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Res 18-29 Approving an Agreement with Business Interiors for furniture at Fire EMS station No 1 TOWN OF WESTLAKE RESOLUTION NO. 18-29 A RESOLUTION OF THE TOWN COUNCIL OF THE TOWN OF WESTLAKE,TEXAS, AUTHORIZING THE TOWN MANAGER TO EXECUTE A CONTRACT WITH BUSINESS INTERIORS TO PROVIDE AND INSTALL THE OFFICE AND LIVING QUARTER FURNITURE FOR THE WESTLAKE FIRE-EMS STATION NO. 1 PROJECT AND AUTHORIZE THE TOWN MANAGER TO MAKE FUNDING CHANGES VIA CHANGE ORDER NOT TO EXCEED $25,000 ON THIS PROJECT. WHEREAS, the Town of Westlake will be constructing a new 18,000 square foot Fire - EMS House 1; and, WHEREAS,the Council desires to provide stakeholders with an iconic looking fire station that serves the emergency service needs of the community and meets the community building standards; and, WHEREAS, the option to select one contractor based on the total aggregate bid or awarding items or sections separately to one or more contractors based on unit pricing; and, WHEREAS, the staff recommends Business Interiors provide the install the office and living quarters furniture for the Westlake Fire-EMS Station No. 1 project and reject all other bids for the project: and, WHEREAS, the Town Council finds the passage of this Resolution is in the best interest of the citizens of Westlake. NOW, THEREFORE, BE IT RESOLVED BY THE TOWN COUNCIL OF THE TOWN OF WESTLAKE,TEXAS: SECTION 1: That, all matters stated in the Recitals hereinabove are found to be true and correct and are incorporated herein by reference as if copied in their entirety. SECTION 2: That,the Westlake Town Council does hereby authorize the Town Manager to enter into an agreement with Business Interiors to provide and install the office and living quarters furniture for the Westlake Fire-EMS Station No. 1 project attached as Exhibit "A". SECTION 3: That, the Westlake Town Council hereby authorizes the Town Manager and/or his designee to approve change orders to this agreement up to $25,000, in the aggregate, on behalf of the Town of Westlake. Resolution 18-29 Page 1 of 2 SECTION 4: If any portion of this Resolution shall, for any reason, be declared invalid by any court of competent jurisdiction, such invalidity shall not affect the remaining provisions hereof and the Council hereby determines that it would have adopted this Resolution without the invalid provision. SECTION 5: That this resolution shall become effective from and after its date of passage. PASSED AND APPROVED ON THIS 27th DAY OF AUGUST 2018. ATTEST: ee<cz— Laura L. Wheat, Mayor EitOOLAr\ Kell Ed ds Town Secretary0-, Thomas E. Br mer, o n Manager ia PifIO WEST,_- Y g APPROVED AS TO FORM: f O 44( AO)/ ' T E' is r!' L. tanton . . y To n Attorney .x,y,"�'�"' Resolution 18-29 Page 2 of 2 INDEMNIFICATION BY CONTRACTOR Town shall not be liable or responsible for, and shall be saved and held harmless by Contractor from and against any and all suits, actions, losses, damages, claims, or liability of any character, type, or description, including all expenses of litigation, court costs, and attorney's fees for injury or death to any person, or injury to any property, received or sustained by any person or persons or property, arising out of, or occasioned by, directly or indirectly, the performance of Contractor under this agreement, including claims and damages arising in part from the negligence of Town, without; however, waiving any governmental immunity available to the Town under Texas law and without waiving any defenses of the parties under Texas law. The provisions of this indemnification are solely for the benefit of the parties hereto and not intended to create or grant any rights, contractual or otherwise, to any other person or entity. It is the expressed intent of the parties to this Agreement that the indemnity provided for in this section is an indemnity extended by Contractor to indemnify and protect Town from the consequences of Town's own negligence, provided, however, that the indemnity provided for in this section shall apply only when the negligent act of Town is a contributory cause of the resultant injury, death, or damage, and shall have no application when the negligent act of Town is the sole cause of the resultant injury, death, or damage, unmixed with the legal fault of another person or entity. Contractor further agrees to defend, at its own expense, and on behalf of Town and in the name of Town, any claim