *Yes ❑ No 0 If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date:
If different from the approval date.
Expiration Date: 5 years after date signed by ACM
If applicable.
Is a 1295 Form required? * Yes 0 No ❑
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number: If applicable.
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes 0 No ❑
Contracts need to be routed for CSO processing in the followingorder:
rder:
1. Katherine Cenicola (Approver)
2. Jannette S. Goodall (Signer)
3. Allison Tidwell (Form Filler)
*Indicates the information is required and if the information is not provided, the contract will be
returned to the department.