HomeMy WebLinkAboutC2017-272 - 9/26/2017 - Approved 1:1•1741
SERVICE AGREEMENT NO. 52711
•
185 Software and Equipment Upgrades
for Solid Waste Scale Systems at Landfills
THIS Software and Equipment Upgrades for Solid Waste Scale Systems at
Landfills Agreement ("Agreement") is entered into by and between the City of
Corpus Christi, a Texas home-rule municipal corporation ("City") and A-1 Scale
Service, Inc. ("Contractor"), effective upon execution by the City Manager or the
City Manager's designee ("City Manager").
WHEREAS, Contractor has bid to provide Software and Equipment Upgrades
for Solid Waste Scale Systems at Landfills in response to Request tor Bid/Proposal
No. N/A ("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 Software and Equipment Upgrades for Solid
Waste Scale Systems at Landfills ("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 two 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 zero additional zero-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 $85,600.00, 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
Citi of Cornus Christi Page 1 of 8
2017-272
9/26/17
Res. 031250
A-1 Scale Service Inc.
INDEXED
Attachment B, the content of which is incorporated by reference into this
Agreement as if fully set out here in its entirety.
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:
Paul Bass
Department: Solid Waste
Phone: 361-826-1968
Email: PaulB@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
City of Corpus Christi Page 2 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
Services will not be rendered until the Contractor receives the signed
purchase release order.
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.
City of Corpus Christi Page 3 of 8
Service Agreement Standard Form
Approved as to Legal Form 7/1/16
12. Subcontractors. Contractor may use subcontractors in connection with the
work performed under this Agreement. When using subcontractors,
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: Paul Bass
Title: Assistant Director of Support Services
Address: 2525 Hygeia, Corpus Christi, TX 78415
Fax: 361-826-1971
IF TO CONTRACTOR:
A-1 Scale Service, Inc.
Attn: Chris Buchhorn
Title: Project Manager
Address: 4807 N.W. Industrial Dr. San Antonio, TX 78238
Fax: 210-521-1333
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 and venue
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:
Title: , 1:3-4v e.t.1t` kfric .set j
Date: iFIZ3//.7
CITY OF CORPUS CHRISTI
Signature: 1cr1
Printed Name: -'rz–`—
Title: ruc
Date: 9 I 14 l 1
ATTEST: R d oe .Cti1
c, �[G�p.V '�,
ECCA HUERTA
CITY SECRETARY
Attached and Incorporated by Reference:
Attachment A: Scope of Work t " A Itithst •
•
Attachment B: Bid/Pricing Schedule •
Ft COU
Attachment C: Insurance/Bond Requirements
Attachment D: Warranty Requirements LAI
SECRETA V
Incorporated by Reference Only:
Exhibit 1 : RFB/RFP No. N/A
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
1. General Requirements/Background Information
The Contractor shall provide software and equipment upgrades for Solid
Waste Operations' Cefe Valenzuela Landfill and JC Elliott Transfer Station
scale systems as outlined in this scope of work.
2. Scope of Work
A. At the Cefe Valenzuela Landfill, the Contractor will remove and replace
the stainless steel enclosures and computer hardware for the four
"unattended unit stations" originally installed in 2007. Each station must
include card reading devices, keyboards, thermal printers, and other
features that will enable Cefe Landfill customers to complete scale
transactions without leaving their vehicles. New scale system interface
software must be included.
B. The Contractor will update the Auto Scale software to the latest
configuration on devices located at the Cefe Valenzuela Landfill, J.C.
Elliot Transfer Station, and City Hall.
C. The Contractor will remove outdated scale indicators at the J.C. Elliott
Transfer Station and replace them with new indicators, including
installation, configuration, and calibration.
D. The installation of scale hardware and software will be completed over
a three day period and sequenced to assure continuous scale
operations at the Cefe Valenzuela Landfill and the JC Elliott Transfer
Station.
3. Delivery
A. All equipment and supplies will be shipped to A-1 Scale Service. Inc. San
Antonio, Texas 78238, then transported by A-1 Scale Service to the scale
locations for installation.
• Cefe Valenzuela Landfill - 2397 County Road 20 Robstown, Texas
78380
• J.C. Elliot Transfer Station - 6594 Greenwood Dr. Corpus Christi, Texas
78415
Page I of 2
The primary contact will be Tony Benavides 361-826-1633 for both
locations. If Tony Benavides is unavailable, Andy Montes 361-826-1631
will be the secondary contact.
B. Defective Goods
Contractor shall pay for return shipment on any products that arrive in a
defective, unusable or inoperable condition. Contractor must arrange
for the return shipment of damaged products.
