HomeMy WebLinkAboutC2017-002 - 1/17/2017 - Approved egos s
ilhebour
SERVICE AGREEMENT NO. 867
PLUMBING SERVICE FOR THE
CORPUS CHRISTI FIRE DEPARTMENT
THIS Plumbing Service Agreement ("Agreement") is entered into by and
between the City of Corpus Christi, a Texas home-rule municipal
corporation ("City") and Smart Plumbing, Inc. ("Contractor"), effective upon
execution by the City Manager or the City Manager's designee ("City
Manager").
WHEREAS, Contractor has bid to provide Plumbing Services for the
Corpus Christi Fire Department in response to Request for Bid/Proposal
No. 176 ("RFB/RFP"), which RFB/RFP includes the required scope of work
and all specifications and which RFB/RFP and the Contractor's bid or proposal
response, as applicable, are incorporated by reference in this Agreement as
Exhibits 1 and 2, respectively, as if each were fully set out here in its entirety.
NOW, THEREFORE, City and Contractor agree as follows:
1. Scope. Contractor will provide Plumbing Services ("Services") in accordance
with the attached Scope of Work, as shown in Attachment A, the content of
which is incorporated by reference into this Agreement as if fully set out here
in its entirety, and in accordance with Exhibit 2.
2. Term. This Agreement is for 12 months,with performance commencing upon
the date of issuance of a notice to proceed from the Contract Administrator
or Purchasing Division. This Agreement includes an option to extend the term
for up to one additional 12-month periods ("Option Period"), provided, the
parties do so prior to expiration of the original term or the then-current Option
Period. The decision to exercise the option to extend the term of this
Agreement is, at all times, within the sole discretion of the City and is
conditioned upon the prior written agreement of the Contractor and the City
Manager.
3. Compensation and Payment. The total value of this Agreement is not to
exceed $76,115.00, subject to approved extensions and changes. Payment
will be made for Services completed and accepted by the City within 30
days of acceptance, subject to receipt of an acceptable invoice. All pricing
must be in accordance with the attached Bid/Pricing Schedule, as shown in
Attachment B, the content of which is incorporated by reference into this
Agreement as if fully set out here in its entirety.
City of Corpus Christi Page 1 of 8
2017-002
1/17/17
M2017-004
Smart Plumbing Inc. INDEXED
4. Contract Administrator. The Contract Administrator designated by the City is
responsible for approval of all phases of performance and operations under
this Agreement, including deductions for non-performance and
authorizations for payment. The City's Contract Administrator for this
Agreement is as follows:
Name: Captain Ernest Rivas
Department: Fire Department
Phone: (361) 826-8427
Email: ErnestRi@cctexas.com
5. Insurance; Bonds.
(A) Before performance can begin under this Agreement, the Contractor
must deliver a certificate of insurance ("COI"), as proof of the required
insurance coverages, to the City's Risk Manager and the Contract
Administrator. Additionally, the COI must state that the City will be given at
least 30 days' advance written notice of cancellation, material change in
coverage, or intent not to renew any of the policies. The City must be named
as an additional insured. The City Attorney must be given copies of all
insurance policies within 10 days of the City Manager's written request.
Insurance requirements are as stated in Attachment C, the content of which
is incorporated by reference into this Agreement as if fully set out here in its
entirety.
(B) In the event a payment bond, a performance bond, or both, are
required of the Contractor to be provided to the City under this Agreement
before performance can commence, the terms, conditions, and amounts
required in the bonds and appropriate surety information are as included in
the RFB/RFP or as may be added to Attachment C, and such content is
incorporated here in this Agreement by reference as if each bond's terms,
conditions, and amounts were fully set out here in its entirety.
6. Purchase Release Order. For multiple-release purchases of Services to be
provided by the Contractor over a period of time, the City will exercise its
right to specify time, place and quantity of Services to be delivered in the
following manner: any City department or division may send to Contractor
a purchase release order signed by an authorized agent of the department
or division. The purchase release order must refer to this Agreement, and
Services will not be rendered until the Contractor receives the signed
purchase release order.
City of Corpus Christi Page 2 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
7. Inspection and Acceptance. Any Services that are provided but not
accepted by the City must be corrected or re-worked immediately at no
charge to the City. If immediate correction or re-working at no charge
cannot be made by the Contractor, a replacement service may be
procured by the City on the open market and any costs incurred, including
additional costs over the item's bid/proposal price, must be paid by the
Contractor within 30 days of receipt of City's invoice.