or litigation brought in connection with any such injury, death, or damage. - The Contractor will secure and maintain Contractual Liability insurance to cover this indemnification agreement that will be primary and noncontributory as to any insurance maintained by the Town for its own benefit, including self-insurance. In addition, Contractor shall obtain and file with Town a Town of Westlake Certificate - of Insurance evidencing the required coverage. Company Name (Contractor) ///I 446 E /, Signature Name (Please Print) ./1/_/) � r/l1 /Vta Title Station No. 12018 r� FACILITECH, INC. SPECIAL MEETING OF THE DIRECTORS March 2, 2018 The undersigned directors being a majority of the directors of FACILITECH, INC., a Texas Corporation (the "Corporation") hereby consent to and approve the following resolutions and each and every action effected thereby: RESOLUTIONS Whereas, the directors desire to elect the officers for the corporation to serve until the next annual meeting. It is resolved, that the following persons are elected to the office set forth immediately below, until the next annual meeting and until his/her successor shall be duly elected: Chairman of the Board Joan L. Miller CEO Kathleen M. White Treasurer/Secretary Kathleen M. White Vice President Gregory J. Miller President Sally Smith Vice President— Finance Mary Arnett Vice President— MOI Debbie Hawkins Beasore Whereas, since the annual meeting of the Board of Directors held on December 8, 2016 the Board and the officers have engaged in various actions including, without limitation, the ongoing business of the Corporation. It is resolved, that all proceedings of the Board of Directors and all acts or actions taken by the Board and the officers on behalf of the Corporation on or after December 8, 2016, including but, without limitation, the actions described above, by the officers of the Corporation be, and the same hereby are, ratified, confirmed and approved in all respects and adopted as the acts of this Corporation. In witness whereof, the undersigned directors have hereunto signed their names on the date set forth opposite their names. Directors: Dated: 3 'Z^/t/ J n L. Miller, Director Dated: Z LW at leen M. White, Director Dated: 3/27/4 Gregor• J. er, irector TOWN OF WESTLAKE WESTLAKE FIRE-EMS STATION NO. 1 FURNITURE RFP EXCEPTION TO OR CLARIFICATION OF INSTRUCTIONS TO BIDDERS, PAGE 4, SECTION 12.TIME ALLOWED FOR CONSTRUCTION This section reads as if liquidated damages can be assessed starting with the date Business Interiors proceeds with the furniture installation. This is not a customary definition. Business Interiors will accept liquidated damages to start only if the furniture installation is NOT COMPLETED by the 90 working days as stated in the Agreement. AGREEMENT BETWEEN TOWN AND CONTRACTOR THIS AGREEMENT is dated as of the day of �`%1 in the year 2018, by and between the Town of Westlake, Texas (hereinafter called OWNER) and bU.-"(/L2&S /itis--%OI6ereinafter called CONTRACTOR). OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: Article 1. WORK. CONTRACTOR shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: The furnishing of all labor, shipping, materials, equipment, and incidentals for the Westlake Academy Expansion Phase I which include installing of all offices furniture, breakout space, conference room, workrooms and classroom furnishing listed in the scope . All manufacture and warrant information must be provided in three ring notebook. Article 1. CONTRACT TIME. 3.1. CONTRACTOR agrees to commence work within ten (5) days after the date of written notice to commence work, and to complete the work on which he has bid within 90 working days as provided in the General Conditions. Article 2. CONTRACT PRICE. 4.1. OWNER shall pay CONTRACTOR for completion of the Work on a Unit Price Work Basis in accordance with the Contract Documents in current funds based on the measured quantities and the unit prices stated in the Proposal. Article 3. PAYMENT PROCEDURES. CONTRACTOR shall submit Applications for Payment on work completed during the previous month on the first day of the month. CONTRACTOR shall present only one Application for Payment each month. Applications for Payment will be processed by ENGINEER and OWNER shall make payment to CONTRACTOR within thirty (30) days of the date of the invoice. Article 4. INTEREST. All moneys not paid when due shall bear interest at the maximum rate allowed by law at the