4. Contractor Quality Control and Superintendence
The Contractor shall establish and maintain a complete Quality Control
Program that is acceptable to the Contract Administrator 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 2 of 2
ISO 17025 Attachment B: Bid/Pricing Schedule
Accredited
Testing and Calibration A-1 Scale Service, Inc C. Authorized Distributor
Certificate 1902.01 4807 N.W.Industrial Dr. San Antonio,Tx. 78238 Serving South and
Mettler Toledo Distributor Phone (210)521-7848 Fax (210)521-1333 Central Texas
Field Representative WWW.A1SCALE.COM Since 1981
July 12,2017
City of Corpus Christi Solid Waste
2525 Hygeia St.
Corpus Christi,TX
RE: Unattended Unit Software and Equipment Upgrade
Attn: Paul Bass
I have included detailed information about the features of the products that are part of the
optimal solution to your application,process and business demands. METTLER TOLEDO products
represent a valuable combination of performance, accuracy and precision. In addition,our field service
organization is comprised of factory-certified technicians who are trained to meet high quality standards.
You can also log on to www.mt.com for up-to-date application and operation details.
Vehicle Scale and Related Instrumentation
Qty.(4)Model IND9U06231000320 Unattended Unit Stations S 64,200.00 Net Price
• Auto Scale Software Interface
• IND780 Scale Indicator with Powercell MTX Scale Interface __ _
• 65 Key SS keyboard
• Star Thermal Printer
• Proximity Card Reader
• Slim Stainless-Steel Enclosure with Heater and FanOe
• No Intercom Feature ,„,„„->„4",,,).,
�
• No I/O ,04,
rotes
Instrumentation Software Update ---
Software Updated to Latest Auto Scale Configuration . 18,000.00 Net Price
• Locations:
• Cefe
• Elliot
• Downtown Corpus Christi
• All Updates will Interface to New Unattended Units
• Updates includes all removal of existing Unattended Units and Jag-Xtreme Indicators in scale
house and the Installation,Configuration and Calibration of New Unattended Units.
Page 1 of 2
ISO 17025 //
Accredited Matt-''22 EDO
Testing and Calibration A-1 Scale Service, Inc.
Authorized Distributor
Certificate 1902.01 4807 N.W.Industrial Dr. San Antonio,Tx. 78238 Serving South and
Mettler Toledo Distributor Phone (210)521-7848 Fax (210)521-1333 Central Texas
Field Representative W\tiW.AISCALE.COM Since 1981
Total Package Price w/out Option
Total Equipment,Software,Installation,Configuration and Calibration
• **Key Notes: **
• Delivery of all Equipment is available within 6-8 wks.
• During Installation A-1 Scale Service will always maintain at least(1) inbound and(1)outbound
scale operational at Cefe location. During upgrade of Elliot location only(1)scale at a time will
be available.
• Software updates and new hardware installation will occur simultaneously,with anticipate onsite
interruptions of(3)days.
Recommended Option
Qty.(2)Model IND246 w/Configuration and Scale Calibration .$3,400.00 Net Price
• High contrast LCD Display
• Alpha Numeric data entry capability ,09
• Simple Inbound Outbound operation z4¢p: o00
909
• Subtotal and Total Weight Accumulators o 0 0 0.•
• Continuous Network Health Monitoring and reporting ° 000 tf)
• Scale Diagnostics /
• Flexible programmability
• One electrically isolated corn port RS232
• One TCP/IP 10-100 Base-T Ethernet
• Optional 2 additional serial ports or USB
*Replace current Indicators at Elliot Location with optional Indicator recommended. All configuration
and calibration is included.
Total Package Price with Option
Total Package Price Including Recommended Option S 85,600.00 Net Price
Thank you for the opportunity.
Chris Buchhorn
Page 2 of 2
Attachment C: 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 Contract Administrator 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 and Non-Owned
3. Rented/Leased
WORKERS'S COMPENSATION Statutory and complies with Part II of
(All States Endorsement if Company is this Exhibit.
not 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
Page I of 3
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 AH 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,
Page 2 of 3
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 shah 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.
2017 Insurance Requirements
Purchasing
Software and Equipment Upgrades for Solid Waste Transfer Station Scale Systems
08/15/2017 sw Risk Management
Page 3 of 3
Attachment C: Bond Requirements
Section 5. (B) is null for this Service Agreement.
Page I of I
Attachment D: Warranty Requirements
For the new IND9U units and IND246 indicators, warranty covers parts for
one year
Page 1 of 1
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
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2017-253467
A-1 Scale Service
San Antonio,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 08/23/2017
being filed.
City of Corpus Christi Date Ackno edged:
C ZCl Wil
3 Provide the Identification number used by the governmental entity or state agency to track or identify the ntract,and provide a
description of the services,goods,or other property to be provided under the contract.
52711 'j
Scale unattended unit upgrades for solid waste
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling I Intermediary
Buchhorn,Chris San Antonio,TX United States X
Buchhorn,Bubba San Antonio,TX United States x
•
5 Check only if there is NO Interested Party. ❑
6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
eR " ` DARRYL LOCKARD
MY COMMISSION EXPIRES -
i,, ' Match 26,2018 •. r re of authorized agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE Sworn to and subscribed before me,by the said OAt r!3 .[ V c_LLori► ,this the cC-77
3 day of 7 `�V i IT
20, 1 ,to certify which,witness y hand and seal of office. V
AI Il ptemej/ Loc.k09 (_ c-4
Signature of •fftc �ministering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Te as Ethics Commission www.ethics.state.tx.us Version V1.0.3337