Responders Name:
_____________________
WOOD COUNTY
AUDITORS OFFICE
TERRI SELLERS
AUDITOR
DAPHNE CARTER
ASSISTANT AUDITOR
BID NO. 2017-009
Lake Hawkins RV Park
LEASE AGREEMENT
BIDS DUE JUNE 26, 2017
2:00 P.M.
TABLE OF CONTENTS
SPECIFICATIONS ........................................................................................
1–9
PRE-BID CONFERENCE................................................................................................ 1
OPENING DATE, TIME, PROCEDURES, CONTACTS.................................................. 2
STANDARD TERMS AND CONDITIONS .................................................................. 3 - 6
WORKSER COMP INFORMATION ........................................................................... 7 - 9
WORK REFERENCES ....................................................................................
10*
PROPOSAL FORMS ................................................................................. 11 – 19
BID PROPOSAL ......................................................................................................... 11*
CREDIT REPORT AUTHORIZATION.......................................................................... 12*
CERTIFICATION OF ELIGIBILITY............................................................................... 15*
COMPLIANCE…………………………………………………………………………………16*
BID FORMS/BID AFFIDAVIT ................................................................................. 17–18*
DOCUMENT CHECK LIST ......................................................................................... .19*
LAKE HAWKINS RV PARK LEASE AGREEMENT………….ATTACHED……1-16*
MAP………………………………………………………………………………ATTACHMENT
*NOTE: These Pages Must be returned with bid
This table of contents is intended as an aid to bidders and not as a comprehensive listing of the bid package. Bidders are responsible for reading the
entire bid package and complying with all specifications
.
PRE-BID CONFERENCE
All bidders are encouraged to attend a Pre-Bid Conference and Walk-Through of
the Park to be Held
Date:
Monday, June 19th, 2017
Time:
10:00 A.M.
Location:
RV Park
Pavilion
156 County Road 3455
Hawkins, TX 75765
Note: There is no opportunity for remote attendance of this meeting
RSVP: Bidders planning to attend the pre-bid conference should RSVP, in writing, via facsimile, no later
than 5:00 p.m., Friday June 16th, 2017
Contact Name: _________________________________________________________
Planning to Attend Pre-Bid: _____________YES
____________NO
Tel No: _________________________Fax No: ________________________________
Email address: __________________________________________________________
All questions should be submitted in writing via facsimile and directed to: Mike Simmons
Send RSVPS to Mike Simmons at 903-763-5039
Questions from bidders will be addressed at the pre-bid conference. Any bidders who submits a bid
without attending the scheduled pre-bid conference does so at his own risk. Such applicant who submits
a bid and does not attend the scheduled pre-bid conference waives any right to assert claims due to
undiscovered conditions.
Page 1 of Bid # 2017-009
INVITATION TO BID
BID #2017-009
Lake Hawkins RV Park Lease Agreement
BID OPENING: June 26, 2017 AT 2:00 P.M.
Wood County is soliciting bids for furnishing the merchandise, supplies, services, and/or equipment set forth in this
bid Proposal.
By Mail via US Postal Service
Original and One (1) Copy
Of
Completed Bid Proposal
Must Be Received In The
Auditor’s Office
At P.O. Box 389
Quitman, TX 75783
On or Before June 26, 2017 at 2:00 P.M.
By Courier, Federal Express, UPS
Original and One (1) Copy
Of
Completed Bid Proposal
Must Be Received In The
Auditor’s Office
At 100 N Main Street
Quitman, TX 75783
On or Before June 26, 2017 at 2:00 P.M.
All bids, including a “NO BID” are due in the Auditor’s Office by the due date June 26, 2017, in sealed envelopes
or boxes. All bids must be clearly marked with the Bid Number, the name of the company submitting the bid,
and date and time of opening on the outside of the envelope/box and/or Air Bill/Delivery Receipt. Bids must
be submitted on the enclosed Bid Proposal Forms. Original bid must be clearly marked “ORIGINAL” and
contain all original signatures.
Bidder shall be responsible for actual delivery of the bid to the Auditor’s Office before the advertised date
and hour for opening of bids. If mail is delayed either in the postal service or in the internal mail system
of Wood County beyond the date and hour set for the bid opening, bids thus delayed will not be
considered and will be disposed of as authorized. Any bid received later than specified time, whether
delivered in person or mailed, will not be accepted. Shall be returned unopened.
Bids may be withdrawn at any time prior to the official opening. Alterations made before opening time must be
initialed by bidder guaranteeing authenticity. After the official opening, bids become the property of Wood County
and may not be amended, altered or withdrawn without the recommendations of the Auditor’s Office and the
approval of Commissioners’ Court.