8. Warranty. The Contractor warrants that all products supplied under this
Agreement are new, quality items that are free from defects, fit for their
intended purpose, and of good material and workmanship. The Contractor
warrants that it has clear title to the products and that the products are free
of liens or encumbrances. In addition, the products purchased under this
Agreement shall be warranted by the Contractor or, if indicated in
Attachment D by the manufacturer, for the period stated in Attachment D.
Attachment D is attached to this Agreement and is incorporated by
reference into this Agreement as if fully set out here in its entirety.
9. Quality/Quantity Adjustments. Any Service quantities indicated on the
Bid/Pricing Schedule are estimates only and do not obligate the City to order
or accept more than the City's actual requirements nor do the estimates
restrict the City from ordering less than its actual needs during the term of the
Agreement and including any Option Period. Substitutions and deviations
from the City's product requirements or specifications are prohibited without
the prior written approval of the Contract Administrator.
10. Non-Appropriation. The continuation of this Agreement after the close of
any fiscal year of the City,which fiscal year ends on September 30th annually,
is subject to appropriations and budget approval specifically covering this
Agreement as an expenditure in said budget, and it is within the sole
discretion of the City's City Council to determine whether or not to fund this
Agreement. The City does not represent that this budget item will be
adopted, as said determination is within the City Council's sole discretion
when adopting each budget.
11. Independent Contractor. Contractor will perform the work required by this
Agreement as an independent contractor and will furnish such Services in its
own manner and method, and under no circumstances or conditions will any
agent, servant or employee of the Contractor be considered an employee
of the City.
12. Subcontractors. Contractor may use subcontractors in connection with the
work performed under this Agreement. When using subcontractors,
City of Corpus Christi Page 3 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
however, the Contractor must obtain prior written approval from the
Contract Administrator if the subcontractors were not named at the time of
bid or proposal, as applicable. In using subcontractors, the Contractor is
responsible for all their acts and omissions to the same extent as if the
subcontractor and its employees were employees of the Contractor. All
requirements set forth as part of this Agreement, including the necessity of
providing a COI in advance to the City, are applicable to all subcontractors
and their employees to the same extent as if the Contractor and its
employees had performed the work.
13. Amendments. This Agreement may be amended or modified only by written
change order signed by both parties. Change orders may be used to modify
quantities as deemed necessary by the City.
14. Waiver. No waiver by either party of any breach of any term or condition of
this Agreement waives any subsequent breach of the same.
15. Taxes. The Contractor covenants to pay payroll taxes, Medicare taxes, FICA
taxes, unemployment taxes and all other related taxes. Upon request, the
City Manager shall be provided proof of payment of these taxes within 15
days of such request.
16. Notice. Any notice required under this Agreement must be given by fax,
hand delivery, or certified mail, postage prepaid, and is deemed received
on the day faxed or hand-delivered or on the third day after postmark if sent
by certified mail. Notice must be sent as follows:
IF TO CITY:
City of Corpus Christi
Attn: Captain Ernest Rivas
Title: Captain
Address: CCFD Training Division/Building Maintenance
3105 Leopard Street, Corpus Christi, TX 78408
Fax: 361-826-4515
IF TO CONTRACTOR:
Smart Plumbing, Inc.
Attn: Collins Reed Glendenning,
reed@smartplumbing.biz Title: President
Address: P. O. Box 81429, Corpus Christi, Texas 78468
Fax: 993-7838
City of Corpus Christi Page 4 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
17. CONTRACTOR AGREES TO INDEMNIFY, HOLD HARMLESS AND
DEFEND THE CITY OF CORPUS CHRISTI AND ITS OFFICERS,
EMPLOYEES AND AGENTS ("INDEMNITEES') FROM AND AGAINST
ANY AND ALL LIABILITY, LOSS, CLAIMS, DEMANDS, SUITS AND
CAUSES OF ACTION OF ANY NATURE WHATSOEVER ON ACCOUNT
OF PERSONAL INJURIES (INCLUDING DEATH AND WORKERS'
COMPENSATION CLAIMS), PROPERTY LOSS OR DAMAGE, OR ANY
OTHER KIND OF INJURY, LOSS, OR DAMAGE, INCLUDING ALL
EXPENSES OF LITIGATION, COURT COSTS, ATTORNEYS' FEES AND
EXPERT WITNESS FEES WHICH ARISE OR ARE CLAIMED TO ARISE OUT
OF OR IN CONNECTION WITH THIS AGREEEMENT OR THE
PERFORMANCE OF THIS AGREEMENT, REGARDLESS OF WHETHER THE
INJURIES, DEATH OR DAMAGES ARE CAUSED OR ARE CLAIMED TO
BE CAUSED BY THE CONCURRENT OR CONTRIBUTORY NEGLIGENCE
OF INDEMNITEES, BUT NOT IF BY THE SOLE NEGLIGENCE OF
INDEMNITEES UNMIXED WITH THE FAULT OF ANY OTHER PERSON.