place of the Project. Article 5. CONTRACTOR'S REPRESENTIONS. In order to induce OWNER to enter into this Agreement, CONTRACTOR makes the following representations: • Station No. 1 2018 ; 0 5.1. CONTRACTOR has familiarized itself with the nature and extent of the Contract Documents, Work, site, locality, and all local conditions and Laws and Regulations that in any manner may affect cost, progress, performance or furnishing of the Work. 5.2. CONTRACTOR binds itself to use such materials and so construct the work that it will remain in good repair and condition for and during the period of one (1) years from the date of the repair and to maintain said work in good repair and condition for said term of one (1) years. CONTRACTOR binds itself to repair or replacement of the furnishing in whole or in part at any time within said period, if in the opinion of the owner, it be necessary. 5.3. To the fullest extent permitted by laws and Regulations, CONTRACTOR shall indemnify and hold harmless OWNER and ARCHITECT and their consultants, agents and employees from and against all claims, damages, losses and expenses, direct, indirect or consequential (including but not limited to fees and charges of engineers, architects, attorneys and other professionals and court and arbitration costs) arising out of or resulting from the performance of Work, provided that any such claim, damage, loss or expense (a) is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangibleY ert ro (other p p than the Work itself) including the loss of use resulting there from and (b ) is caused in whole or in part by any - negligent act or omission of CONTRACTOR, and Subcontractor, any person or organization directly or indirectly employed by any of them to perform or furnish any of the Work or anyone for whose acts any of them may be liable, regardless of whether or not it is caused in part by a party indemnified hereunder or arises by or is imposed by Laws and Regulations regardless of the negligence of any such party. 5.4. In any and all claims against OWNER or ARCHITECT or any of their consultants, agents or employees by any employee of CONTRACTOR, any Subcontractor, any person or organization directly or indirectly employed by any of them to perform or furnish any of the Work or anyone for whose acts any of them may be liable, the indemnification obligation under paragraph 7.3 shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable by or for CONTRACTOR or any such Subcontractor or other person or organization under workers' or workmen's compensation acts, disability benefit acts or other employee benefit acts. • Article 6. Contract Documents The Contract Documents which comprise the entire agreement between OWNER and CONTRACTOR concerning the Work consist of the following: • Notice to Bidders. • Instructions to Bidders. • Proposal • This Agreement. • Payment Bonds • General Conditions • General Requirements • Furniture Plans There are no Contract Documents other than those listed above in this Article 6. Station No. 1 2018 Article 7. TERMINATION. • OWNER may terminate contract if CONTRACTOR persistently fails to perform the work in accordance with the Contract Documents including, but not limited to, failure to supply sufficient skilled workers, or suitable materials or equipment, or otherwise violates in any substantial way any provisions of the Contract Documents. OWNER may, after giving CONTRACTOR seven (7) days written notice and to the extent permitted by Laws and Regulations, terminate the services of CONTRACTOR, exclude CONTRACTOR from the site and take possession of the Work. Article 8. MISCELLANEOUS. 10.1. No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound, and specifically but without limitation moneys that may become due and moneys that are due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. OWNER and CONTRACTOR each binds itself, its partners, successors, assigns and legal representatives to the other party hereto, its partners, successors, assigns and legal representatives in respect of all covenants, agreements and obligations contained in the Contract Documents. IN WITNESS WHEREOF, OWNER and CONTRACTOR have signed five (3) copies of the Agreement. Two counterparts each have been delivered to OWNER and CONTRACTOR. All portions of the Contract Documents have been signed or identified by OWNER and CONTRACTOR. This agreement will be effective on the G day of , 2018. OWNER: CONTRACTOR: Town o estlake, xas i 1/5 By: � ] '.