_____ Check if declining to Bid. State reason:
Wood County reserves the right to accept or reject in part or in whole any bids submitted, and to waive any
technicalities for the best interest of the County.
Page 2 of Bid # 2017-009
STANDARD TERMS AND CONDITIONS
PLEASE READ CAREFULLY
Standard Terms and Conditions apply to all advertised Invitation to Bid; however, these may be
superseded, whole or in part, by the SPECIAL TERMS AND CONDITIONS AND/OR INSTRUCTIONS OR
OTHER DATA CONTAINED HEREIN.
All bids shall be binding upon the respondent if accepted by the County within sixty (60) days of the Bid
opening.
Bids are solicited for furnishing merchandise, supplies, services and or equipment set forth in this document. By
returning this Bid with price(s) quoted, Contractors certify and agree to the following:
BID REQUIREMENTS: Bidder must comply with all statutes, rules, regulations and policies relating to
purchasing at Wood County in addition to the requirements of this form. The entire Bid packet must be received by
the Wood County Auditor’s Office on or before the hour and date specified. Late and/or unsigned Bids will not be
considered under any circumstances. Bids cannot be altered or amended after due date and time.
BID CERTIFICATION: The Bidder agrees that the submission of a signed Bid is certification that the Bidder will
accept an award made to it as a result of the submission.
BID AFFIRMATION: Signing this Bid with a false statement is a material breach and shall void the submitted Bid or
any resulting contract(s), and the Bidder shall be removed from all Bid lists, By signature, the Bidder certifies that
the Bidder has not (I) give, offered to give, nor does it intend to give any economic opportunity, future employment,
gift, loan, gratuity, special discount, trip, favor, or service to any Wood County Elected Official or employee in
connection with the submitted Bid; (ii) received compensation for participation in the preparation of this Invitation to
Bid or its specifications; and (iii) violated the antitrust laws of this state or the Federal Antitrust Laws or
communicated directly or indirectly to any competitor or any other person engaged in such line of business in
connection with this Invitation for Bids. This bid must be notarized in the County / State in which the person /
business is located.
ACKNOWLEDGEMENT OF AMENDMENTS: Bidder shall acknowledge receipt of any amendment to the
solicitation by signing and returning the amendment with the Bid, by identifying the amendment number and the
date in the space provided for this purpose, or by letter. The acknowledgement must be received by Wood County
by the time and at the place specified for receipt of Bids.
ADDITIONAL INFORMATION: Questions regarding this solicitation must be in writing to Wood County
Auditor’s Office at the address provided on the cover sheet. Bidders are cautioned that any statement by
said contact that materially changes any portion of the solicitation document shall not be relied upon
unless subsequently ratified by formal amendment to the solicitation document.
BID WITHDRAWAL: after opening, Bidders will not be allowed to withdraw their bids unless an obvious mistake
supported by objective evidence that the mistake was unintentional, and approved by Wood County. Any requests
for withdrawal must be made in writing and substantiated by all original work papers, documents, and other
materials used in the preparation of the proposal. Such request shall be received by Wood County within 10 days
after opening. If permitted to withdraw the bid, the Bidder shall not supply any material or labor or perform any
subcontract or other work in connection with the resulting contract. Prior to the opening, Bidder may withdraw
simply by making a written request to Wood County; no explanation is required.
Page 3 of Bid # 2017-009
AWARD: Wood County reserves the right to award this agreement on the basis of BEST BID in accordance with
the laws of the State of Texas, to waive any formality or irregularity, to reject any or all bids and make award that
best serves the interest of Wood County. In the event the highest dollar offer meeting the specifications is not
awarded a contract, the Bidder may appear before the Commissioners Court and present evidence concerning his
responsibility after officially notifying the Wood County Judge’s Office of his intent to appear. In determining
responsible Bidder the following will be taken into consideration, experience, past performance, business and/or
financial capabilities, skill, technical organization and reliability.
CONTRACT AWARD: A response to this Invitation to Bid is an offer to provide services based upon the terms,
conditions and specifications contained herein. Bids do not become contracts until they are accepted through
issuance of Purchase Requisition or Contract by Wood County Commissioners Court. This Bid along with
worksheets, submitted documents when properly accepted and awarded by Wood County Commissioners Court,
shall constitute a contract equally binding between the successful Bidder and Wood County. No different or
additional terms will become a part of this contract with the exception of a Change Order.
BIDDER RESPONSIBILITY: The Contractor shall obtain from the appropriate City, County, or State of Texas the
necessary permit(s), if any, required by the ordinances of the City, County or State for the performance of the work.