CONTRACTOR MUST, AT ITS OWN EXPENSE, INVESTIGATE ALL
CLAIMS AND DEMANDS, ATTEND TO THEIR SETTLEMENT OR OTHER
DISPOSITION, DEFEND ALL ACTIONS BASED THEREON WITH COUNSEL
SATISFACTORY TO THE CITY ATTORNEY, AND PAY ALL CHARGES OF
ATTORNEYS AND ALL OTHER COSTS AND EXPENSES OF ANY KIND
ARISING FROM ANY SAID LIABILITY, DAMAGE, LOSS, CLAIMS,
DEMANDS, SUITS, OR ACTIONS. THE INDEMNIFICATION
OBLIGATIONS OF CONTRACTOR UNDER THIS SECTION SHALL
SURVIVE THE EXPIRATION OR EARLIER TERMINATION OF THIS
AGREEMENT.
18. Termination.
(A) The City Manager may terminate this Agreement for Contractor's failure
to perform the work specified in this Agreement or to keep any required
insurance policies in force during the entire term of this Agreement. The
Contract Administrator must give the Contractor written notice of the breach
and set out a reasonable opportunity to cure. If the Contractor has not
cured within the cure period, the City Manager may terminate this
Agreement immediately thereafter.
City of Corpus Christi Page 5 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
(B) Alternatively, the City Manager may terminate this Agreement for
convenience upon 30 days advance written notice to the Contractor. The
City Manager may also terminate this Agreement upon 24 hours written
notice to the Contractor for failure to pay or provide proof of payment of
taxes as set out in this Agreement.
19. Assignment. No assignment of this Agreement by the Contractor, or of any
right or interest contained herein, is effective unless the City Manager first
gives written consent to such assignment. The performance of this
Agreement by the Contractor is of the essence of this Agreement, and the
City Manager's right to withhold consent to such assignment is within the sole
discretion of the City Manager on any ground whatsoever.
20. Severability. Each provision of this Agreement is considered to be severable
and, if, for any reason, any provision or part of this Agreement is determined
to be invalid and contrary to applicable law, such invalidity shall not impair
the operation of nor affect those portions of this Agreement that are valid,
but this Agreement shall be construed and enforced in all respects as if the
invalid or unenforceable provision or part had been omitted.
21. Order of Precedence. In the event of any conflicts or inconsistencies
between this Agreement, its attachments, and exhibits, such conflicts and
inconsistencies will be resolved by reference to the documents in the
following order of priority:
A. this Agreement and its attachments
B. the bid solicitation document, including addenda (Exhibit 1)
C. the Contractor's bid response (Exhibit 2)
22. Certificate of Interested Parties. Contractor agrees to comply with Texas
Government Code Section 2252.908, as it may be amended, and to
complete Form 1295 "Certificate of Interested Parties" as part of this
Agreement.
23. Governing Law. This Agreement is subject to all federal, State, and local laws,
rules, and regulations. The applicable law for any legal disputes arising out
of this Agreement is the law of the State of Texas, and such form_andvenue
for such disputes is the appropriate district, county, or justice court in and for
Nueces County, Texas.
24. Entire Agreement. This Agreement constitutes the entire agreement between
the parties concerning the subject matter of this Agreement and supersedes
City of Corpus Christi Page 6 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
all prior negotiations, arrangements, agreements and understandings, either
oral or written, between the parties.
(SIGNATURE PAGE FOLLOWS)
City of Corpus Christi Page 7 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
CONTRACTOR
Signature:
Printed Name: Collins Reed Glendenning
Title: President
Date:
11-30-2016
CITY OF CORPUS CHRISTI
Signature: N
6
Printed Name: Y„1
Title: C",ro
Date: \ l 1 n 111
ATTEST: k _ A#i4
• E: CCA HUERTA
ray SECRETARY
Attached and Incorporated by Reference:
Attachment A: Scope of Work
Attachment B: Bid/Pricing Schedule
Attachment C: Insurance/Bond Requirements - (1;1Q
Attachment D: Warranty Requirements � -'-.. pi
sT COUNCIL,._......14.�.