(. �. � By: /, ! — i Laura Wheat, Mayor ATTESTEdw /4(f FaUJO,11 ATTEST: ^i0 , Kelly s, TMRC, Town Secretary Address for giving notices:t,,�'"""''-- Address for giving notices: I \NEST, "= 1500 Solana Blvd. Buil' �;'` ite 72 //// l/rL )/ G'/C L/V Westlake, Texas 76 ` , * (If OWNER is a publit.lbec[yList name of person to whose attention resolution authorizing.,•vcutio . • notices are to be sent: Agreement. ) • TE.,- co MA-4v 4/01-!/ -' (If CONTRACTOR is a Corporation, attach evidence of authority to sign.) Station No. 1 2018 i 1 I EXPERIENCE RECORD List of projects bidder has successfully completed: Amount of Date Name and Address Contract Award Type of Work Accepted / of Owner// / ..;2. 960, 00e• os !7/6,6R/ /I6"&ciRrkrs-for,vilwe 6/65//4/ CfivG/Veltvork. 9,7 /y'grtwaajs/ Da 141-s i, 037, V35/.n0 f''pfv11,¢t/,Ar,a.4"-A/c wO14<icc- prR, /a/3/%y C,, , 141//mss 8oa8Ced4 .9o' '' 124141' 0f o v.o° Foiv,/urr p ,'� o 0F'6,„ _,irc6i,k(ii,,4/w.w//r A xvls -TV e10bslimo&Clarevi 1v • •;//aVb3 Ffwax rg, 3/51., 'a 3, gS FvrcNl7uxE-elGF35.c' -off'c //8 / i✓(s7mkE At CA ofy a600 orr/4/6E2 R 04),/o,+ce", r 76� List of projects bidder is now engaged in completing: Amount of Date Name and Address Contract Award Type of Work Accepted of Owner ova, 060,0d Fvrivi1vr6 -(q'SCGaOor-SE.Ar,NG '/ pod ,4kfil'GU/f/9 neso/)Aoi(c Oz. ,04 1/4.f,t`e 3, coa, oao,as Iry/i wkre 62scc,000 -Srtt,46 7/ ao/g rJ v- t . .0366 /1/Fic1/514p,4ll4jv lle S, 000 , ood, - P 2n+1TuLE-Woe.eSr4T/oNJ g'3/�-0/$ r7mer�isodicc- 3/6/ 6AYLoitSPkwl feireo, 380.o00, oo {Ur`ry//uRtc -d'rc/CE c4SECoo0J 7/ ?Igo/8 GENE 4'Z- 5ooS6/yeWvide Avc O4/6 7'k List of Surety Bonds in force on the above uncompleted work: -- i • Amount of Amount of Name of Surety Contract Award Bond Company /1//// Acknowledgment on next page must be filled in. • Station No.1 2018 1 4 • EXPERIENCE RECORD CONTINUED R5 apartner U •,? ) P5 _Submitted by: ey-{/ /// E55 / individual a corpora ion with principal office at /1p V/il/c 2 TA TO BE FILLED IN BY CORPORATION TO BE FILLED IN BY PARTNERSHIPS: - Date Incorporated /91/ /9 c Date Formed Under the Laws of State whether partnership is (State) general limited or associated. Executive Officer// 4,92ey I`ri�°i�/r%!J List of Members: State of Countyof ) - 7 G A-,�y U� T; , being duly sworn, deposes and says that he is the / �V of (Title) (Name of Organization) and that the answers to the foregoing questions on the attached forms and all statements herein are true and correct; that the experience record is made a part of this affidavit as through written in full herein, and all statements and answers to questions given in the above mentioned experience record are true and correct. AMI (Sign lure) j Sworn to before me this e-11 day of /We 2018. • ,41/1,01/ Notary Public My Commission Expires: 6te, lozo (Seal - - - - - - - - ,,�Y DANA CORT c _..*_ Notary PublicSTATE O1985-7F TEXAS ID#18 My Comm.Exp.Dec.1,2020 Alb 4100- Station No. 1 2018 I 5 r , BID BOND KNOW ALL MEN BY THESE PRESENTS, that we BUSINESS INTERIORS as principal, hereinafter called the "Principal," and SURETEC INSURANCE COMPANY, 1330 Post Oak Boulevard, Suite 1100, Houston, Tx 77056, as surety, hereinafter called the "Surety," are held and firmly bound unto TOWN OF WESTLAKE as obligee, hereinafter called the Obligee, in the sum of Five Percent of the Greatest Amount Bid Percent (_ - 5 %) of the Amount Bid by Principal for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally,firmly by these presents. WHEREAS, the principal has submitted a bid for Furniture Proposal for the Westlake Fire-EMS Station No. 1,Westlake,TX NOW, THEREFORE, if the contract be timely awarded to the Principal and the Principal shall within such time as specified in the bid, enter into a contract in writing or, in the event of the failure of the Principal to enter into such Contract, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void, otherwise to remain in full force and effect. PROVIDED, HOWEVER, neither Principal nor Surety shall be bound hereunder unless Obligee prior to execution of the final contract shall furnish evidence of financing in a manner and form acceptable to Principal and Surety that financing has been firmly committed to cover the entire cost of the project. SIGNED, sealed and dated this 30th day of July , 2018 BUSINESS INTERIORS (Principal) BY: TITLE: SureTec I surance Company BY: ' V. DeLene Marshall , Aitorne 'CFact Bid%20Bond%2Ouncapped_text[1].doc Rev 1.1.06 POA#: 4221097 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Don E. Cornell, Ricardo J. Reyna,V. DeLene Marshall,Sophinie Hunter, Robbi Morales, Kelly A.Westbrook,Tina McEwan its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety for,providing the bond penalty does not exceed Five Million and 00/100 Dollars($5,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and deliver, any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20th of April. 