MINIMUM STANDARDS FOR RESPONSIBLE PROSPECTIVE BIDDERS: A Bidder must affirmatively
demonstrate their responsibility. A Bidder must meet the following requirements:
1.
2.
3.
4.
5.
Have adequate financial resources, or the ability to obtain such resources as required.
be able to comply with the required responsibilities and functions.
Have a satisfactory record of performance;
Have a satisfactory record of integrity and ethics;
Be otherwise qualified and eligible to receive an award.
PROTESTS: A contractor or bidder who disagrees with an action taken by Wood County shall submit a written
protest stating the basis for its position. Wood County may meet with the contractor or bidder and in any case shall
provide a written response to the contractor or bidder’s protest. If the contractor or bidder requests further review of
the action of Wood County, such review shall be promptly conducted by Counsel for Wood County.
TIE BIDS: Award will be made by drawing lots. Consistent and continued tie bids could cause rejection of Bids by
Wood County and /or investigation for antitrust violations.
FORCE MAJEURE: No party shall have any liability to the other hereunder by reason of any delay or failure to
perform any obligation or covenant if the delay or failure to perform is occasioned by force majeure, meaning any
act of God, storm, fire, casualty, unanticipated work stoppage, strike, lockout, labor dispute, civil disturbance, riot,
war, national emergency, act of Government, act of terrorism, or other cause of similar or dissimilar nature beyond
its control.
FAILURE TO ENFORCE: Failure by Wood County at any time to enforce provisions of the contract shall not be
construed as a waiver of any such provisions. Such failure to enforce shall not affect the validity of the contract or
any part thereof or the right of Wood County to enforce any provision at any time in accordance with its terms.
SALES TAX: Wood County is exempt from all federal excise, state and local taxes unless otherwise stated in this
document. Wood County claims exemption from all sales and/or use taxes under Texas Tax Code
151.309, as amended. Texas Limited Sales Tax Exemption Certificates will be furnished upon written request
to the Wood County Auditor.
Page 4 of Bid # 2017-009
ORAL STATEMENTS: Wood County will not be bound by any oral statement or representation in connection with
the solicitation or resulting contract(s). Any changes will be in written form and issued by the Wood County
Auditor’s Office.
INDEMNITY: Bidder shall indemnify and hold harmless Wood County, its officers and employees harmless from all
claims for personal injury, death and/or property damage resulting in directly or indirectly for the contractor or
bidder’s performance. Contractor or bidder shall procure and maintain, with respect to the subject matter of this
Bid, appropriate insurance coverage including as a minimum, public liability and property damage with adequate
limits to cover contractor or bidder’s liability as may arise directly or indirectly from work performed under this Bid.
Certification of such coverage must be provided to the County before beginning any work. In addition, bidder shall
procure and maintain with respect to the subject matter of this bid, a surety bond issued to Wood County. All
requires for insurance is in the Lake Hawkins RV Park Lease Agreement Article III
REMEDIES: If Bidder breaches any term of a contract, Wood County shall have the rights available by law and
equity, including the right to: (I) rescind or cancel this order for goods or services or any part thereof, and to retain
any delivered goods, and to retain from any money otherwise due for goods previously delivered an amount which
Wood County determines is adequate to cover all damages from Bidder’s breach; (ii) purchase substitute goods
and charge Bidder with any loss incurred thereby; (iii) reject any nonconforming tender, and/or store and and/or
return such goods to Bidder at Bidder’s risk and expense; and (iv) assert any claim for damages, including
manufacturing costs, and incidental, consequential or special damages incurred by Wood County. The foregoing
rights are in addition to any other remedies provided herein or provided by law or in equity. Such remedies to be
cumulative and not alternative.
ASSIGNMENT: Without the prior written consent of Wood County, Bidder’s right and obligations hereunder may
not be assigned or delegated in whole or in part. Any purported assignment or delegation made without such
written permission shall be wholly null and void, and Wood County may treat such as a breach hereof. Wood
County may assign or delegate all or any part of its right and duties hereunder.
CANCELLATION: Upon thirty (30) days written notice to Bidder, Wood County may cancel an Order, in whole or in
part, without any obligation and/or liability to either party. This contract shall remain in effect until contract expires,
delivery/completion and acceptance of goods or services ordered or terminated by either party with a thirty (30)days
written notice prior to any cancellation. The successful Bidder must state therein the reasons for such cancellation.
Wood County reserves the right to award cancelled contract to next lowest and best Bidder as it deems to be in the
best interest of the County.