Incorporated by Reference Only:
SECKTAR
Exhibit 1 : RFB/RFP No. 176
Exhibit 2: Contractor's Bid/Proposal Response
City of Corpus Christi Page 8 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
Attachment A -Scope of Work
Scope of Work
1. General Requirements/Background Information
The Contractor shall provide Plumbing and Emergency Plumbing Repairs for
Fire Stations located throughout the City.
2. Scope of work
A. Service Requirements:
a. The Contractor shall be able to perform specified services twenty-four
(24) hours a day, three hundred and sixty five (365) days per year on
an as needed basis. The City will use prudent judgment when calling
after regular working hours for specific services.
b. The Contractor shall receive work order requests and return phone
request within 30 minutes of a call being placed by the Fire
Department or within a reasonable time frame of the call being
placed.
c. The Contractor shall be on site within two hours or within an agreeable
time frame determined by the Fire Department and the Contractor of
receipt of work order requests.
d. The Contractor shall repair the plumbing deficiencies within 24-hours of
arrival on site or have communicated with the Contract Administrator
of any conditions that may delay work being completed within 24-
hours.
e. The Contractor shall have a sufficient number of Licensed Plumbers
with helpers to fulfill work requirements.
f. The Contractor shall have the ability for video pipe inspections.
g. The Contractor shall have the ability to hydro-jet clogged sewer lines.
h. The Contractor shall have back flow testing capabilities.
i. The Contractor shall have the ability to hydrostatic test slab leaks.
j. The Contractor shall have the ability to detect gas leaks.
B. Service requests are to be accepted by the following authorized
personnel:
a. Assistant Chief of Support Services
b. Captain assigned to Facility Maintenance
Page 1 of 3
C. Repairs shall include any and all plumbing issues that may arise.
D. At time of completion, report back to the requester.
E. All parts used for any repair shall be new and unused.
F. Contractor shall provide a quote for major repairs, defined as exceeding
$1,000.00. All quotes shall include labor, parts, travel and any other costs
associated with the work performance.
G. All repairs shall be completely documented by the Contractor. A copy of
each work order or repair slip will be provided to the personnel on site and
shall provide the following:
a. Site location of the plumbing repair
b. Description of the repair
c. List of materials that were replaced
H. Fire Stations 10 & 12 will require a quarterly hydro-jet maintenance on
main sewer line from exterior cleanouts to City sewer connection. These
stations have grease traps.
I. Fire Stations 4, 16 and 17 will require an annual backflow test on lawn
sprinkler system of the start of an agreement.
J. If any plumbing issues are deemed non-repairable, the Contractor shall
immediately notify the Contract Administrator on telephone number
361.826.8427.
K. Warranty on all labor and materials shall be 90 days or better.
Page 2 of 3
3. Work Site and Conditions
The work shall be performed at the following fire stations:
Station # Address Station # Address
1 514 Beldon St. 78401 16 8185 State Hwy 361 78418
2 13421 Leopard St. 78410 17 6869 Yorktown Blvd. 78414
3 1401 Morgan Ave. 78404 Warehouse 1501 Holly Rd 78417
4 2338 Rodd Field Rd 78414 Old Station 5 3312 Leopard St. 78408
5 3105 Leopard St. 78408 EMS Central 209 S. Carancahua 78401
6 6713 Weber Rd. 78413
7 3722 S. Staples St. 78411
8 4645 Kostoryz Rd. 78415
9 501 Navigation Blvd. 78408
10 1550 Horne R d. . 78416
11 910 Airline Rd. 78412
12 2120 Rand Morgan 78410
Rd.
13 1802 Waldron Rd. 78418
14 5901 St. Staples St. 78413
15 14202 Commodores 78418
Dr.
4. Contractor Quality Control and Superintendence
The Contractor shall establish and maintain a complete Quality Control
Program to assure that the requirements of the Contract are provided as
specified. The Contractor will also provide supervision of the work to insure it
complies with the contract requirements.