1999.) TN Witness Whereof SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to hereto affixed this 13th day of April A.D.2018 . r u� SURETEC INS n PANY IS `I/ :gl By: 4 w w Arc' $:11 John Knof.,CE• co 12' State of Texas ss: 7�;•.,, . County of Harris On this 13th day of April , A.D. 2018 before me personally came John Knox Jr.,to me known,who,being by me duly sworn,did depose and say, that he resides in Houston,Texas, that he is CEO of SURETEC INSURANCE COMPANY,the company described in and which executed the above instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. • 0611140 e ,IACOUELI'N GREENLEAF Nurary Public,State of Texas •1 � 1. Comm.Expires 05-18-2021 % %-.or.s.Lv; Jac el n Greenleaf,NotaryPublic Notary ID 126903029 9 Y My commission expires May 18,2021 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Company, which is still in full force and effect; and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Houston, Texas this day of ' i� fl , A.D. kK(i4Bren Beaty,Aistantory ,y instrument issued in excess of the penalty stated above is totally void and without any validity. or verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 5:00 pm CST. SureTec Insurance Company THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION Statutory Complaint Notice/Filing of Claims To obtain information or make a complaint: You may call the Surety's toll free telephone number for information or to make a complaint or file a claim at: 1-866-732-0099. You may also write to the Surety at: SureTec Insurance Company 9737 Great Hills Trail, Suite 320 Austin, Tx 78759 You may contact the Texas Department of Insurance to obtain information on companies,coverage,rights or complaints at 1-800-252- 3439.You may write the Texas Department of Insurance at PO Box 149104 Austin,TX 78714-9104 Fax#: 512-490-1007 Web:http://www.tdi.state.tx.us Email:ConsumerProtectionatdi.texas.gov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim,you should contact the Surety first. If the dispute is not resolved,you may contact the Texas Department of Insurance. Texas Rider 06042014 1 Client#: 93003 18BUSININT ACORDTC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)s/o6/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED l REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Wortham Insurance&Risk Mgmt. PHONE 817 336-3030 FAX 817 336-8257 (A/C,No,Ext): (A/C,No): 1600 West Seventh Street E-MAIL ADDRESS: Fort Worth,TX 76102-2505 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Cincinnati Casualty company 28665 INSURED INSURER B:Texas Mutual Insurance company 22945 Facilitech, Inc.dba Business Interiors 31194 INSURER C:Travelers Casualty&Surety Co America 1111 Valley View Lane INSURER D: Irving,TX 75061 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSRL SUBR WVD POLICY NUMBER (MM/DDY/YEYYY) (MMIDDY�) LIMITS A X COMMERCIAL GENERAL LIABILITY EPP0168242 12/01/2017 12/01/2018 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR PREMISES Cp(Ea accu F nce) $500,000 X BI/PD Ded: $1,000 MED EXP(Any one person) $10 PERSONAL&ADV INJURY $1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG $2,000�000 X OTHER: $ A AUTOMOBILE LIABILITY EBA0168242 12/01/2017 12/01/2018 (Ee aBcldeo/)INGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED '— SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS AUTO $ X HIRED AUTOS X S ED (Per PROPERTYcletDAMAGE $ A X UMBRELLA LIAB X OCCUR EPP0168242 12/01/2017 12/01/2018 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X, RETENTION SO $ B WORKERS COMPENSATION 0002006620 12/01/2017 12101/2018 X STATUTE OTH- ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? y NIA - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Crime 105713720 12/01/2017 12/01/2018 $1,000,000 Employee Theft of $1,000,000 Client Property DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Contractors'Commercial General Liability Broadened Endorsement GA233 02/07 Commercial General Liability Coverage Form GA101TX 09/10 Additional Insured By Contract AA4171 11/05 Waiver Of Subrogation-Blanket-Auto AA4172 09109 Primary and Noncontributory AA4174 11/05 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Town of Westlake SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3 Village Circle,Suite 202 ACCORDANCE WITH THE POLICY PROVISIONS. Roanoke,TX 76262 AUTHORIZED REPRESENTATIVE I „To)f, .2y6kfi'l am nt•zon) L .P. ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD #S926317/M842692 180AS DESCRIPTIONS (Continued from Page 1) Commercial Umbrella Liability Coverage Form US101UM 12/04 Texas Waiver Of Our Right To Recover From Others Endorsement WC420304B 06/14 Texas Notice of Material Change Endorsement WC420601 01/94 ACORD 101 (2008/01) 2 of 2 #59263171M842692 BID PROPOSAL SECTION 1: CASEGOODS BIDDER NAME: Business Interiors DATE: 8/10/18 NUMBER TAG MANUFACTURER DESCRIPTION QTY. UNIT PRICE EXTENDED PRICE 1 Cl National U-shaped desk unit 1 3175.59 3175.59 2 C2 National U-shaped desk unit with wardrobe 2 4386.95 8773.9 SUBTOTAL 11949.49 INSTALLATION COST 510 TOTAL COST 12459.49 BID PROPOSAL SECTION 2: EXTERIOR FURNITURE BIDDER NAME: Business Interiors DATE: 8/10/18 NUMBER TAG MANUFACTURER DESCRIPTION QTY. UNIT PRICE EXTENDED PRICE 1 EC1 Westminster Exterior Side chair, armless 8 479.72 3837.76 2 EC2 Westminster Exterior Lounge Chair with cushions 2 1130.19 2260.38 3 EDS1 Westminster Exterior Dining Set for 6 2 3174.46 6348.92 4 ES1 Westminster Exterior Sofa with cushions 1 1952.88 1952.88 5 ET1 Westminster Exterior Dining Table 1 1321.24 1321.24 6 ET2 Westminster Exterior Coffee Table 1 633.15 633.15 7 EU1 Westminster Exterior Umbrella 1 1895.08 1895.08 SUBTOTAL 18249.41 INSTALLATION COST 1901 TOTAL COST 20150.41 BID PROPOSAL SECTION 3: MISCELLANEOUS BIDDER NAME: Business Interiors DATE: 8/10/18 NUMBER TAG MANUFACTURER DESCRIPTION QTY. UNIT PRICE EXTENDED PRICE 1 Fl National 3 High Lateral File 2 547.56 1095.12 2 R1 Merinos 8x10 Area Rug 1 1051 1051 3 SS1 Edsal 18"x48" Heavy Duty Shelving 6 193.5 1161 4 SS2 Edsal 18"x36" Heavy Duty Shelving 1 177.5 177.5 5 SS3 Edsal 18"x48" Extra Heavy Duty Shelving 9 474.5 4270.5 SUBTOTAL 7755.12 INSTALLATION COST 1882 TOTAL COST 9637.12 BID PROPOSAL SECTION 4: SEATING BIDDER NAME: Business Interiors DATE: 8/10/18 NUMBER TAG MANUFACTURER DESCRIPTION QTY. UNIT PRICE EXTENDED PRICE 1 51 DreamSeat Lounge Recliner 7 803.42 5623.94 2 S2 National Mid back task chair 4 381.51 1526.04 3 S3 National Mobile nesting chair with arms 33 274.99 9074.67 4 S4 National Guest chair with full back and arms 4 304.15 1216.6 5 S4A National Guest chair with panel back and arms 7 341.82 2392.74 6 S4B National Guest chair with panel back, armless 2 308.2 616.4 7 S5 Global High back task chair 8 403.85 3230.8 8 S6 Berco Designs Counter height bars tool 3 184.68 554.04 9 S7 Falcon Metal side chair with wood seat 28 168.71 4723.88 10 S8 Cabot Wrenn 3 seat sofa 1 3458.56 3458.56 11 S9 Cabot Wrenn Lounge Chair 2 2003.1 4006.2 12 S10 National Executive task chair *Sub Triumph 4 515.56 2062.24 SUBTOTAL 38486.11 INSTALLATION COST 3013 TOTAL COST 41499.11 BID PROPOSAL SECTION 5:TABLES BIDDER NAME: Business Interiors DATE: 8/10/2018 NUMBER TAG MANUFACTURER DESCRIPTION QTY. UNIT PRICE EXTENDED PRICE 1 T1 National Flip/Nest training table with power 14 1084.58 15184.12 2 T2 National 48"x144" Rectangular conference table 1 4927.18 4972.18 3 T3 Martin Brattrud Low rectangular coffee table 1 2542.62 2542.62 4 T3A Martin Brattrud Square occasional table 1 1146.58 1146.58 5 T4 Ekitta 72"x36" Dining table no bid no bid no bid SUBTOTAL 23845.5 INSTALLATION COST 1383 TOTAL COST 25228.5 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. 2018-394253 Business Interiors Irving,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 • 08/20/2018 being filed. Town of Westlake Date Acknowledged: 08/21/2018 g Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the services,goods,or other property to be provided under the contract. 2018-17 Furniture and installation Nature of interest 4 Name of Interested Party City,State,Country(place of business) (check applicable) Controlling Intermediary Peter, LaCasse Irving, TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is , and my date of birth is My address is , , (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of ,on the day of ,20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711 Peter LaCasse Form 2270 Mary Arnett, Business Interiors