APPLICABLE LAWS: Bidder must comply with all local, state and federal laws and regulations affecting the price
production, sale or delivery of the materials or services this order without limitation, the Fair Labor Standards Act of
1938, as amended (29 U.S.C. SS2000 ET Seq.) Title VII of the Civil Rights Act of 1964, as amended (42 U.S.C.
SS200E ET Seq.), and all applicable state and federal affirmative action and non-discrimination requirements. If
Bidder breaches its obligations in this Section, the Order may be terminated forthwith without notice and without any
liability whatsoever on Wood County.
GOVERNING LAW: This solicitation and any resulting contract(s) shall be construed in accordance with the laws
of the State of Texas. Any action regarding dispute arising out of any agreement shall be brought in the federal or
state courts within Wood County and the parties consent to the exclusive personal jurisdiction of such courts in the
event of a dispute.
AUTHORIZED PERSONNEL: County employees, other than those designated by the county auditor are not
authorized to sign any kind of supplemental or binding purchase, lease or rental agreement for goods or services for
Wood County.
INTEGRATION: The contract contains the entire agreement of the parties with respect to the matters covered by
its terms. No other agreement, statement, or promise made by any party, or to any employee, office, or agent of
any party that is not contained in this contract shall be of any force or effect.
Page 5 of Bid # 2017-009
SEVERABILITY: If any term or provision of this agreement is held by a court of competent jurisdiction to be invalid,
void, or unenforceable, the remainder of the provisions of this agreement shall remaining full force and effect and
shall in no way be affected, impaired, or invalidated.
EXEMPTIONS/SUBSTITUTIONS: All Bids meeting the intent of this Invitation to Bid will be considered for the
award. Bidders taking exception to the specifications, or offering substitutions, shall state these exceptions by
attachment as part of the Bid. The absence of such list shall indicate that the Bidder has not taken exceptions and
shall hold the Bidder responsible to perform in strict accordance with the specifications of the Invitation. Wood
County Commissioners Court reserves the right to accept any and/or all/none of the exception(s)/substitution(s)
deemed to be in the best interest of the County.
COPIED, SCANNED OR RE-TYPED RESPONSE: Not Allowed. The Original Packet must be returned.
ELECTRONIC FORMAT PACKETS (PDF. ETC.): Wood County does not provide and/ or accept electronic
versions of the Bid Packets.
Any responses, worksheets and/or submitted documents to this Bid becomes the property of Wood County unless
withdrawn before the due date and time of this bid.
It is the bidders’ sole responsibility to print and review all pages of the bid document, attachments. The Bid
Proposal Signature Form must be signed and returned. Failure to provide signature on this form renders
bid non-responsive. Failure to complete and the submission of all required forms, including but not limited to the
Reference Page, Certificate of Eligibility, Checklist, Questionnaires (when applicable),Form 1295 Certificate of
Interested Parties. The Form 1295 is to be completed online, print and have notarized. See instructions in bid. Bid
will be disqualified if the CIP is not notarized signed and / or not returned. Addenda (including revised forms), and
any other specified forms or documents will be grounds for rejection of entire bid.
Due care and diligence has been used in preparation of this information, and it is believed to be substantially
correct. However, the responsibility for determining the full extent of the exposure and the verification of all
information presented herein shall rest solely with the proposer. Wood County and its representatives will not
be responsible for any errors or omissions in these specifications, nor for the failure on the part of the proposer
to determine the full extent of the exposures.
Page 6 of Bid # 2017-009
TWCC Rule 110.110
Workers’ Compensation Insurance Coverage
Note: TWCC Rule 110.110 applies to Building and Construction projects for Governmental entities and is
included in this bid for information purposes only.
A.
Definitions:
Certificate of coverage (“certificate”) – A copy of a certificate of insurance, a certificate of authority
to self-insure issued by the commission, or a coverage agreement (TWCC-81, TWCC-82,
TWCC-83, or TWCC-84), showing statutory workers’ compensation insurance coverage for the
person’s or entity’s employees providing services on a project, for the duration of the project.
Duration of the project – Includes the time from the beginning of the work on the project until the
contractor’s/person’s work on the project has been completed and accepted by the governmental
entity.
Persons providing services on the project (“subcontractor” in §406.096) – Includes all persons or
entities performing all or part of the services the contractor has undertaken to perform on the
project, regardless of whether that person contracted directly with the contractor and regardless of
whether that person has employees. This includes, without limitation, independent contractors,
subcontractors, leasing companies, motor carriers, owner-operators, employees of any such
entity, or employees of any entity which furnishes persons to provide services on the project.