Page 3 of 3
Attachment B - Bid/Pricing Schedule
4,gus CITY OF CORPUS CHRISTI
�`' it BID FORM
5, laseidr PURCHASING DIVISION
44-11 RFB No. 176
oil
i852 Plumbing for the Fire Department
Date: 10-29-2016
Smart Plumbing Inc. Authorized
Bidder: Signature:
1. Refer to "Instructions to Bidders" and Contract Terms and Conditions before
completing bid.
2. Quote your best price for each item.
To calculate the Estimated Totals for Parts and Labor "On Call Services," multiply
the Markup by the Qty. and add together for a total estimated price. Labor
pricing shall include an average of the three levels of plumbing certification:
Master, Journeyman and Apprentice.
3. In submitting this bid, Bidder certifies that:
a. the prices in this bid have been arrived at independently, without consultation,
communication, or agreement with any other Bidder or competitor, for the
purpose of restricting competition with regard to prices;
b. Bidder is an Equal Opportunity Employer; and the Disclosure of Interest information
on file with City's purchasing office, pursuant to the Code of Ordinances, is current
and true.
c. Bidder is current with all taxes due and company is in good standing with all
required governmental agencies.
d. Bidder acknowledges receipt and review of all addenda for this RFB.
4. Invoices:
Invoices shall be submitted in accordance with the following: Charges shown shall be
separated to reflect an hourly charge, per plumber, and charges for parts/materials.
Item Description UNIT QTY Total
On Call Services: Markup Estimated Parts
1 Parts Markup EA $3,600 % 15 $ 4,140.00
Labor Unit Price Total Price
2 Plumber Normal Hours (M-F HRS 650 $ 85.00 $ 55,250.00
8:00am -5:00pm)
3 Plumber Hours (5:00pm - HRS 110 $ $
8:00am to include holidays) 127.50 14,025.00
Quarterly Hydro-jet Maintenance Services Unit Price Total Price
4 Fire Station 10 EA 4 $ 300 $ 1,200.00
5 Fire Station 12 EA 4 $ 300 $ 1,200.00
Annual Back Flow Test & Certification Unit Price Total Price
6 Fire Station 4 (Lawn Sprinkler) EA 1 $ 100 $ 100.00
7 Fire Station 16 (Lawn Sprinkler) EA 1 $ 100 $ 100.00
8 Fire Station 17 (Lawn Sprinkler) EA 1 $ 100 $ 100.00
Total $ 76,115.00
Attachment C - Insurance / Bond Requirements
INSURANCE REQUIREMENTS
CONTRACTOR'S LIABILITY INSURANCE
A. Contractor must not commence work under this contract until all insurance required has
been obtained_and such insurance has been approved by the City. Contractor must
not allow any subcontractor, to commence work until all similar insurance required of
any subcontractor has been obtained.
B. Contractor must furnish to the City's Risk Manager and CC Fire Department Chief one
(1) copy of Certificates of Insurance with applicable policy endorsements showing the
following minimum coverage by an insurance company(s) acceptable to the City's Risk
Manager. The City must be listed as an additional insured on the General liability and
Auto Liability policies by endorsement, and a waiver of subrogation endorsement is
required on GL, AL and WC if applicable. Endorsements must be provided with
Certificate of Insurance. Project name and/or number must be listed in Description Box
of Certificate of Insurance.
TYPE OF INSURANCE MINIMUM INSURANCE COVERAGE
30-day advance written notice of Bodily Injury and Property Damage
cancellation, non-renewal, material Per occurrence - aggregate
change or termination required on all
certificates and policies.
COMMERCIAL GENERAL LIABILITY $1,000,000 Per Occurrence
including: $2,000,000 Aggregate
1 . Commercial Broad Form
2. Premises -Operations
3. Products/Completed
Operations
4. Contractual Liability
5. Independent Contractors
6. Personal Injury- Advertising Injury
AUTO LIABILITY (including) $1,000,000 Combined Single Limit
1 . Owned
2. Hired cnd Non-Owned
3. Rented/Leased
WORKERS'S COMPENSATION Statutory and complies with Part II
(All States Endorsement if Company is of this
not Exhibit.
domiciled in Texas)
Employers Liability $500,000/$500,000/$500,000
C. In the event of accidents of any kind related to this contract, Contractor must furnish
the Risk Manager with copies of all reports of any accidents within 10 days of the
accident.
II. ADDITIONAL REQUIREMENTS
A. Applicable for paid employees, Contractor must obtain workers' compensation
coverage through a licensed insurance company. The coverage must be written on a
policy and endorsements approved by the Texas Department of Insurance. The
workers' compensation coverage provided must be in statutory amounts according to
the Texas Department of Insurance, Division of Workers' Compensation. An All States
Endorsement shall be required if Contractor is not domiciled in the State of Texas.
B. Contractor shall obtain and maintain in full force and effect for the duration of this
Contract, and any extension hereof, at Contractor's sole expense, insurance coverage
written on an occurrence basis by companies authorized and admitted to do business
in the State of Texas and with an A.M. Best's rating of no less than A- VII.
C. Contractor shall be required to submit renewal certificates of insurance throughout the
term of this contract and any extensions within 10 days of the policy expiration dates.
All notices under this Exhibit shall be given to City at the following address:
City of Corpus Christi
Attn: Risk Manager
P.O. Box 9277
Corpus Christi, TX 78469-9277
D. Contractor agrees that, with respect to the above required insurance, all insurance
policies are to contain or be endorsed to contain the following required provisions:
• List the City and its officers, officials, employees, and volunteers, as additional insureds
by endorsement with regard to operations, completed operations, and activities of or
on behalf of the named insured performed under contract with the City, with the
exception of the workers' compensation policy;
• Provide for an endorsement that the "other insurance" clause shall not apply to the City
of Corpus Christi where the City is an additional insured shown on the policy;
• Workers' compensation and employers' liability policies will provide a waiver of
subrogation in favor of the City; and
• Provide thirty (30) calendar days advance written notice directly to City of any,
cancellation, non-renewal, material change or termination in coverage and not less
than ten (10) calendar days advance written notice for nonpayment of premium.
E. Within five (5) calendar days of a cancellation, non-renewal, material change or
termination of coverage, Contractor shall provide a replacement Certificate of
Insurance and applicable endorsements to City. City shall have the option to suspend
Contractor's performance should there be a lapse in coverage at any time during this
contract. Failure to provide and to maintain the required insurance shall constitute a
material breach of this contract.
F. In addition to any other remedies the City may have upon Contractor's failure to provide
and maintain any insurance or policy endorsements to the extent and within the time
herein required, the City shall have the right to order Contractor to stop work hereunder,
and/or withhold any payment(s) which become due to Contractor hereunder until
Contractor demonstrates compliance with the requirements hereof.
G. Nothing herein contained shall be construed as limiting in any way the extent to which
Contractor may be held responsible for payments of damages to persons or property
resulting from Contractor's or its subcontractor's performance of the work covered
under this contract.
H. It is agreed that Contractor's insurance shall be deemed primary and non-contributory
with respect to any insurance or self insurance carried by the City of Corpus Christi for
liability arising out of operations under this contract.
It is understood and agreed that the insurance required is in addition to and separate
from any other obligation contained in this contract.
2016 Insurance Requirements
CCFD
Plumbing Repairs
7/26/2016 my Risk Management
Attachment C - Insurance / Bond Requirements
Bonds are not required for this Service Agreement.
Attachment D - Warranty Requirements
Warranty on all labor and materials shall be 90 days or better.
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1 of 1
Complete Nos-1-4 and 6 if there ate 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. 2016-141643
Smart Plumbing Inc
Corpus Christi, TX United States Date Filed:
'2 Name of governmental entity or state agency that is a party to me contract for which the form is 11/30/2016
being filed.
City of Corpus Christi Date Acknowfedged:
2.3 efl
3 Provide the identil2cation number used by the governmental entity or state agency to track or identity the contract,and provide a
description of the services,goods,of other property to be provided under the contract.
Service Agreement 867
Plumbing Service for Corpus Christi Fire Department
Nature of interest
4
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
5 Check only If there is NO Interested Party. ❑
6 AFFIDAVIT I swear,or affirm.under penalty of penury,that the above disclosure is true and correct
R
LIZETTE R CARRANZAI
STATE NotaryPublic
TEXAS /
MY Comm Exp 03.26-2017 Signatuie of authoii agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE
62nd
Swemto and subscribed before me,by the said �I' �_��I_ /�� his the day of OP(��1i `.
2S / U2,to certify which,witness my hand and seal of office
/ 1!
c17 / //7 I",
s,... i linistenng oath 11:1tnted name of-officer administering oath Trite of officer administering oath
Forms piovided by Texas Ethics Commission www.ethics state.tx us Version V1 0 277