“Services” include, without limitation, providing, hauling or delivering equipment or materials, or
providing labor, transportation, or other service related to a project. “Services” does not include
activities unrelated to the project, such as food/beverage vendors, office supply deliveries, and
delivery of portable toilets.
B.
The contractor shall provide coverage, based on proper reporting of classification code and payroll
amounts and filing of any coverage agreements, which meets the statutory requirements of Texas
Labor Code, Section 401.011(44) for all employees of the contractor providing services on the
project, for the duration of the project.
C.
The contractor must provide a certificate of coverage to the governmental entity prior to being
awarded the contract.
D.
If the coverage period shown on the contractor’s current certificate of coverage ends during the
duration of the project, the contractor must, prior to the end of the coverage period, file a new
certificate of coverage with the governmental entity showing that coverage has been extended.
Page 7 of Bid # 2017-009
TWCC Rule 110.110
Workers’ Compensation Insurance Coverage
E.
The contractor shall obtain from each person providing services on a project, and provide to the
governmental entity:
(1)
a certificate of coverage, prior to that person beginning work on the project, so the
governmental entity will have on file certificates of coverage showing coverage for all
persons providing services on the project; and
(2)
no later than seven (7) days after receipt by the contractor, a new certificate of coverage
showing extension of coverage, if the coverage period shown on the current certificate
ends during the duration of the project.
F.
The contractor shall retain all required certificates of coverage for the duration of the project and
for one (1) year thereafter.
G.
The contractor shall notify the governmental entity in writing by certified mail or personal delivery,
within ten (10) days after the contractor knew or should have known, of any change that materially
affects the provision of coverage of any person providing services on the project.
H.
The contractor shall post on each project site a notice, in the text, form and manner prescribed by
the Texas Workers’ Compensation Commission, informing all persons providing services on the
project that they are required to be covered, and stating how a person may verify coverage and
report lack of coverage.
I.
The contractor shall contractually require each person with whom it contracts to provide services
on a project to:
(1)
provide coverage, based on reporting of classification codes and payroll amounts and filing
of any coverage agreements, which meets the statutory requirements of Texas Labor
Code, Section 401.011(44) for all of its employees providing services on the project for the
duration of the project;
(2)
provide to the contractor, prior to that person beginning work on the project, a certificate of
coverage showing that coverage is being provided for all employees of the person
providing services on the project, for the duration of the project;
(3)
provide the contractor, prior to the end of the coverage period, a new certificate of
coverage showing extension of coverage, if the coverage period shown on the current
certificate of coverage ends during the duration of the project;
(4)
Obtain from each person with whom it contracts, and provide to the contractor:
(a)
A certificate of coverage, prior to the other person beginning work on the project;
and
(b)
A new certificate of coverage showing the extension of coverage, prior to the end of
the coverage period, if the coverage period shown on the current certificate ends
during the duration of the project;
Page 8 of Bid # 2017-009
TWCC Rule 110.110
Workers’ Compensation Insurance Coverage
(5)
retain all required certificates of coverage on file for the duration of the project and for
one (1) year thereafter;
(6)
notify the governmental entity in writing by certified mail or personal delivery, within ten (10)
days after the person knew or should have known, of any change that materially affects the
provision of coverage of any person providing services on the project; and
(7)
Contractually require each person with whom it contracts, to perform as required by
paragraphs (1) – (7). With the certificates of coverage to be provided to the person for
whom they are providing services.
J.
By signing this contract or providing or causing to be provided a certificate of coverage, the
contractor is representing to the governmental entity that all employees of the contractor who will
provide services on the project will be covered by workers’ compensation coverage for the
duration of the project, that the coverage will be based on proper reporting of classification codes
and payroll amounts, and that all coverage agreements will be filed with the appropriate insurance
carrier or, in the case of a self-insured, with the commission’s Division of Self-Insurance
Regulation. Providing false or misleading information may subject the contractor to administrative
penalties, criminal penalties, civil penalties, or other civil actions.
K.
The contractor’s failure to comply with any of these provisions is a breach of contract by the
contractor which entitles the governmental entity to declare the contract void if the contractor does
not remedy the breach within ten (10) days after receipt of notice of breach from the governmental
entity.
Page 9 of Bid # 2017-009
WORK REFERENCES
Please list three (3) references, other than Wood County, who can verify your performance as a vendor.
Performance includes but shall not be limited to, sales and/or service, delivery, invoicing, and other items as may be
required for Wood County to determine your firm’s ability to provide the intended goods or service of this bid. The
County prefers references to be from customers for whom your firm has provided the same items (sales and/or
services) as those specified in this bid. Inaccurate, obsolete or negative responses from the listed references could
result in rejection of your bid.
REFERENCE ONE
GOVERNMENT/COMPANY NAME: ________________________________________________________________
ADDRESS: ___________________________________________________________________________________
CONTACT PERSON AND TITLE: _________________________________________________________________
TELEPHONE NUMBER: _________________________________________________________________________
E-MAIL ADDRESS: _____________________________________________________________________________
SCOPE OF WORK: ____________________________________________________________________________
CONTRACT PERIOD: ___________________________________________________________________________
REFERENCE TWO
GOVERNMENT/COMPANY NAME: ________________________________________________________________
ADDRESS: ___________________________________________________________________________________
CONTACT PERSON AND TITLE: _________________________________________________________________
TELEPHONE NUMBER: _________________________________________________________________________
E-MAIL ADDRESS: _____________________________________________________________________________
SCOPE OF WORK: ____________________________________________________________________________
CONTRACT PERIOD: ___________________________________________________________________________
REFERENCE THREE
GOVERNMENT/COMPANY NAME: ________________________________________________________________
ADDRESS: ___________________________________________________________________________________
CONTACT PERSON AND TITLE: _________________________________________________________________
TELEPHONE NUMBER: _________________________________________________________________________
E-MAIL ADDRESS: _____________________________________________________________________________
SCOPE OF WORK: ____________________________________________________________________________
CONTRACT PERIOD: ___________________________________________________________________________
THE ORIGINAL AND ONE (1) COPY OF THIS PAGE MUST BE RETURNED WITH BID!
Page 10 of Bid # 2017-009
BID PROPOSAL SIGNATURE FORM
The undersigned agrees this bid becomes the property of Wood County after the official opening.
The undersigned affirms he has familiarized himself with the local conditions under which the work is to
be performed; satisfied himself of the conditions of delivery, handling and storage of equipment and all
other matters which may be incidental to the work, before submitting a bid.
The undersigned agrees if this bid is accepted, to furnish any and all items/services upon which prices
are offered, at the price(s) and upon the terms and conditions contained in the Lake Hawkins RV Park
Lease Agreement. The period of acceptance of this bid will be upon notification of award of the bid.
The undersigned affirms that they are duly authorized to execute this contract, that this bid has not been
prepared in collusion with any other Bidder, nor any employee of Wood County, and that the contents of
this bid have not been communicated to any other bidder or to any employee of Wood County prior to the
official opening of this bid.
Vendor hereby assigns to purchaser any and all claims for overcharges associated with this contract
which arise under the antitrust laws of the United States, 15 USCA Section 1 et seq., and which arise
under the antitrust laws of the State of Texas, Tex. Bus. & Com. Code, Section 15.01, et seq.
The undersigned affirms that they have read and do understand the Lake Hawkins RV Park Lease
Agreement and any attachments contained in this bid package. Failure to sign and return this form
will result in the rejection of the entire bid.
Signature__________________________
AUTHORIZED REPRESENTATIVE
NAME AND ADDRESS OF COMPANY:
___________________________________
Date _________________________________
___________________________________
Name ________________________________
___________________________________
Title _________________________________
Tel. No. ____________________________
FAX No. ______________________________
E-Mail Address: ______________________________________________________________
AFTER HOURS EMERGENCY CONTACT:
Name: ______________________________
Tel. No. ______________________________
This Form Must Be Signed
THE ORIGINAL AND ONE (1) COPY OF THIS PAGE MUST BE RETURNED WITH BID!
Page 11 of Bid # 2017-009
CREDIT REPORT AUTHORIZATION AND PRIVACY DISCLOSURE FORM
I hereby authorize and instruct (Wood County) to obtain and review my credit report. My credit report will
be obtained from a credit reporting agency chosen by (Wood County). I understand and agree that
(Wood County) intends to use the credit report for the purpose of evaluating my financial readiness to
manage Wood County Lake Hawkins RV Park.
My signature below also authorizes the release to credit reporting agencies of financial or other
information that I have supplied to (WOOD COUNTY) in connection with such evaluation. Authorization is
further granted to the credit reporting agency to use a copy of this form to obtain any information the
credit reporting agency deems necessary to complete my credit report.
I understand that I may revoke my consent to these disclosures by notifying (Wood County) in writing.
_______________________________ _______________________________
Client’s Name (Print)
Client’s Name (Print)
_______________________________ _______________________________
Client’s Signature
Client’s Signature
_______________________________ _______________________________
Client’s Social Security Number
Client’s Social Security Number
Date: ___________________________ Date: ___________________________
Address:
Address:
_______________________________ _______________________________
_______________________________ _______________________________
_______________________________ _______________________________
**NOTE: PLEASE INCLUDE A COPY OF A VALID DRIVERS LICENSE**
THE ORIGINAL AND ONE (1) COPY OF THIS PAGE MUST BE RETURNED WITH BID!
Page 12 of Bid # 2017-009
CERTIFICATION OF ELIGIBILTY
By submitting a bid or proposal in response to this solicitation, the bidder/proposer certifies that at the
time of submission, he/she is not on the Federal Government’s list of suspended, ineligible, or debarred
contractors.
In the event of placement on the list between the time of bid/proposal submission and time of award, the
bid/proposer will notify the Wood County Auditor’s Office. Failure to do so may result in terminating this
contract for default.
Signature________________________X
This Form Must Be Signed
THE ORIGINAL AND ONE (1) COPY OF THIS PAGE MUST BE RETURNED WITH BID!
Page 13 of Bid # 2017-009
COMPANY IS:
Business included in a Corporate Income Tax Return?
______YES
______NO
_____Corporation organized & existing under the laws of the State of ____________________
_____Partnership consisting of _________________________________________________
_____Individual trading as ______________________________________________________
_____Principal offices are in the city of ____________________________________________
THE ORIGINAL AND ONE (1) COPY OF THIS PAGE MUST BE RETURNED WITH BID
Page 14 of Bid # 2017-009
The following information applies ONLY
To an awarded Bidder/Respondent
Certificate of Interested Parties (Form 1295)
In 2015, the Texas Legislature adopted House Bill 1295, which added Section 2252.908 of the Government
Code. The law states that a government entity may not enter into certain contracts with a business entity unless
the business entity submits a disclosure if interested parties to the government entity. The disclosure of interest
parties will be submitted online via Form 1295 and must be submitted to the government entity prior to any
signed contract and/or vote by the governing authority.
The Filing Process:
1. Prior to award by Commissioners Court, your firm will be required to log in to the Texas Ethics
Commission, https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm and fill out the
Electronic Filing Application.
2. Once submitted, the system will generate an electronic Form 1295 displaying a “Certificate Number.”
Your Firm Must Print sign and notarize Form 1295.
3. On the day of notification of award by the Wood County Auditor’s Office, the completed Form 1295
must be submitted to Wood County Auditor’s Office.
4. Your Firm will need to repeat this process and obtain a separate Form 1295 each time you enter into a
new contract, renew a contract or make modification and/or amendments to Wood County contract.
Instruction and information are available at https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm
or you may call the Texas Ethics Commission at (512) 463-5800
Your Form 1295 ID# is 2017-009
By signing on the “Compliance Page”
YOUR FIRM AGREES TO ADHERE TO HB 1295 REFEREDNCED ABOVE
Page 15 of Bid # 2017-009
COMPLIANCE WITH FEDERAL AND STATE LAWS
CERTIFICATION OF ELIGIBILITY
(This provision applies if the anticipated contract exceeds $25,000)
By submitting a bid or proposal in response to this solicitation, the bidder/proposer certifies that at the
time of submission, he/she is not on the Federal Government’s list of suspended, ineligible, or debarred
contractors.
In the event of placement on the list between the time of bid/proposal submission and time of award, the
bidder/proposer will notify the Wood County Purchasing Agent. Failure to do so may result in terminating
this contract for default.
RELATING TO STATE CONTRACTS WITH AND INVESTMENTS IN COMPANIES THAT BOYCOTT
ISRAEL
Effective September 1, 2017, Contractor/Vendor verifies that it/he/she does not boycott Israel and will not
boycott Israel during the term of this contract. The term “boycott Israel” is defined by Texas Government
Code Section 808.001, effective September 1, 2017.
DISCLOSURE IF INTERESTED PARTIES
By Submitting a bid or proposal in response to this solicitation, the bidder/Respondent agrees to comply
with HB 1295, Government Code 2252.908. Bidder/Respondent agrees to provide Wood County
Auditor’s Office and/or requesting department, the “Certificate of Interested Parties,” Form 1295 as
required, On the Day of notification of award, renewal, amended or extended contract.
Visit
https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm for more information.
Authorized
Signature________________________________________________________________
THE ORIGINAL AND ONE (1) COPY OF THIS PAGE MUST BE RETURNED WITH BID!
Page 16 of Bid # 2017-009
WOOD COUNTY, TEXAS
BID FORM
BID PACKAGE NO.:
DESCRIPTION:
BID OPENING:
2017-009
RV PARK MANAGER AT LAKE HAWKINS
2:00 P.M.
June 21, 2017
Wood County Auditor’s Office
Wood County owns a 35-acre park with up to 41 RV camping sites, 2 cabins, tent camping areas,
two restrooms with showers, a pavilion, a house, swimming beach, boat ramp and fishing dock,
located on Lake Hawkins, in southeastern Wood County near Hawkins, Texas. The County desires
to lease the RV Park on a contract basis from July 1, 2017 through June 30, 2018. The contract will
be awarded on a sealed bid basis. Qualifications, prior experience, pricing, and other subjective
criteria will be considered in evaluation of the bids. When approved by Commissioners Court and
signed as accepted by contractor, the following pages will constitute a contract between the
contractor and Wood County.
Bid of:
________________________________________________________________
Name (Typed or printed)
Phone
Mailing Address
City
State
Signature
Zip
Social Security Number
Basic Contract: See Attached Lake Hawkins RV Park Lease Agreement For Terms.
Unit to bid for Basic Contract:
Per month
$______________ (Minimum $1,000)
Total Annual (per month x 12): $______________
This Form Must Be Signed
The Original and One (1) Copy of This Page Must Be Returned With Bid!
Page 17 of Bid # 2017-009
WOOD COUNTY, TEXAS
BID AFFIDAVIT
The undersigned certifies that the bid attached to this proposal has been carefully reviewed and are
submitted as correct and final. The undersigned further certifies that bidder agrees to furnish any and/or
all services upon which prices are extended at the price offered, and upon the conditions contained in the
bid package. The period of acceptance of this bid will be upon notification of award of the bid.
STATE OF TEXAS
COUNTY OF _____________
BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day
personally appeared __________________________, who after being by me duly sworn, did depose
and say: I, ________________________, hereby certify that the foregoing bid has not been prepared in
collusion with any other bidder or other person or persons engaged in the same line of business prior to
the official opening of this bid. Further, I certify that the bidder is not now, nor has he or she been for the
past six (6) months, directly or indirectly concerned in any pool or agreement or combination, to control
the price of services bid on, or to influence any person or persons to bid or not to bid thereon.”
CONTRACTOR’S OFFER
I, hereby agree to fulfill this contract
per the attached bid by signing this
day of
,201____.
_______________________________
Signature of Contractor
_______________________________
Date
____________________________
Notary Public
State of Texas
APPROVAL AND ACCEPTANCE BY WOOD COUNTY, TEXAS
Wood County, Texas signing by and through County Judge, Bryan Jeanes has authorized the execution
of this Agreement by order of the Wood County Commissioners Court on the_____day of
_,
2017.
_____________________________
Bryan Jeanes, County Judge
This Form Must Be Signed
The Original and One (1) Copy of This Page Must Be Returned With Bid!
Page 18 of Bid # 2017-009
BID FORMS/DOCUMENTS CHECKLIST
Indicates
Compliance
A check mark () in the space provided indicates these forms/documents have
been completed and are included in your bid package. The original and one (1)
copy of all forms/documents should be submitted. Failure to check all items
could result in rejection of the entire bid. All deviations from specifications must
be documented separately and included with bid package.
1.
Vendor References. Bidder has provided three (3) references, other
than Wood County. References must be able to verify the quality of
service your company provides and that your company has completed a
project of similar size and scope of work to this bid.
2.
Signatures. All forms requiring a signature MUST be signed. Bids not
signed will not be considered for award.
3.
Bid Proposal Forms. All sections of Bid Proposal Forms have been
completed.
4.
Insurance Certificates (If required). Bidders must submit all
Insurance Certificates with bid. See Lake Hawkins RV Park Lease
Agreement Article lll
5. CREDIT REPORT AUTHORIZATION AND PRIVACY DISCLOSURE FORM
6. It is the bidders’ sole responsibility to print and review ALL pages
of the bid document, Lease Agreement, attachments, questions and
their responses, addenda and special notices. All forms requiring
signatures MUST be signed by the bidder and notarized where
applicable. Failure to complete and submit all required forms, including
but not limited to the Reference Page, Certificate of Eligibility, Checklist,
Questionnaires (when applicable), Addenda (including revised forms),
and any other specified forms or documents will be grounds for rejection
of entire bid.
7.
8.
9.
Accuracy for all mathematical and number entries is the sole
responsibility of the bidder. Wood County will not be responsible for
errors made by the bidder.
CERTIFCATE OF INTERESTED PARTIES FORM 1295 will need to be
completed online see Instruction on Page 15 Your ID# is 2017-009
Failure to comply with the requirements set forth in this Request for Bid
may result in rejection of bid and/or cancellation of contract after award.
The Original and One (1) Copy of This Page Must Be Returned With Bid!
Page 19 of Bid # 2017-009